Spoonie Radio Ep 01: Dr. Teitelbaum

Listen to Ep 01 where Dr. Teitelbaum and I discuss the SHINE Protocol, drawbacks of traditional lab testing, the gut, his new book, upcoming research projects, and more...

Full Text Transcript:

Dr. Craig: You’re listening to Spoonie Radio our Friday the 13th edition of the show. I'm your host Dr. Craig Craig. Today I'm joined by Dr. Jacob Teitelbaum. Dr. Teitelbaum is medical director of the Practitioners Alliance Network and creator of the popular free smart phone app Cures A-Z, he's also the best-selling author of several books including From Fatigued to Fantastic, Pain Free 1-2-3, The Beat Sugar Addiction Now Series, Real Cause Real Cure, and The Fatigue and Fibromyalgia Solution. He's the lead author of 4 studies on effective treatment for Fibromyalgia and Chronic Fatigue Syndrome and a study of effective treatment for Autism using allergy elimination technique (NAET). Dr. Teitelbaum has appeared on Good Morning America, CNN, Fox News Channel, The Dr. Oz Show and Oprah and Friends. He's speaking to us today from Kona Hawaii. Aloha, Dr. T.

Dr. Teitelbaum: Aloha Courtney, great to be with you.

Dr. Craig: Thank you so much. Welcome. Your work has been really influential in my own recovery and part of what really drew me to it is the fact that you yourself had CFS and you knew what it was like to live with this every day. So can you briefly describe your CFS journey and how it affected your medical journey, you’re life, and where you are today.

Dr. Teitelbaum: It is funny. I was in medical school at the time it was quite the education for me to be on the other side of the white coat. I had what I call the drop dead flu--one of these nasty viral infections. Six week later I could barely get out of bed. And all the king's horses, all the king's men; the professors, all of them they knew there was a virus but I wasn’t getting better so they figured well, I must be depressed--depressed med student syndrome they called it. And finally I had to drop out. Since I was paying my own way that meant no work-study, no loans, no scholarship. I was basically homeless sleeping in parks.  It’s as if the universe put a holistic medical school sign on my park bench. Naturopaths came by. Herbalists came by. Chiropractors came by. Energy workers.  And each of then taught me a piece of the puzzle. It was really pretty remarkable. And sometimes they even fed me. If they give me a slice of pizza I’d eat otherwise…fasting wasn’t that foreign to me. And I put all these pieces together and it’s what taught me what I needed to know so that I could recover and get well. Since then I spent the last 35+ years researching about this, teaching about it, and watching rising stars like you who are now coming in; integrating the work that I’m doing and many others, making it their own and taking it to the next level. It’s awesome.

Dr. Craig: That’s awesome, yeah. Your story is so similar to mine. It parallels so well. In a lot of ways I feel that getting sick is almost more of a blessing than it was a curse because I don't know who I would be today if not for my CFS illness. Would you agree with that?

Dr. Teitelbaum: Absolutely. But I would notice it’s much easier to recognize that being on the other end now that we're better.

Dr. Craig: Absolutely that’s true. So your protocol you call S.H.I.N.E. Can you walk us through S.H.I.N.E? What does S.H.I.N.E stand for? Describe your protocol to us.

Dr. Teitelbaum: Well for people with CFS and fibromyalgia it basically represents an energy crisis where people have blown a fuse called the hypothalamus. To get well you need to restore energy production. S.H.I.N.E is kind of a structure for doing that. So the S stands for Sleep, the circuit breaker that people blow controls sleep so they can't get sleep so giving them whatever they need to get solid sleep. H, hormonal support, that circuit controls virtually the entire hormone system: thyroid, adrenal, reproductive hormones, other hormones and again it’s not based on the blood testing which is…utter crap...the blood tests are horribly unreliable. So based on the person; the symptoms; how they respond to treatment. I would be infections--especially Candida although certainly Lyme and a host of other infections can be involved. Nutritional support for 'N' and E for exercise as able. If you exercise too much you'll get post-exertional fatigue and crash and burn. But if you don't exercise at all, because you’re afraid of that, you will decondition also not a good thing.

Dr. Craig: Right, now is there one part of this that you think is more important than the other? Where do you start with the S.H.I.N.E protocol? Which letter do you start with?

