August 1, 2015 PDI Newsletter
Greetings to all PD and DC warriors,
Welcome to this August 2015 PD Institute newsletter. I trust all my friends are doing well and making progress with their DC and PD. After a cooler than average first half of the summer, things are starting to heat up here in the Midwest. Hope you are enjoying the summer where you are.
PDI and DCI have recently added a new therapy product – Serretia – to the list of enzyme therapies. Serretia is a high concentration of serrapeptase, the enzyme that breaks down the fibrin found in the dense fibrous tissues of PD and DC, and is made by the same company that manufactures Neprinol. The purpose of adding Serretia to your therapy plan is to boost your enzyme intake when your fibrous tissue breakdown has stalled or slowed down after an initial reduction.
Order Serretia from DCI Order Serretia from PDI
People tell me they enjoy and learn from reading the emails in these monthly newsletters. These particular emails are selected from the many dozens of correspondence I get from PDI and DCI readers each month who have questions, primarily about treatment. Peyronie’s disease and Dupuytren’s contracture cause a similar fibrous lesion in the body, and we have repeatedly seen how successful Alternative Medicine treatment is almost identical for these two problems. For this reason it is beneficial for people with PD to read about DC treatment, and for people with DC to read about PD treatment; everyone on our mailing list should benefit from learning the treatment principles and ideas found below.
As you read the emails from these three people keep in mind that the text in black is from the person asking the question, and the text in red is from me. In one of these communications you will see a series of combined emails like the back-and-forth of two people talking while one occasionally interrupts the other to make an important point or answer a question. In this case the text color will skip back and forth from black to red and back to black again as the conversation flow alternates between the two of us.
This first one is from someone with DC who is making progress and asks for my opinion about increasing the treatment plan that was initially making progress, but has recently stalled. Here we go:
Greetings GRXXXXXXX,
Please see below for comments…
Regards,
Theodore R. Herazy, DC, LAc
Peyronie’s Disease Institute
Dupuytren’s Contracture Institute
From: GRXXXXX
Sent: Monday, June 22, 2015 8:52 PM
To: Theodore Herazy
Subject: dosage increase
Good day Dr. Herazy,
I wanted to share a quick update with you.. I’ve been making slow steady progress with my DC this past year however I’ve seem to have reached a plateau with no further improvement the last few weeks. I’ve been following the exact same plan the last 3 weeks with no increase in dosage, I think you are prolonging treatment unnecessarily when you do not follow a 7-10 day cycle between evaluating the condition of your hand and deciding to up your care. If you want to you can wait a few weeks before you examine your hand and make your next plan increase. That is totally up to you; you are the boss. But I know from experience that you are wasting valuable treatment time by waiting several weeks before increasing your plan. For that matter, you can wait a few months before you examine your hand and make your next plan increase. It does not hurt you to wait so long, but it prolongs treatment and this in turn is not only costing you money and allows your DC to go on a bit longer and become better established – not a good thing. People are surprised to see that their DC fibrous tissue can rapidly respond within just a few days after finally reaching the correct dosage level that their body needs to begin removal of the foreign tissue. When you get into that therapeutic range your tissue will surprise you by how quickly and how much it can change when it gets what it needs to do the job. and my question is what would you suggest based on my current plan would be the next logical supplement that needs to be increased or changed in dosage? (keep in mind I’ve never experienced any side effects)
Neprinol -11 a day following a 4/3/4 pattern Consider increase here with enzymes. I have seen the best progress when enzymes are increased the most. Please understand what I mean: The suggestion to increase enzymes the most means you increase the other therapies also – just not as often and perhaps not as much as the enzymes; I am not saying to increase enzymes only. I will explain what I mean in the next paragraph down. But first of all, before increasing any dosages, it might be a good idea for you to simply change the pattern of how you are taking your current enzyme dosage. Try taking your highest enzyme dose at the end of the day, so that your 11/day enzyme dose would be taken in a pattern like 2/3/6, or 1/4/6 or 2/2/7 – something like that – not the 4/3/4 