Multiple Chemical and Environmental Sensitivities – Surviving in a Toxic World

Allergy mask

Triggered by air, food, and environmental toxins, new diagnoses are being considered as the root cause of chronic disease.  – istockphoto

WHAT IS IT?
Multiple chemical sensitivity (MCS), “environmental illness,” “environmental sensitivity,” or “idiopathic environmental intolerance” (IEI), each refer to a variety of symptoms experienced by people after exposure to chemical, biologic, or physical substances.

In 1996 the World Health Organization proposed using the phrase “idiopathic environmental intolerance” (IEI) instead of MCS, because many people attribute symptoms to environmental agents other than chemicals, such as food or electromagnetic forces. MCS or IEI is fairly common in the United States.

MCS IntolerancesCigarette smoke, food colorings, alcohol, paint, pesticides, gasoline, plastics, car exhaust fumes, shampoos, caffeine, turpentine, new carpeting, bleach, chemical food additives,  household cleaners, fragrances, and newspaper ink are some of the most commonly reported triggers.  These common triggers  cause severe, debilitating reactions in a MCS/IEI patient whereas the average person might be mildly affected by these products or environmental conditions.  Statistical studies show that 16% of people in California and New Mexico report that their IEI or MCS symptoms severely limit their ability to function on a daily basis.  Some are unable to leave their homes because of the possibility of having a severe asthmatic reaction to someone wearing perfume in an elevator or at a movie theater, for example.  Some cannot live in an apartment complex because of the gas heat, or because of neighbors who smoke cigarettes. Some are never unable to open their windows because of car exhaust or the gas fumes from neighborhood lawn mowers.  Some cannot ever eat food prepared in public restaurants or packaged foods due to chemical food additives, resulting severe symptoms such as fainting or vomiting.  This can lead to isolation and depression. Many have multiple combinations of environmental sensitivities, dramatically limiting their abilities to function.


WHAT ARE THE SYMPTOMS?

The symptoms of  MCS/IEI vary from patient to patient but the most common symptoms are respiratory distress, dizziness, gastrointestinal problems, joint pain, fatigue and severe headache.

MCS What is It?
People who suffer with MCS/IEI often report having several of the following symptoms:

  1.     burning eyes
  2.     wheezing, breathlessness
  3.     extreme fatigue/lethargy
  4.     headache/migraine
  5.     nausea, upset stomach
  6.     vertigo/dizziness
  7.     fainting
  8.     seizures
  9.     memory problems
  10.     runny nose (rhinitis)
  11.     sore throat
  12.     chronic cough
  13.     sinusitis
  14.     inflammation
  15.     skin rashes and or itching skin
  16.     sensitivity to light & noise
  17.     sensitivity and pain with heat or cold
  18.     insomnia or sleeping disorders
  19.     diarrhea or constipation
  20.     bloating
  21.     sweating profusely or uncontrollable chills
  22.     food sensitivities and/or irritable bowel syndrome
  23.     muscle & joint pain
  24.     trouble concentrating, foggy-headed

young man allergiesWHO IS MOST LIKELY TO EXPERIENCE MCS/IEI?
MCS/IEI can affect people of all ages. There appears to be a link between fibromyalgia or chronic fatigue syndrome patients and MCS/IEI patients.  MCS/IEI patients and ME/CFS/CFIDS/PVFS (myalgic encephalomyelitis – chronic fatigue) patients have very similar symptoms.  Because the symptoms are so similar, it is not easy for doctors to make an accurate diagnosis. When surveying a general population of people with CFS, it was determined that 14% of MCS patients also had CFS and 41% of CFS patients met criteria for MCS diagnosis.

People with a history of allergies, sinusitis, or food intolerances or sensitivities are more likely to experience MCS/IEI.   Chronic Fatigue Syndrome (CFS) patients also report worsening of allergies when exposed to chemicals and environmental triggers.  This may be related to a CFS/MCS/IEI diagnosis.

