Regaining Health From Chronic Disease…A Different Challenge.


Paul A. Goldberg MPH, DC, DACBN, DCBCN
Director, The Goldberg Clinic for Chronic Disease Reversal

Diseases under medical management last indefinitely…literally a lifetime… while the patient sinks further and further into a deep abyss. The Goldberg Clinic, utilizing an individually applied Bio-Hygienic Approach to chronic disease reversal, takes a more optimistic view. Our optimism is backed by a history of over forty years of returning chronically ill patients to reliable health.

Our optimism is backed by a history of over forty years of returning chronically ill patients to reliable health.

The road back to good health from chronic disease is rarely easy or quick. The BioHygiene System has returned thousands of chronically ill patients to health but it is not a miracle. It is the outcome of understanding causes and re-creating the body as opposed to treating symptoms. BioHygiene does not supersede Natural Law. It works with Nature to create the right conditions for health to return.

There are obstacles that must be overcome with some patients. Patience is a virtue in short supply and some are in a frenzied hurry to get what they want right now. To lose our health takes time and so does regaining it. Once the body has entered into chronic disease it has succumbed to the conditions placed upon it. BioHygiene involves recreating the body to its maximum potential not “treating it”. Old cells must be broken down and healthier cells formed. In patients with chronic disease this can take from 12 to 24 months of intense effort depending on age, past surgeries, drug usage, etc. This is not getting well from a cold or the flu…this is remaking the body and evolving out of chronic disease.


Many patients have lengthy histories involving numerous medical and alternative practitioners, spending tens of thousands of dollars on tests and treatments and only getting worse. Sometimes they carry this frustration to our practice. We are sympathetic but ask patients to understand we are not responsible for the care or costs they previously incurred. BioHygiene is a much different approach and requires adapting a new attitude and evolving out of chronic disease as opposed to medical or alternative treatments. When patients come to our office they must be ready to start fresh.

BioHygiene does not mix with medical and medical alternative approaches. We employ interview techniques, examinations and laboratory procedures done to our specifications. We utilize labs we have long experience and confidence in. We interpret and apply the results to our own standards developed since the 1970’s. We do not take insurance assignment, as we will not have insurance companies dictate a medical approach convenient for them. Our patients have been down that failed path.

Overindulgence in exercise, work, sex, drug and alcohol usage, poor diet, lack of rest and sleep, mental stressors and a lack of health giving influences are common predecessors to chronic disease. These and other factors must be addressed if we are to recover. In BioHygiene we delve into the patient’s past uncovering long-term causal factors that have factored into the evolution of their disease.

Chronic disease often begins insidiously starting with digestive issues, fatigue, skin outbreaks, joint pain and other acute symptoms leading most to seek out medical or alternative medical treatments having no bearing on why those problems started.

Antibiotics, antacids, steroids, hormone replacement and a variety of painkillers leave causes untouched. The body is left to deal not only with the initial problems but also with the toxic effects of the treatments including those from the Alternative and Functional Medicine Crowd whose drugs and nostrums often have served to complicate the patient’s condition and interfere with recovery. Plying patients with treatments unrelated to causal factors fails to restore health as millions of chronically ill people can attest to.

Many begin to suffer chronic health issues as children. Allergies, asthma, and behavioral disorders are all rapidly increasing in terms of both frequency and severity. The numbers of young people growing up with poor resistance and environmental sensitivities is increasing. Our neighborhoods are no longer busy with children playing outdoors. Where are they? In their rooms dumbstruck by the screen on their computers playing video games and talking on their cell phones using the latest “Apps”… all behaviors now swept into the realm of normalcy.

If not already sickly as children by our twenties and thirties aches and pains frequently appear. Bowel issues, the new plague of eosinophilic esophagitis, emotional issues, skin problems, etc., all are signs things are amiss and that chronic disease lurks outside the front door. We respond by treating symptoms till later a chronic disease develops as if “out of the blue”. When labeled with titles such as rheumatoid arthritis, multiple sclerosis, diabetes, etc., we imagine we must have caught something, little realizing that our health has long been on the decline.

