Category: Programs & Treatments

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Treatment of chemical toxicity | chemical sensitivity treatment and Chemical Sensitivity


Many disorders and diseases can be caused or exacerbated by an overload of stored chemical toxins. Addressing this aspect of the Total Body Stress Load can be truly life saving for people chemically injured through acute or chronic chemical exposures. Our toxic body burdens are critical to our health. This is why we often say, “We don’t just get sick, but are being made sick.”


At the root of hypersensitivity to common airborne pollutants–such as pesticides, synthetic fragrances, and petrochemical fumes—are three common problems: an increased body burden of toxins, a depletion of key nutrients used in the body’s normal detoxification processes, and, at times, an inherently weak detoxification system.





How does the Center treat chemical toxicity | chemical sensitivity treatment?

Each patient that we see at The Center for Occupational and Environmental Medicine is evaluated and treated individually. [Click here to learn more about our Comprehensive Diagnostic Work-up.] Based on an individual’s history and laboratory results, our physicians are able to determine if an overload of stored chemical toxins is a major cause of a patient’s signs and symptoms. If so, the Biodetoxification Program offers the most comprehensive and cost-effective treatment in the least amount of time.


The Center’s Biodetoxification Program has been operating since October 1988 and was pioneered for one purpose:


to offer safe, intensive treatment for the reduction of the body’s burden of toxic chemicals. Our Biodetoxification unit is one of only a half-dozen such units in the entire country, and to our knowledge, it is the largest stand-alone unit for this treatment protocol. Dr. Lieberman’s background and experience in Toxicology has made him a recognized expert in this field.


Before a patient enters the program, specialized laboratory testing is performed to determine the body burden of toxic chemicals and how these may be affecting body chemistry, immunity, and overall function. A considerable amount of time and research went into the development of our Biodetoxification Program. Each part of the program has evolved according to the needs and results of our patients.


Hundreds of patients from all over the world have now completed the Biodetoxification Program at The Center. Patients come to us on their own referral (often because someone they know has had good results) or on the referral of various state or federal programs.































What is The Center’s Biodetoxification Program and how does it work?

The Center’s Biodetoxification Program utilizes clinical procedures that safely reduce the body’s burden of toxic chemicals, including chemicals stored following occupational, accidental, and/or chronic airborne exposures. Chemicals bind to human tissues on the basis of their lipophilic properties — meaning literally “attracted to fats.” When our bodies absorb lipophilic toxins, they are deposited in our fat stores and released whenever those fatty tissues are broken down to provide energy. Thus, although we may initially be poisoned by an extrinsic (outside) source of toxicants, we may continue to be poisoned over a prolonged period of time by our own intrinsic (inside) body stores of those poisons.


The biodetoxification process is designed to remove toxicants using three basic mechanisms:
1. Mobilization of bound chemicals from storage sites through lipolysis (the breakdown of fatty tissues).
2. Enhancement of the body’s natural systems of detoxification and biotransformation.
3. Enhancement of excretion and inhibition of re-absorption.













These three mechanisms permit acceleration of the body’s system of detoxification, making it possible to decrease the time normally required to reduce a body burden of toxicants from months to weeks.


The Center for Occupational and Environmental Medicine uses a four-week outpatient Biodetoxification Program operating eight hours each day, five days per week, for treatment of the average patient. However, some patients may require more time, varying from four to ten weeks.


What are the advantages of undergoing Biodetoxification at The Center rather than at home?
The Center’s Biodetoxification Program is medically supervised and controlled. Each patient’s status is closely monitored via laboratory work, as well. This is an intensive program involving daily dry sauna, weekly therapeutic massage and lymphatic drainage by a licensed massage therapist, daily replenishment of key biodetoxification nutrients, twice-weekly intravenous nutrient therapy, and weekly group psychological support sessions with a licensed mental health counselor. (Individualized counseling is also available, for an additional fee.)


The intensive four-week portion of the program at The Center is continued through maintenance detoxification procedures that can be done at home. We teach patients how to safely and effectively continue maintenance biodetoxification on their own, with only periodic follow-ups with the physicians at The Center to monitor their progress.



















Can extremely chemically sensitive patients safely undergo Biodetoxification at the Center?
YES, WE ARE A SCENT-FREE, CHEMICAL-FREE, AND SMOKE-FREE FACILITY, housed in an environmentally safe building.

