WHEN USING HORMONES IT IS IMPERATIVE TO SUPPORT LIVER FUNCTION & REDUCE INFLAMMATION

HORMONE THERAPY – BE IT SYNTHETIC OR BIOIDENTICAL HORMONES, MALE OR FEMALE – NEEDS TO INCLUDE LIVER SUPPORT.  So far in my practice in Tucson as an integrative endocrinologist, I have yet to hear of a conventional practicing physician supporting liver detoxification pathways and promoting an anti-inflammatory environment. LIVER DETOXIFICATION SUPPORT is not a liver cleanse or a seen on TV protocol.  The liver is a primary filtration organ along with the kidneys and skin.  The liver detoxifies everything we ingest and absorb, including hormones.  When hormones are added to a person’s body through oral, topical, or sublingual dosing they… more

ALLERGIES ARE ALLERGIES: DR. PEARSON’S APPROACH TO ANTIGENIC LOAD AND ALLERGIES

ALLERGIES ARE ALLERGIES, I tell patients.  No matter if you suffer from seasonal environmental allergies or IgE food allergies or IgG food sensitivities, the treatment approach when treating the underlying cause is the same: to reduce the immune reaction at the primary site.    I have said countless times, WE UNDERSTAND THE IMMUNE SYSTEM’S REACTION TO ALLERGENS YET CONVENTIONAL MEDICAL TREATMENT IS MISSING THE MARK ON TREATING THE UNDERLYING CAUSE & FOCUSES ON SYMPTOM CONTROL & SUPPRESSION. All allergies produce inflammation.  Inflammation is the underlying cause of heart disease, stroke, cancer, arthritis, and inflammatory bowel disease.  Treating allergies from a… more

DEPRESSED MOOD? IRRITABLE OR ON THE EDGE? USING ZOLOFT, PAXIL, PROZAC, OR CELEXA?

DEPRESSED MOODS WITH OR WITHOUT IRRITABILITY are often diagnosed as a form of depression or dysthymia and medications such as Zoloft, Paxil, Celexa, Proazc, or the newer class of antidepressants such as Effexor, Cymbalta, and Pristiq. When someone experiences depressed moods, there may be several reasons with daily life stressors being a major contributor.  It is normal to feel down when life around you is not pleasant or when you are under stress and demands.  It is NOT healthy, however, to feel down a majority of the time.  Brain chemistry is complex and you need a doctor who understands it… more

GOT LOW T? MEN AND TESTOSTERONE – IT MAY BE LOW T OR IT MAY BE SOMETHING ELSE

TV COMMERCIALS have recently boosted low testosterone as the cause of energy and libido decline in aging men.  As it may be low testosterone, there may be other underlying issues causing the decline in endurance.  Only a qualified physician can help you answer the questions you have. As an integrative internist, if a man were to complain of low energy, low libido, low endurance, or decreased ability to heal or recover, total and % free testosterone would be on the list of lab tests to order to diagnose the underlying cause of the problem. Men have asked for testosterone after… more

Dr. Pearson’s Annual Screening Recommendations for Celiac Patients

DR PEARSON’S ANNUAL RECOMMENDATIONS more

WOMEN’S HEALTH OFTEN IGNORED PAST GENERAL ANNUAL EXAM

Women’s health care in the U.S. primarily revolves around the “Annual Female GYN Exam.”  If you’re  fortunate to have insurance coverage to cover your annual PAP Smear and Mammogram or Breast Thermography , in addition to your PAP with pelvic exam, you may get a quadrant oriented breast exam by your physician and possible limited, general blood work of a CBC, Chemistry, Cholesterol, and Urine.  Again, you’re fortunate if you get that little bit of a work up in the average conventional clinic.   Women should demand more.  The internal physiology of women is complex, as it is with a… more

EXPERIENCING MOOD SWINGS? IT COULD BE BLOOD SUGAR

Many patients reveal to me that they experience mood swings.  Many of those patients have suffered from it from years because they were afraid they would be diagnosed with depression or some other psychiatric disorder and be put on the conventional regimen of Prozac, Xanax, Paxil, or, in one case a patient’s doctor thought Seroquel would be best for her mood swings. Mental and emotional issues are sometimes the hardest thing for patients to talk about.  I engage patients to explore mental and emotional states.  More often than not, I find that patients who experience frequent mood swings that involve… more

If your seasonal allergies are acting up, you’re not alone – and, you don’t have to suffer.

