Diet Mania...Diet Confusion...Diet Frustration

Life and Nutrition Are Not Simply Food Choices

Paul A. Goldberg, MPH, DC, DACBN, DCBCN
Director, The Goldberg Clinic, LLC

The Public’s interest in diet matters continues to skyrocket. Many earnest individuals attempting to overcome chronic disease view the right diet as being the key component. Along with the increased interest, the level of hucksterism, dogma, and commercialism has also exploded. All of this has led to ongoing confusion among the population including the chronically ill patients entering our practice.

My interest in health, diet and nutrition began in the 1960’s when I read Dr. Weston Price’s Classic Work Nutrition and Physical Degeneration. Later, as a young man, I scoured through popular nutrition and diet books by a multitude of authors ranging from Arnold Ehret to Adele Davis. I explored nutrition related materials involving Macrobiotics, Biological and Aryuvedic Medicine, Dietetics and completed professional studies in public health, nutritional epidemiology, biochemistry, chiropractic, clinical nutrition and gastroenterology. Today there are a plethora of “diet and nutrition experts” parroting each other, changing positions as rapidly as Jack Russells chasing butterflies. All this is accompanied by a plethora of assorted views presented by the media and entrepreneurs using “nutrition” as a topic to sell books, magazines, websites and products focusing on whatever diet topic is hot.

The bewilderment many of our patients have experienced in seeking dietary solutions for complex health problems is understandable. “This author says eat low fat high carbohydrate and this one says high fat low carbohydrate. Should I eat meat? Is coffee good for you? What about the GMO issue? Should I be a Vegan? How about an “anti’candida” diet? A high fat low carb ketone promoting diet? Paleo? Do I need to eat organic? Should I be gluten free? Yeast free? Grain free? Sugar free? Then there are the medical dietitians whose education is funded and influenced by the food industry who say to follow the “My Plate” Plan, another revision of the infamous old four food groups.

We have heard comments like this for years. Individuals seeking answers to their health issues, hoping to ride a magical diet to health, happiness and long life. Capitalizing on the ongoing diet craze, new books and diet plans hit the internet and bookstores weekly with everyone and their mother calling themselves “nutritionists”, diet counselors or food experts of one type or another. 

Having immersed myself for four decades working with patients to reverse chronic diseases as well as teaching clinical nutrition, gastroenterology and rheumatology to students and practitioners, let me take a stab at reducing the confusion.

We can unwind some of this puzzling topic by discussing five basic points:

I. You Are Not What You Eat

Many well meaning people believe if only they came upon the right diet their health problems would disappear. Humans like other animals are complex and their health is determined by a multitude of inter-related influences. What we ingest (our diet) is only one of these influences. This leads us to number two…

II. Diet and Nutrition are Not the Same.

Diet is simply the choice of foods we consume… therefore if you eat anything, anything at all, you are on a diet! Our nutritional status, however, is complex. Nutrition involves the transformation of the food we ingest (along with the air we breathe and water we drink) into energy and body tissues. Nutrition also includes all the factors that influence that transformation including digestion, absorption, assimilation, cellular excretion and elimination of wastes and (yes there is more) all the factors that influence those factors such as genetics, stress, sleep, sunlight, activity, micro-organisms, etc. When we consider all the processes involved with the transformation of food, air and water into energy and human tissues we soon realize that nutrition is infinitely more complex than simply the diet alone and involves a wide range of physiological, biochemical, microbiological and environmental influences. For this reason, in addressing chronic disease, we must explore many factors that influence our nutritional/biochemical status, not only what we choose to put into our mouth. Diet is not the equivalent of nutrition. Most so called “Nutritionists” are at best simply dietitians which means that their understanding of health and disease as influenced is very limited.

III. Altering Diet Alone is Rarely Sufficient to Reverse Chronic Health Issues.

Whereas diet is but one of many factors influencing nutritional status, dietary alterations, though needed in most chronic diseases, is not sufficient alone. Those factors influencing digestion, absorption, assimilation, cellular excretion and elimination and all the many genetic, environmental and lifestyle factors that influence them must also be identified and addressed.

