Health Science

Unlocking Chronic Pain: The Mystery of the Trigger Point

Submitted on February 22, 2016 - 10:47am

This article originally appeared in the Winter 2016 issue of Health Science magazine, the member magazine of the National Health Association.

Gracie Yuen D.C. started seeking answers to her own health questions in the 1990s, including chronic respiratory infections, allergies, fatigue, and a genetic anemia. She read Fit for Life and started reading Health Science magazine cover to cover. Her own health turned around as she changed her diet, fasted, and rested. She then decided to obtain a B.S. degree in Nutritional Sciences from the University of Wisconsin-Madison, and went on to complete a Doctor of Chiropractic degree from National University of Health Sciences in 2010.  She has been working at TrueNorth Health Center for five years. She credits Divine Providence with leading her on this remarkable journey and bringing her where she is today.

Chronic pain is a nemesis that afflicts many people. Consider these scenarios:

  • Ted, 72, has struggled with lower back pain for years. It prevents him from getting a good night's sleep, and when he walks or stands for just 10 minutes, he gets an excruciating pain down his right leg that makes standing difficult. X-rays showed that he had some lumbar stenosis, so he had back surgery that helped a little at first, but now his pain is worse.
  • Karla, 40, has been working in a lab hunched over a microscope, but now has so much neck and arm pain with numbness and tingling going down to her hands that she has had to go on disability. Along with taking pain medication, she struggles with depression and is now on an anti-depressant.
  • Don, 65, has been having more and more difficulty climbing stairs, and getting up and down from a chair due to chronic knee pain. His legs just feel weak. He was told that he has moderate osteoarthritis in his knees and that he needs to lose weight. Just doing his daily tasks is a chore.
  • Melinda, 32, was rear-ended in a motor vehicle accident five years ago, and has had terrible headaches, neck pain, and stiffness ever since. She also has poor concentration and difficulty finding her words. She has moved to part-time in her job as a legal secretary. Seeing a chiropractor helped her some at first, but she still struggles, especially with headaches.

What do these four individuals have in common? They all have a mysterious pain that remains long after having been to numerous conventional and alternative doctors and practitioners. They have tried everything they can think of, only to be left with their pain medications, which help some, but don’t get to the cause.

What they don't know is that there exists a very common but little known cause of pain that often lurks in the tissues and goes unnoticed during imaging or when lab tests are done. It has been studied and elucidated at great length by astute medical doctors of the past and present, but is largely neglected by the medical community of late.

This pain lurking in the tissues is not a serious condition, but it can completely hijack a life for long periods of time. Amazingly, it has a fairly straightforward remedy. When treated properly, the relief can be absolutely stunning. 

Let's explore chronic pain and, specifically, the cause of this little known mysterious and enigmatic pain, and what can be done about it.

Click here to read the entire article as a PDF, complete with detailed charts.

An Interview with Dr. Alan Goldhamer

Submitted on February 22, 2016 - 9:51am

By Mark Huberman

This interview originally appeared in the Winter 2016 issue of Health Science magazine, the member magazine of the National Health Association, of which interviewer Mark Huberman is the president.

Dr. Alan Goldhamer is the founder of TrueNorth Health Center in Santa Rosa, California, which provides medical and chiropractic services, psychotherapy and counseling, and massage and body work. TrueNorth has become one of the premier training facilities for doctors wishing to gain certification in the supervision of therapeutic fasting. The British Medical Journal recently published a report by TrueNorth on the successful treatment of lymphoma cancer with fasting and a vegan, SOS-free diet. Future research is planned through the Center’s nonprofit arm, the TrueNorth Health Foundation. After completing his chiropractic education at Western States Chiropractic College in Portland, Oregon, Dr. Goldhamer became licensed as an osteopathic physician in Australia. He is the author of The Health Promoting Cookbook and co-author of The Pleasure Trap: Mastering the Hidden Force That Undermines Health & Happiness.

MH: Nearly everyone that discovers the hygienic way of life has a story about their journey. What is yours? Was there a health crisis? Was there a particular book that inspired you?
AG: Originally, my interest in health was motivated by a desire to beat Dr. Doug Lisle (pictured left) in basketball. Back in elementary school he was not yet “Dr. Lisle,” he was just Doug. Unfortunately, he adopted the same health-promoting diet as I did, and my efforts failed. He still beats me handily in basketball—but it did get me interested in improved health.
 
