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Sunday, December 30, 2012

Opiate-Addicted Babies Are The New Crack Babies of 2016












Updated: 3-16-2016



The Centers for Disease Control and Prevention released long-awaited guidelines Tuesday to limit prescribing of opioid painkillers, the overuse of which has contributed to a pervasive and deadly epidemic in the U.S., the agency’s director said.

The guidelines, which are voluntary, urge primary-care clinicians—doctors, physician assistants and nurse practitioners—to offer patients alternative treatments for chronic pain, such as non-opioid painkillers like ibuprofen and physical therapy, to prescribe the lowest effective dosage possible to patients who do need opioid drugs, and monitor the patient carefully, because the drugs are highly addictive.

The CDC also recommends limiting opioid prescriptions for patients suffering short-term, acute pain to three days or less in most conditions, and says that more than seven days’ worth of opioid drugs “will rarely be needed.”

“If you’re prescribing an opiate to a patient for the first time, that’s a momentous decision,” CDC Director Tom Frieden said in an interview. “That may change that patient’s life for the worse forever. So you’ve really got to think carefully before doing it.”

“What we’re trying to do with this guideline is chart a safer course that allows patients with severe pain to be treated but recognizes that for most patients with chronic pain the risks of prescription opiates will far outweigh the uncertain benefits,” he said. While opioid drugs are effective for short-term pain, evidence is lacking to show that the drugs control chronic pain effectively, he said.

The CDC was under pressure to set national standards as soaring rates of addiction and overdose deaths have led doctors’ offices, insurers and some states to impose their own prescribing limits. The rate of drug overdose deaths from opioids, including prescription painkillers and heroin, tripled between 2000 and 2014, and deaths from opioid painkillers alone rose 9% in 2014, according to the CDC. In 2014, opioids were involved in 28,647 deaths, or 61% of all drug overdose deaths.

The crisis also has prompted congressional action; the Senate passed a bill last week to expand grants for prescription drug and heroin abuse prevention and treatment. President Barack Obama is asking Congress for $1.1 billion in fiscal 2017 to fight prescription opioid and heroin abuse.

But the CDC’s guidelines, when proposed, also drew resistance from some pharmaceutical industry-funded groups, pain management organizations and patients with chronic pain, who say they could restrict access to pain medications for patients who need them, with more possible regulation at state and local levels.

Bob Twillman, executive director of the American Academy of Pain Management, an organization for pain management providers, said it would be important for clinicians to understand that the limits on opioid quantities for acute pain aren’t mandatory. In addition, while three days or less of opioid medication might be fine for acute pain for minor injuries, “when the pain comes from trauma or a surgery, that could last weeks sometimes.”

He said he was disappointed the final guidelines don’t appear to reflect suggestions pain management groups made in response to the draft version.

The CDC guidelines will likely cut into sales of opioids, but that would continue a trend already under way for a few years as doctors have scaled back on prescribing because of concerns about addiction, said Corey Davis, a senior specialty pharmaceuticals analyst at Canaccord Genuity Inc. About 80% of opioid medications that are prescribed are generic drugs, he said.

But while sales of those drugs decline, companies are developing and introducing newer pain medications that are harder to abuse or don’t contain opioids, he said.

Primary care clinicians write nearly half of all prescriptions for opioid drugs, the CDC said. The agency also said chronic pain patients account for 70% of opioid prescriptions.

Purdue Pharma LP, maker of OxyContin and other opioid medications, declined to comment on the guidelines and noted that its products represent less than 2% of the total opioid market, as measured by prescription volume. The guidelines “are part of the clinical decision-making process, which should be determined by therapeutic area experts and other relevant stakeholders,” a spokesman said.

The prescription opioid abuse epidemic has affected urban and rural areas, rich and poor communities, babies, adults and the elderly alike, Dr. Frieden said. “It really is a pervasive epidemic that has been triggered in very large part by excessive prescribing of these medications,” he said. The CDC says that 249 million prescriptions for opioid pain medication were written by health-care providers in 2013.

Prescription pain medication sales—including both opioid and non-opioid drugs—totaled $20.4 billion in 2014, according to health-care data provider IMS Health.

The guidelines apply to primary care clinicians treating patients for certain types of chronic pain, but not for patients in cancer treatment, palliative or end-of-life care. The recommendations were written by CDC scientists with input from experts and include refinements based on comments from more than 160 organizations and the public, Dr. Frieden said. “This is a CDC document written by CDC scientists who reviewed the entire world literature on this,” he said.

Updated: 8-21-2015



DEA Restricts Narcotic Pain Drug Prescriptions


Government Seeks to Curb Abuse of Hydrocodone Combination Pills



The Obama administration moved Thursday to restrict prescriptions of the most commonly used narcotic painkillers in the U.S. in an attempt to curb widespread abuse.

The Drug Enforcement Administration said it would reclassify hydrocodone combination drugs such as Vicodin and put them in the category reserved for medical substances with the highest potential for harm. The "rescheduling" means people will be able to receive the drugs for only up to 90 days without obtaining a new prescription.

The opioid pills are taken by millions of Americans, including after dental surgery, for back problems and broken bones. Currently the pills can be refilled up to five times and prescriptions can cover a 180-day period. The new classification will take effect in 45 days, the DEA said.

"Today's action recognizes that these products are some of the most addictive and potentially dangerous prescription medications available," said DEA Administrator Michele Leonhart.

The change means that, in most instances, patients will have to present to a pharmacy a prescription from a health-care provider and no longer can rely on a phoned or faxed-in one.

The move had been resisted by drug makers, wholesalers, drugstores and patients with pain. They said there were other ways to reduce painkiller abuse and were concerned that people suffering acute pain could be harmed by barriers to treatment.

Seriously ill patients will now have to visit their doctors more often than necessary to receive the drugs, said Mark Fleury, a policy analyst at the American Cancer Society Cancer Action Network, a lobbying group that opposed the change. The move also will limit the ability of nurse practitioners and physicians assistants to prescribe the drugs in some states, he said.

Most people who abuse prescription drugs illicitly obtain them from friends or relatives with legitimate prescriptions, said David Belian, a spokesman for Actavis, a maker of generic hydrocodone-based medications. He added in an interview that the change "will place a significant burden on patients, the vast majority of whom use them in a legitimate manner."

The new restrictions also will place additional burdens on pharmacies, which will have to store the drugs in secure locations, said John Norton, a spokesman for National Community Pharmacists Association.

Antiaddiction advocates said the decision would prompt health providers to be more vigilant about how they store the drugs and offer them to patients.

"If you're treating someone with a condition so painful they require treatment with a highly addictive drug, that's someone who should be monitored closely," said Andrew Kolodny, chief medical officer for the nonprofit addiction treatment organization Phoenix House, who campaigned for the change for five years.

The Centers for Disease Control and Prevention has said that more than 16,500 people died after overdosing on opioid-based painkillers in 2010. No other class of drugs, legal or illegal, is responsible for as many deaths, its figures show.

Hydrocodone combination drugs are largely sold as generics. Major makers include Teva Pharmaceutical Industries Ltd.   and Mallinckrodt. A few are known by brand names, including Vicodin, made by AbbVie Inc. 

Mallinckrodt said it backed the DEA's decision as part of a "comprehensive approach" to reduce opioid abuse. "We do not believe the rescheduling of these hydrocodone combination products is likely to have a significant impact on our business," said Lynn Phillips, a Mallinckrodt spokeswoman.

Some 127.86 million prescriptions for them were dispensed in the U.S. in 2013, down 6% from 2012, according to data provider IMS Health Holdings Inc. Sales reached $1.05 billion in 2013, up 21% from 2012, IMS estimated.

The DEA first began to explore rescheduling in 2009, asking the Department of Health and Human Services to weigh in. The Food and Drug Administration, a unit of HHS, said nine months ago that the drugs should be reclassified.

Hydrocodone combination pills had been in the less-restricted category since 1970, when Congress passed the Controlled Substances Act that set the categories used by the federal government. Pure hydrocodone drugs had always been in the highest category for controlled substances that could be used in medicine, the DEA said.

