Author: Lori Calabrese, M.D.

  • How Mitochondria Can Help Heal Your Brain…And Your Body!

    How Mitochondria Can Help Heal Your Brain…And Your Body!

    When you’re sick and tired of being sick and tired, you need answers, solutions, and information that leads you to take action to change your health, and your life. Maybe you’re suffering from unrelenting depression that medicines don’t help, and maybe you’ve gained weight – even exorbitant weight – that you feel powerless to lose. Maybe it has just happened, or maybe it’s a side effect of all the medicines you’ve tried for treatment. Just maybe, the weight gain has given rise to pre-diabetes, or Type 2 diabetes, and sometimes the more weight you gain, the more you want to eat. And that increased weight causes worse depression. And what if your depression symptoms have been accompanied by OCD symptoms, or hallucinations, and even delusions? Let’s talk about how mitochondria can help your brain heal.

    Chris Palmer, M.D., author of the book Brain Energy, was recently interviewed on Jordan Peterson’s podcast. He had so many good things to say about conditions that include all these different symptoms… and a wonderful explanation for why.

    Is Depression Always a Disorder?

    First, he said, all humans get depressed, feel anxiety, humiliation, and shame. Those are normal emotions in specific circumstances, and they can help you make necessary changes to improve your life. Human emotions are not disorders — they’re part of being human. When that happens, it’s not a disorder.

    But, there are so many ways you can suffer, and develop patterns that aren’t appropriate or adaptive adjustments to events in your life or your environment.

    You can develop patterns as you try to adapt to events in your life that caused you hurt or broke your trust that aren’t so good for you. But those aren’t necessarily brain disorders, either.

    Some people have actual brain disorders, where their brain is not functioning properly. They have anxiety for no reason, because cells are firing when they shouldn’t be. Or depression, because cells aren’t firing when they should be.

    This can cause crippling OCD, persistent depression, mania, even hallucinations, and delusions… for NO reason.

    Through the ages humanity has formed theories about the cause of symptoms like these. From demon possession to bile to dopamine and beyond. But none of these theories connect the dots for all of these conditions. Mitochondria connect those dots. And mitochondria can help your brain heal.

    They’re the crux of a central theme that revolves around metabolism.

    What’s the Role of Metabolism?

    Understanding metabolism—and mitochondria—helps us better understand how risk factors for these conditions come together. It gives us clear direction for treatments we can put in place. And it shows us how changes in diet, exercise, hormones, and medications can be helpful or harmful. And how substance use can impact a condition and its treatment.

    Someone who has vital elements missing in his life, like a rewarding job, significant and rewarding relationships, and a sense of purpose, can be depressed because the human brain is hard-wired to be depressed in the absence of those things. Its purpose is to push that person to develop the social connections to integrate him into a rewarding life.

    Then, Dr. Palmer pointed out how pain provides a great comparison. When you have pain because of an injury or surgery, that’s pain for a good reason. It’s logical and easy to explain. Of course you have pain!

    But when you have pain for no reason, that’s a disorder. Cells are firing for no valid reason. They’re malfunctioning.

    By the same token, he stresses that when you’re depressed for obvious reasons, that’s not a disorder. But when you’re depressed – or have anxiety – for no good reason, it rises to the level of being a disorder.

    And Mitochondria Can Help Your Brain Heal

    There is a wide range of medical conditions that can cause the exact same symptoms of depression, like neurological disorders, Alzheimer’s disease, Huntington’s disease, Parkinson’s disease, hormone imbalances, like hypothyroidism, women’s hormones during menstrual periods, pregnancy, and menopause, low testosterone. Inflammatory conditions. A host of others.

    And that makes us wonder… what is the connection between all of these diseases and conditions that could explain the same depression symptoms?

    Dr. Palmer said that this is a really important clue to solving the puzzle!

    What Causes Mental Disorders??

    For all people suffering from mental illnesses—psychiatric conditions—around the world, how can we produce better treatments? He believes it’s by recognizing a common denominator, or a common thread. And it seems clear that what they all have in common is metabolism. And…more specifically, it’s these tiny things in our cells called mitochondria.

    Schizoaffective Disorder and Ketogenic Diet

    He told the story of a patient he’d had for 8 years. This man had schizoaffective disorder, with chronic hallucinations and delusions; he was overly suspicious, convinced everyone was out to get him, laughing at him, spying on him, and trying to hurt him. He’d tried 17 different medications — none had helped. He’d gained massive weight and asked Dr Palmer to help him lose it.

    Salmon and avocados are part of a ketogenic diet to heal your brain.

    So Dr. Palmer put him on a ketogenic diet — to help him lose weight. 

    Within 2 weeks, he was losing weight. But Dr. Palmer noticed a powerful antidepressant effect taking place. He was flabbergasted. How could two weeks of food affect symptoms that had been there for years?

    Then, came the shocking revelation. About 2 months after starting the ketogenic diet, he started spontaneously reporting that his hallucinations and delusions were beginning to go away.

    That man went on to lose over 160 lbs and has kept it off for seven years now. He was amazingly able to do things he hadn’t been able to do since he was first diagnosed.

    This man could go out in public without paranoia — he completed a certificate program, performed improv before a live audience (no joke!) and he started teaching karate. He was able to do things that had not only been impossible for him, they’d be impossible for just about anyone with his illness.

    Weight loss w/o cancer is easy with a delicious ketogenic diet.

    Dr. Palmer began using the diet with other patients, quietly. And took a deep dive into basic science and bodies of evidence from treating epilepsy, to other bodies of evidence, about bipolar disorder, depression, and schizophrenia.

    Not a Fad Diet

    The ketogenic diet is not a fad weight loss diet. It’s an evidence-based treatment that’s been used for more than 100 years for epilepsy. So Dr. Palmer thought that maybe that’s why this is changing this patient’s brain symptoms… because of the effect it has on epilepsy in the brain.

    Maybe those same processes are reducing his psychotic symptoms. Could it be?

    He studied the enormous body of evidence in the field of neurology regarding how the ketogenic diet stops seizures. There are changes in neurotransmitters, changes in the gut microbiome, decreases in inflammation…

    But one thing stood out:

    It improves how mitochondria function, which means:

    IT IMPROVES BRAIN METABOLISM

    The metabolic theory of brain disorders can explain to us why neurons might be overactive – or hyper-excitable — through neuroimaging studies, cell biology studies, and others that confirm this. We know that people with these brain conditions have hyper-excitable neurons. That there are parts of their brain that just start firing when they shouldn’t. 

    Not so different from a pain cell that fires when it shouldn’t.

    So to understand why this happens, we can turn to the metabolic/mitochondrial theory to connect the dots with all the symptoms of these conditions. Mitochondria can help your brain heal.

    It helps us understand why sleep deprivation can lead to psychosis, and why antidepressants can precipitant mania. 

    When we understand that the mitochondria is at the foundation of what occurs to create so many different psychiatric symptoms, it allows us to find treatments and solutions that may actually help people heal and recover.

    To understand mitochondria better, we think of it like this: 90% of the food we eat ends up as fuel in the mitochondria. When mitochondria get fuel, they convert it into energy in the form of ATP, or they break it down to smaller molecules to create hormones, enzymes, new proteins, neurotransmitters, or cell membranes…. or mitochondria can convert that energy to make heat.

    If you run a fever, they’re creating that. If you’re too cold, the mitochondria are underperforming.

    The medical field that’s focused on obesity, the cardiovascular field, the Alzheimer’s field, the ageing and longevity field have all been fueling research over the last 20 years on the role of mitochondria that is now taking off by leaps and bounds. Let’s learn about just how mitochondria help your brain heal.

    Mitochondria are Central to Just About Everything

    They serve up the fuel that’s used to create, regulate, and release neurotransmitters like serotonin, norepinephrine, dopamine, GABA, and more. And those neurotransmitters impact mitochondrial function.

    Mitochondria can help heal your brain with a ketogenic diet.

    Mitochondria also help control the expression of genes from the nucleus, which is called epigenetics.

    Mitochondria help turn inflammation both on and off.

    We’ve known that cortisol, the hormone, is poorly and improperly regulated in people with brain disorders. Mitochondrial dysregulation is believed to be the cause of cortisol dysregulation. So how can we get mitochondria to help your brain heal?

    Mitochondria are affected by our diet, our exercise, our drug and alcohol intake… but here’s the kicker. 

    Mint infused water is a delicious alternative to plain water in fasting.

    Biological, Sociological, Psychological

    Trauma and childhood adversity directly impact mitochondrial function and health. So by understanding and treating mitochondria, we can resolve the connections between the biological, sociological, and psychological risk factors that lead to brain disorders.

    The ketogenic diet also mimics fasting. And fasting triggers a process called autophagy, to clean out faulty cells and cell parts to help the body restore itself. The ketogenic diet also cleans up and removes faulty mitochondria, which is called mitophagy. Hugely important repair processes for brain health and longevity. And when mitochondria are fueled by a ketogenic diet they themselves become larger, more productive… they multiply.