Since our Biodetoxification Program is an outpatient program, we have made arrangements for accommodation close to The Center for our chemically sensitive patients. We have safe housing available. Please contact the Center for more information.

If you are not certain if you are a candidate for Biodetoxification, you can schedule an appointment for a complete evaluation during which time the doctor can advise whether biodetoxification is recommended in your case.

Fortunately, the majority of participants who complete both the intensive and maintenance portions of The Center’s Biodetoxification Program become much less chemically sensitive, but we recognize that each case is individual.

What is the goal of the Biodetoxification Program and how successful is The Center at reaching that goal?
The ultimate goal of The Center’s Biodetoxification Program is to rehabilitate each individual, and to help return him or her to a normal, active life within the guidelines of reasonable but strict environmental control.

We now have 19 years of experience treating chemically burdened patients through Biodetoxification. Eighty per cent of our patients who have successfully completed both the intensive and maintenance portions of The Center’s Biodetoxification Program have reduced their signs and symptoms by at least 50 per cent.

The overwhelming majority of them report feeling more energetic, better able to think and problem solve on a daily basis (due to improved neurocognitive function), and better able to function in performing activities of daily living. Many have been able to return to gainful employment in reasonable but strictly controlled environments.

The volume of extremely positive feedback we have had about the Biodetoxification Program has strengthened The Center’s commitment to continue helping chemically injured patients overcome severe illness and limitations.

What are patients’ experiences with The Center’s Biodetoxification Program?
We’ll let them speak in their own words. Click here to read A Patient’s Story of Chemical Sensitivity.

How can I get more information about the Biodetoxification Program?
Click here to read “We Are All Polluted: The Role of Biodetoxification in Overcoming Illness.”
You can also call The Center at (843) 572-1600 and ask for a further explain of the program and request a packet of detailed information be e-mailed to you.


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Content to be updated soon…

Content to be updated soon…

Stopping Heart Attack and Stroke

(It’s More than Cholesterol)

Submitted by Timothy J. Callaghan, M.D. for COEM’s Website

It’s a tragedy! We all know someone who has faithfully gotten an annual physical (including blood tests and EKG) from their doctor, and the doctor has happily reported that the results show no evidence of cardiovascular or other disease. Your friend feels secure, believing that his preventive measures of regular exercise and prudent diet seem to be working well.

Yet, that same person experiences a heart attack or stroke within weeks of seeing his doctor! How could someone be assured that he’s doing well and still get a heart attack or stroke? What went wrong?

This is a question that doctors have long agonized over—but are recently getting more satisfying answers. Beginning in 1948, researchers began a comprehensive study of 5,000 Americans to try to identify and understand cardiovascular disease risk factors. What they found from this now famous Framingham Heart Study was that there is inconsistency between the results of our routine laboratory testing and the incidence of heart disease.

The Framingham study revealed that 80 percent of patients who had a cardiovascular event (heart attack or stroke) showed results from routine blood lipid profile tests for cholesterol, triglycerides, etc., similar to the normal population who did not have cardiovascular disease. This implied that the traditional lipid panel was not capable of being an accurate “key” to determining true risk. In a research study reported in The American Journal of Cardiology, it was demonstrated that the usual “cholesterol” panel was only 40 percent predictive for revealing coronary heart disease. Why?

We now have the answers to the lack of predictability based on annual cholesterol tests. It appears that heart disease has many risk factors other than cholesterol that have not been tested for previously. It also appears that we have not understood that a major culprit in cardiovascular disease is the “soft plaque” in the arteries and not the traditional calcified plaque that was thought to gradually build up and “clog” the artery.

A newer laboratory test called the VAP Cholesterol Test analyzes fantastic new markers to help predict cardiovascular disease. Researchers have “cracked open” the lipid molecules in the bloodstream and found at least 10 new items critical to evaluate heart disease. These include Lp(a) (lipoprotein a), VLDL and VLDL-3 (very low density lipoproteins), Non-HDL (non-high-density lipoprotein), IDL (intermediate density lipoprotein), real LDL (real low density lipoprotein) and real-LDL-C size pattern, remnant lipoproteins, and HDL2 and HDL3 (high density lipoproteins 2 and 3). VAP Cholesterol Test markers, when abnormal, have been found to be “positive” indicators even when traditional markers like total cholesterol, LDL, and triglycerides are “normal.”