Linden Barber, a former DEA attorney who now heads DEA compliance operations with the law firm Quarles & Brady LLP in Indianapolis, said he didn't believe the action would have a significant impact, since abuse of drugs such as Oxycontin that already had tougher classifications remained high.

He also warned that it was possible that doctors would lose any incentive to prescribe lower-strength hydrocodone combination products once they entered the same category as higher-strength products.




Hospitals around the country are confronting an unsettling consequence of the prescription-pain-pill epidemic: a surge in the number of babies born dependent on drugs such as oxycodone.



Hospitals in Florida and elsewhere are grappling with the latest fallout from the epidemic of prescription-drug abuse: babies born addicted to painkillers. The newborns present new challenges for hospitals.

One recent morning a 12-day-old girl lay writhing in the neonatal intensive-care unit at Sarasota Memorial Hospital. Erin Weatherwax, a nurse, tried to console the newborn by holding her against her chest and patting the baby's back. She placed the girl in a motorized swing that made cricket sounds. But the infant continued to squirm, unable to sleep more than a few minutes at a time.


The baby suffered withdrawal from methadone, a drug used to treat painkiller addiction that her mother took during pregnancy. The hospital sated the baby's physical cravings by giving her morphine as well as phenobarbital, a barbiturate used to treat seizures. Now she had to be weaned off those drugs.

Born Dependent on Opioids

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Eight hours after Gabriel was born, he exhibited a variety of withdrawal symptoms, including stiffened muscles and excessive sucking.


"It's heartbreaking," Ms. Weatherwax said.
Between 2000 and 2009, the number of newborns showing symptoms of withdrawal from drugs called opioids—including painkillers like oxycodone and anti-addiction drugs such as methadone—tripled in the U.S., according to a study published earlier this year in the Journal of the American Medical Association.


In 2009, more than 13,000 babies in the U.S. were diagnosed with the condition, formally known as neonatal abstinence syndrome, the study said.


The newborns—reminiscent of the "crack babies" of the 1980s and 1990s born to women addicted to cocaine—present a host of challenges to hospitals. There is no standard way to treat their withdrawal, so doctors and nurses are improvising to figure out the most effective combination of drugs and dosages.


The babies require constant attention, and their stays in a neonatal intensive care unit, or NICU, can stretch for weeks, tying up hospital resources. Their treatment is costly—a mean of $53,400—according to the JAMA study, and Medicaid covers the tab for 78% of the babies. Hospital charges to care for such infants jumped to an estimated $720 million in 2009 from $190 million in 2000, the study said.



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Hospitals in states such as Kentucky and West Virginia have reported a sharp rise in the number of opioid-dependent babies. In Florida, long the nation's epicenter of illegal prescription-drug sales, the problem is acute, especially in a cluster of counties near Tampa Bay, including Sarasota. Hospitals such as Spring Hill Regional Hospital, north of Tampa, said that as many as 30% of the babies in their NICUs suffer from opioid withdrawal.


Hospitals were ill-prepared for the drug-dependent infants. "This isn't a problem I learned about in training," said Terri Ashmeade, medical director of the NICU and chief of pediatrics at Tampa General Hospital. Her unit, like others, relied at first on protocols for heroin withdrawal in babies, mainly using phenobarbital, she said. But the staff quickly found that withdrawal symptoms for today's painkillers, which are powerful and long-acting, were much more severe.


The newborns cry incessantly, jerk their limbs and vomit. They can have such severe diarrhea that it burns the skin off their bottoms. Though treating them with the very opioids they are withdrawing from may seem jarring, doctors say the alternative could be worse: seizures and even death.


After years of trying different treatments, Tampa General settled on a uniform approach three months ago. Like many hospitals, it relies on a system that assigns points for different symptoms, and it initiates drug treatment if the numbers cross a certain threshold. (There is no blood test or other diagnostic to determine whether a baby is drug-dependent.)

Eight hours after he was born, Gabriel, a baby undergoing treatment recently at Tampa General's NICU, exhibited a variety of symptoms, including stiffened muscles and excessive sucking. So the hospital gave him methadone and, when the symptoms persisted, increased the doses until he reached the maximum. Two days later, he was still scoring high, so the hospital gave him clonidine, a drug used to treat withdrawal in adults.



At eight days, Gabriel was still taking the maximum dosage of methadone and close to the maximum of clonidine. He appeared mostly calm, but startled and trembled at times. It would likely take weeks more to wean him off the drugs, nurses said.


Sixty miles to the south, Sarasota Memorial is following a different protocol. While using the same scoring system, it starts babies on morphine, and if necessary, adds phenobarbital.


Hospitals have no choice but to experiment, given the paucity of research on what treatments are most effective. The American Academy of Pediatrics in February published new guidelines for neonatal abstinence syndrome—its first update since 1998. Though the paper cited a range of potential treatments, it didn't recommend one particular protocol.


To try to come up with a standard regimen, a collaborative of Florida hospitals, including Sarasota Memorial, plans to compare various approaches. Each NICU will rely on morphine and clonidine, but at different dosages, increased and decreased at different rates, said Mark Hudak, a neonatologist at Wolfson Children's Hospital in Jacksonville, which is part of the group. The group hopes to assemble its findings some time next year.


One objective is to cut down the amount of time babies are spending in intensive care and assess whether they are being over-medicated, Mr. Hudak said.


Hospitals are grappling with another concern: They worry they aren't catching all the affected babies. Not every mother is forthcoming about using prescription painkillers, which leaves it up to medical staff to look out for symptoms. Most newborns are discharged within 48 to 72 hours, yet babies exposed to long-acting opioids like methadone can take five or more days to show signs of withdrawal.


"Some are going home and withdrawing," said Tony Napolitano, medical director at Sarasota Memorial. And a mother with dependency issues may not be equipped to handle a highly irritable and sensitive newborn, he said.


Organizations like the Healthy Start Coalition of Hillsborough County, a nonprofit, are urging obstetricians to broach the subject of opioid use with their patients. Many don't, often because they are unaware how widespread the problem is, said Executive Director Jane Murphy.


Because the phenomenon of opioid-exposed babies is so new, little is known about any long-term effects. Some studies suggest they are at greater risk of attention deficit hyperactivity disorder, but the findings aren't conclusive.


Fears that the "crack babies" of decades past would develop severe physical, mental and emotional disabilities proved to be unfounded, research showed. But prescription-drug exposure "seems to be affecting babies' physiologies more than cocaine," said Ms. Ashmeade, the Tampa General neonatologist.

What Do You Get When Legal Drug Dealers Peddle "Heroin-in-a-Pill" to it's "Clientele"?


Interactive Graphics
Jaclyn Kinkade, a 23-year-old doctor's-office receptionist and occasional model, was a casualty of America's No. 1 drug menace when she overdosed and died, alone, in a tumbledown clapboard house in Dunnellon, Fla.


The drugs that killed her didn't come from the Colombian jungles or an Afghan poppy field. Two of the three drugs found in her system were sold to Ms. Kinkade, legally, at Walgreen Co. and CVS Caremark shops, the two biggest U.S. pharmacies. Both prescription drugs found in her body were made in the U.S.—the oxycodone in Elizabeth, N.J., by a company being acquired by generic-drug giant Watson Pharmaceuticals Inc., and the methadone in Hobart, N.Y., by Covidien Ltd., another major manufacturer. Every stage of their distribution was government-regulated. In addition, Ms. Kinkade had small amounts of methamphetamine in her system when she died.


The U.S. spends about $15 billion a year fighting illegal drugs, often on foreign soil. But America's deadliest drug epidemic begins and ends at home. More than 15,000 Americans now die annually after overdosing on prescription painkillers called opioids, according to the Centers for Disease Control and Prevention—more than from heroin, cocaine and all other illegal drugs combined.


Rising opioid abuse means that drug overdoses are now the single largest cause of accidental death in America. They surpassed traffic accidents in 2009, the most recent CDC data available.