    These are just a few of the ways that help mitochondria heal your brain cells. And your cells in the rest of your body, too.

    Fasting-Mimicking Diet

    A water only fast can trigger mitophagy in the cells.

    In some people, especially with extremely difficult diagnoses, it is sometimes necessary under medical supervision, to intensify that fasting state.

    The most intense approach is to ingest nothing except water for a limited period of time. A second level of intensity might be to trigger a fasting state in the body with a carnivore diet, meaning nothing but meat…or beef, specifically. (Nose to tail deep nutrition is important there.)

    Touchpoints 180™ is Dr. Calabrese's program to help you achieve therapeutic nutritional ketosis so your mind and body can heal.

    Touchpoints 180™

    But in most cases, a properly-formulated, nutritious diet of very low carbohydrates, moderate servings of protein, and high fat, creates this therapeutic state of therapeutic nutritional ketosis. This is the treatment strategy we use in our Touchpoints 180™ program — with striking results. Our patients see proof day in and day out that mitochondria can help heal your brain. And that it can last. So do their families.

    Are YOU sick and tired of being sick and tired?

    Mitochondria can help heal your brain, and your body.

    If you struggle with a whole cluster of symptoms like Dr. Palmer and I have talked about here, and nothing you’ve tried has made a difference, call us.

    See what the science of nutritional psychiatry can do to restore your joy… and your life.

    We’re here to partner with you in your recovery to living a better life. We can show you how.

    Lori Calabrese, M.D. is on the front end of the race to stop PTSD in its tracks using IV ketamine treatment.

    To the restoration of your best self,

  • Metabolic Psychiatry Can Heal Your Brain AND Your Body

    Metabolic Psychiatry Can Heal Your Brain AND Your Body

    Crystal wobbled, then caught herself with her hand on the table. Whoa…I’m dizzy. She took a breath, then planted her feet and felt steady enough to keep moving. As she dug through her purse, her hands couldn’t find her keys in her purse, so she dug deeper. Sighhh…where are they?? After dropping her purse on the table, she looked over the kitchen countertops and saw no keys. Walking through the house, she found no keys in the bathroom or bedroom. Nope, not the living room, either. Scratching her chin, she started opening cabinets. Then the refrigerator. Wow! There they were, ice cold, next to the cream she had used for her coffee. She rolled her eyes. My head is filled with clouds, she thought. She didn’t realize that metabolic psychiatry can heal so many of these symptoms.

    Grabbing her keys, Crystal pulled her purse strap over her shoulder, and started out the door to the car.

    Weight Gain, Blood Sugar, and Depression

    She’d struggled with her blood sugar for 8 years. Her weight had been slowly but steadily climbing. When she went on diets and lost some, she gained it right back. 

    Now her doctor was referring her to an endocrinologist and cardiologist. He was concerned for her Type 2 diabetes, her blood pressure, and her cholesterol. He told her they often go hand in hand. Anxiety climbed to her throat, choking her, as she drove on.

    But it wasn’t just her cholesterol, dizziness, and blood sugar that worried her. She’d lost her motivation. It was getting harder and harder to get up and get things done. Her house was becoming more cluttered, the laundry was lagging behind. Her bathroom hadn’t been cleaned for weeks, and her sheets needed to be changed. 

    I don’t even recognize myself anymore. What’s wrong with me?

    She stopped at her favorite drive-through on the way to order a cheeseburger, French fries, and a diet Coke. After wolfing it down, she felt like she could go to the doctor appointment without feeling so hungry. If only she understood how this high carbohydrate meal was making her worse… and that metabolic psychiatry can heal.

    Once she got out of the car, she could hardly walk into the office.

    They sent her to the lab for a blood draw, then back to the exam room. She liked the doctor. He was easy to talk to, and understanding about her lack of energy, motivation, and her struggle to find the initiative to cook more nutritious meals for herself.

    Her Doctor Gets Real

    Then, he leaned against the counter, and said, “I’m going to level with you, Crystal. I think all of the symptoms you’re struggling with are related. They have a common cause.

    “We need to work together to get your metabolism healthy and resilient. Doing that will help relieve all these symptoms you’re experiencing. I’ll be keeping a close eye on your blood sugars and your A1C, and your cardiologist will oversee your heart rate, blood pressure, and cholesterol. 

    “You need a psychiatrist for your depression, anxiety, brain fog, and panic attacks. I’m referring you to one here in the area who’s got a whole treatment program that can treat those symptoms and turn your metabolism around all at the same time. One of my patients with her lost 60 lbs, and was able to come off medication–hers and mine! Metabolic psychiatry can treat all these symptoms, in addition to those your cardiologist will monitor.

    The thing about all these metabolic symptoms you’re experiencing is that they form a vicious cycle. Depression makes you want to eat foods that aren’t healthy, and eating those foods makes your depression worse. Then, you gain weight which makes you feel more out of control and that feeds your depression and drives up your blood sugar and cholesterol. And on and on it goes.

    Touchpoints 180™ is Dr. Calabrese's program to help you achieve therapeutic nutritional ketosis so your mind and body can heal.

    Touchpoints 180™

    “The beauty is that by working with this doctor’s program, you get benefits for all these other conditions. She’ll focus on your psychiatric conditions, but the program will help you lose body fat consistently, bring down your A1c and your insulin, and that will eventually resolve your diabetic symptoms, and improve your cholesterol and blood pressure, as well.

    “She calls her program Touchpoints180™ and it would be so perfect for you. It’s the first of its kind anywhere. We’re fortunate to have it here in the area.

    “Here’s her website. Give her a call and instead of jumping on medication now that I know you don’t want, see what you can do to get your metabolism on track — body and brain. Then I’ll see you back in 3 months.” As he handed the slip of paper to Crystal, her heart did a little leap. Not what she expected. It felt like hope.

    When she reached her car, she didn’t want to wait another minute. She pulled up the website on the slip of paper, found the phone number, and called.

    She was able to arrange an appointment quickly. 

    Metabolic Psychiatry Changes Her Life

    The doctor evaluated her on a psychiatric and metabolic level. It was medical psychiatry but also holistic psychiatry and integrative. Everything was pulled in. Then, she met with an experienced ketogenic registered dietitian/nutritionist for a deep dive nutritional assessment, looking at her history, her food story, what she liked and didn’t like, and what had happened to her as she gained weight, did develop yo-yo dieting, and got more and more sick of herself.

    But instead of feeling bad about herself, she felt heard. Instead of judgement, she found hope.

    They really get this, she thought.

    Joint Feedback: Psychiatrist and Ketogenic Registered Dietitian-Nutritionist

    They both explained how food is the best medicine for her brain cells, as well as those in the rest of her body. There was more about how metabolic psychiatry can heal so much in the body. They talk about this as not a fad, but a leading-edge treatment that could be used to actually get her symptoms to STOP. Comprehensive treatment that was designed personally for her brain, and her body by the whole team, not a download from an app created with AI.

    It included both scheduled and drop-in activities, in person and virtual — like walks in nature, building friendships, support for her family and friends, meetings with her to help her maintain therapeutic nutritional ketosis. They introduced her to the idea of meticulous monitoring, labs, biometrics, and digital tools, and explained how it all worked together and why all of this was important.

    They didn’t say, “Let’s see how it goes.” They said, “You’re going to feel amazing.”

    She felt supported, a new and refreshing element that was unusual in a doctor’s office. She was more accustomed to being told to lose weight. Then 3 months later, being criticized for not losing enough.

    This was a whole new experience. And she liked it.

    She left the office… which was lovely — in fact more like a spa … armed with a whole new idea of what to keep in the house, what groceries to pick up, what to order out….and excited about joining their nature walks, working with them closely for advice and questions, reading the next book for their book club — she couldn’t believe they ran a BookClub! She got geared up, preparing to learn new recipes, new meal structures, and new digital apps.

    She had to push through her anxiety to show up for it all, and she wasn’t sure she’d try it all out all right away, but something this important deserved her best effort. After all, this was her chance to get better… to even maybe get well.

    Getting Started

    Her first meal was delicious and satisfying. This wasn’t anything like any low-cal diet she’d been on before where still was still hungry when she got up from the table. There was no sense of deprivation. Just her agreement to get rid of carbohydrate-heavy foods – and toss them.

    So, into the bin went potatoes, bread, rolls, biscuits, rice, and powdered sugar for frosting on cakes. Then she filled her fridge with butter, heavy cream, parmesan cheese, sharp cheddar, avocados, chicken, shrimp, salmon, ribeye steak, and all colors of bell peppers, leafy greens, and broccoli. 

    Crystal was set for her first week.

    The program was active, and the walks in the fresh air began to pierce her isolation. She noticed she began to look forward to those walks, and filling her lungs with fresh air. She even began to venture into conversation.