Research studies show that Veterans of the Persian Gulf War and people diagnosed with Gulf War illnesses (GWI) report chemical sensitivities at a three-times higher rate than civilians or veterans who did not participate in the Gulf War, or non-deployed veterans. Those who were profoundly affected by hurricane Katrina and other natural disasters, also reported to have MCS/IEI symptoms.  There may be a connection between post-traumatic stress disorder and MCS/IEI.

WHAT IS THE CAUSE OF MCS/IEI?
Toxic factory SmokeThe cause of MCS/IEI is yet to be determined.  Some believe that it is the result of an incident which resulted in toxic exposure from one particular source, and developed into what is known as “spreading.”  “Spreading” is a phenomenon where the body becomes sensitive to other chemicals as a result of exposure to one chemical. This phenomenon is characteristic of  veterans who have MCS/IEI and also diagnosed with Gulf War illness, or others who have had a traumatic event in their lives.

It is also believed that the MCS/IEI reaction can be a result of long-term exposure to toxic chemicals, such as those who work factories or live in heavily polluted city environments. It is also a possibility that MCS/IEI is a psychological reaction  rather than a biochemical reaction although the symptoms can be quite debilitating, often resulting in the person living a completely isolated lifestyle. It is also possible that MCS/IEI is an autoimmune disorder. More research is needed to determine the cause.

Some researchers believe that MCS/IEI is a misdiagnosis for another disorder. More than half of 54 people from one MCS study were mistakenly diagnosed with MCS, and instead were determined to have a somatoform disorder or panic disorder. Migraine, anxiety disorder, lupus, postural orthostatic tachycardia syndrome or other forms of orthostatic intolerance, hay fever and other allergies, hypercalcemia, hypothyroidism, chronic fatigue syndrome, fibromyalgia, or mast cell activation diseases such as mastocytosis, or any disease or condition where symptoms can be triggered by environmental toxins, chemicals or inhalants, could be possible reasons for a MCS/IEI misdiagnosis.

MCS Diagnosis

DIAGNOSIS OF MCS/IEI
The definition of MCS /IEI was established by researchers and clinicians in 1999.   Specific symptoms are not listed in the criteria, however respiratory symptoms, gastrointestinal symptoms, fatigue, weakness,  and headaches are most common. The following six criteria must be present for a person to be diagnosed with MCS/IEI:

  1. The symptoms are reproducible with repeated exposure to the same chemical.
  2. The condition is chronic.
  3. Low levels of exposure (lower than previously or commonly tolerated) result in manifestations of the syndrome.
  4. The symptoms improve or resolve when the incitants (irritating agent such as a virus, bacterium, prion, gas, or fungus) are removed.
  5. Responses occur to multiple chemically unrelated substances.
  6. Symptoms involve multiple organ systems (most commonly the neurological, immune, respiratory, skin,    gastrointestinal and musculoskeletal).

Chemical Sensitive ShopperCONTROVERSY ABOUT MCS/IEI
The International Statistical Classification of Diseases and Related Health Problems (ICD), maintained by the World Health Organization, does not recognize MCS or environmental sensitivity as a valid diagnosis.  The American Medical Association (AMA) has stated that MCS is not recognized as an established organic disease. The American Academy of Allergy, Asthma, and Immunology, the California Medical Association, the American College of Physicians, and the International Society of Regulatory Toxicology and Pharmacology also do not recognize it as a medical diagnosis or disease.

However, In 1997, U.S. Social Security Administration Commissioner John Callahan issued a court memorandum officially recognizing MCS  “as a medically determinable impairment.”  The SSA agrees that some MCS patients are too disabled to be meaningfully employed.

