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Recent Success Story: ADHD and Digestive Issues


Case Study: ADHD and Digestive Issues

August 2014

Patient presented with a medical diagnosis of Attention Deficit Hyperactivity Disorder along with digestive issues. The patient's Pediatrician recommended Ritalin to help control his behavior which was refused by his parents. At the Goldberg Clinic, a comprehensive case history, physical examination and functional laboratory work was performed and key underlying factors were identified. Based on the data collected, an individualized program was developed for the patient to follow. After 3 weeks of care, the patient's mother reports significant improvement in her son's behavior and the resolution of his digestive complaints. 


Lessons for Recovery: Garrett's Case

David Tener, DC

Important Lessons from Garrett's Case

1) Multiple Symptoms, Multiple Doctors, Multiple Treatments.

Many patients come to the Goldberg Clinic having been diagnosed medically with numerous conditions. Their history often includes multiple visits to multiple Physicians and specialists who manage and "treat" each so called disease. Garrett's case is a classic example of this all too common scenario.

Garrett's list of diagnoses and Physicians included:

  • Proteinuria (protein in the urine)-->Nephrologist
  • Hematuria (blood in the urine)-->Nephrologist
  • Psoriasis-->Dermatologist
  • Back Pain-->Chiropractor
  • Fatigue-->Self treated with stimulants (coffee/caffeine)

Garrett's health problems were not separate and distinct issues but rather a manifestation of causes that had not yet been addressed. Rather than "treat" each issue separately (commonly done in conventional medicine, alternative medicine and functional medicine), we set out to identify the root factors involved and to address them directly. All of Garrett's symptoms improved simultanously as his overall health and function improved over time.  

2) The Critical Role of the Gastrointestinal Tract in Systemic Illnesss

Garrett's case illustrates the important connection between the gut and autoimmune/allergic/musculoskeletal conditions. His laboratory tests revealed digestive disturbances which over time resulted in numerous food sensitivies and other immune reactions that affected his joints (back pain), his skin (Psoriasis) and his kidneys (blood/protein in urine). Over 75% of the immune system is located in the gut. Improving Garrett's digestive function and reducing stress to his immune system was key to a successful outcome. 

The following list includes some of the many problems associated with digestive disturbances:

  • Fatigue (Garrett)
  • Depression
  • Arthritis
  • Allergies (Garrett)
  • Fistulas
  • Hemorrhoids
  • Low back pain (Garrett)
  • Sacroilleitis
  • Psoriasis (Garrett)
  • Joint Pain
  • Uveitis
  • Iriditis
  • Heart disease
  • Kidney issues (Garrett)
  • Ankylosing spondylitis
  • Fibromyalgia
  • Generalized rheumatism

3) The Relationship Between Digestive/Immune Disturbances and Musculoskeletal Symptoms. 

Low back pain is a common problem for which approximately one in four adults seeks treatment in a six-month period. It is commonly treated with almost every modality known to man including prolonged bed rest, narcotics, surgery, heat, cold, exercise, flexion, extension, traction, massage, adjustments/manipulation, muscle relaxants, etc. 

For back pain with purely mechanical causes (injury, trauma, etc), mechanical treatments and modalities can be supportive in the recovery process. When trauma or injury is not the cause, however, mechanical treatments generally provide only temporary relief at best often leaving the patient dependent on continuous treatments and therapies. This was the case with Garrett, who was receiving frequent Chiropractic adjustments and massage therapy which afforded him only temporary relief (see video: 5:12).

Garrett's case illustrates well the relationship between digestive/immune disturbances and systemic effects such as low back pain. Poor digestion creates inflammatory byproducts, all of which have the potential to irritate nerve and muscle fibers and create joint dysfunction. As Garrett's digestion and biochemistry improved and the level of toxic byproducts diminished, his low back pain dramatically reduced as did his need for ongoing spinal adjustments and therapies.


Reversing Diabetes 


Creating Conditions for Health Restoration…Not “Finding The Cure”

By Paul A. Goldberg, MPH,DC,DACBN,DCBCN

(See case studies below)

Twenty five percent of the U.S. Adult Population now either has diabetes or is classified as “pre-diabetic”. The percentage continues to increase yearly. Despite billions in research and ongoing efforts to raise yet more money for the elusive “Cure” the number of people in the U.S. and the Western World developing diabetes continues to increase rapidly. To counter this Diabetic Epidemic, Modern Medicine herds patients to physician’s offices for diabetic care and to the hospitals for “diabetic complications” while pharmaceutical companies profit by taking in hundreds of million of dollars yearly in drug sales. “Alternative/Integrative” Medicine also capitalizes on the growing number of people with blood sugar issues with a plethora of “remedies”…yet the numbers of people with diabetes grows. These enterprises entail sales and services not only for diabetes per se but also for intimately related problems e.g. cardiovascular disease, arthritis, ocular issues, dermatological problems, infectious diseases, kidney disease, chronic fatigue, obesity, neurological issues, etc. that stem from ongoing irregularities in a person’s blood sugar levels.

A Basic Representation of the Ways in Which We Live

To speak of “Diabetes” as an individual issue unrelated to overall human health and human behavior is to start out on a terribly confused path. Our blood sugar levels are controlled by multiple inter-related systems of the body and by the ways in which we live or behave. A person’s blood sugar level is not simply a question of whether or not he or she can be diagnosed with Diabetes Type I or Type II or with Metabolic Syndrome or Pre-Diabetes, by some pre-set number of how much glucose is in what quantity of blood, it is a basic representation of the ways in which we live and exist as human beings, both individually and as a society.