IV. Individual Needs Considered.

We share a multitude of similarities with each other. Much about us, however, is different, particularly in terms of biochemical variances determined by genetics and environment. These variances determine our needs for nutrients, how rapidly we are able to discard wastes and our level of resistance to foreign materials. No two individuals have the same needs. Based on a single sperm and a single egg there are no less than sixty eight trillion possible differences between any two human beings.  

Each individual has widely different needs for amino acids, fatty acids, vitamins, minerals, carbohydrates and fats. Perhaps even more importantly they have significant differences in their abilities to digest, absorb and assimilate these same components. There are also differences of great importance between individuals in their abilities to excrete and eliminate wastes.

In light of this, a patient’s family background and a wide range of environmental and lifestyle factors must be considered in developing any patient program (including the dietary components). At the Goldberg Clinic we are dedicated to understanding the individual as fully as possible including their social background, environmental factors, their biochemistry, lifestyle habits and importantly, the digestive efficiency of each patient .This takes extensive time and detective work which then needs to be utilized in developing an effective, individualized, plan of action.

V. Timing.

When helping a chronically ill person back to good health we must consider the steps required to create new cells (a process we refer to as “ReCreation”). This includes eliminating old cellular constituents and wastes to make room for new, healthier, ones. This is not a one step process but a series of individualized steps timed in accordance with the patient’s history, exam and lab studies reflecting both genetic predispositions and environmental influences. We cannot simply shove new foodstuffs into a chronically ill, run down patient and expect favorable results. We would not expect an old rusted, worn out car to jump to life by simply putting in fresh gasoline. It has to be analyzed, cleaned and parts repaired or replaced i.e. it has to be broken down and then rebuilt. There are also individualized steps needed to bring the chronically ill person back to good health that require thorough investigation to determine the appropriate sequential steps to be taken, carefully timing each step as appropriate to the patient.


Diet is an important part of nutrition but it is only one part of the nutritional process that determines our state of health. Our health is a culmination of many factors including genetics, environment and lifestyle habits.  Life is a grand cascade of birth and growth involving ongoing anabolism and catabolism.

We descend into illness for a myriad of reasons. Our return to health, likewise, should be understood as a multifaceted process, tailored to individual needs and requirements. To reduce these complex, interwoven, factors into simply choosing one diet or another, with out understanding the intricacies of this thing we call nutrition, will invariably lead to disappointment and frustration. Nutrition and health is more than so many grams of fat, protein and carbohydrate. An interest in diet can help us get started on the path to better nutrition and good health. Diet, however, is only one step on a path that requires an understanding of both the nutrition process itself and the multitude of variables involved in human health.

Reversing Rheumatoid Disorders

Rheumatoid Arthritis and other Rheumatoid Diseases continue to skyrocket in our population. We continue to receive, on a daily basis, the tragic stories of patients who have been treated for these issues with steroids and immunosuppressive drugs which fail to address causal factors and leave patients to experience tragic side effects.  

Most Rheumatoid Disease patients, as well as other autoimmune disease sufferers, can be helped if they address causal factors and have the will to do the work needed to get well as opposed to simply taking drugs, pills and potions.

Below is a reprint of one of Dr. Goldberg's articles on the topic followed by new, recent videos of some of our patients who have worked hard with us and are now both drug free and experiencing a new level of good heath they thought they would never have again.

Reversing Rheumatoid Disorders

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

A Sea of Agony

I know as a former Rheumatoid Disease sufferer, the daily pain that patients endure, making life a sea of agony. Patients often go to a variety of practitioners seeking help, from medical rheumatologists to a myriad of "alternative practitioners." Most find little in the way of answers as to how they can regain their health. 

What temporary symptomatic relief they find from drugs, the mainstay of treatment under medical care, often comes at the price of damaging their health with pharmaceutical side effects. The un-relenting discomfort may drive a person into despair without any hope of being able to enjoy life again. 