    This idea of walking outdoors among the trees with her doctor was a whole new paradigm. Who ever heard of such a thing? But it was confidence-building, and comforting at the same time. If it weren’t for all of the different opportunities to connect, she would never have walked like this by herself. Metabolic Psychiatry really does heal.

    But she wanted to get better.

    So she just kept showing up as scheduled. Within about 3 weeks, she realized she was relaxing. The anxiety was gone. She hadn’t had a panic attack in awhile. She also was thinking more clearly. Crystal marveled at the changes she was seeing in herself

    And she was losing weight!

    So this is how this works. Touchpoints 180™ is the best thing I’ve ever done for myself. Who knew it could be so easy? All I have to do is make it my priority and show up, prepare and eat the meals. Participate in phone calls. Extraordinary.

    Six months after she began participating in Touchpoints 180™ Crystal had lost 38 lbs. Her A1C had reduced dramatically. It was still within the “diabetic” range, but her blood sugars were becoming lower and more stable. And she knew this wasn’t some diet she would eventually abandon. 

    She knew this was a whole therapeutic lifestyle she could continue. So she did, and it got easier and easier as her A1C continued to drop and improve over time. Now she actually believed that her diabetes would eventually resolve. 

    Meanwhile, her muscle tone had improved from all the walking, and the depression had faded, leaving her with a much brighter outlook. She hadn’t experienced panic in months, and felt so much more control in her life.

    And a big bonus: her mind was clear. Clearer than it had been in many years. She was just amazed. Keeping up with her keys was so easy now, along with a host of things that used to baffle her.

    Crystal felt younger, more energetic, and liked the way she looked. So confidence building. And this was just the beginning. 

    A year later, she had dropped 4 sizes, and had gotten her sassiness back. She felt like herself again. Metabolic Psychiatry and Touchpoints 180™ really can heal.

    And she continued with Touchpoints 180™ to benefit from the advice, monitoring, and help with changes in her food preparation to slow down her weight loss, and maintain her weight, which was just right. 

    Her A1C was 5.6, and she was technically no longer a Type 2 diabetic. But she knew that without this lifestyle, it could all reverse. So she stuck with the lifestyle that worked, and all the support that went with it.

    Life Transforming

    This metabolic intervention had not only transformed her brain but it had also transformed her life. She would never have believed it until she experienced it.

    Do you struggle with the symptoms Crystal did?

    Metabolic dysfunction can create an array of symptoms like severe depression, OCD, panic attacks, severe anxiety, bipolar disorder, an eating disorder, or alcohol misuse. We harness all of the latest research (and contribute to it!) in metabolic psychiatry to create carefully formulated, therapeutic low carb and ketogenic treatment in Touchpoints 180™ program. We want to reverse what’s gone wrong, heal your symptoms and give you back your life.

    If you can relate to Crystal’s story, and want to get both your brain and your body health, call us.

    We’re here to figure it all out, help you, guide you, and walk shoulder to shoulder with you, to find your best self ever.

    Lori Calabrese, M.D. is on the front end of the race to stop PTSD in its tracks using IV ketamine treatment.

    To the restoration of your best self,

  • Ozempic Risky? Try Touchpoints 180™ For Weight Loss w/o Cancer

    Ozempic Risky? Try Touchpoints 180™ For Weight Loss w/o Cancer

    If you’re struggling with weight gain that’s causing other health problems like Type II diabetes, cardiovascular disease, depression…maybe social anxiety… and every time you manage to lose weight, you just gain it back… let’s talk. You need an alternative to traditional weight loss diets, rather than weight loss medications, or fads. If you’ve talked to your doctor about medications that can help you lose weight and/or manage your diabetes symptoms, you may be struggling with the potential risks of these meds. The most prominent medicines that produce weight loss may also help with Type II diabetes. We’re talking about Ozempic, Wegovy, Mounjaro, and Zepbound. Studies have shown people lose significant weight on these medications, when taken a year or more. But are they all they’re cracked up to be? What about the risk of thyroid cancer? Let’s take a closer look at weight loss w/o cancer.

    Ozempic for Type II Diabetes

    Ozempic is a medication FDA-approved for Type II diabetes. It also helps with weight loss, and some doctors may prescribe it off label for that. Because it’s been so widely marketed, it has come to be the general term for a weight loss medication used to treat diabetes. 

    You might think of it similar to the way people say, “Coke” referring to any soft drink, or “Vaseline” referring to some type of lubricant.

    So, Ozempic has become the general term for a class of injectable weight loss drugs used to treat diabetes. But, it’s not the only one, as we’ve mentioned, and they aren’t all the same. 

    In the case of Ozempic, it was originally FDA approved for the treatment of Type II diabetes at small doses of 0.5mg and 1mg in 2017. Then, by 2022, it had been approved at 2mg doses.

    It’s a glucagon-like peptide1 agonist, that works by imitating a hormone that’s produced naturally in your body. That hormone is called glucagon-like peptide 1. So Ozempic, and medications like it, are called GLP-1 agonists, or sometimes just GLP-1 drugs. As in, “I want my doctor to give me one of those GLP-1’s.”

    It’s music to the ears of Big Pharma.

    GLP-1 stimulates the secretion of insulin, suppresses a hormone called glucagon, and increases a satisfied, or “full” feeling by slowing the emptying of your stomach.

    Since glucagon helps you to feel hungry, suppressing it tamps down your appetite. On top of that, by slowing your digestion, you feel full longer. 

    Another thing this drug does is focus on some areas of the brain, like the hypothalamus, where you find your appetite control, as well as choices you make about eating. Sounds promising on the surface, doesn’t it? But there’s more to the story.

    Wegovy for Weight Loss Specifically

    A drug similar to Ozempic, but FDA-approved for weight loss specifically, is Wegovy. Each of these medicines is a brand name for the same medication, called semaglutide, but they’re offered in different dosing devices.

    Ozempic comes in a multi-use injecting pen, and Wegovy — which dispenses at a higher dose — is offered in a single use, disposable pen. So even though they’re basically the same medicine, they’re not FDA-approved to treat the same condition, and as such, the pens dispense different dosages.

    While those are just little details, there are lots of big potential problems with this medicine, whether it’s under the brand name of Ozempic, or Wegovy, or it’s a knock-off version, a non-FDA-approved compounded formulation of semaglutide. 

    Moderate to severe gastrointestinal symptoms like nausea, vomiting, diarrhea or constipation, pancreatitis, gastroparesis (paralysis of the stomach), gallbladder disease, diabetic retinopathy, and allergic reactions. 

    Loss of important lean muscle — almost as much, pound for pound, as the loss of fat (about 40% of the weight loss is muscle) — lean muscle that you may never be able to build back. A huge deal because muscle is very metabolically active and you need it to keep the weight off once you’ve lost it.

    Because if you go off the drug, and you gain back the weight you lost, you’ll likely gain it all back as fat. (It doesn’t usually come back on as fat plus muscle.)

    In addition, and even more alarming, is the risk for thyroid cancer. Studies conducted to identify the link between these semaglutide medicines, found a moderate risk of thyroid cancer, although they couldn’t identify whether the risk was specific for medullary or papillary thyroid cancer. 
    Think about that for a minute.

    Not a rare risk. Not a slight risk. A moderately increased risk of cancer.

    When you consider the seriousness of this risk — actuallly all the risks — and all of the lawsuits that have already been filed against the companies, the doctors and the pop-up shops dispensing compounded versions of these — you should take a breath… and consider whether these semaglutide medicines are your only option. Surely there’s a path to weight loss w/o cancer.

    And, well, there are two more we can discuss.

    But, not sure they’re preferable alternatives. See what you think.

    Mounjaro and Zepbound

    Mounjaro is FDA-approved for Type II diabetes, and Zepbound is FDA-approved for weight loss. Sound familiar?

    It should. This pair is two versions of the same medicine, like Ozempic and Wegovy are. It’s just a different medicine. Tirzepatide. 

    Tirzepatide

    This medicine, more familiar by the brand names Mounjaro and Zepbound, works by imitating two hormones, instead of the single one that Ozempic and Wegovy use.

    These two hormone mimickers are glucose-dependent insulinotropic polypeptide (GIP) receptor and the GLP-1 receptor agonist like Ozempic and Wegovy. Both of the hormones these two mimic are “satiety” hormones. Your body releases them in the intestines, so you know when you’ve had enough to eat. 

    By using this double hormone approach, Mounjaro seems to be more effective at controlling glucose levels. Plus, Mounjaro and Zepbound yield greater average weight loss than the GLP-1 medicines alone.

    So, what’s not to love about tirzepatide? 

    Well, it’s the side effects. Some say they aren’t as severe as those for the GLP-1, or semaglutide medicines. And by combining the two mechanisms of action, GIP and GLP-1, the side effects might be easier to tolerate. You might not get so nauseous. You might not throw up every day. Trouble is, it was only FDA approved in May 2022, so there’s lots to learn.

