Whitakers
Unabridged Dictionary
of Drug Alternatives
and Non-Surgical Solutions
SECOND EDITION
JULIAN WHITAKER, MD
IMPORTANT NOTE
What You Should Know Before You Read This Report
The information in this report is not intended to take the place of your personal physician.
You should not self-diagnose. Proper medical care is critical for good health. If
you have symptoms that are similar to those discussed in this report, please tell
your physician.
If you are currently on a prescription medication, you must consult with your
doctor before discontinuing any drug. Any abrupt changes in your drug regimen
could have significant effects on your health and therefore must be monitored by
your physician.
If you wish to try the natural therapies in this report, first discuss them with
your physician. Your physician may not know about these treatments, and it will
be up to you to educate him or her.
Vitamins, minerals, herbs, and other natural therapies can be extremely effective, but they work best when they are combined with a daily regimen that focuses
on diet, exercise, and other lifestyle factors. The Whitaker Wellness Program will
guide you; elements of my program are outlined throughout this report.
Note: Julian Whitaker, MD, is a medical doctor with extensive experience in the fields of preventive medicine and natural healing. While recommendations in this manual represent the
opinions of Dr. Whitaker based upon his knowledge, experience, and training as to safety
and effectiveness, these recommendations have not been reviewed by the US Food and Drug
Administration. Dr. Whitakers recommendations are not intended to replace the advice of
your physician, and you are encouraged to seek advice from a competent medical professional for your personal health needs.
Dear Reader,
The question Im most often asked by patients and Health & Healing subscribers is
how to reduce or eliminate the number of prescription and over-the-counter (OTC) drugs
they take. Prescription medications (and some OTC therapies) have a host of negative side
effects, and they rarely address the underlying problems and really help you get well.
All too often, conventional physicians address health problems by prescribing powerful drugs that create new health concernsfor which the doctor then prescribes even
more drugs. This creates a vicious cycle of new ailments and a reliance on medications to
alleviate those symptoms.
Fortunately, there are safer, more effective, and far less expensive therapies that not
only improve many of todays most common health conditions, but also prevent them
from occurring in the first place. Unfortunately, Big Pharma has such a hold on medicine
that these natural therapies are generally ignored by conventional doctors.
Im not saying you should never take prescription or over-the-counter drugs. There
are certainly circumstances when they can save lives. But all too often, prescribing drugs
is a knee-jerk response, while safer, natural therapies arent even considered. The physicians at my clinic use supplements, lifestyle changes, and noninvasive therapies as firstline treatments. They are the basis of the Whitaker Wellness Program, a blueprint for
healthy living that I designed to help you take charge of your health.
For more than 35 years, we have been recommending this program of nutritional
supplementation, dietary changes, and exercise to help our patients at the Whitaker Wellness Institute achieve optimal health. These powerful natural therapies have the potential
to reverse disease and have enabled thousands to stop taking dangerous prescription
medications.
In this report, well take a look at the medications, both prescription and over-thecounter, commonly used to treat Americans most common health concerns. We will
discuss the downside of some of these medications, and I will provide information on
the safe, effective natural alternatives we use at Whitaker Wellness. Most of the supplements discussed in this report are available in health food stores, online, or by calling the
clinic, and Ive included a section at the end with additional information on some of the
other therapies and natural alternatives I recommend. Please note, new medications come
on the market continuously. If youre unsure about what class your drugs fall into, ask
yourphysician.
One thing to remember as you read: The natural alternatives in this report are
unquestionably safer and, in most cases, as effective as prescription drugs, but they are
not magic bullets. These approaches may require some time for your body to adjust, so be
patient. The effort is worth it.
Best of health to you,
Julian Whitaker, MD
clemastine (Tavist)
fexofenadine (Allegra, Allegra D)
Prescription Antihistamines
acrivastine (Semprex-D)
carbinoxamine (Palgic)
cyproheptadine(Periactin)
desloratadine (Clarinex)
fexofenadine/Pseudoephedrine (Allegra D)
hydroxyzine (Vistaril)
levocetirizine (Xyzal)
Side Effects May Include: sleepiness, headaches, dizziness, sour stomach, vision changes,
dry mouth/nose, and irritability. More serious
side effects, such as heart palpitations, difficulty breathing, urination difficulties, or trouble
breathing, should be reported to your doctor at
once. They could indicate an allergy to the drug
itself or signs of a more serious problem.
Antihistamines
The drugs most commonly used to treat
allergy symptoms are antihistamines. They fall
into two broad categories: sedating and nonsedating. The first category is made up of older
antihistamines. These medications do relieve
allergy symptoms; however, they are notorious
for causing drowsiness and other side effects.
The newer antihistamine drugs are marketed as
non-sedating but can still cause drowsiness in
some individuals. Both types of antihistamines
work the same way. They compete with histamine in the body to ward off or mitigate allergic
reactionsswelling, itching, tearing, etc.
Nasal Sprays
Your doctor may also recommend a nasal
spray either alone or in combination with an
antihistamine. The most common nasal sprays
are decongestants and corticosteroids. Decongestants restrict the small blood vessels in the
nasal passageways thereby reducing swelling
and nasal secretions. Corticosteroid nasal sprays
reduce inflammation and swelling.
Over-the-Counter Antihistamines
(sedating)
brompheniramine (Dimetane)
Over-the-Counter Decongestant
NasalSprays
chlorpheniramine (Chlor-Trimeton)
diphenhydramine (Benadryl)
Afrin
Over-the-Counter Antihistamines
(nonsedating)
Dristan
Neo-Synephrine
cetirizine (Zyrtec,Zyrtec-D)
Sinex
Over-the-Counter Coritcosteroid
NasalSpray
fluticasone propionate (Flonase)
triamcinolone acetonide (Nasacort)
Side Effects May Include: nasal dryness or
irritation,nosebleed, throat irritation,headache,nausea, vomiting,cough, and fungal
infections of the throat with long-term use.