When was your first NHA/ANHS conference and what brought you there?
It was 40 years ago. I had decided to pursue a career in health care and was interested in learning more about the use of fasting.

Was there a particular speaker or NHA leader who influenced you?
I was impressed with Dr. Alec Burton and his presentations on hygienic philosophy and fasting.

What role did the NHA play in your professional development?
My exposure to the thinking of the doctors was very helpful, and I’d say even critical, in convincing Dr. Burton to allow me to come to Australia to train.

What made you want to go to chiropractic college?
The late Dr. Gerald Benesh convinced me that it was necessary to gain training as a primary care doctor in order to have the basic skills needed to properly advise patients on how to manage their health.

Is that where you met your wife, Dr. Jennifer Marano?
Yes. Jennifer transferred to the school I was attending, and I fell in love with her shortly thereafter! (Pictured right)

You had the extraordinary fortune of studying under the late Dr. Gerald Benesh and then under Dr. Alec Burton. Is that right?
Yes, I was incredibly fortunate. Both men were highly instrumental in my education.

What did you learn from Dr. Benesh?
Dr. Benesh taught me that the greatest threat to my ability to practice was well-intentioned but ignorant doctors and government officials.

What about Dr. Burton?
Dr. Burton taught me how to get sick people well and help healthy people stay that way.

What led you and your wife to start your first fasting institute, the Center for Conservative Therapy, in Penngrove, California, and who were your first professional colleagues?
I had the intention of starting a healthcare facility from the time I was attending high school with Dr. Lisle. He joined Jennifer and me shortly after he completed his training as a psychologist. Our first intern, and eventually first staff doctor, was Alec Isabeau, who joined us almost 30 years ago.

When did you move to your current location in Santa Rosa, California, and how did that come about?
We searched nationwide for the best place to live and set up a facility. We took many things into account, such as weather, air quality, water access, safety, access for patients, cost of property, medical-legal considerations, and acceptance of alternative medicine. The best place in the country turned out to be Santa Rosa.

Why did you change the name to the “TrueNorth Health Center”?
One of our patients who owned a very successful marketing company donated his services to help us come up with the most appropriate name for our facility. There are many directions one can travel to try to attain health, but one direction is more effective and efficient than the others: True North. This is the direction we try to guide our patients.

You have gone through a number of expansions. Tell us about the latest?
We recently gained control of five buildings adjacent to our 26,000-square- foot main facility. This allowed us to transfer most of our medical and administrative offices to these new buildings and remodel the vacated spaces into patient rooms. This has dramatically increased our capacity to our present 59 private patient rooms. We also have a dozen of our staff living in an adjacent apartment building that we have taken over.

You have an extraordinary large staff, several of whom have been with you for a very long time. Tell me about some of them.

  • Dr. Doug Lisle has been with us from day one and is the principal author of The Pleasure Trap. He is an outstanding clinical psychologist and dynamic speaker, and is currently working on a new book involving the critical issue of esteem.
  • Dr. Alec Isabeau has been with us 30 years, and is our sports medicine expert and is an outstanding diagnostician.
  • Dr. Erwin Linzner joined us over 15 years ago, and is an excellent chiropractor and experienced fasting supervisor.
  • Dr. Gracie Yuen joined us many years ago after completing her training with Dr. David Scott. She provides chiropractic services and fasting supervision.
  • Dr. Peter Sultana was a medical intern while attending Case Western Medical School and has been with us ever since. He has supervised more water-only fasts than any other medical doctor.
  • Dr. Michael Klaper brought his 40 years of medical experience to TrueNorth about six years ago. He supervises our intern training program, provides outstanding diagnostic acumen, and also provides phone consultation services. He also lectures throughout the country.
  • Dr. Anthony Lim is our newest medical doctor. He is a graduate of Harvard Law School as well as Stanford University. In addition to fasting supervision, Dr. Lim will be taking an active role in our expanding research program.
  • Dr Csilla Veress is our first naturopathic physician. Dr. Veress also provides acupuncture services and nutritional medicine, including the use of amino acid therapy in the treatment of Parkinson’s disease and other neurotransmitter-related conditions.

Tell me about some of the other non-physician staff members and what they offer?