IS MCS/IEI ACCEPTED UNDER THE AMERICANS WITH DISABILITIES ACT?
The ADA does not list particular disabilities accepted under the Americans with Disabilities Act, however, some people with MCS/EI will have a disability under the ADA and some will not, depending on the severity of their symptoms. If a person’s MCS/IEI is disabling, then the employer is required by law to make accommodations.  For more information about how to determine whether a person has a disability under the ADA, and suggestions as to how to work with your employer to modify your working environment, visit the Job Accommodations Network.

Man cleaning apartment
TREATMENT
AND LIFESTYLE CHANGES

Lifestyle changes are the primary treatment for most MCS/IEI sufferers. A 2003 survey of 917 MCS patients concluded that the two most effective treatments for MCS  were a chemical-free living space and chemical avoidance. Prayer and meditation  also were recommended choices. Of those who tried Zoloft, prescription medication, two-thirds of patients reported it as being harmful, along with other pharmaceutical drugs and chemical, unnatural solutions.

Nutritional or dietary changes, including vitamin or herbal supplements, can also be beneficial.  Many people with MCS/IEI with dietary restrictions might eliminate whole categories of foods (dairy, for example, or meat).   A trusted nutritionist or healthcare practitioner can work with the patient to review and plan a diet with optimal nutrition.

In addition to meditation, dietary and lifestyle changes, some patients suffering from MCS/IEI symptoms have found acupuncture, chiropractic treatment, or yoga to be effective methods for relieving respiratory,  anxiety, nausea, and pain symptoms and promoting relaxation.

However, the primary treatment remains to take action to modify the living environment and avoid MCS/IEI triggers.  The following modifications may be effective:

  1. Vacuum pillows, beds, chairs, etc. weekly, with a HEPA filter vacuum, change the filter regularly
  2. Wash sheets and blankets weekly in hot water (130°F [54°C]) and dry in a hot dryer.
  3. Cover mattresses and pillowcases with airtight allergen-proof covers.
  4. Replace comforters and pillows made from natural materials (such as down, feathers, or cotton) with those made from synthetic fibers.
  5. Avoid wall-to-wall carpeting (especially in the bedroom) as much as possible. If you have it, be sure to vacuum often.
  6. Throw out all products with chemical fragrances (perfumes, cleaning supplies, shampoo, etc.)
  7. Buy only natural, fragrance-free products
  8. Close all open gaps in windows, floorboards, doors, and around drains.
  9. Fix and seal leaky water faucets and pipes because roaches need water and humidity to survive.
  10. Always keep food in airtight containers.
  11. Remove pet food dishes after pets have eaten.
  12. Keep stove and kitchen surfaces free of food and dirt.
  13. Use an air-purifier with a HEPA filter
  14. Throw out all food products with food additive and chemicals
  15. Do not use processed oils
  16. Wash all fresh fruits and vegetables before eating
  17. Do not eat packaged foods.
  18. Remove any curtains, carpeting, or wallpaper that show visible evidence of mold.
  19. Install exhaust fans in the kitchen and bathroom.
  20. Use dehumidifiers in damp areas such as the basement, and hire others to clean this regularly
  21. Avoid storing clothing in damp areas.
  22. Do not carpet damp or concrete floors, use wooden floors or tile floors only, if possible
  23. Do not use gas stoves or gas heating, use electric
  24. Do not use synthetic, plastic or man-made fibers in clothing or blankets.
  25. Use a solution of 1 part bleach and 20 parts water to clean areas with mold.
  26. Do not frequent any locations that allow smoking.
  27. Avoid areas with fresh paint fumes.
  28. Avoid the fumes of strong cleaning products.
  29. Avoid perfumes and aerosols.
  30. Use masks if needing to go around airport terminals, bus stations or train stations, or hire others to help you.
  31. Hire others to help you with raking, mowing, blowing leaves, gardening and cleaning the garage, yard or home.
  32. Close windows and stay indoors (with air conditioning) when necessary, using air purifiers.
  33.  Have an air quality test performed by an industrial hygiene professional to assess poor air quality, dust, mold or mildew accumulation, VOC concentration, etc.
  34. Buy indoor exercise equipment to keep physically fit rather than participating in outdoor activities
  35. Make your home a pleasant enjoyable place where you can meet your needs and best care for yourself in comfort.