Paradoxically, the legality of prescription painkillers makes their abuse harder to tackle. There is no Pablo Escobar to capture or kill. Authorities must contend with an influential lobby of industry representatives and doctors who argue against more restrictions, saying they would harm legitimate patients. And lawmakers have been reluctant to have the federal government track Americans' prescriptions, leaving states to piece together a patchy, fragmented response.


Ms. Kinkade's final days, and the path of the drugs that killed her, were reconstructed from medical and prescription records, police files and interviews. Many records were assembled by Ms. Kinkade's father and stepmother.


Shuffling through the documents at their living-room table, Bruce Kinkade, a garage-door salesman, and his wife, Ann, said they don't wish to absolve their daughter of responsibility. "We're not naive and want to say she was a perfect angel," said Ann Kinkade, Jaclyn's stepmother.

Tracing the Path of Prescription Painkillers


Jaclyn Kinkade


A family photo of Jaclyn Kinkade as a child with a composite of the prescription records.


But the Kinkades say the companies and licensed professionals that supplied her with the drugs must also bear some responsibility. "Jackie didn't wake up one day and say, 'Hey, I'm going to be a drug addict today,'" Ann Kinkade said. "Jackie pretty much got sent there by a doctor, got hooked and continued to go back."


There are few easy villains in prescription drug abuse. Companies, physicians and addicts alike are all pieces in a complex puzzle. For some time, regulators have been cracking down on doctors who prescribe to addicts for profit. Now, federal and state officials are starting to move up the supply chain to pursue pharmacies and distributors.



On Sept. 12, the Drug Enforcement Administration revoked the licenses of two Florida CVS stores, which it claims sold excessive amounts of oxycodone without ensuring the pills weren't diverted to the black market. CVS is fighting the DEA's order in administrative and federal courts.


Two days later, the agency served Walgreen with a suspension order halting sales of controlled substances from its Jupiter, Fla., distribution center, calling it an "imminent threat to public safety." The DEA's regulatory action alleges that the facility—the state's largest oxycodone distributor—"failed to maintain effective controls'' of its narcotic painkillers.


Walgreen said it is working with regulators and has tightened its procedures. CVS said it was committed to working with regulators "to reduce prescription drug abuse and diversion while ensuring access to appropriate, effective pain medication for our patients who need them."


Participants in the drug-supply chain acknowledge the problems but point to others as the weak link. Doctors involved say pharmacies should be able to tell if patients are secretly using several physicians to obtain more drugs. Druggists say they can't second-guess a valid prescription. Manufacturers and distributors say they are simply delivering products ordered by health-care professionals.


What makes this drug scourge different from previous ones, such as heroin in the 1970s and cocaine in the 1980s, is that everyone in the distribution chain is identifiable. The DEA itself controls the supply spigot by setting drug companies' production quotas for opioids like oxycodone and hydrocodone.


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For years, opioids were reserved mainly for cancer or terminally ill patients because of fears over their safety and addictiveness. But over the past 15 years, many doctors have come to view them as an essential tool to manage chronic pain. Around the same time, drug makers began marketing patented, time-release formulations of the drugs, making it a lucrative category.


Today, a growing number of doctors say the pendulum has swung too far, with powerful narcotics being dispensed for even relatively minor complaints. Last year, pharmacies dispensed more than $9 billion in prescription opioid painkillers, more than twice the amount a decade earlier, according to IMS Health, a research firm. The number of prescriptions has risen fourfold. The generic version of Vicodin, a blend of hydrocodone and acetaminophen, is now the most prescribed drug in the country.

Opioids come from the same narcotics family as heroin and can produce similar addictions, researchers say. "We're basically talking about heroin pills," said Andrew Kolodny, chairman of the psychiatry department at Maimonides Medical Center in New York.


Studies show that opioid addicts come from a surprisingly broad swath of the population: the middle-age, the elderly and, increasingly, young adults. Many U.S. veterans returning from Iraq and Afghanistan with physical and mental injuries are also becoming dependent on prescription painkillers, researchers say.


In recent decades, researchers have come to view addiction as a disease, rather than just a personal failing. Some people are more predisposed to becoming addicted because of heredity, experience and other factors that have yet to be fully understood. But some drugs are simply more addictive than others.

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Jaclyn Kinkade Before She Began Taking Drugs.


New research suggests that drugs like opioids cause long-lasting changes to the brain, rewiring some areas to crave more drugs while simultaneously damaging the parts that can control those cravings. The drugs can damage the brain's ability to feel pleasure, so regular users eventually need to take them not to get high or help with pain, but just to feel normal. Avoiding unpleasant withdrawal symptoms end up conditioning many drug users' daily lives.


One of the most confounding aspects of this latest epidemic is that it blurs the lines between legal and illegal drug use. Some people first take drugs from their family medicine cabinets to get high, then go to doctors to get more. Others are originally prescribed the pills for legitimate reasons, then buy them on the street once they're hooked.


Many, such as Ms. Kinkade, end up mixing legal and illegal drugs in ways that can prove lethal.


Ms. Kinkade was a lively, talkative woman with blond hair, a fear of caterpillars and a pit-bull terrier, Bentley, that traveled everywhere with her.


She was first prescribed an opioid on Oct. 27, 2006, by the doctor who employed her as a receptionist, prescription records show. According to medical records and an entry from her diary, she had been suffering back and neck pain. Thomas Suits, her employer, prescribed 20 pills of Endocet, a drug containing oxycodone. "I'd never taken opioids before," Ms. Kinkade wrote in a diary entry. "But I started the med routine and OMG I felt no pain."

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Jaclyn Kinkade on vacation when she was 21 years old. She died of an accidental drug overdose about two years later, at age 23.


Dr. Suits didn't recall prescribing the medication, said his wife, Irene Machel, a doctor who also works at the clinic. She declined to discuss the matter further.


Endo Health Solutions, which made the pills, declined to comment on Ms. Kinkade. "These types of stories are tragic and we obviously take them seriously," said Endo spokesman Blaine Davis. "Our responsibility, as a company that is very dedicated to the field of pain management, is to educate both physicians and patients about appropriate use."


Soon Ms. Kinkade was seeking more drugs. On Jan. 5, 2007, she saw Bruce Kammerman, a family practitioner at a clinic in Stuart, Fla., and came away with a generic blend of oxycodone and acetaminophen. A scan taken a month later showed no problems with her spine, according to the medical report. Through his lawyer, Dr. Kammerman declined to say why he wrote the prescription. "That's a sad case," said his attorney, Lance Richard. "Maybe she didn't have justifiable pain but she certainly came in and made complaints about it. At some point the doctor just has to go on the patient's word."


Dr. Kammerman was arrested in July at a pain clinic in Vero Beach, Fla., charged with drug trafficking, racketeering and illegally selling controlled substances. The DEA said in a news conference he was prescribing an average of 1,700 oxycodone tablets a day. Dr. Kammerman's lawyer said his client has done nothing wrong and pleaded not guilty.

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Jaclyn Kinkade In a Mug Shot on May 10, 2010, Two Months Before Her Death.


Ms. Kinkade broke up with her boyfriend. She began missing work. One day she was found curled up under her desk, crying. "She always used to be clean-cut, nice makeup," said Susan Cochran, a former colleague. Then "she would come in in sweatpants and it was like: 'Who is this person?'"


Ms. Kinkade changed jobs to work at a radiologist's office. There, she had two other scans, in April and July 2008. Neither showed significant spine problems, according to the medical reports. Ms. Kinkade started seeking clinics that asked fewer questions. "Family practitioners hate writing narcotics," she wrote in her diary. "Nowadays—I'll just go str8 to pain docs."


During that period, she was prescribed large amounts of oxycodone, her records show, combined with antianxiety drugs and powerful muscle relaxants. Her parents grew increasingly alarmed. "Sometimes you'd be having a conversation with her and her head would just drop," Mr. Kinkade said. "And she'd say: 'Oh, I'm just tired; I was out late.'"


After reviewing her records, he said, "We estimated that at one point she was taking 13.4 pills per day, for nothing wrong with her."


