Monday, April 12, 2010

Doses of Hope By: Mike Gossie, Tribune Newspapers

Love drove Virgil Stenberg of Apache Junction to find a way to ease arthritis pain. “Seeing my lovely, caring wife hurting every night, her hands red and swollen, was very motivating,” said the retired University of North Dakota chemistry professor. “When I promised my wife I would research arthritis, it was a pledge I took as seriously as my wedding vow.”

Despite her husband’s promise, Helen Stenberg didn’t hold out much hope.
“I felt his research was more to improve my mental well-being than anything else,” said Helen, who was diagnosed in 1971 at age 37 with rheumatoid arthritis, but who has battled arthritis pain in her hands since she was 18.

“As the days turned into weeks, weeks into months and months into years, it was difficult to place much hope that my husband would add anything to the arthritis picture,” she said. “My hope was that a new magic medicine would be discovered somewhere that would make my pain disappear.”

What her husband discovered after 12 years of intense research has not only helped her, but more than 3,000 people. Stenberg developed an arthritis treatment called Microdose Therapy that he is struggling to get the mainstream medical community to embrace, even as university studies prove that it’s the most successful and cost-effective treatment available
Stenberg’s possible breakthrough has come at the right time. About 43 million Americans suffer from arthritis, according to the Centers for Disease Control and Prevention. By 2020, when all baby boomers will be older than 55, the CDC expects 60 million Americans will report some arthritis. About 11.6 million of them will have enough pain and stiffness to keep them from doing things they used to do.

“We took Helen to the best experts we could find, watched them work and were confident they were applying the best technologies available,” Stenberg said. “When the results were less than satisfactory, I started looking at nontraditional approaches – magnets, bee stings, uranium mines – with an unbiased mind.”

Stenberg was concerned about approaches that were costly and unproven or dangerous such as uranium. He was more comfortable with harmless methods such as magnets.

“At least it would give people in pain hope that it might work,” he said. “Hope is nearly absent in people who are aching tremendously. Lack of hope leads to desperation. So anything that gives them a glimmer of hope that they can wake up the next day without pain, I’m excited about.”

But what really got Stenberg excited was a breakthrough that came in 1983. In studying how the body reacts to inflammation by releasing natural cortisone, Stenberg found that people with arthritis are unable to produce the extra cortisone needed to fight the pain.

"When arthritis threatens to multiply in the body, the body gives itself an automatic internal cortisone injection,” Stenberg said. “When that system weakens, mild arthritis develops. When it quits, arthritis packs its bag and moves in. I thought there must be a way to use medication in the same way the body uses cortisone naturally, and that’s by using it only when needed, to do manually what the body once did naturally.

The Breakthrough

When he first started his research at the University of North Dakota, Stenberg and his colleagues focused their attention on developing new ways to control arthritis. “We generated a number of hypotheses, or scientific guesses about what would work,” Stenberg said. “We synthesized new chemicals that we hoped would control arthritis, based on the database of what others were working on or had worked on previously. We tested the chemicals on animals. But despite our best efforts, their effectiveness didn’t exceed those on market.” Stenberg then turned his attention to cortisone, the miracle drug of the 1950’s that won the Nobel Prize in medicine for its arthritis control. But by the 1970’s, cortisone’s reputation was soiled by reported side effects of long-term use – increased bone deterioration, high blood pressure and weight gain.

The adrenal glands, located above each kidney, produce cortisone, which helps the body respond to stress; regulates the metabolism of proteins, carbohydrates, and fats; stimulates the liver to raise blood-sugar levels; and stems the body’s inflammatory response.
“If the body stopped producing cortisone, you would get Addison’s disease and die,” Stenberg said. “Cortisone is essential for life, is made by the body, for the body, without which we can’t live. Yet it was beaten up and trampled up and deemed improper to use for medicine. The question I had was how come the Creator put it in our bodies if it didn’t help us? It was a conflict I couldn’t resolve.
Stenberg resolved that conflict when his research led to the cortisone pulse discovery.
“The answer was relatively simple,” he said. “It isn’t daily production of cortisone that is faulty; the body also makes cortisone on demand for other purposes. The body gives itself an injection of cortisone when needed; much like a physician gives an injection to control pain or other problems. The body’s injection is silent, rapidly appearing and rapidly disappearing. That’s why my colleagues missed it.”
Stenberg’s theory was proven when researchers injected a chemical into the paw of a rat to cause inflammation. They then monitored the amount of cortisone in the rat’s blood. The concentration of cortisone increased by 12 times after 5 hours.
“In humans, when arthritis threatens, the body gives itself an injection and prevents the threat from becoming real,” Stenberg said.
When the body loses its ability to produce the cortisone pulse naturally, though, it needs a little help, he said.
“Cortisone can completely control arthritis, but can cause side effects if used improperly,” Stenberg said. “The key is to replicate the body’s mechanism. The body doesn’t give itself a cortisone injection daily, only when it is needed. Daily use isn’t natural, so that’s why side effects develop.”
With daily cortisone use, natural production wanes. As the natural production decreases, people with arthritis need more cortisone to control their pain. Knowing that high, daily doses have side effects, physicians usually wean patients off cortisone when they request more.

