Dear
Colleagues: Last
month I mentioned briefly how vitamin B12 helped to improve a patient's
response to neural therapy. In my
experience this is not an unusual occurrence, so this month I want to discuss
vitamin B12's role in neural therapy in more detail. Vitamin
B12 (or cobalamin) deficiency (with toxic metals, food sensitivities,
malnutrition of various kinds, etc.) is on my short list of conditions that may
impair or defeat neural therapy. Typically these factors come into consideration when a fading response
to neural therapy occurs after an initially promising one.
The
absorption, biochemistry and physiology of cobalamin is exceedingly complex and
beyond the scope of this newsletter. It is still a hot topic, even though
vitamin B12 was discovered almost 90 years ago. Considerable research continues, particularly with regard to genetic
factors that influence its absorption and utilization. A
quick cruise through Pubmed using "vitamin B12 deficiency" as search words,
leads me to two conclusions: (1) The
major research focus of cobalamin deficiency is still hematological, (i.e.
pernicious anaemia); (2) Cobalamin deficiency is a condition primarily of the
very young and the old. This
does not fit with what I am seeing in my practice. I am finding vitamin B12 deficiency in all
ages and rarely is the haemoglobin level affected. Most of my B12 deficient
patients are suffering from fatigue, depression, chronic pain or soft
neurological symptoms. So,
why the difference between the findings of medical academia and my
practice?: This is a question I perhaps
should have asked myself while in medical school 40 years ago. I
attended a medical school that prided itself on its academic excellence. Its
teaching hospitals attracted exotic cases and the most advanced medicine of the
time was available for them. However
with the academic rigour came a certain snootiness. I remember being taught that the referring
physician was a "quack" if vitamin B12 was being prescribed without proper investigation. (Country docs of the time
often prescribed vitamin B12 injections as "pick-me-ups" for their tired
patients). Whether the injections helped or not did not matter in this
environment. They were quacks because
they had not measured the vitamin B12 levels!
I did not question this orthodoxy until I came
across a medical paper two decades later. In this article it was shown that vitamin B12 levels in the serum did
not correspond to the levels in the central nervous system (van Tiggelen CJM et al. Vitamin B12 levels
of cerebrospinal fluid in patients with organic mental disorder. J
Orthomolecular Psychiatry 12:305-311, 1983.) Since measuring vitamin B12 levels in spinal
fluid is not practical in most settings, one is left with a therapeutic trial to determine whether the patient needs vitamin B12. The country docs of
yester-year were not so far off the mark! Around
the same time I learned of an unusual treatment for sub-deltoid bursitis - a
series of intramuscular vitamin B12 injections (1000 mcg cyanocobalamin) daily
for about a week. This works most of the
time and is an especially attractive alternative if a patient has bursitis in
more than one location in the body. But
it also demonstrated that high-dose and frequent B12 injections are harmless,
and a response is obtained within a few days. So
now my test for vitamin B12 deficiency is a therapeutic trial of daily
cyanocobalamin injections (1000 mcg) for a week. I teach the patients to inject
themselves and even the most needle-phobic seem to be able to do it. If
the patient does feel better, the interference field in question is often found
to have disappeared. And if not, it is
often possible to resume neural therapy with better chance of success. At the least, the patient may benefit from
improved energy, mood and sense of well-being.
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Next introductory neural therapy course on November 12th and 13th, 2010 in
Ottawa, Ontario, Canada. http://www.neuraltherapybook.com/NTcourses.php.
Three-day introductory
neural therapy course in Sydney, Australia March 9-11, 2011. For more
information contact George Stylian DO: 02 9524 4620, 0425 237 995 or
gstylian01@optusnet.com.au; FAX: 02 9525 9998
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