*archived in our group* The LIVER HEALTH Questionnaire

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The LIVER HEALTH Questionnaire JoAnn Guest

Mar 22, 2005 19:01 PST

 

http://www.liverdoctor.com/liverdysf.shtml

 

Do you suffer with:

Abnormal Metabolism of Fats

Abnormalities in the level of fats in the blood

stream, for example,

elevated LDL cholesterol and reduced HDL

cholesterol and elevated

triglycerides.

Arteries blocked with fat, leading to high blood

pressure, heart

attacks and strokes.

Build up of fat in other body organs (fatty

degeneration of organs).

Lumps of fat in the skin (lipomas and other fatty

tumours).

Excessive weight gain, which may lead to obesity.

Inability to lose weight even while dieting.

Sluggish metabolism.

Protuberant abdomen (pot belly).

Cellulite.

Fatty liver.

Roll of fat around the upper abdomen - (liver

roll).

 

 

Digestive Problems

Indigestion.

Reflux.

Haemorrhoids. Gall stones and gall bladder

disease.

Intolerance to fatty foods.

Intolerance to alcohol.

Nausea and vomiting attacks.

Abdominal bloating.

Constipation.

Irritable bowel syndrome.

Pain over the liver -

(upper right corner of abdomen & lower right rib

cage).

 

 

Blood Sugar Problems

Craving for sugar.

Hypoglycaemia and unstable blood sugar levels.

Mature onset diabetes (TypeII) is common in those

with a fatty liver.

 

 

Nervous System

Depression.

Mood changes such as anger and irritability.

Metaphysically the liver is

known as the " seat of anger " .

Poor concentration and " foggy brain " .

Overheating of the body, especially the face and

torso.

Recurrent headaches (including migraine)

associated with nausea.

 

 

 

Immune Dysfunction

Allergies - sinus, hay fever, asthma, dermatitis,

hives, etc.

Multiple food and chemical sensitivities.

Skin rashes and inflammations.

Increased risk of autoimmune diseases.

Chronic Fatigue Syndrome.

Fibromyalgia.

Increase in recurrent viral, bacterial and

parasitic infections.

 

 

External Signs

Coated tongue.

Bad breath.

Skin rashes.

Itchy skin (pruritus).

Excessive sweating.

Offensive body odour

Dark circles under the eyes.

Yellow discolouration of the eyes.

Red swollen itchy eyes (allergic eyes).

Acne rosacea -

(red pimples around the nose, cheeks and chin).

Brownish spots and blemishes on the skin (liver

spots).

Red palms and soles which may also be itchy and

inflamed.

Flushed facial appearance or excessive facial

blood vessels

(capillaries/veins).

 

 

Hormonal Imbalance

Intolerance to hormone replacement therapy or the

contraceptive pill

(eg. side effects).

Menopausal symptoms such as hot flushes may be

more severe.

Premenstrual syndrome may be more severe.

 

 

NOTE: All of the above symptoms are common

manifestations of a

dysfunctional liver. However, they can also be

due to other causes,

of a more sinister nature.

 

If you have three or more of these problems, it

is likely that you

have a dysfunctional liver.

We advise you to have your liver function checked

by a medical

practictioner.

 

 

Fatty Liver:

 

If you talk to radiologists and

gastroenterologists who are looking

at people's livers today they will tell you that

the condition

 

" Fatty Liver " affects more than 50% of people

over the age of 50!

 

Common causes are incorrect diet, excessive

alcohol intake, adverse

reactions to drugs and toxic chemicals, and viral

hepatitis.

 

Dr. Cabot believes it is because modern-day

medicine has become

sidetracked into treating the

 

symptoms of diseases and not the causes.

 

Excess weight is a symptom of liver *dysfunction*

and not solely due

to the number of calories you consume.

 

We have been attacking the symptoms of weight

excess with fad diets,

obsessional high impact aerobics, stomach

stapling and toxic drugs,

such as appetite suppressants, laxatives and

diuretics.

 

we have failed to consider the underlying cause

of LIVER DYSFUNCTION

and indeed we have virtually ignored the

hardest-working organ in the

body, with dire consequences.

 

Dr. Sandra Cabot's books on the liver show us

these consequences -

 

not just weight problems, but a higher incidence

of cardiovascular

and degenerative diseases that are the leading

causes of death in

modern affluent societies.

