Headaches are extremely common, affecting nearly 100% of Americans at some time in their lives. Anyone who has recurrent headaches should suspect possible migraines; an estimated 28 million Americans suffer from migraines, but many are never diagnosed. Migraine headaches are characterized by recurrence, and some of the following symptoms, at least some of the time: involvement of one side of the head, throbbing, moderate to severe intensity, worsening of the throbbing and severity with activity and with bending forward or valsalva maneuver (compression of the abdominal muscles as in lifting or expelling a bowel movement), sensitivity to light and/or loud noise, nausea/vomiting, association with hormonal changes in women (especially around the time of menses), triggering by certain foods, and there is often a family history of migraine. About 15% of migraine sufferers will sometimes experience an aura, usually around the onset of the headache; auras typically involve transient loss of part of one’s vision due to flashing lights, an expanding blind spot, or loss of vision in the left or right visual field, experienced in both eyes. Less frequently, an aura can cause brief numbness or even weakness of one side of the face or body. The duration of a migraine headache is typically one to several hours to three days, and a refractory migraine can last much longer.

If your headaches are migraines, it is important that you know this, because migraine, particularly with aura, can cause stroke. Those who develop migraines with aura late in life are at six-fold risk of having a stroke, compared with the rest of the population. Additionally, migraineurs have a highter incidence of epilepsy, depression, anxiety, panic attacks, and elevated homocysteine (a protein associated with inadequate utilization of the B vitamins folic acide, B12, and B6; if elevated, you have increased risks of myocardial infarction, stroke, and other disease).

The brain processes underlying an acute migraine headache include local inflammation, reduced energy production, low levels of ionic magnesium, and high levels of the amino acid glutamate. MRI spectroscopy reveals that migraineurs have lower brain levels of magnesium than do nonmigraineurs. Glutamate is a problem because it is your brain’s primary excitatory neurotransmitter, and in excess, it is able to overexcite neurons to the point that they die. (This process has been well established as the reason that an acute stroke typically involves a larger territory than would be expected, based on the size of the vascular territory that is compromised.) You are able to modify all the causative factors in migraine. Dietary changes can reduce inflammation, increase energy productions and magnesium, and lower levels of glutamate. Many sufferers have eliminated migraines simply by changing from a typical American diet to a more wholesome diet, devoid of processed foods and rich in leafy greens and other vegetables, berries, nuts, seeds, and wholesome animal products (eg grass fed or wild meats and eggs, wild fish). Such foods supply ample magnesium and B vitamins (which are needed for energy production) and reduce inflammation and glutamate. It is very important for any migraine patient to avoid dietary sources of glutamate and aspartate; in the high doeses absorbed from foods, both these neurotoxic substances can kill your brain cells! Both glutamate and aspartate are heavily used in many processed foods and their presence is disguised by euphemisms.

In my extensive experience as a neurologist, providing a well-absorbed form of magnesium, over time, greatly reduces the number and severity of migraines. One can also abort an acute migraine attack by taking a high enough dose of well-absorbed magnesium, such as powdered or liquid magnesium malate/citrate or a chelated magnesium. Intravenous magnesium sulfate has been shown, in many studies, to be a very effective intervention for acute migraine, stopping the headache in up to 80% of patients. Magnesium Sulfate can be equally effective when taken sublingually.

For prevention of migraines, use magnesium as above. Riboflavin (vitamin B-2) in doses up to 400 mg per day, coupled with COQ10, at 200-300 mg up to three times a day, has reduced the number of headache days by 50% in one study. All antioxidants and natural antiinflammatories reduce migraine severity and may also reduce the number of attacks. These include vitamin C, natural vitamin E (mixed tocopherols), curcumin plus quercetin, omega-3 fatty acids, and silymarin. Getting sufficient sleep is also important in migraine prevention, and both sleep and migraine control may be aided by nightly melatonin (a powerful natural brain antioxidant) in doses from 0.5 up to 9 mg.

At the Center for Occupational and Environmental Medicine we classify migraines as a cranial neuronitis, which also includes Bells Palsy, Meniere’s Syndrome, (vertigo, tinnitus, nausea, vomiting) and Globus (lump in throat sensation). The importance is that all of these conditions may be caused by the Herepes Simplex Virus, which we have learned to turn off with one of our molecular signals.

