Re: LEAP Poster Presentation of Results by Bethel

[Guest guest]

This is a great start.  Doesn't have to be an 'unbiased' researcher to collect

data, analyze and then present in a poster session. 

Hope to see more of these presentations.

Holly

 ----------

Holly Lee Brewer, MS RD CDE

Pediatric Dietitian, Diabetes Educator

Medical Nutrition Therapist, Las Vegas, NV

Maj Holly Brewer, USAFR BSC http://hollyinbalad.blogspot.com

301st MDS, NAS JRB Fort Worth (Carswell), TX

Joint Base Balad, Iraq (Jan-Jul 2009)

________________________________

To: rd-usa

Sent: Thu, June 23, 2011 11:08:03 AM

Subject: Re: LEAP Reply to (reply 3)

 

I have been asked if I would share a research poster session that I presented at

the 2010 Florida Dietetic Association, so I will attach the abstract and poster

here as an example of what one private practitioner is doing to document the

effects of nutrition therapy based on the results of LEAP MRT (Mediator Release

Testing) and a patient-specific LEAP elimination diet and food reintroduction

protocol. This was just the preliminary analysis of my data for the first 30

days of LEAP therapy for patients who completed all surveys and included a

variety of relevant diagnoses. Nearly all had multiple diagnoses. But even with

just looking at the symptoms of the group as a whole, you can see the highly

statistically significant improvements in a wide range of symptoms.

There is much more that I can do with the data to analyze therapeutic responses

by diagnoses and also to analyze the rest of the longer term data (60 and 90

days have been entered into the spreadsheets for symptoms as well as the SF-36

Quality of Life surveys). Visually, looking at totals, my impression is that

there were substantial continued improvements, but I haven't had the stats run

on it yet. I have also entered each person's reactive foods and chemicals, so I

can also see if there is any correlation of reactive foods to diagnoses.  (It

will be interesting, since it has been common practice to hand out lists of

foods to eat and to avoid, based on diagnoses that have been derived

empirically.)  Observation tells me that I have had no two patients with the

same condition have the same set of reactive foods and chemicals. A correlation

of the data will tell me specifically.

However, I just entered ALL the data for patients who completed all the surveys

and were at least 50% compliant to the protocol regardless of outcome. An expert

in statics ran the analysis. Then I reported the results of the analysis. My

impression had been that my patients were getting " great results, " and there are

amazing case presentations, but instead of continuing to report impressions, I

wanted to see the overall numbers for myself. My impressions were valid and

backed up with data. It's great to have a protocol and formalized method of data

collection, which will make it possible for all of us to document what is

effective therapy and what is not. 

I realize that since I was the private practitioner and the researcher who

entered the data my study would not be considered unbiased. I would like to do

more data analysis, but as a private practitioner no one is paying me when I'm

not providing services. I'm just a curious person and have made a start. If a

company funds research, there is also the potential for bias, because what

company is going to continue to fund a researcher whose drug or product does not

show the desired results . But it is well known that government-funded research

is often manipulated in the analysis to show what the researcher wants to prove.

You can only trust the process as far as you can trust the integrity of the

researcher. I'm just after the truth -- however that falls.

++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++\

++++++++++++++++

Bethel, MS, RD, LD/N, CLT, CLT Mentor

Registered Dietitian specializing in chronic inflammatory conditions related to

food sensitivities, allergies, and intolerances*

1526 Nuremberg Boulevard, Punta Gorda, FL 33983-6015

Telephone: ; Mobile: ; E-mail: lbethelrd@...;

Local and distance services

* Irritable bowel, migraines, fibromyalgia, arthralgias, gas, reflux,

esophagitis, indigestion, celiac disease,

Crohn’s, colitis, sinusitis, psoriasis, eczema, autism spectrum

disorders/ADD/ADHD, and others

++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++\

+++++++++++++++++

Re: LEAP Reply to (reply 3)

>

> Jan,

>

> While you continue to insist that some academic, researcher who has no

> other time demands to the research for you, I can safely say " That ain't

> going to happen " . RDs in academia have so many demands on their time that it

> would be virtually impossible to expect them to do what you should be doing.

>

>

> As I've mentioned many, many times, those providing " non evidence-based "

> therapy need to take the initiative to do the small, very affordable studies

> that can be used to build the track record you need to qualify for the

> larger grants. Why, over and over on this list LEAP RDs say that they have

> " cured " various health conditions. Earlier today, said that his

> patients don't even come back, they're feeling so much better after one or

> two visits that further work isn't needed. Here's what you do; have Signet

> develop an IRB or contract with a local university to do that. Then you have

> someone to help you with the informed consent that you need to have from

> patients/clients in order to utilize information in a case series. Have that

> published. At that point you have enough to get a small grant. Once that's

> published, you can then start to qualify for bigger grants.