Anxiety
7. Sinupret is another option. One of the topprescribed supplements in Germany, Sinupret helps normalize mucus secretion, so
its useful for both stopped-up and runny
noses. It also reduces inflammation in the
sinuses and bronchioles and has antiviral
and immune-modulating effects. Take as
directed.
The most popular class of meds for treating anxiety is benzodiazepines. Although these
drugs tone down anxiety, I would never recommend them. There are natural alternatives to
these anti-anxiety medications that are much
safer and, in my opinion, are more effective. I
strongly recommend you work with your doctor
and gradually wean yourself off anxiety drugs
by using the natural alternatives in this report.
chlordiazepoxide (Librium)
clonazepam (Klonopin)
clorazepate (Tranxene)
diazepam (Valium)
estazolam (Prosom)
flurazepam (Dalmane)
lorazepam (Ativan)
midazolam (Versed)
oxazepam (Serax)
quazepam (Doral)
temazepam (Restoril)
triazolam (Halcion)
Over-the-counter NSAIDs
aspirin (Ascriptin, Bayer, Ecotrin)
ibuprofen (Advil, Motrin)
naproxen sodium (Aleve)
Prescription NSAIDs
celecoxib (Celebrex)
diclofenac (Cambia, Cataflam, Voltaren-XR,
Zipsor, Zorvolex)
diflunisal
etodolac
indomethacin (Indocin)
ketoprofen (Orudis)
ketorolac (Toradol)
nabumetone (Relafen)
naproxen sodium (Anaprox, Naprelan,
Naprosyn)
oxaprozin (Daypro)
piroxicam (Feldene)
salsalate (Disalsate)
sulindac (Clinoril)
tolmetin (Tolectin)
Side Effects May Include: constipation, heartburn, abdominal pain, nausea, headache, dizziness, drowsiness, itching, skin eruptions,
bruising, tinnitus (ringing in the ears), fluid
retention, allergic reactions, mouth inflammation or ulcers, sweating, palpitations, liver and
kidney problems. All NSAIDs require a label
warning of the increased risk of heart attack,
stroke, and stomach bleeding. Studies suggest
that not only COX-2 inhibitors but all NSAIDs
increase risk of heart attack by one third. Gastrointestinal bleeding, ulceration, and perforation can occur at any time, with or without
warning symptoms. NSAIDs are not recommended for anyone with advanced kidney
disease. If you have asthma, use NSAIDs very
cautiously or not at all.
meperidine (Demerol)
methadone (Dolophine, Methadose)
morphine (Avinza, Kadian, MS Contin, OraMorph SR)
oxycodone (OxyContin, Oxyfast, Percocet,
Roxicodone)
oxycodone and acetaminophen (Percocet)
oxycodone and naloxone (Targiniq ER)
Side Effects May Include: lightheadedness,
dizziness, sedation, shortness of breath, nausea,
allergic reactions, euphoria, constipation,
abdominal pain, itching, and, at higher doses,
respiratory depression, impairment of mental or
physical performance, anxiety, fear, and psychic
dependence. Do not drive or operate equipment while taking opioids. Some people become
physiologically addicted to opioids, even when
used in the prescribed amounts. Overdoses may
be fatal; symptoms of overdose may include:
slow/shallow breathing, nausea, vomiting, loss
of appetite, sweating, stomach/abdominal pain,
slow heartbeat, extreme tiredness, yellowing
eyes/skin, dark urine, and loss of consciousness.
essential oxygen oil. This specially processed oil, which contains superoxide dismutase (SOD, a potent antioxidant), been
shown to improve blood flow and oxygen
delivery to areas of discomfort and to stimulate the natural healing process. Several
clinical trials have demonstrated OxyRubs
effectiveness in providing quick and lasting
relief for acute and chronic joint pain, back
and neck ache, arthritis, muscle strains and
sprains, activity-related discomfort in athletes, and bumps and bruises. To use, rub
into affected area three or four times a day.
12. Stem cell therapy is an exceptionally promising treatment for arthritis. These unique
cells have the ability to differentiate, or
change into several cell types and help
regenerate and repair diseased or damaged areas of the body. Its a pretty simple
procedure. A few ounces of fatthe richest repository of stem cells in adultsare
removed during a quick liposuction procedure. The fat is separated out, leaving millions of concentrated, viable stem cells that
may be injected directly into the affected
joint space. The entire process, which is
done in a doctors office under local anesthesia and light sedation, takes no more than
an hour. Theres no downtime, and the only
discomfort, if any, is at the injection site.
Stem cell therapy is also an excellent treatment for COPD, Parkinsons, autoimmune
diseases, back pain, and other degenerative
conditions.
Asthma
Inhaled Corticosteroids
beclomethasone (Qvar)
budesonide (Pulmicort Flexhaler)
ciclesonide (Alvesco)
flunisolide (Aerobid)
fluticasone (Flovent HFA)
mometasone (Asmanex)
aggression, hallucinations, depression, and suicidal thinking. Seek medical attention immediately if any of these side effects occur.
Combination Inhalers
budesonide-formoterol (Symbicort),
fluticasone-salmeterol (Advair Diskus)
mometasone-formoterol (Dulera)
Side Effects May Include: rapid heartbeat,
tremor, nervousness, cough, throat irritation,
hoarseness, and in some cases, severe exacerbation of asthma attacks, and death.