Another accurate marker that can now be evaluated is the homocysteine level. When homocysteine is elevated, the risk of heart attack and stroke has been shown to be three times higher than with normal homocysteine levels.

C Reactive Protein–High Sensitivity is another blood marker that is elevated with any inflammation in the body, but also correlates with an increased risk of heart attack. Another is fibrinogen, a protein normally found in the blood that is key in helping us not bleed to death when we’re injured, but when excessive, increases the risk of clots forming in the bloodstream itself and causing heart attacks or strokes. Low testosterone levels in men, and low levels of the trace mineral selenium may increase the risk of coronary disease by 24 percent.

The ADMA (asymmetrical dimethyl arginic) test measures levels of a chemical that inhibits normal nitric oxide dilation of the blood vessels. When levels are high, researchers have found a 27-fold increase in the risk of heart attack. A high level can also reveal an increased risk of hypertension, erectile dysfunction, and insulin resistance.

Researchers have discovered that bacteria like Chlamydia, H. pylori and dental bacteria are associated with heart disease. Chlamydia has actually been found in the artery plaque and is suspected of increasing plaque formation. Cytomegalovirus and Coxsackie virus are thought to trigger plaque build-up through a complicated mechanism of “molecular mimicry.” Elevated antibody levels to these bacteria or viruses can indicate excessive levels of these harmful organisms and may be an indicator of risk.

Then there are nutrients that we need to help prevent plaque formation in the blood vessels. These include antioxidants and omega 3 fatty acids. Evaluating whether or not we have optimal levels of these nutrients can help us know how close we are to obtaining a truly heart-protective diet.

We can take a totally non-invasive look into the arteries and see if plaque is developing years before an EKG or stress test (nuclear or regular) can indicate a problem. This technology entails 64 heart scans taken through various cross-sections of the coronary arteries and analyzed with calcium scoring. It can visualize blockages better than ever before and provides a calcium (plaque) score between 1 and 400. As terrific as this scan is, it is best not done because of the extremely high level of radiation to which you will be exposed. It provides the highest level of radiation of any of the CT scans.

Carotid ultrasound of the carotid arteries can measure the thickness of blood vessel walls, and the thicker and more inflexible the vessel walls, the greater the risk of heart attack and stroke.

Not everyone needs all of these advanced cardiovascular tests, but it is wonderful to know that they are available to help us identify our individual risk factors and understand how to reduce them. These tests are especially important when a person has a family history of heart attacks, strokes, blood clots, dementia, and other increasingly preventable problems. Knowing where our genetic weaknesses may lie can be a great help in avoiding the family cardiovascular disease pattern.

If there are positive test results from any of these new tests, multiple strategies can be used to lower risks. At The Center for Occupational & Environmental Medicine, we use a comprehensive approach including diet changes, nutrient supplementation, intravenous chelation, and medication where necessary. Please see Healthy for Life Weight Loss for information about our very successful weight loss program.

For further information about our programs, please contact The Center at (843) 572-1600.


Castelli WP. Lipids, risk factors and ischaemic heart disease. Atherosclerosis. 1996;124:S1–S9.

Castelli WP. Canadian Journal of Cardiology 1988:4A: 5A.

Frost; American Journal of Cardiology 1998: 81:26B.

Lamarch B, Tehernof A, Moorjani S, et al. Small, dense low density lipoprotein articles as a predictor of the risk of ischemic heart disease in man: prospective results from the Quebec Cardiovascular Study. Circulation. 1997 Jan 7; 95(1) 69-75.

Superko HR. Did grandma give you heart disease? The new battle against coronary artery disease. American Journal of Cardiology. 1998;82:34Q–46Q.



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By Allan D. Lieberman, M.D., Medical Director of COEM

Do you have Candida (yeast)?

If you are reading this, then you may be wondering about Candida (yeast) as a cause of your medical problems. So, based on my 33 years of evaluating and treating for yeast overgrowth, let me set you straight. Yes! Yeast could certainly be the cause of your disease and is often the cause of many patients’ multiple problems. There is no sign or symptom that cannot be associated with it.

