Case Study: Chronic Indigestion, Chronic Fatigue, Hormonal Imbalances, Acne

The Goldberg Clinic
Chronic Disease Reversal

Jillian presented with a long history of chronic health issues. She had seen numerous Physicians over a 20 year period and took various drugs, treatments, supplements, therapies and tried numerous diets without success. Her symptoms worsened over time.

A thorough work up was performed at the Goldberg Clinic including a case history, physical exam and appropriate laboratory studies. In just 3 months, Jillian reports 70-80% overall improvement in her health. She is drug free. The improvements seen came by addressing causal factors and without the use of drugs, herbs or other treatments/therapies (see video interview with Jillian to the right).  

Small intestine bacterial overgrowth (SIBO)

Small intestine bacterial overgrowth (SIBO) is a common gastrointestinal disorder that often underlies chronic gastrointestinal symptoms of mal-digestion and malabsorption, including bloating, gas, diarrhea, irregularity, and abdominal pain. It is frequently associated with allergic, autoimmune, and gastrointestinal disorders including Inflammatory Bowel Disease (Crohn's/Colitis), Rheumatoid Arthritis, Ankylosing Spondylitis, Psoriatic Arthritis, Lupus, GERD, etc. 

Jillian had a significant bacterial overgrowth of the small intestine which likely developed as a result of repeated medical treatment with antibiotics and ant-acids (see our video "The Hazards of Ant-Acids"). Jillian's before and after SIBO test results are shown below

Before (March 11, 2016)

After (May 27th, 2016)

Eosinphilic Esophagitis, Digestive Issues, Thyroidectomy, Chronic Fatigue, Seasonal Allergies

Madison came to the Goldberg Clinic in 2015 with a medical diagnosis of Eosinophilic Esophagitis. She was also suffering with chronic indigestion, acid reflux, fatigue and seasonal allergies. At the Goldberg Clinic, a thorough evaluation was performed and an individualized program was developed for Madison to follow. Madison reports 80% overall improvement in her health in just 4 months. 

See Madison's medical history below. 



Madison's Medical History

2010: Goiter on Thyroid detected. Diagnosed with Hypothyroidism.
2010: Thyroidectomy. Hormone replacement (Levothyroxine) prescribed.
2011: Diagnosed with Eosinophilic Esophagitis.
2011: Surgical dilation of esophagus three times due to strictures. Prescribed Flovent and Prevacid. 
2013: Began experiencing rashes and hives. Prescribed steroids. 
2015: Hospitalized for one week due to yeast infection in the esophagus caused by Flonase/steroid treatment.  
2015: Yeast infection treated with Diflucan and Nystatin. Madison's overall health continues to worsen. 

January 2016: Madison comes to the Goldberg Clinic. 
May 2016: Madison reports 80% overall improvement in her condition. 


Elevated Liver Enzymes, Pre-Diabetes, Elevated Risk for Heart Attack and Stroke

John came to the Goldberg Clinic in 2015 with a medical diagnosis of Elevated Liver Enzymes. His test results also showed that he was pre-diabetic and at elevated risk for heart attack and stroke. At the Goldberg Clinic, a thorough evaluation was performed and an individualized program was developed for John to follow. John's test results have normalized, his energy levels have improved and he lost 15 pounds while under our care. He is drug free. See John's before/after test results below. 



Lab Tests: Before and After

Hemoglobin A1C (marker of blood sugar regulation) reduced from 6.0 to 5.8. 
HsCRP (marker of inflammation and cardiovascular disease risk) reduced from 3.4 to 1.1.

Liver Enzymes Before (12/21/15)                                                           Liver Enzymes After (4/1/16)

Recent Success Story

Chronic Migraine Headaches, Allergies, Asthma, Fatigue

Peter came to the Goldberg Clinic in 2015 having suffered with chronic migraine headaches, asthma, allergies and fatigue. His symptoms made it difficult for him to attend school and engage in normal daily activities. After just 3 months of care, Peter reports 90% overall improvement in his condition. He is drug free. 

HsCRP is a measure of systemic inflammation. Peter's level of inflammation was elevated initially at 3.7. It is now well within normal limits at 1.5.