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Drug
Average US
Pharmacy
Advair Diskus
$947.97
Flovent HFA
Singulair
Symbicort
Lowest
Online*
Savings
Annual
Savings
$149.00
84.28%
$3,195.88
$593.97
$186.00
68.69%
$1,631.88
$626.97
$110.00
82.46%
$2,067.88
$666.99
$222.00
66.72%
$1,779.96
Attention Deficit
Hyperactivity
Disorder(ADHD)
According to a survey from the Centers for
Disease Control (CDC), 6.4 million children
(ages 417) have been diagnosed with ADHD.
Two-thirds of these kids are taking dangerous, addictive, side-effect-riddled prescription
drugs like Ritalin and Adderall. Even when
these drugs do work, theres a drawback. Ive
spoken to a number of parents who report that
their kids may calm down, but they lose their
spontaneity and zest for lifeeven to the point
of becoming robotic. Furthermore, some of
these drugs, including Strattera (in a different
class of drugs), have a black box label warning
of changes in mood and behavior and increased
risk of suicidal thoughts.
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Stimulant Drugs
While no parent would encourage a child
to take speed or cocaine, the most popular
prescription meds for ADHD are disturbingly
similar to illegal stimulants. And not surprisingly, they have similar side effects, including
insomnia, anxiety, agitation, irregular heartbeat,
high blood pressure, dizziness, headaches, vomiting, decreased appetite, stunted growth, and,
in rare cases, psychosis or sudden death.
dextroamphetamine (Dexedrine)
dexmethylphenidate (Focalin and
FocalinXR)
lisdexamfetamine (Vyvanse)
methylphenidate (Concerta, Daytrana, Metadate CD, Methylin, Ritalin)
methylphenidate HCl (Quillivant XR)
Side Effects May Include: addiction, decrease
in normal growth, mood changes, nervousness,
insomnia, joint pain, loss of appetite, dizziness,
palpitations, headaches, drowsiness, change
in blood pressure, irregular heart rhythms,
angina, and abdominal pain. The FDA warns
that stimulant drugs can be abused and lead
to dependency/addiction. They can have a
rebound effect as the drug wears off, leading to
increased hyperactivity. Several young people
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Benign Prostatic
Hyperplasia
Seventy-five percent of men 50 years and
older have measurable enlargement of their
prostate gland, a condition called benign
prostatic hyperplasia (BPH). As the prostate
enlarges, it constricts the urethra, blocking the
passage of urine from the bladder. Urination
becomes difficult, the stream is weak, and the
need to urinate frequently (especially at night)
increases. In severe cases, a surgical procedure
called transurethral resection of the prostate
(TURP), in which the central core of the prostate gland is removed, may be suggested. Most
men, however, are treated with medications.
These drugs improve urine flow and reduce
symptoms, but they can cause a whole new set
of problems. The good news is that there are a
handful of safe, effective natural therapies that
suppress the growth of the prostate and restore
normal urinary flowwithout side effects.
Alpha Blockers
Alpha blockers relax the smooth muscles in
the neck of the bladder and the prostate, which
promotes easier urine flow. Although these
medications improve symptoms of BPH, they
do not reduce prostate size and thus have no
lasting effects.
alfuzosin (Uroxatral)
doxazosin (Cardura)
silodosin (Rapaflo)
tamsulosin (Flomax)
terazosin (Hytrin)
Side Effects May Include: dizziness, fatigue,
hypotension (too low blood pressure), fluid
retention, malaise, drowsiness, palpitations,
vertigo, weakness, headache, and urinary tract
infection.
1. Eat a healthy diet with plenty of fruits, vegetables, and zinc-rich foods. Good choices
include beans, chickpeas, fish, shellfish, and
pumpkin seeds.
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Chronic Obstructive
Pulmonary Disease
2. Start taking saw palmetto extract on a regular basis in your mid-40s (160 mg per day) as
a preventive measure. Like the prescription
drug Proscar, the herb saw palmetto (Serenoa
repens) blocks the conversion of testosterone
to its problematic cousin, dihydrotestosteronebut with none of the drugs side
effects. Dozens of controlled clinical trials
have documented its ability to reduce prostate size and restore normal urinary function. If you already have prostate problems,
I recommend 320 mg daily. Make sure the
brand you use contains 85 percent to 95 percent fatty acids and plant sterols.
Short-Acting Bronchodilators
albuterol (Vospire ER, Combivent, Duoneb)
ipratropium (Atrovent)
levalbuterol (Xopenex)
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Long-Acting Bronchodilators
aclidinium (Tudorza)
arformoterol (Brovana)
formoterol (Foradil, Perforomist)
indacaterol (Arcapta)
olodaterol (Striverdi Respimat)
salmeterol (Serevent)
tiotropium (Spiriva)
Side Effects May Include: dry mouth, blurred
vision, cough, tremors, runny nose, irritated
or scratchy throat, rashes, blurred vision, rapid
heart rate, diarrhea, and joint and back pain.
Corticosteroids
Inflammation of the airways makes it
more difficult to breathe. Inhaled and oral
corticosteroids are used to curb inflammation in the airways and the alveoli, the tiny
air sacs where oxygen and carbon dioxide are
exchanged, increasing airflow to the lungs.
They come in inhalers, powders, liquids, pills,
and even shots for emergency rescue (mainly
prednisolone). Corticosteroids are sometimes
prescribed with bronchodilators.
Side Effects May Include: weight loss, diarrhea, cramps, and tremors. Tell your doctor
if you have liver problems before taking this
medication.