Everyone has some Candida albicans because it is part of the normal flora of our intestine. It was put there to protect us, like a natural antibiotic, from pathogenic enteric organisms including Salmonella, Shigella, and Typhoid fever. Like everything in Nature, the key is balance. In our body, which is made up of around 300 trillion cells, is another body of about 300 trillion cells living within our gastrointestinal tract, made up of our microbiological or bacterial flora. This community of helpful organisms can be altered or destroyed when we take antibiotics, steroids, hormones, and an unhealthy diet rich in refined carbohydrates and sugars.

How do you know if yeast is contributing to your problems?

You can look for Candida in your stool, vaginal secretions, and even from scraping the inside of your mouth. Or, you could analyze your urine for the metabolites produced by yeast. An Organic Acid Analysis performed on your urine may reveal the presence of such metabolites as d-arabinose, citramalic and tartaric acids, and several others. These are not metabolites natural to humans, so if you find them, you know they must belong to something else living in your body, such as Candida. Organic Acid Analysis is routinely used in diagnosing our patients as a first step towards yeast eradication. Kits are available from the Center.

Most women can easily diagnose if they have yeast vaginitis by the white odorless discharge accompanied by itching. But you must remember the vagina and also the prostate in men are only opportunistic sites. ALL Candida comes from the GI tract.

If we have Candida, is it really all that harmful to the body?

Although this may be hard to believe, taking an antibiotic can alter the flora of your gut for as long as two years. This alone explains why Candida can be so damaging. The proper balance of flora in your gut provides a strong foundation for good immunity.

Candida has at least 90 antigenic foci on its outer membrane, which cross react with multiple tissues of the body in what we call autoimmunity. This is especially true for ovarian and thyroid tissues. Autoimmunity is the mechanism by which many of man’s enigmatic diseases are caused. We may be especially vulnerable to disruption of our endocrine glands’ function through this process of autoimmunity.

Candida albicans overgrowth as a cause for celiac disease or gluten intolerance is also being actively researched. In gluten intolerance, a person is unable to properly digest gluten in wheat, oats, rye, barley, spelt, kamut, or anything containing these grains. When people with gluten intolerance consume gluten-containing grains, their intestines become so inflamed the intestinal villi are gradually destroyed and the person suffers many symptoms such as diarrhea or constipation, unexplained weight loss or even weight gain, irritable bowel, skin rashes, or unresolved nutrient deficiencies. Even chronic headaches, neurological symptoms, mood swings, and changes in behavior, can be provoked by gluten intolerance, since the breakdown products of gluten adversely affect the brain and nervous system. The gliadin portion of the gluten protein is thought to be the component of gluten that is so toxic to gluten-intolerant people. A laboratory test for celiac disease measures antibodies in a patient’s blood against gliadin (anti-gliadin antibody) and against their own body’s tissue transglutaminase (anti-tissue transglutaminase antibody).

“Is Candida albicans a trigger in the onset of coeliac disease?” was the title of a research article published in the highly respected medical journal, The Lancet [reference below]. The researchers found Candida albicans contains a protein in its cell wall called “hyphal wall protein 1” or HWP1 that is very similar in its structure to components of gliadin. In addition, Candida can actually use its human host’s tissue transglutaminase to adhere to the intestinal wall. Researchers are looking at the possibility that when Candida becomes attached to a person’s intestines and their immune system tries to get rid of it, antibodies are produced that attack both gliadin and transglutaminase, since these are similar or identical to components within Candida’s cell wall. Unfortunately, these antibodies could also trigger full-blown celiac disease in the unsuspecting person. This is yet another reason why overgrowth of Candida is not to be taken lightly. The researchers went further to hypothesize that some patients who are gluten intolerant but do not improve with a gluten-free diet, might be able to improve if Candida overgrowth was effectively treated.

Dr. Billy Crook was one of the first physicians to call our attention to the dangers of Candida. When he wrote The Yeast Connection, many of us began to think that the sun rose and set on this little microorganism called Candida albicans. Dr. Crook and many other doctors paid a heavy price from the medical establishment who did not agree. But Dr. Crook was right–problems with yeast must be considered in any patient with unexplained multi-system disease.

How do you treat an overgrowth of Candida?