The Most Neglected Segment of the Medical Population

Rheumatic Disease Sufferers have rightly been referred to as the most neglected segment of the medical population. Comprising ten per cent of all doctor visits, rheumatoid disease patients typically find physicians who are poorly prepared by their schooling to offer anything more than temporary, symptomatic relief of rheumatic symptoms with prescription drugs while the underlying disease process continues unimpeded. Many physicians may empathize with William Osler, M.D., who commented in his Principles and Practice of Medicine "when an arthritis patient walked in the front door, I wanted to walk out the back one."

The doctor who understands how to determine the underlying causes of autoimmune issues in each patient and becomes proficient in returning the patient to health is a rare commodity that can help difficult cases of virtually any type of illness and be called a master of his art and science.

More Understanding Necessary

When I completed my Masters Thesis on Rheumatoid Diseases at the University of Texas Medical Center in 1978, the health professions were floundering about looking for answers to autoimmune problems. Little has changed in 2009. Newer drugs have evolved that carry with them even greater risks and more alternative pills and therapies have arisen that still do not address causal factors. 

Observations And Personal Experience

I noted during my graduate education in chronic disease control that:

Today, after thirty-five years of practice, teaching and research I am yet more convinced of the validity of these observations and the destructive effects of current modes of addressing autoimmune/rheumatoid disorders.

One Important Key: Functional Analysis of the Gastrointestinal Tract


Patients with autoimmune/rheumatoid syndromes have overall poor health. Digestive issues, fatigue, depression, skin problems, colitis, anxiety, depression, irritable colon, intolerance to cold etc., are all common accompanying problems. The patient's general health and resistance must be addressed along with specific factors if the patient is to return to an improved state of vitality and comfort.

Early in my practice years, I learned the importance of looking carefully into the function of the GI tract in rheumatoid patients. In the gastrointestinal tract, over 70% of the immune system resides. The gastrointestinal tract and the factors influencing it is one of the most promising areas for uncovering answers to many patients' rheumatic disease problems.

It often surfaces that the patient suffers from some level of chronic indigestion. Until the causes of impaired gastrointestinal function have been corrected, good results will rarely be obtainable. Patients with Ulcerative Colitis, Crohn's disease and Whipple's disease all have a high incidence of arthritic syndromes illustrating the relationship between gastrointestinal function and the rheumatoid disorders.

Titles to Scare Patients With

Radio Interview with Dr. Paul Goldberg on Rheumatoid Disorders

There are many rheumatoid disease titles but most serve little use other than to terrify patients who often feel they have been handed a death sentence. This is understandable since under medical care Rheumatoid Disorders are typically chronic, painful, progressive and disabling. What other outcome should be expected when only the patient's symptoms are addressed and the causes remain untouched?

There are about a dozen common drugs employed for Rheumatoid Disease Patients by medical physicians at any point in time with frequent switching from one drug to the next as the patient's condition worsens or side effects appear from the drug's usage. 

Pharmaceuticals used change over time. Steroids, whose side effects include severe osteoporosis, diabetes, mental instability, adrenal atrophy and progressive muscle wasting to Vioxx (taken off the market after much initial fanfare, for serious side effects) to Methotrexate (originally employed for cancer and infamous for producing liver damage) to the newer much touted "'Biological Drugs" e.g. Enbrel, Remicaide and Humira that disable a portion of the immune system from performing its tasks and carry risks including tuberculosis, other infectious diseases and cancer. No drug can build health and all drugs carry risks. We might categorize them by saying: Enjoy some symptom relief now (maybe) and pay like hell later.

As each new drug hits the market there is initial excitement at the "newest discovery" followed by the announcement of dreadful side effect(s) patients on the drug begin to exhibit. This is what happens when employing pharmaceutical agents to suppress symptoms without understanding the causes of those symptoms. The medical treatment of rheumatoid disease resembles a tortured man stumbling around a dark road without a ray of light to guide him. Ongoing disability, disappointment and pain with no hope of health restoration. This is the outcome of treating symptoms rather than addressing causes, improving function and taking the needed steps to restore health.