    But those gastrointestinal symptoms are still side effects of tirzepatide —Mounjaro and Zepbound — and the moderately high risk of thyroid cancer when you use these medications is real.

    So what do you do if you live with obesity and the diseases associated with it, like type II diabetes, cardiovascular disease, depression, anxiety, PTSD…

    You do need to lose weight, and you need to feel better. Is injectable medicine that’s rife with side effects and risks your only option? Is there any other option to achieve weight loss w/o cancer?

    Yes!! There is Something Better!

    There’s a special intervention that’s based on metabolic science. Metabolic psychiatry makes use of therapeutic nutritional ketosis to shift your body’s method of generating energy for your cells from glucose to ketones. By eating very low amounts of  carbohydrates, and high amounts of healthy fats, your body will transition its method of generating energy, and will continue to consume those fats you eat, as well as your body fat, to continue to fuel your cells.

    Well-fueled cells are happy cells, and when they’re happy, your body functions so much better in so many ways.

    Ketones are natural, and they’re made by your body, in your body, and we’re genetically wired to produce them… easily. We have been since the dawn of time. They are a much more efficient and beneficial fuel that help all your cells function better—especially cells in the brain and heart. Your brain cells will operate at their best, clearing out brain fog, depression, and anxiety.

    Conditions like bipolar disorder, social anxiety, PTSD, and eating disorders can fade away. (We were the first to publish stunning results with this treatment approach in one of the deadliest psychiatric disorders, anorexia!) and we continue to break new ground with real-world scientific results from our practice showing how easy this can be, what it takes to adopt and maintain nutritional ketosis, and what it takes to make depression and anxiety go away. And all the while, if you’re overweight, your weight will likely steadily decrease.  And what’s more, it’s the healthiest, safest way to lose weight: it’s weight loss w/o risk of thyroid cancer!

    We call it metabolic health. And metabolic health leads to mental health.

    Touchpoints 180™ is Dr. Calabrese's program to help you achieve therapeutic nutritional ketosis so your mind and body can heal.

    Touchpoints 180™ – Your Better Alternative to Health

    The funny thing about Type II diabetes is that it disappears once you get metabolically healthy. You’ll see your A1C slowly decrease until it finally drops below 5.7, and your diabetes symptoms are gone. The numbers are living proof that your body is healing. HDL’s of 96. Triglycerides of 66. You become the living proof of glowing health.

    Delicious Ketogenic Diet

    Want weight loss w/o cancer? Try tasty ketogenic meals.

    Eating this ketogenic diet is like eating gourmet food every day. It’s just a matter of choosing all your favorites in the good fats category. Perfectly prepared North Atlantic wild caught salmon, with a cream based dill sauce, if you like. Lightly browned scallops in garlic butter. Sounds delectable, doesn’t it? Sautéed spinach, snow peas, sliced mushrooms, with sweet peppers and tomatoes in butter and olive oil with balsamic vinegar alongside a tender filet mignon. Caprese chicken with basil and mozzarella cheese. Grilled avocados with roast brisket, feta cheese, sour cream, and pesto.

    And we’ve got ways to make a well-formulated ketogenic diet work for any budget. 

    Mouth watering yet?

    This isn’t deprivation, it’s not a fad diet, and it’s not the Wild West out there that you see on You Tube. A well-formulated, medically supervised ketogenic diet is a metabolic intervention to give your body the fuel it needs to restore itself. It uses food as medicine to help you get healthy and well. Mental health and freedom from symptoms that have lingered for years can finally be yours. Weight loss (where you lose body fat and not muscle) is the beautiful side effect of this intervention. 

    Touchpoints 180™ is our special, customized program to help you achieve therapeutic nutritional ketosis, so you can get better.

    It includes support from a remarkable registered dietitian/nutritionist, nature walks, phone calls, and lots of education. We even have a LowCarb Lifestyles Book Club every month for our patients. 


    We’re so dedicated to education and empowerment that we’ve opened it to the public and offered it on MeetUp.com. (If you’d have told me 20 years ago, when I was at Hopkins, Harvard, and Yale, that I’d be doing nature walks and book clubs with my patients I’d have laughed—that just wasn’t what doctors did then. But it’s on the cutting edge of what doctors can do now).

    We don’t just talk. We walk the walk, and we walk it with you.

    Because we know how extraordinarily life-changing it is.

    Why on earth risk thyroid cancer, serious gastric conditions, and the misery that goes with them… when you can have great food, improved energy, better cognition, and mental clarity — and watch your symptoms of diabetes, obesity, depression, bipolar disorder, anxiety, brain fog and even PCOS, melt away?

    Enjoy a beautiful and delicious path to weight loss w/o cancer.

    If you’d like guidance and support to improve your metabolic health and gain a healthy, bright outlook, call us.

    We’re so excited about what global research in metabolic health is revealing for your improved overall health and wellbeing.

    Join us and let’s work together for you to live your best life.

    Lori Calabrese, M.D. is on the front end of the race to stop PTSD in its tracks using IV ketamine treatment.

    To the restoration of your best self,

  • MHS 2024, Metabolic Health Summit 2024 in Clearwater Beach, FL is Groundbreaking!

    MHS 2024, Metabolic Health Summit 2024 in Clearwater Beach, FL is Groundbreaking!

    Lori, Rachel, and Chef Ikaika Molina at MHS 2024

    We’ve anticipated this world class Metabolic Health Summit 2024 for some time, and it’s finally happened!! Top scientific and clinical researchers and world-class experts on low carb, metabolic interventions, and ketogenic diet treatments gathered to share their research and outcomes. And we listened with rapt attention. Not a minute went by that wasn’t packed with new, exciting and applicable information. It’s all to help you, our patients, get better — and live healthier, happier lives. (Thank goodness there was coffee there!) And there were so many opportunities to create new collaborations and make new friends. You can see us above with Chef Ikaika Molina, who does Culinary Medicine in Hawaii. We’re so excited to see the growth in our field — and so many possibilities when we use food as medicine in treating our patients. (Shout out to Ikaika—stay in touch and let’s find a way to work together!) Now, about the astounding expertise of our speakers …

    Valter Longo, MD at MHS 2024

    Valter Longo, Ph.D

    Valter Longo, Ph.D., is Director of the USC Longevity Institute. Named one of Time Magazine’s 50 Most Influential People in Health Care. His research on fasting-mimicking diets (FMD) for the improvement of health and prevention of disease has been groundbreaking and his keynote address showed us how use of these FMD cycles to reduce tumor progression. He talked about how those who are undergoing extensive chemotherapy along with fasting-mimicking dieting, are showing greater results with remission.

    He also works to identify the molecular pathways conserved from simple organisms to humans to find ways to modulate them to protect against multiple stresses. For example, to treat or prevent cancer, Alzheimer’s Disease and other diseases of aging. The focus is on the signal transduction pathways that regulate resistance to oxidative damage in yeast and mice.

    He’s a true leader in our field.

    Iain Campbell, PhD at Metabolic Health Summit

    Iain Campbell, Ph.D.

    Iain Campbell, Ph.D., from the University of Edinburgh, is a Baszuki Research Fellow. He has personal, lived experience with bipolar 2 disorder and has seen dramatic and sustained benefits of KMT (ketogenic metabolic therapy), often just called KD (ketogenic diet) for over 7 years. He’s the principle investigator on a pilot trial exploring the use of a ketogenic diet for bipolar II disorder. He reports that all patients with bipolar disorder show a decrease in ketone levels, and low levels of lactic acid. Lactic acid is an indicator of mitochondrial dysfunction. These two significantly altered biomarkers show up in bipolar disorder. Lactic acid is one of the most important measured biomarkers.

    It’s exciting to see metabolic measurements that tell us about a condition as serious as  bipolar disorder. It also helps us understand why a ketogenic diet can bring this condition into remission. This Metabolic Health Summit brought out the best in the best.

    The psychiatric outcomes that he says they saw as the participants adopted and maintained a ketogenic diet (with 91% adherence—amazing numbers!) were highly significant correlations in mood, anxiety,  impulsivity, and energy. His team measured ketones every day and saw them moving every day.  They looked at causation and correlation. And they saw a correlation of ketones to response, particularly in anxiety, as well as highly significant correlations in improved mood, energy and reduced impulsivity.

    He just published his paper, The Metabolic Overdrive Hypothesis: Hyperglycolysis and Glutaminolysis in Bipolar Mania, this week in Molecular Psychiatry. (Hooray, Iain—what a win for it to come out just before the Summit began!) He explained that glutamate serves as a sort of metabolic fuel source, and suggested that perhaps when we’re producing ketones, glutamate decreases and this may partly explain the dramatic response we see in bipolar disorder. And there are multiple other mechanisms at play, as we know.