Dr. Crook always liked questioning his fellow physicians who were actively working with patients to overcome yeast overgrowth, in order to learn what they found to be successful treatments. I was no exception. He quoted me in many of his books as saying, “A therapeutic trial with a systemic anti-fungal drug is, in my opinion, the most effective way of identifying yeast as the cause of a patient’s problems,” and a major step in yeast eradication. If the patient improves dramatically when on the anti-fungal drug, yeast is most likely at least one of the major causes of his problems. We’ve been helping patients successfully overcome yeast-related illnesses for over 30 years.

Unfortunately it is hard to find physicians open-minded enough to look for the presence of yeast or to write a prescription for anti-fungal drugs for yeast eradication. I am often amazed to see patients coming to us from all over the country for treatment of yeast because they cannot get their own doctors to treat them for this condition.

Although treating Candida is important, preventing it is just as important. If taking antibiotics is a major cause, then how do you prevent an overgrowth of Candida if you are prescribed an antibiotic? Using large and generous doses of a well-balanced probiotic with your antibiotic is one way. Taking the anti-fungal drug Nystatin with the antibiotic is another way, but again you need a physician who understands the importance of preventing yeast overgrowth and is willing to work with you.

To make this point, I would like to share my experience specifically with children with autism. When taking the history of these children, we very often see they’ve had multiple ear infections and have been treated with multiple antibiotics, resulting in major GI flora imbalances. So it should come as no surprise that yeast becomes a major factor for these children. Although autism is a complex multi-cause disorder, I find yeast to be very prominent as a cause. Treating with a systemic anti-fungal often results in dramatic reversal of these children’s symptoms, including problems with behavior and focus. When yeast recurs many of the symptoms recur, and when treated again the signs and symptoms abate. This is the pattern often seen when yeast is a major cause and why I believe it is important to do a therapeutic trial of a systemic anti-fungal and a comprehensive program for yeast eradication.

What can you do to get started?

The Center is happy to talk with any patient who feels they might have a problem related to Candida. You can call our New Patient Coordinator, Cathy, at (843) 572-1600 to talk with her and set up an appointment for evaluation and treatment.


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Now including more protective nutrients

Who can use our Women’s Breast Health Formula?

Our New & Enhanced WBHF is appropriate for any adult woman with a personal or family history of fibrocystic breast disease or breast cancer or who simply wants to prevent breast cancer.

a) For women who simply want to prevent breast cancer or who have normal breast tissues (rated TH1 or TH2 on a breast thermascan), one packet one time per day is recommended.

b) For women with abnormal breast tissues, a dose of one packet TWO times per day is strongly recommended. These are women with breast thermascans rated TH3, TH4, or above, or women with a past history of breast cancer. The nutrients in our New & Enhanced WBHF are highly effective for reverting abnormal breast health tissues when taken consistently for 3 to 4 months at this higher dose. In these cases, we also strongly recommend a woman pay careful attention to the diet and lifestyle measures recommended in our breast thermography reports. After 3 to 4 months, a repeat thermascan will verify if the breast tissues have reverted to normal and the Women’s Breast Health Formula (WBHF) can be reduced to one packet per day.

c) For adolescent women who are still developing, or chronically underweight women with known estrogen deficiencies, we do not recommend that they take WBHF. This is a strong estrogen-converting formula. The best way to accurately measure estrogen and other hormone levels is with a saliva comprehensive hormone panel, since it measures only active hormones. Blood hormone tests measure both active and inactive hormones. A woman shouldn’t assume she is low in estrogen because she’s menopausal (see next question below).

d) Adult men can take this formula too! Due to estrogen mimics in our environment, most men have too high estrogen levels also, which puts them at risk for prostate cancer. The WBHF is very helpful for them.

Can women who are menopausal and having hot flashes and other symptoms safely take Women’s Breast Health Formula?

Many menopausal women have symptoms that they have been told were because their bodies no longer make estrogen in appropriate amounts after menopause. However, results of saliva hormone panels have demonstrated that their symptoms were actually coming from having too little progesterone in relation to estrogen, which is called estrogen dominance. Our WBHF greatly helps women to correct this pattern and also helps convert forms of estrogen that are considered proliferative (cancer-promoting) to forms that are more protective against cancer.

Is the Women’s Breast Health Formula all that helpful? It seems like a lot of money for supplements and my family thinks I’m being naïve to think something like this could help reverse abnormal breast tissues.