In May 2009, Mr. Kinkade and his wife asked a judge to have their daughter forcibly admitted to drug treatment under a Florida law. Their request was initially denied because she wasn't a minor. Angered by their efforts, Ms. Kinkade moved out of their home and drove across the state to her biological mother's house. She crashed her car and was found wandering along the highway in a drug-induced daze, her parents said, searching for her pills.


Legal records show she was arrested several times for minor crimes such as possessing controlled drugs without a prescription and shoplifting small items, including makeup and cake topping. In each case, she was released and the charges dropped.



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She started visiting a pain clinic in Tampa called Doctors Rx Us, where she was prescribed oxycodone, methadone, alprazolam and gabapentin, an antiseizure medication, according to records her parents collected. Housed in a rundown strip mall, the clinic today is called Palm Medical Group after a name change in 2011, according to its state records.



Ms. Kinkade was prescribed the drugs by two physicians at Doctors Rx Us: Richard Smith and William Crumbley. Dr. Crumbley was arrested in December and charged with operating a nonregistered pain clinic at another location. He has pleaded not guilty.


Dr. Smith and the clinic declined repeated interview requests. A lawyer for Dr. Crumbley said he was innocent of any wrongdoing.
On May 3, 2010, Ms. Kinkade stopped at a CVS in Crystal River, Fla., and picked up a prescription written by Dr. Smith for 90 tablets of 10mg methadone, along with 90 tablets of alprazolam, an antianxiety drug.


"Jaclyn Kinkade's death is a terrible tragedy that highlights the need for a comprehensive national effort to prevent prescription drug abuse," CVS said in a statement.


Information provided by the manufacturer suggests that the methadone dispensed to Ms. Kinkade was likely supplied to CVS by Cardinal Health Inc. Cardinal was the only distributor to have sold that particular drug to that CVS branch during that period, according to the manufacturer's records. CVS and Cardinal declined to comment.


Last year, the DEA launched a probe of the Florida-based operations of Cardinal Health and CVS Caremark. The agency alleged they dispensed "extremely large amounts" of oxycodone with signs that the drugs were "diverted from legitimate channels."


CVS said it has "responded to the DEA's concerns, including implementing enhancements to our policies and procedures for filling controlled substance prescriptions." Cardinal settled with the DEA in May, agreeing to suspend sales for two years at one of its key distribution facilities in Lakeland, Fla.


The methadone Ms. Kinkade picked up at the end of her life was made in Hobart, N.Y., by Mallinckrodt, a unit of health-care giant Covidien. "Any death from abuse or misuse of prescription drugs is tragic," Covidien said. "That's why we believe that, as a nation, ending the abuse, diversion and misuse of powerful pain medications is necessary to ensure adequate treatment of pain and access to that treatment for legitimate pain patients."


On May 10, 2010, Ms. Kinkade was stopped by police in Levy County, Fla., for having an expired registration. A drug-sniffing dog reacted to her car and she was arrested for possessing a generic form of Xanax without the correct prescription. This time, her parents let her sit in jail for a couple of weeks while they organized a place for her in a rehabilitation program. They bailed her out May 25 and enrolled her in drug treatment.


Over the next month, Ms. Kinkade went to the treatment program during the day and seemed to improve, her parents said. Then, the evening of June 24, she climbed out the window at her parents' house.


A few days later, on the other side of Florida, she met up with a boyfriend, according to a statement he later gave police. She returned to Doctors Rx Us, where Dr. Smith wrote a prescription for 90 tablets of 30mg oxycodone, according to prescription records. It would be her last.


The next day, Ms. Kinkade filled the prescription at a Walgreens in Beverly Hills, Fla. The oxycodone would have come from Walgreen's Jupiter, Fla., distribution center, a company spokesman said. On Sept. 14, the DEA barred that facility from selling controlled substances, alleging that it failed to maintain effective controls to stop large amounts of oxycodone from reaching the black market. "When [companies] choose to look the other way, patients suffer and drug dealers prosper," Mark Trouville, the DEA special agent in charge, said at the time. Walgreen said in a statement it is cooperating with the DEA.


The oxycodone came from the New Jersey plant of Actavis, a Swiss pharmaceutical company. In April, Actavis was bought by Watson Pharmaceutical in a $5.8 billion deal awaiting regulatory approval. An Actavis spokesman described Ms. Kinkade's situation as a "tragic occurrence" and called for discussion on "how to prevent such cases in the future." A Watson spokesman cautioned against action that would make it harder to treat legitimate patients. He said the company supported educating patients about the drugs' proper use.


The morning of July 4, Ms. Kinkade's boyfriend found her sitting cross-legged and slumped in his room at a white, low-slung house tucked behind a trailer park. The medical examiner said she died from a drug cocktail including oxycodone, methadone and methamphetamine.


Ms. Kinkade's physical decline made such an impression on the detective who investigated the case that, two years later, he still recalls the scene. In the living room, he noticed a poster of Ms. Kinkade modeling for a biker magazine.


"Wow, she's a beautiful young lady," Detective Matthew Taylor remembered thinking. "When I actually saw her, it was as different as night and day."






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Monday, December 24, 2012

Fasting 101: Rebooting The Body's Hard Drive: Rejuvenating, Life-Extending And Removes Deadly Toxins






When Diet Is Wrong Medicine Is of No Use.
When Diet Is Correct Medicine Is of No Need.
~Ayurvedic Proverb


Intermittent Fasting 101








What is Fasting?

Fasting is a period of abstinence from all food or specific items. Fluids are consumed in sufficient quantity to satisfy thirst and physiologic requirements. During the absence of food, the body will systematically cleanse itself of everything except vital tissue. Starvation will occur only when the body is forced to use vital tissue to survive. Although protein is being used by the body during the fast, a person fasting even 40 days on water will not suffer a deficiency of protein, vitamins, minerals or fatty acids. In the breakdown of unhealthy cells, all essential substances are used and conserved in a most extraordinary manner. There is an unwarranted fear of fasting that strength diminishes from the catabolism of proteins from muscle fibers. Even during long fasts, the number of muscle fibers remains the same. Although the healthy cells may be reduced in size and strength for a time, they remain perfectly sound.

A. J. Carlson, Professor of Physiology, University ofChicago, states that a healthy, well-nourished man can live from 50 to 75 days without food, provided he is not exposed to harsh elements or emotional stress. Human fat is valued at 3,500 calories per pound. Each extra pound of fat will supply enough calories for one day of hard physical labor. Ten pounds of fat are equal to 35,000 calories! Most of us have sufficient reserves, capable of sustaining us for many weeks.

Rest is understood to be a big factor in enhancing recovery, as it is when the body is at rest that it is able to direct the most energy towards the various chemical and mechanical processes of detoxification. When fasting, a person experiences recovery at a rate that is swifter than normal. You are ridding the body of toxins and excesses; allowing the body to use its own wisdom to healthfully reorganize itself from the atomic level. As the toxic load is reduced, the functioning of every cell is enhanced. In the same way that vital nerve energy is accumulated during a night's sleep, the faster builds nerve energy through rest, sleep, and detoxification.

The human body has many ordinary modes of achieving elimination: the liver, lungs, kidneys, colon, etc. When these are overloaded, the body will resort to "extra ordinary" methods of elimination: boils, mucous and other discharges, sweats, vomiting, diarrhea, and many others. Should elimination be impossible or uneconomical of body energy, the toxic overload will go into storage forms in the joints, vessels, muscles, organs; almost any tissue in the body. While fasting, the body is highly conservative of its energy and resources. During this deep and profound rest, toxin intake and production are reduced to a minimum while autolysins and elimination proceed unchecked. Anabolic processes such as tissue and bone healing also proceed at a maximal rate during the fast.