RESEARCH ARTICLES

Principles and Methods for Assessing Autoimmunity Associated With Exposure to Chemicals: Environmental Health Criteria 236 – ehc236.pdf. World Health Organization (WHO)

Watanabe M, Tonori H and Aizawa Y,  “Multiple chemical sensitivities and idiopathic environmental intolerance” (part one), Department of Preventive Medicine and Public Health, Kitasato University School of Medicine, 1-15-1 Kitasato, 228-8555 Sagamihara, Kanagawa, Japan,   Environ Health Prev Med, v.7(6); Jan 2003, PMC2723465

Watanabe M, Tonori H and Aizawa Y,  “Multiple chemical sensitivities and idiopathic environmental intolerance” (part two), Department of Preventive Medicine and Public Health, Kitasato University School of Medicine, 1-15-1 Kitasato, 228-8555 Sagamihara, Kanagawa, Japan,   Environ Health Prev Med, v.7(6); Jan 2003, PMC2723466

Meggs WJ, Dunn KA, Bloch RM, et al. Prevalence and nature of allergy and chemical sensitivity in a general population. Arch Environ Health 1996; 51:275.

Kreutzer R, Neutra RR, Lashuay N. Prevalence of people reporting sensitivities to chemicals in a population-based survey. Am J Epidemiol. 1999;150:1-12.

Multiple chemical sensitivity: a 1999 consensus. Arch Environ Health. 1999;54:147-9.

Fukuda K, Nisenbaum R, Stewart G, et al. Chronic multisymptom illness affecting Air Force veterans of the Gulf War. JAMA. 1998;280:981-8.

Jason LA, Taylor RR, Kennedy CL. Chronic fatigue syndrome, fibromyalgia and multiple chemical sensitivities in a community-based sample of persons with chronic fatigue syndrome-like symptoms. Psychosom Med. 2000;62:655-63.

Bailer J, Witthöft M, Rist F. Psychological predictors of short- and medium term outcome in individuals with idiopathic environmental intolerance (IEI) and individuals with somatoform disorders. J Toxicol Environ Health A 2008; 71:766.

Sparks PJ, Daniell W, Black DW, et al. Multiple chemical sensitivity syndrome: a clinical perspective. I. Case definition, theories of pathogenesis, and research needs. J Occup Med 1994; 36:718.

Levin AS, Byers VS. Environmental illness: a disorder of immune regulation. Occup Med 1987; 2:669.

Black, DW., Temple S, Overview of idiopathic environmental intolerance (multiple chemical sensitivity)” 


_________________________________

Jean E. DartThis article is written by Jean Voice Dart, M.S. Special Education from Illinois State University. Jean is a published author and has written hundreds of health articles as well as hosting a local television program, “Making Miracles Happen.” She is a Registered Music Therapist, Sound Therapist, and Master Level Energetic Teacher, and is the Executive Director, founder and Health and Wellness Educator of the Monterey Bay Holistic Alliance. The Monterey Bay Holistic Alliance is a registered 501 (c) 3 nonprofit health and wellness education organization. For more information about the Monterey Bay Holistic Alliance contact us or visit our website at www.montereybayholistic.com.


Disclaimer:The Monterey Bay Holistic Alliance is a charitable, independent registered nonprofit 501(c)3 organization and does not endorse any particular products or practices. We exist as an educational organization dedicated to providing free access to health education resources, products and services. Claims and statements herein are for informational purposes only and have not been evaluated by the Food and Drug Administration. The statements about organizations, practitioners, methods of treatment, and products listed on this website are not meant to diagnose, treat, cure, or prevent any disease. This information is intended for educational purposes only. The MBHA strongly recommends that you seek out your trusted medical doctor or practitioner for diagnosis and treatment of any existing health condition.