pattern you are currently using. Each of these three patterns I have suggested to you is the same 11/day, but with each of them you are emphasizing that last dose of the day because it is the heaviest. The purpose of making the last dose of the day is to put the highest level of enzymes in your bloodstream when you are resting and not eating. You have to see what pattern change makes the biggest difference to your hand, so I suggest you experiment to see what makes your best tissue changes. Just changing the pattern is sometimes all that is necessary for progress to occur. As you increase your Neprinol intake the pattern to 12/day the pattern would go to something like 2/4/6, or 1/4/7 or 2/3/7, then at the next 13/day level you can try something like 2/4/7, 1/5/7, 2/3/8, or 3/3/7. And so on up to a goal with Neprinol of 14-16/day. Be careful to closely observe and monitor your body functions and metabolism for any unusual changes or variations that might signal a reaction or side-effect. I have not had anyone tell me during 14 years of doing this work of having any kind of health problem or reaction at these higher doses of Neprinol, but you do not want to be the first to have a problem. Be careful. I would also suggest that at the same time you are taking Neprinol you also take a small dose of extra enzymes in the form of a different therapy product, like Fibrozym, Nattokinase, Serretia or Inflamazyme. The idea of adding in a different enzyme is to increase this fibrin-digesting enzymes from a slightly different direction. This addition of a variation of the same kind of enzymes seems to help some people start that process of fibrous tissue breakdown. You might also consider adding Bromelain 5000 to your enzyme intake, since it is a well-established therapeutic enzyme with a lot of favorable research behind it. Bromelain 5000 is less expensive than some of the other products, also.
Acetl l carnitine – 6 a day 2/2/2 Consider increase here. I would suggest a goal of 8/day.
Arginine – 6 a day 2/2/2 Consider increase here. I would suggest a goal of 8/day.
Paba -6 a day 2/2/2 Consider increase here. I would suggest a goal of 8/day, maybe a few more.
Fund Sulfur – 3 a day 1/1/1 Consider increase here. I would suggest a goal of 8/day.
Vitamin E -2 a day 1/0/1 Keep at this level
Quercetin complex -3 a day 1/1/1 Keep at this level
Here is what I mean about increasing your enzymes the most, while still increasing your other therapy items; the end result is that you will be increasing all parts of your plan that you want to increase, but not as much as you will increase the enzyme intake. I have seen people make their greatest progress when then they slowly increase all of their therapies but with greatest emphasis on their enzymes. Consider that you can make these dosage increases this way: Think of your enzyme dosage (whatever enzymes you are now using) as Group 1, your enzymes. And think of your acetyl-L-carnitine, L-arginine, PABA and Fundamental Sulfur dosage (or whatever other support therapies you are on) as being Group 2. Every 7-10 days make a change in your plan if you have not seen progress with the palm nodule or cord. The first week make a change only in Group 1. If no change occurs in your hand during the next 7-10 days, then make a change in Group 2 (any one of the four therapies, either with acetyl-L-carnitine, L-arginine, PABA or Fundamental Sulfur). If no change occurs in your hand during the next 7-10 days, then again make a change in Group 1, your enzymes. If no change occurs in your hand during the next 7-10 days, then again make a change in Group 2 (any one of the four therapies, either with acetyl-L-carnitine, L-arginine, PABA or Fundamental Sulfur). So you are going back and forth between increasing Group 1, Group 2, Group 1, Group 2, and so on until you notice improvement in your hand. If you follow this kind of pattern you will make more increases with your enzymes compared to a more slow increase of your acetyl-L-carnitine, L-arginine, PABA and Fundamental Sulfur dosage – but you will eventually increase all your dosages. As you continue you will be increasing the enzymes faster than the other therapies, but you will not be ignoring the acetyl-L-carnitine, L-arginine, PABA and Fundamental Sulfur dosage. I hope I have made this point clearly, and that this gives you some idea of how to organize your increases and put a structure to your treatment. If this idea is not clear to you please let me know and I can explain further.
If you are not comfortable going much higher with your dosages of the therapy products you are now using, I suggest you consider instead adding Coenzyme Q10 (Ubiquinol) to your therapy lineup. It is a great way to add depth of any treatment plan by adding another therapy that has received much favorable reports during medical research. t bot Coenzyme Q10 (Ubiquinol) is also often mentioned by Dr. Levine.
