Gallstones and gallbladder disease - Risk Factors

Description

An in-depth report on the causes, diagnosis, treatment, and prevention of gallstones.

Alternative Names

Cholecystitis; Choledocholithiasis; Bile duct stones

Risk Factors:

More than 25 million Americans have gallstones, and a million are diagnosed each year. However, only 1 - 3% of the population complains of symptoms during the course of a year, and fewer than half of these people have symptoms that return.

Risk Factors in Women

Women are much more likely than men to develop gallstones. Gallstones occur in nearly 25% of women in the U.S. by age 60, and as many as 50% by age 75. In most cases, they have no symptoms. In general, women are probably at increased risk because estrogen stimulates the liver to remove more cholesterol from blood and divert it into the bile.

Pregnancy. Pregnancy increases the risk for gallstones, and pregnant women with stones are more likely to have symptoms than nonpregnant women. Surgery should be delayed until after delivery if possible. In fact, gallstones may disappear after delivery. If surgery is necessary, laparoscopy is the safest approach.

Hormone Replacement Therapy. Several large studies have shown that the use of hormone replacement therapy (HRT) doubles or triples the risk for gallstones, hospitalization for gallbladder disease, or gallbladder surgery. Estrogen raises triglycerides, a fatty acid that increases the risk for cholesterol stones. How the hormones are delivered may make a difference, however. Women who use a patch or gel form of HRT face less risk than those who take a pill. HRT may also be a less-than-attractive option for women because studies have shown it has negative effects on the heart and increases the risk for breast cancer.

Risk Factors in Men

About 20% of men have gallstones by the time they reach age 75. Because most cases do not have symptoms, however, the rates may be underestimated in elderly men. One study of nursing home residents reported that 66% of the women and 51% of the men had gallstones. Men who have their gallbladder removed are more likely to have severe disease and surgical complications than women.

Risks in Children

Gallstone disease is relatively rare in children. When gallstones do occur in this age group, they are more likely to be pigment stones. Girls do not seem to be more at risk than boys. The following conditions may put children at higher risk:

• Spinal injury
• History of abdominal surgery
• Sickle-cell anemia
• Impaired immune system
• Receiving nutrition through a vein (intravenous)

Ethnicity

Because gallstones are related to diet, particularly fat intake, the incidence of gallstones varies widely among nations and regions. For example, Hispanics and Northern Europeans have a higher risk for gallstones than do people of Asian and African descent. People of Asian descent who develop gallstones are most likely to have the brown pigment type.

Native North and South Americans, such as Pima Indians in the U.S. and native populations in Chile and Peru, are especially prone to developing gallstones. Pima women have an 80% chance of developing gallstones during their lives, and virtually all native Indian females in Chile and Peru develop gallstones. Such cases are most likely due to a combination of genetic and dietary factors.

Genetics

Having a family member or close relative with gallstones may increase the risk. Up to one-third of cases of painful gallstones may be related to genetic factors.

A mutation in the gene ABCG8 significantly increases a person's risk of gallstones. This gene controls a cholesterol pump that transports cholesterol from the liver to the bile duct. It appears this mutation may cause the pump to continuously work at a high rate.

Defects in transport proteins involved in biliary lipid secretion appear to predispose certain people to gallstone disease, but this alone many not be sufficient to create gallstones. Studies indicate that the disease is complex and may result from the interaction between genetics and environment. Some studies suggest immune and inflammatory mediators may play key roles.

Diabetes

People with diabetes are at higher risk for gallstones and have a higher-than-average risk for acalculous gallbladder disease (without stones). Gallbladder disease may progress more rapidly in patients with diabetes, who tend to have worse infections.

Obesity and Weight Changes

Obesity. Being overweight is a significant risk factor for gallstones. In such cases, the liver over-produces cholesterol, which is delivered into the bile and causes it to become supersaturated.

Weight Cycling. Rapid weight loss or cycling (dieting and then putting weight back on) further increases cholesterol production in the liver, which results in supersaturation and an increased risk for gallstones.

• The risk for gallstones is as high as 12% after 8 -16 weeks of restricted-calorie diets.
• The risk is more than 30% within 12 - 18 months after gastric bypass surgery.

About one-third of gallstone cases in these situations have symptoms. The risk for gallstones is highest in the following dieters:

• Those who lose more than 24% of their body weight
• Those who lose more than 1.5 kg (3.3 lb.) a week
• Those on very low-fat, low-calorie diets

Men are also at increased risk for developing gallstones when their weight fluctuates. The risk increases proportionately with dramatic weight changes as well as with frequent weight cycling.

Bariatric Surgery. Patients who have either Roux-en-Y or laparoscopic banding bariatric surgery are at increased risk for gallstones. For this reason, many centers request that patients undergo cholecystectomy before their bariatric procedure. However, doctors are now questioning this practice.

Metabolic Syndrome

Metabolic syndrome is a cluster of conditions that includes obesity (especially belly fat), low HDL (good) cholesterol, high triglycerides, high blood pressure, and high blood sugar. Research suggests that metabolic syndrome is a risk factor for gallstones.

Low HDL Cholesterol, High Triglycerides and Their Treatment

Although gallstones are formed from the supersaturation of cholesterol in the bile, high total cholesterol levels themselves are not necessarily associated with gallstones. Gallstone formation is associated with low levels of "good" HDL cholesterol and high triglyceride levels. Some evidence suggests that high levels of triglycerides may impair the emptying actions of the gallbladder.

Unfortunately, some fibrates (drugs used to correct these conditions) actually increase the risk for gallstones by increasing the amount of cholesterol secreted into the bile. These medications include gemfibrozil (Lopid) and fenofibrate (Tricor). Other cholesterol-lowering drugs do not have this effect. [For more information, see In-Depth Report #23: Cholesterol.]

Other Risk Factors

Prolonged Intravenous Feeding. Prolonged intravenous feeding reduces the flow of bile and increases the risk for gallstones. Up to 40% of patients on home intravenous nutrition develop gallstones, and the risk may be higher in patients on total intravenous nutrition. It is suspected that the cause is lack of stimulation in the gut, because patients who also take some food by mouth have less risk of developing gallstones. However, treatment for gallstones in this population is associated with a low risk of complications.

Crohn's Disease. Crohn's disease, an inflammatory bowel disorder, leads to poor reabsorption of bile salts from the digestive tract and substantially increases the risk of gallbladder disease. Patients over age 60 and those who have had numerous bowel operations (particularly in the region where the small and large bowel meet) are at especially high risk.

Cirrhosis. Cirrhosis poses a major risk for gallstones, particularly pigment gallstones.

Organ Transplantation. Bone marrow or solid organ transplantation increases the risk of gallstones. The complications can be so severe that some organ transplant centers require the patient's gallbladder be removed before the transplant is performed.

Medications. Octreotide (Sandostatin) poses a risk for gallstones. In addition, cholesterol-lowering drugs known as fibrates and thiazide diuretics may slightly increase the risk for gallstones.

Blood Disorders. Chronic hemolytic anemia, including sickle cell anemia, increases the risk for pigment gallstones.

Heme Iron. High consumption of heme iron, the type of iron found in meat and seafood, has been shown to lead to gallstone formation in men. Gallstones are not associated with diets high in non-heme iron foods such as beans, lentils, and enriched grains.

Resources

• http://digestive.niddk.nih.gov -- National Digestive Diseases Information Clearinghouse
• www.gastro.org -- American Gastroenterological Association
• www.acg.gi.org -- American College of Gastroenterology
• www.liverfoundation.org -- American Liver Foundation

References

Afdhal NH. Diseases of the Gallbladder and Bile Ducts. In: Goldman L, Ausiello D. (eds.). Cecil Textbook of Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007.

Chambrlain RS, Sakpal SV. A comprehensive review of single-incision laparoscopic surgery (SILS) and natural orifice transluminal endoscopic surgery (NOTES) techniques for cholecystectomy. J Gastrointest Surg. 2009 May 2 [Epub ahead of print].

Chari RS, Shah SA. Biliary system. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL. Sabiston Textbook of Surgery. 18th ed. St. Louis, MO: WB Saunders;2007:chap 54.

Dray X, Joy F, Reijasse D, et al. Incidence, risk factors, and complications of cholelithiasis in patients with home parenteral nutrition. J Am Coll Surg. 2007;204(1):13-21.

Gurusamy, KS, Samraj K. Cholecystectomy versus no cholecystectomy in patients with silent gallstones. Cochrane Database Syst Rev. 2007;(1):CD006230.

Ito K, Ito H, Whang EE. Timing of Cholecystectomy for Biliary Pancreatitis: Do the Data Support Current Guidelines? J Gastrointest Surg. 2008 Jul 18 [Epub ahead of print].

Konstantinidis IT, Deshpande V, Genevay M, Berger D, Fernandez-del Castillo C, Tanabe KK, et al. Trends in presentation and survival for gallbladder cancer during a period of more than four decades. Arch Surg. 2009;144(5):441-447.

Liu B, Beral V, Balkwill A, Green J, Sweetland S, Reeves G, et al. Gallbladder disease and use of transdermal versus oral hormone replacement therapy in postmenopausal women. BMJ. 2008;337:a386. Doi: 10.1136/bmj.a386.

Portenier DD, Grant JP, Blackwood HS, et al. Expectant management of the asymptomatic gallbladder at Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2007; 3(4):476-479.

Rosing DK, de Virgilio C, Yaghoubian A, et al. Early cholecystectomy for mild to moderate gallstone pancreatitis shortens hospital stay. J Am Coll Surg. 2007;205(6):762-766.