 

 

 

The Liver and Weight Loss

 

Vital Points for the Weight Conscious!

 

The liver is the major fat burning organ in the

body and regulates

fat metabolism by a complicated set of

biochemical pathways. The

liver can also pump excessive fat out of the body

through the bile

into the small intestines.

 

If the diet is high in fibre this unwanted fat

will be carried out of

the body via the bowel actions.

 

Thus the liver is a remarkable machine for

keeping weight under

control being both a fat burning organ and a fat

pumping organ.

 

 

 

If the diet is low in fibre, some of the fats

(especially

cholesterol) and toxins that have been pumped by

the liver into the

gut through the bile will recirculate back to the

liver. This occurs

via the entero-hepatic circulation.

 

The term entero-hepatic circulation describes the

recirculation of

fluids (consisting mainly of bile acids) from the

gut back to the

liver. See diagram 3 below.

 

The entero-hepatic circulation is very large,

with approximately 95% of

the bile acids being reabsorbed from the last

section of the small

intestine (ileum), into the portal vein to be

carried back to the liver.

 

 

The liver recirculates these bile acids back into

the small

intestines and the entire bile pool recycles

through the entero-

hepatic circulation six to eight times a day.

 

If this recirculated fluid is high in fat and/or

toxins, this will

contribute to excessive weight.

 

 

A high fibre diet will reduce the recirculation

of fat and toxins

from the gut back to the liver. This is vitally

important for those

with excessive weight, toxicity problems and high

cholesterol.

 

The inclusion of plenty of organic raw fruits and

vegetables as well as

ground-up raw seeds will increase both soluble

and insoluble fibre in

the gut, and reduce recirculation of unwanted fat

and toxins.

 

Some people find that rice or wheat bran,

psyllium husks and

unprocessed homemade muesli can boost fibre

efficiently.

 

If the liver filter is damaged by toxins or

clogged up (blocked) with

excessive waste material it will be less able to

remove small " fat

globules " (chylomicrons) circulating in the blood

stream.

 

This will cause excessive fat to *build up* in

the blood vessel walls.

This fat may then gradually build up in many

other parts of the

body, including other organs, and in fatty

deposits under the skin.

Thus you may develop cellulite in the buttocks,

thighs, arms and

abdominal wall.

 

If the liver is " dysfunctional " , it will not

manufacture adequate

amounts of the good cholesterol (HDL), which

travels out of the liver to

scavenge the unhealthy cholesterol

(LDL) from the blood vessel walls.

 

 

 

If the liver filter is healthy it allows " dietary

cholesterol " to be

shunted into the liver for metabolism or

excretion through the bile.

A healthy liver filter is essential to properly

" regulate " blood

cholesterol levels.

 

 

Poor liver function may increase your chances of

cardiovascular

diseases such as atherosclerosis, high blood

pressure, heart attacks

and strokes.

 

If the liver does not regulate fat metabolism

efficiently, weight

gain tends to occur around the abdominal area and

a protuberant

abdomen (potbelly) will develop. This is not good

for the waistline!

Another sign can be a roll of fat around the

upper abdomen, which I

affectionately call the " liver roll. " This is

often a sign of a fatty

liver.

It can be almost impossible to lose this

abdominal fat until the

liver function is improved.

 

Once this is done the liver will start burning

fat efficiently again and

the weight comes off gradually and without too

much effort from you.

 

It is not necessary to make yourself miserable by

following a low fat,

low calorie diet.

What is effective in the long term is to eat the

correct foods and

nutrients for the liver to improve its fat

burning function.

 

A good liver tonic containing the liver herb St.

Mary's Thistle, and

sulphur containing amino acids will help the

liver to burn fat more

efficiently and thus is an aid to weight control

 

.. Many middle-aged people with excess fat in the

abdominal area have

a " fatty liver " . In this condition the liver has

stopped burning fat and

has turned into a " fat storing " organ.

It becomes enlarged and swollen with greasy

deposits of fatty tissue.

 

Those with a fatty liver will not be able to lose

weight unless they

first improve liver function, with a liver

cleansing diet and a good

liver tonic.

 

If you have a fatty liver it is vital to be

patient, as it can take

between 3 to 12 months, depending upon the amount

of fat deposited in

the liver, to remove the excess fat from the

liver.

 

After this accumulated liver fat has been

removed, weight loss will

occur easily. If you have a very severe case of

fatty liver it can

take several years to lose all of the excessive

weight.