(continued on back)

We are passionate about our Women’s Breast Health Formula because we have seen it work with clinical results. We have several women whose thermascan results were rated TH3 or TH4. A rating of TH4 carries a 65% chance of confirming a malignancy using thermology criteria. When these women consistently used the WBHF, one packet two times per day with meals, paired with the other diet and lifestyle measures we recommend, their thermascan results reverted to more normal ratings within 4 to 6 months, or occasionally taking as long as 12 months to revert all the way back to a TH1. Their repeat thermascan results have shown a dramatic difference, and these previously very fearful women were thrilled, especially since many had strong family histories of breast cancer. We have not seen these results in women who did not use the WBHF consistently at the full therapeutic dose, and did not adopt the full comprehensive breast health program.

Keep in mind that these higher doses of WBHF are only necessary while there are abnormal breast tissues, and lower doses may be taken for maintenance once the diet and lifestyle measures are routinely practiced. Some women do opt to stay indefinitely at the higher dose of one packet two times per day, but that is their personal choice based on a prudent approach to their own health history. Prevention is always less expensive than treatment of breast cancer.

Why did you change the Women’s Breast Health Formula to this new version?

Our WBHF has evolved over the years, based on clinical results from close to 1500 thermography patients enrolled in our Women’s Breast Health Program. We found our patients who took both our old version of the WBHF, plus therapeutic doses of Ubiquinol (the active form of CoQ10), natural Vitamin D3, extra Iodine in iodine/iodide or seaweeds, Omega 3 oils, and Tocotrienols/Vitamin E Complex had better results. But that meant these women were paying much more and juggling multiple bottles to manage their supplement program. They traded worrying about breast cancer for worrying about how to manage their extensive supplement program!

So we felt it was definitely time to combine all these excellent, highly effective nutrients into one formula, and pass on the savings to our patients. We estimate that a woman saves about $84.00 when she buys the New & Enhanced WBHF, over purchasing all the nutrients separately. We’re thrilled, as our family members or we take this formula too!

In addition, nutrition research advances so quickly that we had to take advantage of the more active and more easily assimilated forms of nutrients that are now available to us. Folic acid has been replaced by natural folate, d-alpha Tocopherol with a full Vitamin E Complex including mixed tocopherols and tocotrienols, and other changes have been made that are not readily apparent to the average consumer. These forms of nutrients seem more expensive, but are actually less expensive in the long run because the body uses them so much more easily and can accomplish more repair and repletion with less of the newer forms of nutrients.

Do I need to take any other supplements beside the New & Enhanced Women’s Breast Health Formula?

We found that many women were just taking one packet of the WBHF daily, so we increased the amount of multiple vitamin/multiple mineral capsules in each packet to provide more general health protection. Actually, the new formula is so comprehensive that we consider it capable of being a stand-alone prevention formula, when paired with a healthful diet and lifestyle.

The minerals that are in our New & Enhanced WBHF are in balance. Calcium definitely competes with zinc for absorption, and to a certain extent with manganese, and those are CRITICAL trace minerals to prevent cancer and atherosclerosis (plaque in the arteries leading to heart disease and stroke). Interestingly, women are now developing more cancer, immune problems, and heart disease since our society has been pushing high dose calcium supplementation. Depending upon the form and dose of calcium in those products, the other nutrients can’t compete for absorption. The really sad thing is that for calcium to be utilized properly by the body, it actually needs all the other minerals to be in balance

If a woman wants to take more calcium/magnesium, we recommend that she do it at a DIFFERENT time in the day and take it with a Vitamin K2 supplement (menaquinone or MK-7). It would be even better to consider using food sources of calcium, since calcium in foods has not been shown to decrease the absorption of either zinc or manganese. If you request, a list of non-dairy sources of calcium can be provided to you.

Here’s what EACH ONE PACKET of WBH Formula contains and why: (Suggested Dose: 1 packet 1 or 2 times per day-see above)

3 Multi-Thera hypoallergenic multi-vitamin, multi-mineral capsules, iron-free — provide all essential vitamins & minerals, in proper ratios. 6 capsules (in 2 packets) provide over 100% of more than 25 essential nutrients. Iron is not included due to its oxidizing effect.

2 Omega 3 fish oil capsules, 300 mg EPA\ 200 mg DHA –balance the large amount of Omega 6 fatty acids in our diet, reduce the risk of cancer forming or metastasizing, help reduce inflammation and pain, and support proper hormone balance. Always take fish oils with extra Vitamin E (see below).