In the body, the first stage of cleansing removes large quantities of waste matter and digestive residues. The first few days of a fast can be rough due to the quantity of waste passing into the blood stream. The tongue becomes coated and the breath foul as the body excretes waste through every opening. After the third day of the fast, there is little desire for food. The second stage is the cleansing of mucous, fat, diseased and dying cells, and the more easily removed toxins. As the fast continues, the cleansing process becomes more thorough. The last stage is the cleansing of toxins that have been accumulating in your cellular tissue from birth, and the microscopic tubes that carry vital elements to the brain. Cleansing of the last layer is only possible through a combination of juice fasting, water fasting, and a healthy diet high in raw foods. To overcome a severe disease like cancer, it is important to continue through a series of fasts, to the point where the full scouring action of catabolism removes the disease from the tissue.

During extended fasts the body removes: dead, dying and diseased cells; unwanted fatty tissue, trans-fatty acids, hardened coating of mucus on the intestinal wall; toxic waste matter in the lymphatic system and bloodstream; toxins in the spleen, liver and kidney; mucus from the lungs and sinuses, imbedded toxins in the cellular fibers and deeper organ tissues; deposits in the microscopic tubes responsible for nourishing brain cells and excess cholesterol.

Nearly everyone who fasts, discovers the same thing, that when they fast they actually have no hunger and more energy than they normally have. It is indeed liberating to find out that if we let go and trust that we will be taken care of. Fasting is the simplest, easiest and most effective way to find out that we do indeed have the power and freedom to heal and take control of our bodies.

Why Fast?

Probably the most important reason is that the body uses quite a bit of energy to digest food, and when fasting this energy becomes available for other uses. In the fasting state, the body will scour for dead cells, damaged tissues, fatty deposits, tumors, abscesses, all of which are burned for fuel or expelled as waste. The elimination of these obstructions restores the immune system functionality and metabolic process to an optimum state.  Fasting restores good digestion and elimination, and peristaltic action is quickened. Fasting allows a deep, physiological rest of the digestive organs, and the energy saved goes into self-healing and self-repairing. 

By eliminating obstructions, by cleansing, detoxification, and purifying the intestines, the blood, and the cells, we can overcome many of our physical ills or handicaps as well as getting a boost in energy. Fasting not only removes obstructions and helps the body to heal itself, it is also rejuvenating and life-extending. These resulting benefits can have lasting affects in your mental and emotional health.

The other very important aspect is that your self-awareness will be elevated. If you are sick and depressed, then this might be the most important thing you can try in your healing program, because it gives you immediately an energy boost and increased awareness which might allow that you see things more clearly, allowing you the first step out of your sickness and onto the path of recovery. 

While fasting you become more aware of your body process, your life and with everything you are doing. It becomes a period where you can evaluate all that you're doing more objectively, and you naturally have more time for contemplation because you aren't using time amassing, preparing, eating, eliminating and cleaning up all which is used to prepare food. You become more aware of what your body likes and doesn't like when you start to eat again. You gain self-confidence in your ability to control your life process, to set a goal and carry out an intention.

Fasting Enhances Mental Acuity

Perhaps the most instructive testimony as to the acuteness of mental powers during fasting comes from Dr. Herbert Shelton who supervised the fasting of more than 40,000 people over a period of fifty years. His message is that the freer the body is of toxic materials flowing through the blood and lymphatic system, the clearer is the ability to think.

These facts are due to physiological causes. Large amounts of blood and nervous energies have to be sent to the digestive organs to digest a meal. If these energies are not required there, they may be used by the brain for better thinking. This increase in mental acuity doesn’t usually happen until after the first few days of a fast, because the body is busy cleaning out excess toxins and substances and so the first few days can be a period of depression, with headaches and various pains as this process is underway. This makes the first stage of fasting difficult but after the body has thrown off it’s load of toxins, then the brain is fed by a cleaner bloodstream and the mental powers and clarity of thought are extraordinarily increased and the other senses also become more acute.

One’s mind becomes clearer and one’s ability to think and solve intricate problems is enhanced. One is simply more alert, and one’s mind seems to open up into new fields. The mental and physical senses are heightened, and often there can be a feeling of euphoria, especially during longer fasts. Some, for the first time, will experience emotional stability. The reasons for this are multifold - the elimination of the emotional dependence on food, exclusion of stimulating foods like caffeine, processed sugars, recreational drugs, tobacco and trans-fatty acids, all of which can have a devastating effect on delicate emotions.

Dr. Ehret stated an amazing fact at the turn of the 20th century. He said that, for a water fast to awaken the higher mind



functions, it had to be longer than 21 days. Fasting has a history of awakening intuitive senses, creativity, and deeper spiritual questions in those with enough determination to get past the 21 day mark.

Healing

During a fast, a metamorphosis occurs. The body undergoes a tearing down and rebuilding of damaged materials. For this reason, fasting is famous for its ability to rejuvenate and give the body a more youthful tone. Why does fasting have such a powerful effect in healing the body? Fasting dissolves diseased cells in a systematic manner, leaving healthy tissue. The result is a thorough cleansing of the tube, membrane and cellular structures. There is a remarkable redistribution of nutrients in the fasting body. It hangs on to precious minerals and vitamins while catabolizing on old tissue, toxins and inferior materials.

Each cell of your body is a complete living entity with its own metabolism. It needs a constant supply of oxygen and sufficient nourishment. When due to nutritional deficiencies, sluggish metabolism, sedentary life, overeating and consequent poor digestion and assimilation of food, lack of fresh air and insufficient exercise and rest, our cells are deprived... they start to degenerate... the normal process of cell replacement and rebuilding slows down and your body starts to grow old, its resistance to disease will diminish and you become ‘sick’.

Animals will naturally fast when they are sick or injured, and when we are ill, our hunger diminishes. If we get out of the way and allow nature to take its course, we will find that we can heal from any problem. Since the dawn of recorded time, in fact since before the word "doctor" came into existence, priests provided sanctuaries where people could go to fast. Whereas modern medical practitioners admit that they have no cures, only drugs that mask the symptoms while causing yet other symptoms to appear.

“I had a medical practice for 20 years in NYC, supervised hundreds of long fasts, and I found that the physical healing or weight loss was but a pleasant side effect. What really happened is that the person got in touch with their higher self, their true self, and came to the experience that healing can take place at every level, simply by letting go and allowing Mother Nature to do her work.” – Dr. Rai CaseyDr. Casey.

Fasting Has Been Beneficial For These Conditions:

Although fasting is not recommended in every situation, (cancer of the liver is one instance where fasting is contraindicated), in many situations fasting is the only known solution. Fasting has been beneficial for arthritis, asthma, high blood pressure, lupus, chronic fatigue, colitis, Crohn's disease, diverticulitis, spastic colon, irritable bowel, cases of paralysis, neuritis, neuralgia, neuroses, and mental illness as well as many others. Fasting will also break down tumors and for this reason, many have overcome cancer with fasting.

Fasting Decreases Dependency on Authorities

How many of us believe that when we get sick, that a doctor is going to save us from pain and death? We just assume that the technology is going to be able to repair us when we break down, by giving us a pill, a treatment or a surgery. We are so alienated from our bodies that we think that a doctor knows more about us than we do. The reality is that doctor’s don’t have the cures that we need, what is offered by the traditional system of healers is only the possibility to treat our symptoms never being able to cure us or root out the cause. When we take these kinds of treatments to suppress our symptoms instead of the cause, which is the underlying reason we are sick, goes unattended, then in fact our illness continues to grow. We will never be healthy until we take responsibility for our own health. We need to stop blaming the outside for making us sick, whether it is corporations, a person, our immediate environment or a government, and to recognize instead that our sickness is a symptom telling us something inside needs to be addressed. For sure there are outside influences that we can’t control, but there is much that we can control by taking responsibility for ourselves and working to change our habits.

Benefits of Fasting:

  • Mental Clarity Is Improved And Brain Fog Is Lifted.
  • Rapid, Safe Weight Loss Is Achieved Without Flabbiness
  • The Nervous System Is Balanced
  • Energy Level And Sensory Perception Is Increased. The Longer The Fast, The Bigger Increase In Energy And Vitality. You Normally Need Less Sleep.
  • Organs Are Revitalized
  • Cellular Biochemistry Is Harmonized
  • The Skin Becomes Silky, Soft, And Sensitive
  • There Is Greater Ease of Movement
  • Breathing Becomes Fuller, Freer And Deeper
  • The Digestive System Is Rejuvenated And Becomes More Effective; The Peristaltic Action Of The Intestines (The Cause of A Natural Bowel Movement) Is Stronger After Fasting.
  • Fasting Retrains Your Tasting Sense Back To More Healthy Food As Acute Sensitivity Is Restored.