However, this is very successful in the long term

and provides the

best chance of restoring your figure and your

health.

 

Fatty liver is common and doctors often tell

their patients with

this problem not to worry too much because it is

not serious.

 

I disagree with this, because if you have a

" fatty liver " , your

chances of high cholesterol, cardiovascular

disease and mature-onset

diabetes are significantly higher.

 

Unfortunately, it is not uncommon to find a fatty

liver in

adolescents who consume a diet high in processed

and fast foods.

 

If you overload the liver with the wrong type of

hormone replacement

therapy, drugs or toxins, the liver's

" biochemical pathways " will have

less energy reserves left over to perform their

function of " fat

metabolism " . Thus these things can lead to weight

gain.

 

For menopausal women with a weight problem, the

best type of hormone

replacement therapy is that which bypasses the

liver, natural

progesterone creams or buccal lozenges.

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Post subject: Liver Test

---

 

http://www.liverdoctor.com/Section2/09_livertest.asp

 

The purpose of this page is to assist people to

understand the reasons

for the tests that are generally performed and

make some sense of the

results. It is not intended to encourage “self

diagnosis”

A reliable diagnosis of a liver condition can

only be made by a

qualified medical practitioner after many factors

have been investigated

and ruled out. This will involve taking a full

medical history and more

than likely more tests will need to be performed.

 

Therefore if it is always recommended to see your

physician if you

suspect you have a liver problem.

 

What causes the enzymes to be raised in a Liver

Function Test?

 

The reason why all or some of these enzymes

become elevated in cases of

liver disease is that they are normally contained

inside the liver cells

(hepatocytes).

 

They only leak into the blood stream when the

liver cells are damaged.

Thus measuring liver enzymes is only able to

detect liver damage and

does not measure liver function in a sensitive

way. " The Healthy Liver

and Bowel Book " Dr Sandra Cabot p 98

 

Other tests can be done to check the ability of

the liver to manufacture

its vital proteins. These are tests for the

proteins albumin,

prothrombin, and various globulins and they show

characteristic

abnormalities in those whose liver function is

abnormal.

 

This may sound rather technical, however your

doctor can easily do all

these tests from two or three small vials of

collected blood. In the

early stages of liver disease there may be no

dramatic symptoms and thus

you and your doctor may be totally unaware that

there is an underlying

problem. Often the early stages of liver disease

are found

coincidentally on a routine blood test that

includes tests for liver

function.

 

 

 

Tests For Liver Function

 

What is a Liver Function Test?

 

Blood samples are analyzed for levels of specific

" enzymes " in the blood

stream – there are generally 5 – 6 specific

things that are checked.

Collectively these tests are called a “Liver

Function Test” or LFT.

These enzymes are what are referred to as

‘markers’ of disease and

dysfunction. This is not to be confused with a

'Functional

Detoxification Profile " which tests the function

of the detoxification

pathways

 

How reliable is this test?

 

The name “Liver Function Test” is actually quite

misleading as this test

does not actually measure the ‘function’ of the

liver. It is more a

marker of the status of the integrity of the

liver cell membranes.

 

Most of the standard or routine blood tests that

your doctor will order

to check “liver function” are in reality only

able to detect liver

disease. These tests are not sensitive enough to

accurately reflect

liver function.

 

It is possible to still have liver disease even

though blood tests are

normal. Therefore the LFT alone is not capable of

making a proper

diagnosis of many liver conditions.

 

No test is completely accurate as it is only an

indication of what is

happening at the time the test was taken. It is

therefore common

practice to perform the test again on another

occasion, especially if

any results are abnormal.

 

This is why it is important for you to consult a

specialist in liver

diseases (hepatologist), if you suspect that your

liver is unhealthy and

yet conventional blood tests remain normal.

 

Different diseases of the liver will cause

differing types of damage and

affect liver function tests accordingly.

 

It can be possible to give an idea of which

disease may be suspected

from a liver function test, but these tests are

not the absolute way of

diagnosing liver disease. They are helpful, but

not the whole story.

They are also useful for monitoring someone with

liver disease, but are

not always accurate.

 

As the LFT is really only showing the level of

enzymes present in the

blood stream it is only showing that some

damaging is occurring but does

not give an indication of the extent. This is

where other tests are

required to give a more accurate picture of the

extent of the damage

after the fact that damage is occurring has been

established.