When we combine the viral signal with Histamine and Serotonin the treatment becomes even more effective. By rushing a series of 4 separate drops under the tongue most migraines can be turned off. For patients with recurrent migraines taking one drop twice a day often prevents the headaches.

Also, remember that most migraines may be triggered by foods. If you or your loved ones suffe from migraine, schedule an appointment and let us help.

To your health,
Carol E. Benoit, D.O.
The Center for Occupational and Environmental Medicine

Posted in Health Alerts

Over the course of the past several weeks I have learned of the untimely death of a few of my patients and family members. What was so tragic was these people were given no information about alternative treatments that might have provided some hope. Two cases will make my point.

S.L. had been my patient for several years. I saw a notice about her death, which shocked me. I never knew she was even sick other than some allergy symptoms. She died very rapidly of cancer of the pancreas. When I spoke to the family I was told she did not want anybody to know; not even me, her doctor. The prognosis for this disease is dismal with most patients dying within three months. But did she know that there was an alternative treatment to surgery, radiation and chemotherapy and with none of the usual side effects?

Dr. Burton Berkson of Las Cruces, New Mexico published two papers on the use of Alpha Lipoic Acid and low dose Naltrexone that miraculously saved the lives of four patients with terminal Pancreatic cancer. Could my patient have been saved from this tragic disease? I do not know but it would have been nice to have at least tried.

The second case was the same as the first but this time it concerned a brain tumor. Again the death of the patient was announced without anybody but the immediate family knowing about the patient’s struggle over several years using the conventional existing therapy. Did they not know that Stanislaw Burzynski of Houston Texas had an 81% successful response using his antineoplastons therapy?

The Center is happy to share what could be life saving information. You need only ask. Knowledge is power

This alert would be incomplete if I did not repeat what I keep telling you. Cancer can be prevented but you have to know how. Our website www.earlycancerdetection.com offers valuable information especially about Breast cancer and Thermography. But more importantly, as I keep saying, you must keep your Vitamin D3 levels between 50-70 ng, which requires on average 5,000 I.U. a day of Vitamin D3. This relates to most forms of cancer, not just breast and prostate. By doing this, it is estimated that you can reduce your risk of cancer by 80%.

If the Japanese have the lowest incidence of cancer you need to do what they do. Eat kelp or supplement with iodine at levels equal to theirs- 13.5mg a day. The world’s authority on trace minerals taught, “If you tell me what the level of Selenium is in your soil, I can tell you your incidence of cancer.” Selenium, 200-400 mcg a day is another important piece of the cancer puzzle. And, finally, having an adequate level of progesterone, 200-600 times your estrogen, is crucial in the prevention of many cancers, but especially breast, prostate and colon.

We can help you measure your levels of Vitamin D, Iodine, Progesterone and Selenium to help determine how to supplement if your levels are low. More importantly, become informed about what may offer a better way of treating many life-threatening diseases. You do have choices.

To your health,
Allan Lieberman, M.D., F.A.A.E.M.
Medical Director,
The Center for Occupational and Environmental Medicine

Posted in Health Alerts

After many years of working alone in providing medical care to our female patients, The Center for Women’s Health at COEM has finally achieved its goal. We are now part of a network offering comprehensive medical care for preventing, diagnosing and treating breast cancer.

The attached resumes (click here to read) describe the professional credentials of our team, which now provide imaging and evaluation with a breast specialist with a surgical consultation. From the very first breast thermogram that we performed back in March, 2003 until today we have had the best of the best certified thermologist. Dr. Phil Hoekstra, has read over 750,000 thermograms thus providing all of you with the confidence that your breast studies have been and continue to be read by the most experienced in this field.

If a breast thermography is interpreted as a TH3, TH4 or TH5 we now have the services for comprehensive imaging utilizing ultrasonography and magnetic resonance imaging (MRI). Dr.’s Goltra and Clinton and their staff have been outstanding in working with the special needs of our patients. Dr. James Majeski has joined our team to provide the services as a breast specialist along with surgical intervention if needed. A review of his credentials will assure you that you are in the hands of a truly outstanding doctor. We are hearing wonderful reports from our patients who have consulted with him. They are appreciative of his skills and compassion.

