Case Study: Susan – Treatment




  • Treatment: 28 day   detox, gluten, diary, soy free, with  protein smoothie (rice) due to low body weight.
  • Di-indole methane and 3 indole-carbinol for estrogen balance, NAC,(glutathione)
  • Trimethyglycine/Methyl -folate & B12 for methylation support
  • L-theanne/Gaba, 5-HTP to improve sleep and pain control
  •  Co-Q10 support
  • Selenium/Lipoic acid,vit E for anti-oxidant support
  • High concentrate EPA/DHA  Magnesium Glycinate 200mg qhs for alkaline, mineral, and bowel support
  • Probiotics, 50 bill/ FOS
  • Exercise daily, check urine ph goal> 6.6.  Sauna at the gym, alkaline diet, Xenoestrogen awareness!

Susan’s response: “I feel the best that I have felt in years. This is miraculous! I sleep deeper than ever, there are no hot flashes, I’m exercising because I have ENERGY, and my husband says I’m back again because I’m SASSY again!”

Case Study: Susan

  • 49 yo CF recent dx of Stage II Breast Ca hormone Rec +,s/p partial mastectomy, body-case-study-baucom-instituteradiation, irregular periods, shingles, intolerant of Fereston due to Headaches, constipated.  Hx of fibroids, heavy periods, fibrocystic breast. G2P2

  • nl vitals,   Estradiol 26.8pg/ml (0-32.2 menopause range)

  • Sed rate 22 (0-20)

  • Cbc, chem, thyroid panel cholesterol wnl

  • Vit D 153 (30-100)

  • GGT 15   Uric Acid 3.2

  • Glutathione 992

  • MTHFR C677+/A1298C+

  • Cytokine: base Il-6++, IL-17+, IL-12–,IFN gamma ++, TNF-a ++, IL-4++, IL-5–, IL-10++, IL-8++, G-CSF++

How would you approach treatment of this patient?


A1298C Variant

A1298C – a mutation from adenine to cytosine at position 1298 within the gene. These variants lead to amino acid differences in the protein that reduces its ability to function.


  • AA-normal homozygous
  • AC or CC – one or two variant copies
  • about 30% of the population
  • not associated with increased risk
  • associated with increased risk if found together with a 677 variant

Severe MTHFR deficiency:

  • Severe MTHFR deficiency is rare (about 50 cases worldwide) and caused by mutations resulting in 0-20% residual enzyme activity.
  • Characterization of six novel mutations in the methylenetetrahydrofolate reductase (MTHFR) gene in patients with homocystinuria. Hum Mutat 15 (3): 280-7
  • These patients exhibit:
  1. developmental delay,
  2. motor and gait dysfunction,
  3. seizures,
  4. neurological impairment and
  5. have extremely high levels of homocysteine in their plasma and urine as well as low to normal plasma methionine levels.

Epigenetic_mechanisms_MTHFR_methylationBottom line:  If one leads a lifestyle which is unhealthy (smoking, high stress, toxic exposures) and consumes an unhealthy diet (refined carbs, processed meats, saturated fats), having a heterozygous A1298C mutation may contribute to cardiovascular disease, depression, fibromyalgia and others.

Possible symptoms associated with A1298C MTHFR mutations:

  • hypertension
  • delayed speech
  • muscle pain
  • insomnia
  • irritable bowel syndrome
  • fibromyalgia
  • chronic fatigue syndrome
  • hand tremor
  • memory loss
  • headaches
  • brain fog

Possible signs associated with A1298C MTHFR Mutations:

  • elevated ammonia levels
  • decreased dopamine
  • decrease serotonin
  • decreased epinephrine and norepinephrine
  • decreased nitric oxide
  • elevated blood pressure
  • muscle tenderness
  • ulcers
  • pre-eclampsia

Possible conditions associated with A1298C MTHFR mutations:

  • fibromyalgia
  • chronic fatigue syndrome
  • autism
  • depression
  • insomnia
  • irritable bowel syndrome
  • inflammatory bowel syndrome
  • erectile dysfunction
  • migraine
  • Raynaud’s
  • cancer
  • Alzheimer’s
  • Parkinson’s
  • recurrent miscarriages

The X Factor


We’re always looking for the next big thing but the next big thing is already here – Metabolic Syndrome X – the biggest problem in America! The USA has the highest percentage of obese in the world, 34% female and 27.7% male, 35% of whom are Mexicans and 40% African American males.

What is Metabolic Syndrome X? In our blog last week, we shared that this syndrome is a result of having three or more metabolic risk factors: insulin resistance, elevated blood pressure, abdominal obesity, high lipids – TG, LDL, etc.

“94% of the rats who were allowed to choose between sugar and cocaine, chose sugar. Even rats who were addicted to cocaine switched their preference to sugar!”

