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Is NAD+ The Answer to Your Fatigue?

Back in August 2021 after a long COVID year, we relaunched our Infusion Program.  At Blum Center for Health, our goal has always been to bring you the most beneficial and cutting edge treatments that will help you achieve all your health and wellness goals. And now we are excited to once again offer you the Infusions that will help get you there.  We believe that specific IV treatments can work to improve your cellular function at the deepest levels in your body. This will not only help you with energy and cognitive function, but are part of the most cutting edge anti-aging therapeutics that are now hot on the market.

NAD+ is the most exciting addition to our infusion menu because the research showing the benefits of NAD+ infusions has exploded over the past few years. NAD+ is Nicotinamide Adenine Dinucleotide and is a coenzyme found in every cell of your body.  It is essential for hundreds of metabolic processes mainly because it is required for your mitochondria to function well.  Your “mighty-chondria” are the little furnaces inside each and every cell that make energy (ATP) and without NAD+, the mitochondria can’t make ATP.  

Did you know that NAD+ levels can decrease up to 50% by ages 40-60?  This can explain why you can feel so tired even if you have a great diet and live an overall healthy lifestyle. Getting NAD+ intravenously is the best way to increase your levels because it bypasses the GI tract so it is 100% bioavailable to be fully absorbed by your cells.  And receiving your NAD+ drip at Blum Center will ensure you’re benefiting from the highest quality and dosage of infusions. Compared to other centers, our starting dose of NAD+ is at 500 mg, whereas at other centers, that is the highest dose offered.  

Our patients have seen many benefits of NAD+ Infusion Therapy, including:

  • Improved mental clarify 
  • Better mood because NAD+ naturally increases dopamine and serotonin 
  • Improved sleep 
  • Waking up feeling rested with sustained energy all day
  • Boosting metabolism
  • Clearing up of skin issues (hives)
  • Treatment after COVID to prevent long COVID
  • Recovery from long COVID 
  • Recovery from LYME

What to Expect When You Receive NAD+ Infusion Therapy

Although it can take 3-5 hours to infuse, NAD+ is a very well tolerated infusion. We initiate the infusion very slowly and slowly increase the rate every 15-20 minutes to find the speed that works best for you. We do this because infusing NAD+ too quickly can cause GI upset.  It’s different for everyone, but the average is around 3 hours. We block off 5 hours for your first infusion to give us time to tailor the treatment to your needs and comfort level. With our comfortable recliners, WiFi, complimentary drinks & snacks, and privacy, you can make the most of your time at Blum Center so those three hours will fly by!

How many NAD+ drips will you need to see positive effects?  While everyone is different, We recommend starting with an infusion every other week for four infusions and then monthly infusions for maintenance. But even one infusion can make a real difference!

Say goodbye to your fatigue by booking an NAD+ infusion today!

Text or Call 914-652-7800 to schedule an appointment or use our convenient online scheduling platform.  Our Infusion Director, Michelle Levins, NP, is standing by to answer all your questions.

 

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How Infusions Can Help you Recover from Lyme Disease

I don’t know about you, but I LOVE living in the Westchester area, especially in the summer. Crisp evenings, proximity to beaches, and embracing the outdoors brings me so much joy. However, one thing I don’t love about Westchester in the spring, summer and fall are the Lyme disease-carrying-ticks that are everywhere.  The official name of the microbe that causes Lyme is Borrelia Bergdorfi.  And these annoying and harmful pests carry other infections, too, like Bartonella, Babesia, Ehrlichia and more.  Collectively we call these Tick Borne Illnesses or TBI’s.  New York, New Jersey and Connecticut are three of the ten states where the majority of Lyme cases are reported in the United States!  The problem is that we all love the outdoors and your favorite summer activities could be putting you at risk.

Most of you probably already know this and check yourself for ticks after every evening beach walk or nature walk.  If you don’t, then this is definitely your first line of defense.  If you find a tick on your body and it has been there for at least 4 hours, and has hooked itself in your skin, remove gently with a tweezer, and call your doctor.  You can save the tick and have it tested for Lyme.  At Blum Center we believe in treating aggressively, and recommend antibiotics (or sometimes we use herbal remedies) whether or not you develop a rash.  If that tick has latched onto you, whether or not is engorged or swollen, then treating right away is your best defense against developing acute or chronic Lyme disease.  

ACUTE AND CHRONIC LYME

Acute Lyme or Tick Borne Illness (TBI) usually happens in about 2-3 weeks after the infection, but can happen sooner or later than that too.  You might have a fever, chills, headaches, muscle or joint pain.  It can feel like a flu.  It can last 5-7 days and then go away.  The tricky thing is that some people who get infected by a tick never have an acute illness!  And many people with an acute TBI don’t ever remember having a tick bite!

That’s why many people (and doctors) don’t even think about Lyme when they develop chronic symptoms like fatigue, arthritis, muscle pain or brain fog that drag on for months and months.  There can also be other symptoms like intermittent fevers and heachaches and neurological symptoms like strange sensations and/or numbness or tingling anywhere in the body.  The good news is that WE do think about Lyme in every patient with these symptoms at Blum Center and do the testing and pick up hidden Lyme or Tick infections all the time.  