As the greatest death rate from breast cancer occurs between the ages of 40-45 years and these cancers on average began 15 years before, early detection becomes critical beginning as early as age 25. Because breast thermography can detect changes in a breast 6-10 years before mammography and is done WITHOUT radiation or compression you have a very safe and effective procedure. Thermography, using Dr. Hoekstra’s protocol, is 99.7% sensitive and 98.4% specific. No other procedure comes close for the purpose of breast screening.

Finally, if you will stop fearing breast screening with Thermography, you will be able to detect abnormalities at there earliest and be able to literally reverse the disease. Using nutritional and immunologic treatment protocols we have been able to reverse even a TH4 (65% plus risk of confirming malignancy) to a normal TH1 and TH2 rating. Prevention is a better way to manage a disease that affects one in eight women. See the images for yourself.

Contact the Center for Women’s Health at COEM today by calling (843) 572-1600 or by visiting our web site at www.earlycancerdetection.com

Allan Lieberman, M.D., F.A.A.E.M.
Medical Director,
The Center for Occupational and Environmental Medicine

Posted in Health Alerts

Pastor Larry spends one day a week with our medical team. The Pastor is preparing to go to an undeveloped country to offer both spiritual and social services to a population with great needs. He would like to bring some of the principles of Environmental Medicine. I like to chide him about the many people in need in our own country and that he doesn’t need to go to a foreign country to find them.

I was motivated to write this alert after watching CNN’s Sanjay Gupta talk about a group who challenged the American population to eat only non-processed food in order to cut down on our epidemic of obesity. So, how does Pastor Larry fit into this story? One day each week I have lunch with the Pastor in our conference room. He brings his lunch in a cooler and puts the food out on the table. This week I was literally awed by what he was eating for lunch. The colors alone were magnificent with a display of green, yellow, red, orange and brown from raw vegetables, fruits and a variety of seeds and nuts.

As many of you know, I often talk about our ancestors who for 300,000 years ate nothing but what they hunted and gathered, which basically consisted of meats, vegetables, a few fruits and lots of seeds and nuts. Their diet was free of grains and dairy products, two classes of foods that produce some of our greatest health problems. What could be simpler than eating such a primitive diet?

I forgot to mention the many vitamins, minerals, essential fatty acids and other nutraceuticals the Pastor takes with his meals. The point of all of this is to say how fit and trim our Pastor is and how he inspires all of us to do as he does.

At a time when we as a nation are debating a health care initiative, I hear nothing about lessons the lifestyle of our Pastor could be teaching us. In dollars and cents, can you imagine what could be saved if we imitated the country of Finland who reduced their incidence of heart attack and stroke by 75% by simply switching their regular table and cooking salt to one high in potassium, magnesium, iodine, other trace minerals and the amino acid Lysine?

How can we ignore an 80% reduction in Breast and Prostate cancer and probably most other malignancies by taking enough Vitamin D3 to raise our blood levels to about 50-70 ng.? These are some of the principles that Environmental Medicine teaches to help keep us from disease.

I am ready. Are you ready?

We at the Center are ready to help you achieve optimal health. Give us a call @ 843-572-1600 or visit our website @ www.coem.com

Allan Lieberman, M.D., F.A.A.E.M.
Medical Director,
The Center for Occupational and Environmental Medicine

Posted in Health Alerts

Progesterone gets its name from “for gestation” because its highest levels occur during pregnancy. Without the high levels a mother would reject her boy baby. But, progesterone is present and functioning throughout our entire life. It is equally important to both men and women.

Everyone is trying to reduce their cholesterol levels but cholesterol is the essential molecule we begin with to synthesize Progesterone as well as all of our sex and adrenal hormones. This is one good reason you should explore the alternatives to taking cholesterol-blocking drugs. Let’s focus on Progesterone, the subject of this alert.