The Alternative Medicine Crowd

You might think that one critical of the medical profession's approach to autoimmune/rheumatoid diseases would sing the praises of the "alternative" practitioners who avoid pharmaceuticals and advocate "natural" potions and therapies including Homeopathy, Herbology, Acupuncture, Naturopathy, Bach Flower Remedies, Orthomolecular therapy and legions of other "alternatives". This diverse hodge-podge of alternatives, (each one promising more than the last), are particularly prone to target those with rheumatoid issues. The alternative practitioner may have a medical, chiropractic, osteopathic, naturopathic, or other degree or none at all. They may claim to have special status because they have a medical degree from Harvard or studied under a guru in Tibet but it makes little difference if the causes of the patient's disease are not uncovered and addressed. To the extent the alternative practitioner might also suggest some diet reform, sunlight, increased sleep and encourage the patient to reduce their intake of drugs…to that extent something positive might be achieved. It must be emphasized, however, that the hawking of the latest potions, even when done with great fanfare using pseudo-science or pseudo- religion is a path best avoided. Patients are still grouped into broad categories as if they will all benefit from the same nostrums despite being vastly different from each other while the causal factors responsible for their conditions remain untouched.

What Is Needed

What is needed is neither Standard Medicine nor "Alternative Medicine", but a cause oriented, health-promoting, approach that identifies and addresses causal factors. The roots of such an approach were established by the works of Hippocrates and the School of Hygeia many hundreds of years ago in ancient Greece. Today, the Goldberg Clinic has modernized this basic approach in a form we refer to as the Bio-Hygienic System

At the Goldberg Clinic, we have built on the Hippocratic Tradition of seeking out the causes of ill health and developed a comprehensive approach we consider neither "standard medicine" nor "alternative medicine." The Goldberg Clinic Bio-Hygienic System™ is based on my personal experience with the trials and tribulations of rheumatoid disease as a young man…as opposed to treating symptoms. I am no genius but have been given the opportunity to learn from the school of hard knocks and a wealth of experiences that over the years have opened my eyes to the need to take a causal approach to overcoming chronic illnesses and to focus on restoring good function and health as opposed to treating symptoms.

Identifying Causes… Addressing Those Causes… Building and Restoring Health

"Treating" rheumatoid diseases has proven to be a dangerous road to travel. Ask those who have suffered the side effects of steroids, Vioxx, Celebrex and the newer "Biological" agents that have resulted in serious infections and cancers. The great fanfare heralding drugs for patients with autoimmune disorders soon diminishes as the devastating side effects that occur with them become known. Rather than foolishly looking to pharmaceutical companies to be our salvation we must work to address and rebuild health in a disciplined, logical manner.

Those who continue to seek out drugs as their solution tragically learn in time that "all that glitters is not gold." The same is true for those who seek cures through "alternative medicine" with treatments that also fail to address causal factors.

Recent Testimonials from the Goldberg Clinic (

Chronic Disease and the Time Factor in Recovery

Paul A Goldberg MPH, DC, DACBN, DCBCN

Returning to health from Chronic Disease takes right action, perseverance, effort and time.

Chronic Diseases last a very long time. In the practice of medicine, chronic diseases involve a lifetime of disease management while the patient sinks further and further into a degenerative state. The Goldberg Clinic Bio-Hygiene System has a much more optimistic goal of returning patients medically diagnosed with chronic diseases to a state of reliable health and vitality and the methodology to make this possible for many chronically ill people.

This is not to say that the road back to good health from chronic disease is either easy or quick. Returning to health from Chronic Disease takes right action, perseverance, effort and time. The BioHygiene System of the Goldberg Clinic, individually implemented, has returned thousands of patients with serious chronic illnesses to health, but it is not a miracle. It is the outcome of understanding causes and building health as opposed to treatment of symptoms. BioHygiene does not supersede Natural Law nor try to bend or break it. It works with Nature to create the right actions and conditions for health to have the opportunity to return.

Patience is a virtue required to accomplish most important objectives in life. Unfortunately it is in short supply. Many people today are in a frenzied hurry to get what they want… and they want it now. When in discomfort they want a cure, instant relief at the flick of a finger and the writing of prescription.