    NPR published an article featuring Iain and his work, as well as many others in this field–a superb piece that’s worth reading.

    Fascinating. Thrilling!!  

    We’ll want to keep reading more of his work going forward. 

    Matt Baszuki at MHS 2024

    Matt Baszuki

    And then we got to hear from Matt Baszucki from The Baszuki Group and Metabolic Mind, and who spoke from lived experience—a strikingly well-delivered, honest, funny, and heart-rending 5-year story of living with bipolar I disorder — all of it.

    After many hospitalizations, over 40 mental health professionals, 29 medications, and so much pain, he found a way out. And as he did, he began to analyze his symptoms, and what seemed to make them worse. 

    Matt talked about how around March as the days become longer, many people with bipolar disorder become symptomatic. And, he realized mania struck him at this time around the Equinox…he called it March Madness. So, he would need to take extra medication at this time of year, and he learned to prepare himself, so he was ready when March came.

    Finally, his mom helped him find ketogenic treatment and a psychiatrist and dietitian who could help him with it. That was in January of 2021. He was ready to try something that might actually work.

    The ketogenic diet required a lifestyle change—a big one, full of good changes for his body, his sleep, his schedule, and his ability to really flourish, and to work. He was able to very slowly taper meds that he didn’t need anymore. And his symptoms subsided — but if he relaxed with his ketogenic diet, and ate more carbohydrates, his symptoms would start up. So he’d become strict again (his words).

    It changed his life. It changed his family’s life.

    He offers a compelling message about the freedom in ketogenic living. And the importance of the healthy lifestyle changes he’s made sleep, exercise, meditation and meaningful work — in order to get and stay well. It is about freedom. And it’s about hope.

    What a joy to hear his story!

    Christopher Palmer, MD at Metabolic Health Summit

    Christopher Palmer, M.D.

    Chris Palmer, M.D., who wrote Brain Energy, digs deep. He opened with how 20-60% of patients with psychiatric disorders suffer from treatment resistance. And most psychiatric treatments are not curative… they aren’t disease-modifying therapies, they just reduce symptoms… at best. He said that psychiatry is a mess because the field doesn’t really understand what mental illness is.

    He points out that a recent 2023 study by Brandt et al., suggested that there’s a general disease factor playing a role in mental and physical illness.

    Dr. Palmer agrees, in that mental disorders are metabolic disorders of the brain. He made the point that all of the risk factors for mental illness are all of the risk factors that adversely impact metabolism. 

    The unifying brain energy theory that he proposed in Brain Energy is this: Metabolic dysfunction in cells can explain all aspects of mental illness.

    How ’s that for a breakthrough concept?

    He wants us to come away with this: metabolic treatment using individualized, psychiatrist and dietitian-supervised ketogenic approaches can be disease-modifying therapies. They can change your present… and they can change your future.

    We know this, and we see this every day in our patients.


    He suggests we need to think about mental states and mental disorders in the same way that we think about pain. Pain is perfectly normal; all of us have it. It’s not a disorder, it’s not the body malfunctioning.  We might take a pill for it, we might need some help, we might want some comfort. You can have extreme pain if you get surgery; you might have extreme and prolonged pain for clear reasons, but these are not disorders of pain. However, there are, in fact, pain disorders in which the pain system is malfunctioning, and where the brain regions are malfunctioning — and produce the sensation of pain when a person should not be having pain.

    He argues that mental states operate in the same way: Anxiety is normal, extreme anxiety is normal (if you’re being bullied, for example) — and yet there are people who experience anxiety for no reason, because the brain regions that code for anxiety are firing, although they shouldn’t or don’t need to be firing.  

    Mental Illness and Metabolic Conditions

    Mental illness is strongly correlated with obesity, diabetes, cardiovascular disease and decreased life expectancy, and all of these are strongly correlated with higher rates of psychiatric disorders.

    When we see strong bidirectional correlations, we need to consider a common pathology: mitochondrial dysfunction. Mitochondria—the organelles in each cell create energy. In the brain, they create brain energy.

    His words were pure gold. This was one of the best talks — and there were so many! — at MHS 2024, a true Metabolic Health Summit that pulled together incredible scientific researchers and clinicians from all parts of the world, and from bench to patient care addressing the most challenging issues for human health.

    Jocelyn Tan, MD at Metabolic Health Summit

    Jocelyn Tan, M.D.

    Jocelyn Tan, M.D., is Integrative Oncology Director at the VA Pittsburgh Healthcare System on ketogenic diet therapy for oncology. She said research for this began in 1913, with a fascinating study of lab rats. One group was fed bread, and the other was fed a form of protein and lard. Then, they were injected with cancer cells. All the rats got cancer, but in the ones eating bread, the tumors grew. In the ones eating lard, the tumors were small. 

    More experiments followed, and in all cases, the rats fed a form of sugar nearly all died. Of the rats who were fed lard, only 6 out of 26 died — and they didn’t die of cancer. 

    Pretty remarkable, and in 1913 no less!

    Dr. Tan described her feasibility study evaluating the ketogenic diet in endometrial cancer patients. They collected tissues before the diet, then after the diet, and did tissue studies to understand what happens to the tumor during the diet. Then, the exosome analysis to understand why some patients have resistance and others respond to the treatment.

    I could go on and on. Each speaker at this Metabolic Health Summit described outstanding, cutting edge, breakthrough research and treatments. There were so many outstanding experts.

    Peter Crawford, PhD, at MHS 2024

    Peter Crawford, M.D., Ph.D.

    Peter Crawford, M.D., Ph.D., from University of Minnesota, Protective Interorgan, Intercellular, and Intercompartmental Metabolite Shuttles in Obesity described studies conducted to identify metabolic signals that distinguish lean or overweight athletically trained people that indicate latent markers of metabolic dysfunction…who are clinically healthy.

    Brett Goodpaster, PhD at MHS 2024

    Bret Goodpastor, Ph.D

    Bret Goodpastor, Ph.D., Scientific Director and a Senior Investigator at the AdventHealth Translational Research Institute. He researches the pathophysiology of  obesity, insulin resistance, and diabetes. He talked about how both exercise and weight loss improve insulin sensitivity.  So his team then became more interested in this:  when you combine calorie restriction with weight loss, is there an additive effect? 

    Andrew Koutnik, MD at MHS 2024

    Andrew Koutnik, Ph.D.

    Andrew Koutnik, Ph.D., Research Scientist at the Sansum Diabetes Research Institute, spoke on  Nutrition and Cardiometabolic Health in Diabetes. This subject is near and dear to his heart because he has Type 1 diabetes himself. He’s currently investigating the impact of divergent nutritional interventions on cardio-metabolic health in Type 1 diabetes, pre-diabetes, Type 2 diabetes, and obesity. He points out that if you’re diagnosed with any one of these diseases, your life expectancy is reduced by about 10 years. 

    He says there is too little research on diet for Type 1 diabetics, and describes studies of Type 1 diabetics involving diets with carbohydrates, and those that are low carb. They learned that blood glucose control was more difficult with when the traditional carbohydrates were included in their diets. That in spite of the extensive research on diabetes and the technology benefits for glucose control, Type 1 diabetics still have insulin resistance and dysfunction in blood glucose levels. They found that when lower amounts of carbohydrate are included in the diet, there is improved control of blood glucose. 

    Franziska Spritzler RDN at MHS 2024

    Franziska Spritzler, RD-N, C.D.E.

    Franziska Spritzler, R.D-N., C.D.E., presented a beautiful and practical approach to implementing ketogenic and LowCarb diets. Franziska explained how to determine protein needs, as well as how to determine the carbohydrate needs for a customized diet in certain conditions.  She talked about optimal levels of ketosis, and talked about using ketogenic and LowCarb diets for Type 2 diabetics, stressing there is lots of evidence to support this approach. She also talked about these diet interventions for polycystic ovary syndrome (PCOS).

    Ben Bikman, PhD at MHS 2024

    Ben Bikman, Ph.D.

    Ben Bikman, Ph.D., scientist and professor at Brigham Young University, seeks to better understand the role of elevated insulin and nutrient metabolism in regulating obesity, diabetes, and dementia.

    Isn’t it great there is so much work being done in this area?

    Dr. Bikman talked about the pathophysiology of fat cells, and how they grow and become suffocated as they get farther and farther from capillaries. He’s the fat cell expert, for sure! He knows the drilled-down details of how they grow, how they proliferate, and how this leads to so many end-problems in our bodies and for our overall health. He talked about obesity in America compared to insulin resistance in India, and how weight gain in diabetics is related to their insulin intake.

     

    Richard Johnson, MD at MHS 2024

    Richard Johnson, M.D.

    Richard Johnson, M.D., Professor of Medicine at University of Colorado, is internationally recognized for his work on sugar and how it plays a role in obesity and diabetes. So delighted to hear him speak. Dr. Johnson has published over 500 papers, and is the author of the book, Nature Wants Us to be Fat. 

