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      While potentially therapeutic pharmaceuticals, nutraceuticals (dietary supplementation) and interventive therapies are described in the A4M's Anti-Aging Therapeutics, volume 13, this work serves the sole purpose of functioning as an informational resource. Under no circumstances is the reader to construe endorsement by A4M of any specific companies or products. Quite to the contrary, Caveat Emptor. It is the reader's responsibility to investigate the product, the vendor, and the product information.

      Dosing of nutraceuticals can be highly variable. Proper dosing is based on parameters including sex, age, and whether the patient is well or ill (and, if ill, whether it is a chronic or acute situation). Additionally, efficiency of absorption of a particular type of product and the quality of its individual ingredients are two major considerations for choosing appropriate specific agents for an individual's medical situation.

      Furthermore, anyone with malignancy should consult their physician or oncologist prior to beginning, or continuing, any hormone therapy program.

      Finally, please be mindful that just because a product is natural doesn't mean it's safe for everyone. A small portion of the general population may react adversely to components in nutraceuticals (especially herbal products). A complete inventory of interventions utilized by a patient should be maintained by physicians and health practitioners dispensing anti-aging medical care.

      Anti-Aging Therapeutics, volume 13 is, again, designed for those with a health, medical, or biotechnological education or professional experience. It is not intended to provide medical advice, and is not to be used as a substitute for advice from a physician or health practitioner. If you are a consumer interested in any of the approaches discussed in these chapters, it is absolutely essential that you have a thorough discussion with your physician to understand all benefits and risks.

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      Chapters 21 & 22 © 2010 by Pramod Vora and printed with permission of the author.

      Anti-Aging Therapeutics volume 13 Copyright © 2012. American Academy of Anti-Aging Medicine.

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      Chapter 1

      New European Perspectives on the Treatment of Adrenal Fatigue and Chronic Fatigue Syndrome

      Reimar Banis, M.D.

      ABSTRACT

      Adrenal fatigue and chronic fatigue are one of the most common reasons for doctor visits to naturopathically-oriented general-medicine practices. I would like to report on my many years of practical experience, and in so doing describe an energy medicine method which I developed, namely Psychosomatic Energetics, with the aid of which it is very often possible to treat chronic fatigue successfully.

      ADRENAL FATIGUE AND CHRONIC FATIGUE SYNDROME

      Known Causes and Therapy

      The collective term "chronic fatigue" encompasses some very diverse clinical pictures. Many patients suspect a hormonal cause (hypothyroidism, diabetes etc.), but lab tests quickly show that this is very seldom the case. Also, neoplastic tumors, cardiac insufficiency, chronic infections and other somatic clinical pictures can be related to fatigue, so that a thorough physical and technical clarification is necessary. For obese males whose wives report on breathing cessation lasting for seconds, accompanied by snoring, it might indicate the presence of a sleep apnea syndrome, in which case the patient should be referred to a sleep therapist. It is also necessary to exclude the possibility of endogenous depression. However, even if one does all this correctly, competently and thoroughly, referring the patient, if needs be, to the appropriate specialists, it very often does not lead anywhere.

      The patient history often reveals long-lasting family- or job-related overstress which relates to the fatigue syndrome (having to take care of very old and very ill relatives, work-related competitive situations, etc). Experience has shown that discussing the self-inflicted harm caused by the patient's lifestyle, with reference to emotional as well as physical moderation, doesn’t help much. Usually, the patient already knows all this, but either cannot or will not act on this knowledge. Still, a conversational consultation is worthwhile, if only to give the patient a chance to speak it all out. Therefore, the therapist's role here should be more that of an understanding listener than a moralizer.

      As for medication, in the very common cases of subclinical depression and vegetative overstress, high-dose St. John's wort – a mineral preparation with CNS-active additives (Phosetamin® with colamine phosphate or EAP) – plus weekly injections of vitamin B complex, have proven effective, although usually only symptomatically. Thus is of limited effectiveness. Furthermore, it is only helpful in the short-term.

      Causes Detectable With Energy Testing

      For more than 30 years, I have been using energy-medicine test procedures to detect, and then treat appropriately, the underlying causes of fatigue in my patients. Initially, I concentrated on the Vegatest method, a refinement of Voll's acupuncture (EAV), but then later I developed my own testing system, Psychosomatic Energetics (PSE), which builds on the preceding. Below is a list of a few key points, in frequency order, of the resulting diagnoses and associated therapy:

      1.In over 90% of fatigue patients, testing reveals an emotional conflict, usually having to do with inner tension, suppressed hostility, or an underlying self-image problem. If the detected conflict is treated over a period of months with specific homeopathic compound remedies (such as Emvita®), there will often be a clear behavioral change and a renewed positive attitude towards life, while the fatigue usually is either sharply reduced or permanently eliminated.

      2.Testing reveals that roughly a third of patients have disturbed intestinal flora. Experienced physicians in the old days still referred to "stomach or intestinal depression" – these days an unknown concept, unfortunately. Recently, neurophysicist Michael Gershon's research results have revealed that most of the brain's neurotransmitters are produced in the intestines, thereby finally explaining why naturopathic intestinal therapy can have such far-reaching effects on emotional well-being.

      3.20 to 30% of chronic fatigue patients turn out to be exposed to geo-radiation. The research of the internist Dr. Otto Bergsmann has shown that people exposed to geo-radiation while sleeping exhibit a significantly reduced serotonin level. The same is found in people suffering from chronic fatigue, thus suggesting that the actual cause could be traced back to geo-radiation stress. Experience

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