Chronic disease develops over many years. To lose our health takes an extended period of time, usually many years, as the body continually does its best, even under adverse conditions to retain its balance. Likewise, to regain our health even with the right effort, also takes an extended period of time. Acute diseases, which almost always precede chronic disease, are addressed more rapidly by the body as by definition they have been present for a shorter period of time and are not well ingrained in the individual. In acute illness, the body is rarely as debilitated as it is once we have evolved into chronic illness. Once the body has entered a state of chronic disease, however, it has succumbed to whatever abuses have been heaped upon it and is no longer is able to bear up to the burdens it has been made to endure. It has given up the fight. At this point a careful evaluation and plan of action need to be created in order to create the conditions necessary for it to regain its energies and recover.

Overindulgence in food, excessive exercise, work, poison habits such as drugs, alcohol, poor diet, lack of sleep, mental stressors and lack of positive health giving influences such as sunlight and fresh air rest are common predecessors to chronic disease. These factors and others are involved in the building of chronic disease and must be ferreted out and addressed if we are to have hope of recovery. Simply burdening the patient with toxic drugs, hormones, supplements of all kinds and a variety of treatments unrelated to causal factors is sure to fail as millions of chronically ill people can testify to.

In BioHygiene we delve into the patient's past often uncovering numerous long-term etiological factors in the evolution of their disease. These have over time caused the body’s defenses to capitulate and must be addressed. Drug usage is common in our population from both legal and illegal, prescription and over the counter indulgences. Alcohol is engaged in freely and widely accepted. Many are foolish enough to believe, based on studies sponsored by the spirits industries, that alcohol, a cytotoxic, mutagenic material, is healthy for us in “moderation”. Many think the same for marijuana. We want to believe what we want to believe. We want to continue to engage in the behaviors that got us ill and yet recover our health anyways. Nature, however, is blind to such foolishness.

The term moderation in all things might be better put as moderation in all good things. 

Even behaviors beneficial for us in moderation such as exercise, work, sexual relations, and good quality foodstuffs are destructive when engaged in to excess. The term moderation in all things might be better put as moderation in all good things. 

Chronic disease is created step by step over an extended time. When the first signs of ill health appear with indigestion, fatigue, skin outbreaks, joint and muscle pains and other acute symptoms most seek out medical or alternative medical treatments and cures that have not the least bearing on why those problems started. Covering up symptoms leads to the progression of the acute problems into a variety of chronic disease over the years.

Commonly engaged in and accepted behaviors such as taking antibiotics, antacids, steroid usage, hormone replacement and a variety of painkillers are employed for everything that ails us but the problems are left untouched. The body therefore must then deal not only with the problems themselves but also with the toxic effects of the potions and pills, including numerous nostrums and remedies from the Alternative, Functional and Complimentary Practitioners, that are eagerly utilized by an ill informed public. For those suffering with episodes of acute disease, recovery will likely occur despite all these medical and alternative medical treatments. In time, however, chronic disease evolves and all the drugs and nostrums of these practitioners prove to be nothing more than ongoing interfering factors in recovery despite the patient’s faith that if they only find the right drugs or supplements their health will return. It is a fool’s paradise. Years of poor diet, sunlight deprivation, lack of fresh air, destructive sleep habits, multi-tasking and long hours staring at television, video games and computer screens starting at a young age along with other factors, combine to form a perfect storm for the genesis of chronic diseases and pills, potions and nostrums, whether medical or alternative medical, cannot address these. Causes must be identified and addressed and hard work initiated with a high degree of perseverance and patience.

Chronic diseases take time to create but today many begin to suffer as children. Allergies, asthma, behavioral disorders are rapidly increasing in terms of both quantity and severity as we create young people with poor resistance to disease and increasing sensitivities to their environments. Our neighborhoods appear deserted and are no longer active with children playing in their yards and in the streets.  Where are the children? In their closed rooms dumb stricken by the screen on their computers playing video games and talking on their cell phones using the latest “Apps”… all this is now swept into the realm of normalcy and no one sees it as strange any longer.

