Michael E. Greer, M.D.

Holistic, Herbal & Homeopathic Lectures & Consultations

737 Olive Way, Suite 1804, Seattle, WA 98101

Tele (mobile): (206) 383-9072 Fax: (206) 971-7428 (Attn: Dr. Greer)

Digestive Health & Gluten: Is it Really a Big Deal?
Hour-by-Hour Outline for CMU Certification: 8-Hour Seminar (Revised 9-13-16)

Seminar Approach

A thorough and working knowledge of the GI system is essential to optimal wellness. The GI system requires a total of one-third of all our daily calories to drive digestion and immunity while performing its basic role of food intake and exit. The GI system contains a very large amount of lymphatic tissue and is the only organ in the body with its own independently working lymphatic and nervous system. GI malfunction can be responsible for IBS, and allergic and immune dysfunction such as asthma, Rheumatoid arthritis, Type 1 diabetes, autism and Hashimtos thyroiditis. A clear respect and understanding of the interworkings of the GI system is essential to Chiropractic and Naturopathic Health.Dr. Greer will explain the genetics of Gluten Intolerance and “triggers” that activate the condition.

Seminar Elements

Principles of Digestive Wellness (2 Hours)
Detoxification and Gut Elimination (1 hour)
Leaky Gut Intestinal Permeability (1 Hour)
Understanding Autoimmune Diseases ( 1 Hour)
Gluten Sensitivity – what is it? (1 Hour)
Celiac Disease (1 Hour)
Testing for Celiac Disease ( 1 Hour)

Principles For Restoring Digestive Wellness(2 hour)

HOUR ONE

  1. Digestive Wellness
  2. Gastrointestinal Secretions
  3. The Gastric Mucosa
  4. The Integrity of the Intestinal Mucosa
  5. Intestinal Defenses
  6. Gastrointestinal Motility
  7. Hepatic Function
  8. Healthy Intestinal Microflora
  9. Overview of six principles
  10. Optimize Digestion.
  11. Provide Soothing Gastric Support
  12. Restore Healthy Intestinal Mucosa
  13. Support Intestinal Defense
  14. Promote Detoxification and Elimination
  15. Reestablish Healthy Microflora
  16. Optimize Digestion
  17. Protease
  18. Amylase
  19. Lipase
  20. Cellulase
  21. Lactase
  22. Sucrase
  23. Maltase
  24. Phytase
  25. Alpha-Galactosidase

HOUR TWO

  1. Providing Soothing Gastric Support
  2. Deglycyrrhizinated Licorice (D GL)
  3. Marshmallow root
  4. Slippery Elm
  5. D-Limonene
  6. Restoring Healthy Intestinal Mucosa
  7. Antioxidant Support for the Intestinal Mucosa
  8. Quercetin
  9. Ginkgo Biloba
  10. Glutathione precursor and antioxidant – N- acetyl L Cysteine (NAC)
  11. Gamma linolenic acid (GLA)
  12. Phosphatidylcholine
  13. Highlighting Products that Support Intestinal Defense
  14. Broad Microbial Defense
  15. Berberine Sulfate - found in goldenseal and Oregon grape
  16. Goldenseal extracts
  17. Garlic
  18. Black walnut extract
  19. Sweet Wormwood
  20. Healthy Yeast Balance
  21. Oregano Oil
  22. Thyme
  23. Pau D’Arco Bark
  24. Caprylic Acid

Detoxification and Gut Elimination(1 Hour)

HOUR THREE

  1. Agents to Support Liver Detoxification Pathways
  2. NAC, Reduced Glutathione
  3. Vitamin E
  4. Choline, Methionine, Inositol
  5. Agents To Support Elimination
  6. Flaxseed
  7. Fenugreek
  8. Slippery Elm
  9. Marshmallow Root
  10. Reestablishing Healthy Microflora
  11. Lactobacillus – primary probiotics small intestine
  12. Bifidobacteria- primary probiotics inhabiting the large intestine
  13. Fructooligosaccharides
  14. Prebiotics -promoting beneficial microflora in the large intestine

Leaky Gut – Increased Intestinal Permeability (1 Hour)