Ankylosing Spondylitis and Other Autoimmune Disorders

We Can Turn The Tide

Paul A. Goldberg MPH,DC,DACBN,DCBCN 

In a somewhat morbid sense, it is fascinating to see how the list of “auto-immune” diseases continues to expand. When writing my Thesis entitled “A Biological Approach to Autoimmune Disorders” at the University of Texas in 1978, most sources listed 40 to 50 autoimmune disorders. Today the list varies from 80 to over 160. New diseases? No, these are new symptoms affecting different areas produced by increasing environmental, nutritional, lifestyle and pharmaceutically induced alterations in our species. We start our journey at birth with over 64 trillion potential differences between us based on genetics. Add environmental variations introduced from pharmaceuticals, altered food products, toxic chemicals, radiation, electric fields and a myriad of biologically altering lifestyle variations now influencing us and the affects become mind boggling. If one grows up with the changes, the drugs, the altered foods, the cellular world, it seems normal for the new abnormal is being swept into the realm of normalcy. 

Part of this maladaptation to the new but not improved world is a massive increase in autoimmune disorders. Ankylosing Spondylitis is one of them.

AS is characterized as an autoimmune disorder, similar to RA but targeting the spine. In those afflicted, bridging forms from vertebra to vertebra till, in advanced cases, the spine become solidified and rigid as opposed to having individual, mobile vertebra (see images below). The SI joints tend to fuse and the patient’s mobility can be severely limited, reduced to a fraction of what it would normally be, with the muscles, ligaments and tendons likewise affected. The “disease” is also known as Marie Strumpell Disease.

Radiograph of A.S. Patient. Bony Bridging. 

Radiograph of A.S. Patient. Bony Bridging. 

This, however, is not a problem confined to the spine. The body is affected systemically, particularly the joints, eyes, cardiovascular system and GI tract. Patients often find themselves seeing a rheumatologist, gastroenterologist, and ophthalmologist all prescribing many of the same drugs including NSAIDS, Steroids (see article "Problems with Prednisone"), pain killers and TNF Alpha Suppressing agents that carry with them dangerous side effects including cancer and serious infections (see article "The Dangers of Biological Drugs). The patient is advised that their condition is progressive and “incurable.” This is the standard line within the Medical Profession from your local corner M.D. to the Mayo and Cleveland Clinics.

Indeed under medical care the “condition” is incurable as drugging the patient does not provide any health promoting affect nor address causal factors. The medical profession points out that 95% of the people so diagnosed express the HLA-B27 antigen. This is of no help to the patient’s attempts at recovery for medically the condition is "incurable" and taking a medical approach to these issues makes that a virtual certainty.

The first mistake is assuming that all patients diagnosed with “AS” are the same. They are not. They can have a genetic tendency towards the disease but that does not doom them to have the problem. Other people have the HLA-B27 antigen and do not exhibit signs of A.S. Our genetics is not our destiny...not by a long shot. Environmental/Nutritional/Biochemical Factors can turn genes on and off. Under the right conditions, which differ from patient to patient, individuals can modify the way their genes are expressed. How this is done differs, depending on individual factors, requiring a thorough evaluation of the individual patient.

The routine prescribing of steroids, painkillers and immunosuppressant agents by medical professionals for autoimmune disorders, is, in my opinion, a tragedy and dooms these persons to a life of ongoing degeneration and little hope.

It has been my long experience, including my own case, that most patients with A.S. can be improved. In cases where the etiological factors are identified and the causes addressed the progressive nature of the disease, like other autoimmune issues, can be halted and in most cases significant reversals of the patient’s illness can be made (see video interviews with two of our patients to the right). This requires hard work on the part of the patient. The earlier the patient begins their journey back to health the better. Cases of advanced bridging of vertebra can be assisted but the farther the disease has progressed the less the opportunity for a full recovery. Nonetheless, overall improvements in vitality, increases in mobility and reduction of pain without the use of drugs are frequently possible even in advanced cases with a motivated patient willing to undergo a thorough evaluation and do the hard work needed.

Incurable? Yes, under medical care. Is it impossible for patients with autoimmune conditions to regain their vitality? Only if we are going down the wrong road, for no matter how far we travel down the wrong road we will never reach our destination.

Taking the right road by seeking out and addressing causes and establishing the right conditions for health along with being perseverant can lead to remarkable improvements in A.S. and other autoimmune conditions. I have witnessed this repeatedly in Recreating the Health of motivated patients with autoimmune disorders for over 40 years.

Related articles by the Goldberg Clinic:

1)  Reversing Rheumatoid Arthritis
2) Tackling Inflammatory Bowel Disease
3) Problems with Prednisone: Why Inflammation is Not the Enemy
4) The Dangers of Biological Drugs (part I)
5) The Dangers of Biological Drugs (part II)