If your seasonal allergies are acting up, you’re not alone – and, you don’t have to suffer. Signs and Symptoms of Allergies Ear Pain Throat Pain Sinus Pressure Vertigo/Dizziness Cough Clear Nasal Discharge Itchy Eyes Dry Eyes Treatment Goals in Allergies Stabilize Mast Cells From Releasing Histamine – instead of using anti-histamines after the allergy related white blood cell, called the mast cell, releases histamine after being activated by antibodies to allergens.  Stabilizing mast cells can be done using EPA/DHA Omega-3 Fatty Acids, Quercetin, Mixed Fruit Anthocyanins/Bioflavonoids, Vitamins C  & E, selenium, and many others. Support Optimal Mucosal Immunity –… more

Saccharomyces boulardii Increases Immunoglobulin A (IgA) Levels

Saccharomyces boulardii, a probiotic, has been shown to increase IgA levels in patients with chronic active intestinal disease such as Crohn’s, Ulcerative Colitis, and Celiac Disease. In my practice, several patients have used Saccharomyces boulardii in combination with a multi-strain probiotic, such as Klaire Lab’s Ther-Biotic Complete. I dispense Klaire Lab’s Saccharomyces boulardii and Ther-Biotic Complete probiotics for my patients. These are the top of the line probiotics. They can be purchased through my office by request at 520-302-4033 or LPearson@LPInternalMedicine.com more

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DR. PEARSON’S RECOMMENDED ANNUAL SCREENING FOR CELIAC PATIENTS

Annual screening is imperative for people with celiac disease (CD).  Celiac disease may cause several nutrient deficiencies, co-morbid conditions such as Lupus, Hashimoto’s, and anemia, and a myriad of other specific and non-specific signs and symptoms. My patients receive the most comprehensive annual screening.  In addition to the annual screening, symptomatic patients will receive further in-depth lab work to screen for such things as food allergies & sensitivities. Most insurance companies cover labs that are medically necessary.  For patients without insurance or who are under-insured, reduce lab pricing is available through LP Internal Medicine. Patients who are interested in receiving… more

ASPARTAME: The Sweetener That is Making Us Act Not So Sweet

In my patient preparation time this morning, I was digging through research online and came across this article that talks about Aspartame and how it becomes an excitatory neurotransmitter. I wanted to share this with you today: http://www.naturodoc.com/library/nutrition/aspartame.htm In dealing with anxiety, depression, or mood changes, I look at the balancing of excitatory and inhibitory neurotransmitters… Full Article to Be Published Soon… more

Migraine Headaches in Women: An Integrative Approach to Diagnosing the Unerlying Cause

Migraine headaches are on the top of the list when it comes to female patients’ chief complaints.  It seems like younger and younger women are being affected on a regular basis from migraines.  In my integrative endocrinology clinic I am seeing women as young as fourteen suffering from migraines and migraine-like headaches. There are around eight different types of diagnosable migraine headaches.  Each variant have different symptoms.  Many of the variants also share symptoms such as vomiting, head pain, and light & sound sensitivity.  However, each variant may have a different root cause.  Medical diagnosis, in my opinion, tends to… more

Role of mercury toxicity in hypertension, cardiovascular disease, and stroke.

Here  is an interesting article on mercury toxicity and the role in heart health I found on Pub Med. -Dr. Pearson J Clin Hypertens (Greenwich). 2011 Aug;13(8):621-7. doi: 10.1111/j.1751-7176.2011.00489.x. Epub 2011 Jul 11. Role of mercury toxicity in hypertension, cardiovascular disease, and stroke. Houston MC. Source Department of Medicine, Vanderbilt University School of Medicine, Division of Human Nutrition, Saint Thomas Medical Group, Saint Thomas Hospital, Nashville, TN, USA. boohouston@comcast.net Abstract Mercury has a high affinity for sulfhydryl groups, inactivating numerous enzymatic reactions, amino acids, and sulfur-containing antioxidants (N-acetyl-L-cysteine, alpha-lipoic acid, L-glutathione), with subsequent decreased oxidant defense and increased oxidative stress.… more