 

Advertisements

Can Vitamin D Help Improve Muscle Strength and Fatigue?

What does Vitamin D have to do with muscle development and functionality?  Can taking vitamin D supplements help improve muscle strength? Recent research shows that vitamin D can be effective in improving muscle strength and reducing muscle fatigue.

Vitamin D - Powerful Healer

Current research shows that vitamin D can strengthen muscles and reduce fatigue. Vitamin D deficiency is a worldwide problem.

HOW DOES THE BODY RECEIVE AND USE VITAMIN D? Vitamin D is a fat-soluble vitamin.  It is produced in the body using the energy we receive from sunlight, and also found in some foods such as milk, salmon or cod liver oil and other fish, and vitamin-fortified foods, such as cereals.  Vitamin D and calcium are important for good bone health and vitamin D helps the body absorb calcium and protect older adults from osteoporosis. Muscles need vitamin D in order to move and nerves need it to carry messages between the brain and  every part of the body, and vitamin D helps our immune system fight off invading bacteria and viruses.

 

Man exhausted books

A vitamin D deficiency results in muscle weakness and atrophy, bone loss, and fatigue.

WHAT IS VITAMIN D DEFICIENCY? A diagnosis of vitamin D deficiency is rapidly on the rise and becoming a significant public health problem world-wide.  Fatigue is frequently found to be the cause of vitamin D deficiency. The mitochondria within the cells, take fats and sugars and make them into energy.  When the mitochondria are not working properly, people have symptoms of fatigue. Vitamin D deficiency is a well-recognized cause of fatigue and myopathy (a muscular disease resulting in muscular weakness).  Bones can become thin, brittle, or misshapen without sufficient vitamin D. Vitamin D can prevent rickets in children and osteomalacia in adults.  In the 1930’s milk was fortified with vitamin D making rickets almost unheard of in the United States, although it is still occurs occasionally.  It is difficult to get enough vitamin D from food and therefore sunlight is the primary source.  This means that elderly people who are home-bound, those who spend most of their days working inside,  or women or men who wear long robes and cover their heads for religious reasons, will most likely not receive enough vitamin D and will need supplementation. Dark-skinned and obese people, those whose wear sun-block, and those who have tinted windows are also at risk of not getting enough vitamin D. Doctors are discovering that patients with somewhat elusive or undiagnosed symptoms of fatigue and muscle weakness are suffering from a vitamin D deficiency.


WHAT RESEARCH HAS BEEN CONDUCTED?
Several research studies have been conducted on vitamin D. Bischoff-Ferrari  (2009)  and other researchers investigated vitamin D and its effects on preventing falls among older individuals.  They concluded, “Supplemental vitamin D in a dose of 700-1000 IU a day reduced the risk of falling among older individuals by 19% and to a similar degree as active forms of vitamin D. Doses of supplemental vitamin D of less than 700 IU or serum 25-hydroxyvitamin D concentrations of less than 60 nmol/l may not reduce the risk of falling among older individuals.”

 

two girls computer

More children and adults are getting less exposure to sunlight and are deficient in vitamin D.

Holick and Chen (2008) conclude that, “Vitamin D deficiency is now recognized as a pandemic.”  They state that “A circulating level of 25-hydroxyvitamin D of >75 nmol/L, or 30 ng/mL, is required to maximize vitamin D’s beneficial effects for health. In the absence of adequate sun exposure, at least 800-1000 IU vitamin D3/d may be needed to achieve this in children and adults.”   Vieth R, Bischoff-Ferrari and others (2007) in a study on dietary and lifestyle predictors with British adults, found an “urgent need”  to recommend an efficient dose of vitamin D.