Progesterone’s contributions to health and well being are:

1-Essential for maintaining pregnancy.
2-Lowers blood pressure.
3-Converted by the adrenal glands into all of the stress hormones.
4-Promotes calmness.
5-Relieves water retention.
6-Protects the brain against estrogen induced brain fog.
7-Helps form the protective layer around nerve endings.
8-Provides significant protection against heart disease.
9-Offers protections against osteoporosis.
10-Is necessary for balancing many other hormones and nutrients in the body.

And most importantly, it balances the proliferative effects of estrogen preventing breast, prostate and uterine cancer. The epidemics of these cancers, remember, are caused buy dominance of the hormone estrogen. Not because there is an overabundance of estrogen in our bodies but because we have so little progesterone.

During Menopause your estrogen levels drop about 50% but your progesterone drops 99% leaving what Dr. John Lee calls “estrogen dominance”. Another disastrous situation of young women is the occurrence of anovulatory menstrual cycles. If you don’t ovulate, even if you have normal menses, you do not make progesterone. It is estimated that as many as one third of women are having anovulatory cycles.

The point of all this is that risk of cancer to the breasts is increased in young women with little to no progesterone and to perimenopausal and menopausal women when again progesterone is very low to absent.

Therefore, I can’t emphasize enough how important it is for women to have adequate levels of progesterone. (200-600 times more progesterone than estrogen.) The only way to be sure if you have adequate levels is to measure it in the saliva. This applies to both men and women. The only way to measure the free and available levels of hormones is to use saliva. Blood levels measure only the bound and non-useable form.

Although I have said this before it bears repeating again and again. A physician with many years of experience said, “I have never seen a woman with high levels of progesterone ever get breast cancer, not one.”

Also, the most common pathology of the breast found on mammography and thermography is Ductal Carcinoma in Situ. It is said to represent stage 0 cancer. Dr. Lee felt strongly that this was caused by a deficiency of progesterone and if supplemented the lesion returned to normal. And men, don’t feel left out because treating men with progesterone often also reverses prostate cancer.

A deficiency of progesterone can lead to many health issues. It is fortunate that this can be treated.

The Comprehensive Saliva Hormone Kit tests for the following:
A. Estradiol
B. Progesterone
C. Testosterone
D. Morning/noon/evening/pm cortisol levels
F. Estriol

We are offering a special introductory price for the month of March for Comprehensive Saliva Hormone Panel testing. This test is performed at home and shipped to the laboratory. UPS fees are included in the price.

Probalance (2 oz. cream) is offered here at the Center. This transdermal cream supplies the recommended effective dose of natural progesterone (400 to 500 mg. per ounce) in a base suitable for proper absorption. (Not all progesterone creams are.)

CLICK HERE to order Comprehensive Saliva Hormone Kit or .

Allan Lieberman, M.D., F.A.A.E.M.
Medical Director,
The Center for Occupational and Environmental Medicine

Posted in Health Alerts

At a time when health care is bankrupting our country, it is strange that our government and medical profession refuse to learn what we already know.

I have been repeating myself over and over again extolling the importance of the sun and its by-product Vitamin D in reducing the risk of heart disease, cancer, diabetes, depression, and autoimmune diseases by as much as eighty percent. All of this is free, in the presence of adequate sun exposure, or by taking one 2,000 to 5,000 I.U. capsule of Vitamin D3, costing $7.50 to $10.50.

Now we learn that, at a time when obesity, alcoholism, and smoking are increasing, the country of Finland has been able to reduce its incidence of cardiovascular disease and stroke by sixty percent countrywide. Finland did this by ordering all food establishments to switch from regular ordinary salt to a low sodium, high potassium, magnesium salt that also contained the amino acid lysine. This all began in 1994, in Finland, yet no one on America was willing to imitate this great accomplishment. Consider that a sixty percent reduction in heart disease and stroke would mean the saving of 353,000 American lives and billions of dollars of medical expenses.

Well, my friend Dr. Jonathan Wright has now arranged for this Finnish salt to be available in our country and for the nominal sum of $7.60. You merely substitute this salt in your saltshakers and use about a half teaspoon a day in your cooking and at the table.

This substitution is believed to account for an average increase in life expectancy of six to seven years for the Finish people, and all for the investment of one to two dollars a month.