 

What is checked in a Liver Function Test?

A routine blood test for liver function will be

processed by an

automated multichannel analyzer, and will check

the blood levels of the

following :-

 

A Typical Liver Function Test

 

Result Unit Reference

• AP (Alk Phos) U/L (30 to 120)

• GGT (Gamma GT) U/L (5 to 35)

• LD Lactate Dehydrogenase U/L (100-225)

• AST (Aspartate aminotransferase) U/L (5 to 45)

• ALT (Alanine aminotransferase) U/L (5 to 45)

• Albumin g/L (38-55)

• Clotting Studies (Prothrombin Time) Seconds (11

to 13.5)

• Total Bilirubin - Normal range is 3 - 18 umol/L

(0.174 - 1.04mg/dL).

 

 

After the result is the laboratories reference

range and the units in

which the result is expressed eg: U.L

 

Each laboratory will provide a “reference range”

or ‘ normal values’

This is the average reading that is deemed a

‘normal’ reading for the

majority of the population. This will assist the

Doctor in determining

if the patients results are abnormal.

 

The normal values for liver function tests will

vary between men and

women, at different times of the day and will

change as you get older.

Different laboratories may have slightly

differing reference ranges.

 

Liver Enzymes

 

• ALT - (alanine aminotransferase) - was

previously called SGPT is more

specific for liver damage. The ALT is an enzyme

that is produced in the

liver cells (hepatocytes) therefore it is more

specific for liver

disease than some of the other enzymes . It is

generally increased in

situations where there is damage to the liver

cell membranes. All types

of liver inflammation can cause raised ALT. Liver

inflammation can be

caused by fatty infiltration (see fatty liver)

some drugs/medications,

alcohol, liver and bile duct disease.

 

• AST - (aspartate aminotransferase) which was

previously called SGOT.

This is a mitochondrial enzyme that is also

present in heart, muscle,

kidney and brain therefore it is less specific

for liver disease. In

many cases of liver inflammation, the ALT and AST

activities are

elevated roughly in a 1:1 ratio.

 

• AP - (alkaline phosphatase) is elevated in many

types of liver disease

but also in non-liver related diseases. Alkaline

phosphatase is an

enzyme, or more precisely a family of related

enzymes, that is produced

in the bile ducts and sinusoidal membranes of the

liver but is also

present in many other tissues. An elevation in

the level of serum

alkaline phosphatase is raised in bile duct

blockage from any cause.

Therefore raised AP in isolation will generally

lead a physician to

further investigate this area. Conditions such as

Primary Biliary

Cirrhosis and Sclerosing Cholangitis will

generally show a raised AP.

Raised levels may also occur in cirrhosis and

liver cancer. Alkaline

phosphatase is also produced in bone and blood

activity can also be

increased in some bone disorders.

 

• GT - (gamma glutamyl transpeptidase) is often

elevated in those who

use

alcohol or other liver toxic substances to

excess. An enzyme produced in

many tissues as well as the liver. Like alkaline

phosphatase, it may be

elevated in the serum of patients with bile duct

diseases. Elevations in

serum GGT, especially along with elevations in

alkaline phosphatase,

suggest bile duct disease. Measurement of GGT is

an extremely sensitive

test, however, and it may be elevated in

virtually any liver disease and

even sometimes in normal individuals. GGT is also

induced by many drugs,

including alcohol, therefore often when the AP is

normal a raised GGT

can often (but not always) indicate alcohol use.

Raised GGT can often be

seen in cases of fatty liver and also where the

patient consumes large

amounts of Aspartame (artificial Sweetener) in

diet drinks for example.

 

• Bilirubin is the major breakdown product that

results from the

destruction of old red blood cells (as well as

some other sources). It

is removed from the blood by the liver,

chemically modified by a process

call conjugation, secreted into the bile, passed

into the intestine and

to some extent reabsorbed from the intestine. It

is basically the

pigment that gives faeces its brown colour.

 

• Bilirubin concentrations are elevated in the

blood either by increased

production, decreased uptake by the liver,

decreased conjugation,

decreased secretion from the liver or blockage of

the bile ducts.

• In cases of increased production, decreased

liver uptake or decreased

conjugation, the unconjugated or so-called

indirect bilirubin will be

primarily elevated.

