the eczema & psoriasis cure

DR. PATRICK GARRETT, DC, B.SCI, DCCN, DCBCN, DABFM, FAAFM,BCIM

FUNCTIONAL LIFESTYLE MEDICINE

104 E. BROADWAY NEWTON, KANSAS

316-212-5429

DOCTORGARRETT@YAHOO.COM

Who is Dr. Garrett?

Dr. Patrick Garrett

Chiropractic College / Medical School

12 Years of Functional Lifestyle Practice

Specializing in reversing acute & chronic

conditions naturally

Patients / clients all over the country & world

Clinical focus on reversing diabetes, asthma,

allergies, eczema, psoriasis, migraines and

epigenetic food therapy.

Physician

Postgraduate Educator

300 Hour / 2 Year Diplomate Functional Medicine

/ Clinical Nutrition Program in Denver, Colorado

National Speaker

Internal Disorders

Functional Medicine

Applied Nutrition & Clinical Chemistry

Clinical Nutrition

Functional Approaches to Reversing Diseases

National Speaker

Lifestyle Medicine ProgramCeliac Disease

Lifestyle Medicine – Metabolic Syndrome & Nutrition

Lifestyle Medicine – Stress Management

Lifestyle Medicine – Weight Management

Lifestyle Medicine – Prescribing Exercise

Lifestyle Medicine – Osteoporosis

Lifestyle Medicine – The Biology of Normal Sleep &

Consequences of Insufficient Sleep

Infertility & Endocrinology & More

Postdoctoral Education

Lifestyle Medicine ProgramLifestyle Practices for Weight Management & Health Promotion

Models of Behavior Modification

The Pressure System Model of Lifestyle Counseling in Primary Care

Rationale for Lifestyle & Weight Management Counseling

Weight Bias in Clinical Settings: Improving Health Care Delivery for

Obese Patients

Postdoctoral Education

Diplomate of the American Board of Functional Medicine

Board Certified in Integrative Medicine

Diplomate of the American College of Clinical Nutrition

Senior Fellow of the American Academy of Functional

Medicine

Diplomates & Certifications

Harvard Medical School Postgraduate Association– Member

American Academy of Integrative Medicine – Member

Physicians Committee on Responsible Medicine - Member

American Board of Functional Medicine - Past President

American Academy of Functional Medicine - Chairman of the Board of Directors

Green Med Info – Board Member

Bloodid - Medical Director

Leadership / Membership

The Eczema / Psoriasis Cure

1. What is eczema and Psoriasis

2. What is the pathophysiology?

3. What causes chronic dermatitis?

4. What lab tests are worth doing?

5. How can it be cured or improved easily?

What is eczema and Psoriasis?

A chronic health condition in which patches of skin become rough and inflamed. Some manifest into blisters while others itch and bleed.

Chronic dermatitis

Psoriasis

Contact dermatitis

Before 1800s - Leprosy

What is the pathophysiology?

Chronic irritation

T-cell mediated auto-immunity

Two major things

Contact dermatitis

Toxic chemicals

Irritating chemicals

60-80% - Chronic Exposures to Food Sensitivities

Rest is Chronic Contact Dermatitis

Patient Example

EO -Posterior Neck

Car Door – Elbow

New Desk – Both Elbows

One

cytokine

causes

several

inflammatory

results

Non-Food Dietary Causes

Digestive (e.g., lactase deficiency)

Pharmacologic (e.g., caffeine, ethanol)

Biochemical (histamine, tyramine,

salicylates, sulphites, MSG)

Lectin-mediated glycoprotein agglutination

Non-Food

Non-Dietary

Causes

Molecular Mimicry of Autoimmune

Molecular Mimicry of Autoimmune

Immunologic Mechanisms of Food

Intolerance

Type I (IgE mediated, TH2 promoted)

Type II (IgG and complement mediated, cytotoxic, TH1 promoted)

Type III (IgG immune complex mediated, TH1 promoted)

Type IV (cell-mediated, TH1 promoted)

What Tests Should I do?

A radioallergosorbent test (RAST) - Worst (IgE only)

Skin Prick Test – High False Positives

Provocative Test / Patch Test - ?

Provocative Test / Food Diary - ?

Enzyme-linked immunosorbent assay (ELISA) quantitative assay of

immunoglobulin G– Best (Determines Most Common Problems)

Skin Prick test

Provocative Challenge by

Elimination Diet w/ Food Diary

Oligoantigenic

Avoid most commonest allergens: milk, wheat,

corn, soy, eggs, nuts, fish, rice, other grains

Gluten and/or casein-free

Yeast and mold-free

Low-salicylate

Etc…

Technique of Food Elimination

Obtain baseline measure of symptoms or signs

Complete avoidance of all food/drink containing test components for

14 days

You should list your foods and monitor change in symptoms

Food Challenge Techniques

Introduce foods

Singly

One every 5 days

2-6 challenges for each food because delayed reactions are common

If symptoms occur, hold challenges until clear

Avoid suspected symptom provokers

Re-challenge with these after completion

IgG Food Panel – 186 Foods

Enzyme-linked immunosorbent assay (ELISA) quantitative assay of

immunoglobulin G

Food Sensitivity

Testing for

Histamine

Releasing

Foods

Typical Medical Treatment

Symptomatic pharmacotherapy

Steroids

Chemotherapy

Typical Natural Treatment

The easiest cure is prevention

Short term

Identify and eliminate molecular mimic foods

Identify and eliminate offending chemicals

Long term

Rebuild immune system

Normalize Th1 / Th2 / Th17

Chinese Skullcap (Chang qui) Tea every day

Hydrangea (Chang shan / dichoroa) -300mg-500mg a day

Red wine

Stop interfering with the immune system (T cell function)

Stress raises blood sugar = immune suppression

160 pounds of sugar a year = immune suppression

Heal that gut too!

Majamaa, Isolauri, J All Clin Immunol 1997

Infants with atopic eczema and cow’s milk allergy fed formula with or without Lactobacillus GG

Clinical improvement associated with 95% decline in fecal TNF-alpha in the Lactobacillus group, signifying reduced GI inflammation & symptoms

Kalliomaki et al, Lancet 357: 1076-79 (2001)

Lactobaciilus GG given to high risk mothers during last 2 weeks of pregnancy and for 6 months after birth to their offspring

Atopic eczema at 2 years

Controls: 31/68 (46%)

Lactobacillus 15/64 (23%), RR=0,51

QUESTIONS?

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