  • Becka Kelley is TrueNorth’s assistant director. She is currently in a Ph.D. program for psychology, and is most interested in the issues of patient diet and lifestyle compliance and what we can do to support a patient’s ability to stay “True North.”
  • Chef Ramses Bravo and his staff provide delicious, health-promoting food that is vegan and SOS-free (free from all added sugar, including refined carbohydrates, oil and salt) His staff, including Mauricio, Patty, Johnny, Griselda, and Kristina, keep our patients and staff well fed.
  • David Goldman is a registered dietician and runs our fitness training program, utilizing our newly donated fitness center.
  • Randy Frary is our new facilities manager, and with our housekeeping staff, Auggie, Maria, Armando, Lorena, and Sara, keeps the facility immaculate. They also take care of our patients’ personal laundry and provide all manner of assistance.
  • Our hi-tech handyman Gar takes care of plumbing, electrical, and carpentry, as well as our network services and security cameras for the facility and our patients.
  • Our administrative staff, Carolyn, Graceann, Kelly, Joan, Hilary, and Laura, handle phones, scheduling, billing, and concierge services.
  • We also have a wonder group of instructors, including cooking teachers Katie Mae and Cathy Fisher (the copy editor of Health Science and TrueNorth’s electronic newsletter). Yoga and relaxation instructors are Alese, Mary, and Tam.
  • We also have a research staff headed by our new director of research, Toshia Myers, Ph.D., who is helping us move our research agenda forward rapidly. We have also been assisted by our consultants, Jeff Novick, R.D. and Jim Lennon, who have been instrumental in the development of our soon-to-be-launched website, fasting.org.

What is the advantage to having medical doctors on staff?
Having the best and brightest medical doctors allows us to help patients with a wide variety of challenges more effectively and efficiently, and most of all, safely.

You and Dr. Lisle authored the groundbreaking book The Pleasure Trap. When did it come out and what is its premise?
It was published in 2006. The book offers insights into the factors that make us susceptible to dietary and lifestyle excesses, and presents ways to restore the biological processes designed by nature to keep us running at maximum efficiency and vitality. When people eat foods that contain chemicals, mainly sugar and oil, the brain becomes artificially stimulated by dopamine secretions, which leads to overeating, obesity, and the diseases of dietary excess. The “pleasure trap” is largely why people are fat and sick, and it is an addiction that is exceedingly difficult to escape. We use fasting, in part, to help patients escape the pleasure trap.

Do you and/or Dr. Lisle have another book in the works?
Dr. Lisle is working on a new book about self-esteem that I know will be outstanding!

Perhaps one of the most unique aspects of TrueNorth is the internship opportunities that are offered to graduate students and physicians to become proficient in fasting supervision. Who is eligible, how does the program work, and how many interns do you take per year?
We are currently training about 30 doctors per year—M.D., N.D., D.C., D.O., and N.P.—in one-, three-, and twelve-month programs. Our internship/residency programs allow doctors to learn how to use nutritional medicine, including fasting, to help people get well. For many doctors this is the first time they have actually seen people recover their health. Several hundred interns have trained at TrueNorth over the years.

Why is an internship so important?
For many doctors, this is their only chance to learn how to use this approach.

Why don’t most folks who intern with you open fasting institutes of their own?
There are still major roadblocks to opening and running a facility. First, it is very expensive to develop a facility, to maintain the staff, and to attract the volume of patients needed to make it sustainable. Second, there are still medical and legal challenges to overcome. However, times are changing and new facilities may come on line in the future.

Most people probably think of TrueNorth as a fasting institute; but do people come to the center who do not fast?
In addition to medically supervised water-only fasting, or modified fasting on juices, many of our patients come to work with one or more of our doctors for assessment or treatment. Others come to take a break and get taken care of. People come to eat healthy food and be with other like-minded patients while attending lectures, cooking classes, and fitness training. Some business people also stay with us because our rates are lower than the hotels in town, and they get all their meals included.

Speaking of fasting, the most famous book ever written on the subject is unquestionably Dr. Herbert Shelton’s Fasting Can Save Your Life. Was he right, and is it really true?
He certainly was right, and it is true!

What actually happens during a fast, and why do most non-hygienists confuse fasting with starving?
Fasting is the period of time after you stop eating where you live on your reserves. Starvation is the period beyond this, where you keep going and burn vital tissues, and eventually die. We promote and practice fasting, not starvation.

What about juice fasting? Can this be an alternative form of “detoxing” for people who lack the time or resources to undertake a water fast? What are its limitations?
Juicing is a form of modified eating. It may be helpful in some circumstances, but it is not fasting. Water fasting introduces a unique physiological adaptation that is quite unique. Changes occur more effectively and efficiently in water fasting then during modified approaches.