“My candidate for the greatest mistake in medicine is the decision made in the 1950’s to use cortisone daily,” Stenberg said. “When physicians used sufficiently high daily dosages to get the disease under control, side effects appeared. When they lowered the daily dosage to where the side effects disappeared, the disease reappeared.

In clinical trials Stenberg conducted, participants’ symptoms were first brought under control. Then, the patients were taught to make replacement pulses – in the form of a pill – when arthritis threatened and not at other times. The participants averaged 75 percent relief on cortisone and little on placebo. No side effects were observed. The results were independently duplicated and verified at the University of Alexandria School of Medicine in Egypt.
“We found that with controlled dosages of cortisone, based upon a person’s age, weight and sex, and by teaching self-administration of cortisone under physician supervision, we could virtually eliminate pain, swelling, tiredness and morning stiffness in five of six people within three weeks of treatment,” Stenberg said. “And the exciting thing is, we could do it for under $100 a year.”

The Effectiveness

Using the data he gathered during more than 20 years of research and clinical trials, Stenberg developed a protocol for arthritis treatment called Microdose Therapy. It is a physician-supervised, two-prescription treatment that is customized based on the disease, severity and medication history. Each client goes through a six-month education that includes patient control of cortisone, food allergy identification and control, antibiotics and a daily pain diary.
“Each patient rates the pain in each area on a scale of 0 to 10 – 0 is no pain and 10 is as bad as it gets,” Stenberg said “Simultaneously, the patient enters the amount of cortisone used that date. Our computer creates a graphic that charts progress, determines patient compliance, and recommendations for better symptom control and communication with the attending physician.”

Stenberg’s research has given hope to people such as Renita Rosenberg of Phoenix, who was diagnosed with fibromyalgia 20 years ago. To ease her pain, Rosenberg tried acupuncture, chiropractic, physical therapy, trigger-point injections, steroid injections and epidurals. She also took anti-inflammatory drugs, anti-depressants, muscle relaxers, pain pills and Lidocaine. But her pain kept getting worse.
“It got so bad,” she said, “I couldn’t function.”
She had to take a leave of absence from her job in educational software sales, a financial hardship for the single mother who is supporting a daughter in college. Her primary care physician, Dr. Klee Bethel, an anesthesiologist at Valley Lutheran Hospital in Mesa, learned about Microdose Therapy and referred her in July. Two months later, Rosenberg was back to work.
“My pain decreased 80 percent,” she said. “I was able to cut back on other medications by 75 percent, so I am in a much better mental state and my energy level is better. Now I can think. Before I couldn’t.”

Pain flares occur, Stenberg said, only when patients eat a food they are allergic to, break their routine or encounter a stressful situation.

“My arthritis pain had gotten so bad that I had to take 50 milligrams of morphine every day and pain pills on top of that,” said 87-year-old Raymond Heinhold of Mesa. “The pain was unbearable. When I started on Microdose in January, my pain level was over 200. Within three weeks it was down to 41. After three more weeks, the pain was completely gone.” Heinhold avoids the foods Stenberg identified as ones that can cause the pain to spike. “If I eat bread or anything made with white flour, I get the arthritis back,” he said. “I can have chicken and pork as long as it’s not fried. It has to be baked or done on the rotisserie. I can go a long time without any medication or pain as long as I stick with the diet.” As for the horror stories about cortisone, those on Stenberg’s protocol said they haven’t experienced any problems. “They scare people about the side effects of cortisone,” Rosenberg said. “But I’ll tell you I have had no side effects under the Microdoses I take. But I did have side effects from all the other drugs I took before."

