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The way centesimal scale remedies work is that they go in, search for the symptoms they need to work on, and get to work.
The remedy will bring up symptoms in the person’s health history as a part of the healing process, in order to  address them. The duration of the aggravation or what I call the initial response time on the remedy also varies with the potency of the remedy, the age of the client, how long the symptoms have been present and how deeply rooted they are. The healing process can unfold over the course of  a few days in an acute illness, or over the course of weeks, or months in chronic cases. I avoid using very high potency remedies because the aggravations can be very long lasting and very intense, and they can pull anyone under their influence, even if they would not be susceptible to that remedy in lower potency. Some people prescribe 30C potency and 200C potency remedies daily, and they claim that they do not see any negative affects from doing this.
Most people on a centesimal scale remedy that is working well may only need to repeat the remedy one to three times in a year.
LM potencies are also known as Quin potencies and 50 millesimal potencies, and referred to by Hahnemann as medicine au globule.  LM does not stand for 50,000, but for 950. Hahnemann felt that in certain chronic cases the LM potencies would speed up the healing process dramatically.
By using this method of administration the remedy could be repeated at frequent intervals without any detriment. In practice I have noticed that LM potencies can be very efficient, but they can also present challenges when the dosing is not quite right. The way I work is that I start with the LM1 bottle, and when that is finished move to the LM2 bottle, and then the LM3 and so forth.
Once we have identified the two or three symptoms that we are using as markers, we watch these symptoms for evidence of relapse. Some people need to take the remedy at frequent intervals and others need to repeat the remedy very rarely. When you come close to the end of the stock bottle, please send me an e-mail to let me know.
Another thing that is important is that I will ask you not to completely finish the LM1 bottle, but leave about a teaspoon in the bottom.
The LM1 is usually followed by the LM2, the LM3 and so forth, so that you move up consecutively in the sequence. If you feel that the benefit from the remedy is plateauing, meaning that you do not experience increasing benefit from continuing with that dose of the remedy, it is okay to go up to the next level of the LM potency without finishing the bottle at the level where you are at. Different people need different dosage quantities depending upon their sensitivity to the remedy. Double dilute by taking one teaspoon or half a teaspoon or a quarter of a teaspoon from the stock bottle and putting it in 4 oz. The important thing is for you to determine how much and how often to take the remedy to keep the healing process moving forward, while keeping aggravations to a minimum. People can definitely have aggravations of their symptoms on LM or Quin potencies equal and even exceeding in intensity to what people have on centesimal scale remedies.
Generally speaking an aggravations of symptoms is an indication that the remedy has found the symptoms it needs to work on and is working on them.
If you experience a strong aggravation of symptoms it can mean that you need to decrease the quantity of the dose the next time you take it. If you experience an amelioration of symptoms after taking a remedy, you should not repeat the remedy until the symptoms that have gotten better have relapsed for four to five days. Please call or send me an e-mail if you have any questions about your response to the remedy, or whether you should start or stop. I usually use LM potencies for people who are taking allopathic medication or are using a few health modalities at the same time that they are using homeopathy.
I often use LM potencies for people with eczema and other skin conditions, though I may prefer a centesimal scale remedy.. I often use LM potencies for older clients where I am concerned that they may have a hard time tolerating an aggravation.
I often use LM potencies for people who are in pain from various causes, where you want them to have more control over frequency of repetition. I often use LM potencies when there are tissue changes and you want the person to have a continuous regular stimulus.