Inhaled Corticosteroids
budesonide (Pulmicort)
fluticasone (Flovent)
flunisolide (Aerospan)
mometasone (Asmanex Twisthaler)
2. Take N-acetyl Cysteine (NAC). This natural substance thins and helps break up the
excessive mucus, which is a significant
cause of chronic cough and other symptoms, and inhibits the adherence of bacteria
in the lungs. NAC is also a precursor to
glutathione, the most active antioxidant in
the lungs. By boosting levels of this master antioxidant, NAC helps put the brakes
on a key underlying disease process. In a
2013 clinical trial, COPD patients ages 5080
took 600 mg of NAC or a placebo twice a
day for a year. Compared to those in the
Phosphodiesterase-4 Inhibitors
Phosphodiesterase-4 inhibitors help relieve
inflammation, which can improve air flow. This
drug comes as a pill that you take once daily. It
is typically prescribed along with a long-acting
inhaler.
roflumilast (Daliresp)
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16
To make matters worse, many doctors prescribe antibiotics for colds and flu, just in
case. Big mistake. Antibiotics cannot touch the
viruses responsible for these infections, and
they can cause a host of unwanted effects, from
candida overgrowth to the emergence of super
strains of bacteria resistant to antibiotics.
to colonize the gut and can cause serious problems. Replace beneficial bacteria by taking
probiotic supplements during your antibiotic
course and for several weeks afterwards.
Penicillins
amoxicillin
cephalexin (Keflex)
cephalosporins
penicillin
Macrolides
azithromycin (Zithromax)
clarithromycin (Biaxin)
erythromycin (E-Mycin)
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Fluoroquinolones
levofloxacin (Levaquin)
ofloxacin (Cipro, Floxin)
Sulfonamides
co-trimoxazole (Bactrim)
trimethoprim (Proloprim)
Tetracyclines
doxycycline (Vibramycin)
tetracycline (Panmycin, Sumycin)
Aminoglycosides
2. Take extra vitamin D (as D3, or cholecalciferol). Your bodys natural synthesis of this
vitamin, which produces antimicrobial compounds called cathelicidins and defensins,
plummets during the winterat the same
time infectious diseases surge. Studies show
solid links between vitamin D blood levels
and risk of influenza, pneumonia, ear infections, and other viral and bacterial illnesses.
Your best bet is to get your vitamin D blood
level tested and take enough to keep that
level in the 5080 ng/mL range. This may
require as much as 5,00010,000IU per day.
gentamicin (Garamycin)
tobramycin (Tobrex)
Side Effects May Include: nausea, vomiting,
diarrhea, skin rashes and hives, yeast infections,
vaginitis. Fluoroquinolones increase risk of tendinitis and tendon rupture. And several antibiotics taken over a long period can cause serious
problems, including inflammation of the intestinal tract and liver and kidney problems. Allergies to antibiotic drugs are not uncommon and
may cause life-threatening allergic reactions;
symptoms include skin eruptions, itching, and
acute swelling of the lips, face, orthroat.
Antiviral Drugs
Tamiflu, Relenza, and other antiviral drugs
are all the rage. Problem is, they dont really
work. According to a 2014 review, the most that
can be expected of these drugs is shortening
of the duration of flu symptoms by half a day.
There is no evidence they reduce pneumonia,
bronchitis, sinusitis, hospital admissions, or
person-to-person spread of the flu. Yet aggressive marketing and unsubstantiated claims
outright lies, actuallymade by drug makers
led countries around the world to spend billions stockpiling antivirals in preparation for an
influenza pandemic. Dont waste your money
on these worthless drugs.
oseltamivir (Tamiflu)
peramivir (Rapivab)
zanamivir (Relenza)
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6. Keep your intestinal flora healthy with probiotics. The beneficial bacteria that live in
your gastrointestinal tract produce important B vitamins, aid in the digestion and
absorption of food, and crowd out harmful
bacteria. This is especially important if you
take a course of antibiotics, which knocks
off helpful bacteria along with the harmful.
Look for a supplement that contains several
billion live and active bacteria, including
strains of Bifidobacterium and Lactobacillus.
Depression
One in 10 American adults and one in four
women in their 40s and 50s take prescription
antidepressants. This appalling statistic is a disturbing demonstration of the degree to which
Big Pharma has penetrated medicine and our
society as a whole. Physician mindset, time constraints, and insurance reimbursement policies
favor quick office visits and drug scripts over
really helping patients with their problems. And
the American public goes along with it, apparently believing those ubiquitous pharmaceutical
ads telling them that popping a pill will cure
whatever ails them.
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antidepressants. Yet the overwhelming majority of those who take these drugsand are
exposed to their incapacitating and disastrous
side effectsjust feel a little blue.
citalopram (Celexa)
paroxetine (Paxil)
escitalopram (Lexapro)
fluoxetine (Prozac)
fluvoxamine (Luvox)
sertraline (Zoloft)
Side Effects May Include: increased risk
of suicide. Every antidepressant sold in this
country is required by the FDA to have a black
box label warning: Antidepressants increased
the risk compared to placebo of suicidal thinking and behavior (suicidality) in children,
adolescents, and young adults in short-term
studies of major depressive disorder (MDD) and
other psychiatric disorders. Other side effects
include violent behavior, loss of libido, erectile dysfunction, weight gain, gastrointestinal
problems, and headaches, dry mouth, diarrhea,
excess sweating, impotence, sleepiness and
insomnia, tremor, and sinus infections.