In your 31-plus years, how many patients have water fasted under your care?
Believe it or not, we have supervised the fasting of over 15,000 patients!

What conditions respond positively to fasting, and are there some conditions that simply will not respond?
The conditions caused or made worse by dietary excess respond the most consistently to medically supervised water-only fasting. They include cardiovascular disease, including high blood pressure, obesity, diabetes, and a host of autoimmune disorders. Patients who do not respond well to fasting include those with undue fear of fasting, wasting disorders (where deficiency or depletion are predominate), and conditions where kidney disease or arrhythmia might make fasting problematic. We always try to appropriately phase medications off before beginning fasting, with a few exceptions of certain replacement therapies.

I know that a particular interest and priority of yours has been documenting not only the efficacy of fasting but also its safety; you have conducted several studies attesting to both. How many studies have you conducted and what do they show?
We have a number of publications. A landmark study, “Medically Supervised Water-only Fasting in the Treatment of Hypertension,” conducted with the help of Dr. T Colin Campbell of Cornell University, involved fasting 174 consecutive patients with high blood pressure. We demonstrated the largest effects of any study ever conducted, with an average reduction of over 60 points in those patients with stage 3 hypertension. A second study of moderate-high blood pressure conducted a year later was equally impressive. We have also published case reports in peer-reviewed journals on the use of fasting to treat subacute appendicitis, which also showed impressive results.

Lots of folks within the progressive health movement talk about the benefits of a whole-foods, plant-based diet, but you are most famous, for coining the term “vegan SOS,” which stands for a vegan diet without added salt, oil or sugar? Why should we avoid these three common staples of the American diet?
I suggest reading The Pleasure Trap for a comprehensive answer to this important question. The short answer is that these chemicals artificially stimulate dopamine, leading to an addictive response which results in overeating and the development of obesity and the diseases of dietary excess.

What are your thoughts about the abundance of salt and sugar substitutes?
I do not recommend them. In addition to their own individual chemical challenges to the body, they foster an unhealthy dependence on highly adulterated foods. These processed substitutes do not facilitate “taste neuroadaptation,” meaning that as long as someone is consuming them, health-promoting foods will not taste good and so people will avoid eating them.

Are there any good oils? What about olive oil, which is so widely championed by advocates of the Mediterranean diet?
No. I do not recommend any. All oils are highly processed and concentrated food by-products. They have an unnaturally high caloric density that will result in a host of chemical challenges and, inevitably, result in overconsumption. I recommend avoiding all oils except for the engine of your car.

Flavored vinegars have become quite the rage within the whole-foods, plant-based diet world as an alternative to oil in salad dressings. Any concerns about their general use?
I prefer the flavor of the actual vegetables; but if you are able to handle these high-acid products, I suggest consuming them in moderation.

Do folks that follow a broad-spectrum, vegan, SOS-free diet need supplements? If so, which ones?
Yes. I recommend 1,000 mcg of methylcobalamin (B12) once a day. If testing indicated a deficiency that was not correctable with diet or sunshine, I would consider other supplements on an individual basis. But we always prefer to obtain our nutrients from a health-promoting vegan, SOS-free diet.

Are you an advocate of consuming organic foods whenever possible?
Yes. I believe that organically grown foods can minimize exposure to potentially harmful chemicals. Additionally, we should support farmers who use health-promoting practices, which are not only beneficial to people but also our planet.

Tell me about the TrueNorth Kitchen and Chef Ramses Bravo, and how he and his culinary creations help folks stay on the straight and narrow?
Not only does our outstanding chef (pictured right) provide delicious food for our patients and staff, but we also have a walk-in deli service for our patients in the community. All foods are prepared without salt, oil, and sugar.

Is it affordable to stay at TrueNorth?
TrueNorth remains remarkably affordable. Our rates for a private room with a shared bathroom start at $149 a night. This includes a private room, all fasting supervision or meals, our educational program three times a day, twice-daily visits with the doctors (during morning and evening rounds), personal laundry service, and free phone and Wi-Fi.

Will health insurance cover any of the costs?
The medical exam, personal treatments, and laboratory testing are covered by Medicare and private insurances.

