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Guavas are often regarded as one of the "most nutritious fruits." Depending on the species, a guava’s flesh and seeds can be white, orange, pink or red. Smoking CessationWe have helped patients to quit smoking cigarettes using a variety of techniques. At Eastside Natural Health Clinic, we are dedicated to providing the highest quality naturopathic medical care to our community.
Naturopathic medicine is a primary health care system founded on the honored medical principle that "Nature Heals". This distinct form of medicine was established 200 years ago in Germany by Samuel Hahnemann, MD. If ongoing clinical trials pan out, it's possible that one day people could be cutting their risk of HIV infection simply by popping a couple of pills per day. Simply quelling genital herpes could be enough to substantially reduce an individual's risk of acquiring and transmitting HIV. Preventive approaches that aim to modify behavior are yielding only modest gains against HIV transmission, so many researchers are now exploring such innovative biological preventive measures—earlier this year a clinical trial in South Africa found that male circumcision could reduce the risk of HIV acquisition (see Cutting HIV transmission, IAVI Report 9, 3, 2005). Prevention strategies that focus on biology rather than behavior, or a combination of the two, may provide greater gains in prevention than a behavioral approach alone.
But before researchers can go distributing drugs against herpes to HIV at-risk populations they need to demonstrate that these medications can reduce HIV transmission in real world settings, says Jairam Lingappa, medical director of one of the studies organized by the University of Washington. Herpes is a lifelong infection and the virus cycles between latency and reactivation to cause clinical disease, producing painful ulcers at the genital mucosa. Individuals with genital herpes are at 3 times greater risk of acquiring HIV, according to a just published meta-analysis of 19 studies (AIDS 20, 73, 2006) conducted by Esther Freeman and colleagues at the London School of Hygiene and Tropical Medicine (LSHTM). What is more, the proportion of HIV transmission events due to HSV-2 could be on the rise, according to a presentation from Freeman at the July 2005 International Society for Sexually Transmitted Disease Research meeting in Amsterdam.
This elevated risk of acquiring HIV may be greatest in the first few months following infection with HSV-2, when severe outbreaks are most common (J. Genital herpes heightens the risk not only of acquiring HIV but also of transmitting it to a sexual partner. In addition, HSV-2 is one of the most common opportunistic infections and takes advantage of the immunocompromised status of HIV-infected persons to cause frequent and prolonged outbreaks of genital herpes.
These lines of evidence open up the exciting possibility that suppressing HSV-2 could reduce both the risk of acquiring HIV (acquisition) and the risk of transmitting it to a sexual partner (infectiousness). To examine the public health benefit, a number of clinical trials are starting up to assess whether giving a drug to suppress HSV-2 can knock down HIV transmission (Table 1).
Acyclovir is affordable, it has few side effects, and the virus rarely becomes resistant, even after years.
Yet some researchers, including Philippe Mayaud of the LSHTM, think episodic treatment could significantly reduce the amount of HIV shed. While shedding studies are important, what researchers really want to know is whether acyclovir can reduce HIV acquisition in people who have HSV-2. Another important question is whether acyclovir can prevent HIV-infected individuals from passing the virus to a partner.
If acyclovir proves capable of reducing HIV transmission the trial results will benefit everyone—but none so much as the discordant couples themselves.
An exciting aspect of the study of herpes suppression among HIV-discordant couples is the implementation of strategies to promote couples' counseling and recruitment of HIV-discordant couples in Africa, says Celum. If the trials are successful, what will that mean for the average person who is at risk of either acquiring the disease or, if they have it already, transmitting it to a partner? Suppressive therapy—that is, a 400 mg pill of acyclovir twice a day for years—will be expensive and difficult to distribute in Africa.
Rabe is an expert in cannabinoid medicine, speaks at public educational events, conferences & patient support groups, and has appeared in the local media to provide medical commentary.