Strasberg SM. Acute calculous cholecystitis. N Engl J Med. 2008;358(26):2804-2811.

Tse F, Liu L, Barkun AN, Armstrong D, Moayyedi P. EUS: a meta-analysis of test performance in suspected choledocholithiasis. Gastrointest Endosc. 2008;67(2):235-244.

Verbesey JE, Birkett DH. Common bile duct exploration for choledocholithiasis. Surg Clin N Am. 2008;88(6):1315-1328.

Williams EJ, Green J, Beckingham I, et al. Guidelines on the management of common bile duct stones (CBDS). Gut. 2008;57(7):1004-1021.

• Reviewed last on: 6/26/2009
• Reviewed by: Harvey Simon, MD, Editor-in-Chief, Associate Professor of Medicine, Harvard Medical School; Physician, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Source: http://www.umm.edu/patiented/articles/who_gets_gallstones_gallbladder_disease_000010_4.htm#ixzz2QnxUrMTi
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Gallstone removal experience Experience of a long term gallstone patient

I tell you what a gallstone is, gallstone is a nasty rock that sits in your gallbladder and annoys you every day, every hour, every second of your life.

Hi, my name is Eugene from Estonia living in London, UK. Let me share my experience with gallstone.

Since childhood I had this problem, when I was running I suddenly had pain and was not aware of what was that, but I am pretty certain now that it was a growing little stone

Gallstone was discovered only recently maybe ten years ago first time it was 11mm then later it grew to 15mm and then to 18mm

And on day of operation it was a massive 24 mm that was unpleasant surprise

Exponential growth, more surface it gets faster it grows

I tried to use Ursodiol acid for months to dissolve my stone, but it did not work well, but maybe reduced speed of growth a little, also tried to drink special teas, apple juice and other home remedies like flushes and detoxes.

They do not work, you want to believe they do but they don’t, it a myth, no such thing.

Did you notice how none of the “cured” people present us with evidence?

Me on the other hand will show you every piece of evidence I have on my hands



If you want to try to soften up your gallstones with ursodiol, you can buy them from Andorra, contact these Spanish people at info@farmaciaandorra.es or visit website http://farmaciaandorra.es/

They speak mostly Spanish or English with Google translator. They sell URSOCHOL it is Spanish version of Ursodiol, average price would go like these ( at least for me on jueves, 10 de noviembre de 2011 12:08). Here is an example of their email to me (copy paste)

5 URSOCHOL 150 MGRS X 60 COMP… 9,71 €………………………..48.55€

TRANSPORT………………………………………………………………28.00€

TOTAL………………………………………………………………………76.55€

Need to make delivery address, whose name was, telephone.

If for payment by CREDIT CARD makes the number , expiry date and the three number behind the card.

If done by mail to the address of pharmacy:

FARMACIA FONT FREDA

CASA NOVA JOANET S/N

ORDINO AD 300.





Check out NHS review of my gallstone, this is a special medical software Sectra Image Viewer with all images of gallstone download it here
In year 29 October 2009 gallstone was smaller, then a little bigger in year 2011 8th march, and last time ( middle 2012 ) I did ultrasound scan it was relatively same size.

Almost every year I was thinking to cut my gallbladder out, pain was increasingly unpleasant, but I did not want to give up.

I was hoping for new technologies to come, I gambled and I won my bet

Googled for new technology almost every 2 months or so for many many years, and nothing came on radar, lots of false alarm… at some point this year 2012 I almost gave up and decided to cut my gallbladder out, was sick and tired of constant pain and burning sensation in my upper abdomen…





and only in September 2012 by random luck found this tiny article in med. journal http://www.ncbi.nlm.nih.gov/pubmed/22299994

Doctor Chiao (Qiao) Tie made an upgrade of old technology and invented some new techniques to extract gallstones from a gallbladder. Pretty sure after 5 years to the future he will invent liquid hungry nano robots, they will chew up gallstones in a week time after injection into gallbladder

This article was dated February 2012, how it slipped my attention is a mystery. Shame, I could have been treated much sooner than end of October 2012. In fact Dr. Tie Chiao had made this technology available to the public in year 2009! it was well tested and widely practiced in China Guangzhou for years, and I was suffering here in Europe UK and almost went along with local surgeons suggestion to cut my gallbladder loose. One surgeon said “Nobody is going to do you a favor and just take your stone out” … Indeed I am a future liability for NHS, I might come back some day again with new gallstones, and it is bad for Health Care System’s budget

But life without gallbladder is not that easy as life without appendix, that’s totally different game here. There are some serious consequences when gallbladder is taken out, like for example bile is dripping every minute to your intestines and you get a bad stool and you have to eat all the time in small portions, and stones are growing now in your bile duct and elsewhere…



Well, then went to odesk to find assistant to investigate this new treatment

Found Amanda https://www.odesk.com/users/~~928f3e34d11e4eba she did a great job investigating and arranging meeting with doctors in China
Her email is amanda9815 at gmail dot com, phone number is 0086-158-551-26719 (0086 is the code of mainland China.) Helped us a lot, great assistant, her fees roughly 15 USD per hour
My mistake I should have kept in touch with her when I was in China. I should have bought me Chinese SIM card right when I got to Hong Kong first, before entering China Guangzhou via speed ferry.

Bought 12000 Chinese Yuan from ICBC in City of London at a good price 10.6 CNY for 1 GBP. HSBC and Barclays were giving me bad rate ~9.4 CNY per GBP, ICBC was closest to the actual market rate.

Did Twinrix injections just in case Hep A + Hep B + some Asia vaccines before leaving to China. HEP A/B Injections need lots of time, so plan ahead.

Bought Chinese visa for 56 quid also, took 4 days to get it

NHS Sectra Image Viewer Gallstone Report, costs 15 GBP to get CD from them, not always they record images and videos into the database

Doctors greeting new patient from abroad. Surgeon & Inventor Dr. Tie Chiao, first right, holding one kilo of British chocolate, a token of appreciation from me. Most left is Dr. Wang surgeon also performs operations, most right is good assistant of doctor Wang, helped me with making initial tests like X-Ray, UltraSound, Cardio tests, and stuff ( costs 1300 CNY by the way, about 130 GBP), he speaks some basic English. Second left is anesthesia master if not mistaken, and second right somebody also important in surgery.




Here is video of fetching gallstone out. One big rock size of 24 mm, weighs about 4 grams. Great relief getting it out
details of the operation: cut a small right subcostal incision(about 1-3cm) under the monitoring of laparoscopy which entered through umbilicus and grasped gallbladder with forceps and extracted it outside of the abdominal wall, then cut off the gallbladder on the bottom (less than 6mm), explored in it, then drained the bile with a sterile ventricular drainage tube. When the bile drained out, gallbladder was explored with CHiAO cholecystoscope
(Chinese National Patent Number: ZL200820188856.6, China).
The large stones (Φ≥0.5cm) were removed by the various stone extracted basket, while the small stones (Φ<0.5cm), the bile sludge and sand-like stones were removed by the sand–like stones absorbing box using negative pressure. At last, double interlocking sutured the incision of the gallbladder bottom with absorbable catgut, made sure the suture was tight and then sutured the abdominal wall layer by layer.


Testing my gallstone in hospital

Me right after operation, not amused I might say:) Felt massive pain everywhere	After 4 days from operation, time to checkout from hospital

This is my room view in hospital where I spent my best 6 days of my life




Hospital view outside


Hospital bill for gallstone removal, roughly should be about 10 000 CNY or 1000 GBP (see current exchange rate here)but got some discounts from free meals. Meals are on average 10 CNY per meal.


Bills in details, first bill was for initial check up on me: xray, ultrasound, cardio, blood and stuff, 130 GBP cost, in total ~9300 CNY ~ 930 GBP



Hospital crew & me & my beloved girlfriend before leaving hospital for good


Crystal (mail: 710672705 at qq dot com ) the best nurse in China, understands and speaks English, helped us a lot with everything. Mad respects to her


Measuring gallstone size in cm and inches, pretty big one

Weighing gallstone, about 3 grams with cut off section, and probably 4 grams full size

Gallstone water tests


These are photos from their lab, under microscope we can see structure of my gallstone, under direct light it shines and sparkles, definitely there are lots of crystals in it








My scar on abdomen left from surgery, in belly button scar is almost invisible



Oh, also don’t forget to feed the hungry fish just across the road from the hospital, there is a small lake and lots of hungry golden fish


Questions and Answers:

 The Chinese name of Dr. Tie Chiao is 乔铁. According to the Baidu (the no.1 search engine around Chinese community), searching result, he is the president of the Second People’s Hospital of Panyu District and also an expert in the area of removing gallstones while leaving the gallbladder intact).

 From the “Online Inquiring” page of the hospital’s website, I found a reservation hotline of gallstone surgery. It is 020-34935551. I called this number several times and finally reached a doctor named 王兴强（Xing-Qiang Wang）. The information below are from him:

1. The endoscope in this surgery was created by their hospital.
2. Wan-Chao Huang is their engineer，who was involving in the creation of the endoscope. He is not able to do the gallstones operation.
3. Xiao-Bing Luo works in their clinical laboratory. He was involving in the project, but he is not able to do this operation too.
4. President Dr. Tie Qiao and he himself (Xing-Qiang Wang) can do this operation, but he recommended President Qiao as Qiao is by far the best doctor in this area. He often traveled around China and overseas to show this operation. For example, he will go to Ukraine etc. to do this operation during the first half of Oct.
5. Doctor xing-Qiang Wang said that the whole process needs about one week and the cost for it is approximately
CNY10,000. Generally, they can arrange the operation within about 2 days after you have some necessary examinations in their hospital.
6. Doctor Xing-Qiang Wang said that it is better to tell them some basic information about the patient, for example, the age. If it is possible, please fax them the B-ultrasonography examination results. Their fax number is 020-34935551. You should write “To: 王兴强 医生”。 If it is not convenient for you to do that, you can email it to me and I will fax it to them.
7. The phone number of Xing-Qing Wang is 133-1629-5262. President Tie Qiao’s number is 133-1629-5988. I haven’t called president Qiao yet because I think it is better to call him after you tell me some basic information about the patient.

