February 1, 2017 PDI Newsletter
Greetings to all PDI and DCI Warriors,
Welcome to this February 2017 Peyronie’s Disease Institute newsletter. I trust all my friends have recuperated from the holiday hustle bustle.
Once again the bulk of this month’s newsletter will be the simple exchange of emails between one of the many people who send emails to me for assistance and my response to it. This particular email exchange was chosen because it presents some really good treatment ideas that are important for Peyronie’s disease as well as Dupuytren’s contracture; simple and fundamental ideas that apply to good treatment.
For those of you who are new to our monthly newsletters, to gain the most of this newsletter please apply the ideas expressed here about Alternative Medicine treatment and dosage to what is appropriate in your own Peyronie’s disease and Dupuytren’s contracture programs. By reading these emails you can see what someone with a fibrotic infiltration (of the shaft in Peyronie’s disease, or of the palm and finger in Dupuytren’s contracture) is doing in his treatment and how he is guiding his program to success. Since Dupuytren’s contracture and Peyronie’s disease are so similar in many ways, treatment is also rather similar; what can be done for one problem can also be done for the other. For this reason a person with either PD or DC will benefit from reading these emails below.
As a bit of background on the treatment approach that RGXXXXX is using for his Peyronie’s disease, it is important to know that his early therapy dosages were among the lowest and most conservative I have encountered. This explains why he is so far into his treatment and is now starting to get some results; better late than never. RGXXXXXX is apparently a very conservative guy and incorporates that thinking into how he is dealing with his PD; that is all well and good, and I respect him for that. After a few months of not seeing much change in his Peyronie’s disease scar RGXXXXXX decided he would increase his treatment dosages. After making his program more aggressive he then started to experience changes in the PD scar material even though by standards his program is still comparatively conservative, as you will see.
RGXXXXX is motivated and dedicated to recovery from his PD, as I have learned through the shared emails we have shared in the past. I only know him through these past discussions about Peyronie’s disease but I find that I like him as an individual; he seems to be dedicated to recovery and is working hard to get back to normal. As we always do to make these emails easier to understand, the email from our PDI warrior, RGXXXXX, is in black and the email from me is in red. Here we go:
Sent: Saturday, October 1, 2016 8:25 PM
To: Theodore Herazy <firstname.lastname@example.org>
Subject: Re: Treatment plan help
I apologize for fat fingering my last message. I have been on the program since 11/7/15 with numerous changes. I started out using a very light program and have made some of my dosage adjustments after I observed that my vit c was too high.
I am currently using PMD DMSO, Super CP Serum and vit E oil twice a day, and ultrasound twice a week. I am also taking msm 2/2/2, acetyl-l-Carnitine 2/2/2, pans 2/2/2, Serretia 2/2/2, Neprinol 2/2/3, vit E 1/1/0, and natural c after adjust from 2/2/2 down to 1/1/0.
I at one point thought I had a small adjustment, but it seems to be just wishful dreams. My scar runs along the length of my shaft when relaxed about 2″ it is straight and smooth about 3/8″ wide. I hope this explanation is a better description of my current situation.
Thank you for your time and any guidance you could provide.
From: “Theodore Herazy” <email@example.com>
Date: October 2, 2016 at 4:35:35 PM CDT
Subject: RE: Treatment plan help
I do not know what “pans” is that you mention you are taking at 2/2/2, please explain.
As general ideas for suggestions to increase the plan you are currently using:
1. More frequent use of the US to perhaps 4/week.
2. Include gentle manual stretching.
3. Your overall plan is not very aggressive compared to most plans that are successful, so there might be some room yet to increase your dosages to see better results in scar elimination.
4. Consider including additional therapies like PABA, CoQ 10, Scars-Adhesions homeopathy, L-arginine etc. if you feel you must, but you should first spend more time and effort increasing your current internal therapies (MSM, acetyl-L-carnitine, Neprinol, etc.) toward the upper levels mentioned in PDI literature.
5. You have not mentioned changes in your diet, which would be a very good direction to explore, especially since you mentioned a possible improvement to your PD that did not hold to be true. This temporary improvement is not uncommon with many men. If you read my book you will see I went through many occasions were this also happened to me; it is also common for men to see variable tissue changes happen in the early stages of treatment where their plan is not completely correct for them – but close. In the early stages of my recovery I had a long stretch of time, maybe two months or more, in which the scars would fade in an out; by that I mean they would get smaller and then larger back to their original size, softer and then harder again like when they started, the edges would get duller and rounder and then sharper like when they started, and more difficult to find and then rather obvious. These variations would come and go and was very disturbing, until I saw so much of it I learned not to get too excited when things looked better because I knew that the improvement was going to be temporary. Even so, I also saw over time that slowly the improvement lasted longer, and the regression was shorter, until the improvement were more permanent and the regressions were rather brief, until finally the improvements stayed and were permanent. I have no idea why this happens, it just did for me and it has also happened to many others who use the PDI concepts.