The name Chronic Lyme has been given to people who have these symptoms for months and sometimes years.  Some people have Chronic Lyme and don’t know it.  And even when they start treatment with antibiotics, they continue suffering with Chronic Lyme because once it’s been in your body for a long time, it’s very hard to get rid of it, even with antibiotics.

FUNCTIONAL MEDICINE FOR LYME TREATMENT 

Treating your Lyme disease requires a very personalized approach, and our complete treatment program for Lyme disease is beyond the scope of this blog.  We use at different times, and for different people, antibiotics and herbal programs to kill the Borrelia Burgdorferi (or other TBI) microbe.  But treatment is a 1-2 punch:  the medication or herbs lower the total amount of infection in your system, and then the immune system has to clear out the rest.  You can see why a highly functioning and strong immune system is critical to treating Lyme Disease.

In addition to a strong immune system, once we start treating Lyme, there are a lot of toxins that are released and can cause you to feel very sick.  And these toxins and the Lyme itself can wreak havoc with your mitochondria, the little furnaces in your cells that make energy.  Therefore from a functional medicine perspective, whether you are currently being treated by us or other doctors, or are still recovering from Lyme Disease, you should add to your program support for the immune system, the detox system and the mitochondria.  And the most effective way to do this is with Infusions because high concentrations of the needed nutrients can go right into your blood and to your cells where they are needed.  

OUR CUSTOM INFUSION FOR LYME DISEASE

Susan Blum, MD, MPH, our founder and director and author of The Immune System Recovery Plan, developed our targeted Infusion for people with Lyme.  We call it our Mito Recovery Infusion.  The nutrients in Mito Recovery target all 3 systems that need support in people struggling to recover from Lyme or other Tick Infection:  it works deep within the cell to help rebuild the damaged mitochondria; includes NAC and glutathione for detoxification support, and zinc, selenium, vitamin C and B vitamins for your immune system.   Here are the details:

Bag #1 – Mito Recovery

B Complex contains B1, B2, B3, B5, & B6 to help the mitochondria in all your cells function better and make energy.  This, of course, includes your immune system cells.

Vitamin C– a potent antioxidant, high doses of vitamin C helps your immune system work better and protects the mitochondria from injury

Magnesium– an electrolyte that is needed to keep your nervous system and muscles functioning properly & keep your body balanced and relaxed. Can also help provide pain relief (headaches) and help with sleep. Magnesium can act as an antioxidant in mitochondria improving mitochondrial dysfunction

B12 essential for all biochemistry and body functions that involve methylation, including production of red blood cells, DNA synthesis, neurotransmitters, liver detox, and maintaining health of the nervous system.  As we age, it is harder to absorb B12 from the gut, another reason to regularly get B12 by infusion.

Zinc a mineral that boosts the immune system by decreasing the production of inflammatory cytokines, and has direct antiviral activity.

Selenium powerful antioxidant that decreases inflammatory markers & boosts the immune system by lowering oxidative stress and inflammation.

N-Acetyl Cysteine (NAC)- Boosts the immune system, increases Glutathione (antioxidant), decreases viral replication, & reduces inflammation.  

Acetyl L-Carnitine- Boosts mitochondria function and energy production. 

 

Bag #2:  Alpha Lipoic Acid: Powerful antioxidant to help prevent oxidative-stress related damage to all your cells and mitochondria, especially the brain and nervous system

Bag #3:  Glutathione: Powerful antioxidant that decreases inflammation and clears free radicals caused by oxidative stress, especially important for immune and mitochondria  function.  Powerfully protects the Thyroid and other tissues from damage.  Can help relieve respiratory symptoms by decreasing inflammation and mucus in lungs. Crucial support for liver detoxification and clearing heavy metals.  

Injection: CoQ10: required for optimal functioning of the mitochondria which are damaged from COVID.  Also supports the immune system and decreases the release of inflammatory cytokines. Depleted levels of CoQ10 have been linked to increased susceptibility to infection

Text or call 914-652-7800 to schedule an appointment and start feeling like your old self again!  If you aren’t sure if this is right for you, schedule a FREE consultation with our Infusion Director, Michelle Levins, NP.

 

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Lyme Disease in the Age of COVID-19

As much of the world has been focusing on the COVID pandemic, many of us are sitting at home for many more hours than we are used to.  We’ve been given this unique opportunity to go outside and visit nature regularly. It’s a good way to combat cabin fever, remain physically active and care for our emotional needs during these times of worry and uncertainty.  

Every day I witness the streets around my home being filled with neighbors I rarely see, families on walks together, kids on skateboards and scooters.  It’s a busy scene for a usually quiet town, and as I try and look for the positive things during these times, this is a beautiful one to witness: that we are all walking more, being with our families and breathing in fresh air.  