 Yang-De Zhang (张阳德) is the director of the “National Ministry of Heal Hepatobiliary and Enteric Surgery Research Center” and also the Doctor of the Xiang Ya Hospital, Central South University.

Here is the website of the research center: http://www.nhec.net.cn/, but it seemed that this website is not that professional as many pages don’t work.

Also I found a doctor named Jian Li (李坚)， who is the professor and archiater of Xiang Ya Hospital of Central South University. He has a personal website (http://lijian869.haodf.com/), in which many people left messages asking about the operation of removing gallstones while leaving the gallbladder intact.

 There are no contact information of the two doctors in their website. I haven’t contact with Yang-De Zhang and Jian Li from Xiang Ya Hospital of Central South University. Do you want me to try to contact with them?



2 The cost of about CNY10,000 includes the fees for the operation and other fees during your stay in the hospital. They don’t charge any fee to your girlfriend for stay with you in the hospital.
3 The hospital provides three meals a day. The cost for one meal, one person is about CNY 7-10.(Both of you and your girlfriend need to pay for meals.). Please tell your taboos on diet if you have.
4 He would like to do the operation for you. You’d better make a reservation at least 3 to 5 days in advance. (I suggest you to make the reservation one month in advance because he seemed is very busy.)
5 If you go there in December, after December 20th, it’s Ok.(“After December” is not very clear, I suggest you to tell a specific time as much as possible. As far as I know, the President of a hospital are usually very busy.)
6 For the details and reservation, please contact with doctor Wang.(Number:13316295262 020-34935551)
7 It is better to have a translator with you, but it is Ok if you don’t. They have people who can use English to do the daily communications with you.
8 It’s better to bring your previous medical materials, like examination results etc.
9 You need to pay in RMB (CNY) and must be pay in cash.
10 Notes: if you have an acute cholecystitis attacks, you need to firstly accept anti-inflammatory treatment and then have the operation two weeks after that.



English Chinese
Name
名称 The Second People’s Hospital Panyu Guangzhou

http://www.dgrmyy.com/index.html

番禺第二人民医院

http://www.dgrmyy.com/index.html

Address
地址 Address: No.7 Xingye Road, Dagang Town, Panyu District, Guangzhou, Guangdong.
Post Code: 511470
地址：广东省广州市番禺区大岗镇兴业路7号
邮政编码：511470

Contacts联系人 Qiao Tie：133-1629-5988 020-34994386
乔铁：133-1629-5988 020-34994386

Doctor Wang：133-1629-5262 020-34935551
Fax: 34935551
王兴强：133-1629-5262 020-34935551
Fax: 34935551

Google Map http://maps.google.com.hk/maps?hl=en&newwindow=1&safe=active&q=The+Second+Peoples+Hospital+Panyu+Guangzhou&bav=on.2,or.r_gc.r_pw.&biw=1284&bih=619&wrapid=tlif135011937028110&um=1&ie=UTF-8&sa=X&ei=2S95UI2gA8ndigfg7IDwDw&ved=0CAgQ_AUoAg

(In this page, “A” refers to the hospital)
Baidu
Map http://map.baidu.com/?newmap=1&ie=utf-8&s=s%26wd%3D%E5%B9%BF%E4%B8%9C%E7%9C%81%E5%B9%BF%E5%B7%9E%E5%B8%82%E7%95%AA%E7%A6%BA%E5%8C%BA%E5%A4%A7%E5%B2%97%E9%95%87%E5%85%B4%E4%B8%9A%E8%B7%AF7%E5%8F%B7

(In this page, “B” refers to the hospital)
How to get to the Hospital:

Doctor Wang said that you can go to the hospital from Hongkong to Panyu Hotel by “Direct Bus” (直通巴士). He knew that there is the bus station at Hongkong airport and other stations in Honkong, but he don’t know where they are.

Since you would live in Hongkong for one night, maybe you can ask hotel where the “Direct Bus” stations are. I will also do some research about this and will tell you once I got the details.

If you take the bus, please get off at “Panyu Hotel” (番禺宾馆). They will pick you up there.

Doctor Wang suggested you to call him twice. One is a day before you arrive Panyu, the other is before you get on the “Direct Bus”. (You can buy a special cell phone card, so that you can make phone calls from Hongkong to mainland China. In Hongkong, you can find the card in many stores, like Seven Eleven. This card can only use to call from Hongkong to mainland China. If you arrived mainland China, it would not work. So you’d better call doctor Wang before you leave Hongkong.)



More detailed info about this technology and doctors involved see here http://www.zgbdw.com/ and http://www.qpnj.net



PS. Don’t forget to mention that I, EUGENE GOOGLE, referred you to this hospital, you will get VIP treatment then

Gallstones - Topic Overview

What are the gallbladder and gallstones?

The gallbladder is a small sac found just under the liver. It stores bile made by the liver. Bile helps you digest fats. Bile moves from the gallbladder to the small intestine through tubes called the cystic duct and common bile duct.

DOCTOR recommended reading

Gallstones or Something Else

WebMD Medical Reference

The most common symptom of gallstones is pain in the stomach area or in the upper right part of the belly, under the ribs. The pain may:

• Develop suddenly in the center of the upper belly and spread to the right upper back or shoulder blade area. It is usually hard to get comfortable; moving around does not make the pain go away.
• Prevent you from taking normal or deep breaths.
• Last 15 minutes to 24 hours; 1 to 5 hours of continuous pain is common.
• Begin at night and be severe enough to wake you.
• Occur after meals

There are many other conditions that cause similar symptoms, including heartburn, pain caused by a heart attack, and liver problems. Stomach flu (gastroenteritis) and food poisoning also can cause symptoms similar to gallstones.

Read more about the symptoms of gallstones

Related to gallstones gallstone causes, gallbladder scan, gallbladder diet, Cholecystitis, HIDA scan, gallstone attack, gallbladder surgery, types of gallstones, pancreatitis

Gallstones are made from cholesterol and other things found in the bile. They can be smaller than a grain of sand or as large as a golf ball.
Most gallstones do not cause problems. But if they block a duct, they usually need treatment.

What causes gallstones?

Gallstones form when cholesterol and other things found in bile make stones. They can also form if the gallbladder does not empty as it should. People who are overweight or who are trying to lose weight quickly are more likely to get gallstones.

What are the symptoms?

Most people who have gallstones do not have symptoms.
If you have symptoms, you most likely will have mild pain in the pit of your stomach or in the upper right part of your belly. Pain may spread to your right upper back or shoulder blade area. Sometimes the pain is more severe. It may be steady, or it may come and go. Or it may get worse when you eat.
See a picture of where pain may occur in the belly .
When gallstones keep blocking a bile duct , you may have pain with fever and chills. Or your skin or the whites of your eyes may turn yellow. Call your doctor right away. Having stones in your bile duct increases your chance of having a swollen pancreas (pancreatitis). These symptoms may also be a sign of an infected gallbladder.
Call your doctor right away if you have sudden or bad pain in your belly or chest and you are not sure what is causing it. Symptoms of gallstones may feel like chest pain caused by a heart attack and other serious problems.

How are gallstones diagnosed?

You may decide to go to the doctor because of pain in your belly. In this case, your doctor will ask you questions about when the pain started, where it is, and if it comes and goes or is always there. Your doctor may order imaging tests. These take pictures of the inside of your body. An ultrasound of the belly is the best test to find gallstones. This test does not hurt.
Your ultrasound may not show gallstones. But if your doctor still thinks you have a problem with your gallbladder, he or she may order a gallbladder scan. In this test, a doctor injects dye into a vein in your arm. Then a machine takes X-rays as the dye moves through your liver, bile duct, gallbladder, and intestine.
Most people have gallstones but don't know it because they do not have symptoms. Gallstones may be found by accident when you have tests for other health problems or when a woman has an ultrasound during pregnancy.

How are they treated?

If you do not have symptoms, you probably do not need treatment.
If your first gallstone attack causes mild pain, your doctor may tell you to take pain medicine and wait to see if the pain goes away. You may never have another attack. Waiting to see what happens usually will not cause problems.
If you have a bad attack, or if you have a second attack, you may want to have your gallbladder removed. A second attack means you are more likely to have future attacks.
Many people have their gallbladders removed, and the surgery usually goes well. Doctors most often use laparoscopic surgery. For this, your surgeon will make small cuts in your belly and remove your gallbladder. You will probably be able to go back to work or your normal routine in a week or two, but it may take longer for some people. Sometimes the surgeon will have to make a larger cut to remove the gallbladder. It will take longer for you to recover from this type of surgery.

Do I need my gallbladder?

Your body will work fine without a gallbladder. Bile will flow straight from the liver to the intestine. There may be small changes in how you digest food, but you probably will not notice them.