HOUR 4

  1. Conditions associated with Leaky Gut
  2. Celiac Disease
  3. Inflammatory bowel disease
  4. Ulcerative colitis
  5. Crohn's disease
  6. Food allergies
  7. The Role of Gut Health
  8. Bacteria
  9. Gut Flora
  10. Antibiotics Contributing to Leaky Gut Syndrome
  11. Zonulin – a protein identified to be a critical regulator
  12. Elevated Zonulin associated with:
  13. Rheumatoid arthritis
  14. Inflammatory bowel disease
  15. Type I diabetes
  16. Celiac disease
  17. Other multiple autoimmune diseases
  18. Nutrient Insufficiencies
  19. Gut Basics
  20. Teeth and Salivary glands
  21. Acid Production
  22. Stomach
  23. Pancreas
  24. Biliary Systems
  25. Enzymes and Bile Salts
  26. The Small Intestine
  27. Brush border – Enterocytes
  28. The Immune System
  29. Function of the Immune System
  30. Gut flora
  31. Probiotics
  32. Prebiotics
  33. Food Sensitivities and Gut Function
  34. Assessing Gut Function

Understanding Autoimmune Diseases(1 Hour)

HOUR 5

  1. Autoimmune Disease Prevention
  2. Age Range of Autoimmune diseases
  3. Frequency of Women - Autoimmune Diseases
  4. Genetic Factors playing a role in the development of autoimmune diseases
  5. HLA – DQ 2 and HLA – DQ 8 to establish the possibility of celiac disease
  6. Environmental trigger activating celiac disease and other auto-immune diseases
  7. Environmental role in autoimmune diseases
  8. Common Genes causing multiple immune diseases

Gluten Sensitivity – what is it? (1 Hour)

HOUR SIX

  1. Review of Gluten Intolerance, Sensitivity and Celiac Disease
  2. Symptoms of Gluten Intolerance
  3. Depression and Gluten – A close Association
  4. Prevalence of Gluten Intolerance
  5. Statistics on Gluten
  6. The FDA definition of gluten free
  7. Various Reactions to Grains
  8. Gluten sensitive enteropathy or celiac disease
  9. Wheat or grain allergy
  10. Grain Intolerance
  11. Increasing fiber on a gluten-free diet
  12. Fruits
  13. Gluten-free grains
  14. Vegetables

Celiac Disease (1 Hour)

HOUR SEVEN

  1. Frequency of population
  2. Diagnosis of Celiac disease
  3. Prevalence of Celiac Disease
  4. Clinical consequences and adults.
  5. Triggers of the Celiac population
  6. The Importance of Celiac diagnosis and timing
  7. Increased Incidence of type I diabetes
  8. Increased incidence of auto immune thyroiditis
  9. Celiac Disease and Associated Autoimmune Diseases: The Connection.
  10. Celiac Disease – Dermatitis herpetiformis Association
  11. Genetic and Immunological linkages with celiac disease and dermatitis herpetiformis
  12. Increased Risk of developing one or more of the associated autoimmune diseases:
  13. Addison's disease,
  14. autoimmune chronic active hepatitis
  15. Insulin dependent diabetes mellitus (type I)
  16. Myasthenia Gravis
  17. Pernicious Anemia
  18. Raynauds Phenomenon
  19. Scleroderma
  20. Sjohren's Syndrome
  21. Systemic Lupus Erythematosus
  22. Thyroid disease – Graves' disease and Hashimoto's Thyroiditis
  23. Celiac Disease and Its Effects on Fertility

Testing for Celiac Disease

HOUR EIGHT

  1. Anti-gliadin antibody AGA
  2. tTG-IgA
  3. Total serum IgA
  4. Anti-tissue transglutaminase antibody (T TG)
  5. Genetic tests
  6. HLA DQ 2 and HLA – DQ 8
  7. Testing for ability to have celiac disease
  8. TSH, ferritin, liver enzymes, vitamin levels, and bone density.
  9. Which People Need Testing ?
  10. Iron deficiency anemia
  11. Short stature
  12. Dermatitis herpetiformis
  13. Recurrent fetal loss
  14. IBS
  15. Diabetes type I
  16. abnormal liver function tests
  17. infertility
  18. Endoscopic tests
  19. Laboratory testingscenarios
  20. Options
  21. If you test negative on both IgG and IGA anti-gliadin
  22. If you test positive on either the IgG or IGA anti-gliadin antibody
  23. Complexity of the GI system
  24. Closing remarks

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