If you are interested in making this investment CLICK HERE

Allan Lieberman, M.D., F.A.A.E.M.
Medical Director,
The Center for Occupational and Environmental Medicine

American Journal of Clinical Nutrition 2006;83(6):1289-96
Arch Intern Med 2009;169(1):32-40

Karp J. Hum Hypertension 1996 Feb 10 (Supp 1) 557-561
Prog Cardiovasc Dis 2006; 49(2) 59-75

Posted in Health Alerts

I was surprised at the response we received from the last E-alert I sent out on probiotics. It apparently touched a core in many of you. Because of this response I thought that I might add a few more points to this topic.

It is estimated that about 70% of our immune system resides in the lymphatic tissue of the G.I. tract. Dr. David Williams very succinctly explained, “When you have a break in the mucosal barrier, toxins and undigested foods can more readily enter the blood stream. This is often the beginning of food allergies and systemic toxicity problems” which results in multiple signs and symptoms like headache, fatigue, brain fog, classical allergy with hives, asthma, etc, but also just not feeling well.

Stress of all kinds, as well as real physical trauma, cause major insults to our bodies but recent research shows that providing abundant Probiotics to our intestines can literally prevent or reduce this trauma.

A study in Greece with trauma patients showed that treatment with probiotics reduced inflammation and risk of pneumonia and blood born infections as well as length of stay in intensive care and time spent on mechanical ventilation. An animal study revealed that when newborn animals were separated from their mothers they developed serious illness or disease. However, when pre-treated with adequate Probiotics no damage to the young animals occurred.

Those studies are important because they show us how we can protect ourselves from the sequelae of both physical and emotional injury. As allergy is the number one problem in all of the patients that I see, I can’t emphasize sufficiently the importance of our gut flora in reducing allergic disorders. The most important time to introduce these organisms is when we are born, but it is never to late to replenish by supplementing. As I pointed out in our recent alert, we need to stimulate our secretory IgA immunoglobin levels, first using the yeast probiotic, Saccharomyces Boulardii and then using Lactobacillus rhamnosus (Factor 1). [Please note: you may take these both together but wait to add Factor 1 until after you’ve gradually worked up to one capsule a day of Saccharomyces Boulardii. When your bottle of Sacharomyces Boulardii is finished, you may stay on Factor 1 or Ther-Biotic Complete for maintenance.]

These probiotics are anti-inflammatory, anti-toxin, anti-allergy, anti-candida, and powerful boosters over all to our immune system. Remember, if you have taken an antibiotic it can take you over 2 years re-grow your normal flora. Supplementation here is especially critical.

Click here if you would like to order or get more information.

Allan Lieberman, M.D., F.A.A.E.M.
Clinical Director
Center for Occupational and Environmental Medicine

Posted in Health Alerts

This article was sent as a Health Alert to established patients who are familiar with our Center and our services. If you are a prospective or new patient, information included here may not be pertinent to your health at this time. We invite you to learn more about our comprehensive treatment approach.


Luke Curtis, my co-author of the review article on the Adverse Health Effect of Indoor Mold, published in the Journal of Allergy and Clinical Immunology, wrote another important paper on the effects of mold that I would like to share with you.

My experience with hundreds of patients exposed and injured by mold demonstrated the multi-systemic nature of toxic mold exposure. However, I never fully realized the pathophysiology of these effects. Luke and his co-authors demonstrated that there is a major imbalance and dysfunction to the endocrine system specifically to growth hormone, thyroid, and the adrenal hormones.

To be specific, 51% were growth hormone deficient, 81% were thyroid deficient, and 75% were ACTH deficient. All of the seventy-nine patients were fatigued and 94% had chronic fungal sinusitis. In all of the deficient patients who were given supplemental growth hormone, thyroid, and cortisol, the fatigue was improved.

Of special interest to me was that only seventeen out of seventy-nine patients were aware of being mold exposed.

This paper documents what I always say, “Many physicians do not have the foggiest idea of what is wrong with a patient.” The field of Environmental Medicine is a new and exciting approach to the care of complex ill patients. We are trained and experienced to try and find the causes of disease.

