October 1, 2016 PDI Newsletter
Greetings to all PDI and DCI Warriors,
Welcome to this October 2016 PD Institute newsletter. I trust all my friends are doing well with their treatment plans; if not, let me know, please, and I will do my best to help you.
What a great time of year – that sweet spot between the heat of summer and the bite of winter.
In the past several newsletters we have not reviewed any email correspondence, so this month we will once again use the familiar and popular format of presenting a simple exchange and blending of emails between one of your PD brothers and me. For those of you who are part of our DCI readership, please simply apply the ideas expressed here about Peyronie’s disease treatment and dosage to what you are doing for your Dupuytren’s contracture. Since PD and DC are so similar in many ways, treatment is also similar; what generally applies to the treatment of one problem can also be done for the other.
The email I selected this month concerns a topic – gut reaction or stomach irritation during treatment – that has appeared in my mailbox several times in the past few months. I do not know why I have received more emails about this subject in the last two months than I have seen all last year, but for this reason I thought it might be a good idea to review a few important points about how to avoid this problem. The bottom line of this email that we are about to reviews is that it is certainly possible to follow an aggressive and effective vitamin and enzyme dosage that can reduce your fibrous tissue, but still does not upset your digestion or bowel. It is possible, and it is being done every day, you just have to know how to do it.
We all use spam filters on our emails, so I had to edit the content of the email we are using in a few places. You will see that LVXXXXXX naturally and appropriately used the word p_ _ _s to discuss that part of his anatomy. If I used that word even once all of your SPAM filters would reject this newsletter to your junk folder. To avoid this problem I have substituted the word SHAFT for the word p_ _ _s so that no one will have a problem receiving this issue of the newsletter.
Read this 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. To understand the flow of the conversation, keep in mind that the text in black is from LVXXXXX and the text in red is from me.
—–Original Message—–
From: Theodore Herazy [mailto:herazy@comcast.net]
Sent: Wednesday, September 7, 2016 3:26 PM
To: ‘LVXXXXX’
Subject: RE: Help with plan
Greetings LVXXXXXXX,
Please see below for my comments inserted into your recent email…
Regards,
Theodore R. Herazy, DC, LAc
Peyronie’s Disease Institute
Dupuytren’s Contracture Institute
From: LVXXXXXXXXX
Sent: Tuesday, September 6, 2016 10:29 AM
To: Theodore Herazy <herazy@comcast.net>
Subject: Help with plan
Dr. Herazy,
My PD started five years ago after two routine catheterizations that left me feeling really sore and even bleeding after the worse one and also because I was on beta blockers for years. You are not alone in getting PD in either of these two ways. Each one of these situations can result in Peyronie’s disease, but you had a double-whammy working against you. Unnecessarily rough and hasty catheterizations trigger many cases of PD, and on top of that you are using a drug that classically causes PD. Men do not usually make the association between PD and catheterization, and if they do the MD always says there is no connection. It just makes sense: if you think about it, a great amount of local trauma can be delivered with the catheter exactly into the internal area of the shaft while a man is unconscious and not even aware it is happening. Over the years I have been given hundreds of reports of this problem about rough catheterizations leading to PD, and the MDs always deny it. Surgical nurses will tell you off the record about the abuse they sometimes see; they are appalled at how catheters are sometimes aggressively inserted. On top of that you also have been on beta blockers which are known to frequently lead to PD. MDs are aware of this side effect, but they do not say much about it to men because they want good drug compliance from their male patients, and they tend to think that PD is not such a big problem anyway since surgery can always be done if PD develops. MDs seem to have an interesting mindset about PD and surgery. I had been using the large plan plus a few additions for some time now, seven months, and have seen several changes or reductions with my scar and even some improvements to my PD that I can see like less curvature because I was bent 60 degrees to the right at mid shaft and now it is down to 15 or maybe 20 degrees. When I started the two scars were the same perfectly round half inch diameter lumps with the one closer to me had a tiny extension or bump on it at the 4 o’clock position. Each had a bumpy surface like a bath towel. Both were hard like a rock and hurt most of the time, but especially after sex. And I lost almost 2 inches length and 1 inch girth. What a royal mess. My wife was great about the PD problems, but I was going bananas.
Now the two scars are much different. One is difficult to find and feels so soft it is like a tiny wad of wet paper, the other is now shaped like a tear drop and is soft like a marshmallow with a very slippery but stringy surface. The pain went away after the first few weeks of treatment before there was any change in the scar. My shaft is now probably 15 degrees that gradually curves to the right and most of my size has returned. My erections are firmer but could be better. Good job. Congratulations. Many men would be delighted to make that kind of progress.