Rabe has a summa cum laude degree in Biochemistry from Benedictine University in Lisle, Illinois and earned his MD degree from Northwestern University Medical School in Chicago, Illinois. Twenty years ago, I was inspired to become a Naturopathic Physician after studying botanical medicine. In Utah, Naturopathic Doctors are required to complete one-year post-graduate medical residency to become licensed. The treatment of your health condition is specific and individualized to optimally support you.
We may suggest dietary changes based on your blood type, food allergies, specific medical condition, or energetic constitution. My initial interest in medicinal herbs is what motivated me to become a Naturopathic Doctor. Homeopathy is a specific type of energetic medicine that is based on the concept that "like treats like". Researchers have long known that sexually transmitted infections (STIs) play a facilitative role in HIV transmission. Numerous studies have found a strong association between genital ulcer diseases and increased HIV transmission (Herpes 11 Suppl. Yet two large trials in the early 1990s, one conducted in Mwanzaa, Tanzania and the other in Rakai, Uganda, yielded conflicting results. HSV-2 replication, even if actual herpes sores are not present, can lead to more frequent and greater amounts of HIV shedding in the genital tract since HSV-2 regulatory proteins can interact with a regulatory region of the HIV genome to upregulate its replication. So the vicious cycle is complete: HIV-related immunosuppression causes more HSV-2 to be present in the genital tract, which in turn promotes more HIV replication. These randomized, blinded, placebo-controlled trials will evaluate treatment with acyclovir, a proven anti-herpes drug efficient at suppressing HSV-2 activity, particularly clinical episodes. The drug is typically used in two ways: as a long-term suppressive therapy and as an episodic treatment when herpes flares up. He is involved in three studies, one of which is looking at HIV transmission when acyclovir is given to women in Ghana and the Central African Republic who come to clinics seeking treatment for genital herpes.

It does not control asymptomatic HSV-2 shedding, a situation that researchers now know is extremely common. A suppressive regimen of acyclovir or a placebo is being given to 1000 HIV-infected and HIV-uninfected women in a trial led by Debby Watson-Jones at the LSHTM. A large scale study to answer that question is being conducted by Wald and Connie Celum, also of the University of Washington. HSV-2 is the biggest cause of genital ulcers in married couples, says Susan Allen, a professor at Emory University's Rollins School of Public Health and a pioneer in studying HIV-discordant couples. A counseling program developed collaboratively by Allen, Liverpool Voluntary Counseling and Testing, and staff at the US Centers for Disease Control and Prevention has been used at some study sites to help couples understand the risks they face and help them make choices about how to minimize that risk.
The couples study is meant to examine acyclovir's role in preventing HIV transmission to the HIV-uninfected partner, but it does not test whether a greater reduction in intra-couple transmission could result if both members of the couple took acyclovir, to prevent both the infected partner from transmitting HIV and the uninfected partner from acquiring it. Mayaud hopes that if the episodic treatment proves successful acyclovir will be offered as a standard treatment for genital herpes when people visit a clinic. Valacyclovir, the newer form that can be taken just once a day, is not yet produced generically. She practices alternative medicine as well as traditional medicine and serves the East Valley cities of Gilbert, Chandler, Scottsdale, Tempe, Apache Junction, Queen Creek, Phoenix, and even has some patients who travel from West Valley!
We educate you about your health care options and involve you in the decision-making process. I like the fact that Naturopathic Medicine is well grounded in a tradition that uses natural medicines to heal. We now have 14 states who grant licensure to four-year educated naturopaths with several more states in the licensure process: Washington, Oregon, Montana, Utah, Idaho, Arizona, Connecticut, New Hampshire, Vermont, Maine, Alaska, Kansas, California, and Hawaii. In addition, we may support you and advise you on any personal dietary preferences you have chosen for yourself.The use of specific nutritional supplements may also be utilized.
I create acute custom formulas everyday for such conditions such as: upper respiratory infections, urinary tract infections, colds and coughs.