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3. Try 5-hydroxytryptophan (5-HTP). This natural treatment for mild to moderate depression is a natural precursor to serotonin. Start
with 3050 mg at bedtime, on an empty
stomach. This may safely be increased to
as much as 100 mg three times a day over
several weeks. Most of my patients respond
well to 50100 mg per day.
4. Boost your levels of B-complex vitamins.
Depression is a common symptom of various B vitamin deficiencies, including vitamins B1 (thiamine), B6 (pyridoxine), B12
(cobalamin), and folic acid. Supplementation
is a must. I recommend 50 mg vitamin B1,
75 mg vitamin B6, 150 mcg vitamin B12,
and 800 mcg folic acid. Vitamin B12 has
a particularly potent effect on mood so I
After you exercise, get on with your day, but continue fasting until lunch. Drink water, of course, and feel
free to have coffee or tea. Dont worry about being too
hungry to make it through the morning. You may have
to try this to believe it, but this fasting/exercise combo
seriously dampens your appetite, and the caffeine in
coffee and tea helps to blunt hunger as well.
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behavior, and anxiety. For severe depression, I encourage a therapeutic trial of this
extremely safe prescription drug. The recommended dose for depression is 100mg
per day.
7. Test your hormone levels. Depression is a
hallmark of hormonal disorders. Its especially likely to occur with hypothyroidism
(an underactive thyroid). Other common
signs of an underactive thyroid are fatigue,
hair loss, obesity, edema, infertility, irregular menstrual bleeding, fibrocystic disease,
chronic fatigue, and reduced immune function. (See the Hypothyroidism section for a
way to test your thyroid function at home.)
Estrogen and progesterone imbalances may
also contribute to depression. Required
dosages vary from woman to woman. Testosterone replacement has been shown to
boost feelings of well-being in both men and
woman.
Note: These suggestions on mood elevation are not meant to take the place of medical
therapy for depression. If your depression is
severe, seek medical help immediately. If you
are currently on an antidepressant drug and
wish to stop taking it, work with your physician
to gradually stop taking this drug and replace it
with one of the natural therapies Ive discussed
here. Do not stop taking antidepressant drugs
cold turkey. You need to be weaned off these
medications gradually otherwise serious side
effects may occur.
Biguanides
Metformin, which is the generic name for
the drugs in this class, lowers blood sugar by
improving insulin sensitivity and enhancing
the cells ability to take in glucose. It is the
safest of the oral diabetes drugs and the only
one I would ever prescribe. However, as you
will see below, I recommend berberine in place
of metformin. They both have a similar mechanism of action, but berberine has other unique
benefits.
Diabetes
Diabetes is a devastating condition
with many serious complications, including increased risk of heart attack, blindness,
neuropathy, and amputations of the lower
extremities. The bad news is that the US is in
the midst of an epidemic of type 2 diabetes, and
the numbers continue to climb. The good news
is that this condition is preventable, treatable,
and in many cases reversiblejust not with
medications or insulin.
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Sulfonylureas
Sulfonylureas work by increasing the secretion of insulin by the pancreas. This lowers
blood sugar but often works too well, resulting
in hypoglycemia (low blood sugar). Hypoglycemia is a serious threat that causes confusion,
dizziness, falls and accidents, cardiovascular
disease, coma, and increased risk of death, and
its particularly prevalent among older people.
A quarter of the adverse drug events that result
in emergency hospitalization of people over
age 65 are due to hypoglycemia caused by
oral and injected diabetes drugs. Since 1984,
sulfonylureas have carried a black box label
warning that they increase risk of death from
heart attack. These drugs are also notorious
for causing weight gainthe last thing anyone
with type 2 diabetes needs. These are dangerous drugs, and I never prescribe them.
chlorpropamide (Diabinese)
glimepiride (Amaryl)
glipizide (Glucotrol, Glucotrol XL)
glyburide (Diabeta, Micronase, Glynase
PresTab)
tolbutamide (Orinase)
Side Effects May Include: increased risk of
fatal heart attack, weight gain, nausea, diarrhea,
constipation, stomach pain, drowsiness, headache, hives, itching, low blood sugar, photosensitivity, skin rash and eruptions, and stomach
pain. A study of patients taking sulfonylureas
found that they had 2.5 times the rate of cardiac
mortality compared to patients treated with diet
alone. These drugs also increase risk of hypoglycemia, a potentially fatal complication.
Glitazones
A study published in the New England
Journal of Medicine in 2007 linked Avandia, a
glitazone drug, with a 43 percent increased
risk of heart attack and a 60 percent increased
risk of cardiovascular death. Regulators in
other countries pulled Avandia off the market
years ago, citing safety issues concerning heart
attacks, strokes, and death. The FDA, in predictable fashion, put the interests of the drug
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pioglitazone (Actos)
rosiglitazone (Avandia)
Insulin
When oral drugs fail to control blood sugar,
doctors add insulin. About one in four people
with type 2 diabetes inject insulin every day.
However, the problem here is not a lack of
insulin; its a lack of insulin sensitivity brought
on by obesity. And what does insulin do?
Invariably, routinely, and without exception, it
causes weight gain!
Insulin is a nutrient storage hormone. It
ushers not only glucose into the cells but fat
as well. Furthermore, when insulin levels are
elevated, as they are in type 2 diabetes, fat
burning shuts down. Ive had scores of patients
who have put on 50, 75, 100 pounds or more
after starting on insulin.
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Several clinical trials have shown the positive effects of berberine for patients with
type 2 diabetes. In a study published in
Metabolism, patients with newly diagnosed
diabetes were given 500mg of either metformin or berberine three times a day for
three months. Berberine came out on top. It
lowered average fasting blood sugar from
190.8 to 124.2, hemoglobin A1C from 9.5 to
7.5percent, and postprandial (after meals)
blood sugar from 356.4 to 199.8. Modest positive effects were also noted on triglycerides.
