These are predetermined and prescribed ways of providing treatment and/or for directing a consumer to a close.  They are benchmarks to an endgame.

Protocols are designed because of the  implied safety and conformity of providing the same treatment for the same diagnosis.  Other conditions influence  protocols.  Systems can be designed to duplicate the protocols with expediency and efficiently because they want an established  pattern for personnel reasons.  They want there to be only one option.  Most involved in the process may be well intended.  No one person, however, is critical to providing the services, so protocols are important for business reasons.

 If all are doing the same thing, than it shows agreement and conformity within the profession.  They include treatments that are covered by insurance regardless of effectiveness or whether or not  you have some choice  in the marketplace outside what is covered.  If all doctors are doing the same thing for the same diagnosis and insurance has agreed to pay for it, it must be the right thing to do. 

Also protocols are influenced by what would be considered financial incentives.   Contrary to what they tell you, they are not as  influenced by research and statistical evidence as they often imply.  Most of the research and data is manipulated to imply a direct co-relationship between what they want to do (treatment) and the diagnosis as to  sell the protocol.  All treatment or imaging is always accompanied by  brief encapsulated statements that are "features and benefits."  Oftentimes, they proceed to  the next step;  without any resistance or questioning, they just take you to the next phase in the protocol with a nod or an opening of the door.  If you have this, this is what all people do because it is supported by our profession and all of our research and investment.  Those who do not deviate from protocols imply that all similarly educated and certified doctors would do the same thing, so why would you want another opinion.  Look around you at the building, the uniforms, the equipment,  why would anyone question the validity of what we are doing.  Contrary to this, not all similarly licensed and educated professions agree, either with the diagnosis or the protocol.  Also bad things happen in the hospitals no matter how impressive it appears These doctors who deviate are under great scrutiny and risk for obvious reasons.   Media supports the protocol treatment either through investment into marketing or indirectly through all programming.  Those professionals attached to hospitals and larger clinic run by larger business controlling interests are more likely to see the advantage of having established protocols.
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We are most concerned about vascular health regarding the vessel integrity.  We are frustrated at the number of elderly people who are overmedicated, lose balance, and muscle tone.  They fall and hit their head and die from a stroke.  The brain is being robbed of oxygen and any trauma cannot be managed.  Thin blood with poor vessel integrity contributes to the likelihood of this happening.  Your brain is you, it does all of the healing, and it wants all the oxygen and glucose it can get; its blood delivery system is critical to your ability to function and adapt.  The less the integrity, the more likely vessels just bled out like a slow watering hose.  We understand that patients have pacemakers, heart replacements, thrombus, ischemia, congestive heart failure, and numerous conditions that thinner blood lessens the stress upon the heart muscle.  A thrombus forms in the vessel and can go to the lungs and kill you.  We get it.  Thinning the blood and eliminating the intake of green foods is managing the symptoms not the cause of the problem.  No one, however, is going to do well for any extended period of time progressively getting less healthy by destabilizing the blood with toxic substances, taking complicating medications and eliminating essential nutrients.  It’s a dilemma.

We would generally recommend that the patient elect to take metabolic enzymes such as bromelain, serratopepitidase, and/or nattokinase.  I would encourage more doctors research the positive findings shown from studies in these protolytic enzymes.  Also we see little problem with taking a quality Omega 3 fish oil and CQ10 for ATP.  Have a simple blood test for Omega 6/Omega 3 ratio, and make dietary efforts to keep a 2:1 ratio or lower like 1:1 of these Omega 6 (grains) to Omega 3 (fish oils).  The Omega 3 should have a 2/1 or lower relationship with EPA/DHA.  Too many Western diets have as high as 40+:1 ratios between Omega 6 to Omega 3 ratio which is very inflammatory; even a 4:1 ratio changes the effectiveness of Omega 3.  When diets continue to be directing us toward grains, we are continuing to have heart problems.  Green vegetables provide phytochemicals that are important by adding ALA to the diet.  It is important to get AL (grains) lower to more of a 4:1 ratio to these healthier ALA (alpha linoleic acid) which you get from greens, chia, and flax.  Studies support that Omega 3 helps with AMD, depression, dry eye, breast cancer, colon cancer, RA, DM, and overall life span.  Olive oil was also found to be helpful in getting Omega 3 into the cell membranes.  Similar positive heart and vascular effects also are found in neurological tissues and brain development.