THE VIRAL STOMACH FLU: VOMITING, DIARRHEA, AND DEHYDRATION: Things Everyone Should Know

I do house calls. In previous blog entries, I stated, I am a physician, 24/7/365.  It is who I am.  I try to advocate for patients and look at cost reduction strategies for patients from getting medications cheaper, finding better sources for nutritional supplements, labs that offer great prices – like my preferred and favorite lab, LAB CORP.  Thank you to Sheryl Grant, Tucson’s Key Account Representative for Lab Corp for assisting with such great lab pricing for LP Internal Medicine. Recently, a pediatric patient of mine was sick with viral gastroenteritis, also known as the stomach flu.  She couldn’t… more

An Integrative Non-Profite Medical Center: A Vision to Change Lives in Our Community

One of my biggest frustrations as a physician is having to charge people for the care I give.  I wish we all had health insurance that covered my services, supplements, and other integrative therapies – because I know they work better than some pharmaceuticals without harmful side effects, and the integrative therapies treat the root cause of the problem, not merely masking the signs or symptoms. Today, a student called me inquiring about setting up an appointment for acne, constipation, and some other things.  Unfortunately, as a student she doesn’t have insurance coverage.  I gave her the prices of my… more

Birth Control Pills: The Good, The Bad, and The Ugly

I have many female patients come in who are currently taking birth control pills, also referred to as oral contraceptive pills (OCP).  In my years of practice, I cringe to hear that women are put on OCPs to control acne, menstrual cramps, and other non-contraceptive reasons.  The OCPs use synthetic estrogen and progesterone.  Theses molecules are similar, but not identical to the body’s estrogen and progesterone.  However, bioidentical estrogen and progesterone, often referred to as compounded hormones, have the same structure and work with the body’s natural functions instead of against them, as with the synthetic versions.  Remember, there are… more

I Found a Website That Has Some Great Advice For Hospitalized Patients: DoctorYourSelf.com

I like being a leading physician in Tucson and a leading specialist in the U.S. in digestive disorders, celiac disease, and endocrinology.  However, I don’t always have to reinvent the wheel for my blog posts.  I found an interesting website I want to share. The site is called DrYourSelf.com.  The first article I read on this site was how to advocate for a hospitalized family member to receive vitamins, minerals, and other nutrients that will help with recovery.  Believe me, the grilled cheese sandwiches, milk, and pasta they serve in hospitals is horrible recovery food – devoid of nutrients, not… more

Frustrated with Tucson’s Medical Care: A Doctor’s Perspective

I love my profession, my private practice, and the patients I attract into my practice.  I wouldn’t want to do anything else in life.  Some say not let your job define who you are.  As a physician, it is much more than a job or a profession to me.  I find it similar to other vocations such a being a priest.  It is who I am day and night.  I don’t stop being a physician when I leave the clinic.  I am constantly thinking about patients at home, at the store and on vacation.  I get the evening and weekend… more

Patients on Testosterone Hormone Therapy with Acne Symptoms

As an integrative internist practicing endocrinology, I see patients who are on testosterone therapy that develop acne,  on the face, chest, and back regions.  When this happens, total and % free testosterone levels should be checked, as well as Dihydro-testosterone (DHT), and estrogen levels, as well as other labs to properly diagnose what is going on.  As I say time and time again, a physician must first properly diagnose a patient before he can properly treat a patient. The skin is the largest organ in our body, and second to the liver is a major detoxification organ.  When acne appears… more

CELIAC PATIENTS SHOULD NOT HAVE CONTACT WITH ANY GLUTEN CONTAINING ITEMS!

I almost fell off my exam stool when a celiac patient’s mother told me that her son’s school was having him eat in on the same table where students were eating gluten containing foods and also they were allowing him to touch items with gluten in them – foods and items such as Play Dough. I wrote the school a letter stating that it is imperative that her son not eat on surfaces where gluten containing foods have been without being properly washed, eating foods prepared in an area that is not gluten free, and touching products with gluten.  It… more

HCG DIET PROTOCOL FOR WEIGHT LOSS

There have been many news articles, talk show episodes, and water cooler discussions about hCG and weight loss.  Dr. Oz recently dedicated an episode on hCG and it’s effects.  It amazes me that there are people out there who have not tried it nor who are educated about hCG but like to put in their two cents of misinformation about hCG. In my endocrinology practice, I have seen many people’s lives transformed because of the hCG diet.  I screen all patients prior to starting hCG with not only routine blood work, but expanded blood work to rule out hypothyroidism and… more

FREE MEMORIAL CLINIC AT LP INTERNAL MEDICINE ON FRIDAY, NOVEMBER 4, 2011 IN MEMORY OF BARBARA SCHOFIELD AND LOUISE PETERSON.

On Friday, November 4, 2011, LP Internal Medicine will be offering a Memorial Clinic for the Tucson Community. We will offer no-cost appointments on this day in remembrance of Drew Schofield and Chad Schofield’s mother, Barbara Lynn Schofield, and my aunt and Godmother, Louise Luberacki Peterson. Both of these remarkable women were single moms and did their best with their limited time here with us. Both of these wonderful women passed away early in their lives to medical conditions. It is the mission of our clinic to make quality healthcare accessible to everyone, no matter if they have insurance or… more

The hCG Diet and Injection Protocol for Weight Loss

There have been many news articles, talk show episodes, and water cooler discussions about hCG and weight loss.  Dr. Oz recently dedicated an episode on hCG and it’s effects.  It amazes me that there are people out there who have not tried it nor who are educated about hCG but like to put in their two cents of misinformation about hCG. In my endocrinology practice, I have seen many people’s lives transformed because of the hCG diet.  I screen all patients prior to starting hCG with not only routine blood work, but expanded blood work to rule out hypothyroidism and… more

About LP Internal Medicine – A New Approach to Healthcare in Tucson

Dr. Lindsey Pearson is a licensed naturopathic medical doctor practicing integrative internal medicine for the past seven years. Dr. Pearson is a top physician in the Tucson area and experienced in the areas of gastroenterology and endocrinology. He is a leader in the diagnosis and management of celiac disease, Hashimoto’s thyroiditis, food allergies & sensitivities, inflammatory bowel disease, adrenal hypofunction, and male & female hormone imbalances. Dr. Pearson currently chairs the Medical Advisory Board of the Southern Arizona Celiac Support Group, a local chapter of the Celiac Sprue Association. Dr. Pearson is experienced in primary care medicine, as well as… more

The DGP/tTG Screen assay could be considered as the best initial test for CD.

An article in a leading gastroenterology journal concluded that: The DGP/tTG Screen assay could be considered as the best initial test for CD. The combination of two tests, including a DGP/tTG Screen, might be able to diagnose CD accurately in different clinical scenarios making biopsy avoidable in a high proportion of subjects. Doctors need to include deaminated gliadin peptide antibodies as part of their comprehensive celiac screening panel.  tTG IgA, anti-gliadin IgA and IgG antibodies, total serum IgA, EMA, and DGP is considered a comprehensive celiac screeningi panel.  Lab Corp#165126 Physicians and other practitioners with questions regarding celiac disease or… more

AMINO ACID TESTING: Explaining the Underlying Cause

Amino Acid testing is a snapshot of a patient’s amino acid levels, including the essential and branch chained amino acids.  Many patients have presented with signs and symptoms ranging from depression, ADD/ADHD, decreased memory, chronic pain, blood sugar issues, and chronic fatigue. Amino acid testing requires a blood sample.  For my patients I use Lab Corp for amino acid testing.  Most insurance companies cover this testing if it is medically justified for such conditions such as chronic fatigue and/or pain, ADD/ADHD, sleep disorders, depression, nervous system disorders, neuropathy, and brain fog/changes in memory. If you are interested in an integrative… more

Your Doctor Won’t Order Celiac Testing? Come See Dr. Pearson at LP Internal Medicine

If your doctor, physician assistant, or nurse practitioner won’t order celiac screening, please call and schedule an appointment with Dr. Pearson. To further the mission of community screening, a major vision of the Southern Arizona Celiac Support Group, Dr. Pearson is always available to meet with new patients to establish care and order appropriate lab work. Most patients comment that Dr. Pearson provides the most comprehensive lab work up. Being one of the most knowledgeable physicians in Tucson and the US in celiac disease diagnosis and management, Dr. Pearson knows what to order for screening and management. All lab tests… more

Gluten Free Prescription Medications and Supplements Available Through LP Internal Medicine

LP INTERNAL MEDICINE IS YOUR ONE STOP GLUTEN FREE CLINIC AND PHARMACY. If we don’t carry it, we can special order it. If you are looking for gluten free, dairy free, soy free, and overall hypoallergenic supplements, please call or email LP Internal Medicine and let us know what you are looking for. We can drop ship orders directly to your house WITH OUT shipping charges! Our courtesy nutritional supplement and prescription only ordering allows patients to receive high quality, hypoallergenic supplements at a great price – more often than not lower than Amazon and other internet ordering sites. Our… more

Gluten Free Food Faire & Community Celiac Screening A Huge Success!

I am amazed at the 1,500 plus turn out at this year’s Gluten Free Food Faire and Celiac Screening. The 4 hours flew by while I met more people than I could count and answered questions without a break – I missed out on sampling all the good food! It was worth it. There were so many questions. I met so many people who needed guidance they didn’t get from their current doctor. It amazes me that so many physicians, PA, and nurse practitioners are so ignorant when it comes to educating patients on celiac disease diagnoses and management. I… more

Why Are Fast Food Companies in Tucson Schools and Advertising on School Signs?

As I drive home daily, I pass Secrist Middle School located on Tucson’s East Side.  Located on the roadside school sign just under “Secrist” is a Taco Bell logo.  Why are fast food companies is TUSD schools and why are they advertised on the public school signs. I requested information on the relationship between TUSD and big fast food companies from TUSD information officer.  I hope to write a complete article outlining how fast food got in our schools, why they advertise and how fast food is contributing to our children’s health and education. -Dr. Pearson All rights reserved.  Copyright… more

Despite FDA Warnings, Practitioners Continue to Prescribe Estrogen Only Products to Women

It makes me furious that physicians, nurse practitioners, and other health providers continue to prescribe estrogen only products like Premarin to women. Women should find a physician who is versed in hormone therapy – especially bioidentical. It is my belief that micronized progesterone, a bioidentical hormone that is not the same as the synthetic progestins such as medroxyprogesterone acetate (MPA), should always be prescribed with estrogen produts. Some practitioners prescribe estrogen only products to women who have had hysterectomies (removal of the uterus) – I believe that since those women have breast tissue and usually have a history of estrogen… more

Free Celiac Screening & Gluten Free Food Faire Saturday, April 30, 2011

On Saturday, April 30, 2011, the Southern Arizona Celiac Support Group will host it’s annual Gluten Free Food Faire and FREE celiac screening for the Southern Arizona Community!  Due to it’s success in the past few years, the Gluten Free Food Faire is moving to the Palo Verde Holiday Inn right here in Tucson. This year, the Gluten Free Food Faire will showcase local and national gluten free vendors, including my favorite local gluten free restaurant Lotus Garden, a Tucson Gluten Free Treasure!  Taste new foods, sample tasty gluten free morsels, and the Wong family’s gluten free Singapore noodles! As… more

A NEW APPROACH TO PATIENT CARE: Dr. Lindsey Pearson, NMD

I started my work here in Tucson concentrating on chronic pain and fibromyalgia.  Through my work I identified different patterns of chronic pain and fibromyalgia in patients.  Some of these patters include dehydration, electrolyte imbalances, estrogen dominance, low adrenal function, hypothyroidism and/or Hashimoto’s thyroiditis, autoimmune reactions such as celiac disease and lupus, and hypersensitivity reactions such as food allergies that increase circulating IgG, IgE, IgA or IgM antibody levels. It is through identifying these patterns of underlying causes that helped me be successful in the management of chronic pain and fibromyalgia.  It has always been my belief that in order… more

From Medscape Medical News > Neurology Sun Exposure, Vitamin D Independently Linked to Lower MS Risk

February 7, 2011 — A new study appears to cement the suspected link between sun exposure and lower rates of multiple sclerosis (MS). The Australian case-control study found that past and current sun exposure and serum vitamin D levels are independently associated with a reduced risk for a central nervous system (CNS) first demyelinating event (FDE). The association remained after adjusting for potential confounders and did not vary by study region, sex, or type of demyelination. The study is unique in several ways, said one of the study authors, Anne-Louise Ponsonby, PhD, professor at the Murdoch Children’s Research Institute in… more