Berberine is safe and well tolerated, but it
may cause transient gastrointestinal upset in
some people. The suggested dose is 500mg,
three times a day.
Erectile Dysfunction
Erectile dysfunction (ED) is estimated to
affect some 30 million American men, but the
truth is most men will encounter this problem
at some point in their lives. ED is primarily
a circulatory disorder, and the greatest risk
factors are age, atherosclerosis, smoking, diabetes, hypertension, and other cardiovascular
diseases. However, it can also be a side effect of
some drugs or surgeries such as radical prostatectomy and transurethral resection of the
prostate (TURP). The good news is that you
have many options for enhancing sexual activity, no matter your age or current sexual health.
And believe it or not, for this particular health
concern, I believe the best therapies are prescription drugs.
25
avanafil (Stendra)
sildenafil citrate (Viagra)
tadalafil (Cialis)
vardenafil (Levitra and Staxyn)
1. Clean up your lifestyle. Harvard researchers have found that men who eat a good
diet, exercise regularly, and maintain their
optimal weight are able to delay age-associated erectile dysfunction by about 10 years.
Among the bad habits that contribute to sexual problems are drinking too much alcohol,
overeating (obesity), and smoking.
26
Gastroesophageal
Reflux Disease (GERD)/
Heartburn
dexlansoprazole (Kapidex)
esomeprazole (Nexium)
lansoprazole (Prevacid)
omeprazole (Prilosec, Zegerid)
pantoprazole (Protonix)
rabeprazole (AcipHex)
Side Effects May Include: weight gain, headache, dizziness, diarrhea, nausea, edema,
increased risk of pneumonia and C. difficile
infections, hyper- and hypotension, flatulence, decreased libido, calcium and B12 deficiency, joint pain, muscle cramps, and rebound
stomach pain. Should be used as a short-term
treatment only (four to eight weeks, depending
on condition). PPIs can also interact with a host
of other medications.
H2 Blockers
Histamine receptor antagonists (H2 blockers) block the action of histamine on parietal
cells in the stomach. This reduces the amount
of acid produced and changes the pH (acidity)
of the stomach. H2 blockers can help relieve
stomach pain, but they also impair digestion
in particular, the digestion of protein, which
requires HCl. Theyre meant to be taken for no
more than two weeks, but because several of
these meds are now available over the counter,
many people taken them indefinitely. Chronic
use of these drugs is associated with the overgrowth of H. pylori bacteria, which can infiltrate
the stomach lining to cause ulcers.
27
6. Take digestive enzymes. Enzyme production also tapers with age, and this too can
be corrected with supplements containing
enzymes that break down protein (protease),
carbohydrate (amylase), and fat (lipase)as
well as problematic foods like beans (alphagalactosidase) and dairy (lactase). We keep
bottles of digestive enzymes on the tables
for our patients to take with meals, and they
routinely report reductions in gas, bloating,
belching, and post-meal discomfort.
8. Dont forget to take a good daily multivitamin. As weve discussed, stomach issues
can interfere with nutrient absorption, so its
important to boost your intake of vitamins
and minerals.
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atorvastatin (Lipitor)
fluvastatin (Lescol, Lescol XL)
lovastatin (Mevacor, Altoprev)
pitavastatin (Livalo)
pravastatin (Pravachol)
Statin Drugs
rosuvastatin (Crestor)
simvastatin (Zocor)
29
they often get worse. Work with your physician to set up a plan for regular activity
thats appropriate for your condition.
30
Hypertension/High
Blood Pressure
High blood pressure affects roughly 75
million Americans. This condition increases risk
of stroke, heart attack, heart failure, and kidney
disease, and those who are labeled with hypertension pay higher insurance rates and are frequently subjected to lifelong use of dangerous
medications.
31
Diuretics
Thiazide Diuretics
perindopril (Aceon)
chlorthalidone (Hygroton)
chlorothiazide (Diuril)
ramipril (Altace)
trandolapril (Mavik)
indapamide (Lozol)
32
Calcium channel blockers lower blood pressure by restricting calciums entry into the
smooth muscle cells of the arteries and heart.
This has a relaxing effect on artery walls, allowing them to dilate and thus reducing the pressure. It also makes the hearts contractions less
forceful, which reduces heart rate and further
lowers blood pressure. I am not convinced of
the safety of this class of drugs. Several studies
suggest calcium channel blockers alone or in
combination with diuretics as a treatment for
high blood pressure actually increase risk of
death. These meds have also been linked with
an elevated risk of breast cancer in postmenopausal women and of gastrointestinal bleeding
in elderly people. Until this is all sorted out,
I recommend looking for options to calcium
channel blockers.
Beta-Blockers
Beta-blockers reduce the effects of epinephrine and norepinephrine, stress hormones that
stimulate pulse rate and blood pressure. Therefore, they slow the heart rate and decrease the
hearts workload and output of blood, which
lowers blood pressure. Beta-blockers are also
used to treat congestive heart failure and to
prevent migraines. In addition, some people
take them to reduce performance anxiety.
acebutolol (Sectral)
nisoldipine (Sular)
atenolol (Tenormin)
betaxolol (Kerlone)
bisoprolol fumarate (Zebeta)
33
1. If you are on high blood pressure medication, talk with your physician about starting
natural therapies. This may be your biggest
hurdle, as many conventional physicians
seem to believe the only treatment for high
blood pressure is drugs. Do not stop any
medication or start new therapies without
your doctors supervision. If you need to
find a new doctor, see the Resources section for referring organizations and other
information.