1 Indole Forte (Indole 3 Carbinol (IC3) & Diindolylmethane (DIM) capsule – 400 mg. — active ingredients found in the crucifera family of vegetables: broccoli, Brussels sprouts, cabbage, collards, etc. IC3/DIM stimulates the proper metabolism of estrogen from 16-alpha-hydroxyestrone to the anti-proliferative metabolite 2-hydroxyestrone.

1 Ubiquinol 100 mg. softgel, the highly active reduced form of Coenzyme Q10 — acts as a potent antioxidant in the energy factories (mitochondria) & membranes of cells. Kaneka QH Ubiquinol is more expensive to produce but gram for gram has over twice the effect of regular Co Q10. Numerous studies support Co Q10’s role in reverting abnormal breast tissues to normal. Many of our patients have felt the difference in their energy when they routinely take Ubiquinol.

1 Vitamin E Plus Tocotrienols softgel, 200 IU Vit. E / 50 mg. Mixed Tocotrienols – Breast Cancer patients have low levels of Vitamin E and dangerously high levels of peroxides. Vitamin E in most nutritional supplements (d-alpha tocopherol acetate form) does not provide truly protective Vitamin E. The d-alpha tocopherol succinate form included here has been shown to be protective in breast cancer, and the mixed tocotrienols are the most highly active of all. MultiThera in this formula (see above) provides d-gamma tocopherol and mixed tocopherols to round out the full Vitamin E complex. Always take Vitamin E complex when taking any supplemental oils in the diet.

1 Iodine Complex capsule, 6.25 mg. — induces apoptosis (cell death), the mechanism that turns off cancer. Japanese women have very low levels of breast cancer because of their seaweed diet containing high levels of iodine. They also consume an average of 14 mg of dietary iodine a day compared to American women who average 0.5 mg per day.

1 Vitamin D3 capsule, 1000 I.U. — This active natural form of Vitamin D3 has been shown to reduce the incidence of breast & prostate cancer by almost 80%. Vitamin D boosts immunity, helps overcome depression, and prevents diabetes. Sunlight is a major source of Vitamin D3 production on our skin but primarily only during mid-day exposure between 11 a.m. and 1 p.m. for at least 15 minutes. MultiThera included in each packet supplies an additional 400 I.U. in each packet.

1 Calcium D Glucarate capsule, 500 mg. — supports the second phase of the body’s own detoxification process (Phase II glucuronidation) that deactivates and eliminates toxins, including excessive estrogen.. It is felt to be as effective as tomoxifen in preventing cancer or its recurrence but is safer. Because of its beneficial effect on reducing excessive estrogen, body builders use Calcium D-Glucarate to reduce fat and increase lean muscle mass.

1 canister, 60 packets, 1 or 2-month supply, $160.00.
We offer discounts on multiple canisters purchased at one time.

Women have unique needs and concerns. As women, our internal makeup is one of innate sensitivity, intricate hormonal balance, and rich emotional feelings. Yet we function in multiple challenging roles as career professionals, family caregivers, and community organizers.


We yearn for medical programs that are tailor made to our individual uniqueness as women. We give so much to others, and we need somewhere to turn for real support for our own complex physical and emotional needs.


Our Women’s Health Program was developed to provide in-depth comprehensive treatment for women. Our diagnostic evaluations, laboratory work-ups, and individualized treatment programs are designed just for women. We love to help women and see their health and vitality restored, allowing them to flourish in their own multiple roles. We like to think of it as our way of making the world a better place, one uniquely important woman at a time.

Our comprehensive Women’s Health Program addresses many aspects of a woman’s health needs, including:

Breast Health
Bone Health
Natural Hormone Balancing
Aging Gracefully and Beautifully
Healthy for Life Weight Loss


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By Allan D. Lieberman, M.D.

From 1980 to 2002 adult obesity in the U.S. doubled, and childhood obesity tripled. Yet, the standard view of poor diet and sedentary lifestyle cannot explain this epidemic rise.

We would like to offer readers an alternative view as to what may be the real cause.