Spreading the Word

Patient diaries reveal that more than 80 percent of the 3,000-plus people who have used Microdose Therapy have had their pain, swelling, tiredness and morning stiffness reduced within days – using medicine that costs less than $100 a year. According to an article in Newsweek, Americans spend more than $6.6 million yearly on arthritis drugs such as Vioxx and Celebrex (25 percent effective), Methotrexate (39 percent effective) and Enbrel (51 percent effective). Microdose outperforms all of them in effectiveness, the University of Alexandria study showed.
“The problem we have is that primary care physicians are crunched for time,” Stenberg said. “They have to pay for their building, for their support staff, for the utilities. The only way they can do that is with volume. They don’t have the time to look through a patient’s pain diary and analyze why their pain spiked.”

Some doctors, such as James A. Martin, former chief of staff at Mesa General Hospital, and Connecticut resident John B. Irwin, author of “Arthritis Begone,” have embraced Microdose Therapy. Both have treated more than 200 patients using Stenberg’s protocol.
In Dallas, Dr. Robert J. Koval has used Stenberg’s development to treat arthritic patients for two years. “The system gives control to the patient in treating their disease, which they like,” he said. “It actually gives them a numerical value as to when to treat and how much to dose. It takes a lot of guesswork out of the treatment plan and allows the patient to initiate treatment quickly with lower doses. This, in turn, reduces the severity of the arthritic flares because they can be nipped in the bud.”

Stenberg hopes others in the mainstream medical community will accept and use his findings.
“There isn’t a physician in the world who doesn’t want his patient to do well,” Stenberg said. “It’s not a deliberate decision on their part to keep people in pain. They aren’t rejecting Microdose because it’s bad. We’re just going to have to fight our way in just like anything else. I just wish I didn’t feel obligated to keep up the battle.”
Besides the promise he made to his wife 30 years ago to help relieve her pain, Stenberg has carried a heavy financial burden trying to help others. During the last three decades, Stenberg has spent $2 million on research and development.
“It’s a financial nightmare,” said Stenberg, who still subsidizes the development of the treatment and said he lost $68,000 in 2000. “But these people are really hurting, and we can pull them out of the pain. To see them be able to start living again is my reward.”
But his biggest reward? “I got a wife back,” he said. Helen Stenberg has been virtually pain-free since 1984, the year after her husband discovered the cortisone pulse the body produces. “You can’t put a price on creating a way to get people out of their prison of pain,” Virgil Stenberg said. “I rather suspect that I’ll be lost in the dust in terms of credit when all is said and done. And do I care? No….I just don’t want people sitting around in pain when this works. I want to help people like Helen out of their misery. I want to see them free of pain. It isn’t about riches. It’s about giving people their lives back."

Friday, April 9, 2010

For Physicians: The Case for Microdose Therapy

Microdose Therapy is patient self-administration of hydrocortisone. When our patients are taught to use hydrocortisone on the bad days and not on the good ones, they use so little that hypercortisonism does not occur. Returning control to our patients not only decreases stress and fear but actually improves psychoimmunological status. It has been in widespread clinic use for 10 years for thousands of patients with no significant adverse reactions.

The United States Food and Drug Administration (FDA) has approved hydrocortisone use for endocrine disorders, rheumatic disorders, collagen diseases, dermatologic diseases, allergic states, ophthalmic diseases, respiratory diseases, hematologic disorders, neoplastic diseases, edematous states, gastrointestinal diseases, and miscellaneous diseases. In accord with FDA expectations, Microdose Therapy performs with excellent efficacy:


Microdose Therapy avoids hydrocortisone-induced bone weakening

Hydrocortisone taken in high daily dosages over years causes bone weakening. Low dose hydrocortisone does not. The Mayo Clinic research staff defined the low dose upper limits to be:


Slocumb CH, Polley HF, Ward L. Diagnosis, treatment and prevention of hypercortisonism in patients with rheumatoid arthritis. Staff Meetings of the Mayo Clinic, 32(a): 227-238, 1957]

Microdose Therapy patients average using 3 mg prednisone per day (12 mg hydrocortisone per day equivalent). In agreement with the Mayo Clinic results, no significant side effects have been reported using Microdose Therapy in thousands of patients served during since 1987.
Stenberg VI, Fiechtner JJ, Rice JR, et al. Endocrine control of inflammation: rheumatoid arthritis double-blind, crossover clinical trial. Int J Clin Pharm Res. 1992; 12(1): 11-18.
Slocumb CH, Polley HF, Ward L. Diagnosis, treatment and prevention of hypercortisonism in patients with rheumatoid arthritis. Staff Meetings of the Mayo Clinic, 32(a): 227-238, 1957

One group took aspirin or phenylbutazone and the other 10 mg prednisolone per day (50 mg hydrocortisone per day equivalent). After two years and using X-ray analysis, erosion, subluxation and osteoporosis was worse in the aspirin group.
Joint Committee of the Medical Research Council and Nuffield Foundation, Ann Rheum Dis 18, 173-188, 1959

One group took 3.4 grams aspirin and the other 70 mg cortisone per day (70 mg hydrocortisone per day equivalent). After two years and using X-ray analysis, the joint erosion was more in the aspirin group than in the cortisone group.
Empire Rheumatism Council, Ann Rheum Dis 14, 353-370, 1955; 16, 777-789, 1957.