2. Eat foods that are rich in potassium. Everyone knows that excess sodium can increase
blood pressure, but numerous studies have
shown that sodium-to-potassium ratio has
a greater impact than sodium alone. Foods
high in potassium include apricots, avocados, bananas, cantaloupe, citrus fruits,
peaches, prunes, tomatoes, beans, and
LowSodium V8 Juice (an eight-ounce glass
provides 900 mg of potassium). I also suggest you do what we do at Whitaker Wellness: replace regular salt with Whitaker
Salt (see sidebar on page 33 for my recipe).
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Symptoms of an Underactive
Thyroid
Hypothyroidism
(LowThyroid Function)
Eight million Americansseven times
more women than menhave some sort of
thyroid problem. In most cases, the problem
is an underactive thyroid. Hypothyroidism, or
low thyroid function, is an underlying cause
of a wide range of complaints such as headaches, fatigue, weight gain, skin and hair problems, chronic infections, allergies, menstrual
irregularities and infertility, osteoporosis, and
mood and memory disorders. Laboratory tests
will pick up significant thyroid deficiencies.
However, the mild hypothyroidism that impairs
quality of life for many people may not register
on these tests. Therefore, subclinical hypothyroidism generally falls through the cracks.
1. Before going to bed at night, leave a thermometer within arms reach of the bed. If its
a mercury thermometer, shake it below 95
degrees. (This test is easier with a basal or
digital thermometer, but a regular thermometer will do.)
35
that natural hormones are difficult to standardize, but Ive used this form of thyroid
replacement exclusively and successfully in
my practice for decades. Be persistent, and
try to educate your doctor. Be patient and
dont expect results overnight. After a few
weeks to a few months on natural therapy,
most people notice a significant difference
in their mood, energy level, and overall
well-being.
2. Im often asked about over-the-counter products that contain animal thyroid and other
glandular tissues. While Im not averse to
OTC products with these ingredients, I prefer prescription natural thyroid as discussed
above. The dosages can be properly monitored, and its safe, inexpensive, and highly
effective in restoring thyroid function and
improving quality of life.
36
Insomnia
Side Effects May Include: daytime drowsiness, dizziness, headache, nausea, vomiting,
increased risk of falls, diarrhea, confusion,
impaired alertness (as when driving a car),
memory loss, parasomnias (uncharacteristic
and sometimes disturbing behaviors that are
not remembered the next day), and rebound
insomnia, especially during the last third of the
night. According to the Physicians Desk Reference, Hypnotics should generally be limited to
7 to 10 days of use, and re-evaluation of patient
is recommended if they are to be taken for more
than two to three weeks.
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Estrogen
Estrogen is actually a group of related
steroid hormones, the major forms being
estradiol, estrone, and estriol. Estradiol is by
far the strongest and most active. Estrone is
converted in the intestinal tract from estradiol.
Estriol is the weakest, but also the most benign.
Some studies point to the possibility that it may
actually protect against breast cancer. Popular
delivery methods include oral, transdermal
patches, and topical application to various areas
of the body. The only types of estrogen I recommend are bioidentical estradiol and estriol.
(Estriol is only available from compounding
pharmacies and may be difficult to get.) The
only delivery system I recommend is topical
creams and gels. Stay far, far away from conjugated estrogens.
Menopause
Strictly speaking, menopause means the
date of your final menstrual period. More commonly, however, it refers to the gradual changes
that occur over a decade or more as hormone
levels, particularly estrogen, progressively
decline. Because estrogen-sensitive tissues are
present throughout the bodynot only in the
reproductive organs and breasts but also in the
brain, bones, liver, heart, and skinthe hormonal changes associated with menopause can
cause a multitude of uncomfortable symptoms.
38
norgestimate
Prefest
Prempro
Side Effects May Include: headache, weight
gain, breast tenderness or pain, upset stomach,
vomiting, diarrhea, constipation, tiredness,
mood swings, irritability, excessive worrying,
runny nose, sneezing, cough, vaginal discharge,
problems urinating, and muscle, joint, or bone
pain. Rare but serious side effects may include:
breast lumps, migraine headache, severe dizziness or faintness, slow or difficult speech,
weakness or numbness of an arm or leg, lack
of coordination or loss of balance, shortness of
breath, fast heartbeat, sharp chest pain, coughing up blood, leg swelling or pain, loss of vision
or blurred vision, bulging eyes, double vision,
unexpected vaginal bleeding, seizures, stomach
pain or swelling, depression, hives, skin rash,
itching, difficulty breathing or swallowing,
hoarseness, swelling of the face, throat, tongue,
lips, eyes, hands, feet, ankles, or lower legs.
(Natural progesterone is much safer; see below
for more information.)
Progesterone
Natural bioidentical progesterone (Prometrium and compounded hormones) is great. But
progestins, which are synthetic progesterone
wannabes, are awful. Progestin is commonly
prescribed with estrogen for treatment of menopausal symptoms but has many negative side
effects. Natural progesterone is much, much
safer and better tolerated.
Natural Progesterone
micronized progesterone (Prometrium)
compounded form of natural progesterone
Progestin
medroxyprogesterone acetate (Provera)
39
2. If you prefer not to use hormone replacement at all, consider phytoestrogens. Phytoestrogens are plant-based compounds with
mild estrogenic activity in the human body.
Although they are very weak, phytoestrogens are not only therapeutic when hormone
levels are low, as in menopause, but they
also protect against conditions related to
high estrogen exposure, such as breast cancer. This is because they fill estrogen receptor sites, including those in the breasts, and
prevent stronger, potentially harmful estrogens from occupying those receptor sites.