Fasting can increase confidence in our ability to have control over our lives and our appetite, and that our body is self-regulating and a self-healing organism capable of establishing balance when given the possibility to do so. Normal metabolic and cell oxygenation are restored.

Detoxification - as soon as the body realizes that it's fasting it will begin to eliminate those things that cause disease, such as fat cells, arterial cholesterol plaques, mucus, tumors, stored up worries and emotions.

One Day Fast

One way to start is to fast one day, working towards fasting regularly, one day per week or for longer periods of time. You can fast from all food, or only from solid food. You can choose a one day fast with only:

  • Water
  • Fresh Fruit Juice
  • Fresh Vegetable Juice
  • Raw Fruit
  • Raw Vegetables
Avoiding During The Fast:

Cooked Vegetables, Cooked Whole Grains, Whole Grain Flour Products, Bread, Pasta, Etc. Vegetable Protein, Soy Products, Etc.

Dairy: Milk, Cheese, Yogurt, Ice Cream, Butter, Eggs,
Meats, Fast Food, Junk Food, Prepared Foods, Etc.,
Chemicals: Sugar, Caffeine, Artificial Flavoring, Sweeteners, Etc.

Do Not Consume Any Drugs, Nicotine And Alcohol During The Fast.

Water Fast

You Can Fast From 1 to 40 Days. Try To Drink 2 Liters of Water or More Per Day.

The ten day water fast has become a recommended number of days. Ten days on water will cause the same weight loss as 30 days on juice. But water fasting is far more difficult, especially if you have a fast metabolism. Water fasting cleanses the body aggressively removing toxins rapidly. Water fasting can be more beneficial than juice fasting in combating more persistent forms of cancer, cleansing the tissues more aggressively.

Water fasting demands mental preparation, the less pressure and responsibility you have during a water fast the better. Think of it as a holiday away from the normal patterns of living. Some recommend that the week before your fast, you drink fresh juices and eat mostly raw fruits and vegetables to cleanse the body so that the detoxification during water fasting will be less aggressive. Water fasting should always include two or three days of juice fasting before and after the water fast. This alternating between juice and water fasting is the most effective method of achieving a full cleansing through fasting.

Water Fasting Tips

Avoid water straight from the faucet. Distilled water is the best for cleansing because of its inherent, magnetic properties and ability to absorb and suspend large quantities of toxins, flushing them from the body. The perceived value of mineral water is misleading because the inorganic minerals are like huge boulders to the cellular membranes, making them impossible to assimilate. Plants are able to break down the minerals from the soils, allowing them to be completely absorbable to the cells of the body. The best water is distilled, secondly, spring or filtered.

There are no calories or nutritional value in water. On a water fast you have given your body no options but to turn to itself for fuel. This can create a problem when you have spent years depositing counterfeit fuel. Living exclusively on dirty fuel during a fast takes tremendous courage and strength. To ease into water fasting some recommend juice fasting with periods of water fasting. For example 3 days on juice, 2 days on water, 5 days on juice, then 3 days on water. You can juice when you have to work and water fast on the weekend when you can rest.

Water Fasting Concerns

It is not advisable to water fast under the conditions of hyperglycemia, hypoglycemia, schizophrenia or a chronic heart condition. If you have existing conditions it is best if you consult with a fasting expert and/or be monitored throughout your fast.

Be careful of dizziness and black outs. The heart is resting as much as it can during water fasting. Before you stand up, take one or two deep breaths to get the heart pumping. If you start to black out, sit down or crouch down on one knee. This will immediately stop the dizziness.

Master Cleanse Fast

The Master Cleanse or Lemon Cleanse is between a water fast and a juice fast. Basically it consists of drinking a mixture of freshly squeezed lemons, water and maple syrup for a period of 8 to 40 days. It is easier to do than a water fast because you are still getting nutrients and energy from the lemons and the maple syrup. This fast can be done while still maintaining your normal work, yet is less calories than what you would get from a juice fast. It is normal to lose weight on this fast and it is excellent for cleansing the colon. For full details on how to do this fast see the following link: Stanley Boroughs Master Cleanse

Juice Fast

Juice fasting is safe and can allow the body to clean itself of toxins while greatly improving conditions for health. A benefit is that your energy level is high because you are receiving sufficient nutrients from the juices, so you can carry out normal activities. A juice fast takes some burden off the digestive system and frees up some energy for accelerated healing though a water fast does much better in that regard. Also, juices can make available extra quantities of nutrients that a person might lack. Juices are easy to assimilate and take hardly any digestive energy from the body, allowing the body to put more energy into healing and rejuvenation. Packed with vitamins, minerals, living enzymes, antioxidants, phytochemicals, yet low enough in calories to force the body to cannibalize on its filthy waste, propelling you to vigorous physical health and clarity of mind.

For your first fast and for the purpose of healing disease most experts recommend a juice fast over a water fast. Fasting on water has become a near impossible exercise for a body that has been nurtured on poisons. The juice of fruits and vegetables are filled with healing and cleansing properties that allow the body to gently and safely detoxify. Juice fasting has become an effective stepping-stone to water fasting. Through juice fasting, thousands of individuals have been freed from serious diseases such as cancer, leukemia, arthritis, high blood pressure, kidney disorders, skin infections, liver disorders, alcoholism and smoking.

The thirty-day juice fast is a standard. This length of fast feels about right because after 30 days it seems like you have been fasting forever. Less then 30 days and you can miss the best experiences of the fast. If you are juice fasting, a few days on water occasionally will intensify the fast and assist with weight-loss if you have a slow metabolism.

Most people can juice fast safely for up to 30 days. The exceptions are those with hypoglycemia, diabetes, hypo thyroid, and Wilson's Syndrome. For these conditions, eat slices of avocado and banana every few hours, add high quality vegetable source protein powder to your juices, and add psyllium or another good bulking agent to your juices twice a day to regulate blood sugar levels. Do not juice fast if you have impaired kidney function.

The amount of juice you drink will determine the intensity of cleansing. Drinking small amounts of juice supplies fewer calories, thereby increasing detoxification. The more intense the cleansing, the greater the discomfort. Juice fasting allows you to have control over the process of elimination. However, when the body enters a cleansing crisis due to toxins in the blood, no amount of juice will eliminate the discomfort. You must wait it out.

Drink all-vegetable or all-fruit juices, never combine fruits and vegetables to create juice. Make your juice from fresh vegetables or fruits. You can also include herbal teas with honey, vegetable broth, Barley Green, wheat grass juice and supplements helpful for your specific condition. Drink juice whenever hunger develops until pleasantly full as opposed to stuffed full. It is best if you filter or strain the juices, removing any excess fiber or pulp so that you continue to give the digestive system a rest. Also if it looks like you are not losing weight on your fast, you can dilute the juices with water.

You may consider modifying the fast by including quarter slices of avocado or banana to slow the cleansing process. Modified juice fasting is good for those with health restrictions such as diabetes or hypoglycemia. Bananas and avocados are slow to digest and maintain a stable blood sugar level. Their high calorie content slows the intensity of the fast and, because they are easy to digest, the body still devotes energy to cleansing.

Preparation For Your Fast

Inform yourself about fasting: by doing your own investigation, reading all you can about the fasting process, the various kinds of fasts and what you can expect as side affects. If you have a pre-existing health condition then you should find out if there are contrary indications with fasting and your condition.