In our practice, we see a large number of hormone deficient patients identified by hormone testing. Now, after reading Luke’s paper, I have added Insulin Growth Factor One (IgF1) to our evaluation of sick, tired patients to identify growth hormone deficiency. Although doing an endocrine work up is an additional expense, it is worth it if you identify the cause and can treat it successfully.

Treating deficient patients with Human Growth Hormone (HGH) is not as easy or as reasonable as the cost of thyroid or adrenal hormones. But if you are dragging and just not recovering from your chronic debilitating illness, a trial for one to three months may be well worth it. Unlike the other hormones that can be taken orally, growth hormone is given like insulin- by daily subcutaneous injections. Up until now, insurance companies have refused to pay for this treatment.

As Luke’s paper points out, there are now only 60,000 people with the accepted diagnosis that are receiving growth hormone. However, if toxic mold is causing this hormone loss, then the number of people who could benefit is closer to 4.8 million. There are secretagogues or mimics of HGH that are a fraction of the cost of the whole hormone and importantly may work almost as well.

Call the office if you would like to discuss this alert with me. Also, CLICK HERE if you would like to read the entire article.

Allan Lieberman, M.D., F.A.A.E.M.
Medical Director
Center for Occupational and Environmental Medicine

Posted in Health Alerts

This article was sent as a Health Alert to established patients who are familiar with our Center and our services. If you are a prospective or new patient, information included here may not be pertinent to your health at this time. We invite you to learn more about our comprehensive treatment approach.


2010 is almost here and it’s time to make our annual resolutions. If you are like me, my intentions are good but I just can’t always stick to the plan. So this coming year, let’s keep it simple. As you know, I love being your physician and care deeply for each of you. That is why I keep encouraging you to do just a few things to protect your health – the most valuable thing in your life!

So, let me try again to persuade you to take the leap of faith and begin to take good care of yourselves. We have discovered a few supplements that are consistently helpful. Imagine being able to reduce your risk of cancer by 80% as well as heart disease, depression, diabetes and most autoimmune diseases. And while you are doing that, also protecting yourself from influenza – all of this, from one dose of Vitamin D3 a day. However, your dose must raise your blood 25 hydroxy Vitamin D3 level to a minimum of 50 ng. A dose of between 4000 to 5000 I. U. should achieve this. Additionally, it is best taken with an oil or any type of fatty food for better absorption, since it is a fat soluble nutrient.

Remember, twice a year you should have your blood level checked – once in the winter and once in the summer. You do this maintenance on your car at least twice a year so why not for yourself. Strangely, my other ‘harped’ recommendation is also a fat soluble vitamin. Yes, Vitamin K2, as Meniquinone 7. It pulls calcium plaque out of your arteries and puts it back on you bones. It has also been found to reduce the aggressiveness of cancer cells from the prostate. If it works on prostate cancer, it will do the same thing in breast and most other malignancies. Vitamin K2 protects us from three major diseases – atherosclerosis, osteoporosis and cancer. It only takes one 90 mcg capsule a day taken along with your Vitamin D. What could be so profound and yet so simple?

To add the frosting to the cake, lets add one more nutrient derived from the skin of a grape. You guessed it – Resveratrol. Would you believe this nutrient can do all of the following:

1. Reduce platelets from clumping, thus reducing risk of clots, heart attacks and strokes.
2. Reduces your LDL cholesterol and triglycerides.
3. Reduces inflammation – the mechanism of injury for most diseases.
4.Is a powerful anti-oxidant.
5.Induces apoptosis, reversing cancer cell proliferation.
6.Reduces Insulin resistance, the first stage of diabetes.
7.Reduces eating, reducing obesity.
8.Increases ATP production in muscle giving us more energy.
9.Increases aerobic capacity and consumption of oxygen – so we can exercise longer and better.
10.Reduces fatty liver from high fat diets.
11.Last and by no means least, increases the longevity genes to help us live longer.
Resveratrol, at one 300 mg capsule a day, comes as close as possible to being the panacea that treats everything.

So here you have it, three nutrients providing you with the best cost effective insurance policy you could have.

Here’s wishing you and your families a blessed holiday season,

Allan D. Lieberman, M.D.
Medical Director

Posted in Health Alerts