Closer study of your scar and more monitoring of the details of the scar will prevent you from chasing wishful dreams – you want to know every aspect that describes your PD scars for sure, so write down all the details you notice. Let me know how you are doing in a month or two as you push into higher numbers.
Theodore R. Herazy, DC, LAc
Peyronie’s Disease Institute
Dupuytren’s Contracture Institute
Sent: Friday, December 16, 2016 4:24 PM
Subject: Questions PDI
Since our last conversation on 10/01/16, I have made a few changes. I have started reducing my starches and calories, increasing my water intake, reducing my alcohol intake and increasing my frequency and time at the gym. I am curious to know if I need to be concerned with the amount of time I spend on the program, are there any concerns with the longevity of use? Do we need to take breaks to clean the system? Is there a point where the vitamins and program could cause damage or injury to the body due to prolonged use? The changes o my condition are ruff areas seem to be gone, the area of the p—s that runs the length of my p—s from base to tip seems to be a little more like soft pencil and smooth for the entire length to a 1/2 inch of the end. Curvature toward body during excited times is still fully toward body instead of away, but has shown no increase in the curvature. I am currently taking a 3 day rest and then I will continue at this level for now any suggestions. I have been stretching during down times not sure if I’m doing it correctly please give advice on method. Thank you.
I have increased to these levels from my start listed in previous emails which are listed below:
Neprinol AFD 3/2/3
MSM+Vitamin C 2/2/2
Acetyl L-Carnitine 2/2/2
Unique E Vitamin E 400 IU 0/1/1
PDI Skin Application:
PMD DMSO w/ Super CP and E 1/0/1
Scar Free 1/0/1
Ultra Sound 3MHz w/ PMD 10 minutes 4 times a week
On Dec 17, 2016, at 9:58 AM, Theodore Herazy <firstname.lastname@example.org> wrote:
So happy to receive your email on this arctic cold AM. Cold days like this make you feel alive and more appreciative of how good life is.
What I note in your brief description most especially are the several indicators of progress and improvement you mention in that last email. But when you say “ruff areas seem to be gone” I am not positive I know exactly what you mean. Please explain that. I take it to mean that the previously bumpy or irregular surface features of your scar(s) are now smoother and perhaps more slick or slippery feeling than they were before treatment, is that correct? If so, that is a very significant and positive finding. Surface feature changes (going from a coarse or slightly granular or gently textured surface to a surface that is smoother or wetter feeling) seems to be a common early sign of progress that is mentioned often by those who report on their early tissue improvement. You also mention that the long scar that runs from the base to near your glans is softer. I think you also mention that the curvature has not changed yet, but is still rather pronounced as before; are you saying that when erect your shaft is bent all the way back toward your body like it is past a 90 degree bend, is that right? If all of what I have written above is correct then I think you are in the early stages of coming around. Sometimes improvement of curvature is one of the last things to change. When you have a scar that is long like yours you have to appreciate that there is a lot of fibrous material that is at work keeping you bent. It takes time for the body to absorb and remove that amount of foreign fibrous material. On top of that, neither you or I or anyone knows for sure how much deep scar tissue there is actually in your shaft; you can feel around and examine yourself as best you can, but we all have our limits to what we find and feel. There could be twice as much – or more – down there than you are aware of. The point is that what scar material you are aware of, and what you can confidently identify is changing for the better. We assume then what other scar tissue that might be down there that you are not aware of should also be changing. I mention all this to broaden your thinking about the size of the enemy and how much he might have infiltrated your territory. So be patient with yourself and with your treatment, since it sounds like you have him on the run. It is just a matter of keeping after your Peyronie’s disease with what you are doing. It reminds me of a football team that is making a 3-4 yard gain with every play; they are not able to throw the ball long down the field for a spectacular play and an immediate touchdown, they are just grinding out slow and consistent progress with every play with a little gain each time. It is tiring, it is grueling, and they wish they could get it over with, but they will surely win if they just keep on doing what they are doing. Small progress over time, repeatedly, will win the game.
You list Scar Free with the therapies you are using as a skin application. Does that mean you are spraying it on your shaft? If so, that is wrong. It is an oral spray that is to be taken internally. The world will not come to an end if you have been spraying on the skin of the shaft, but you are using it that way you are not getting the full benefit of it. Spray it under the tongue and leave it there for a few minutes without swallowing your saliva if you can.