Determine Your Cleanse Duration And Time Period:  Try to arrange that your fast is in a time period where you have low activity. Avoid heavy kinds of work if at all possible. When it comes to long fasts and an inability to handle a long fast, you just do the best you can. When detoxification increases as it does during fasting, the liver, kidneys, lungs and immune system work extra hard to handle the load. If these systems were already compromised before the fast, one must proceed carefully. You go as long as you can tolerate it, whether physiologically or emotionally, and then come back to eating again. Once you have some energy and are a few steps further toward health, you can consider doing another fast. Several short fasts can definitely do wonders if one long fast cannot be undertaken. Long fasts are preferable to short ones because once the body is in the fasting state it cleanses systematically into the harder to get at body tissues.

For this reason, most of the recoveries from illness have taken place in the latter parts of long juice or water fasts. Long fasts give the body the uninterrupted time to do the work of healing. The first few days of fasting gets rid of the gross waste products of digestion, but only after this can the body pull out its tools to get to work on healing.

Frequency of Fasting

Of course, the best is that people stay on a good daily health regime and then when the need comes to fast to go ahead and do it for a week to 10 days or longer if indicated. At least long enough to move completely into the fasting physiology and accelerated detoxification.  Ideally people should fast once or twice a year just as a tune-up to deal with the environmental toxins and junk in our foods as well as the emotional build up. Traditionally people have fasted in the spring and fall, when the weather is mild.

Activity Level

It is good to at least have mild exercise and movements with short walks to keep the lymphatic fluid moving and to the keep the vascular system working.  The amount of exercise you can do is very much dependent on your existing condition and how you are feeling that day and what kind of fast you are doing. Basically one needs to be alert and listen to one’s body and not to overdo. Fasting is resting, not a marathon! You may feel weak during a water fast and may need to rest more often. While juice fasting, you may experience an abundance of energy that makes exercise easy. If you experience energy loss, limit yourself to stretching exercises, light walking or deep breathing.

Proteins and Fasting

It was theorized that protein loss during fasting was harmful and that a fast should be supplemented with protein. Fasting with protein became known as the Opti-fast.

Achieving Longevity Through Caloric Restriction

Fasters took nothing but water and a protein drink. Sadly, several people died. Protein digestion during the fasting state created an overload of urea and the blood become acidic. In this condition, the organs become more damaged instead of healing. To the body, fasting is a natural process. During water or juice fasting, the protein levels of the blood remain constant. Although protein is being utilized, a person fasting 40 days on water will not suffer a deficiency of either protein, vitamins, minerals or fatty acids. In the breakdown of dying and diseased cells, all essential substances are available while fasting for reuse within the body. These dead cells are utilized in a systematic manner.

Protein deficiency is non existent in North America. You never hear of anyone being diagnosed with protein deficiency. Fruit and vegetable juices have water-soluble highly absorbable proteins. The body has a store of protein, and it uses it selectively. Dying cells are the first to be used and healthy and vital tissues are the very last and will only be used as a last resort. Only during starvation is protein being stripped from healthy tissue to be used to survive. This may take 30 to 80 days of fasting on water to reach this point.

The systematic searching of cells to be metabolized is crucial in the healing of cancer. A cancer cell represents protein and calories. Some cancers are so persistent that you have to force the body to choose between healthy cells and cancer cells. This requires a long fast on small portions of juice combined with days of water fasting.

Aiding Elimination of Toxins

Enemas: If you are not having natural bowel movements then an enema is advised to move out the toxic material that is being scoured by your body. You will feel much better after taking an enema. An enema can be taken daily in the beginning days of a fast, then bi-daily for the remainder using just plain water.

Mucus: It is common, during fasting, for the nose and throat to pass sticky mucus, clogging the sinuses. White strands of mucus may be found in the stool. You may find that you are more comfortable if you use a Neti Pot to clear the sinus cavities, to prevent getting a cold with the clogged sinuses. You can also drink lemon juice with water to help clear the mucus.

Showers/Bathing:  Plan to shower or bath daily to aid in cleaning the pores and assist the removal of toxins. The skin is a large organ and many toxins are removed through the pores causing a gummy deposit on the surface of the skin. It may help to brush the skin removing the sludge that is deposited there.

Reactions from Fasting

The 'healing' reactions you get from fasting are dependent on your existing health and the toxic load present in your body when you start. The first three days can be the most difficult until one's appetite for food goes away, which it normally does after the third day. Many people experience headaches, joint pain and other discomforts in the first few days. Your tongue will become coated and your breath foul, and you may notice increased body odor. These are all normal detox reactions as the toxins move out of your body. With extended fasting you will notice some days are symptom free, then as you move into deeper layers of detoxification you will experience episodes of symptoms as your body cleanses these other systems.

In the later stages you remove the mucous from your system and this can increase your likelihood to catch a flu or a cold. At times you may feel weak or tired, so you should listen to your body and rest. Periods of high-energy and mental clarity will be experienced and can be variable, alternating between periods of healing reactions and symptom free days. With extended fasts it is normal to also have strong emotional reactions that have been suppressed, as the body brings these to the surface also for healing... This can be a difficult period, but can be dealt with more easily with meditation or Emotional Freedom Technique (EFT). The cleansing response that happens is dependent on experience with fasting, current health and level of toxins and sickness in your body.  If you have an existing health condition, it is possible that you get a strong healing reaction or healing crisis. A link to a page describing this reaction in detail is given below.

If cleansing responses arise (headache, stomach upset, mental fog, lethargy,.etc) exercise great patience and take rest until symptoms pass. It's all part of the process. Always go to your capacity but never over-do. If unreasonably strong physical or emotional symptoms occur, it may be wise to discontinue. The following are common reactions and what can be done to ease the symptoms while you are fasting.

Spiritual

As the system detoxifies, many of these spiritual aspects of ourselves that have been waiting to come through for a long time are finally able to, and that person, hopefully fasting in an environment that is calm and serene and peaceful and loving, will be able to express and deal with these spiritual phenomena such that it can have a very beneficial and positive effect. Meditation, EFT and other tools can be used to help relate to spiritual and emotional phenomena.

Weight Loss

Weight loss can initially be as high as three to four pounds per day, but as the fast continues, the average loss will be one pound per day. If you are juice fasting and not losing weight, the juice is supplying all the calories you need. You may have to cut down on the juices or alternate between water fasting and juice fasting if losing weight is part of your goal. The slower your metabolism the slower the weight loss. If you are thin or average weight and you fast for 30 days on juice or 10 days on water, you will become thin. Ribs will show, the face will become gaunt, and friends and family will display concern. But the body will quickly normalize its weight in 5 to 10 days after the fast. If you are thin to start with, fasting may allow you to gain additional weight after the fast. Metabolism is normalized due to the cleansing process. It is very important not to try to gain weight too quickly. The body can rebuild only at a set rate. Overeating will burden the body and undermine the rebuilding process.

Dizziness

You may experience dizziness, if you do get down on one knee and the dizziness will stop immediately.

Backache

Back pain may increase due to toxins in the lower intestine. The blood vessels that draw nutrients from the colon are very close to the nerves of the spine. Back pain often decreases after elimination of the toxins. Back exercises also can relieve some pain. A cold pack also will help. An enema may be in order...

Bad Breath

Waste passes through the lungs which are an eliminative organ. Brushing the tongue with a tooth brush, using dental floss and rinsing with mouthwash will reduce bad breath.

Canker Sores

These may develop from a toxic buildup in the mouth. Unhealthy bacteria increases between the teeth. The tongue becomes coated with waste. To stop cankers, gargle with sea salt mixed with water several times daily. Dabbing the sore with tea tree oil or vitamin E quickens the healing process.

Cold Virus

Mucoid is the perfect food for viruses. Toxins weaken the immune system. When large quantities of toxins and mucus are in the blood due to a fast, they can cause a susceptibility to colds. To fight a cold, continue fasting to eliminate the mucus. Reduce the liquid intake and drink lemon juice.

Blackouts

During fasting the body conserves energy. The heart pumps slower and blood pressure lowers. Standing or moving quickly from a resting position will cause the blood to flow to the legs. For a few seconds, the brain may not get enough oxygen, causing blackouts and dizziness. To stop a blackout get down on one knee or sit. Lowering your center of gravity will instantly stop a blackout. Blackouts are more frequent during water fasting.