Healthier oils include the ALA (vegetable), Omega 3 (fish oil), Olive oil, and even the saturated coconut oil is very good for you.  Oil based naturally occurring vitamins such a complete E and especially D3 (shown to be deficient in many degenerative diseases) have an important role in degenerative and inflammatory diseased states.  When they studied the value of vitamin E and found that it did not help, they failed to tell the public that they only studied cheap synthetic vitamin E.  The Shute brothers, famous cardiologists, have generations of successful outcomes with natural occurring full spectrum vitamin E.

We consider a good Omega 3 as one of the ESSENTIAL CORE supplements necessary for health.  Good would be required to come from very cold water with less of an ability to collect metals in their tissue.  Larger fish are more likely to be contaminated than krill.  No tuna source should be considered.

Also as importantly, all people must be well hydrated with 8+ full glasses of water.  Older people lose the thirst sensation, so they must take the water in spite of how they think they feel.  People on medications are also dehydrating at a faster rate.  Hydration has a naturally occurring positive effect on the blood density.  I guess it is easier to give them Coumadin or aspirin than it is to have them drink enough water.

Also I see no problem with taking an herbal blend, such as Protandium (brand name) which combines the herbs turmeric, green tea extract, milk thistle, bacopa, and ashwagangha.  This combination improves upon the negative effects of oxidative stress by improving upon the effectiveness of anti-oxidants from within ripe colorful fruits and vegetables.  I cannot imagine someone telling a patient not to eat foods that are high in anti-oxidants.  These adaptogenic herbs activate enzymes from DHA as to modulate anti-oxidant activity.  Without enzymatic activity nothing works fast enough and with great enough activity to overcome the negative paradoxical effects of oxidative stress.  Conversely, nothing is more harmful over time than poor nutrition and the inability to convert to enzymatic activity.  It is just how we are supposed to work, adapt, and continue to survive. These and other adaptogenic herbs do not force reactions like some toxic herbs and medications.   Genetic factors only determine susceptibility, while environmental factor determine expression.  Nutrition is the most influential of all environment factors to determining the progression and expression of a diseased state. This product or any equal in quality is also included in our CORE supplementation because of the necessity to get effective levels of anti-oxidation to combat our very hostile toxic environment.

L-Arginine as an amino acid is known to improve vascular health and is cited as an alternative to blood thinners.  However, no herb, enzyme, or amino acid literally thins blood mechanistically.  They do not work this way.  They influence the whole system.  The whole system should be monitored regularly if there has been some vascular or circulatory problem because of it systemic on the delivery of oxygen and the transport of essential proteins and glyconutrients.  We are most concerned that the health of the vessels are seldom dealt with and can be improved upon by diet and lifestyle.  In most cases, it is as much the vessel health as it is the density of the blood, but it is easier and faster to thin blood.

Turmeric is more often thought of as a spice in Indian foods, but has been found to have natural anti-inflammatory properties.  Ginger is a well established circulatory improving herb, and has been part of the spices included in beverage, cookies, and oriental food. How could these not help?  One could well take turmeric for joint complaints and not know it helps also improve vascularity for the same reasons.  It seems more problematic and complicated to be taking a whole array of medications along with blood thinners than it would be to restrict spices and foods.  When you force reactions with drugs, you have to consider at some point where am I going to let my body balance itself in homeostasis?  Essential nutrients from food are “essential” because the body cannot function independently of these outside the body factors and cofactors that are required for its growth and survival.

If one were to add these healthier natural choices to ones diet, over time there would be improved general health.  It is not that these recommendations are not studied.  They are throughout the scientific literature and have more supportive documentation than the drugs being used.

I might be hesitant about suggesting one take gingko biloba, however, only that some of the commentary seems to be less supportive on taking it.  I am not so sure that this is claimed but not supported, since gingko is also adaptogenic in its effect on the system.