The Agency for Healthcare Research and Quality (2010) summarized 165 primary articles and 11 systematic reviews that incorporated over 200 additional primary articles, in “Vitamin D and Calcium: Systematic Review of Health Outcomes.”  They concluded that “The majority of the findings concerning vitamin D, calcium, or a combination of both nutrients on the different health outcomes were inconsistent. Synthesizing a dose-response relation between intake of either vitamin D, calcium, or both nutrients and health outcomes in this heterogeneous body of literature proved challenging.

Dr. Anna Dorothea Hoeck, MD (2009), estimates that over a billion people worldwide are vitamin D deficient or insufficient and that there appears to be a correlation between vitamin D deficiency and chronic fatigue syndrome or multi-system syndromes. She states that  “Severe vitamin D deficiency with levels below 10 ng/ml (25 nm ol/L) causes severe fatigue and personality changes, depression-like symptoms, chronic sleep disorder, multiple intolerances,obvious immune dysfunctions and in the long time, multi-system symptoms and multi-system diseases”

Dr. Zahid Naeem (2010), MBBS, MCPS, DPH, FCPS, Professor, states that “Vitamin D deficiency is a global health problem. With all the medical advances of the century, vitamin D deficiency is still epidemic. Over a billion people worldwide are vitamin D deficient or insufficient. Yet no international health organization or governmental body has declared a health emergency to warn the public about the urgent need of achieving sufficient vitamin D blood levels.”

A recent research study was presented at the Society for Endocrinology annual conference in Harrogate, UK., and supported by the British Society of Paediatric Endocrinology and Diabetes (BSPED).    Dr Akash Sinha (2013), research team leader, and researchers from Newcastle University Endocrinology, GNCH, Institute of Genetic Medicine, investigated the effects of cholecalciferol therapy (vitamin D3) on skeletal mitochondrial oxidative function in symptomatic, vitamin D deficient individuals.  The researchers studied  the phosphocreatine (a compound of phosphoric acid and creatine found in vertebrate muscle) recovery time in patients with vitamin D deficiency.   Twelve patients were used in the study.  They each were diagnosed with severe vitamin D deficiency before and after treatment with vitamin D.   A non-invasive magnetic resonance scan (MRI) called phosphorus-31 magnetic resonance spectroscopy was used to measure phosphocreatine movement in response to exercise in the calf muscles of all 12 patients.  Serum assays were performed before and after cholecalciferol therapy to document serum 25OHD and bone profiles.   Ten to twelve (10-12) weeks after treatment, the researchers found phosphocreatine recovery significantly improved. After receiving vitamin D supplementation, all patients reported improvement in fatigue symptoms. According to Dr Akash Sinha research team leader,

“This is the first time a link has been shown between vitamin D status and muscle aerobic function.”

“Patients with vitamin D deficiency often experience symptoms of muscle fatigue. Our findings in a small group of patients with very low vitamin D levels show that muscle efficiency significantly improves when vitamin D status is improved.”


CONCLUSION

Kiss the sunVitamin D deficiency is becoming a world-wide problem. This may be due to our technological advances and cultural changes with more people choosing to spend long hours working and relaxing indoors. Researchers conclude that vitamin D deficiency may be the cause of multiple physical ailments with symptoms of muscle fatigue, atrophy and bone loss.  Vitamin D is not easily found in many foods, therefore many researchers and health professionals are determining that it may be necessary or urgent for people to alter their lifestyle to receive adequate doses of vitamin D from sunshine or from supplementation.  The recent study by Akash and others (2013) showed significant improvement in muscle efficiency after increasing vitamin D supplementation with patients who were vitamin D deficient. This was ground-breaking documentation.  More research, like this is needed with more subject to determine how and why this is happening and if people who are not vitamin D deficient can also benefit from using vitamin D.