Dr. Teitelbaum: It depends on the individual. I’m going to start with the sleep and nutrition at the first visit for most people. Then I'm going to tend to go to hormones then I'm going to tend to go with treating the infections. Conveniently it's kind of in that order. But what each person needs is totally different. It’s kind of like there is a hundred ways to trip a circuit breaker in your home, there is over a hundred ways to trigger CFS and fibro--they're different patterns. You really have to tailor the pattern to that individual.

Dr. Craig: Right, and that’s one thing that I really like about this protocol is so many other approaches to treating this illness are just like silver bullets--just treating the virus with the antivirals or just treating the thyroid, but you really address all the spokes of the wheel and I think that’s very important--addressing each spoke of the wheel and this puzzle. Now you mentioned diet, one on my readers Liz from Salt Lake asked me to ask what diet do you think is best for treating this illness?

Dr. Teitelbaum: Well fortunately a high salt diet is important. People who salt restrict will crash and burn because the low adrenal and the low blood pressure issues. Avoiding excessive sugar is critical because the sugar drives the adrenal problem and the yeast, and drives metabolism crazy and generally drops immune functions. So high salt, high water, low sugar. And most people find that a high protein diet spread through the day feels best. Now the one thing that’s really important for people to take away though, is that there is no one diet that works best for everybody. That’s one reason why I think there is such a variety of food on the planet. So you want to listen to what diet feels the best to you. Now you eat sugar you'll feel better for an hour and then you're going to feel like hell. So look overall how its working but most people: high protein, low carb, high salt, low sugar, plenty of water. And of course whole foods--common sense.

Dr. Craig: Yes, common sense. Now how is your protocol changed with the new information that we're discovering now with the microbiome and some of the new research that’s coming out? Is this changing the protocol in anyway?

Dr. Teitelbaum: Well what we're getting is that if you take a look at different generations there’s different illnesses that are the main cause of death and debility. It used to be infections, injury, and malnutrition were the main killers. Heart attacks used to be very, very, very rare. Now heart attacks and strokes are the biggest killers. And we're moving into the next generation where immune dysfunctions are the biggest killers and the biggest cost of injury and illness--autoimmune disease, immune problems such as CFS and fibromyalgia. A big, big, big, big part of this stems from the gut. It’s happening because we have poor digestion, because enzymes are destroyed in food processing. So we get partially digested food getting into the small intestine.  Then we have leaky gut because of the gut infections including Candida, small intestinal bacterial overgrowth (SIBO), and other alterations. So you have partially digested proteins (leaky gut) these get into the body and are treated like allergies and infections--they overwhelm the immune system and trigger food allergies. So, is it playing a big role? Yeah! But let me give people an image that may help to understand a little better. It used to be for most of human history, we were breastfed, we didn’t have any stomach acid while we we're nursing, and the bacteria that settled in our colon then flourished. While we were weaned we made stomach acid and from that day on in our life everything that came into the stomach was sterilized and the intestinal flora that we had in the large intestine was there for a lifetime and it stayed that way. Fast-forward to that last 1/10th percent of human history and we destroyed the enzymes in food processing, we have antibiotics that will wipe out the gut flora in a week, never happened before in human history. And now we have people taking acid blockers for years, so anything that goes into the stomach goes into the intestine. We've turned our gut into a crap-shoot, what used to be a very orderly environment and this is why we're immune issues being the rising issues for this coming 50 years I would guess.

Dr. Craig: Right, a lot of overlap with autoimmune disease, autism, and all these mysterious new illnesses that we are seeing. Do you think the answer lies in the gut? I know that there is a big study that is trying to get funded now by Dr. Ian Lipkin looking at the microbiome specifically in CFS. Do you think we'll find the answer in the gut or is it far more complex than that?

Dr. Teitelbaum: I think an answer's in the gut. I think it’s way more complex than that. I think the gut microbiome still fits under the 'I' in S.H.I.N.E It’s an important piece of the 'I' but if you don’t treat the dysautonomia, if you don't treat the hormonal things, if you don't treat the nutritional things, if you don't treat all the rest of it, it's going to be one more silver bullet that will do some good but not take care of the whole puzzle.

Dr. Craig: Right. Now how is S.H.I.N.E. different when you use it for a CFS patient versus if you use it for a Fibromyalgia patient, is there a difference there?