If not already sickly and weak as children, as we enter our twenties a few aches and pains appear. Most tend to ignore the messages given. Bowel issues, constipation, diarrhea, allergies, the new plague of eosonophilic esophagitis, behavioral disorders, autism, skin problems, early distortion of visual acuity, all are signs things are not right and that chronic disease lurks outside the front door. We respond by treating symptoms with drugs and potions, continuing our mis-behaviors till years later a chronic disease develops as if “out of the blue”. When diseases medically called names such as rheumatoid arthritis, digestive diseases, neurological problems, inflammatory bowel diseases, and other chronic diseases appear we imagine that we must have caught something and run to the Medical or Alternative Medical Physician to make it disappear with a pharmaceutical wonder, little realizing that we have been the architects of our diseases and that our health has been on the decline for many years.

As the culmination of adverse habits, behaviors and emotions comes to the surface and chronic disease titles are assigned, a short cut back to health is desperately sought after. Chronic diseases occurring through a combination of genetics and wrong living over half a lifetime, cannot be resolved overnight. Health cannot be restored without addressing causes and doing the hard work of rebuilding the body appropriately.

After doing a thorough investigation as to causal factors through an extensive interview, physical examination and laboratory analysis, all part of the BioHygiene System, we present the findings to the chronically ill patient with our thoughts on what factors contributed to the evolution of disease in the particular patient’s case. An initial plan is presented to start with. The patient is instructed that they should not expect instant relief and that ups and downs are likely. This will include in many cases some initial weight loss and exacerbation of symptoms as the innate healing potential of the body is supported and the tearing down of old tissues and building up of new ones, with all the metabolic processes this entails, commences.

Despite being forewarned, some expect near instant relief from a condition that took half a lifetime to develop. Some also want to continue to engage in the same habits that led to the disease in the first place. The glutton wants to continue in their gluttony, the over-exerciser and work addict wants to continue to overwork and over exercise. The drug taker wants to continue their litany of pharmaceuticals to dull any discomforts.

Some of these patients have often been under the care of the Medical Matrix for five, ten or more years hoping that the taking of poisonous drugs would solve their problems while they simultaneously engaged in their destructive behaviors. Upon starting a BioHygienic Program, some expect that by identifying and addressing causal factors that they should feel well in a matter of a week or two.  Not only is instant relief expected but also the patient wants to continue the same habits that led to his or her problems and/or keep taking the drugs that have proven to be destructive. Insanity is defined as doing the same action over and over again and expecting a different result. When we engage in the same habits that resulted in our being sick and expect to get well anyway, we meet that definition.

There are those willing to enact some aspects of the plan. A patient for example might be willing to change their diet but not give up over-exercising. Another is willing to give up coffee, but it is not convenient for them to get to bed prior to midnight. Some will cherry pick what changes they will make and which they won’t. Nature, however, once chronic disease has begun, is not so selective or so forgiving. The will to get well has to be accompanied by a commitment that includes addressing all the factors that led to the genesis of disease, including all hygienic factors. Nature does not make bargains.

We are sympathetic to the patient who says they must continue with the job they hate for financial reasons. We understand the patient who contends they must continue to work a nightshift or work overtime on a regular basis even though that does not allowing themselves the opportunity to obtain sufficient rest. We are sympathetic with the student loans to pay off, the escalating house mortgage, sending little Jimmy to the expensive private school and a host of other reasons that are argued for not being able to follow the needed health reform methods that are suggested in any particular case.

Our being sympathetic and understanding however does not get the job done. Nature demands what nature demands and we don’t have the power to negotiate with her, as some patients seem to think we can. Sacrifices have to often be made in recovering our health…we sometimes must retreat from the battle in order to win the war and that might mean cutting back on the amount of hours we work, forgoing the expensive family vacation one year, and sending Jimmy to a public school so that his Mom or Dad can reduce their working hours and have a shot at recovering their health. It might mean going to marriage counseling, going to bed early, halting obsessive exercise habits, eliminating poisonous drug and food habits and addressing a myriad of health destroyers.