• In cases of decreased secretion from the liver

or bile duct

obstruction, the conjugated or so-called direct

bilirubin will be

primarily elevated.

 

Many different liver diseases, as well as

conditions other than liver

diseases (e. g. increased production by enhanced

red blood cell

destruction), can cause the serum bilirubin

concentration to be

elevated. Most adult acquired liver diseases

cause impairment in

bilirubin secretion from liver cells that cause

the direct bilirubin to

be elevated in the blood. In chronic, acquired

liver diseases, the serum

bilirubin concentration is usually normal until a

significant amount of

liver damage has occurred and cirrhosis is

present. In acute liver

disease, the bilirubin is usually increased

relative to the severity of

the acute process. In bile duct obstruction, or

diseases of the bile

ducts such as primary biliary cirrhosis or

sclerosing cholangitis, the

alkaline phosphatase and GGT activities are often

elevated along with

the direct bilirubin concentration. (See Gilberts

Syndrome)

 

• Albumin - Albumin is the major protein that

circulates in the

bloodstream. As it is made by the liver and

secreted into the blood it

is a sensitive marker and a valuable guide to the

severity of liver

disease.

 

Low serum albumin concentrations indicate the

liver is not synthesizing

the protein and is therefore not functioning

properly. The serum albumin

concentration is usually normal in chronic liver

diseases until

cirrhosis and significant liver damage is

present. There are many other

proteins synthesized by the liver however the

Albumin is easily,

reliably and inexpensively measured.

 

• Platelet count - Platelets are cells that form

the primary mechanism

in blood clots. They're also the smallest of

blood cells. They derived

from the bone marrow from the larger cells known

as megakaryocytes.

Individuals with liver disease develop a large

spleen. As this process

occurs platelets are trapped with in the

sinusoids (small pathways

within the spleen) of the spleen. While the

trapping of platelets is a

normal function for the spleen, in liver disease

it becomes exaggerated

because of the enlarged spleen (splenomegaly).

Subsequently, the

platelet count may become diminished.

 

• Prothrombin time (Clotting Studies) The

prothrombin time is tested to

evaluate disorders of blood clotting, usually

bleeding. It is a broad

screening test for many types of bleeding

disorders. When the liver is

damaged it may fail to produce blood clotting

factors.

 

 

 

How do the liver cell membranes get damaged in

the first place?

Inflammation is a common cause of damage to the

delicate liver cell

membranes.

Liver inflammation is medically termed Hepatitis

(hepato = liver, itis =

inflammation).

This has many different causes including long

term alcohol excess, some

medications such as long term antibiotics,

cholesterol lowering

medications and pain killers, oral synthetic

Hormone Replacement, viral

infections of the liver such as Hepatitis A, B &

C, auto-immune

hepatitis, hemachromatosis, primary biliary

cirrhosis, exposure to toxic

chemicals such as insecticides & pesticides &

organic solvents &

incorrect diet.

 

Fatty liver can cause raised Liver Function Test

results

 

One of the most common causes of liver

inflammation is fatty liver (see

Fatty Liver) Fatty liver is also known as NASH,

which stands for Non-

Alcoholic Steatorrhoeic Hepatosis. It is very

common in overweight

persons, over the age of 30 who have had a long

term poor diet high in

processed foods, sugar, saturated fat and dairy

products.

 

Generally an ultrasound of the abdominal area

should also be performed.

Many cases of fatty liver can be picked up this

way. The ultrasound will

detect areas ‘of increased echogenicity’ meaning

that the liver tissue

is beginning to become infused with fat.

 

What can be done to lower the readings?

In my medical practice where I do a lot of

routine blood tests for

hormone levels and liver function in overweight

patients, I often find

slight elevations in liver enzymes which

signifies mild impairment of

liver function and slight liver damage. This can

easily be reversed

with the Liver Cleansing Diet principles and

specific dietary

supplements I have found that it is very

difficult for many of my

overweight patients to lose weight even though

they may be eating only

normal amounts, unless I first improve their

liver function. Once they

are five to six weeks into the " Liver Cleansing

Diet " their

liver-function tests are usually back to normal

and the process of

weight loss takes on increased momentum. Yes, the

liver is the strategic

organ for those who have found it very difficult

to lose weight or

simply just to maintain a healthy weight as they

get older. “The Liver

Cleansing Diet” Dr Sandra Cabot p 20.