Just as you recommend in your notes I regularly upped the dosage levels of all vitamins and enzymes as well as the stretching, ultrasound and the DMSO trio until I got to a point that my stomach and digestion began to act up on me. For a month I was having a lot of gas and stomach cramps with diarrhea, but I kept on my plan because my PD was doing better, This sir, is where you began to make your mistake. You should have stopped your treatment immediately at the time when you first began to notice your gut was not behaving properly, and started following the procedures that you received in the paper titled “Reaction.” Diarrhea and mild digestive complaints are the only complaints known to be related to early stages of increasing dosages of enzymes and vitamins in the DCI and PDI protocols, reported during 14 years of doing this work with Peyronie’s diseases and Dupuytren’s contracture. Quoting from “Reaction” (the information sheet printed on bright green paper) that you received when you placed your first order, “If you should experience any of the above listed symptoms (abdominal pain, diarrhea, digestive disturbance, etc.), or any unusual reaction that cannot be otherwise explained, then PDI strongly suggests that you temporarily stop taking the product that you suspect might be causing the problem. You want the problem/symptom to completely disappear for at least 48 hours before you take any more of that product. If after you stop taking the product for 48 hours, and the problem worsens to any degree, call you family doctor. When you stop taking the product, the problem/symptoms should begin to calm down in 24-48 hours. Again, so that there is no misunderstanding or confusion: within 24-48 hours of stopping the product, the problem/symptom should at least begin to improve, even if it is not gone by then; improvement should start within a day or two, even if it just continues to slowly improve from that point. It all depends on your individual constitution and body chemistry.“ but then my stomach problems got even worse. I wish you would have contacted me when this started to happen to you because I could have helped you avoid all of this problem. I am sorry you had this happen to you, but things only got worse because you kept on doing things incorrectly. I have to tell you that none of this should have happened, and how you should have responded, so that you will have confidence in your ability to handle the situation in the future, should it arise. You should have stopped taking one or two therapies each day until you found the one that was causing your gut problem; once you stopped taking the offending therapy item at the excessive dosage your diarrhea and other symptoms should have calmed down promptly. You were not following the directions you were given, and so all of your month-long problems could have been avoided if you simply did what you were told to do. Also, the instructions given to everyone in the “Reaction” form states, “Do not take the product you suspect is causing the problem/symptom for two whole days after your problem/symptom is gone. This does not mean you stop taking the product for two whole days; it means after the symptom/problem stops, then you start counting two more days on top of that to be sure your body is clear of that product and has a chance to recuperate. After feeling good for two whole days, then consider taking ONE of that same product once a day for 2-3 days. That’s all, just one a day — no more. If your problem/ symptoms return at this very low dose, stop it again and stay off that product for a week. Then one week later try again at the same one per day dose. If you get a return of that same problem/symptom again, do not go back on it again since it is something you cannot take. However, this is all extremely rare.” I really believe it was the higher dosages of vitamins and enzymes I was taking that was bothering my stomach so I stopped all the vitamins and enzymes for two weeks but kept doing my external treatments like before. In my opinion the two week rest from internal therapy usage was much longer than necessary and interfered with your treatment more than needed. If you were quicker to stop taking the vitamins/enzymes you could have reduced the time that you stopped taking them to get your gut back to normal. Usually only two days of reduction is all that is needed to get back on track. After that two week rest I started my internal treatment again but when I restarted I took only half the vitamins and enzymes of my usual dosage. Again, you did things incorrectly. Reducing all vitamins/enzymes at once is more than what usually needs to be done to get relief of gut symptoms, and reducing the intake by half is also more than is usually necessary. It seems that after having your gut symptoms for a month you got scared – which probably makes sense at that point in time – and in response you over-reacted by cutting too many therapy items back too far for too long. All of this served to mess up a treatment program that was successful up to the point that you began to manage things incorrectly. I think the basic problem is that you either did not read the “Reaction” form or you completely forgot what it suggested you should do. You did two things wrong at an extreme – you continued your self-treatment much too long after your gut problems started, and you continued to reduce your plan much too severely and much longer than necessary. This resulted in you suffering gut symptoms much more than you should have, and at the other extreme you unnecessarily stunted and slowed down your recovery when it was working for you.
I have been on a lighter program for two and a half months even though my stomach and digestion has been back to normal for over a month because I am afraid to get back to my heavier dosages, but what worries me is that I have not seen any more scar reduction or straightening of my shaft since I cut back on my dosages to this lower level. By reducing your vitamin/enzyme intake you have helped your gut at the expense of allowing your treatment to go below your therapeutic dosage. You need to find what dosages levels will not bother your gut that will still be strong enough to reduce your PD scar tissue. You have kept on a reduced program longer than is necessary if you were handling your plan the way that was suggested to you. I kept all my external treatment unchanged since I figured none of those things were causing the stomach issues. That makes sense.