How long does it take to recover from chronic disease? There are many factors involved in making this estimation. How old is the patient, how much reserves do they have to effect healing with, how many drugs have they taken in the past and for how long, what is their genetic background, what body parts if any have been removed, how well do they adhere to instructions given, how disciplined are they in following through. What is their home environment like i.e. is it conducive to healing? What is their level of familial support? Will they give full attention to all the aspects needed for healing rather than just focusing unduly on a single aspect such as diet, exercise or supplements? Can they take responsibility for the restoration of their health under our guidance and stay the course? Over the years thousand of our patients have and their pictures, testimonials and before and after lab studies showing dramatic changes in their inflammatory indices, blood sugar levels, blood lipids and other markers of health and disease bear solid evidence to the value of identifying and addressing causes and having the determination and perseverance to carry out the needed instructions despite the effort that is required. To have the will to get well. See two examples of this to the right.

Good health once lost impacts all aspects of our lives. It turns a world of marvel and beauty into one of pain and sorrow. To regain it takes right actions. It takes perseverance. It takes time.   

Paul A. Goldberg, MPH,DC,DACBN,DCBCN
Director, The Goldberg Clinic

Case Study: Eosinophilic Esophagitis, Chronic Skin Outbreaks, Autoimmune Alopecia, Chronic Allergies

Case Study: Eosinophilic Esophagitis, Chronic Skin Breakouts, Autoimmune Alopecia, Chronic Allergies | June 2017

Kristy presented with a variety of autoimmune/allergic health issues. She had taken numerous drugs prescribed by her MD including steroids and ant-acids but her condition worsened over time.

Kristy reports 80-90% overall improvement in her health since coming to the Goldberg Clinic. Her skin is clear, her hair has regrown and her allergic tendencies have reduced substantially. She is drug free. 

See video interview with Kristy (left) and before/after pictures below.

Skin Deep?


A Closer Look at Dermatological Issues

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

Skin issues are a common reason patients come to the Goldberg Clinic, sometimes as a primary issue, sometimes secondary to other issues they suffer with. Our patients have experienced both the disappearance of their skin issues and a most pleasant new beauty to their skin even though we never treat skin diseases. How is that possible?

The skin is the largest organ of the human body covering us from head to foot.  It is, however, much more than a mere covering…it is living tissue interacting with both the outside world and the inner world including the immune, digestive, endocrine and nervous systems. The skin is reflective of a person’s general state of health. In addition, inside the body we are compartmentalized with skin like membranes covering the genito-urinary tract, auditory canals, vagina, urethra, gall bladder, etc.

In our practice we see patients with chronic skin disorders of many varieties, yet we never “treat” skin disorders. Rather than treat the outside layer of the body (the skin) we seek out and address the causal factors responsible for the patient’s impaired health that have manifested through the skin.

Skin issues are both health issues and appearance issues. We all care about the way we look and the skin is the single most important organ in that regard. The billions of dollars spent on cosmetics, face lifts, tanning beds, facials, and millions of office visits to Dermatologists every year all speak to this.  The majority of dollars spent, however, only go “skin deep” i.e. the application of lotions, creams and pharmaceutical agents can at most have only superficial effects on the skin’s health. The skin’s good health depends on the health of the rest of the body from which it derives its blood and nerve supply... its sustenance and direction.

We applaud Dermatologists for identifying skin cancers and other pathologies and in executing surgical procedures such as the removal of warts and other growths. The Goldberg Clinic does not offer any form of medical diagnosis or treatment for skin disorders or any other medical condition. We strongly encourage all patients with chronic skin problems to seek the advice of their family practitioner, internist or dermatologist prior to or in conjunction with consulting us. While many skin conditions respond favorably to improving the overall health of the body through bio-hygienic/nutritional reform, it is prudent to also have a medical evaluation to rule out any serious underlying medical pathologies. In most cases patients consulting us have been to a medical physician prior to seeing us for medical treatments. Throughout our patient handouts and literature we make clear that the Goldberg Clinic does not “treat”  skin disorders of any type…yet by improving the general health of the body and addressing underlying nutritional and lifestyle issues many patients find that their skin problems greatly improve.