Here are the symptoms:

  • Borderline high or normal blood glucose
  • High triglycerides (above 2.3 mmol/l)
  • Low HDL (good cholesterol)
  • High blood pressure
  • Hypoglycemia
  • Excess weight resistant to dieting
  • Skin tags
  • Osteoarthritis

According to researchers at Yale University School of Medicine, insulin resistance in skeletal muscle leads to changes in energy storage and insulin-resistant individuals rerouted carbohydrates to liver fat production. This leads to elevated triglycerides in the blood by as much as 60% while lowering HDL (good) cholesterol by 20%. In a study done by Yale, participants who were young and lean, with no excess abdominal fat became insulin resistant. The good news is, they found that insulin resistance in skeletal muscle can be treated with one simple method – exercise!

Let’s talk about sugar for a moment, because that it ultimately the biggest culprit in the cause of The X Factor.

The average American eats 142 pounds of sugar a year, or about 2.5 pounds each week, a 23% increase over the last 25 years! And most of it is coming from, one guess . . . soft drinks – which includes artificially sweetened drinks as well! In the US, ¼ or 22% of the daily calories are from drinks, according to a report called “What America Drinks.”

According to Drs. Fischer, Hommel, Fiedler, and Bibergeil, in a study done on “reflex mechanism on insulin secretion,”  we are seeing that soft drinks are linked to Metabolic Syndrome:

  • Men and women who drank more than one soda daily had a 48% adjusted higher prevalence
  • insulin level rises in the first minute after the start of a carbohydrate-rich meal, vs glucose level rising in the third minute of a balanced diet
  • An increase in triglyceride levels and LDL
  • Consumption rose 135% of high fructose corn syrup between 1977 and 2001
  • Americans eat an average of 132 calories of high fructose corn syrup a day

In a lab experiment with rats by the University of Bordeaux called “Intense Sweetness Surpasses Cocaine Reward,” 94% of the rats who were allowed to choose between sugar and cocaine, chose sugar. Even rats who were addicted to cocaine switched their preference to sugar!

Obviously, we have to get over our addiction to this satiable substance! In the meantime, many changes have to take place to get this X Factor under control.

Doctors, in weight-loss fields, GP’s, restorative, and otherwise, are all finding that to get this syndrome under control several factors have to take place:

  • Balance glucose/insulin levels
  • Increase metabolism
  • Increase fat burning
  • Create appetite suppression

A study done by Sweden’s Karolinska Institute European Association for the Study of Diabetes found that a natural substance can greatly help in this fight:  Green Tea Catechins or EGCG (epigallocatechin gallate). After 5 and 10 weeks of treatment with EGCG, and GlaxoSmithKline’s diabetes drug Avandia, the blood sugar and insulin levels of mice were tested. The researchers found that the mice did just as well on the green tea extract as they did on the drug. The extract has been found to have these benefits:

  • Reduces fat absorption
  • Reduces LDL cholesterol/TG levels
  • Reduces glucose/insulin levels
  • Increases beta oxidation
  • Helps decrease appetite

Which ultimately:

  1. Reduce body weight gain
  2. Reduce body fat accumulation
  3. Stimulate oxidation in the liver

All in all, here are the recommendations by Alexander McLellan, ND, Neuropathic Physician in Halifax, Nova Scotia, and professor at the Canadian School of natural Nutrition and Chief Medical Officer for three clinical research trials in Diabetic Neuropathy in Canada and the US, in treating obesity and Metabolic Syndrome: Check thyroid function, Restrict carbs, Check for food allergies, Keep hydrated, Get stress levels down, Get to a support group and stay educated, Detox, detox, detox! The bottom line? It’s the samo, samo:

  • Eat right
  • Exercise more
  • Don’t rely on a “magic pill”

What do you think?

Disease Prevention Over Disease Management

american-heart-monthSomething tragic has happened in America’s clinical health agenda. Doctors have trained patients to rely on medicine for the answers rather than on learning ways to help themselves prevent their reliance on medicine or on medical help. The medical community has it all backwards.

You go to the doctor and you get medicine to deal with your issue. You go to the pharmacy to get the medicine the doctor prescribed to deal with your issue. In all that time, there is only an emphasis on how to treat the symptoms of the real problem not really prevent the problem from happening in the first place.

Longevity management medicine places emphasis on disease prevention versus disease treatment. Its medical protocols involve extensive initial laboratory baseline testing, hormone balancing, laboratory test monitoring, patient education, proper diet, nutritional supplementation and appropriate exercise.

At Baucom Institute, for instance, we go to great lengths to find where the patient is in terms of their health when they come to see us and then through extensive testing we determine the proper course of treatment and educating the patient how to change their own lifestyle so that they can help themselves change their own course toward health.