Gallstones l Gallbladder Disease

The gallbladder, a small, pear-shaped organ under the liver, collects and stores bile. Bile is a thick, greenish-yellow, bitter fluid made by the liver. Bile is made up of bile salts, electrolytes, bilirubin, cholesterol and other fats. The salts help stimulate the large intestine to secrete water and other slats, which helps move the contents of the digestive tract out of the body. Bilirubin is a waste product consisting of the remains of worn-out red blood cells. The breakdown products of drugs and wastes processed by the liver are also released in bile.

Bile helps the small intestine digest fats and remove waste products. It passes from the liver's bile duct into the duodenum, as needed. It does this through the common bile duct where the liver, gallbladder and pancreatic ducts join.

About half the bile secreted between meals flows into the small intestine. The other half is diverted from the common bile duct through the cystic duct, into the gallbladder where it is stored. Once there, nearly 90% of the water in the bile is absorbed by the bloodstream. What is left is a concentrated solution of bile salts, biliary lipids and sodium.

Gallstones are like tiny rocks that form in the gallbladder. They are made of cholesterol or bile particles that clump into a solid mass. A stone can grow as liver bile passes through the gallbladder. Most gallstones are small enough to pass out of the body through the intestines without our noticing. However, some do get caught in the narrow outlet of the gallbladder or in the intestines. This can lead to pain, a buildup of bile, pancreatitis and/or infection. Gallstones are common, especially in women, the elderly and overweight individuals.

Symptoms

Most gallstones don't cause symptoms for a long time. If they remain in the gallbladder, they may never cause symptoms. However, sometimes large stones can break down the wall of the gallbladder and get into the intestines causing a blockage. This is known as gallstone ileus.

Usually, the stones pass from the gallbladder into the bile ducts. They may remain there without blocking the flow of bile or causing symptoms, or they may pass on into the small intestine without being noticed.

However, if the gallstones cause a blockage in a bile duct, a person will have pain. The pain tends to come and go (this is sometimes called colic). Usually, the pain builds up to a certain level and then gradually falls. It can be sharp and intermittent for several hours.

Where the pain is felt can vary. Usually it is in the upper right part of the abdomen, which may be tender to touch. The pain may be felt in the right shoulder blade. A person may feel nauseated and throw up. If the blocked bile duct becomes infected, a person may develop a fever, chills and a yellowish cast to his or her skin.

Gallstones can block the cystic duct, causing the gallbladder to become inflamed (acute cholecystitis). Stones may block the pancreatic duct causing inflammation of the pancreas (pancreatitis).

Symptoms such as indigestion, an inability to tolerate fatty foods, belching, bloating, a feeling of fullness and nausea are some times believed to be gallstones. However, these symptoms are also common to indigestion or peptic ulcer disease. If a person feels pain in the right upper part of the abdomen after eating fatty food, this may be a sign of gallstones.

Causes and Risk Factors

High levels of estrogen, usually from multiple pregnancies or birth control pills (or both), are thought to be one cause of gallstones in women. Other factors that put a person at higher risk of developing gallstones are:

• Being overweight
• Age. About 20% of American older than 65 have gallstones, but most never experience problems
• A Western diet
• Genetics
• Being a Native American or Hispanic
• Having sickle cell anemia
• Crash dieting

Diagnosis

Patients having a gallstone attack report pain in the upper abdomen, usually on the right side, along with belching, gas, nausea and/or loss of appetite. In more serious cases, the patient may show signs of jaundice and have a fever.

Regular X-rays won't help the doctor find gallstones, but several other procedures can, including:

• Ultrasound and CT scans. If a stone is blocking the flow of liver bile, an ultrasound or CT scan can reveal swollen bile ducts. Blood tests might then be ordered to see if there is damage to the liver or pancreas.
• Endoscopic ultrasound. This procedure uses sound waves to produced a detailed image that can show developing gallstones and changes in the pancreatic or biliary duct system.
• Endoscopic retrograde cholangiopancreatography (ERCP). This minimally invasive technique can find and remove blockages in the gall bladder and bile ducts
• Cholecochoscopy. This is an ERCP procedure that uses a second scope to get better views of and access to the biliary ducts.

Screening and Prevention

There is no way to screen for the disease. But since obesity is so closely linked, maintaining a normal weight is an important, especially for women. Avoiding high-fat meals and "yo-yo" weight-loss diets are also good ideas. If your background places you at high risk, avoid taking birth control pills or estrogen.

Treatment

Gallstones are treated only when they cause a great deal of discomfort. In those cases, removing gallbladder is recommended. This may be done using:

• Traditional surgery (open cholecystectomy)
• Laparoscopy, a minimally invasive surgical technique that allows patients to recover more quickly and with less pain
• Endoscopic retrograde cholangiopancreatography (ERCP), a minimally invasive technique that can be used for both diagnostic and therapeutic purposes
• Intracorporeal electrohydraulic lithotripsy (EHL), which is used to break up gallstones that are large or difficult to remove through the bile duct.
• Drugs, which dissolve gall stones slowly over six or more months. This is used with people who can't tolerate surgery. Unfortunately, it's not always effective and new stones can form when the patient stops taking the medicine.

Overall, gallbladder surgery has proven to be highly effective. Most people don't miss the organ since, like the appendix, it's no longer essential. In rare cases, there may be diarrhea and abdominal pain afterward. This is easily addressed with time, healing and sometimes diet.

Additional Resource at Cedars-Sinai

• Pancreatic and Biliary Disease Center

Gallstones - Symptoms - Treatments - Prevention Women Face Significantly Greater Risk for Gallstones

Gallstones are the most common and costly digestive disease in the United States, causing more than 800,000 hospitalizations annually at estimated cost of over five billion dollars. More than 20 million Americans have gallstones and approximately one million new cases are diagnosed each year. Women are twice as likely as men to develop gallstones; the higher prevalence of gallstones in women is thought to be caused by multiple pregnancies, obesity, and rapid weight loss. Well over half a million people undergo cholecystectomy (surgical removal of the gallbladder) each year.
The normal function of the gallbladder is to store bile produced by the liver, and to aid in the digestion and absorption of fats in the duodenum (the first portion of the small intestine). Gallstones compose a solid formation of cholesterol and bile salts. However, research shows that approximately 80 to 90 percent of all gallstones are cholesterol gallstones which form when the liver begins secreting bile that is abnormally saturated with cholesterol. The excess cholesterol crystallizes and then forms stones which are stored in the gallbladder or the cystic duct. Gallstones can also form due to low levels of bile acids and bile lecithin.

Who Is At Risk For Gallstones?

When I was diagnosed with gallstones at 26, I was told that the typical gallstone patient was fair, fat, and forty. Today gallstones are seen in younger patients, perhaps due to the large amount of fast foods being consumed. My daughter went through five years of vomiting beginning at age 15, leading me to almost believe that she was bulimic, before she was diagnosed with gallstones at age 20. Risk factors which can lead to increased incidence of gallstones include the "Four Fs:" fat, female, fertile, and flatulent, as well as sickle cell disease (bilirubin), cirrhosis, Crohn's disease, diabetes, pancreatic disease, and hyperparathyroidism.
When the symptoms of gallstones occur they are often called an "attack" because they occur suddenly. The typical gallstone attack includes:

• Steady, severe pain in the upper abdomen that increases rapidly and lasts from 30 minutes to several hours.
• Pain in the back between the shoulder blades.
• Pain under the right shoulder.
• Nausea or vomiting.

Gallstone attacks often follow fatty meals, and they may occur during the night. Although I was lucky not to have too much nausea and vomiting with my gallstones, one of my most vivid childhood memories is of my mother up at night, in the bathroom, vomiting.
Other symptoms of gallstones include:

• Abdominal bloating.
• Recurring intolerance of fatty foods.
• Colic.
• Belching.
• Gas.
• Indigestion.

The following symptoms are indication that you should seek immediate medical attention:

• Sweating.
• Chills.
• Low-grade fever.
• Yellowish color of the skin or whites of the eyes.
• Clay-colored stools.

Many people have gallstones with no symptoms, these people are called asymptomatic. Gallstones that cause no symptoms are called "silent stones." Silent stones do not interfere in gallbladder, liver, or pancreas function and do not require treatment.
Until just a few years ago, the most common treatment for symptomatic gallstones was a surgical procedure called cholecystectomy which required a large abdominal incision to remove the gallbladder. This was an extremely painful (based on my personal experience) and difficult to recover from operation that required at least five days in the hospital, and approximately six weeks for recovery.
Today laparoscopic cholecystectomy is most commonly performed. Laparoscopic cholecystectomy is usually performed in a day-surgery unit and requires only a tiny incision. My daughter's gallstones were treated laparoscopically, leaving her feeling well enough to continue her normal activities later that day. However, it should be noted that not all patients will recover almost instantaneously as my daughter did--the typical patient may need up to a week to recover before returning to normal activities.
Alternative treatments for gallstones include:

• Oral bile acid dissolution therapy.
• Contact solvent dissolution.
• Mechanical extraction through a catheter placed into the gallbladder either through the skin or through and endoscope.
• Fragmentation through shock-wave lithotripsy combined with bile acid dissolution.

Each of these alternative treatments leave the gallbladder in place. Because the gallbladder is not removed during these treatments many patients face a significant risk of recurrence.

IBS and Gallbladder Problems

Although irritable bowel syndrome (IBS) is a disorder of the large intestine, having IBS is no guarantee that the rest of your digestive system works perfectly. One very important organ in the process of digestion is the gallbladder. Problems with the gallbladder can result in a variety of symptoms. The following discussion will provide you with an overview of your gallbladder, educate you as to the more common gallbladder diseases, and discuss any possible overlap with IBS.