You recently created the TrueNorth Foundation. What are its goals?
The TrueNorth Health Foundation is our 501(C)(3) nonprofit organization whose mission is public education and research. Our most recent paper was published by the British Medical Journal. In the case report, we detail the resolution of a patient with stage 3 follicular lymphoma (lymph cancer) who has undertaken a 21-day water-only fast followed by a vegan, SOS-free diet. You can view this article on our website at healthpromoting.com/learning-center/articles. We will also be releasing a major study on fasting safety, as well as a number of papers evaluating outcomes of data we and Dr. Scott have collected that we have analyzed. We recently formed a collaboration with Dr. Luigi Fontana and the folks at the Buck Institute, and expect to begin recruiting for a research project that will evaluate the effect of fasting in reversing biomarkers associated with aging, cancer formation, Alzheimer’s disease, autoimmune disease, and changes in the microbiome.

We have been friends and colleagues in the NHA for a very long time, and I know the reputation you enjoy (like mine) of being very strict when it comes to adherence to the natural hygiene diet? Are you as diligent as they say?
Fortunately, I eat 20 of my 21 meals a week at the TrueNorth Health Center, so there is very little opportunity for temptation. When I was 16 I decided to do an experiment, where I adopted a vegan diet and avoided any drugs and highly processed foods. I am 41 years into this experiment, and so far it seems to be working.

Finally, I know that there is much more to a healthy and productive life than diet, and I would like you to share with your readers what you and Jennifer do to keep balance in your life with all of the demands that TrueNorth imposes?
I play full-court basketball three mornings and one evening a week, and I hike with Jennifer regularly. I also do a daily meditation practice. I believe that stress is like Christmas: it is better to give then to receive, and I try to be generous!

Thanks for your years of contributions to the NHA and the Natural Hygiene health movement that it continues to lead.
Thank you, Mark, for all that you do as well.

 

An Interview with Erwin Linzner, D.C.

Submitted on July 6, 2015 - 11:37am

By Mark Huberman

This interview originally appeared in the Spring 2015 issue of Health Science magazine, the member magazine of the National Health Association, of which interviewer Mark Huberman is the president.

Dr. Erwin Linzner completed his undergraduate training at the California State University, Los Angeles. He then went on to graduate Magna Cum Laude and as class valedictorian from Western States Chiropractic College. Dr. Linzner worked as an accountant and computer programmer prior to becoming a doctor. In 1994 he became affiliated with the TrueNorth Health Center. Dr. Linzner understands the importance of addressing the entire individual, physical as well as emotional, in guiding his patients in their process of healing. He incorporates soft tissue manipulation in the treatment of myofascial and connective tissue disorders, and spends the time to correct joint problems in the extremities as well as the spine.

MH: When you were first introduced as a new hygienic physician to the readers of Health Science magazine way back in January of 1997, I recall that your door to Natural Hygiene came from reading Fit for Life. What was it about that book that you found thought-provoking?
EL: It was an accumulation of things. I’ve learned over the years that we always reject information at first, even if it’s true, and I did this in my twenties. I had a good friend who was eating plant-based; I’m pretty sure he was vegan. And he would make salads and baked potatoes for me when I’d visit him. Then I would go to McDonald’s afterwards. But then in my thirties, I guess I was about 34, I read the book Fit for Life, and it really made sense to me that we are designed to have an optimum diet, and if you deviate too much then things aren’t going to work as well. And that made sense to me, just like nobody puts sugar and dirt into their gas tanks; we shouldn’t be doing that either with our food. One day I said, “Okay, I’ll give this a trial for a full week,” and luckily for me I woke up after three days of plant-based eating and my energy just bounded; it was just phenomenal.

Were you having any health problems at the time?
Yes. I never had energy. I’d get up at 8AM but I didn’t feel like I was actually moving until about 11AM. And I had frequent cold, and would be out of work for two or three days. I knew something wasn’t right.

One of the great things for the NHA was that Fit for Life and its authors, Harvey and Marilyn Diamond, didn’t have an organization of their own, and so they referred people who wanted to gain more information about the program to us. Is that how you were introduced to the NHA?
That was it. I started getting literature from the NHA, about once a month, and then one day I got a flier that Dr. Alan Goldhamer was giving a talk in Santa Monica, and I became interested. Also on the program were Dr. Jennifer Marano and Dr. Alan Immerman. Dr. Goldhamer spoke about water fasting and getting people well with fasting and healthy eating. It made so much sense to me and got me excited about wanting to make a difference in people’s lives; so I decided to follow in Dr. Goldhamer’s footsteps and go to Western States Chiropractic College.