As the culmination of adverse habits and genetics comes to the surface a short cut to health is sought. Chronic diseases cannot be resolved overnight. Health cannot be restored without doing the hard work of re-creating the body.

The patient is advised not to expect instant relief, that ups and downs are common and that guidance along the way is critical

BioHygiene investigates causal factors through an extensive interview, physical examination and laboratory analysis. We present our findings to the patient detailing what factors we have uncovered that contributed to the evolution of disease. An initial plan that will change over time is presented. The patient is advised not to expect instant relief, that ups and downs are common and that guidance along the way is critical. An exacerbation of symptoms is like to occur initially as the healing potential of the body is increased and the tearing down of old tissues and building up of new ones is given the opportunity to occur. Despite being forewarned some still expect instant relief from conditions that took half a lifetime to develop. Some want to continue the same habits that led to their problems. Insanity is defined as doing the same action over and over and expecting a different result.

There are those willing to enact some aspects of a plan, cherry picking what they will and will not do. Jane is willing to change her diet but not give up her compulsive over-exercising. John is willing to give up coffee but not go to bed prior to midnight.  Nature is not so selective. The will to get well must be accompanied by a commitment that includes addressing all the factors that led to the genesis of disease and to do so on an ongoing, consistent basis. 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 even though that does not allow them to obtain sufficient sleep. We sympathize with the couple sending little Jimmy to the expensive private school that requires Dad to work overtime and other reasons presented for not being able to follow the health reform methods suggested.

Our being sympathetic, however, does not get the job done. Nature demands what nature demands and we don’t have the power to negotiate with her. Sacrifices have to be made to recover from chronic disease…we often must retreat from the battle in order to win the war. This might mean cutting back on the hours we work and sending Jimmy to a public rather than private school so Dad can reduce his working hours. It might mean going to bed early, eliminating poisonous drug and food habits and addressing a myriad of other health destroyers.

How long does it take to recover from chronic disease? The patient’s age, what reserves they possess, their drug history, genetic background, level of familial support, etc. all are considerations. Will the patient give full attention to all aspects needed for healing or just focus on a single aspect such as diet or supplements ignoring other recommendations?

Our patient’s before and after photos, laboratory studies and testimonials reveal dramatic improvements in their health including their inflammatory indices, blood sugar levels, blood lipids and other markers all bearing witness to the value of addressing causes and carrying out instructions. To have the will to get well. See examples of this by clicking the links 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. The worthwhile work of regaining it requires right action, perseverance and time.  

Rheumatoid Arthritis Reversed!

Teresa Conquers Rheumatoid Arthritis in Eighteen Months at the Goldberg Clinic | August 2019

Teresa originally came to the Goldberg Clinic for Chronic Disease Reversal in March 2018 with a medical diagnosis of Rheumatoid Arthritis. Eighteen months later, she is in excellent health. Her joint discomforts are a thing of the past and her High Sensitivity C-Reactive Protein, an important measure of systemic inflammation, has normalized. She is drug free.

See before/after HsCRP below and to the right.

hscrp Before: March 2018

hscrp Before: March 2018

hscrp after: June 2019

hscrp after: June 2019

Dr. Tener’s Comments

When a patient is given the diagnostic title Rheumatoid Arthritis, they are being told medically that they have a lifelong condition that will involve a lifetime of disease management with drugs. 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. Teresa’s case illustrates well the potential for patients with Rheumatoid Disorders and other chronic diseases to recover their health with right action, perseverance and time.

Teresa underwent an extensive evaluation at our clinic and put forth the needed effort to implement an individualized health reform program designed to address causes and build health as opposed to treating/suppressing symptoms. She experienced numerous ups and downs but was steadfast in her efforts and now, eighteen months later, is in excellent health. Her HsCRP, an important marker of inflammation and disease activity, was significantly elevated initially and is now normal (see before/after results to the right).