Dr. Teitelbaum: No. See, that’s the only yes or no answer I’ve given in fifteen years. The key difference is that when you have pure CFS without the pain, more often you're dealing with infections; especially viral infections and associated autonomic dysfunction: low blood pressure, POTS. In those cases I will be focusing on that aspect of S.H.I.N.E. But to me for most people, CFS and fibromyalgia are the same illness. People ask me what’s the difference and I tease…when you go into the infectious disease doctor you’ll come out with a diagnosis of CFS and you go next door to the rheumatolologist and come out with a diagnosis of fibro.

Dr. Craig: Right, now do you think that there is a difference with (M.E.) Myalgic Encephalomyelitis or the severe cases

Dr. Teitelbaum: And then you go to the English doctor up the hallway and you come out with M.E. So again in any 5 people there are 5 different conditions because CFS is such a god awful, disaster, crappy name. Understandable people with M.E. want to dissociate from that. And that’s fine but the bottom line is they all represent an energy crisis where you blow a fuse called the hypothalamus and treating the underlying processes. Even if you want to make distinctions, the key is to look at what's going on in any one of individual. What label you want to give it--you could call it full moon…I don't care, whatever you want to call it is irrelevant. We treat the underlying process.

Dr. Craig: Right, do you have any experience treating these severe bed-bound patients? Do you have any clinical pearls where it’s different than a milder case?

Dr. Teitelbaum: Of course, having treated thousands and thousands of people I’ve had people who were carried to my office; who had to lie down the whole time, and I had to have my ear inches from their mouth the whole conversation because that’s all the energy they had. And again when you see that kind of severe issue you want to look at the autonomic dysfunction, you want to look for underlying infections, especially viral infections. You're going to see a lot of small fiber neuropathy that's going on. Treating the infections; antivirals, immune boosters, gamma globulin in addition to the other treatments can be helpful. Being a good holistic doctor, I'm going to recommend the treatment called Dexedrine; it’s like Ritalin. In this population it stabilizes the autonomic dysfunction. I say avoid these medications, get the heck off these different things and here’s some speed. In this population it can be the thing for stabilizing autonomic dysfunction. It is overused in ADD and underused in this population.

Dr. Craig: Interesting. Now a lot of the research that is coming out is focused on diagnostic criteria and looking for underlying causes. Why do you think the research is not instead focusing on treatment, effective treatment?

Dr. Teitelbaum: I still remember in the early stages of CFS how they had NIH conferences I went to on CFS and all of the speakers each of them stood up and said, “I have no idea why they ask me to be here. I don't even know what CFS is.” And then they go and talk about their areas of specialty. And the conclusion of the conference is we can't do any research on CFS because we don't have any diagnostic criteria that are clear cut or a way of telling that people get better. And I wanted to grab them by the neck and say, “ask them,” but that’s not considered scientifically valid because what do people know about themselves. So they’re still focusing on trying to lay the foundation before you do a study you need to have your definitions. and you know God bless them they are doing what they need to do and a 100 years from now they'll have it figured out after we've moved on to the next set of illnesses. In the interim though there is no need for us to wait. By bringing together the different pieces as clinicians we get to do it.

So you'd ask about the bed-bound person, from a chiropractic perspective it's important to realize that dysautonomia is often associated with atlas dysfunction and also with narrowing of the cervical canal. Sometimes it can be Chiari malformation where the skull actually squeezes the brainstem, but more often it’s called cervical stenosis. It’s not a fixed stenosis; it has to do with the structural issues where you can make a big, big difference with structural therapies. It has to do with tissue swelling, low thyroid, low B6 that will cause tissue swelling little bits and not fixed in bone they're removable. So coming with the different pieces can be helpful.

Dr. Craig: That's interesting! I like how you're bringing in the chiropractic piece.

Dr. Teitelbaum: It's an important piece.

Dr. Craig: It is an important piece of the complex puzzle. One thing with the research that I feel, that a lot of it is hindering progress because in not studying treatment processes it almost makes you think this is an untreatable illness. That’s one thing you've really stressed in your books and every time I've heard you speak is that this is a treatable illness. I feel like many practitioners and many patients don't appreciate that and then there is no hope there because of that lack of understanding.