Were there there other books that you read that helped frame your thinking?
I, of course, read almost everything from Dr. Herbert Shelton, and I was particularly inspired by his book, Fasting Can Save Your Life.

After reading the book, did you undertake a fast yourself to fully understand the experience?
At the time, my wife needed it more than I did. So I thought I’d let her be the guinea pig. So I sent her up to Dr. Goldhamer.

What a generous husband!
Well (chuckle), she had a history of smoking and was a little overweight, so I said why don’t we send you up there to clean out a bit. She was open to it, and did quite a long fast of over 20 days at Dr. Goldhamer’s first facility in Penngrove, California, called the Center for Conservative Therapy.

Was that eye-opening for her?
Oh, yes! It was eye-opening for us both. She lost weight and really looked radiant. It was just amazing. After that I did a fast as well, but only for about five days. (Dr. Linzner and Carolyn pictured at right.)

Do you remember the first NHA conference you attended?
I think it was Georgetown University back in 1994 right after I joined Alan.

Were there other hygienic physicians that you met who were influential in your thinking?
Two that impressed me a lot were Dr. Alec Burton and Dr. Keki Sidhwa. Believe it or not, on my bus ride from the airport I found myself sitting next to Dr. Sidhwa. It proved a wonderful opportunity to begin picking his brain.

How did you wind up working at TrueNorth?
After doing my fast at TrueNorth, I was really impressed with the work that Dr. Goldhamer was doing, so I said to him, “I went to your talk in Santa Monica last year, and it really motivated me to do this kind of work; so I am going to go to Chiropractic College to involve myself in the same kind of work.” To my surprise Alan said, “Great! As soon as you graduate, give me a call.” 

And you did?
Indeed I did. Of course I checked with him as things went along to make sure he was serious about it and that he would still bring me on when I graduated. And he said, “Yeah, yeah, keep working. We’re waiting for you.” Immediately after graduating, he gave me the opportunity to do an internship, and when that was completed he made me part of the staff. It was a great experience.

I know that Dr. Goldhamer still offers internship opportunities to young physicians. Why is it important to do an internship in fasting supervision?
It’s the best, and probably only, way for doctors to actually learn what works and what doesn’t. And it’s pretty phenomenal to actually see people get well from diet changes and fasting. I’ve seen some pretty miraculous recoveries.

Are there any that really stand out in your mind?
There have been many. In my first year at TrueNorth I helped care for a gentleman in his forties who was a drug addict, obese, and in congestive heart failure. When he was dropped off at the center, he was huffing and puffing just trying to get to the door. And I remember thinking, “Oh boy, this isn’t good. We are actually going to fast this guy?” I think he was referred by a medical doctor in Santa Rosa who told him that this was his last chance to get healthy. And that if we couldn’t help him, there probably wasn’t anything that could be done for him. Because of his situation, he was prepared to do whatever we asked of him. I don’t recall how long we fed him before we started fasting him, but we fasted him about 34 days. Amazingly, after breaking his fast, this guy who couldn’t walk from his car to TrueNorth’s front door ended up walking up a significant hill nearby! He then started walking 10 miles a day and truly started a new life. It was really amazing to see.

During my recent interview with Dr. Frank Sabatino, he felt there was a great place for fasting and a hygienic lifestyle in the true recovery from addiction. Do you agree?
Yes, I do. However, people recovering from addiction are often tougher to manage. But if they’re motivated and are willing to do the hard work, they’re going to get better quicker.

Over your past 18 years at True North, are there other conditions that you’ve seen respond particularly well to fasting?
I remember a young woman, maybe in her late twenties, with severe rheumatoid arthritis. She could not reach her head to do her hair. She fasted close to three weeks and had a great result. I remember how excited she was when she was able to do her own hair again.

What do you think the power of fasting is?
Fasting does a lot of things, but the one big thing it does is rejuvenate the body. During a fast you are breaking down old tissue and diseased cells that actually get rebuilt with new material. You get enzymatic induction, and you clean out your arteries. Excess fluid and salt leave your system. And your immune system strengthens; not necessarily during the fast but certainly afterwards.

Do you think that everybody needs to fast, or that everyone would benefit from fasting on some level?
Yes, I think everyone could benefit from periodic fasting. Even if you eat a really healthy diet, I think every four to five years it’s a good idea to undertake a fast to cleanse the palate, detox, and give your body a rest from digestion in a way that will allow the body to heal.