RESOURCES
Akash SA, Hollingsworth K, Ball S, and Cheetham T, Improving the vitamin D status of vitamin D deficient adults is associated with improved mitochondrial oxidative function in skeletal muscle Endocrine Abstracts (2013) 31 OC1.6, DOI:10.1530/endoabs.31.OC1.6

Bandeira F, Gris L. Vitamin D deficiency a global perspective. Arq Bras Endocrinol Metab. 2006;50/4:640–646.

Bischoff-Ferrari HA, Dawson-Hughes B, Staehelin HB, Orav JE, Stuck AE, Theiler R, et al. Fall prevention with supplemental and active forms of vitamin D: a meta-analysis of randomised controlled trials. BMJ 2009;339:b3692.

Chung M, Balk EM, Brendel M, Ip S, Lau J, Lee J, et al. Vitamin D and calcium: a systematic review of health outcomes. Evidence Report/Technology Assessment No. 183 prepared by the Tufts Evidence-based Practice Center under Contract No. 290-2007-10055-I. AHRQ

Cranney A, Horsely T, O’Donnell S, Weiler H, Puil L, Ooi D, Atkinson S, Ward L, Moher D, Hanley D, Fang M, Yazdi F, Garrity C, Sampson M, Barrowman N, Tsertsvadze A, Mamaladze V. Effectiveness and Safety of Vitamin D in Relation to Bone Health Evidence Report/Technology Assessment No. 158. (Prepared by Ottawa Evidence-based Practice Center under Contract No. 290-02-0021). AHRQ Publication No. 07-E013, Rockville, MD: Agency for Healthcare Research and Quality. August 2007.

Heaney RP. Long-latency deficiency disease: insights from calcium and vitamin D. Am J Clin Nutr 2003;78:912-9.

Hoeck AD, MD, Vitamin D deficiency results in chronic fatigue and multi-system symptoms
Mariawaldstr. 15.09.2009; Apr;87(4):1080S-6S.7, 50935 Cologne, Germany.

Hollick MF, Chen TC. Vitamin D deficiency a worldwide problem with health consequences. Am J Clin Nutr. 2008;87:10805–68.

Naeem Z, Vitamin D Deficiency- An Ignored Epidemic, Int J Health Sci (Qassim). Jan 2010; 4(1): V–VI.

Vitamin D: Fact Sheet for Health Professionals, Office of Dietary Supplements,  National Institutes of Health, U.S. Department of Health and Human Services

Vieth R, Bischoff-Ferrari H, Boucher BJ, Dawson-Hughes B, Garland CF, Heaney RP, et al. The urgent need to recommend an intake of vitamin D that is effective. Am J Clin Nutr 2007;85:649-50.

Vitamin D and Calcium: Structured Abstract. May 2010. Agency for Healthcare Research and Quality, Rockville, MD.

_______________________________________

Jean E. Dart
This article is written by Jean Voice Dart,  M.S. Special Education from Illinois State University. Jean is a published author and has written hundreds of health articles as well as hosting a local television program, “Making Miracles Happen.”  She is a Registered Music Therapist, Sound Therapist, and Master Level Energetic Teacher, and is the Executive Director, founder and Health and Wellness Educator of the Monterey Bay Holistic Alliance.  The Monterey Bay Holistic Alliance is a registered 501 (c) 3  nonprofit health and wellness education organization.  For more information about  the Monterey Bay Holistic Alliance contact us or visit our website at www.montereybayholistic.com.

Disclaimer:The Monterey Bay Holistic Alliance is a charitable, independent registered nonprofit 501(c)3 organization and does not endorse any particular products or practices. We exist as an educational organization dedicated to providing free access to health education resources, products and services. Claims and statements herein are for informational purposes only and have not been evaluated by the Food and Drug Administration. The statements about organizations, practitioners, methods of treatment, and products listed on this website are not meant to diagnose, treat, cure, or prevent any disease. This information is intended for educational purposes only. The MBHA strongly recommends that you seek out your trusted medical doctor or practitioner for diagnosis and treatment of any existing health condition.