Dr. Teitelbaum: We have a bad habit in medicine, it goes something like this: If I don't know what’s wrong with you, you're crazy. And that's what they teach us in medical school. And after the gauntlet we go through in learning this stuff, it’s easy to believe that religious philosophy thing. We now know everything we need and if anybody says they can help somebody that doctors can't, they're a quack. And this is why 1 out of 4 adult Americans are unnecessarily in chronic pain. Like 30,000 people a year in the US die from NSAID medications. So for those listening, if you go to the doctor and the doctor says, “I don’t know what’s wrong with you,” and implies that you're crazy here's what I recommend: get up give him a big hug and say, “thank you, thank you, thank you, thank you, thank you, thank you for letting me know up front what a utter fool you are so I don’t have to waste my time with you.” Smile, turn around, and walk out the door. And then if they send you the bill, write him back a letter saying I'm sorry you must be crazy, there is nobody existing by that name and then go to somebody that does know. If the doctor says, “I don't know, I'm sorry let’s find somebody else that can help”--that’s honest, but “I don’t know you’re crazy,” that’s abusive. That’s not acceptable, don't tolerate it.

Dr. Craig: Right. That's amazing advice and I wish I had that advice many years ago. All the doctors I've been shuffled through. Most of us have. You mentioned earlier most of the lab testing is useless but could you speak more to that? What kind of testing is useful here?

Dr. Teitelbaum: I would not say the tests are useless, the tests are very helpful. How they are interpreted is useless. What happens is that the tests have what’s called a normal range and what doctors don’t know is that the normal range has nothing to do with whether the test is healthy or the result is healthy, it's just based on what’s called two standard deviations. You take a 100 people, the 95 in the middle are defined as the normal range and the two and a half on the outside would be outliers or abnormal. So if you had a normal range for income for example, it would be $8,000 a year to I'm guessing maybe $160,000. Therefore outside of the normal range you would have a problem. Now poverty is anything under $16,000 so medically you would define three quarters of people in poverty means no problem. So the normal range isn’t meant to say the test is okay, it’s meant to give the doctor an idea of where along a group of 100 people you fall, so that they can get a sense in combination with the symptoms. The example that I gave Dr. Oz that he liked is shoe sizes. I had a normal range of shoe sizes that would be 5 to 13, say you come to Hawaii. I live on a volcano we leave the shoes at the door we don’t want to track lava into the house and say at the end I’m wearing your size 8 shoes, you have my size 13. You go to the shoe doctor and you say, “Doc, the shoe is falling off my foot.” He says, “No honey, it’s a size 13. It’s in the normal range. There's nothing wrong.” And I would go in and I would say, “I can't get my toe in this thing, it’s too small.” And he says, “No, size 8 shoe is smack down in the middle of the range.” And I’d say, “My toe doesn’t go in!” He'd start to look at me like I’m crazy, and that’s when you give him a hug and walk out. So understanding what the test means is very important. Most doctors have not a clue.

Dr. Craig: And that becomes really important when you look at thyroid panels, right?

Dr. Teitelbaum: Absolutely, the TSH is one of the worst, dangerous tests ever created in the history of humankind. He said subtly. I estimate that it’s responsible for upwards of half a million deaths a year on the planet, because of the role of low thyroid in increased risk of heart attack. So you'll see, you have the Hunt Trial for example where women whose thyroid was in the lower third of the normal ranges opposed to the upper third had a 69% increased risk of heart attack. That's pretty dramatic and those are totally normal TSH 1.5-2.5, in the middle. Anyway, the TSH--it’s a piece of crap. Excuse my language. It’s just so utterly unreliable when used as the sole test for determining the need for thyroid.

Dr. Craig: So thyroid problems are definitely involved in both fibro and CFS. So what kind of testing would someone need to really assess their thyroid with this illness?

Dr. Teitelbaum: Well there's a very high tech way I have of finding out the need for thyroid support. I ask them, are you tired, achy, weight gain, cold intolerant, constipated, have trouble with infertility or miscarriages. And if they answer yes to at least 2 of those and they have fibromyalgia, I will give them a trial of thyroid hormone and see if they feel better. The exception of this is if the free T4 blood test is in the upper 20th percentile of the normal range or higher, in which case I will consider an overactive thyroid with can mimic a low thyroid contributing to their symptoms.