Dermatological Care as in other areas of Medicine largely involves the treatment of symptoms as opposed to causes. There are a plethora of medical names for skin disease symptoms such as acne, dermatitis, eczema, impetigo, moles, psoriasis, rashes, ringworm, rosacea, vitligo, etc., each of which has a set of pharmaceutical treatments used to address them. Unfortunately, the treatments employed rarely  address the patient’s overall health nor do they identify the causal factors involved in the problem’s genesis. In addition, many dermatological treatments employ steroids, antibiotics and other drugs that both fail to address causal factors and carry the risk of damaging side effects.  It is notable that virtually any drug we apply to the skin will to a greater or lesser degree affect the rest of the body as well as it is absorbed.

A common diagnostic term utilized by Dermatologists is “dermatitis”. The patient enters the Dermatology office complaining of reddened and inflamed skin. The Physician hands the patient a tube of steroid cream or pills and tells them they have Dermatitis. What does dermatitis mean? Inflammation of the skin, i.e. reddened and inflamed skin. The cause has not been identified; steroids suppress the effects but not the cause. The term eczema is also widely bandied about, is of equally little specificity and often treated in the same way i.e. with steroids.

In our practice we see patients with chronic skin disorders of many varieties, yet we never “treat” skin disorders. Rather than treat the outside layer of the body (the skin) we seek out and address the causal factors responsible for the patient’s impaired health that have manifested through the skin. It is rare to find a patient with chronic skin problems who does not have other complaints as well.

Indigestion, fatigue, constipation, diarrhea, gas, bloating, depression, lack of appetite, insomnia, headaches, migraines, arthritis, muscular pains, back aches, irregular menses, allergies, are all just a few of the many complaints that may accompany skin disorders. Determining what the causes of these problems are and addressing them thoroughly serves us best in returning the skin to good health and the rest of the body along with it. It is of no surprise that patients who come to us complaining of other issues are commonly delighted at the improvement of their skin’s condition as their other health issues dissipate and their vitality increases.

Our patients know that in reversing chronic health issues the body has to often go through stages of healing that include ridding itself of toxic materials that have been stored up in the body. As this occurs, one of the eliminative channels utilized is the skin. It is not difficult to understand, therefore that in the recovery process a patient’s skin may at first go through an increase in their symptoms as wastes are discarded, prior to the restoration of the patient’s well being. This exacerbation is generally followed, however, with a great improvement in both the patients overall health and a dramatic improvement in the appearance and health of their skin. Discipline and persistence are sometimes critical to get the job done.

Those patients who have taken years of steroids, antibiotics and immunosuppressive drugs will have the greatest challenges to overcome. We have patients who have taken such drugs for five, ten or more years prior to seeing us. They will need to not only address the original reasons for their skin issues but also will also face the task of dealing with the toxic effects and dependency these pharmaceuticals bring with them.

Skin diseases are no different than other health issues in that the same basic steps must be taken:

  1. Identify the reasons for why the skin issues are being manifested. Naming a skin disease does not accomplish this. Dermatitis, eczema and psoriasis are not causes of themselves.  It is our long experience that each patient will have different reasons for having the skin problem they have even though they may have been given the same medical diagnosis.
  2. Address the causes identified by guiding the patient through the steps needed to create the conditions for the restoration of health.

Health issues, whether primarily involving the skin, the bowels, the lungs, heart, immune system or any other system of the body all require addressing causes. They all require work on the part of the doctor to identify those causes and the dedicated work of the patient in addressing those causes with the doctor’s guidance.

The rewards of not only good skin health but of a high level of overall bodily vigor and vitality, of real health, make the work well worthwhile.

Psoriasis Before.jpg
Psoriasis After.jpg

Click here for video interviews and more before/after pictures of patients at the Goldberg Clinic who came to see us with a variety of chronic skin disorders.