The Baucom Institute is interested in a quality of care with outcome measures which include: improved laboratory test profiles, enhanced strength, increased endurance, and a greater feeling of wellness as the patient works along with Dr. Baucom to achieve personalized life enhancing goals.

What has your experience been in working with a doctor? What have the results been for you?


Stressed Out and No Place To Go – Part II, Coping

boy-sleeping-on-bullLast week in our blog, we talked about if you are alive and breathing at this moment then you have probably had stress in the last 72 hours in some form. We gave some statistics that The American Psychological Association, American Institute of Stress, New York, has come out with when they completed a survey in April of 2012 of the U.S. population and reported the statistics about stress. In it they revealed that 77% of the population of the US regularly experience stress on an everyday basis and that it costs this country $300 billion in health care annually on issues related to stress.

So what can be done about stress? Isn’t it inevitable?

In “Coping with Stress” by Susan Balla MA from, November 2012, Susan says that we all experience stress—it’s our natural body response to the demand we might encounter. When it becomes a problem is when we perceive that we don’t have the resources to deal with the demanding situation. That’s when we need to find ways to cope to create balance back in to our life. She says we can find ways to keep stress at “healthy levels” that give us that edge to be better yet keep us functioning. She goes on to list the three areas where stress can show up:

  • Physical: fatigue, headaches, nausea, chest pain, muscle spasms and numbing
  • Mental: forgetfulness, trouble concentrating, inattention, poor problem solving
  • Emotional: anxiety, depression, hopelessness, worry, anger
  • Behavioral: isolation, diminished sexual drive, sleeping/eating less or more

She says there are ways to cope:

 Tip: Consider turning your cell phone off (or at least put it on silent) when completing any of these activities. It pays to disconnect from the outside world for a while. And remember, anything they are calling you about can wait and if not, others can deal with it. We are not superheros, nor do we need to be.

  • Take a time out and take a moment to address the situation. Try leaving the room if you are in an argument or taking a minute at your desk to stop. At this point, focus on your breathing.
  • Focus on breathing. Is it slow, calm, and deep or fast and agitated? Taking a moment to slow your breathing down can clear your mind and decrease your stress reaction. Sit in a comfortable position with your feet flat on the ground (or lay down). Close your eyes. Take one slow, deep breath in through your nose. Hold it briefly. Exhale your breath slowly out from your mouth. Repeat this process several times, focusing only on your slow, steady breaths. On your exhales, visualize your muscles relaxing and the tension leaving your body.
  • Relax in a quiet and comfortable space to practice visualizations. Close your eyes, sleep waterrelax your breathing, and begin to picture your own personal oasis. Place yourself in this oasis. Develop your surroundings using all five senses. If you are on a beach, focus on how the sand feels under your feet. Is it warm, wet, and soft? Can you hear the waves lapping up against the shore or feel the cool wind? Can you smell the salt water or the fresh air after a rainstorm? The more you practice your visualization, the easier it will be to summon it when you need it most.
  • Practice progressive muscle relaxation. Begin in a comfortable position, either lying down or with your feet flat on the ground. Starting at your feet, begin to slowly tense your toes and then slowly relax them. Repeat this process of tensing and relaxing your toes three times. Move to your whole foot next and repeat the tensing and relaxing pattern again for three times. Slowly move up your body, stopping at each location that you are able to tense.
  • Consider keeping a stress journal to help you identify the regular stressors in your life and the way you deal with them. Each time you feel stressed keep track of it in your journal. As you keep a daily log, you will begin to see patterns and common themes. Make sure to track what caused the stress, how you felt physically and emotionally, how you responded, what you did to make yourself feel better.
  • Go to sleep. Your body rejuvenates during sleeping hours making you healthier and more equipped to start a new day. Consider keeping your bed and bedroom an intimacy and sleep sanctuary. If you have trouble sleeping, try eliminating everything you do in your bed other than sleep and sex. Things like watching television or reading can impede upon your sleep cycle. Teach your body that when you enter your bed, it is time to sleep.
  • Exercise! When we exercise, our bodies release endorphins that create a natural high. Exercise helps regulate sleep, decrease tension, decrease depression, and increase your immune system. If you don’t feel like hitting the gym, try yoga to help stretch your muscles and improve your breathing. Simple stretches can also benefit your body since many people experience stress in their bodies. Try taking a few moments during the day to roll your head, stretch your neck muscles, roll your shoulders, and stretch your body.
  • More than just walking the dog, animals have therapeutic influences on their human companions. Petting an animal can decrease your blood pressure and help you live a longer life. Take a moment to care for and love a creature that will love you back unconditionally.
  • Laughter is truly one of the best medicines. Watch a comedy or spend time with your favorite funny friend.
  • Depending on your religious preferences, prayer can help you reflect, gain perspective, relieve pressure, and find hope and support.
  • Sometimes, spending time with friends is all we need to alleviate some tension. Having a conversation can add different perspectives, allow our frustration to vent, and give us a feeling of community instead of isolation. When faced with a stressful situation, it is important to remember that you are not alone, many others face similar hardships, and there are several resources you can pull from to be successful.
  • stress free zoneTry meditation. Start in a relaxing position and begin to empty your mind of anxiety provoking thoughts. Try repeating a word that has no emotional connection, to aid in clearing your mind. The more you practice, the easier this exercise will become.
  • If reading relaxes you, schedule time during the week for a quiet hour in the most comfortable part of your home. Curl up on the couch, in the bath, or in your favorite nook and transport yourself with a good book. Make sure to pick a time when the house is quiet or you know that someone else in the house can handle anything that arises.
  • Everyone needs a little indulgence once in a while. Take the time to slow down and pamper yourself. Try taking a warm bath with scented candles or going to the spa, these are wonderful ways to ease muscle tension and leave your stressors at the door.
  • Activities such as cooking, listening to music, cleaning, going for a car ride, gardening, dancing, or sitting at the local park are all wonderful coping strategies if they work well for you.