I usually use centesimal scale remedies when I feel the person has a strong vital force, and they are not taking other medications, or using other health modalities simultaneously. I will often ask people do you prefer to take a one shot deal dose or a daily dose, and if they say one shot deal dose, I will give them the centesimal scale remedies.
The decision is often also an intuitive one based on factors that I would have a hard time enumerating.
Ghandi is always a good source of thought provoking quotes and one in particular has been on my mind recently.
The cookie settings on this website are set to "allow cookies" to give you the best browsing experience possible. I have heard one teacher say that this is a logarathmic scale, meaning that as you go higher up the scale you need a greater amount of potentization in order to equal the difference that you get from the interval in the lower potencies. Sometimes the effects are subtle and people may not even notice that there are changes taking place until they are reminded at the follow up of the symptoms they had before they took the remedy. If these old severe were very concerning in the past, the patient may be alarmed at their reappearance (such as a history or heart pain or arthritis). That aggravation can vary in intesity depending upon the potency of the remedy taken, how long the symptom has been there, how much suppressive treatment the person has had, overall health and vitality of the person, and other factors. The lower potencies will often have a shorter aggravation period, and the higher potencies often have a longer aggravation period, but not necessarily so. A rough estimate of the duration of  action of a remedy is approximately three months for the 30C dose, but I have seen 30C dose remedies hold a year and a half and longer.
For many people it only holds two to three months, and for others it can hold for four or five years, and again it can cure. I never practice in this manner, not just because it goes against my training, but also because I feel it is too aggressive.
One grain of a medicinal substance is triturated with 100 grains of milk sugar for one hour, and then a grain of that is triturated with another 100 grains of milk sugar for an hour, and the process is repeated three times, so that you have three hours of trituration. The LM potencies are administered in water, and doses can be taken daily or at longer intervals.
It often takes people about three to four weeks working with the remedy to figure out the best frequency of repetition and dosing. Each successive bottle is stronger than the previous one, so you move up in potency as you move to the higher bottles. From my experience, however, I have found that people may resonate better to certain potency levels than others.
Aggravations can be reduced by decreasing the quantity of remedy used, and by double and triple diluting.
It is important not to interrupt this process, but allow the aggravation to play itself out. Repeating before you are supposed to can trigger a strong aggravation that can take up to three weeks to recover from, so be careful. It usually takes people about four weeks to figure out exactly how best to take the remedy, so there is a learning curve. Many people just like the convenience of taking the remedy once and not having to think about it again for a long time. I hope you enjoy a lifetime of good health, aided by homeopathy, or any modality that works for you when you need it.
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Join my campaign for truth and science, by replacing point-of-sale information with my own flyers detailing the facts about homeopathy. Some people contest the intelligence of using this scale and have suggested using the Fibonacci intervals, which is also very interesting and worth exploring. When working with remedies of this strength I will give the dose only one time and not repeat until there is definite evidence that the person has been better and is now relapsing. They remember that they used to have headaches, back pain, depression and now they are not experiencing those symptoms. It is important not to repeat the remedy when this happens, because this is a sign that the remedy is on the job and retracing symptoms from the past in order to heal them..

An analogy I have given to many people is that it is like putting your finger on the light switch and turning it on and off constantly to keep the light on, whereas all you really needed to do is flick the switch once and let the light shine. This is his method of repeating daily, as he does not have confidence that the single dose method works. No one knew about LM potencies until 1921 when the sixth edition of the Organon of Medicine written by Samuel Hahnemann was finally published. Then one grain of that is dissolved in 500 drops of a mixture of 90 proof grain alcohol and one part distilled water. He emphasized that it was never admissble to repeat the remedy in an exactly identical form.
Some people do very well taking the remedy daily for months, and other people are very sensitive to the remedy, and have to be careful with how to take it. Please prepare the medicine in the bathroom, so as to avoid exposing other family members to the remedy, and set aside special cups and a spoon for this purpose.
Please be in contact with me by sending me weekly progress reports in the first month of treatment.
The goal is to keep aggravations to a minimum, while maintaining the effectiveness of the remedy. I create a base-line chart of their response at seven weeks from when they took the remedy, which serves as a guide to repetition.
You do not need need to flick the switch again (give another dose of the remedy) until you see that the light is beginning to dim. I have thirty years of experience working with the single dose method and I have seen its effectiveness time and again, so I do not agree that daily repetition is preferable, but he gets good results dosing in this manner, and I get good results dosing the way I do. One remedy may address certain symptoms, certain states of being, and then an underlying state emerges after the first remedy, and they need another remedy to address that new state. Prior to 1921 the 4th edition of the Organon was the one people relied upon and the centesimal scale is what it advocated. A single drop of that is mixed in a vial with another 100 drops of grain alcohol, corked tightly and succussed 100 times. By shaking or succussing the stock bottle that holds the remedy before taking each dose, the medicine was slightly altered with each dose.
In chronic diseases, every correctly chosen homeopathic medicine, even one whose action is of long duration.
My goal is to identify two or three symptoms that we can use as markers that will help us determine when you should repeat the remedy. You may also purchase the remedy from other reputable homeopathic pharmacies.  Each time you order a bottle it has to be one strength higher than the previous bottle, so LM1 will be followed by LM2, and then LM3. The goal of using LM or Quin potencies is to keep the healing moving forward, while keeping the aggravations to a minimum. Great teachers such as James Tyler Kent popularized and explained how to use the centesimal scale remedies.
A single dose of an LM or Quin potency remedy can hold many months, and can potentially cure. Then fine sugar globules are moistened with the liquid, dried on blotting paper, put in a corked bottled and labeled the LM1 potency. These remedies need to be repeated with as much care and caution as when working with centesimal scale remedies. To prepare the next strength a globule of the previous strength is placed in a new vial with a drop of water to dissolve it, then 100 drops of wine spirit or grain alcohol is added to the vial. When repeated too soon, they can  cause severe aggravations of your symptoms, which we want to do our best to avoid. The tightly corked vial is successed 100 times, and the process of moistening sugar globules with the remedy and labeling it LM2 is completed.

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