    He says Metabolic Syndrome is the great precursor—not just to diabetes and cardiovascular disease. There are now newer associations with conditions like Alzheimer’s disease. Also vascular dementia, ADHD, bipolar disorder, depression, cancer, preeclampsia, polycystic ovarian syndrome.

    Who knew these were metabolic diseases… until we learned how pervasive metabolic illness really was?

    He talked about fructose — a sugar found in fruit — playing a huge primary role in increasing fat.

    (Wait—but you’ve no doubt been taught that fruit should be included when you try to lose weight, right?)

    But fructose is used in nature to store fat. Bears eat copious amounts of fruit before they hibernate. Fructose drives hunger, thirst, and foraging. Fructose decreases the resting metabolism (to increase fat stores). 

    It causes insulin resistance and decreases glucose delivery to the muscle. It causes inflammation (which was probably meant to protect us from infection); it maintains circulation and glomerular (in the kidneys) circulation.  Fructose also switches on glycolysis to protect animals in a low oxygen state.

    His talk was fascinating and eye opening.

    Tommy Woods, MD at MHS 2024

    Tommy Woods, M.D., Ph.D.

    Tommy Woods, M.D., Ph.D., Director of the Neonatal Neuroscience Lab, Food and the Brain Dementia Prevention Database gave a wonderful talk on age-related cognitive decline. He says that age-related cognitive decline is often overcomplicated. He says that a conservative estimate of 40% of cognitive decline is preventable. With improved diet with improved nutrients, rest, and late life social and cognitive activity while reducing stress, there is potential for marked improvement in cognitive acuity. Breakthrough concept for the Metabolic Health Summit.

    David Feldman from UCLA at Metabolic Health Summit 2024

    David Feldman, UCLA

    David Feldman, UCLA, software engineer, entrepreneur, and founder of Citizens Science Foundation, researches why LDL rises on some people on a LowCarb diet and asks if this rise results in heart disease. He’s doing a study that began in February of 2023, and will continue next month in February 2024, on lean mass hyper responders (LMHR) to understand why some people have elevated LDL and if this is actually correlated with an increase in coronary artery plaque. Absolutely tremendous work, which may finally up-end conventional thinking in medicine.

    Nick Norwitza, PhD t MHS 2024

    NickNorwitz, PhD, (right) who describes himself as “Dave’s brother by another mother” has been captivated by this work and conducted an N of 1 experiment on himself (he’s a lean mass hyper-responder on a ketogenic diet) by eating a sleeve of Oreo cookies every day followed by 6 weeks of high intensity statin therapy. The Oreos reduced his LDL by 71% — twice as much as the statin did. 

    In LMHR, we think that the high LDL is triggered by lowering carbs, so his hypothesis is if you add back carbs, it should lower your LDL.  He added back carbs by eating an entire sleeve of Oreos every day, and it certainly did lower his LDL. You can find this all over YouTube (but realize that his experiment was to prove a point, not to promote or suggest that anybody eat cookies, sugar or processed foods).

    Nick is a one-man riot—fearless, funny and absolutely brilliant. I crown him the King of Disruption—the guy knows how to get people to sit up and pay attention. So glad he was at Metabolic Health Summit 2024.

    Lily Nichols RDN at MHS 2024

    Lily Nichols, RDN, CDN

    Lily Nichols, RDN, CDN, is the founder of the Institute for Prenatal Nutrition, and co-founder of Women’s Health Nutrition Academy. She gave an outstanding talk on how metabolic health starts in utero. She stressed the importance of real food for pregnancy and for gestational diabetes.

    Her work has helped change international guidelines on nutrition in pregnancy. Diabetologists in the Czech Republic used to have national guidelines that set a minimum carb intake of 200g per day for prenatal women, and after they reversed it to be a maximum of 200g, they’ve reported better maternal and fetal outcomes, less excessive birth weight, and less gestational diabetes.  She trains professionals in the Institute for Prenatal Nutrition.

    A baby inherits the expression of parents’ genes at conception, and their mitochondria from their mothers (not their fathers). Plus, your genes are further impacted by the environment in utero, and the first two years of life. So, a mother’s nutrients are vital from before conception. This is essential information for us to hear at Metabolic Health Summit 2024.

    And Our Poster Presentation

    Touchpoints 180™ is Dr. Calabrese's program to help you achieve therapeutic nutritional ketosis so your mind and body can heal.

    I was so pleased to present our work describing complete remission of generalized anxiety and major depression with Touchpoints 180 and so happy to see how enthusiastically it was received. (The international scientific poster session at MHS 2024, Metabolic Health Summit 2024, was sponsored by Keto-Mojo, and was pretty packed.) 

    At Touchpoints180, we look forward to helping you experience the benefits of therapeutic nutritional ketosis and the metabolic health that goes with it. We’ve learned so much this week at Metabolic Health Summit 2024 — and we’re eager to bring it to you.

    If you’re struggling with depression, anxiety, bipolar disorder, weight and metabolism, and other conditions we’ve talked about, call us.

    At Touchpoints 180, our approach can help you find vibrant, balanced health and joy again.

    Lori Calabrese, M.D. is on the front end of the race to stop PTSD in its tracks using IV ketamine treatment.

    To the restoration of your best self,

  • Ketogenic Diet Weighs In: Sugar Addiction and Mental Health Now

    Ketogenic Diet Weighs In: Sugar Addiction and Mental Health Now

    Jenni paused to try to remember what she was doing. Coffee. That was it. Her mind was so foggy, as if her head was stuffed with peanut butter. Or styrofoam. Uggghhhh… she thought. Maybe coffee will help. But truth be told, she doubted it would help enough. She was tempted to sit down and abandon the coffee idea… but she pressed on. While she sipped the steaming beverage from her mug, she thought about the hopelessness she felt, and the futility. The irritability. And the agitation. How she wished she could remain calm and serene. That she could move through the routine of each day unruffled. But little things made her explode at times, then hate herself for it. Jenni caught her reflection as she walked past the mirror in the entry hall. Ugghhh, she thought again. Jenni hardly recognized herself anymore. She’d really gained a lot of weight these last 7 months. It was so discouraging. And…it was weird…she didn’t feel like she ate that much. How had she gained so much weight? She’d heard about sugar addiction, and even mental health exercises that might help, but didn’t believe any kind of addiction applied to her.

    Chasing Energy and Relief in all the Wrong Places

    And why did she feel so draggy, so run down, without stamina? Why so hungry when she’d already eaten? The gnawing craving for pizza, potato chips and dips, festive coffee drinks and soda, plagued her. She finally quit fighting it, drove the car to her fav caffeine drive-through, and ordered a venti coffee loaded with syrups and topped with whipped cream. Plus a croissant sandwich. And a frosted cookie.

    There. That should hit the spot.

    For now, she felt less irritable, almost soothed. So she headed home after a quick stop at the convenience store to grab a bag of potato chips and some dip, a frozen pizza for later,  along with some Rocky Road ice cream. And, of course, popcorn.

    Each time she began to feel down again, she brainstormed and treated herself to a carbohydrate-rich delight. Cookies, frosting, frothy coffee, chips, dip, ice cream. It was amazing how much better she felt as she bit into them. However, by the third bite or so, the pleasure faded. Nevertheless, she finished eating them, anyway.

    Over and over, every day. Desperately seeking relief via food pleasure.

    By the time she finished the treat she’d been devouring, the pleasure was gone, and her emotions sank, along with her energy.

    One day, she checked her email, and there was one seeking applicants for an “overeaters” club. While that certainly didn’t apply to her( or so she thought), she wondered if making friends at such a club might allow her to meet people who had ideas about her low energy, irritability, agitation, and feelings of futility – that seemed to be her constant companions.

    Learning about sugar addiction and how it affects your mental health can help you reverse your symptoms with a ketogenic diet.

    Your dysfunctional metabolism may be causing your depression which may be caused by your dysfunctional metabolism.  What?? 

    What’s metabolism got to do with depression? She clicked on the link out of pure curiosity, and discovered it was an article that connected depression, anxiety, agitation, and feelings of futility with your metabolism, and how you can treat those symptoms with certain types of foods, exercise and movement, social relationships, and maybe even meditation. 

    It seemed to imply that craving and eating sugary foods could be a sign of sugar addiction, and that could cause mental health symptoms. Shocking...

    She read on.

    What is this? Some sort of hype…? She wondered. Some sort of woo woo group?

    As Jenni kept reading, she learned that current neuropsychiatric research and practice provided evidence that the kinds of symptoms that were plaguing her were connected to metabolic dysfunction. 

    Inflammation Can Cause Psychiatric Symptoms

    She learned that metabolic disease often included inflammation, and inflammation is often involved in psychiatric symptoms. Symptoms of depression, anxiety, rage, irritability, agitation… these are often associated with inflammation. The worse the inflammation, the more intense the symptoms.