 

 

 

TESTS FOR LIVER DISEASE

If you suspect that your liver is not working

properly or may be

diseased ask your doctor to check your liver. The

liver can be seen with

various imaging techniques, such as ultrasound

scanning or CAT scanning,

which are done by a radiologist. An ultrasound

scan of the

upper abdomen will show the size and shape of the

liver, gallbladder,

spleen, and pancreas. CAT scanning is used to

check for cancer or tumors

of the liver.

 

Blood tests can check levels of serum bilirubin

and bile acids, which

may be elevated in certain types of liver and

gallbladder disease. If

the bilirubin is too high you may also notice

that your bowel actions

are very pale and that your urine is a darker

color because

bilirubin is diverted from the bowels to the

urine.

 

When diagnosing liver disease, often, but not

always the most used test

in each disease is generally:

 

Disease Test or Procedure

Fatty liver (NonAlcoholic Steatohepatitis or

NASH) • Ultrasound

• Liver Biopsy

Hepatitis A • Antibody Test (Blood Sample)

Hepatitis B • Antibody & AntigenTests Hepatitis B

DNA (Blood Sample)

• [Liver Biopsy if chronic to assess level of

liver damage]

Hepatitis C • Antibody Test/ Hepatitis C RNA

(Blood Sample)

• [Liver Biopsy if chronic to assess level of

liver damage]

Primary Biliary Cirrhosis • Biopsy/ Bile duct

imaging

Primary Sclerosing Cholangitis • Biopsy/ Bile

duct imaging

Autoimmune Hepatitis • Liver Biopsy

Wilson’s Disease • Genetic Analysis/ Copper

studies (Blood and Urine

Samples)

Alcohol Related Liver Disease • Liver Biopsy/

Liver Function Tests

 

What is a Biopsy?

This procedure involves using a special needle to

remove tissue from the

liver to be examined in the laboratory. This will

be used to assess the

extent of scarring, fatty infiltration or liver

damage.

 

For the biopsy, you will lie on a hospital bed on

your back or turned

slightly to the left side, with your right hand

above your head. After

marking the outline of your liver and injecting a

local anesthetic to

numb the area, the physician will make a small

incision in your right

side near your rib cage, then insert the biopsy

needle and retrieve a

sample of liver tissue. In some cases, the

physician may use an

ultrasound image of the liver to help guide the

needle to a specific

spot.

 

How accurate is this test?

It is still regarded as the most accurate way of

assessing the status of

the extent of damage to the liver. You will need

to hold very still so

that the physician does not nick the lung or

gallbladder, which are

close to the liver. The physician will ask you to

hold your breath for 5

to 10 seconds while he or she puts the needle in

your liver. You may

feel a dull pain. The entire procedure takes

about 20 minutes.

 

Liver biopsy is considered minor surgery and is

done at the hospital.

However it should be noted that this procedure is

not without risk – it

is important that it is carried out by a very

experienced Doctor. The

risks include puncture of the lung or

gallbladder, infection, bleeding,

and pain. The bleeding in particular is a

dangerous complication. It

carries about a 1/10000 death rate – some Doctors

say its even higher.

 

 

 

Who should NOT have this procedure done?

• People with blood clotting disorders

• People who are on blood thinning medication

such as Warfarin,

Coumadins, Ibuprofin, aspirin

• People with hemangiomas (benign liver cyst

consisting of twisted

congested blood vessels)

 

What is an ultrasound or sonograph?

This is a non invasive method of assessing liver

health. It is an

imaging procedure of the internal organs of the

abdomen, including the

liver, gallbladder, spleen, pancreas and kidneys.

The ultrasound machine

sends out high-frequency sound waves, which

reflect off body structures

to create a picture. There is no ionizing

radiation exposure with this

test. There are many reasons for performing an

abdominal ultrasound

including looking for a cause of pain, for stones

in the gallbladder or

kidney, or for a cause for enlargement of an

abdominal organ. The reason

for the examination will depend on your symptoms.

 

" THESE STATEMENTS HAVE NOT BEEN EVALUATED BY THE

FDA AND ARE NOT

INTENDED TO DIAGNOSE, TREAT OR CURE ANY DISEASES "

_________________

 

JoAnn Guest

mrsjo-

DietaryTi-

www.geocities.com/mrsjoguest/Genes

 

 

 

" When the power of love becomes stronger than the love of power, we will have

peace. "

Jimi Hendrix