Dr. Craig: From your experience treating patients what do you see more often? Do you see hypo or hyperthyroid or even hyperthyroid with Hashimoto’s?

Dr. Teitelbaum: Low thyroid is far more common in fibromyalgia but there are many types of low thyroid and we have to tailor the type of thyroid treatment. For some people it’s just iodine deficiency, you give them iodine they feel better. I like to go with 1000 mcg. Selenium deficiency will contribute to the Hashimoto’s; to give 200 mcg of Selenium it improves the Hashimoto’s. I don’t like to give that high of dose from day to day but in Hashimoto I will. Other people have iron deficiency and again the iron normal range is insane. The normal range in the iron blood test will say that 92% of people who have no iron in their bone marrow at all that’s visible, the worst form of iron deficiency present. People will say that 92% of them are normal and the researchers kind of just wring their hands and go, what are they thinking? The ferritin level has to be over 60 not over 10. But if you don’t have enough iron you can't convert thyroid to the active form so treating the iron deficiency will help that aspect of low thyroid. We have people who have difficulty with the conversion of T4 to T3 for other reasons, you've got T3 receptor resistance, you've got the control center of the brain that controls thyroid is underactive, so many different things. This is where my kids, I can see their eyes kind of tune out and they go blah, blah, blah, blah, blah.

Dr. Craig: Getting a little complicated here right?

Dr. Teitelbaum: People aren’t expected to say, “oh, let me get a quick piece of paper and write them all down.” There’s many, many different things going on and there is no one size fits all, you could just try different types of thyroid treatments to see what works for each individual.

Dr. Craig: Right. Do you have an opinion on testing for all these different viruses, do you think that's useful--all these viral titers?

Dr. Teitelbaum: I will check for CMV and HHV-6, just the IgG level. That will look for old infections but if it’s very high; if it’s over 1:40 or 1:640, depending on what type of test you’re doing, I will consider antiviral treatments at that point. But most of the testing for most infections in this disease is a waste of money, because the IgM only looks for acute infections that started within the last 2 months. That’s not what’s going on in people who have had CFS for 10 years. They don't look for viral reactivation so they're just going to say if you had the virus in the past. So the answer by and large is I don’t do these big infection panels. What I’d rather do in people…I do this simple test, what I do is I go by symptoms. If we have symptoms that suggest antiviral or immune stimulants would be helpful, I will treat for that. If you have symptoms suggesting an antibiotic sensitive infection, instead of trying to pin it down as Lyme or as all these other different ones. If you tend to have low grade fever, lung congestion, history of so called allergic reactions to multiple antibiotics, scalp scabs things like that…I will give antibiotics. I'm not going to try to label it with a name I'm just going to say try it and see if you feel better.

Dr. Craig: Imagine that! Now what sort of supplements do you think are really key for the S.H.I.N.E protocol and getting results here?

Dr. Teitelbaum: Well we actually, and I know we go through a lot of stuff here, if you go to the website Endfatigue.com, you'll see a free energy analysis program. People can do a series of questionnaires; they can even enter in their lab test if they have them. The lab tests aren’t critical but it will analyze the important ones. Then it will tell people what supplements they need and what medications are most likely to help. It’s different from person to person and it’s free. We used to charge $400 for it. It took 2 years to program this thing--this computerized doctor. And we actually have a US patent for computerized doctor. We told people that if they couldn't afford it, they can do it for free. And of course 80% of people wrote back and said, “I’m crippled with this disease, I have no money;” so we made it free for everybody and it was just my gift to folks with this disease. But it will tell people what supplements they need.

The key things are Ribose and the one I recommend is Corvalen by Douglas Labs but really any of the ribose products are fine. Two studies we’ve done showed that 5 g three times a day increased energy on average in 61% of people with fibro after three weeks. After three weeks they could drop it to twice a day, breakfast and lunch or dinner. There's a vitamin powder called the Energy Revitalization System. One scoop replaces over 35 supplement pills to one drink a day. So what I recommend, because I don't like people taking handfuls of pills all day, take the Corvalen, add a scoop of the vitamin powder, add water and that would be the best thirty seconds for energy that people spend all day.