    And this inflammation can be linked with ultra processed foods… and sugar. She read that when your metabolism is out of whack, you tend to crave sugar and carbohydrate-heavy foods. 

    Because – and this was a surprise – sugar is actually not needed for your health or survival. Who knew?? That, in fact, your natural digestion takes healthy foods like protein and turns them into the glucose (biological sugar) your body needs. So when you consume refined sugar – the white stuff – it’s always in excess of what you need. And it’s addictive. That’s why they call it sugar addiction, and it has consequences to your mental health.

    Feeding the Monster: Sugar Addiction and Mental Health

    Unfortunately, when you eat it, you want more. It triggers your pleasure center in your brain, which makes you want even more. But the more of it you eat, the less pleasure you experience…so you want to eat more to experience that pleasure again…  And more. And then… well, after you stop eating it, you can start to feel withdrawals, so you want more still to make that feeling go away and the pleasure to return.

    The trouble is, eating sugar and other ultra processed foods like hot dogs, potato chips, frozen pizza, candy, cake, donuts, and ice cream, feeds the sugar addiction, and you don’t get the nutrients your brain needs to function properly. These foods feed the inflammation. And when your brain is inflamed, it doesn’t get sore like an inflamed throat gets sore, or swell like an inflamed sprained ankle. 

    Instead, it malfunctions with symptoms like agitation, depression, irritability, and anxiety… manic symptoms. Even psychosis. Maybe your moods change rapidly. Maybe your memory isn’t so good anymore. Or maybe you develop an eating disorder. Those brain cells can’t function like they’re supposed to.

    And to get better, it’s vital that you eat very small amounts of carbohydrates. 

    We’ve all done it—many of us grew up eating ultra processed foods, full of unhealthy seed oils, high sugar and lots of carbs. But feeding you body and brain that way over time means your metabolism suffers, and your become malnourished because your food is not nourishing. Even though you may appear obese on the outside, inside your cells are starving. They need the vitamins and minerals you get from whole foods like vegetables, omega 3 fatty acids from fatty fish like salmon and avocados, healthy and nutrient-dense animal fats, flavonoids from onions, lettuce, tomatoes, cheese… These are foods that feed your cells. Eating these foods, and removing ultra processed foods from your diet, as well as excessive carbohydrates, is using food as medicine. In fact, the right food IS medicine.

    At the bottom of the page was listed a doctor whose practice focused on Metabolic Psychiatry. It’s metabolic medicine geared specifically to restore mental health.

    Jenni slept on it. Then, in the morning as her sugar cravings began to crowd in again, she called that doctor and made an appointment.

    The doctor discussed metabolic dysfunction, how damaging too much carbohydrates and refined sugar can be, and explained the approach she uses, a wrap-around program with all kinds of opportunities to build knowledge, support and success. 

    Jenni learned more about the symptoms that had plagued her, about the sugar addiction and how it was sabotaging her body and her brain. And her emotional stability!

    Touchpoints 180™ is Dr. Calabrese's program to help you achieve therapeutic nutritional ketosis so your mind and body can heal.

    Touchpoints 180™

    She was excited by the sophisticated work-up, the digital tools, the in-person connections and the personalization of it all. This wasn’t a one- size-fits-all handout, or a conveyor belt approach with nameless people behind a great logo. And starting wasn’t nearly as hard as she had feared. The rich and healthy foods that were prescribed for her were so satisfying that her cravings for sugar started to slip away.

    Although there were moments over the coming weeks when she wistfully thought about those foods she was no longer eating, something had changed. She didn’t want them anymore, didn’t go out driving around to find them, and she realized she wasn’t eating something just to eat it.

    Her brain felt different. Her thinking was different.

    So this is what it’s like to take food as medicine. She liked it!

    It Wasn’t Long Before She Felt the Improvement

    Most importantly, she was feeling better and better. Feeling more upbeat, less reactive, and more and more with a sense of just…well-being. 

    And it just kept improving… Meanwhile, in the next several weeks she noticed her pants waist fitting more loosely… then her top began to hang from her shoulders. Her belly was shrinking! She started wearing clothes she used to wear that were a size smaller; then in 3 months, 2 sizes smaller. Wow oh wow!

    From what she’d learned and more importantly, what she saw and felt, her body was metabolizing her fat, and she was losing weight without feeling hungry or tired. What a reward!

    With all she’d learned about her metabolism and her health, she had no intention of returning to her old dysfunctional way of living (and eating). This was easy. She felt content. Less and less volatile. More at peace.

    Jenni had found freedom in her body from her sugar addiction, and especially a bright outlook and mental clarity. The symptoms of agitation, futility, and hopelessness all quietly subsided. 

    She found she had patience when she would have exploded before. Her confidence in her ability to manage her life bloomed.

    Are you struggling with your weight… and maybe an unrelenting addiction to sugar? 

    Do you have symptoms of Type 2 diabetes or other metabolic illness along with psychiatric symptoms?

    If you struggle with brain fog, irritability, agitation, hallucinations, depression…and nothing you’ve done has helped, call us. We’re breaking new ground.

    Come and join us in using a new and healthy approach, Ketogenic Psychiatry, Touchpoints 180™, and see what evaluation, guidance, and support can do to transform your life, your health, and your joy as you move forward in your best life.

    Lori Calabrese, M.D. is on the front end of the race to stop PTSD in its tracks using IV ketamine treatment.

    To the restoration of your best self,

  • Ultraprocessed Foods and Depression? Get Relief with a Keto Diet!

    Ultraprocessed Foods and Depression? Get Relief with a Keto Diet!

    Trish sludged through the day. Life had gotten so hard. Her nursing job had become almost insurmountable. Patients needed her, but her energy was drastically depleted, and she didn’t know why. The mental acuity she’d always relied on… seemed spongy, foggy somehow. If she couldn’t fix this, she could lose her job. Then what would she do? She decided she could take a break before her patients needed their next round of medications, so she slipped into the break room to try to clear her head. A bag of chips, a packaged sugar-free cinnamon roll from the machine, and a diet drink might revive me, she thought. After the break, she felt weighed down, and her outlook was no better. The food felt good while she was eating it, but didn’t do much for her condition. Little did she realize, these ultraprocessed foods (UPF) and her depression symptoms were related.

    Too Much Artificial Sweetener

    Somehow she finished her shift, and drove home. She kicked off her shoes, and stretched out on the sofa. Before long, she was asleep. 

    Around midnight, she woke up – so foggy-headed – and stumbled to her bed.

    At 5am, her alarm sounded. She dragged herself out of bed and into the shower.

    I feel so bad. This is awful. How can I get the real me back? Trish was beginning to feel desperate.

    She called in sick to work, then made an appointment with her doctor. While she sat in the waiting room, she noticed a printed article on the table about ultraprocessed foods. As she glanced over it, she saw it reported a study about the link between ultraprocessed foods and depression.

    Depression? She wondered…

    It described a study of 31,712 women who reported information about their diet every four years. The average age of the women was 52, and since Trish was 51, she thought this might apply to her.

    So she kept reading. The study found that those who consumed more than 8.8 servings a day of artificial sweeteners or artificially sweetened drinks, had a 50% higher risk of depression than those who consumed less than 4 daily servings.

    Alarming!

    It was incredible that nurses were the subjects of the study! Since Trish was a nurse herself, she wondered if all this was related to how super busy nurses are, and how they often have trouble taking time to eat healthy food — and often survive on snacks, diet drinks, and iced tea with artificial sweeteners…? She could sure relate to that.

    The article pointed out that it would require a vast amount of research to study all the elements in ultraprocessed foods. Plus, whether each one is associated with depression. Still, they did find a strong link between high consumption of artificial sweeteners and episodes of depression.

    Wow–artificial sweeteners, or sugar, is in just about everything you buy that is low fat or low cal, or zero cal.

    Was Her Consumption of UPF Too High?

    Trish contemplated this. Could it be?

    She also knew that there were plenty of nurses who watched what they ate more closely than she did, and who drank water instead of diet drinks. They also were the ones who kept their stamina up by jogging or working out at the gym before or after work. Overall, they were the health conscious ones.

    For Trish, the idea of exerting herself any more than she already did at work…well, it sounded like a defeated idea before she even tried. She had absolutely no extra energy for all that, and didn’t feel emotionally up to putting out any extra effort. She was doing all she could with her job, and bolstered herself with caffeine.

    It was all she could handle, doing all she could with just her job — and she certainly bolstered herself with caffeine. Coffee, Starbucks, Dunkin, and diet drinks — she liked them all. And she always used artificial sweeteners, because she didn’t want the calories of sugar.

    Ultraprocessed Foods Linked to Depression – What a Concept!

    When she was called in to see her doctor, she mentioned the article. She described her symptoms, her misery, and her worry that she was losing her ability to do her job well.

    He nodded his head in agreement throughout her comments.