Louis A. Healey summarizes: “A low dose such as 7.5 mg prednisone per day is not cumulative and is thought to be useable indefinitely without producing osteoporosis or other serious adverse effects.”
Healey LA, Changing Therapy, Medical World News, December 12, 1988.


Microdose Therapy avoids hydrocortisone-induced adrenal suppression

Daily hydrocortisone administration is known to cause adrenal suppression. Microdose Therapy is scientifically designed to have 33% holidays from hydrocortisone use. During these holidays, the body’s adrenal gland hydrocortisone production is exercised to maintain production strength. In proof, Microdose patients do not use more hydrocortisone with the passage of time.

Microdose Therapy arrests joint destruction

“In patients with early, active rheumatoid arthritis, 7.5 mg prednisolone (equivalent to 37.5 mg hydrocortisone) given daily for two years substantially reduced the rate of radiologically detected progression of disease. The statistical analysis of radiologically-detected changes was based on 106 patients. After two years, the Larsen scores increased by a mean of 0.72 units in the prednisolone group indicating very little change, and by 5.37 units in the placebo group, indicating substantial joint destruction (P=0.004).”
Kirwan, JR New England Journal of Medicine, 333, 142-146, 1995.

Microdose Therapy is costs less

Microdose Therapy costs $80 a month when amortized over a 10-year basis to be one of the lowest costs medical treatments for chronic disease.

Microdose Therapy efficacy excels

Microdose Therapy excels in controlling rheumatoid arthritis:





Consider adding Microdose Therapy to your practice. You do the doctoring, we provide the technology and do the patient education.

Tuesday, April 6, 2010

I Feel Great!


With Fibromyalgia, I was unable to play with or care for my 1-year-old and 3-year-old granddaughters. I could not go shopping, walked with a limp, quit golfing, and had difficulty getting up from a chair without assistance. Quilting was painful. My knee had not healed properly from a complete knee replacement surgery. After attending a lecture by the Helen Foundation, my husband and I made the decision that I should enroll in the Microdose Therapy program. Then the almost unbelievable began. My Fibromyalgia pain was much improved in three days. After one week, I was amazed at how good I was feeling. My total knee replacement healed. Now I am able to get up from a chair by myself. I no longer limp. I sleep through the night without waking in pain. I feel great! I can now play with my grandkids! Help is only a telephone call away. You will find a friendly, knowledgeable, friendly medical staff at the Helen Foundation Clinic ready to assist you.

Pam Bellows, Fibromyalgia, Spirit Lake, Iowa

Friday, April 2, 2010

Pain-free in 3 Days!


The pain began when she was fourteen years old. After an automobile accident, the pain became continuous. “People who have not experienced that type of pain can’t really relate to it or understand,” explains Shirley. As her Fibromyalgia worsened, Shirley found it was difficult to do simple tasks as vacuuming, making the bed, and shopping. “I would do it but I would hurt all the time I was doing it. I would not wish this pain on anyone, not even my worst enemy.” “People who have not experienced this type of pain can’t really relate to it or understand,” explains Shirley. She and her husband moved to Arizona. Constant arthritis pain, a bout with cancer and an irregular heartbeat kept her from fully enjoying retirement. Shirley began Microdose Therapy at the Helen Foundation Clinic with the encouragement of her heart specialist. After three days, she became almost pain-free. “As you can imagine, I was totally ecstatic,” explained Shirley. “The medical profession does not realize there is a way to use cortisone that is not terrible. But it sure keeps me comfortable.” Shirley has not experienced the well-known side effects of hydrocortisone in the five years on Microdose Therapy because she uses so little hydrocortisone. “Hydrocortisone is a hormone of the body and when it is used in replacement dosages, nothing can happen,” explains Shirley, “Made sense to me and it really works.”

Shirley Kriger, Fibromyalgia, Apache Junction, AZ