Now, changes to your plan: You really do not have to make any changes to your plan as far as I am concerned. Your scar is softening and smoothing out for now, and should continue to do so if you are SMART ENOUGH to not get cocky and over-confident and start getting careless and lazy. You just have to keep doing what you are doing and the scar should keep continuing to fall apart and get absorbed over time. How long, how much time will this take? I have no idea. No way for me, or you, or anyone to know. Just be grateful it is happening and you found something that is working for you. If you are getting antsy and you really want to make faster changes you can certainly increase your plan by adding more therapies to the mix, but you might be wasting your money. There is no guarantee that taking more internal therapy items, or doing more external therapies, at this point will get you more or faster progress – I suppose it is possible, but there is no way to assure that it will happen. It is possible that your tissue is changing as fast as it can; it is also possible that you could eliminate your Peyronie’s disease faster if your plan was increased. No one knows for sure if it is possible to speed up a healing response once it is in motion. Personally, I think there are limits to how much faster we can make a correction take place by using more and more internal and external therapies. To take the point to an extreme just to explore this idea: If a guy like you would double or triple your current plan (as an example for discussion sake, please don’t do it) I doubt that you could reasonably expect to double or triple your rate of improvement; there have to be limits to how fast tissue can and will respond. Having said that, if you decide you want to do a little more within your plan I think you could increase your enzymes. Compared to a lot of folks you are on a relatively lower dosage of enzymes. Most men who are making the kind of changes you are making are in the range of: Neprinol 9-14/day, and Serretia 6-10/day, plus perhaps taking some Bromelain, Nattokinase or Inflamazyme on top of that. Enzymes are an important component of all successful treatment plans; when in doubt, push the enzymes a little. If you decide to make a change in your plan I suggest that you make only small changes; don’t throw the baby out with the bathwater. Large changes do not make sense because what you are doing is working, so be careful. Tiny steps are safer than making jumps. I have seen guys in your position start changing things wildly while looking for that magic combination of therapies and they stop making progress because they change their plan so radically that it no longer fits them. Slow and small, please.
How are you stretching your shaft? Did you get the stretching DVD? If not, please do so. If you have it, then please watch the whole thing again; you might have changed your technique or procedure without realizing it. I have seen men change their stretching technique over time without realizing it only because they get too comfortable and careless with it; they take it for granted like their wife, you know what I mean? This technique is not something you can make up on your own or fake out by trying to figure out what I am showing in a few simple pictures, and it is not something I can explain over the phone or in an email. Also, as an aside while it is on my mind: When you are taking a respite from your internal therapies to give your liver and kidney a rest, you can continue to do your stretching, your US, your massage and exercise program, your DMSO trio, right? Those are all exterior therapies that can be continued to keep good things happening.
Length of treatment? Part of being safe during Alt Med treatment is to keep your senses alert to how you feel, what is going on with your body, and be honest with yourself. Don’t ignore any strange or abnormal change in how your body feels or reacts. Any kind of physiologic change (tenderness in a strange area of the body, increase of urination, shortness of breath, skin bruising for no good reason, prolonged bleeding, gastric distress for no good reason, etc., etc.) or body reaction that is not normal for you and does not make sense based on your past history is cause for concern. You are taking periodic breaks or vacations from your treatment plan, so you are aware that that this kind of treatment is uncharted water. You have to be careful. If you are not sure, I strongly suggest that you contact your doctor to get yourself examined. Assuming you are feeling good, with no abnormalities, and your doctor is happy with your status and your progress, my opinion is that you can stay on the kind of program you are following for a long time. Over time your Peyronie’s scars should get picked up and your curve should also reduce when you finally get the scar smaller and there is not enough scar to bend the shaft like it is now. It is just a matter of time at this point.
Let me know the answers to the questions I have asked you above, please.
Again, congratulations that your hard work is paying off.
Theodore R. Herazy, DC, LAc
Peyronie’s Disease Institute
Dupuytren’s Contracture Institute
Sent: Monday, December 19, 2016 5:18 AM
To: Theodore Herazy <email@example.com>
Subject: Re: Questions PDI
Yes, the area along the shaft is smooth from end to end now that the two bumpy/blister feeling areas are gone to the touch. The curvature is pronounced in two locations, one about 1 inch out from the body and the second about 1 inch from the tip of the shaft. Both back toward the body with end almost touching my stomach. I am currently using Scar Freee under the tongue not on surface. As far as stretching I have been manually stretching, I do not have the cd, I should obtain one I had been going off of descriptions. Thank you for your time and assistance.
Sent from my iPhone
Well there you have the little discussion between RGXXXXX and me. I hope you found this issue of the PDI Newsletter interesting and informative so you can do a better job of helping your own PD or DC condition. Let’s all hope that RGXXXXXX continues to do well with his Peyronie’s disease.
If you want to contact me about your problem or any treatment question, please send an email at firstname.lastname@example.org .
Happy Valentine’s Day to all PDI and DCI Warriors. Keep warm in these last days of winter. Stay focused on your treatment plans. See you next month. TRH