I also use the Genesen AcuPens daily and the DMSO and ultra sound 4 times a week Do you also use moist heat prior to applying these therapies? Consider a moist heat pack applied to your hand for 5-10 minutes prior to using the US or DMSO. Keep in mind you want this to be a HOT pack and not just warm; be careful to not burn yourself but make sure your palm is nicely pink when the heat is removed. If you are using moist heat for Peyronie’s disease you will not want to have the heat pack be as hot as you can safely tolerate. The skin of the hand is a lot thicker and tougher, and it seems that it responds better to a very hot application, so you will want to put the heat level up a lot more than you could tolerate if you were applying to the genitals if you are using it for PD. Are you stretching your hand? If not, let me know and I will help you with that – this stretching work is very important and it need not take up any additional time in your day if you do it as I suggest. Hope this helps. Keep in touch. TRH
Please let me know what might need to change.
Thanks
GRXXXXXXXXXX
Next we will see an email from a woman with DC who asks a simple question about using DMSO on the hand.
From: MBXXXXXXXX
Sent: Saturday, June 27, 2015 12:04 PM
To: contact@dupuytrens-contracture.com
Subject: Frequency of application
I have just received my first order from DCI of topical Vitamin E oil, Super CP Serum and DMSO. The accompanying sheet with directions for use in combination indicates to use 1-3 drops of each, depending on size. But there is no indication of frequency of application. Should I begin with once a day – or more or less often – and then evaluate after 7-10 days?
Thanks for your help
MBXXXXXXX
Greetings MBXXXXXXXX,
Each person must determine their particular DMSO usage rate based on experimentation. Most people apply the DMSO trio (DMSO, vitamin E and Super CP Serum) as often as the skin of the hand tolerates it. By that I mean that some people experience a slight reaction to DMSO in the form of a red, flakey and itchy rash due to the dryness that is caused by the DMSO stripping the natural oil off the surface of the skin.
Most people can tolerate the DMSO trio on their hands three times a day – if they try to use it a 4th time they find that they develop a dry flakey rash. Their frequency of treatment is three times a day. Some people can only tolerate the DMSO trio on their hands twice a day – if they try to use it a 3rd time the hands gets red and itchy. Their frequency of treatment is two times a day. And other people find they can the DMSO trio on their hands only once a day – if they try to use it a 2nd time their hand gets a dry flakey rash. Their frequency of treatment is once a day. And for the extremely sensitive individual who develops a dry red rash if they use the DMSO trio once a day, they can use DMSO only once every other day to avoid drying their skin.
So in this sense the frequency of usage is based on reaction of the skin and individual opportunity to use the therapy. Most people find they do just fine using the DMSO trio 2-3 times daily. If you can tolerate it 4-5 times daily, which is unusual, and you have the time and opportunity to spend working with your hand, then be my guest and use it 4-5 times a day. I suggest starting at once/day, and slowly go up from there to see how you respond. Good luck to you.
Regards,
Theodore R. Herazy, DC, LAc
Peyronie’s Disease Institute
Dupuytren’s Contracture Institute
Lastly, we have an email from a man with PD who promptly got a nice response to his PD treatment plan, and stopped care after just a few months of treatment. He made the mistake of not continuing his treatment long enough to get rid of all the scar material. As a result he has found that after about 18 months later that his PD has returned for some unknown reason. This is the first time in over 14 years of doing this work that I have run across the PD scar returning after successful PDI treatment. In the past I have always been proud to tell people with DC or PD that the problem does not recur after following the DCI and PDI protocol correctly. Now this has come up, and I am not sure how to evaluate this recurrence. All I can see is that this fellow did not do what most people do to get rid of their fibrous tissue, and his results are no typical.
The first email you will see was sent to me after he received a shipment of therapy products, and found that he was not sure how to use them. The reason he was not sure, was because he had not used them for so long and had forgotten what to do with them. So he is asking me to send him the standard instructions again that are sent to new customers.