>

> Believe it or not, RDs in academic settings also work 60+ hours per week.

> It's interesting that the folks on this list are so worried about having

> feelings hurt but then go on to make unfounded assumptions about how other

> hard-working RDs spend their time. If your work is important to you and you

> think you have stumbled upon something that is life-altering and will

> improve the lives of untold thousands of people, it would behoove you to

> take steps to validate your work. After all, you would demand no less from

> say, a researcher who develops a magic bullet that achieves the same results

> that you achieve, albeit without a change in diet.

>

> Evidence used in EBM does not need to be from the large multi-center

> trials. Again, familiarize yourself with what EBM is and is not. It is not

> sufficient to quote a former ADA President (who I respect greatly). That

> quote is what we would call a sound bite. Yes, clinician expertise plays

> into the equation, but it is not enough for others to use to treat their

> patients. When you get good results (whatever they may be) you can't

> extrapolate to other providers and settings.

>

> What is the credentialing organization or body for this CLT credential?

>

> Pam Charney, PhD, RD

> Author, Consultant

> pcharney@...

>

> " Lead, follow, or get out of the way! "

>

> >

> >

> >

> > > Hi ,

> > >

> > > Actually, trained CLTs DO study the " research " behind LEAP -it's

> > > just not

> > > strong enough yet for those that insist on DBPC clinical trials,

> > > which, for

> > > a small company, are prohibitively expensive. If you can find somebody

> > > ready to spend $500,000 to do these studies, trust me, Signet would

> > > jump at the

> > > opportunity.

> > >

> > > If there's a paid acadamia person that has the time and interest,

> > > we'd love

> > > to have that person do research, but every one we've talked to

> > > insists on

> > > $$$$ that aren't available. If somebody wants to do research that

> > > doesn't

> > > already work 60 hours a week on everything else, we'd strongly

> > > support that

> > > person's research as well, just not monetarily! (At least, not

> > > yet . .)

> > >

> > > But, if you look at the literature on non-IgE immune reactions,

> > > cytokine

> > > research and then see clinical results, it's enough for most of us

> > > to realize

> > > that it's more than testimonial. There's a huge body of literature

> > > that

> > > shows that mediators are elevated during exacerbation of inflammatory

> > > conditions such as IBS, arthritis and such - and it makes perfect,

> > > scientific

> > > sense why we're seeing the results we see, when we know we have a

> > > test that

> > > measures the end-point of all non-IgE immune reactions.

> > >

> > > Also, ALL we're really doing is what many RDs have done for years. I

> > > don't

> > > know if the current NCM has an " Allergy Elimination Diet " in it or

> > > not -

> > > one of my old NCM's did. It's been " standard practice " for many

> > > years. LEAP

> > > is JUST an elimination diet. True, it's based on that individuals

> > > blood

> > > response to antigens - which just makes it more like driving cross-

> > > country

> > > with a Garmin GPS instead of " I'll point the car west and hope I end

> > > up in San

> > > Francisco. " Both should get you where you're going, but one gets you

> > > there more efficiently/effectively. To us, that's the difference

> > > between a

> > > standard elimination diet and the MRT based elimination diet.

> > >

> > >

> > > In a message dated 6/20/2011 4:05:22 A.M. Mountain Daylight Time,

> > > rd-usa writes:

> > >

> > > On Thu, Jun 16, 2011 at 1:52 PM, Ortiz <_nrord1@..._

> > > (mailto:nrord1@...) > wrote:

> > >

> > > > Full liquid is still useful with speech pathologists. It can also be

> > > > interpreted in many ways - full liquid thicken - honey, nectar

> > > etc. I

> > > think

> > > > it is the inappropriate use that should be looked at, not some

> > > real uses

> > > > for

> > > > it.

> > > >

> > > > Interesting people are upset with Pam but not for LEAP. When are

> > > real

> > > > studies going to be done - not saying it doesn't work but maybe it

> > > could

> > > be

> > > > EBM if the LEAP company and therapists would do some studies and

> > > have it

> > > > published. Just a thought...I would love to recommend it but I do

> > > want

> > > some

> > > > data first, not testimonials.

> > > >

> > >

> > >

> > > Jan Patenaude, RD, CLT

> > > Director of Medical Nutrition

> > > Signet Diagnostic Corp.

> > > Telecommuting Nationwide

> > > (Mountain Time)

> > > Fax:

> > > DineRight4@...

> > >

> > > Certified LEAP Therapist and specialist in food sensitivity for IBS,

> > > migraine, fibromyalgia and multiple inflammatory conditions. Co-

> > > author of the

> > > Certified LEAP Therapist (CLT) Training Course.

> > >

> > >