When I was taking my highest dosages and making all my progress I was taking:
Stretching 5 or 6 days a week, 20-30 minutes each time, almost always getting a positive reaction
Ultrasound 3 or 4 days a week, 10 minutes each time
DMSO with E and copper 7 days a week, strictly following recommendations 10 minutes each time
Vit E 1/0/1
Vit C 2/2/2
Neprinol 2/5/8
Nattokinase 3/3/6
Serretia 3/4/6
Bromelain 500 2/3/4
Acetyl-L-carnitine 2/2/2
CoQ10 1/1/0
L-Arginine 2/2/1
Fund Sulfur 3/3/1
PABA 3/3/2
Now on my reduced plan, for the last two and half months when I stopped making progress I am taking:
All stretching, ultrasound and DMSO with E and copper has been the same as before
Vit E 1/0/1
Vit C 1/1/1
Neprinol 2/2/3
Nattokinase 1/2/3
Serretia 1/2/3
Bromelain 500 1/2/3
Acetyl-L-carnitine 1/1/1
CoQ10 1/0/0
L-Arginine 1/1/0
Fund Sulfur 1/1//0
PABA 1/1//0
This shows that all elements of a successful treatment plan must be in place for good results to occur; both internal and external therapies have to be done together and at a sufficiently high level to get the results you want. You kept your external therapy plan intact, but cut back so much on the internal therapies that your results have not been the same. You have to do both, internal and external therapies, for good things to happen.
This lighter plan is not working for me so my question for you is, how do I start making progress again without upsetting my digestion? Are there some other enzymes or different vitamins I can take to finish this problem? I am definitely much better than before and I am grateful for that, but I know I can get even better and maybe even back to normal? How I can get my dosages up again. How should I do it? Here is a strategy I think you should consider that could be helpful to get you back to making progress with your PD scars. 1. Today make a good review of the size, shape, density and surface features of all your scars as they currently are. This way you will have a good baseline that will tell you immediately if and when your tissue will respond to any future changes you will make in therapy. 2. Start today slowly increasing your vitamin and enzyme dosages every 7-10 days, using the list of the highest dosages you were taking when you were making all your progress as a target list. DO NOT restart treatment at this high level, just keep these numbers in mind as targets. It might take you a few months to get back to those previous levels. 3. At the first sign of scar reduction, stop making those increases and continue with whatever dosage is working for you. Bear ln mind that you might not need to actually use those higher dosages if your tissue begins to change as the doses are raised. This means that you might find that your scar could begin to change at a lower dose than before – it has happened. You need to be more confident that you know what to do if your gut begins to act up on you. Again, from the “Reaction” form, “If at any time you get a return of the problem/symptom while you are slowly increasing your dosage, then simply stop taking the product for 48 hours, and start from the beginning of one per day for a few days. But when you get to the highest dosage when you were not getting the problem/symptom, go no farther with the increase for maybe a few weeks. (In other words, get back up to the same dose when you were having no problems, and just stay there for a while). After 2-3 weeks at that dose, if you continue to feel good, then slowly try increasing the dosage again. You want to be SLOW AND CAREFUL with any of these products; they are all powerful in their own way. The enzyme group especially works very well and can change your physiology by simply increasing your circulation. You will never know, for sure, that the problem/symptom response was related to any particular product, but you want to be careful and safe. Using this approach you will give your body time to adjust and adapt to the increased blood circulation and the detoxification that may be occurring as a result of your treatment plan.“ 4. At the first sign of any gut problem at all, simply reduce the intake of one or two of your enzymes to a slightly lower level and wait for your gut to feel better; if it does not feel better after this first reduction, then reduce the intake of one or two of your enzymes to a slightly lower level and wait for your gut to feel better. Continue doing this until you have your gut problem under control for 48 hours or so. Then follow the “Reaction” form to get your plan back up to where it needs to be to keep your gut happy but also continue to reduce your PD.
Thanks for your emails when I was starting out. Any consideration or help you can now send my way will be appreciated. I will do whatever it takes to get me back to normal. I suggest you tell your MD about what you are doing so he or she knows what you are doing. TRH
LVXXXXXXXX
That for now is the conclusion of this discussion with LVXXXXXX. I hope you all were able to benefit from this exchange of information. I have not heard back from him yet, so I will assume he is doing better. In particular I hope everyone noticed how he is trying hard to understand what he is doing and how he is trying very hard to do things correctly to get great results. I have worked with many people like LVXXXXX and they usually do very well with their Peyronie’s treatment because they are not casual about their recovery. This is serious business to him, and I appreciate that when I see it. I predict good things for him.
Let me know if you have any questions about what you are doing, please send an email at info@peyronies-disease-help.com
Stay focused to your treatment. TRH
Quick Links:
