The Genetic Information Nondiscrimination Act (GINA) – PDF was signed into law on May 21, 2008. GINA protects individuals against discrimination based on their genetic information in health …
Source: HIPPA and GINA
Affordable in home care | starts at $28 per hr
The Genetic Information Nondiscrimination Act (GINA) – PDF was signed into law on May 21, 2008. GINA protects individuals against discrimination based on their genetic information in health …
Source: HIPPA and GINA
The Genetic Information Nondiscrimination Act (GINA) – PDF was signed into law on May 21, 2008. GINA protects individuals against discrimination based on their genetic information in health coverage and in employment. GINA is divided into two sections, or Titles. Title I of GINA prohibits discrimination based on genetic information in health coverage. Title II of GINA prohibits discrimination based on genetic information in employment.
In the proposed rule issued on October 1, 2009 OCR proposes to modify the Privacy Rule to clarify that genetic information is health information and to prohibit the use and disclosure of genetic information by covered health plans for underwriting purposes, which include eligibility determinations, premium computations, applications of any pre-existing condition exclusions, and any other activities related to the creation, renewal, or replacement of a contract of health insurance or health benefits. OCR is publishing this proposed rule with a 60 day period for public comments.

By Dr Lynch What causes Down Syndrome? I know you are searching for answers. Why? Do you have a child with Down Syndrome? Or do you want to minimize the risk of having a child with Down Syndrome? E…
Source: Eat folate-rich whole foods to prevent Down Syndrome
By Dr Lynch What causes Down Syndrome? I know you are searching for answers. Why? Do you have a child with Down Syndrome? Or do you want to minimize the risk of having a child with Down Syndrome? E…
Source: Eat folate-rich whole foods to prevent Down Syndrome
By Dr Lynch
What causes Down Syndrome?
I know you are searching for answers.
Why?
Do you have a child with Down Syndrome?
Or do you want to minimize the risk of having a child with Down Syndrome?
Either way, the information here may help.
I want to first state very clearly that there is no ‘defined mainstream way’ to reduce the risk of Down Syndrome except to have your child before the age of 40.
That’s about it.
It is also unacceptable.
Why is it that many, who are far younger than 40 years old, are still having children born with Down Syndrome?
First, let’s discuss some points which will help you if you have a child with Down Syndrome.
If you have a child with Down Syndrome, it is not because you did anything wrong.
It is because you did not have information which may have reduced the risk.
What I am presenting here is absolutely cutting edge information.
I have to share what I know.
My goal is to help. Please keep this in mind.
Last thing I want is you to feel anger or the need to blame someone – including yourself.
I want to empower you and create hope.
I want to create awareness and lasting change.
I want to reduce the known causes which lead to Down Syndrome.
I also want to help those with Down Syndrome.
Health professionals, at least all that I’ve talked with, and I’ve talked with thousands, do not know what causes Down Syndrome.
If health professionals don’t know, then how are you supposed to know?
If you have a child with Down Syndrome, there is a LOT you can do to keep them healthy and vibrant.
Here’s how.
A friend and colleague of mine, Dr Erica Peirson, runs a clinic devoted to children with Down Syndrome.
She’s by far the leading expert out there in Down Syndrome treatment. I encourage you to learn more about how she can help you and your child.

Here are some free Down Syndrome treatment resources to help you and your child with Down Syndrome:
My goal with you right now is to inform you what I believe causes Down Syndrome.
As with any condition or syndrome, there are many contributing factors. There is rarely just one.
Down Syndrome has many contributing factors.
How do we find out what they are?
I believe in research.
The U.S. National Library of Medicine is where I find my information on a daily basis.
I also look at genetic research.
Take a look at which genetic polymorphisms, some of which are very common, are known to cause Down Syndrome:

What is the most researched gene associated with what causes Down Syndrome?
MTHFR
That’s a big deal.
Let’s go a step deeper shall we?
How many of these top 10 researched genes are in the Folate pathway?
Four (4). MTHFR, RFC1, MTHFD1, SLCC19A1
We’re not done yet.
Let’s dig a bit deeper into another key pathway during pregnancy which is shown above to be contributing to Down Syndrome.
The Methylation cycle.
MTRR, MTR, CBS
One of my sons has 6 out of 10 of these known genetic polymorphisms which are known to contribute to Down Syndrome.
He is doing very well.

So is it just genetics?
No. Definitely not.
Lifestyle, diet, mindset, environment, nutrition all play a major role here.
What causes Down Syndrome also has to do heavily with the genetics – and epigenetics – of the mother.
Again, it is not just genetics here as genetics are greatly affected by so many things – as mentioned above.
It is known that genetics are affected by lifestyle, environment, infections, diet and nutrition.
If this is the case, and it is, why aren’t health professionals digging into this and educating themselves what causes Down Syndrome??
They’re busy. They don’t have time.
I’ll give them that.
Now it is up to you to share them this article – which they cannot refute.
Here is some of the evidence, 94 published research papers, taken from the U.S. National Library of Medicine, using the term ‘MTHFR Down Syndrome‘:

Let’s get specific.
Breaking it down makes it easier to grasp and show what action must be taken.
A paper published just this month, September 2016, Maternal MTHFR polymorphism (677 C-T) and risk of Down’s syndrome child: meta-analysis, states:

Here is what they found:

Now was it a well done meta-analysis? I think so.

When performing research, one has to limit variables.
It is not possible to have a ton of moving parts in research as that can skew the results. They did what they could.
We mentioned earlier that there are four (4) genes in the Folate Pathway which are heavily studied as a contributor to Down Syndrome.
What is the #1 recommendation for pregnant women across the globe?
Take folic acid.
Here lies the problem.
Folic acid has to bust through many barriers to actually become useful for the body.
These barriers are genes.
Many of these genes have issues.
Down Syndrome research is showing that four key genes in the folate pathway have issues.
What are the issues?
The issues are that the folate genes do not make 100% functional enzymes.
The enzymes produced by dysfunctional genes are slightly defective which slows their ability for one to convert folic acid into active usable folate!
Yet public health and health professionals are recommending folic acid?
They are recommending the very thing that has to bust through barriers in order to support active folate and methylation??
Yet it is known that both folate and methylation dysfunction contribute to Down Syndrome?
Disconnect.
Big time.
Take a look:

Folic acid has to get through 8 genes in order to become the body’s #1 form of folate which is 5-MTHF.
Did you know that 5-MTHF is now readily available as a supplement?
Did you know that 5-MTHF has been readily available in leafy green vegetables since the dawn of time?
I ask, implore actually:
Why do health professionals and medical organizations recommend folic acid when 5-MTHF is readily available??!
It’s shocking.
There is no reason.
It needs to stop.
If you are looking to understand what causes Down Syndrome, I have actionable information for you:
Take a moment, 26 minutes actually, and educate yourself on how bad folic acid is during pregnancy – and what you should use instead.
How do you check to see what your genetics look like?
Here is what one of my son’s StrateGene report looks like – in his Folate Pathway:

As you can see, my son has slow downs in MTHFD1 and MTHFR along with SLC.
My wife did take folic acid during her pregnancies, as we didn’t know at the time it was the wrong thing to do.
She did eat salads often and her homocysteine levels were normal.
This goes to show you that even with genetic issues in key pathways, one can lead a ‘normal’ life.
The key here is to understand that one may have increased susceptibilities and this increases the need to take precautions.
Genetic testing is empowering. At least it should be.
Another key point is my wife does not have the MTHFR C677T homozygous genetic polymorphism.

Remember, many research papers are evaluating the genetics of the woman.
This is very important and why I greatly emphasize the need to prepare the future mother prior to pregnancy.
Need more information on how folic acid is harmful?
Do you want to see the science behind it?
I’ve created a free one hour research-supported presentation:
I hope this has served you well.
There is a lot of information to wade through here. Take your time with it.
What is presented here strongly informs us all what causes Down Syndrome.
The key is to share this empowering information to your health professional.
Let’s optimize pregnancies.
I believe we can.
Let’s also improve the lives of those with Down Syndrome.
We can do that, too.
Histamine intolerance is becoming more and more prevalent. I have it. I also have MTHFR and susceptible to methylation deficiency. Given the prevalence of the MTHFR polymorphism, it only makes sens…
Histamine intolerance is becoming more and more prevalent.
I have it.
I also have MTHFR and susceptible to methylation deficiency.
Given the prevalence of the MTHFR polymorphism, it only makes sense that the general population is also very susceptible to histamine intolerance.
Connected.
I wish I knew I had histamine intolerance 30 yrs ago. Now that I’ve addressed it, so many of my symptoms are gone – or managable.
If there are two things to try in order to reduce histamine intolerance:
The issue is histamine intolerance can rear its ugly head anytime, anywhere. You have to be ready for it and know how to deal with it.
Identifying if you have histamine intolerance is not easy – and it is COMMONLY missed.
The only true way to know if you have histamine intolerance or not is to go on a low histamine diet for a period of time.
Feel better?
You are then histamine intolerant.
Congratulations.
You’ve joined the elite club of folks who actually understand what is ailing them.
Seriously.
Now – my job is to help you beat it.
Before we do that, let’s get into what histamine intolerance actually is.
Imagine a 5 gallon bucket.
You have a lot of things to put into that 5 gallon bucket: soap, toys, screwdriver, watermelon, your favorite cat who doesn’t sit still, a pound of sand and 2 gallons of water.
Obviously, you’re going to have issues.
You need to make some decisions.
What stays? What goes?
The cat must stay. You’d love the water to stay but your favorite cat told you otherwise. Sand is chosen as is the soap because you know your favorite cat is going to do something to the sand.
The rest stays behind and off you go with your favorite cat, sand and soap in the bucket.
You’re happy and all is good.
Ignore the people on the beach. They’ll get over it.
This is the same thing as histamine intolerance.
You have a bucket of histamine and your body requires histamine in order to function.
You need histamine to do a variety of things – such as:
The ideal amount of histamine allows these things to occur – and occur perfectly.
As histamine levels increase, your tolerance for it goes down.
You start to get too much blood flow, have too much attention, moving bowels too often and your exercise is now affected negatively.
This translates into histamine INtolerance.
Your histamine bucket is overflowing.
You need to get rid of some of it.
How do you do that?
Not easy as there are many factors which increase histamine – and they should all be addressed.
The causative factors for histamine intolerance are many:
There are three main genes which are central to processing histamine:
If any one of these genes are slowed or burdened, then the removal of histamine is slowed – and symptoms of histamine intolerance occur.
How can you see if these histamine-related genes are slowed down due to genetic polymorphisms?
Order a 23andMe genetic test and then run your raw data through StrateGene. I developed StrateGene with a team of researchers. We specifically have one section of the report dedicated to histamine metabolism. Here we show the genes associated with histamine breakdown along with the epigenetic controls and cofactors. Very cool seeing it graphically.
What are symptoms of histamine intolerance?
Many.
I want to share with you one of my favorite research papers of all time – as it is so beautifully done.
Here it is:
Histamine and Histamine Intolerance
But don’t make me jealous – come back and finish this article as that paper – while great – is not nearly as comprehensive as mine – especially in terms of how to deal with histamine intolerance
.
Signs and symptoms of histamine intolerance are difficult to identify because many have delayed reactions – we’re talking a few hours after eating possibly.
Common signs and symptoms of histamine intolerance:
This is a slurry of symptoms and issues, isn’t it?
This goes to show you that it is best to think WHY, HOW and MECHANISM of various conditions rather than focusing on the ‘condition’ itself.
Can you imagine a patient walking in with the list above?
They do.
Every day.
They’d have to go to a variety of different doctors:
Then, each doctor is going to prescribe a variety of medications:
All of the above medications are palliative only.
They simply mask the symptoms and not one of them addresses the underlying cause.
In fact, some of them exacerabate the actual main complaints!!
This happens to thousands of patients – daily.
This has to stop.
Let’s look at it from the way doctors should be looking at this.
Instead of asking, “What is your chief complaint?”, it should be:
“Please list ALL of your symptoms from most aggravating to least aggravating.”
This way, the physician can see all of them and see if they are correlated.
Guess what?
They are.
The body is connected.
The brain bone is connected to the heart bone which is connected to the lung bone which is connected to the intestine bone.
Remember that song when you were a kid?!
I think the lyrics were a little different but the idea is the same.
CONNECTED.
Stop DISCONNECTING patients and spreading their organs from one doctor to another.
Instead, understand how their body works as a whole and why these various symptoms and conditions are related!!
If this patient walked into my clinic with all of these symptoms, I’d be evaluating:
In terms of labs, I’d be evaluating (if a first office call and patient could afford them – otherwise would skip labs and wait to do it until I was stuck and patient not improving):
From Michael McEvoy via my Facebook page – I thought this to be an interesting comment and worthy of sharing here:
“Consistently I’ve observed a basophil % of 1 or greater to correspond approximately to a whole blood histamine of 60 or greater. A % basophils of 2 typically features a whole blood histamine greater than 150.”
It needs to be clear – CRYSTAL – that histamine intolerance is COMMON.
Now let me be clear on another point.
Histamine intolerance is ONE issue out of potentially many that are going on. This is why I outlined all the causative factors above. I am NOT saying that all you have to do is address histamine intolerance and that laundry list of symptoms will go away.
What I am saying is that histamine intolerance is a major contributor to a laundry list of symptoms and must be evaluated – in addition to other things.
This is why you need a health professional trained in methylation and nutrigenomics on your team.
I wish I didn’t have to always state the above disclaimer/disclosure but I must. People sometimes think that there is a magic bullet and constantly seek it. There isn’t. It’s complex and a team of health professionals is needed.
Back to addressing histamine intolerance.
A simple trial of what I am going to recommend is highly recommended for those suffering from a chronic long term variety of ailments which may come and go or just stay or get worse.
In order to reduce histamine loads, I typically recommend these things right out of the gate:
Genetics which predispose you to higher histamine intolerance (just a few):
There are common supplement recommendations which I use if the dietary, lifestyle and environmental changes are implemented.
It is NO use to take supplementation if you are going to just keep on living a life which is not conducive to health. A supplement is designed to ENHANCE – not to REPLACE basic lifestyle, dietary and environmental choices.
As one transforms their lifestyle, diet and environment – and mindset – many things resolve on their own – however, not always of course.
Supplementation requires all systems to be supported.
If any one system is unsupported, then symptoms of histamine intolerance may not resolve.
For example, a friend of mine has had allergies for longer than I’ve known him – which is over 20 yrs.
His allergies were improving significantly but the missing piece?
Supporting his adrenals.
After adding this in, despite a high pollen count, allergies were gone.
The more one adjusts and cleans up their diet, lifestyle, environment and mindset, the less supplementation is needed.
Also, at first, more supplementation may be needed to restore missing nutrients, eliminate pathogens, restore beneficial bacteria, stabilize cell membranes, restore gut health and adapt to stress.
Phew – that was me some time ago – and it also may be you.
I still suffer from histamine intolerance – and – always will – but with my changes all around, I have improved SO much.
My genetics predispose me to histamine intolerance – big time.
To give you an idea of my histamine intolerance situation:
Having since cleaned up my lifestyle, diet, environment, gut, mindset and added supplementation, my histamine intolerance is now significantly improved.
It comes back fast, however.
On a flight to London, I wanted to sleep so I decided to drink some red wine.
Within 10 minutes, I had a nose bleed, faster heart rate and sweating.
I wanted to hit myself – but I already looked like someone hit me in the face so I didn’t make it any worse.
That goes to show you how fast it can come back – especially with slowed histamine metabolizing genes. I was also under stress – flying, work stuff and tired. I didn’t take my adrenal support….
Supplements which support methylation, MTHFR, histamine metabolism and histamine regulation:
Stressed?
As mentioned previously, stress increases the demand of the MTHFR and MAO enzymes – and also methylation in general.
If you stress your methylation, you are on the road to histamine intolerance.
The bucket of histamine may overfill as your body has to deal with other things.
Thus, reducing and balancing stress is an incredibly important thing to do.
Get stress out of your bucket.
(I get into the science, reasons and mechanisms of how stress affects us negatively in a conference held in the UK. This is the best presentation I’ve done to date illustrating the negative effects of stress. You may access the recording here.)
The way to balance stress is multifactoral – as most anything.
which I’ll be sharing when I do the exercise-induced asthma video (Free).Can you cure histamine intolerance?
No.
Can you maintain and support your body’s ability to balance histamine levels?
Absolutely.
This is why this article is so long.
I had to teach you how to balance your histamine levels – by addressing a variety of pathways and mechanisms.
Go out and try some of these lifestyle, dietary and environmental tricks.
You’ll be surprised! 
Symptoms which affected you your entire life will start disappearing and your friends will start asking questions.
With a smile, you’ll tell them you’re one skilled MTHF’R who knows the biochemistry of histamine.
Comment below how you support your histamine intolerance – and also how long you suffered with it prior to realizing you had it. How did you get your histamine intolerance diagnosed?
If you haven’t thought of histamine intolerance or didn’t know about it until now – what do you think? Going to try some of the above recommendations? If so – keep us all posted by posting a comment or two!
If you’re a health professional, are you seeing more and more histamine intolerance in your clinic? What are your tricks in resolving it in your patients? Did you find this article useful?
I’m loving this – one puzzle piece at a time. Knocking them out 
Go knock out your histamine intolerance!
Join 25,000 people in helping redefine health with health concierge and precision medicine.
https://clubalthea.com/2016/10/14/your-complete-dna-sequence-will-help-shape-the-future-of-medicine/
Proposal for a new tool to evaluate drug interaction cases
BACKGROUND:
The assessment of causation for a potential drug interaction requires thoughtful consideration of the properties of both the object and precipitant drugs, patient-specific factors, and the possible contribution of other drugs that the patient may be taking. The Naranjo nomogram was designed to evaluate single-drug adverse events, not drug-drug interactions.
Several of the questions on the Naranjo nomogram do not apply to potential drug-drug interactions, while others do not specify object or precipitant drug. Nevertheless, it has been inappropriately used to evaluate drug-drug interactions.
The Drug Interaction Probability Scale (DIPS) was developed to provide a guide to evaluating drug interaction causation in a specific patient. It is intended to be used to assist practitioners in the assessment of drug interaction-induced adverse outcomes. The DIPS uses a series of questions relating to the potential drug interaction to estimate a probability score. An accurate assessment using the DIPS requires knowledge of the pharmacologic properties of both the object and precipitant drugs.
Inadequate knowledge of either the drugs involved or the basic mechanisms of interaction will be a limitation for some users. The DIPS can also serve as a guide in the preparation of articles describing case reports of drug interactions, as well as in the evaluation of published case reports.
Connie’s comments:
You would immediately know any drug side-effects based on observing how your body reactions to medications (nausea, skin itch/irritation,constipation,others).
Pharmacogenomic tests have 4 categories that indicates a person’s liver function and sensitivity to medications.
With complete DNA sequence test:
Whether it’s certain drug interactions or potential medical treatments, the knowledge provided by our DNA report will give you options and the power to make smart health decisions.
The insights gathered by examining your whole DNA sequence will allow you to make changes that can help mediate the effects of certain genetic predispositions, which are unavailable in other testing.
Because you have your full DNA sequence, analysis can be ongoing allowing you to be informed about new gene discoveries that are relevant to you.
Advantages of Whole Genome Sequencing or complete DNA Sequence test Creating personalized plans to treat disease may be possible based not only on the mutant genes causing a disease, but also other…
Advantages of Whole Genome Sequencing or complete DNA Sequence test
Disadvantages of Whole Genome Sequencing
REFERENCES
Ng P and Kirkness E. Whole Genome Sequencing. Methods in Molecular Biology. 2010. 628: 215-226
By Sara G. Miller
Dangerous bacteria, including methicillin-resistant Staphylococcus aureus (MRSA), can spread from sick patients in a hospital to the scrubs of health care workers, a new study finds.
Twice a day, the researchers sampled the nurses’ scrubs, the patients‘ rooms and the patients themselves for bacteria. In total, they took more than 2,100 samples from the nurses’ scrubs (including the sleeves, the pockets and the midriffs of the scrubs), 455 samples from the patients and nearly 3,000 samples from the patients’ rooms (including the supply cart, the bed and the bed rails). Then, they tested these samples for bacteria. By identifying the specific strains of the bacteria, the researchers were able to determine when there had been a transmission of bacteria, from one location to another, within the rooms.
The researchers found 22 instances of bacterial transmission: six of the instances of transmission were from patient to nurse, six were from room to nurse and 10 percent were from patient to room.