In 2002, Baillie-Hamilton authored a paper titled “Chemical Toxins: A Hypothesis to Explain the Global Obesity Epidemic.” The earth’s environment has changed markedly over the last few decades, with increasing use of synthetic toxic chemicals, many of which have powerful weight- promoting actions at low concentrations. For example, Dursban, the most popular pesticide used in the U.S. for many years, when fed to animals resulted in significant weight gain in contrast to controls in as short a time period as two months.

As shocking as it seems, Americans get 25 percent of their caloric intake from sodas, with each soda providing the maximal accepted 10 teaspoonfuls of sugar per day. Yet it may be the plasticizers and Bisphenol A used in the polycarbonate bottle and the cans that are major culprits in promoting weight gain. The Center for Disease Control reports the presence of these plasticizers universally in our bodies.

Bisphenol A has the same estrogenic properties as Estradiol and the physiological status of most Americans is that we are estrogen dominant. (And yes, even post-menopausal women can have relatively too much estrogen compared to other equally important female hormones.) Estrogen dominance causes fat to accumulate around the hips, thighs and abdomen. The estrogenic effect of Bisphenol A leached from soft plastics disrupts pancreatic function and induces insulin resistance, the other pathologic disease process that is now at epidemic proportion and the precursor of adult onset diabetes.

Initially offered as a hypothesis five years ago, evidence of these synthetic toxic chemicals promoting obesity is no longer theory but fact. Sadly, if you look around you, you will see plastic water bottles everywhere as people substitute water for soft drinks, thinking they are making a positive change in their diets. Parents and children must be aware of the relationship between their obesity and increasing risk of diabetes from not only sodas but also toxic chemicals in most drink containers.

Obesity is thus a consequence of not only what we are eating but also what we are eating out of.

The Center for Occupational and Environmental Medicine and the Center for Women’s Health at COEM offer a comprehensive program to help people control obesity safely and effectively. Call the Center at (843) 572-1600 for more information.

Alonso-Magdelena P, et al. The estrogenic effect of bisphenol A disrupts pancreatic beta-cell function in vivo and induces insulin resistance. Environ Health Perspect. Jan;114(1):106-12.

Baillie-Hamilton PF. Chemical toxins: a hypothesis to explain the global obesity epidemic. J Altern Complement Med. 2002 Apr;8(2):185-192.

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Healthy for Life Weight Loss Program | Hidden Causes of Weight Gain
Let’s Break the Cycle in 2009! The Healthy for Life Weight Loss Program at COEM can help you do just that!



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Many of us have catastrophic health insurance, but for a whole lot less money you can reduce your health risks.

I feel like a doting mother, but if I don’t remind you, who will? So I’m asking, did you take 2000 to 4000 IU of Vitamin D today and every day? Supplementing with Vitamin D and 10 to 15 minutes of sun at noon may be the greatest health story of the century. What other single therapy do you know of that can reduce your risk of cancer, diabetes, and autoimmune disease by 80 percent, as well as prevent depression and heart disease? Now, in addition to all the other benefits of Vitamin D, it has been shown that optimal levels of this vitamin also act as an antibiotic. One of the best sources of information on Vitamin D is The more you learn, the more you will be convinced why you and your family should be taking this sunshine vitamin as an important part of your health program.

For your convenience, COEM now carries Vitamin D in a dropper bottle, providing 2000 IU of Vitamin D in just one drop! Liquid Vitamin D is ideal for children or anyone who doesn’t wish to swallow capsules. Drop an e-mail to or fax a request to (843) 572-1795 and we will get this extremely convenient and cost-effective form of Vitamin D mailed to you.

In my last E-mail Alert, I also wrote about two other natural “health insurance policies”, Vitamin K2 (MK7 or menaquinone-7) and Resveratrol (derived from grape skin). I am repeating this info as I feel the same way about these two nutrients as I do about Vitamin D. Vitamin K2 is one of the most powerful ways to address and prevent arterial plaque, which is the most common culprit in creating heart disease and stroke. Resveratrol provides such potent anti-oxidants that you can get significant protection against many common health problems just through this one supplement alone. We offer both of these to our patients at COEM.

In 2009, I’d like to address your questions and concerns, so feel free to send these questions to and I’ll answer as many of them as possible in future Health Alerts. Every two weeks, I will alert you to other important health information.

All of us at COEM look forward to helping you enjoy a happy and healthy new year.

-Allan D. Lieberman, M.D.


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