What Does the Gallbladder Do?

Your gallbladder is a small, sac-like organ, located on the right side of your upper abdomen, tucked in under your liver. The gallbladder's main job has to do with a substance called bile, which is important in our ability to digest the foods we eat. Bile is first produced by the liver and then stored in the gallbladder. When we eat foods that have fat in them, the gallbladder secretes bile into the small intestine. There, the bile breaks down fat, allowing it to be absorbed into our bloodstream.

Symptoms of Gallbladder Problems

Although some gallbladder problems, including gallstones, may exist without any noticeable signs, the following symptoms may be indicative of gallbladder disease:

• Bloating after meals, particularly meals with a high fat content
• Chronic diarrhea
• Indigestion
• Nausea after meals
• Pain in the middle or right side of your abdomen

Gallbladder Attacks

Some gallbladder conditions announce their presence through what is commonly referred to as a "gallbladder attack," and officially known as "biliary colic." Such an attack may occur within a few hours of eating a large or fatty meal and may wake you up from sleep. You may experience pain in your upper right abdomen and this pain may also radiate to the upper back, between your shoulder blades, under your right shoulder, or behind your breastbone. Some gallbladder attacks result in nausea and vomiting. Usually these attacks only last for an hour or so. Such an attack should be reported to your doctor, even if symptoms subside.
If you are experiencing the following symptoms, you need to seek immediate medical attention:

• Clay-colored stools
• Fever and chills alongside nausea and vomiting
• Signs of jaundice
• Severe and persistent pain in your upper right abdomen

Gallbladder Diseases

The following are some of the more common gallbladder diseases:

5 Tests to Diagnose and Evaluate Gallbladder Disorders

Are you worried you might have gallstones? Has your doctor suggested you could have a disorder of the gallbladder such as gallstones, or another biliary tract disorder? Here’s a quick look at tests and procedures commonly used to diagnose and/or evaluate gallbladder and biliary tract disorders.

1. Ultrasound. The ultrasound uses sound waves to visualize the bile ducts, liver, and pancreas. When gallstones are present, they are seen in either the gallbladder or bile ducts. Little risk is associated with the ultrasound test. The ultrasound may not see gallstones in obese patients, or in patients who have recently eaten.
   
2. Endoscopic Ultrasound. An endoscopic ultrasound utilizes a scope that has an ultrasound on the end of the instrument. The special ultrasound scope is passed down into the intestines where internal visualization of the bile ducts, gallbladder, and pancreas ducts can occur. Special training is required to use the endoscopic ultrasound which is sometimes used to locate bile duct stones that may be missed by regular ultrasound. Other uses for the endoscopic ultrasound include the diagnosis of pancreatic cancer and cancer of the bile ducts.
   
3. CT Scan. While the CT Scan may identify gallstones, it is usually not as effective as the ultrasound. The CT Scan is also used to diagnose cancer in the liver and pancreas, and is a preferred method of assessing the severity of pancreatitis.
   
4. ERCP or Endoscopic Retrograde Cholangiopancreatography. ERCP is another type of endoscope that allows access to the bile ducts and pancreas ducts. The ERCP enables the performance of treatments that include removing gallstones from the bile ducts or the pancreas ducts. The measurement of the sphincter of Oddi muscle is often performed, utilizing another specialized test called Oddi manometry, during ERCP.
   
5. MRCP or Magnetic Resonance Cholangiopancreatography. MRCP utilizes the MRI or Magnetic Resonance Imaging equipment in a noninvasive test that uses special computer software that creates images of the bile ducts and pancreas ducts in a way that is similar to ERCP without the necessity of the internal scope. When MRCP reveals abnormal results further evaluation or treatment is necessary with ERCP or surgery.

Source: American College of Gastroenterology

Detoxification

Removal of internal toxins and metabolic waste material, all of which build up in the body over time, is a key concept to restoring health in any disease, and a cornerstone of alternative treatment centers. The body must constantly devote enormous energy and resources protecting itself against the effects of internal toxins and waste products – resources far better spent fighting cancer!

• Pesticides sprayed on your food
• Lead and chlorine in your drinking water
• Hormones and antibiotics that get pumped in to the food you eat
• Industrial and automobile pollution that fills the air you breathe
• Supermarket processed foods that are very difficult for your body to break down and digest completely
• Chemicals in the soaps, lotions, and other personal products you use daily

Alternative clinics and hospitals drain the lymph system using massage therapy and herbs. Chelation therapy (oral or intravenous) cleans out the arteries and blood and can remove toxic metals like mercury, cadmium and lead.
Patients are routinely urged to have all mercury amalgam dental fillings removed by a dentist trained in the special procedures for this, although this can be expensive. Mercury is a highly toxic substance. Its use in dentistry began in the mid 1800s when little was known about it’s effects on the body. Hal Huggins DDS is a leading dentist in the USA today warning of the clear dangers of mercury amalgam dental fillings. See his excellent website at www.hugginsappliedhealing.com,and his book “It’s all in your head”. The removal of mercury fillings must also include chelation therapy for mercury accumulated in the body.
While on the subject of toxins, a small sample of hair from the head or pubic area can be tested to see if you have a concentration of certain toxic minerals in your body. This little-used diagnostic tool can also indicate a lack of important minerals like calcium, magnesium or copper. Or, toxic levels of minerals. Seewww.bodybalance.com for further information, order the website of Janet Hull PhD. http://www.hairanalysisprogram.com/
Finally, various preparations, mostly herbal, are used to clean out the major detoxifying organs, the liver, the lymph system and kidneys.
Digestive system cleansing, through water therapy or other means, is essential. Coffee enemas were used by one of alternative cancer therapy’s pioneers, Max Gerson, to clean the large intestine. He successfully treated cancer without drugs or surgery decades ago. Coffee enemas, although sounding bizarre, continue to increase in popularity today. In fact one website offers a special coffee suitable for this procedure, see www.sawilsons.com. Note that this type of coffee is not for drinking. Coffee encourages the lower bowel and the liver to expel toxins. So far as the small intestine, just as important as the large of course, here is a good write up on a special product called “Okra-Pepsin-E3” made by Standard Process, Inc. It can remove the mucus coating along the lining of the small intestine which develops in us over the years preventing the absorption of vital nutrients from food. This is a much overlooked point in health care in general.
The body must constantly devote precious energy and resources to protecting itself against the effects of internal toxins and waste products – resources far better spent avoiding and fighting cancer! Here’s a good website with a ton of information on cleansing: http://curezone.com/
Consumption of plenty of water is also essential to flush out toxins. Chronic dehydration, many believe, is one of the most overlooked causes of disease today. Curiously, as we age the sensation of thirst lessens for many, despite an undersupply of water within.
Right along with colon and digestive system cleansing is parasite removal. More and more health practitioners are pointing to parasites in the body (in addition to lack of minerals) as a prime cause of most diseases today – not just cancer. …….As disgusting an idea as it is, worms up to 20 feet long can live in our digestive systems without any symptoms being experienced. From that size parasites can vary down to microscopic, and be found anywhere in the body, even the eyes.
An amazing amount of renewed energy, health and disease fighting power can be gained by detoxification procedures alone – including parasite removal.
There is no information in this entire publication more important than this.
In fact Sherry Rogers MD, author of ten books on the
importance of physical detoxification has this to say …
“We are all a toxic cesspool of the lifetime accumulation of chemicals from our air, food, and water. The U.S. Environmental Protection Agency studies of chemicals stored in the fat of humans show that 100% of people had dioxins, PCBs, dichlorobenzene, and xylene while another analysis of the exhaled breath of humans showed carcinogenic benzene in 89% and perchloroethylene in 93%. And these chemicals are just the tip of the iceberg. For now we have the proof that it is the steady silent accumulation over a lifetime that produces most diseases, including cancer. But medicine merely sees every disease as a deficiency of some drug or surgery, or tells us there is no known cause or cure.
There is now no question that these accumulated toxins are behind nearly every disease, symptom, injury and malfunction of the body. But get ready for the greatest medical discovery of the decade. If we get these ubiquitously unavoidable toxic chemicals out of the body, we can reverse and even cure the most hopeless diseases.”
(Reproduced from Consultant’s Report by Arthur C Brown- www.alternative-cancer.net )
Therefore, the first step before starting any cancer treatment is detoxification of the body.
CLEANSING/DETOXIFICATION
As soon as possible, cleanse your body to get rid of built up toxins like heavy metals and pesticides, as well as the undigested food, fecal matter and gallstones that build up in the body by cleansing your colon and liver and by chelation to rid the body of heavy metals. Such contamination are breeding grounds for, and causes of, disease and illness. A toxic and unclean body weakens the body’s immune system that should be your first line of defense. Plus, once cleansed, the body is much more receptive to the good measures you take to rebuild your immune system and fight disease.
It cannot be stressed enough how vitally important it is to cleanse, restore and protect the liver before, during and after your anti-cancer and disease battle. As the great cancer pioneer Max Gerson observed, cancer cannot develop unless the liver is impaired to begin with. An effective cancer fighting regimen can severely tax an already weakened liver because it will result in the release of a cascade of toxins that are released when cancer cells die. Such a release can overwhelm an already impaired liver and can even be fatal if measures are not taken to protect and regenerate the liver. Following is a suggested liver cleanse and suggested further measures to take to cleanse, detox, protect and help regenerate the vital liver:
Five day liver cleanse.
Ingredients required:
Apple 3 kgs : buy from local fruit vendor.
Epsom Salt(Magnesium Sulphate), 50 grams : buy from local pharmacy,
Edible Olive Oil, 100 ml. : buy from local grocery shop
Grapefruit, (not grapes) 1 kg. : buy from local fruit vendor. ( or Robab Tenga/Orange)
It is best to have day 4 on a Saturday or at a time when you are staying at home.