Related Articles/Case Studies

1) Reversing Rheumatoid Arthritis
2) Patient Interviews: Rheumatoid Arthritis
3) Patient Interviews: Autoimmune Disorders
4) Regaining Health from Chronic Disease: Essentials to Start Your Journey
5) High Sensitivity C-Reactive Protein: Before/After Test Results

Ulcerative Colitis and Rheumatoid Arthritis Reversed!

Ulcerative Colitis and Rheumatoid Arthritis | August 2019

Hayden came to the Goldberg Clinic after being hospitalized and diagnosed medically with severe Ulcerative Colitis and Rheumatoid Arthritis. His Medical Physicians prescribed Prednisone, Ant-Acids and Remicade but his health declined. He had a severe allergic reaction during an infusion of Remicade for which he was given Benadryl to suppress the symptoms. He was kept on Remicade after this despite the adverse reaction (see article “The Dangers of Biological Drugs”).

Hayden worked hard with us at the Goldberg Clinic over a three year period and is now asymptomatic, drug free and in excellent health. Watch the video interview with Hayden to the right in which he discusses his journey back to reliable health.

Dr. Tener’s Comments

When a patient is given the diagnostic title Ulcerative Colitis or Rheumatoid Arthritis, they are being told medically that they have a lifelong condition that will involve a lifetime of disease management with drugs. 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. It is the outcome of understanding causes and building health as opposed to the treatment of symptoms. This is the approach we took with Hayden and how we work with the many other patients who seek our assistance with a wide variety of chronic health issues.

Chronic disease develops over many years. Likewise, to regain health even with the right effort, also takes an extended period of time with ups and downs along the way. Patience is a virtue required to accomplish most objectives in life. Hayden exhibited a tremendous amount of patience and perseverance in the course of recovering his health over a three year period. He had what we refer to as “the will to get well”. He will be starting his first year of college this fall in a state of good health with the tools needed to keep himself well.

Related Articles/Case Studies

1) Patient Interviews: Crohn’s/Colitis and other Digestive Disorders
2) Patient Interviews: Rheumatoid Arthritis
3) Patient Interviews: Autoimmune Disorders
4) Tackling Inflammatory Bowel Disease Part I
5) Tackling Inflammatory Bowel Disease Part II
6) Reversing Rheumatoid Arthritis
7) Problems with Prednisone: Why Inflammation is Not the Enemy
8) The Dangers of Biological Drugs: Part I
9) The Dangers of Biological Drugs: Part II

Reversing Psoriasis and Psoriatic Arthritis…Questions and Answers

See Part One of this article here:

Q: I have been taking Enbrel a biological for my Psoriasis and arthritis for over a year. It worked for awhile but now the pain and Psoriasis is coming back. Is that common?

A: Yes. In addition, you are taking a significant risk of developing an infectious disease or lymphoma (cancer) by taking an immunosuppressant like Enbrel (read our article on the dangers of Biological drugs: Our advice is to take steps to address causes and build health rather than suppress the body’s immune system.

Q: What are the steps you take to address Psoriasis?

A: As with any chronic health issue, causes must be identified and addressed. This begins with a thorough interview followed by a physical examination and appropriate standard and functional laboratory tests.

Q: How long does it typically take to see results?

A: This will depend on the patient’s age and vitality as well as how long they have been taking drugs and as to how hard they are willing to work and follow directions. Typically patients see initial signs of improvements within 90 to 120 days and continue to see more improvement as time goes on.

Q: What treatments do you use?

A: No treatments of any kind. We identify causes, address those causes and establish the right conditions for the body to normalize its metabolism. In our long-standing experience, “treatments” including herbs, drugs, mega doses of vitamins, etc. only lead to more complications over time.

Q: Do patients have to stay under your care indefinitely like in a medical practice?

A: No. We believe that real health care is self-care. Our goal is to get the patient well and teach them what to do at that point to stay well on their own. After the initial evaluation, most patients will have completed care with us in a period of six to nine months. Local patients will make periodic visits to the office during that period of time and patients who live out of state or in other nations will, after their initial workup, remain in contact with us via internet communication usually returning only one or two more times for re-evaluations.