Herbs that have mild estrogenic activity
include:
are associated with oral estrogen. Furthermore, while oral estrogen/progestin tends
to increase fat and decrease lean body
mass, transdermal estrogen is associated
40
Migraine Headaches
Migraines can make your life a misery. Just
ask any of the 14 million Americans who suffer
with these excruciating headaches, which are
characterized by recurrent pain, usually on
one side of the head, and often accompanied
by nausea, vomiting, and sensitivity to light.
Migraines are notoriously difficult to manage.
One reason is because nobody really knows
why some people get migraines, although
theyre believed to be related to inflammation
and dilation of blood vessels in the brain.
Recommendations for
Preventing Migraines Naturally
Note: These recommendations will help
prevent headaches, but will not relieve a fullblown migraine.
Triptans
almotriptan (Axert)
frovatriptan (Frova)
3. Add fish oil capsules to your daily supplement regimen. Omega-3 essential fatty acids
block the production of inflammatory prostaglandins while increasing the production
rizatriptan (Maxalt)
sumatriptan (Alsuma, Imitrex, Zecuity)
zolmitriptan (Zomig)
41
Osteoporosis
Osteoporosis is a serious condition that
affects 10 million Americans over age 50. One
in three older women and one in five men will
eventually sustain an osteoporosis-related fracture. The most common type, spinal or compression fractures, may lead to stooping, loss
of height, and pain; and hip fractures can have
devastating consequences. While some loss of
bone density is a normal part of aging, inactivity, nutrient deficiencies, and other modifiable
Bisphosphonates
alendronate (Fosamax)
ibandronate (Boniva)
risedronate (Actonel)
zoledronic acid (Reclast)
42
Recommendations for
Preventing and Treating
Osteoporosis Naturally
1. Exercise your way to stronger bones. Stress
or strain on bones stimulates the formation
of new bone. Studies show that an exercise
program can increase bone mass by five to
10 percentand even more in those with
low bone mass to begin with. Although
weight-bearing exercise such as brisk walking and jogging is ideal for maintaining
bone mass, more strenuous exercise may be
needed to actually increase bone density. If
youre battling osteoporosis, I recommend
at least two sessions of weight training a
week. Have an exercise instructor at your
local gym show you how to start with small
weights you can use at home.
2. A healthy diet promotes stronger bones.
Standout foods include dairy, leafy greens,
sardines, and soy, and recent research suggests omega-3 fatty acids, lycopene in tomatoes, and polyphenols in tea, citrus, olives,
berries, and grapes also preserve bone
integrity. Protein is important as well, but
dont go overboard; aim for 2530 grams per
meal. Whey is a good supplemental protein
source, and a whey-derived supplement
called milk basic protein was shown in a sixmonth study to lower markers of bone loss
and increase bone density.
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Triple Therapy
Triple therapy is the standard of care for
stomach ulcers, and studies suggest that a
two-week course works for 80 to 95 percent of
patients. Because it is effective at eradicating
H.pylori and healing ulcers, I would not hesitate to recommend it for my patients. If you do
undergo this treatment, make sure you take
probiotics during your treatment course and for
at least two or three weeks afterwards.
bismuth subsalicylate (Pepto-Bismol)
plus the antibiotics tetracycline and
metronidazole
Ulcers
1. Get tested for the bacteria H. pylori, especially if you are experiencing signs of acute
bleeding such as black stools, sweating, and
dizziness upon rising. If you test positive,
begin triple therapy at once. Although I am
against the indiscriminate use of antibiotics,
this is the most appropriate treatment for
ulcers. While taking the antibiotics, I recommend you take a probiotic supplement.
2. Drink a glass or two of water when you
have stomach pain or 30 minutes before
meals. This dilutes stomach acids and may
ease discomfort.
44
that prevent ulcer formation by increasing the amount and quality of the mucous
membranes that line the stomach. Treating
gastrointestinal problems with DGL has no
side effects. If you have an ulcer, chew three
or four tablets 20minutes before each meal,
and at bedtime. For prevention of ulcers and
general improvement and maintenance of
the gastrointestinal tract, one or two tablets two or three times a day (before meals)
should suffice.
some time before you notice results, but Im convinced that if you stick with the recommended
therapies and make positive lifestyle changes,
you will significantly enhance your general
health and well-being.
Resources
Therapies: EECP, hyperbaric oxygen, chelation,
prolotherapy, IV vitamin C, stem cell therapy,
and the other clinic-based modalities discussed
in this report are the primary treatments at
Dr.Whitakers clinic. To learn more about
becoming a patient at Whitaker Wellness, call
(800) 488-1500 or visit whitakerwellness.com.
To look for facilities that offer these therapies in
your area:
4. Take a good daily multivitamin. Zinc is particularly important, as its been shown to
protect against NSAIDs harsh effectsand
to work as well as some drugs in reducing
the size and symptoms of duodenal ulcers.
The recommended daily dose of zinc is
30mg.
In Summary
This report should empower you to talk
with your doctor about decreasing and possibly
even eliminating the prescription drugs you
presently take. Its important to remember that
natural therapies are not a quick fix. It may take
45
Chelation and IV Vitamin C: To find a physician in your area who offers chelation therapy,
visit acam.org. Many ACAM members are also
proficient in nutritional medicine and bioidentical hormone replacement therapy.
In addition to Health & Healing and numerous special reports, Dr. Whitaker has authored
or co-authored 13 books, including:
46
drwhitaker.com
Visit Dr. Whitakers website. In addition to the latest
medical news, youll find:
Healthy Directions