Is there a danger for people fasting themselves, and is there a limit to how many days people can go without supervision?
Fasting of any significant duration should be done under supervision by a medical professional. This is particularly the case for people on medications, because dramatic things can happen during the fasting state. However, if you are not on medication, a fast of two or three days is generally safe.

Can people get off their medication following a period of fasting and diet modification?
Absolutely! I have probably seen a thousand patients with hypertension who had normal or near normal blood pressure after fasting and no longer needed medication. I can count the number of failures on one hand. That’s pretty phenomenal. And even if they don’t get full resolution, they still see substantial improvement. The same is true for many people suffering from diabetes who were on medications.

How do you motivate people to adhere to the health program after a fast, and not slip back to hold habits and temptations once they return to their homes and jobs?
For most people it’s a process. The majority of people don’t make changes overnight. What I see is that people get better each time they come in. So they may come once a year or maybe even twice a year. The first time they give up the cigarettes and the second time they give up the beer and they eat more vegetables. For others, they just get it and they do the right things for a while. However, stresses get in the way when loved ones die and people lose jobs, for example. After those types of emotionally charged events, people can fall back into old habits of trying to get pain relief by eating crappy food.

Is that what Drs. Goldhamer and Lisle call the “Pleasure Trap”?
Yes. You feel a little better because you have some endorphin releases from the fatty foods you’re eating. But this is very short-term. The damage, however, will last for days, and if you do that for any period of time, health problems start up again.

My late father used to say that if you went to a hygienic facility or you came to an NHA conference, it would “recharge your battery.” Do you also find that to be the case at TrueNorth?
Yes—not only physically but mentally. I think one of the most important things we offer is the daily lectures. We offer people two a day, affording them a wonderful opportunity to understand the things we recommend them to do. People often deceive themselves into believing that they are eating healthy but they actually are not. I had a new patient today who started just that way. He said, “I eat pretty healthy.” But he was on hypertensive meds and he was a diabetic on medication. I told him gently, “Well, you know, the plant-based way is much better than what you’re describing.” I added, “If you were actually eating healthy you wouldn’t be taking those medications.” That seemed to get his attention, and I was able to convince him to make dietary changes during his first visit.

People must find it very liberating to get off of their medications.
Absolutely! You know, most people know that their medications are doing them damage. They don’t feel well when they take them, since there are almost always toxic side-effects. So they know that they’d rather not be on medication; but it’s still so hard for people to make the necessary changes.

Is that because taking drugs is so easy and offers a short-term suppression of their symptoms?
That’s right. I try to get people to realize that health is not free. You have to do a lot of work to actually be healthy. Health is not a given, and if you’re not willing to pay the price of the hard work, you’re going to be paying a different price, such as heart disease, cancer, diabetes, stroke, dementia, and/or a long list of very unpleasant conditions that western populations face. So which price do you want to pay? We hope that people choose the price of short-term deprivation where you’ll go through a withdrawal period while not engaging in your usual short-term pleasure seeking activities. And that process may take two or three months. But if you’re not willing to pay that price, you’re going to be paying a much bigger price: poor health.

I think when I interviewed Dr. Caldwell Esselstyn, he said it was his belief that nearly all of the degenerative diseases you were just describing actually need not exist. Do you agree with him?
Oh, absolutely. It is so true. Obviously some of the cancers are not clear, and even healthy people get ill, but the vast majority would not exist if people followed our whole-foods, plant-based lifestyle. And then when people did have heart attacks, we’d be writing them up in the health journals because they’d be so rare!

Does everyone come to TrueNorth to fast or can they just come to eat and learn?
You can do both. Dr. Goldhamer has hired a wonderful chef, and his staff does such a great job of presenting healthy foods. We actually get many people that come just to eat and exercise who can’t fast due to their myriad of health conditions. We also have lots of people that come in just to eat or maybe to go on a modified juice fast because they’re still on some medication. (Pictured at right: Dr. Linzner at TrueNorth in Penngrove in 1996)

How does juice fasting differ from water fasting?
Both juice fasting and water fasting use the body’s ability to burn fat and accelerate the detox process. Water fasting, however, is a much faster process of getting people healthier. This may mean, however, that there are more symptoms, such nausea, vomiting, back pain, headaches, itching, etc. So, people who don’t want to go through the rigors of water fasting can choose to do juice fasting, which is typically less symptomatic. Also, for some patients who are on medications and/or where the doctor feels that water fasting is inappropriate, juice fasting can be a safer alternative.