Q: Does diet play a role in most cases of psoriasis and psoriatic arthritis? Is there a single “psoriasis diet”?

A: Diet plays a very important role in most cases. It is important to understand, however, that diet is only one part of the nutrition process and that good digestion, absorption, assimilation, cellular excretion and elimination of toxic body wastes are all parts of the process of nutrition and these areas must be evaluated and addressed.  

Each case is different and there is no single diet that will work with all patients. The program including dietary changes must fit the needs of the individual and these will change over time. It is important with all patients with autoimmune conditions including psoriasis to evaluate not only the diet but also the manner in which proteins, carbohydrates and fats are broken down into their component parts i.e. into amino acids, glucose, triglycerides and glycerol. This information is critical in establishing the steps in dietary reform that are required and they will change as the patient proceeds with their individual program.

The reversal of immune issues such as psoriasis requires that dietary components be broken down efficiently just as a fire consumes wood or a well car engine combusts gasoline. Digestive issues are common in many patients and these must be corrected on an individual basis.

Q: Do you have evidence that the methods you use that you refer to as “Bio-Hygiene” work well to resolve chronic health issues like psoriasis?

A: The evidence is in the patient outcomes including the before and after laboratory results, the patient testimonials with their actual full names and the impressive before and after photos that can be seen on our website. Some people talk about “evidence based medicine” referring to the ability of drugs when tested in expensive clinical trials by pharmaceutical companies to suppress symptoms without taking into account patient long-term health and the horrendous side effects that accompany the use of these drugs. Our “evidence base” as a single, independent clinic is in the results we obtain and have demonstrated with numerous case studies presented in professional presentations to physicians as well as directly to patients on our website and in our clinic, repeatedly time after time for over forty years.

Q: Does reversing a chronic health issue like Psoriasis take effort?

A: Yes. Causes must first be identified and addressed and the conditions for health restoration established. Each patient must be willing to commit to working with us in a steadfast way through the ups and downs that are common initially. The results, however, in the restoration of not only the skin and joints but in the remarkable long terms improvements in overall health and prevention of future disease makes the effort well worthwhile.

Psoriasis/Psoriatic Arthritis Case Studies/Patient Interviews:

Another Successful Reversal of Psoriasis and Digestive Issues!

Nicolas came to the Goldberg Clinic suffering with digestive issues and severe Psoriasis diagnosed by a Medical Dermatologist. Medical treatments (skin creams and Biological drugs) were prescribed but Nicolas declined their use due to the potential for severe side effects including Cancer and Tuberculosis.

Since coming to the Goldberg Clinic, Nicolas has reversed his condition entirely and has regained his health and vitality. This came without the use of treatments, drugs, pills potions or therapies. Watch the video interview with Nicolas to the right in which he discusses his experience at the Goldberg Clinic.

Commentary by Dr. David Tener

Nicolas’s case illustrates well the connection between chronic digestive issues and skin problems such as Psoriasis. Many patients, as well as their doctors, overlook the impact that poor digestive function has on other areas of the body. Health depends on efficient digestion to break down food into water and fat-soluble molecules, absorption to transfer the products of digestion into the blood and lymphatic tissues, assimilation to transfer the products of digestion and absorption into the individual cells of the body and elimination to dispose of the waste products. When these metabolic processes break down, systemic health problems included Psoriasis and Autoimmune Disorders are often the result. Of note in Nicolas’s case was that he had a severe Small Intestinal Bacterial Overgrowth (commonly referred to as “SIBO”) indicating significantly compromised digestive function (see Nicolas’s before/after SIBO test results below). As Nicolas’s digestive function improved under our care, his skin issues followed suit with 100% skin clearance in just over four months. To read more about SIBO, read our article here:

SIBO Test Before/After

SIBO Before.png
SIBO AFter.png