Diarrhea

Fruit juices have a laxative effect that is more pronounced after water fasting. It can be stopped by using the enema. Using psyllium husk during diarrhea will help regulate the system.

Strong Emotions

Try to journal, EFT, meditate, talk a walk, or rest.

Headaches

Toxins can cause muscle tightness in the neck and shoulders. This can result in tension headaches. Massaging the neck and shoulders will help relieve the tension. The herb Fever Few, which is available in health food stores, is well worth trying.

Mucus

Drink lemon juice with water, combine with a Neti Pot.

Muscle Tightness

The muscles may become tight and sore due to toxin irritation. The legs can be the worst affected as toxins accumulate in the legs. A self massage, hot baths, stretching and exercising will help to release the toxins.

Nausea

When waste is released too quickly by the lymph glands, some of the toxic overload is taken by the liver and secreted with bile into the stomach. This causes nausea. Drinking water or carrot juice will dilute the bile and toxin mixture helping to flush it from the system.

Nervousness

The elimination of toxins can irritate damaged nerves. Exercise will relieve tension. Use quarter slices of avocado to slow the fast or drink fruit juice if on a water fast. However, you should note that any food intake may cause one's hunger to return and make it more difficult to stay on the fast, just do the best that you can.

Skin Disturbances

The skin may become oily as rancid oils are purged from the body. People with problem free skin may have a few days of pimples or boils. A pallid complexion is also a sign of waste in the blood. When cleansed of mucus and toxins, the skin will be healthy, soft and unblemished.

Tiredness

Tiredness is normal during water or restricted juice fasting. If the tiredness is too much, increase the quantity of sweet juices like melon and carrot juice.

Pre-Existing Conditions

Heart Disease

Include bananas and avocados when juice fasting to balance the blood sugar level. Toxins in the blood and reduced blood sugar levels may cause a weak heart to labor. Like any other organ, the heart needs nutrients, a toxin free environment, and time to heal. Also if one has the disorder of POTS it is advisable to take salt so that the blood pressure does not get too low.

Hypoglycemia

Do not juice fast unless you use bananas and avocados to balance the blood sugar level.

Kidney Problems

Fasting can irritate damaged kidneys due to the amount of toxins they filter. Try short juice fasts of 3 to 5 days before progressing to longer fasts.

Liver Disease

The liver can become toxic due to abuse. If the liver is badly degenerated, cleansing must be done in stages. Start with short juice fasts and lead to fasts over five days. Avoid heavy proteins, refined flours and fatty foods. Eat meals of fruits or vegetables between the fasts.

Age

Nobody is too old to fast - it is exactly what the body needs to feel young again. Shorter fasts are recommended to start. Assess your physical state as you proceed. If juice fasting becomes too intense, bananas and avocados will lessen the intensity by slowing the cleansing.

Ulcers

Fasting will help significantly. Choose the juices that do not irritate the condition.

Healing Crisis

(The Cleansing Reaction, The Detox Reaction, or The Herxheimer Reaction.)

During your fast you may enter into a healing crisis, which indicates that a deeply seated sickness is being healed, but also this means that you are going in reverse through the reactions that you went through as your sickness progressed. This is normally a good thing, because it shows that there is a major healing happening, but the downside is that it is not easy to go through because of the uncomfortable reactions that cause pain, etc. If you are feeling quite ill then you should read through the healing reaction article to try to determine if this is what is going on with you or not. It may be advisable to check with your medical professional at this point, to try to determine if you want to continue the fast or not. For more information read the following article: Healing Reaction

Going Off Your Fast

"It’s a fact that eating causes a cycle of hunger. It’s only when we stop eating that we lose hunger"  Think about it. All fasting experts agree that hunger sensations are usually lost on or shortly after the third day of fasting, and sometimes don’t return for weeks, but when they do return, usually very strongly, it’s the time to break the fast.

But all fasting experts point out that it is important to resume eating very lightly, and very gradually, in exact relationship to the duration of the fast. Therefore, if breaking a 40-day fast, you may want to start with only small quantities of fruit juice for several days up to a week, before actually resuming with solid food like regular fruit.

Important:

Keep the first solid meal light and simple even though the mental temptation to dive into heavier favorites will probably be high. Be gentle with your digestive system and your digestive system will not only thank you but the overall benefits of the cleanse will last much longer. If you were on a water fast, then your first day can be juices, if your were on a juice fast, then your first day should be raw vegetables or fruits. The next meal may include heavier items such as potato, avocado or corn, but in any case you will notice that your body is very sensitive to what you eat and you should use this period of transition to learn more about what your body likes and doesn't like you to put into it.

When waking up a slumbering digestive system, the desire to eat will be intense. The flavors and textures of food will be enhanced by super clean nasal passages. Eating will be a brand new experience. This is the time to flex your new-found muscles of discipline and self-control. As the body screams, I want more, wisdom whispers, you have had enough.

Eating small amounts of raw fruits and vegetables for the first five or six days will allow the body to gently wake up the digestive system. The body will continue to detoxify and cleanse during this period. Any toxins that have accumulated will begin to move due to the sweeping action of the soft fibers of fruits and vegetables.

For six days gradually increase the amount of raw fruits and vegetables in your diet. To break a fast and gorge on meat, bread or junk food will be disaster. Jarring the system this intensely when the digestive system is in a sensitive state can cause stomach cramps, nausea and weakness, negating much of the benefits of the fast.

Eat slowly and chew your food well. Saliva has enzymes that assist in digestion. Up to 80 percent of the starch, 30 percent of the protein and 10 percent of the fat can be digested by the enzymes in saliva.

Do not overeat! Discover the amount of food that your body needs to live a vibrant, healthy life. Discern the difference between cravings and hunger. Never feed your emotions.

When breaking a fast over ten days, the break-in period should be extended one day for every 4 days of fasting.

Greater Sensitivity - Restored Senses
An interesting phenomenon occurs after a fast. The years of conditioning your body to tolerate unhealthy foods is reversed. The body is as clean as a newborn baby. Try feeding a newborn baby Grandma's apple pie.

When the body is full of toxins, its defense systems are not able to operate effectively. After a fast the natural defenses are restored and sensitivity to unhealthy food is increased. You will feel satisfied with smaller amounts of food and sluggish and tired when overeating. Rich foods, full of fat, salt, and processed sugars will cause nausea, headaches and weakness. A handful of fruit will be thoroughly satisfying. Because the digestive system has to work less, there will be boundless energy to spare.

Why? After a fast your body is clean, and has far less tolerance to the poisonous foods that you were used to eating previous to the fast. Understand, feeling sick when eating poison is a sign that your body is functioning normally. Fasting restores the body's ability to violently react to harmful, health damaging, food. If you really desire, you can desensitize your body by slowly introducing harmful foods back into your diet, but why should you? You need to better select your food carefully, even though it is not possible to avoid toxins as these are everywhere. So fasting as a regular cleaning is important and will keep you healthy.

References/Links


Sugar: The Bitter Truth




HUNGERSTRIKE! - By Dr. Ria Casey


Sun Meditation by BeiYin

Additional Reading:

Dr. Herbert Shelton, Founder of The Natural Hygiene Society, supervised more cases of fasting (at his sanitarium in Texas) than almost any other fasting doctor, and has written extensively on this subject with many case studies of people who healed near-incurable diseases with fasts ranging from a couple of weeks up to 90 days.    

Shelton Authored The Following Books, And More:

  • Fasting Can Save Your Life
  • Fasting For Renewal of Life
  • Food Combining Made Easy 
  • Getting Well
  • Superior Nutrition
  • Facts About Fasting
  • Health For All
  • Health For the Millions
  • Living Life to Live it Longer
  • Rubies in the Sand
  • Natural Hygiene
  • The Pristine Way of Life
  • The Science and Fine Art of Fasting
  • The Science and Fine Art of Natural Hygiene
  • Human Life:  Its Philosophy and Laws
  • Human Beauty: Its Culture and Hygiene

Medical Disclaimer




































































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