—–Original Message—–
From: DFXXXXXX
Sent: Thursday, June 18, 2015 8:23 AM
To: info@peyronies-disease-help.com
Subject: Instructions for use…
Thank you for sending the new shipment of PD treatments.
I don’t seem to have the old instructions for use anymore, so could you please send me information again how to use these therapy products like you did the first time I ordered from you, and remind me of dosage, etc.
I have the DMSO & the Super CP serum. How often to apply?
I also have the Ultra sound device, but have never used it. How often and for what duration?
And, a reminder of the dosage for Acetyl L. Carnitine and PABA would be appreciated as well.
Sincerely,
DFXXXXXXXX
On 2015-06-18, at 10:52 AM, “Theodore Herazy” <herazy@comcast.net> wrote:
Greetings DFXXXXXX,
You will find what you need above if you click on the PDF links to the files for 11 different treatment topics. I have sent most everything that is sent to a first-time user.
I am concerned that you are not using your therapies correctly to get the kind of results you want. I checked your records and saw that you did not use your therapies for very long before you stopped placing any follow-up orders. Is there something I can do or explain to you to help you stay with it?
Regards,
Theodore R. Herazy, DC, LAc
Peyronie’s Disease Institute
Dupuytren’s Contracture Institute
—–Original Message—–
From: DFXXXXXX
Sent: Thursday, June 18, 2015 11:54 AM
To: Theodore Herazy
Subject: Re: Instructions for use…
Thank you for this.
The previous treatments were very successful that I could not find my scars, so I stopped treatment. Just 3 weeks ago some discomfort became apparent, and I noticed a small scar formation on the top, so I resumed treating my PD again.
I just need reminding of the dosages.
Best,
DFXXXXXXXXXXX
On 2015-06-18, at 3:22 PM, “Theodore Herazy” <herazy@comcast.net> wrote:
OK, DFXXXXX. Happy to help you with the pdf files for those instructions, now study them.
Just checked your past orders again and I see that you did not treat your problem like other men. When this happens I have less experience to fall back on to give you good advice, since I have seen only a few situations like yours. You appear to have treated yourself for barely two months and then stopped placing orders for 18 months, until this most recent order.
Seems to me either one of two things happened to you: You did not clear up and remove the entire PD scar material with your limited care (you say you did not even use your US machine), but then you stopped treatment at the first sign of progress. It is certainly possible that with your scar incompletely healed that the remnant acted up recently. This makes sense to me, but I do not know for sure since I have not seen this happen before. Most people need a few months of gradually increasing treatment to get the scar to weaken, and then several additional months at a higher level of treatment to get the fibrous material to reach its maximum improvement – which can be a complete or partial recovery. You did it differently with a short round of treatment.
The second possibility is that you reinjured yourself and started a whole new PD problem for yourself. Either way you need to get into treatment and stay with it until all scars are completely gone. Please let me know if I can help you in any way.
Glad to know that you initially had good success. Keep in mind that just because you had a fast response to your first treatment effort, does not mean that your response will be the same to the second treatment effort. I have seen that happen. From one time to the next might be a few years and during this time the body chemistry (and treatment needs) can change dramatically. That is why it is important to see your treatment all the way to complete recovery when you see your scar responding to what you are doing. The second time around might be much different than the first time. treatment needs) can change dramatically. That is why it is important to see your treatment all the way to complete recovery when you see your scar responding to what you are doing. The second time around might be much different than the first time.
Please stay in touch and let me know if I can help you.
Regards,
Theodore R. Herazy, DC, LAc
Peyronie’s Disease Institute
Dupuytren’s Contracture Institute
That is what is happening this month in the lives of these PDI and DCI warriors. If you wish for me to continue presenting these emails from people like you, and my replies to them, please let me know.
I find that the closer you can stay to the correct treatment protocol that has been developed through 14 years of experience with well over a thousand people, the better your results will be. Let me know if you need help getting this done. The truth of the matter is that many of you do not use the PDI concept as I present it, but you modify and weaken the PDI concept only to find that your approach does not work. I have been promoting these ideas and information for a long time because they work very well when done correctly. If you want to contact me about your problem, please send an email to info@peyronies-disease-help.com
See you next month. TRH