• • Day 1: Drink 1 liter (4 cups) of apple juice during the day. Eat as normal otherwise.
  • Day 2: Drink another liter of apple juice. Eat normally
  • Day 3: Drink a 3rd liter of apple juice. Eat normally
  • Day 4: Do not take any solid food after lunch(say at 12.00 noon).
  • 6pm – Take one level TABLEspoon(one & half TEAspoon) of Epsom salt in a glass of water
  • 8pm – Take another level TABLEspoon of Epsom salt in a glass of water. You may find that you already have to take a trip to the toilet before the 8pm Epsom salt.
  • 10pm – Mix one half glass of olive oil and three quarter glass of freshly squeezed grapefruit juice by shaking it very well in a jar with a lid so that it mixes well and immediately get into bed after drinking the mixture. (one should lie on the right side with the right knee drawn up toward the chin for 30 minutes before going to sleep. This encourages the oil to drain from the stomach, helping contents of the gall bladder and/or liver to move into the small intestine.)You will probably make more than one trip to the toilet during the night as well as during the next day.
  • Day 5:
  • 6am: Take another level TABLEspoon of Epsom salt in a glass of water
  • 8am: Take one final TABLEspoon of Epsom salt in a glass of water.
  • You will find that many gallstones from the liver will be passed and one will notice them in the toilet. They will vary in size from about pin head size to 10mm. Gallstones in the liver are a major cause of many health problems.

The above liver cleanse can be repeated every month until one finds that for two months in succession no more gallstones are passed. The liver will then be clean. (You can read about this in much more detail in Andreas Moritz’s book ‘ “The liver and gallbladder miracle cleanse” which you can download from his site at www.ener-chi.com)
(Reproduced from “A Natural Anti-Cancer Protocol” by Tony Isaacs)

• Testimonials ( from Andreas Moritz’s book “The liver and gallbladder miracle cleanse”)

• Hello Andreas,No question here, just a sincere “Thank You!” My wife and I just completed our 9th liver flush. We’re having good results and know we have a long way to go. We follow your book’s instructions to the letter. Found out about it from a mutual friend who works at IHM.One of my employee’s liver cancer came out of remission and she was back on chemo, so I gave her a copy of your book and she began doing the flushes with me and my wife (her oncologist approved the flush as well as taking the Chanca Piedra!). She had 3 tumors on her liver and was facing more aggressive chemo another round of heat treatments &/or surgery to remove them. After five live r flushes, her blood work was normal, fatty liver was “gone”, two tumors were gone and the 3rd had shrunk to the size of a dime. She had a CT Scan at Stanford before her 7th flush and the 3rd tumor was gone. The oncologist has her doing only 2 more rounds of chemo and she’s done. He (the oncologist) told her she needed to thank whoever told her about the liver flush. He also told her to thank them from him, too, so passing the thanks along to you.BTW- she just completed her 7th flush and she passed over 1,000 black stones.
  With deep appreciation.E. H. USA
• Mr. Moritz,I just wanted to thank you on behalf of my wife. About a year ago, my wife began to suffer from gallbladder stones. The pain was unbearable at times. She went home (Colombia) for a few days and saw her doctor. An ultrasound was performed and they found her gallbladder was “full of stones” he immediately recommended surgery. She did not agree with him. My wife is a very spiritual person. She practices Reiki and all sorts of oriental and Egyptian rituals, including meditation, natural healing, etc. She found your book and performed approximately 3 cleansing sessions. She is in Colombia again visiting her family and went to see her doctor again. To his amazement she only has 1 small stone left. She will continue with the cleansing process until her gallbladder is clear. Your procedure does work. Thank you so much!R. R. USA
• I was detected multiple gallstones in my gallbladder of collectively size 12.5 mm in Jan 2010 (I had tried three different radiologist and get three different reports from them. Two are saying there are multiple stones in my gallbladder and one is saying there is one calcified stone of size more than 10.5 mm). I had gone through many gallbladder attacks that time (probably 35-40 attacks from Nov 2009 to May 2010). This was terrible time for me. I consulted many doctors for alternative treatment other then operation but no result and no hope came from any of them. My situation was going to be worst and finally I decided for surgery. At that time I was surfing on Internet about how the stones formed in gallbladder? What is the importance of this vital organ? And how is life without gallbladder? I was shocked to read that gallbladder is such an important organ and after surgery my life is going to be dumb. I explore more and more and finally I got my destination. �Andreas moritz –The Amazing Liver and Gallbladder Flush�. I bought this book and gone through within a week. I finally decided to do the liver flush suggested in this book. I follow all the instructions thoroughly and done my first liver flush in May 2010. After first liver flush my 40-50 % symptoms has been gone within few days. Back pain, shoulder pain, allergy on my left leg has been gone. No gallbladder attack after first flush. I have got small shiny crystals like substance in my stool and no stone. I had tried second liver flush after one month in June 2010 and got many light green color stones in my stool. Food intolerance had gone after second flush and I had left antacids and dygine because I was suffering from acute acidity. In my third liver flush I have got some dark green color stones. My fourth liver flush I got more than 100 dark green color stones of sizes from 1mm to 2 cm. The images I have uploaded onwww.curezone.com . Now I have no symptoms, no pain, no allergy, no gallbladder attack, no acidity. I have changed my life style. I am taking simple and veg diet and doing Pranayanam and Yoga in morning and following all the rules suggested by Andreas Mortiz in his book and Baba Ramdev. I am taking plenty of pure water every day (this is very important because dehydration is a major cause of Gallstones) Andreas wrote in his book that 6-7 liver flushes will require cleaning complete liver and gallbladder. I have done five liver flushes so far and living healthy life. Hopefully I will save my vital organ. MY FIFTH LIVER FLUSH I HAVE GOT ONLY CLEAR GREEN COLOUR DENSE LIQUID ONLY.THANKS ANDREAS SIR FOR SAVING MY LIFE

These are only a few of the testimonials.
THE ABOVE CLEANSING METHOD CAN ALSO BE APPLIED FOR REMOVAL OF GALLSTONES IN LIEU OF REMOVAL OF GALL BLADDER BY SURGERY

Alternative method : Coffee Enema.

Basic Coffee Enema Procedure and Recipe

• The very last part of the colon, before reaching the rectum, is in an “S” shape and called the sigmoid colon. By the time stool gets to this part of the colon, most nutrients have been absorbed back into the bloodstream. Because the stool contains products of putrefaction at this point, there exists a special circulatory system between the sigmoid colon and the liver. There is a direct communication of veins called the enterohepatic circulation. Have you ever felt sick just before having a bowel movement, when stool material has just moved into the rectum for elimination? As soon as the material is evacuated, you no longer feel sick. This is due to the toxic quality of the material and the enterohepatic circulation coming into play. Because of this, it is important to evacuate when you have the urge. The rectum should usually be empty.
• This circulatory system enables toxin to be sent directly to the liver for detoxification, rather than circulating them through the rest of the body and all of its vital organs including the brain. This system of veins carries rectal / sigmoid toxins directly to the liver for detoxification.
• When a coffee enema is used, the caffeine from the coffee is preferentially absorbed into this system and goes directly to the liver where it becomes a very strong detoxicant. It causes the liver to produce more bile (which contains processed toxins) and moves bile out toward the small intestine for elimination. This seems to free up the liver to process more incoming toxic materials that have accumulated in the organs, tissues and bloodstream. The coffee does not go into the systemic circulation, unless the enema procedure is done improperly.
• The coffee contains some alkaloids that also stimulate the production of glutathione-S-transferase, an enzyme used by the liver to make the detox pathways run. It is pivotal in the formation of more glutathione, one of the main conjugation chemicals, enabling toxins to be eliminated via bile into the small intestine. So in other words, a coffee enema speeds up the detoxification process and minimizes the backlog of yet to be detoxified substances. You will need the following materials:

• An enema bag or bucket, preferably one of clear plastic that you can see through
• A large stainless steel cooking pot
• Organic coffee fully caffeinated, drip grind coffee
• A source of uncontaminated water. Chlorinated water should be boiled for 10 minutes

• The see through enema bag/ bucket is preferable, but an old fashioned type that doubles as a hot water bottle can be used although it is hard to tell how much is used at each pass. Do not use any bag with a strong odor.

