New dimensions in the customized review: Richard Lord PhD takes clinical assessment to a new level:
Just off the phone last night with one of the most interesting clinical case reviews in my career.
Dr Richard Lord, biochemist, neurophysiologist, and coauthor with Dr Alexander Bralley of Laboratory Evaluations in Molecular Medicine reviewed by teleconference the findings on her ION panel with a challenging metabolically frozen patient and myself.
The patient suffers from mercury exposure and toxicity, multiple chemical sensitivities, chronic exhaustion. For years she pursued multiple attempts at evaluation and treatment. She now takes numerous supplements and some small amount of psych meds. She feels like she is deteriorating in spite of doing everything right. This woman is very well read, understands cellular and molecular pathways [such as those outlined in Lord's book above], is clinically trained, and has her back to the wall because traditional, even excellent functional input, just couldn’t move her to a feeling of wellness.
Reviewing the comprehensive ION panel from Metametrix the patterns for Lord just jelled on the page. Bottom line:
We could see that the multiple supplements she was taking clearly helped with several values that remained within normal limits. Her efforts with some of her interventions worked well.
But in the background one annoying problem found expression in numerous downstream effects: insufficient stomach acid due to treatment with an antacid for gastric reflux with esophageal irritation and pain. Low stomach acid led to her real zinc deficiency with multiple downstream effects on lipid metabolism, cell membrane dysfunction, leaving her exhausted and likely contributing to many subtle aspects of her frozen clinical presentation.
You might be interested in reading more about zinc in Lord’s book with the Second Edition due out this spring, or this article on the downstream effects of zinc. Also check out these metabolic resources with more books and charts on this subject.
The patient and I were fortunate to have the hour with Dr Lord. That review clearly reminds us of the possibilities available using more evidence based assessments when struggling with multiple complex variables and subtle clinical presentations.
Will keep you posted as she modifies her antacids and zinc supplementation.
Digitally available now at Nook, Kindle, Barnes and Noble.
ADHD Medication Rules – PDF For Your Desktop
ADHD Medication Rules | Paying Attention To The Meds For Paying Attention – Kindle Version