The medicines act by stimulating the "vital force" of the body to bring about a healing response. He does order conventional blood work, often an expanded panel, and considers other testing such as saliva, urine, or stool testing.Lifestyle and nutritional assessments are core treatment considerations for Dr. Now nearly a dozen clinical trials are investigating whether drugs that suppress herpes simplex virus-2 (HSV-2), the causative agent of genital herpes, can reduce HIV transmission.
The trials involved treating curable STIs such as syphilis, gonorrhea, chlamydia, and trichomoniasis, but not genital herpes, a strategy that resulted in a 40% reduction in HIV-transmission rate in Tanzania but no reduction in Uganda. And acute episodes of genital herpes result in transient increases of HIV RNA levels in the plasma (J.
The suppressive regimen helps keep HSV-2 latent, reducing the frequency and severity of outbreaks. Women who consent to be in the study are HIV tested and offered acyclovir three times a day for five days or a placebo. The HIV-uninfected women are being monitored for seroconversion, while the HIV-infected women are being monitored to see if the suppressive acyclovir regimen decreases their HSV-2 shedding and consequently their HIV shedding. The study is following women in three African nations (South Africa, Zambia and Zimbabwe) and men who have sex with men (MSM) in the US and Peru to see if acyclovir gives them protection against acquiring HIV.
By studying acquisition and infectiousness in two separate trials, the researchers run the risk of finding only weak associations in both.
A year's course of generic suppression therapy could cost as little as US$40 per year in Africa, but that is still prohibitive in most settings.
Rabe completed an Internal Medicine internship and is board-certified by the American Board of Integrative Holistic Medicine (ABIHM).  CA Med. Phillipo has authored "The HCG Diet Guide" as well as many published articles on medical weight loss. We prescribe professional-quality supplements, not typically available on the retail market, which are sold directly to you from our office. He listens with his hands to identify the holding patterns within his patient’s bodies. HIV is rather inefficient at spreading via sexual intercourse, leaping from one person to another in perhaps as few as one time out of every 1000 sexual exposures under certain conditions. The differing results are thought to be due to population characteristics, notably that the Tanzania cohort exhibited more high-risk behavior than the cohort in Uganda, where the HIV epidemic was more mature. The episodic treatment shortens the duration of the outbreak, although only by about one day out of a six-day period.
Mayaud and his colleagues will take genital samples from all women to see if they shed less HSV-2 and HIV (the latter among HIV-infected women only) due to the acyclovir treatment; the HIV-uninfected women will be followed to see if acyclovir protects them from acquiring HIV.
Together with colleagues from Burkina Faso and the University of Montpellier in France, Mayaud is also exploring how highly active antiretroviral therapy (HAART) may alter HSV-2's impact on HIV shedding. The researchers will also be looking at how well the drug controls the occurrence and frequency of genital ulcers, whether the participants adhered to the regimen of two pills daily, and also the effect of acyclovir on HIV setpoint in HIV seroconverters. The study will track nearly 3000 HIV discordant couples at twelve sites in seven African countries. But Celum says the team carefully considered combining the trials and decided it would be better to separate the studies to determine the relative impact of acyclovir on acquisition and infectiousness.
Despite the costs, most researchers argue that if there is a remedy on the shelf that can be used to reduce HIV transmission it should be made available.
She has facilitated over 1000 patients through the HCG Diet and  trains medical doctors throughout the US to facilitate medical weight loss and the HCG Diet into their practices. I grew up in a family that valued whole foods, being outside, and being physically active to stay healthy. Lab work is often ordered to further assess the health condition.To find out more about Naturopathic Medicine and Naturopathic Medical education. We also make specific diet recommendations such as including foods that support your liver function or your cardiovascular system.

From this selection I often combine three to seven medical herbs to create custom formulas for my patients.These customized herbal formulas can target specific conditions nicely. He uses the technique of unwinding to free up the range of motion of these holding patterns and in the joints. Knorr is a licensed Naturopathic Physician in Utah and has completed a four year medical education along with a one year residency.