Given all the fear and uncertainty around the coronavirus pandemic, as an Integrative Physician with a focus on Lyme Disease in my medical practice, I felt compelled to share critical information so that you don’t get Lyme.  This information is useful, even if you’ve had Lyme before, or have it now, you don’t want to get it again! (And if you are struggling with chronic Lyme, I have some ideas for you, too)

Deer ticks are transmitters of various diseases in our area including Lyme, Babesia, Bartonella, Anaplasmosis, Relapsing Fever and Powassan virus.  This is not just a cause for concern in the spring and summer as conventional thinking goes. Their activity is dependent on the weather. With climate change afoot I see cases all year round.  Most people think ticks are killed off by freezing temperature but in fact, they just go through a stasis period. When the right conditions come about, they reanimate and come to life again.  

Here are some simple things to keep in mind as we approach high season for tick-borne illnesses:

  1. Temperatures: Deer ticks can be active in temperatures above 32-35 degrees when the ground is thawed and not covered in snow.  This is now. Don’t let your guard down just because you still need a down coat.
  2. Location: It’s common knowledge that ticks are found in the woods or specifically in shrubs, leaf litter, rock walls.  However I’ve had many patients get lyme disease from just being on sunny lawn. We are ground zero for Lyme disease, expect the rules to bend and that it’s easier to transmit traditionally thought.
  3. Family Pets: I’ve had patients who have been outside only on concrete and had Lyme disease.  We forget that our animals can bring ticks into the home. They should be checked regularly.  I believe that pets that get treated with medications like Frontline may tend to protect the animal but they make it more likely for a tick not to attach to them but to someone at home. 

What You Can Do To Protect Yourself Against Ticks 

  1. Tick Checks: If you are out in nature make sure you make it a routine to check yourself over.  Oftentimes we are good at checking our children but we forgo ourselves in the interests of time.  I’ve been guilty of that, too.
  2. Deer Fencing: This is incredibly helpful if you are able to have one on your property but it’s not foolproof as smaller animals can bring in ticks. The transmission rates can be reduced by 83-97%.
  3. Clothing: I avoid the use of more toxic insect repellants like permethrin BUT I do like the manufacturers that have bound the permethrin into the clothing fiber.  I do not believe this is absorbed into the body and it can last up to 70 washings and still remain effective. Socks are some of the easiest ways to bring protection into your daily life but other garments such as a hat (since ticks are hard to find on the scalp) are great ideas as well.  Of course you can dress yourself head to toe in clothing and tuck your pants into your socks but who wants to do this when it’s hot. I need my tank top and some vitamin D! 

You’ve Been Bitten by a Tick – What Should You Do? 

While knowledge and prevention can go a long way, ticks are tiny and omnipresent.  Here’s what to do if you find you’ve been bitten by a tick.  

  1. Having the right tools at home or travel when you need them is imperative.  There are many companies that make a tiny portable collection kit complete with tweezers, magnifying glass, picture identification guides and a specimen container. 
    If you are concerned about transmission you should keep the tick and bring it to your doctor for testing.  Most doctors, however, test only for Borrelia Burgdorferi (Lyme) but they don’t look for the other tick-borne infections.  I advise patients to use a company in Pennsylvania called Tick Checks where you send it in directly and have your tick checked for a multitude of pathogens with results in less than 48 hours.
  2. While there are no clinical studies that support the use of topical essential oils after a tick bite, I would still recommend the topical application of clove, cinnamon bark or oregano oil based on in-vitro studies of their activity against Borrelia infections.  It certainly can’t hurt.
  3. Once you get bitten there is no great test to detect early Lyme disease.  Traditional methods become accurate 4-6 weeks after the bite. There are controversial tests that can be done but it’s a gray area where you have to make decisions on treatment based on the clinical scenario. 
  4. After a delay of 3-30 days, be on the lookout for Erythema migrans (EM) rash (Bullseye rash) which can begin at the site of a tick bite, although many people do not have a rash at all. Over the next 4-6 weeks look for symptoms of fever, chills, headache, fatigue, muscle and joint aches, and swollen lymph nodes may occur in the absence of rash. See your doctor should you experience any of these symptoms. 

You Have Chronic Lyme – Concerns about COVID

Dr Yee has been treating chronic Lyme for two decades using an Integrative approach that is especially critical during the COVID pandemic as people with Lyme often have a compromised immune system.  Each person with Lyme needs a personalized approach that includes:

  1. Supporting the immune system 
  2. Assessing the best antibiotic regimen
  3. Integrating or replacing antibiotics with herbal protocols
  4. Protecting the gut during antibiotic treatment
  5. Other options for testing and treatment that your conventional lyme doc might not  know about.
  6. Checking aggressively for other tick infections that might have been missed.

If you have Lyme Disease and would like to see Dr Yee, she is now accepting new patients via Telemedicine.  CLICK HERE to set up a call and learn more about how Dr. Yee can help.  

Pamela Yee, MD is an Integrative Physician at Blum Center for Health in Rye Brook, NY where she creates highly personalized treatment plans for each of her patients. Dr. Yee has a special interest in integrative cancer care, immune disorders, and lyme disease. She lives in Nyack NY where she and her husband manage their own organic micro-farm.