Procedure

• Put one liter of clean water in a pan and bring it to a boil. Add 2 flat tablespoons of coffee. Let it continue to boil for five minutes, then turn the stove off, leaving the pan on the hot burner.
• Allow it to cool down to a very comfortable, tepid temperature. Test with your finger. It should be the same temperature as a baby’s bottle. It’s safer to have it too cold than too warm; never use it hot or steaming; body temperature is good.
• Next, carry your pan or pot and lay an old towel on the floor (or your bed if you are careful and know you won’t spill – for safety, a piece of plastic can be placed under the towel). If you don’t use an old towel, you will soon have many old towels since coffee stains permanently. Use another bunch of towels, if you want, as a pillow and bring along some appropriately relaxing literature. Pour the coffee from the pan into the enema bucket without getting the coffee grounds in the cup. You may prefer to use an intermediate container with a pour spout when going from the pan to the enema bucket. Do not use a paper filter to strain the grounds. Put your enema bag in the sink with the catheter clamped closed.
• Pour the coffee into the enema bag. Loosen the clamp to allow the coffee to run out to the end of the catheter tip and re-clamp the bag when all the air has been removed from the enema tubing.
• Use a coat hanger to hang the enema bag at least two feet above the floor; on a door knob or towel rack. The bucket can rest on a chair, shelf or be held. Do not hang it high, as on a shower head, because it will be too forceful and the hose won’t reach. It should flow very gently into the rectum and distal sigmoid colon only. It is not a high enema or colonic. Allowing it to go well up into the colon may introduce caffeine into the general circulation as though you had taken it by mouth.
• Lie down on the floor on your back or right side and gently insert the catheter. If you need lubrication, food grade vegetable oil such as olive oil, a vitamin E capsule, or KY jelly should be fine, unless you are chemically sensitive. It is generally a good idea to avoid petroleum products.
• Gently insert the tube into the rectum a few inches and then release the clamp and let the first 1/2 of the (2 cups maximum) coffee flow in. Clamp the tubing off as soon as there is the slightest amount of discomfort or fullness. Do not change positions or use an incline board to cause the enema to enter further into the colon; this defeats the purpose of this type of enema.
• Try to retain the enema for a minimum of 12 or more minutes. Sometimes there will be an immediate urgency to get rid of it and that is fine. It helps to clean the stool out of the colon so that next time around you can hold more of the enema longer. Never force yourself to retain it if you feel that you can’t. When you have clamped the tubing, remove the catheter tip and void when you have to. It is best to hold it for at least 12 minutes each time. After you have emptied the bowel, proceed with the remaining 1/2 quart and likewise hold that for at least 12 minutes, if able, then void.
• The goal is to have two enemas, not exceeding 1/2 a liter (2 cups) each, that you are able to hold for 12 to 15 minutes each. Usually 2 or 3 times will use up all of the enema, but that is not your goal. Being able to hold it for 12 to 15 minutes is. When you have finished your session, rinse out the bag and hang it up to dry. Periodically run boiling water, peroxide, or other comparable antimicrobial agent through the empty bag to discourage mold growth when not in use.
• If you feel wired or hyper, or have palpitations or irregular heartbeats after a coffee enema, you should reduce the amount of coffee, usually by half for a few days or weeks. Or consider that you really need organic coffee. Be sure the source of your water is good clean chemical-free spring, well, or filtered water.
• Sometimes you will hear or feel a squirting out and emptying of the gallbladder. This occurs under the right rib cage, or sometimes more closely to the mid line. If after a week of daily enemas you have never felt or heard the gall bladder release, you should consider making the coffee stronger, going up in 1/2 Tablespoon increments per liter, not exceeding 2 Tablespoon per cup. Alternately, you may need a slightly larger volume, such as 3 cups at a time. Sometimes, 3 enemas (2 cups or less each) rather than two at a session are more beneficial for some.
• Always discontinue the enemas if there is any adverse reaction whatsoever, and discuss it with the doctor at your next appointment. If you find the enema helpful, do not use it more than once per day for any extended period without medical supervision. Use it as necessary, perhaps several days in a row, but more commonly a few times a week.

Introduction to Alternative Cancer Therapies.

( The following text is reproduced from Consultant’s Report by Arthur C. Brown on Alternative Treatments and Therapies published in ).
Quote:-
“The doctor of the future will give no medicine, but will interest his patients in the care of the human frame, in diet, and in the cause and prevention of disease”
- Thomas Edison
The seven most important things you should know about alternative cancer treatments
In 1971, United States president Richard Nixon declared war on cancer. Since then, virtually all of the 35 billion spent on cancer research in the USA has gone into finding new and improved versions of chemotherapy, surgery and radiation. Herbal cancer therapies and other types of natural therapies, even those used successfully around the world for decades, have sadly been ignored.
1. First and foremost, yes, alternative therapies work in the hands of an experienced practitioner.
Almost all alternative therapies have documented scientific studies to back them up. Today there are over 100 alternative cancer treatments, and more are endlessly being introduced from many places around the world. Some alternative treatments are 75+ years old and still unused by mainstream medicine. To date, however, the general public has not been aware of them. Neither have almost all medical doctors. The Internet, however, is changing all of that fast. Many people who have beaten cancer using alternative therapies are willing to talk to others………………….
2. Don’t expect to see them your doctor’s (MD’s) office for another 10 – 30 years.
Huge meg-billion dollar bureaucracies change agonizingly slow. Here’s one good example of that, although unrelated to cancer: Since the late 1990′s, many medical doctors have started to recommend a tablet of aspirin a day to decrease the risk of a second heart attack. This science behind was first published in mainstream medical journals in 1947. It took about 50 years for this simple approach to make it’s way into conventional doctors’ offices. We don’t need endless research into finding a cure for cancer using patented pharmaceutical medicines and other expensive hi-profit therapies alone. Alternative therapy works, and skyrocketing cancer rates today demand we use every therapy available, conventional or alternative.
3. Information overload is a new problem today.
But, it’s the kind of problem we like to have. The Internet is creating a health information revolution. The good news is information cures cancer! Today it’s easy to learn all our options, yet deciding what therapy is right for us is extremely difficult. Searching the Internet, reading books, going to seminars and so on is guaranteed to hopelessly confuse anyone at a time when clear thinking is needed most.. …………….There are many sources you can turn to get help deciding what therapy is right for you.
4. There are six basic types of alternative cancer therapies, and all must be used.
In reviewing the methods used by the most successful alternative care doctors, clinics and hospitals worldwide, one soon sees the bewildering array of alternative cancer treatments today fall into six basic categories or types. Decades of experience has shown that best results are obtained when therapies from all six categories are used together. You too must think along these lines. This subject is one of the most important lessons in this entire report. Categories include detoxification, nutrition, immune system building, key enzymes, emotional counseling and natural chemotherapies. Many of these you can do yourself at home with the guidance of a health care professional. Here are some good reasons why conventional therapies to treat cancer fall short: See www.cancerchoices.com/facts_overlooked_by_conventional.htm. Do not expect many health care professional to know about any of this.
5. Legalities and endless bureaucratic regulations determine what therapies conventional MDs will give you.
Many medical doctors sincerely wish they were allowed to use alternative treatments. But, the Food and Drug Administration (FDA) frowns upon alternatives thus making doctors legally liable in court if they use them. This fact alone scares away almost all MDs. Doctor’s state medical boards may fine them heavily, suspend their license to practice or even revoke it. They may be banned from seeing patients in local hospitals. All from using ‘unapproved’ alternative treatments, no matter how well they work. Additionally, medical schools don’t know anything about alternatives and wouldn’t teach them if they did. MDs do not want and cannot afford these kinds of problems. Only the bravest medical doctors today will buck the system and consider using alternatives. This is the way of the world.
6. You must get professional guidance in this complicated, rapidly growing field.
This is an important lesson: you don’t need to be a trail blazer in the information jungle. There are many places you can go today to quickly get expert guidance. There are simple ways you can save yourself long, hard hours searching for what will work for you … not to mention saving yourself thousands of dollars (typically) along the way…………………..( This website is created to help people from the North-East as the target group in searching for the right alternative therapy which can be applied at home–DKG.)
7. For a cancer patient, an open mind and the desire to go on are where it all begins and ends.
In the experience of this author after years of research and the counseling of over 1000 people, there are two things that distinguish cancer survivors from those that do not:
Survivors have a strong, ambitious desire to go on despite their circumstances. In short they dearly want to live. They crave life.
Secondly, they ask questions, they read books, they scour the Internet, they listen to tapes and they make phone calls. Sooner or later, somewhere along the line, they find what works for them – conventional or alternative. Most importantly, these people are willing to do something different………
Seven Biggest Mistakes Regarding Alternative Cancer Therapy
1. Believing the conventional medical system would rush to use alternative treatments if they worked.
Unfortunately not so. Many forces within the conventional system are strongly against alternative treatments for a variety of reasons. It’s no mystery that a bureaucratic tangle of politicians, government agencies, lawyers and big business types dominate and control the medical system – not doctors. MDs have virtually no say anymore in the type of therapy they’re allowed to use. The conventional drugs and surgery cancer treatment system is a mega-billion dollar a year industry worldwide creating millions of jobs and staggering profits. Simple, inexpensive alternative therapies pose a direct threat to the entire system. You must face this difficult reality.
2. Believing medical doctors (MDs) and the conventional medical system have all the answers.
No question, almost all MDs are hard working, talented and sincere people. Most people tend to think that because MDs do not know about alternative therapies, those therapies must be worthless. We’ve all been raised to not question a conventional doctor’s authority. It just isn’t done. Television, advertising and newspapers all continue to reinforce their “ultimate authority” image. Because the public (not to mention the medical profession) remains unaware of how many excellent alternative options there are today, there is no pressure on the conventional system to use them. There is simply no way busy doctors can keep up with the flood of new information now available thanks to the Internet. Do an Internet search using the keywords alternative cancer treatments. Expect to see hundreds of thousands of websites.
3. Thinking that using alternatives means you have to abandon conventional doctors, hospitals and therapies.
The common either/or syndrome. Quite the contrary. Always work with your doctors to advise you on your progress. And always tell them about using alternatives. Most people don’t. Treating cancer with proven alternatives therapies is not a do-it-yourself project. Happily, today there are more and more Chiropractors, Naturopathic Doctors (NDs), Doctors of Osteopathy, oriental medicine specialists and yes, even MDs, using alternatives as state and federal laws allow.
4. Thinking a friend or a relative with cancer will welcome information on alternative treatments with open arms.
This can be a heartbreaking issue. A strong desire to beat cancer coupled with an open mind on the part of the patient is essential for any therapy to work. If you are searching for alternative options to help a friend or relative with cancer, be prepared to have your efforts completely rejected by him or her. There are however, effective ways to gradually introduce this subject to cancer patients. ………………Every good therapist in the world knows that if a patient is against a therapy of any kind, conventional or alternative, result are almost always dismal.
5. Allowing family and friends to enter the picture and influence the decision making process.
This is an all-too-common and frequently difficult issue. Well meaning, but sadly misinformed, family and friends will try to convince a cancer patient that using an alternative therapy is a dangerous mistake. Being totally unaware of the value of proven alternative treatments, and rarely interested in doing any serious research, all they have to offer is biases and opinions. Yet they pressure the patient and immediate family members. Their influence on the patient in a weakened condition can be considerable. The decision whether or not to use an alternative treatment belongs to the patient, spouse and his or her doctor. It is not something to be put to a popular vote. The fewer the people in the decision making process, the better.
6. Searching for a single, magic bullet, take-a-pill therapy.
Abandon this common mistake in thinking quickly. Yes, it’s true, we live in an oral society. Have a problem? Open mouth, take a pill. Unfortunately there is no magic herb in pill form we can take for three weeks, cure cancer and then go right back to doing the things we’ve always done. Some changes in life style and life habits will be necessary…………………………….. . This is a very important issue in alternative cancer care. As is commonly quoted, some people want to keep on doing the same old things and get different results.
And sadly, the biggest mistake of all …
7. Waiting until all hope is gone with conventional therapies before ‘trying’ alternatives.
So many people wait until it is obvious conventional treatments are failing badly before considering alternatives out of desperation. Unfortunately, by that time the patient is usually so sick and so weak, not only from cancer but from the side effects of conventional therapy, it is too late. In fact, many alternative care hospitals, in Mexico for example, have had to develop special therapies for undoing the damage done to patients by conventional therapies. This is commonly the type of patient that arrives on their doorstep.
: Unquote
Though the above statements are true for the entire world in general the situation in India is somewhat different. Practice of natural therapies are not illegal in India and there are few Clinics in Bangalore, Chennai, etc. where doctors trained in America, Germany and Mexico are treating cancer patients with alternative therapies. However, the Allopathic doctors are not taught about these therapies during their academic study as the Indian Medical Colleges follow the American and British school of thought which are only approved by American Medical Association(AMA). Indian orthodox MDs are not only unaware about the alternative natural therapies but also not allowed to practice any therapy which is not approved by AMA and also not allowed to prescribe anything not approved by Federation of Drug Administration(FDA).
Even though there are more than 100 alternative cancer therapies, having scientific evidences, in practice worldwide, not all therapies are strong enough to deal with advanced cancer and all therapies cannot be applied at home without clinical support. Moreover, after application of some of the therapies sometime initially the tumor swell up to 50% which may be dangerous for some patients. Therefore, selection of a particular therapy is very important considering location of tumor, type of cancer, age and condition of the patient. While this website will cover as much as possible alternative therapies popularly in practice, since most of the patients are diagnosed of cancer only at 3^rd or 4^th stage, special emphasis will be there to the therapies which are suitable for stage-III & IV cancer patients and also which can be applied at home with little guidance. As a thumb rule, the following table may be used as guide for selection of home therapy depending on type and location of tumor. However, there are lot more considerations while selecting a particular therapy for which one need practical experience.