Genital sores facilitate transmission by disrupting the physical barrier of the skin and enabling HIV to much more easily enter the body. The HIV-infected, HSV-2-infected partner will be given either acyclovir or a placebo to see if they are at reduced risk of passing HIV to their non-infected partner, in the context of couples' counseling, bacterial STI treatment, and condom provision. He works intuitively to understand the energetic flow and the areas of stagnancy in the body. In addition, genital herpes causes inflammation that recruits dendritic cells (DCs) and activated CD4+ T cells to the genital mucosa.
Because of this relatively small improvement, acyclovir is not a standard treatment for genital herpes under World Health Organization guidelines. I graduated in 1987 with a BA in French.I was introduced to Herbal Medicine while living in San Francisco, CA in 1989. There, DCs can entrap HIV particles and then traffic them to CD4+ T cells at distant sites like the lymph nodes. These help treat and address the deeper layers of dysfunction which often reside within the patient’s mind-body and emotional-body.
For women patients, I have created Hormonal Balance formulations and Pelvic Decongestant tonics, to help normalize irregular cycles or help treat ovarian cysts and endometriosis.
Knorr treats his patients who have a diagnosis, as opposed to the frequent conventional approach, which just focuses on treating the diagnosis.Dr. However, some researchers believe that another factor was the lack of herpes treatment, which is not curable and is the most widespread STI in sub-Saharan Africa.
In some regions of Africa, HSV-2 seroprevalence is greater than 80% in men and women 35 and older.
This included homeopathy, nutritional medicine, hydrotherapy, and botanical medicine.I completed the program in 1996.
In that same year, I was accepted in the one year residency program at Bastyr University, in Seattle, WA.
Looking at a broad array of health influences includes past stressors or insults, family medical history, nutritional and lifestyle evaluation and genetic evaluation when needed.Do you take insurance?Dr.
As a young resident physician, I witnessed many patients benefit from Naturopathic Medicine.I practiced for one year in Montrose, CO before moving to Utah in 1997. I create acute custom formulas everyday for such conditions such as: upper respiratory infections, urinary tract infections, colds, and coughs.
Our experience lately has been that insurance companies have become less likely to cover naturopathic medical services. I am grateful to offer this unique blend of medicine which incorporates conventional medicine knowledge with traditional Naturopathic medical wisdom.I like to keep up-to-date with the latest developments in the field of integrative medicine. If they do, then the next question is whether your company has specific exclusion clauses for Naturopathic Physicians. We will provide necessary paper work, upon request, if you would like to submit a claim.Does my insurance cover my conventional lab work?Yes, for the most part.
We can not guarantee coverage, yet, our experience has been that the majority of patients do get their conventional blood work covered by their insurance. Knorr takes a thorough medical history, physical exam, and laboratory assessment to diagnose his patients. Specific symptoms often suggest a diagnosis, a nutritional deficiency, or need for a homeopathic remedy. Knorr will often recommend a therapeutic trial, a diet or specific medicine regime, and then make a retroactive diagnosis when a patient is feeling better. He also works on an intuitive level, which is an additional means of assessment.What medicines do you use?Dr.
Knorr prefers to use natural medicines but does not hesitate to use a prescriptive medication, such as an antibiotic or anti fungal, when indicated. He uses a lot of herbal medicines and nutritional medicines, because he has seen them work effectively for his patients. Knorr likes to use what works.Do you do physical exams?Physical exams are performed on a regular basis. If you have a form to fill out please bring it along to your visit.What can I do to get ready for my first appointment?Here is what you can do!
List your top three health concerns.What can I expect on my first appointment?You can expect a focused and detailed visit about your health concerns. Recommendations for testing, assessment, and an initial treatment plan will be made.Can you prescribe prescriptive medication?Yes. Selected medications can often be discontinued once specific treatment plans have been implemented.
He can manage and prescribe these prescriptive medications.What kind of testing do you do?Dr. He frequently orders the following tests:food allergy panelssalivary adrenal testsheavy metal urine testcomprehensive nutritional evaluationsthe cholesterol VAP paneldigestive stool evaluationsDr.
Knorr performs energetic testing on natural medicine before recommending them to his patients.

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