How has the center changed from those early days when it was called the Center for Conservative Therapy (located in Penngrove) to TrueNorth Health Center (located in Santa Rosa)?
One of the biggest things is that we’ve brought on medical doctors. When I first came on staff, we had Dr. Ron Cridland, but he left shortly thereafter, and for a while we didn’t have any medical doctors. Today we are fortunate to have several serving the facility, and that is very helpful because we get patients with more significant health problems than we used to; and our medical doctors also have the ability to manage patients’ medications and complex conditions. We get sicker people nowadays, but often even they can get off of most of their medications despite not being able to fast.

When patients stay at TrueNorth, do you collaborate with the other physicians there, concerning their care?
We have weekly meetings, and the doctors discuss each patient’s case to see what we can do better.

Do you have a specific role at TrueNorth Health, or are you just one of the staff physicians that do everything?
I have two roles. I do the morning rounds for fasting supervision to make sure everyone is having a safe fasting experience. I also do chiropractic treatments for both our residential participants and local patients for a variety of musculoskeletal conditions.

What impact do you think documentaries like Forks Over Knives have had on this country’s health consciousness?
A lot. I’ve been on a plant-based diet for 28 years now, but when I first went vegan my family went ballistic. I remember one of my cousins saying, “You’re crazy. You’re going to get sick and die; you’re going to have protein deficiencies.” I just looked at him and chuckled. But you know, that was the mindset back then, not just by family and friends, but also the medical society, the media, and the American Dietetic Association. That’s changed a lot, and much of the credit goes to that great film and the wonderful work of the physicians profiled in it. Today, when you talk to people about getting on a plant-based diet, they usually have heard of it and more often than not even respect it.

Do you still have to defend such questions as, “Where do you get your protein?” and “Why don’t you drink milk?”
Yes, but not as often as 25 years ago. But many people still believe that protein only comes from meat and that cow’s milk is necessary for strong bones.

What do you think of the “super food” emphasis being given to greens like kale, spinach, and bok choy? Is this the wrong way to think about simply good eating?
Not at all. Dr. Joel Fuhrman talks a lot about micro-nutrient density, and he is right on. These green leafy vegetables are some the most important foods to eat because they are very high in vitamins and minerals, as well as nutrients we probably haven’t even discovered yet. So it’s very important to eat your greens.

Isn’t one of the great benefits of following a hygienic, plant-based, minimally processed diet is that you don’t have to worry about how much protein, vitamins, and minerals you are taking in?
Yes, it’s such a relief. I know if I just stick to eating whole foods that are plant-based, with maybe a little exception of B12 and vitamin D, I really don’t need to worry about anything else.

Are you optimistic that we are becoming more health conscious in America?
Oh, definitely. As I mentioned earlier, there’s been a major shift in awareness, and even fasting seems to be catching on. We’re so busy here at TrueNorth because so many people are now interested in fasting. Recently, a major national magazine had an article detailing the experience of one of their writers who came and had a wonderful experience fasting with us. That article generated quite a bit of interest and business. So we’re getting a lot of exposure, even in the mainstream media, about fasting.

Are you also getting a lot of interest from young physicians wanting to learn about fasting and your health program?
Yes we are. We’re getting medical doctors, naturopaths, and chiropractors who are coming here to learn what we do, and it’s affecting how they think about health. And that’s really how the change is going to happen in the future; it isn’t what they’re going to be teaching in medical school. What medical schools teach will only change after enough people say it’s time to change.

So tell me about the Linzner Family?
My wife Carolyn and I have an adopted son who is 32 and he’s got three kids. Carolyn is the office manager at TrueNorth.

And has she stayed disciplined with the lifestyle as well?
Pretty much. She had a little more trouble a few years ago, but she’s been very good now for a couple of years, and she has lost a lot of weight. Everyone has to make those decisions for themselves; nobody can make them for you.

What do the Linzners do for recreation when they are not admitting or caring for patients at TrueNorth?
We do some hiking and occasionally go dancing, but my favorite thing to do is play Bridge.

Bridge!!? That doesn’t sound very vigorous.
It’s not, but its very competitive, and it exercises your mind.

It’s been great talking to you doc and catching up with you after all these years.
Good to talk to you, Mark!