Dr. Craig: Everyone would get pill fatigue with too many supplements, I do like that powder--the multivitamin. Now the D-ribose can you talk more about the mechanism of action. Doesn’t that work on the mitochondria?

Dr. Teitelbaum: Yes, the backbone of energy molecules in the body (ATP, NAD, FAD)…it’s made of adenosine which is ribose plus vitamin B, and phosphate. This and B vitamins, that’s what these molecules are made of. We knew that adding B vitamins helps and that’s in the multivitamins, but I wondered one day that since this is an energy crisis is there deficiencies of these energy molecules? So we looked and we see plenty of adenine and so then we tried ribose and the energy went up 61%, I was like "what the?!" If you see an increase in 10% in energy that’s considered an eye opener and you pop champagne after the study. This was average 61%, it was remarkable. And we’re just completing a study now looking at adenosine, the vitamin B4 component, and its effect on sleep so that data will be analyzed in about a month we're just completing that study now as well.

Dr. Craig: Great I'll keep an eye out for it. Now tell us what else you're working on, you've just developed the Practitioners Alliance Network we call it PAN for short. What is PAN?

Dr. Teitelbaum: When I came out of medical school, if you draw a pie chart about things that can help people…I was given the impression as a young doctor that what MD's had to offer filled about 98% of the pie chart and that there is 2% of other stuff offered by the other quacks in the world to non-MD’s. That was the medical idea and many people out there have been brainwashed that it’s a big business. Now about 35 years into being a physician, I’ve realized that the part of the pie chart that the medical doctors offer is about 15-20% and what everybody else offers makes up the other 80-85%. And the health practitioners are not communicating. MD’s don't talk to naturopath doctors, don’t talk to chiropractic doctors, don't talk to herbalist and the homeopaths, they don't talk to the acupuncturist, don't talk to the energy workers, they don't talk. I mean it’s like different religions and I tease that the monks of medicine are not talking to the priests so we just don't talk to each other and it’s insane. So what I would like to see is to have all of us talking to each other and sharing notes about what works. What do you find helpful so that we can learn from each other and teach each other. That’s what the PAN alliance is, it’s basically a group of health practitioners we have over 250 and growing and it’s a Facebook-like setting where we can talk to each other. We also offer inducement like when we're negotiating discounts off wholesales supplements and things the doctors can make more money and spend more time with people instead of burning out.

So that’s what the PAN network is. For anybody out there who's a health practitioner--that could be a health coach or educator--anybody who works with helping the public with their health. If you go to the endfatigue.com site you'll see “for practitioners” just click on that, follow the breadcrumb trail, it will take you over to the PAN network and it’s free. Now 3 studies that that have already been launched through the PAN network,

we've got the study on adenosine, we have a new study--if you know anybody with Alzheimer’s disease for listeners out there, we have a new study using what you call the Mind Protocol this is also a PAN study where the practitioners put their input in, we put together the protocol and that started this week. So if you know somebody who has Alzheimer’s and dementia who would like to get better they can call my office at 410-573-5389 and they can get an appointment and we can do the consult by phone if needed. We're expecting that we're going to see a dramatic improvement in people’s function far, far, far greater than the medications. And then there is a third study that was just approved by the PAN IRB, treating autism with NAET. We had done the first study but this is a $2 million study with over 1,000 children and this is under the auspices of the PAN network IRB. So we're bringing together practitioners across the board so we can see what works and get that information out to the public. Basically it’s the antidote for big Pharma and big medicine having a monopoly on medical information.

Dr. Craig: That's wonderful. I'm really enjoying being a part of the PAN network. There are some really interesting discussions. I've learned a ton just by being in it for the few month that I've been a part of it.

Dr. Teitelbaum: And you've taught a ton too, you've taught me a bunch of stuff.

Dr. Craig: Now you also have a training program in place too right? For practitioners in the PAN network? I saw an email that your goal is that you want to have 1,000 new CFS and fibromyalgia doctors by next year or something like that.

Dr. Teitelbaum: That’s within 3 years because for people to find somebody that has a clue for treating this…you know what it’s like. It's insane. We have an 8-hour online training and it’s going to be for any health practitioner whether you're a health coach or professor of medicine or anybody who works for the public. It will teach people what CFS, Fibro, and ME are and the underlying conditions, how to evaluate it, and how to make it go away. And much of it can be done without prescriptions. Each field has something that they bring to it that the others don't. So it’s fun. It's like what we were talking about before the show, what do you do when you see somebody that you can't help? Well it's nice to know that there are people who can and when to refer, when to work together.

Dr. Craig: Right, I know that especially in my profession it is so hard to have communication between practitioners and I really hope this helps pave the way to just having better communication. That’s really the key. If we all can just communicate better. We all have different tools in our toolbox and when we put all those tools together, we can really have some effective treatments.

Dr. Teitelbaum: Brilliant statement right there, yes.

Dr. Craig: You have a new book out right? The Fatigue and Fibromyalgia Solution. How is that book different From Fatigued to Fantastic?

Dr. Teitelbaum: Well, it's like the difference between reading a medical text book and reading Cosmo.

Dr. Craig: That's a great analogy 

Dr. Teitelbaum: It's funny, for years people said they loved From Fatigued to Fantastic because it has over 100 scientific references, it’s a textbook. But with brain fog it’s overwhelming and the publisher wouldn’t let me do the short version because they said well this one is doing too well we don't want to. So on Facebook, I asked people do you want the next edition to be the short and simple or just an update to the old one? And 85 people wrote in they wanted a short and simple one. So I sent that to the publisher as my market analysis and they said OK. So The Fatigue and Fibromyalgia Solution—short, simple, easy read. So by the time you're done reading the book you're going to know what’s causing this illness, you’re going to know how to get well, and you're going to be back in control of your life.

Dr. Craig: Yeah, I will have to admit the nerd in me has read From Fatigued to Fantastic about 3 times, but I do recommend anyone listening who is not a nerd like I am, to definitely pick up a new copy of The Fatigue and Fibromyalgia Solution. Dr. Teitelbaum, do you have any last things that you want to add.

Dr. Teitelbaum: A key thing to remember is that if you get well you could go back to what made you sick in the first place. One: we will have done nothing for the person and two: your body will get sick again, you'll blow a fuse some other way. So S.H.I.N.E will teach you on a physiologic level what you need to do to help yourself function. The structural issues can help release some muscles but the longer the physiological issues they won’t stay released. The mind-body issue is critical; you need to start getting in touch with what feels good to you. Most people with this disease are approval seeking people pleasers. We do things to avoid conflict and make other people go, “Oh you're such a good boy and girl.” And we have trouble saying this magic word called “no.” And if you think for the recipe for blowing a fuse; not being able to say no is a big one. So I want you to start making a list of these things in your life that make you feel good and put your energy on those, and start withdrawing energy from those things that don't feel good that you're not going to get arrested or homeless for not doing. That includes people. It's funny, have you ever noticed that when you have a couple days when you had good energy that some how you're feeling a little better as if you had a neon sign over your head that would say “emotional toxic waste dump open.” These energy vampires would come out of the woodwork. First they come to the filling station they put the hooks in you by going, “Oh, you're so wonderful, I don't know what I’d do without you, nobody else can listen to me and help,” and then after they have their hooks in they'd lift up their emotional toxic waste dump truck and dump it all over you and then they drive away and say, “thank you.” You feel like you just got sucked dry by a vampire. So if people in your life are like that, I'm going to teach you this magic word: No! Okay and the way you do that is if something doesn’t feel good you say no. It’s very versatile, it can be done graciously, it can be no, I'm sorry I can't or it could be no, I'm not going to shout in the microphone here…but bottom line is if something does not feel good just like we teach our children, if it doesn’t feel good you say no and you run away from it too. And you put your attention on things that feel good and that’s the recipe for getting what’s called authentic. When you do that your body will support you with an enormous amount of energy as you go through the healing process and you're going to have a life that really feels good.

Dr. Craig: That’s great advice absolutely, well Dr. Teitelbaum I want to thank you so much for talking with us today, I look forward to seeing some of the new research that’s coming out of the PAN network and whatever else you have in store.

Dr. Teitelbaum: There will always be fun stuff coming over the horizon.

Dr. Craig: I have no doubt, I have no doubt. Let’s see, in Hawaii aloha means hello and goodbye is that correct?

Dr. Teitelbaum: Indeed so and peace and love.

Dr. Craig: Okay thank you so much so I guess I will say aloha.