I really cannot imagine that in the preparation of a patient for long term medication that one would still be consuming foods considered essential for basic tissue replacement and other metabolic activities.  Foods do not contain synthetic vitamins, but rather contain a variety of essential naturally occurring factors that modulate the metabolism, feed the body, and protect it from negative effects.  For example, Vitamin C which is often thought of as ascorbic acid is not present in food; it is rather a combination of factors that react differently than just the consumption of ascorbic acid.  If the patient were to consume ripe foods grown in rich soil, they would not ever be consuming nutrients that could ever produce negative reactions to medications being taken; however, taking a synthetic vitamin with an entirely different chemical matrix could have a negative reaction.  The idea of eating too much leafy greens having an effect on clogging factors is not the same as it would be to take a synthetic Vitamin K.  Thin blood with little ability to clog in any emergency situation or in a minor trauma does not appear to be a “good thing.”  Also poor vascular integrity is most important to all considerations because it is the root cause of the problems; it is more difficult to correct over time and in diet modification.

It is quite common to see calcifications in arterial vessels especially in the lower vertebral arteries in middle aged and older patients.  It is not so common to see these in non-Western vessels.   I would theorize that healthier vessels are less likely to attract mineralization and associated collection of plague from other readily available proteins and fats such as cholesterol.   Diets rich in natural vitamin C and natural sulfur (cruciferous plant foods, MSM) help connective tissues and the linings of vessels. 

Minerals are also key to having a healthy circulatory system.  The balance of calcium and magnesium is important because they compete in the body.  Too much calcium  will reduce the available amount of magnesium.  Both minerals are obviously important, but generally calcium consumption is taking over.  Magnesium has been found to be critical to healthy heart activity.  Even studies with the consumption of hard water show a correlation between heart health even though it would be considered more natural for the body to assimulate magnesium from a food source.  Zinc has been shown to have a positive effect.  Copper, however, has a negative effect on heart health.  Lower magnesium levels increases the likelihood of coronary artery vasospasm which is associated with sudden death from a heart attack.  When one looks at the influence of nutrition, it seems more evident that the problem is associated with lifestyle and not blood density.  Also it seems more in the organ and vessel's ability to function.   Heart arrhythmias are significantly related to magnesium.  No one can find a dose recommendation, but rather, it should be viewed from the standpoint of what one eats or does not eat.  There is great irony that one restricts dietary consumption of leafy greens which is the best natural source of magnesium.  Food form mineral and vitamins such as from Doctor's Research or Standard Process offer a very good alternative.  It seems counterproductive to rely on medications and not be assured that you are doing something about your diet so you can gradually and naturally improve upon tissue integrity and essential mineral balance for natural physiological performance.   We feel that too often one goes to medications rather than addressing something as simple as food form magnesium.

It would seem more important to promote long term healthy consumption for vessel integrity than it is to forcefully control the density of the blood and the amount of essential cholesterol.  These medications are dangerous and contribute to the problem.  Generally, one does not have leaky plumbing or poor water pressure because of fluid density.  It is because of restrictions within or surrounding the vessels that carry the water or, of course, from the pump not working.  The effects of long term compression on the heart  and lungs from kyphosis or excessive weight are easily discounted, but they are important contributing factors to overworking the heart muscle and poor oxygen from shallow breathing.  Clumping of red blood cells is an indication of a health problem.  Over time it can produce a hypoxia, inability of the cell surface to capture oxygen.  It is much better to make sure first that the patient is well hydrated and is active.  I am not sure that there are any studies showing that thinned blood improves oxygenation of the tissues which is, of course, the main reason we have blood.

I am not convinced of the necessity of blood thinning to the extent that it is prescribed to the American population.  I am not sure that it has more positive attributes than negative.  Never self prescribe, and never take yourself off your medications.  We are not recommending or telling you to do so.  You should address your concerns with your medical doctor who is responsible for your medication and related health.  Ask more questions; when do I no longer need to take these medications? What are your plans to get me off medications?

For whatever reason, once things are tampered with through what we believe to be our best knowledge at the time, it is much more difficult to turn around, but it has to be better using natural choices than combining additional medications.  One sure does not want to get themselves into a situation where they are so fragile that no professional feels that they can deviate from protocols, because it is saying that they are just managing your slow death through immune depression, toxic overload, dehydration, malnutrition, and oxygen deprivation, or, for that matter, your fast death if you get dizzy with of the loss of oxygen and ATP to the brain, fall, hit your head, and die of a stroke.  Ultimately, you choose as long as our society currently allows some freedom of choice in the current marketplace.  That freedom of choice is, however, influenced by what is covered by insurance, exclusively medicine and surgery.  Do not believe for a moment that what they cover is somehow based on what is best for you.