Six types of bacteria were transmitted, including MRSA, Klebsiella pneumoniae, bacteria from a group called the Acinetobacter baumaniicomplex and methicillin-susceptible Staphylococcus aureus (MSSA), a bacterium that is similar to MRSA but is treatable with the antibiotic methicillin.
The researchers noted that the pockets and sleeves of the nurses’ scrubs were the parts of the clothing that were the most likely to be contaminated, and the bed rails were the most likely places in the room to be contaminated.
Scientists at the National Institute on Alcohol Abuse and Alcoholism (NIAAA), part of the National Institutes of Health, propose using an assessment tool to diagnose addictive disorders that considers addiction-related behaviors, brain imaging, and genetic data. According to a new review article, the Addictions Neuroclinical Assessment (ANA) would facilitate future understanding of the origin of addiction at a biological level, and could ultimately lead to more effective individualized treatments for addictions. The review appears online in the journal Biological Psychiatry(link is external).
The ANA would include behavioral assessment of three functional processes considered most relevant to addiction: altered perception of an object or event by drug-taking that makes it seem more attractive or important (incentive salience), increased negative emotional responses (negative emotionality) when drugs are no longer available, and deficits in organizing behavior toward future goals (executive functioning). The authors note that the selection of these processes is based on our understanding of the neuroscience of addiction.
“The assessment framework that we describe recognizes the great advances that continue to be made in our understanding of the neuroscience of addiction,” said NIAAA director George F. Koob, Ph.D., a co-author of the review. “These advances underscore how much we know about the core neurobiological manifestations of addiction in people.”
The classification of addictive disorders typically is based on the substance of abuse, for example, alcohol versus cocaine, and the presence or absence of various symptoms, such as difficulty controlling consumption or craving for a substance. But the authors note that differences and similarities between addictions are not constrained by the substance of abuse. They therefore propose a dimensional framework that incorporates behavioral measures with brain imaging and genetic data.
“We currently approach addiction diagnosis as a ‘yes or no’ proposition,” added first author Laura E. Kwako, Ph.D., a researcher in the Office of the NIAAA Clinical Director. “The Addictions Neuroclinical Assessment that we propose leverages knowledge of the neuroscience of addiction to identify a package of assessments that may be used to more precisely identify different subtypes of addictive disorders.”
In describing the potential usefulness of their proposed assessment tool, the authors draw a comparison to how clinicians combine cellular, genetic, molecular, and imaging information, with clinical history to make cancer diagnoses. They note that by integrating this information, cancer clinicians have been able to tailor the treatment of certain cancers to the specific characteristics that an individual with cancer might have.
“Although addiction treatment options exist, and indeed continue to expand, they are limited by significant within-diagnosis heterogeneity and by a failure, thus far, to define addictive disorders by their neurobiological substrates,” said Dr. Koob.
The researchers emphasize the need to also collect brain imaging and genetic information from patients. Although they currently have little utility in the clinic, the researchers hope that the comprehensive measures will facilitate future understanding of the origin of addiction at a biological level.
The National Institute on Alcohol Abuse and Alcoholism, part of the National Institutes of Health, is the primary U.S. agency for conducting and supporting research on the causes, consequences, prevention, and treatment of alcohol use disorder. NIAAA also disseminates research findings to general, professional, and academic audiences. Additional alcohol research information and publications are available at: http://www.niaaa.nih.gov.
About the National Institutes of Health (NIH): NIH, the nation’s medical research agency, includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. NIH is the primary federal agency conducting and supporting basic, clinical, and translational medical research, and is investigating the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit www.nih.gov.

A company in New York has been helping health consumers with behavioral health/mental health issues using telemedicine.
https://www.ableto.com/solution/engagement/

Motherhealth will soon launched a new site , http://www.avatarcare.net to help reduce health care costs using precision medicine (genetic tests), telemedicine (video chats with doctors) and health concierge.
Email motherhealth@gmail.com if you want to join as health consumer, doctor, investor or data scientist.
Hip/low back pain The drug advertised is Humira, which has a price tag of about $20,000 a year. It is reprehensible for drug companies to promote this expensive and dangerous drug for an exceedingl…
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