SUGGESTED HOME TREATMENTS BY TYPE OF CANCER

( Some based on practical experience)

TYPE OF CANCER	SUGGESTED PRIMARYTREATMENT	SUPPLEMENTARY TREATMENT
Multiple Myeloma	Cesium ChlorideBill Henderson therapy	Raw Turmeric juiceBarley Power/Wheat grass Powder
Bone Cancer	Cesium ChlorideDMSO-Vitamin C therapy	Budwig Diet, B17
Ovarian Cancer	Bill Henderson Therapy
Colon Cancer	Cellect -Budwig therapyBill Henderson Therapy	GB-4000 with MOPA
Rectal cancer	-do-	Simonchini therapy.
Cancer of Digestive track Mouth to anus	Simonchini TherapyBill Henderson therapyCellect-Budwig therapyB17 therapy( up to 3rd st.)	GB-4000 with MOPA.
Lung Cancer	Vitamin B17 therapy (IV or oral)Bill Henderson therapyCellect Budwig therapy	RejuvenzymeGB-4000 with MOPA.
Breast cancer	Vitamin B17 therapyBill Henderson therapy
Prostate cancer	Vitamin B17 therapyBill Henderson therapy.
Leukemia( ALL, AML, CML)	Bill Henderson therapy.Cellect-Budwig therapy	Raw Turmeric juiceGB-4000 with MOPA
Lymphoma (NH, H)	Vitamin B17 therapy.
Gallbladder cancer & Pancreatic cancer	Cellect Budwig therapyBill Henderson therapy	GB-4000 with MOPA
Liver cancer	Cellect- Budwig therapyBill Henderson therapy	GB-4000 with MOPA
Malanoma, Squamous cell Carcinoma , Uterine cancer & Sarcoma	Cellect Budwig therapy Cesium Chloride & DMSO Bill Henderson therapy	GB-4000 with MOPA Plasma-Beck electro-medicine
Malanoma & SCC in Digestive track	-do-	Simonchini therapy.
Skin cancer	Vitamin B17 therapy
Brain cancer	Cellect-Budwig therapyBill Henderson therapy	GB-4000 with MOPA or MSM/CSDMSO/Baking Soda
Adenocarcinoma	Oleander protocol,Cellect-Budwig therapyGrape cure.Bill Henderson therapy.	Green Tea ExtractHydrazine Sulphate forCachexia patient only
Low cost treatments		Jim Kelmun protocolMSM/D3,MSM/LIPH,MSM/Colloidal Silver MSM/Chlorine Dioxide, MSM/D3 Protandim. Limu Juice( Fucoiden) Essiac Tea Honey+Turmeric, etc.

Note : 1) Irrespective of therapy selected daily exposure of the patient to morning sunshine for 15-20 Minutes is essential. If it is not possible, patient has to take Vitamin D3 as supplement.

If you cannot decide on suitability of a particular therapy for a particular type of cancer, you may safely apply Cellect- Budwig Therapy which is considered as Jewell of alternative therapies. However, Cellect-Budwig therapy has very high rate of regression due to which GB-4000 with MOPA or MSM/CS protocol has to be applied as supplementary treatment along with Cellect-Budwig. Otherwise, Bill Henderson therapy may also be applied for any type of stage III/IV cancer. If you cannot afford Cellect-Budwig or Bill Henderson therapies due to comparatively high cost, you may combine 4/5 low cost therapies mentioned above which have potential for individually curing cancer. If you have the very rare & dangerous Choriocarcinoma (fast growing germ cell/reproductive cell cancers), use chemotherapy combined with a good ‘cancer diet’ and Oleander pills. While this website is no fan of chemo under just about any circumstance, oleander does potentiate chemo and radiation and when used as a CAM therapy along with either one, it either eliminates or greatly lessens ALL known side effects of chemo and lessens those of radiation (with the lone exception being hair loss when the chemo drug of choice is Cisplatin). Therefore, Oleander Protocol may also be safely applied during chemotherapy treatment. Protandim, the strongest anti-oxidant on earth, also greatly reduces side-effects of chemotherapy &/or radiation. Take 2-2-2 tablets a day during taking chemotherapy &/or radiation and one tablet per day for prevention of cancer.
In a study done in Kansas City, those cancer patients who used anti-oxidants during chemotherapy had a higher survival rate than those who did not.
Protandim is 1,000,000( one million) times more powerful than any other antioxidant. It will neutralize much of the damage done by chemotherapy and radiation as it happens.
Some might think that this would lessen the effectiveness of chemotherapy. Because chemotherapy does not target cancer cells, and does far more damage to non-cancerous cells than it does to cancer cells, lessening the effect of chemotherapy on non-cancerous cells is a very, very good thing!!
If Protandim gets inside of cancer cells, it will likely revert the cancer cells into normal cells. Furthermore, the damage done by chemotherapy to these former cancer cells will be minimized.
If Protandim does not get inside of a cancer cell, it will not interfere with what chemotherapy does.
Perhaps that is why the cure rate is higher for those on anti-oxidants.
The dose for those on chemotherapy or radiation is 6 pills a day. Two in the morning, two in the afternoon and two at night.
There are certain other very effective natural alternative cancer treatments which need expert supervision and clinical support. One such clinic is in Bangalore namely, ICAM Wellcare Clinic, #4, promenade Road, frazen Town, Bangalore-5 which is headed by Dr. Irfana Akther ( mobile no. 9900266719). Those who can afford and also the patient is in a position to move, one may take the patient there for better treatment. They are experts in detoxification and applies Electro-medicine therapy, IV vitamin-C, IV Sodium Bicarbonate, IV DMSO, etc. along with others.
Efforts will be there to post scientific evidences of respective therapies along with the protocols. Readers are advised to periodically visit this website as the protocols may be modified/updated time to time based on feedback from the patients applying respective therapies and/or more information obtained from internet study.
READ NEXT SUB_SECTION ‘DETOXIFICATION’ BEFORE GOING TO INDIVIDUAL THERAPIES.