Remember: Taking care of yourself is not a selfish act. If we are well, than it is easier to give freely to others around us. If we are depleted from worry, depression, or fatigue, we are less equipped to deal with everyday stressors for both our families and ourselves. Giving back to yourself will not only replenish your resources it also reminds us that we are worth it.

Do any of these ways of coping resonate with you? How do you cope with stress?

The Facts About Male Andropause

Aging Men

Male Andropause. You may have never heard of it, especially if you are a woman under 30. However, it is a very real and prevalent issue for men, especially after age 40. Let’s start with what it is and then what to do about it.

To put it simply, andropause is the steady decline in the hormone testosterone. It usually andropause_grapheffects men around the age of 40 and continues for a longer period of time, possibly lasting for decades, than menopause with women which can have more extreme effects but over a shorter period of time. Most men think these symptoms are just a part of aging and that they should just accept their fate. They couldn’t be more wrong. In fact, by age 45-55 men can experience the same types of effects similar to menopause.

The effects can include changes in attitude and mood, mild depression, fatigue, lower sex drive, reduced erections, weight gain in the middle, loss of energy, and reduction in physical agility because of the loss of muscle mass.

So what’s the answer? It seems inevitable. It stands to reason that if the loss of testosterone is the cause then the replacing of testosterone would be the answer. True, but how do you replace an organic chemical that the body itself reproduces? This is where the answer and the problem both lie, as if two sides to the same coin.

Hormone therapy has become more common in treating the effects of menopause in women. However, the side-effects have become too dangerous, like when men take Viagra to enhance their sexual performance. It is not a natural component; therefore the body cannot assimilate it without side effects.

man50+Bio-identical hormones have become preferable due to their natural effects on the body. These same types of bio-identical, natural hormones are now available to men as well. The bio-available testosterone not only increases muscle mass and improves a guy’s general well-being, it also lowers cholesterol, enhances libido and sexual energy, and helps prevent pre-mature heart disease.

If you have these symptoms from aging, even if you are just in your 40’s, don’t wait until they are worse. Contact us today at The Baucom Institute to learn from your own “Age Management Plan” what you need at your age.

What are some symptoms you have noticed in yourself or someone else you care about? We would love to hear from you.

Introducing: “The Baucom Institute”–To Life and Longevity!

Dr B DeskWhen you think of “age management” maybe you think of nursing homes or elder care. If you aren’t aware, the statistics show that people are living longer because of advancements in medicine. However, are they living well in their older years?

That’s what The Baucom Institute is all about—life enhancement and age management, “ . . . an emerging field of medicine devoted to maintaining or enhancing the quality of life as we age. It does not prevent aging or necessarily lengthen our life, but rather qualifies and alters the way we age to enhance the quality of life as we age.” –Karan Baucom, MD, FACOG, FAAAAM

As we age, we become susceptible to disease and the breakdown of our body systems. Dr. Baucom has created a program whereby assessment of the patient is made to determine areas of concern and to determine the best course for preventing any further issues. The protocols for assessment include:

  • Extensive initial laboratory baseline testing
  • Hormone balancing
  • Laboratory test monitoring
  • Patient education
  • Proper diet
  • Nutritional supplementation
  • Appropriate exercise

When all the testing has been assessed, Dr. Baucom’s plan of care will include:

  • Improved laboratory test profiles
  • Enhanced strength
  • Increased endurance
  • A great feeling of wellness

Dr. Baucom always says, “Age is only a number, not a way of life.” There are answers in regenerative medicine— comprehensive assessment, tailored care, hormone balance for men and women, nutrition, and exercise. The answers are available for quality of life and youthful vitality.

Tell us your story—in what ways do you want to see your quality of life improve?