It is helpful to stand back and look at Diabetes from an Epidemiological Perspective. We know that not only did so called primitive cultures rarely if ever suffer from such problems but that here in the United States, even a hundred years ago, it was far less common.

In England the incidence of Diabetes fell dramatically during WWII with the rationing of sugar, flour and animal flesh, simply because people consumed less food and became more active despite the stress of being surrounded by war.

Among wild animal species diabetes is virtually never seen…yet it increasingly affects domestic animals including dogs and cats when they adopt the Western Lifestyle. Frequently I have seen Diabetic Patients with their equally Diabetic Dog or Cat.

“Research” long ago revealed in the laboratory that the “thin rats bury the fat rats” i.e. that animals with reduced caloric intake who thereby avoided obesity not only avoided diabetes, just as their overweight counterparts acquired it, but that the thin rats were healthier in multiple ways including outliving those who were obese.

An inactive American Population which lives to eat rather than eats to live, who consumes far more calories than they need on a daily basis and who literally stew themselves in corn syrup drenched products and other refined carbohydrates accompanied by gluttonous amounts of animal flesh (also produced by raising animals in factory farms on a corn based diet) will not be able to escape Diabetes. The degradation of our bodies by a lifestyle of overeating and underactivity is the perfect storm for creating the metabolic nightmare that is termed Diabetes often accompanied by Obesity. Add to this lifestyles that are emotionally stressful and lack direct connections to the earth and the progression of our population to a host of “degenerative diseases” that evolve from or contribute to diabetes e.g. heart disease, stroke, kidney disease, autoimmune diseases etc. is inevitable.

The Illusion of Cure: Taking Control of Our Own Destiny

When physicians, scientists and pharmaceutical reps with their white coats, prestigious degrees, and large institutional buildings tell us that we need to follow their recommendations for taking drugs along with “walking for the cure” to raise more money for “research” to “cure” diabetes we obediently fall in line. We seemingly cannot resist the idea that someone else will take our money and come up with a remedy that allows us to continue to live in ways contrary to the laws of nature and yet reap no ill rewards. This is an illusion. 

We know how to prevent most cases of Diabetes. The Epidemiological Data is clear. We are the creators of our own demise or our own salvation. As Pogo said many years ago “We have met the enemy and it is us”. Easier to turn responsibility to the physicians and drug purveyors? Easier to simply “walk for the cure” and think that if only we can raise enough money to support the American Diabetic Association or the Kidney Association or the American Arthritis Association or the American Cancer Association or the American Heart Association, etc. that we can expect salvation? Perhaps. Experience, however, has long proven that such a path is one that cannot realistically be expected to yield positive results.

“If it is to be it is up to me”. There are biological conditions, which generate health and pathological behaviors that generate disease. There are causes for why we become ill.  Once those causes are identified in each person a path can be set for those willing to do the work to become well. Not through drugs…not through “alternative medicine” but by understanding causes and creating the right conditions for the individual in which to foster good health.

The following case studies from The Goldberg Clinic illustrate this important message:

7/25/13: Hemoglobin A1C Before= 11.4 (normal <6)

11/18/13: Hemoglobin A1C After= 5.9 (normal <6)







Important Lessons from Natalie's Case

Important Lessons from Natalie's Case

David Tener, DC 

1) Multiple Symptoms, Multiple Doctors, Multiple Treatments

An all too common scenario...

It is not uncommon for patients at The Goldberg Clinic to have been diagnosed with multiple conditions. They see their Gastroenterologist for their digestive issues, their Rheumatologist for their joint pain, their Dermatologist for their skin issues and if that weren’t enough, their Integrative Doctor for “Natural Remedies” to add to the mix. They come to see us with bags full of medications, supplements, and alternative treatments, all prescribed by different doctors managing each so called “disease.” What the patient and their doctors fail to recognize is that each symptom or condition is a not separate and distinct issue, but rather a manifestation of causes that have not yet been addressed.

Natalie’s case clearly illustrates the connection between chronic digestive issues, skin problems such as Eczema and Acne and Chronic Fatigue Syndrome. As Natalie’s digestive function improved, her skin and energy level followed suit….all without treating symptoms but rather by addressing root underlying causes and employing the proper health promoting behaviors for function to be restored.

2) The Treatment Train

The medical management of Natalie’s symptoms involved repeated courses of antibiotics. This approach not only failed to address the causes of her health problems but also contributed to the development of secondary issues over time including frequent Urinary Tract Infections for which more antibiotics were then prescribed (See cartoon below). As her condition worsened over time, Natalie's medical doctor's recommended surgery to remove her gallbladder.

3) Bumps on the Journey, Trusting the Process and The Will to Get Well

Natalie’s road to recovery was not easy. She had to endure periods of discomfort (Bumps on the Journey) as her body performed its work in “purging” (Natalie’s words) old materials and waste products that had accumulated in her system over time. Despite outside pressure from friends and family, Natalie trusted the process and noticed her overall health improving significantly following each healing crisis. Periods of detoxification and renewal gradually resulted in a 90% overall improvement in a period of 90 days. Natalie earned back her health with hard work and persistence. She had, as Dr. Goldberg calls it, “The Will to Get Well."

4) “Real Healthcare is Self-Care”  ~Dr. Paul Goldberg

At the Goldberg Clinic it is our goal to assist patients in getting well while at the same time teaching them how to stay well so that they can begin to take care of themselves in the future. We worked closely with Natalie as we do with all of our patients to teach her the proper health promoting behaviors to maintain the improvements she’s made and continue to build upon them over time.

No one should have to rely on doctors of any kind (including those at the Goldberg Clinic) for the rest of their lives. Real healthcare is self-care. 



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