Celiac Disease and Inflammatory Bowel Disease: The Importance of Vitamins A and E

In celiac disease (CD) and inflammatory bowel disease (IBD), which includes Crohn’s and ulcerative colitis, vitamins A and E are essential.  In supplementation of these two vitamins in these conditions, the water soluble forms are more absorbable. Vitamin A is essential for the health of the epithelial tissue of the intestines.  Patients with CD and IBD cannot convert carotenes, the fat soluble form, well.  Therefore, higher doses of the fat soluble vitamin A and the water soluble form, called beta-carotene, is needed. Vitamin E is essential in autoimmune conditions such as CD, Crohn’s and ulcerative colitis in order to quench… more

Celiac Disease Screening: DGP and tTG

In July 2010 the World Journal of Gastroenterology published an article looking at the use blood tests that detected antibodies to tissue transglutaminase (tTG) and deamidated gliadin peptide (DGP) in the diagnosis of celiac disease (CD).   The study looked at 679 individuals who were either at high risk or low risk for developing celiac disease and if biopsy was avoidable.  Small intestinal biopsy looks that the histology of the the small intestinal tissue for the hallmarks of celiac disease, mainly lymphocytic infiltration and microvilli flattening or blunting.  It is not a high risk procedure, but does require the patient… more

Intravenous Vitamin B1 Stops Chronic Itching

A patient of mine has been suffering from chronic itching for months.  We tried several mast cell stabilizers to decrease the itching while she titrates off of Lyrica.  I’ve been doing research into clinical applications of vitamin B1, also known as thiamine.  I found in my notes from Dr. William Mitchell that B1 is not only used in energy production by converting sugar to ATP but also is used in the production of acetylcholine, a parasympathetic neurotransmitter.  The parasympathetic nervous system is the “relaxation” and “digestion” part when contrasted with sympathetic which is the “fright or flight” side of the… more

A Day in the Life of Integrative Internal Medicine: Vitamin & Mineral Deficiencies Galore!

This past week was an interesting one to say the least.  In the past few weeks I’ve seen over a dozen new patients.  Each new patient gets the “Dr. Pearson work up” consisting of a battery of laboratory tests and screening tests.  Most new patients say that they never had these many tests run before.  I hear that a lot – even with patients with visible active conditions who should be worked up!  I believe prevention is key.  Over 80% of my patients have a clinical vitamin D deficiency.  Eighty percent.  Another 40% have occult or undiagnosed iron deficiency anemia… more

Vitamin D: A Necessary, Cancer Risk Reducing Vitamin Made From Cholesterol

Vitamin D is a very important fat soluble vitamin.  Recently, it has gained much attention by it’s cancer risk reducing power, as well as it’s ability to reduce the risk of developing type 1 diabetes and treating upper respiratory infections.  Vitamin D in common language consists of vitamin D3 and vitamin D2.  Vitamin D3 is referred to as cholecalciferol and vitamin D2 is named ergocalciferol.  Did you notice the “chole-” in the name of D3.  Yes, vitamin D is made from cholesterol.  Who knew?  Isn’t cholesterol bad? No, cholesterol is not bad.  It is used to maintain homeostasis and provide… more

Importance of Cholesterol: It’s Not an Enemy

Cholesterol is important in many different body systems.  Cholesterol is termed a steroid metabolite.  It is found in all cell membranes: skin cells, nerve cells, heart cells, arteries, veins, just to name a few.  Cholesterol is also used to make steroid hormones such as estrogen, progesterone, and testosterone, bile to absorb fat soluble vitamins A, D, E & K, and is a precursor to endogenous Vitamin D production.  Without cholesterol we would not have fluid, yet strong cell membranes, no steroid hormones, adrenal hormones, or vitamin D.  Approximately only 20% of a person’s total serum cholesterol levels are due to… more

Welcome to LP Internal Medicine

LP Internal Medicine posts medical and health related articles written for the general public.  Posts are either based on research finding, clinical updates, and excerpts from the day in the life of an intergrative internal medicine doctor, Dr. Lindsey Pearson. Dr. Pearson has been practicing integrative family and internal medicine since 2003.  He is a leading physician in the diagnosis and management of celiac disease, an autoimmune condition caused by a gluten protein that affects the small intestines, as well as IgE food allergies and IgG/IgG4 food sensitivities. more