    He said, “Trish, you do sound depressed. That would account for your outlook, feeling overwhelmed, and your lack of energy. It could also be contributing to your weight gain, high blood pressure, and cholesterol. It’s amazing how all these symptoms seem to go together with a metabolism out of whack. Recent studies like the one you read about today support the need to get your metabolism back on track.

    A Program With a Solution

    “I’d like you to see a psychiatrist near here who has a wonderful practice in Metabolic Psychiatry. Her program helps people whose metabolisms are out of balance, and the consequential depression… as well as other metabolic problems. 

    Touchpoints 180™ is Dr. Calabrese's program to help you achieve therapeutic nutritional ketosis so your mind and body can heal.

    Touchpoints 180™

    “She offers a comprehensive program, without medication, that can treat your depression. The beauty is that it will likely resolve your brain fog, as well as energy deficit…and will help you lose weight easily, too. Many people see their cholesterol drop, and their blood pressure, too.

    “Why don’t you make an appointment with her, work on her program, and come back and see me in 3 months? We’ll re-evaluate your symptoms again at that point.”

    Trish left with a renewed sense of purpose.

    She didn’t feel any better, but maybe this new doctor could help her get to the bottom of what was wrong with her body and outlook. Once she reached her car, she called the number her doctor had given her, and made an appointment to be evaluated for their Metabolic Psychiatry program.

    Metabolic Psychiatry

    After she met with the psychiatrist, and with the registered dietitian-nutritionist, Trish learned about how they would use food as medicine, by helping her switch from glucose to ketones as the primary energy source for her cells. She learned that would help her achieve therapeutic nutritional ketosis, and how that would improve her energy, clear her brain fog, lift her depression, and tamp down the anxiety. 

    There was so much science here that for once, she believed it.

    Plus, she learned that once her body was in therapeutic nutritional ketosis, it would seek fat to consume for energy, making use of excess body fat, as well as good fats in her diet. She knew about the mitochondria being the power house of the cells, but had never learned about all this before.

    So that’s how it helps you lose weight, she thought.

    The Registered Dietitian provided her with so many opportunities to fine tune this, learn, eat food that she really liked, with customized ideas for meals …and showed her what to do to ensure she stayed ketogenic when she was at work. Options, food that was easy, and ratios that were right for her.

    Ultraprocessed Foods Linked to Depression: Especially Sweeteners

    The first step she took was to drop diet drinks from her diet… and switch to water, like the health conscious nurses she worked with. The research had blown her away. The dietitian encouraged her to think in terms of feeding her cells with efficient energy through ketones, rather than trying to compensate with caffeine. 

    A ketogenic diet can resolve depression caused by ultra processed foods.

    So, she stopped at the grocery store to buy whole, healthy foods for her new diet. Things like salmon, scallops, chicken, cream for sauces, cheeses, olive oil, eggs, broccoli, bell peppers, and pistachios.

    It was a little uncomfortable tapering off all that caffeine, and getting away from the sweeteners and the diet drinks. But it got easier quickly. Within a week she could feel an improvement in her brain fog

    How about that? She mumbled to herself when she noticed. So far, so good…

    Transformative Ketogenic Diet

    After a long weekend, she was ready to go back to work. She took small snacks of cheese and fresh vegetables, and bottles of water, so she could avoid the cafeteria or vending machine. Last night, she had prepared salmon and broccoli for dinner, so she brought left-overs for lunch. She realized some simple planning was going to help this new lifestyle work.

    When she got off work that afternoon, she drove home, then walked to the nearby park. She hadn’t enjoyed the fresh air — or even noticed it — in a very long time. Something was improving. 

    Trish found she was beginning to feel enjoyment again over the coming weeks…a feeling like it was good to be alive. The overwhelm that had suffocated her seemed to be subsiding, and she found she had the energy to get her work done with time to spare.

    3 Months Showed Her the Proof of the Pudding

    When she returned to her PCP 3 months later, she’d lost 12 lbs, and had never expected that much! Plus, her blood pressure was improving. Wow. It was working!

    After her bloodwork, she decided to go to the animal shelter and see if she could find a kitty to take home. Actually, she read she should adopt 2 kittens to keep each other company while she was at work. It was a fun exercise, and she marveled that she had the emotional energy to consider a pet. She decided to give it a little time to be sure she was stabilized before she added the responsibility of another household member. But it was fun to think about.

    Two days later, she heard from her doctor’s office that her blood sugar and triglycerides were coming down, too. 

    The combination of her improved cognition, her mental clarity, and bright outlook, and the changes she was seeing in her body (and her bloodwork) were all proof that this was the lifestyle change she needed, and she got excited about continuing to living this life, this way. She didn’t want to ever go back to the awful way she felt before.

    6 Months and She was On All New Ground

    To celebrate 6 months of ketogenic living, she decided she was plenty stable and getting better every day. So she drove to the animal shelter and played with the kittens. Two of them, a gray and white one, and an orange tabby, were especially playful with her, so she adopted them both and took them home. 

    She named the gray and white one Keto, and the tabby seemed like a Genie. Every time she called them by name she was reminded of her new life, new hope, and new metabolism because of ketogenic psychiatry.

    She could have named them Hope and Joy, but this was far more thrilling. Gratitude filled her heart as she looked at these two babies pouncing all over her house, her legs, and her heart. 

    At 52, Trish had a new lease on life.

    How is the New Year looking for you?

    Do you have hope, energy, and purpose? Or do you feel overwhelmed, fatigued, mentally fuzzy, and discouraged? 

    Metabolic Psychiatry can help you get your metabolism back on track, improve your A1C, brighten your outlook, relieve depression symptoms, increase your physical and mental energy, and restore your hope and enjoyment in life. A big help can be reducing ultraprocessed foods that are linked to depression… especially artificial sweeteners.

    And by eating low carbohydrate foods, and foods high in good fats, you can give your cells what they need to thrive.

    Using food as medicine, you can feel restored and healthy again.

    If you suffer with symptoms of depression, overwhelm, lack of energy, and other metabolic symptoms like Trish, and you’re sick of it, call us.

    Our Touchpoints 180™ program can help you find the real you again, relieve you of metabolic and depression symptoms, without medication…using food as your medicine.

    You’ll be amazed at how much better, and hopeful, you can feel.

    Lori Calabrese, M.D. is on the front end of the race to stop PTSD in its tracks using IV ketamine treatment.

    To the restoration of your best self,

  • Holiday Depression and Suicidal Thoughts at the New Year

    Holiday Depression and Suicidal Thoughts at the New Year

    Everyone seemed happy, excited, hopeful. Ryan sighed, looking at his feet. It had been a difficult year. His surgical practice had been slow to recover following the pandemic. Countless problems with his staff, endless conflicts, and reduced income. His wife of eight years had died from complications related to COVID and asthma 2 years ago. He felt listless – and didn’t know if it was grief or depression, but overwhelm threatened to suffocate him. He couldn’t feel. His normal, characteristic appetite for fun and humor had disappeared. And time was passing, but he didn’t seem to be getting any better. In fact, he honestly seemed to be getting worse. And worse. Over the last 2 years he’d tried medications and various treatments, but his despair hadn’t budged. He’d never experienced anything like this. And he didn’t know how he could face another year of this depression and suicidal thoughts.

    Friends Try to Help, But Their Help Misses Its Mark

    Paul, his best friend for 17 years, tried to help by reminding him of all he had to be thankful for. It didn’t help. His wife would talk about all the things they used to do, and the hilarious scrapes he and Paul would get into. Like the time they dressed up a cadaver in black tie and stood it behind the lectern at the front of the pathology class. The raised eyebrow of the professor when he walked in. 

    Or the time they placed field mice in the beds in the girls’ dorm at summer camp. There had been endless shenanigans in those days. 

    But now, everything had changed. This dark, vacant abyss.

    Depression and Suicidal Thoughts

    He missed his wife terribly. They’d been a formidable team. They’d talked about everything, and putting their heads together had usually resulted in outstanding, breakthrough solutions. He felt isolated now. And overwhelmed at trying to build his practice — and his life — again.

    But there was more to this than grief.

    Ryan’s mother had died 6 years ago. He had grieved deeply, but grieving took place inside him while he lived his life. It hadn’t robbed him of the capacity to function like this. His doctors called this depression, but he’d had no idea depression could scoop out his very sense of humanity like this, leaving nothing but a black hole … a shell.

    Ryan couldn’t help but feel he was a drain, a drag… a burden… on his sons.  His depression and suicidal thoughts had to be hard for them to be around. He thought about what a relief it would be for them if he didn’t exist anymore. He contributed little or nothing to their lives these last couple years. And with all he had tried to do to get better, nothing changed.

    He began to withdraw into himself and ruminate about how he might speed up his demise. And more and more he considered making it happen before New Year’s Eve.

    Paul contacted him often, just to let him know he was there…and that he cared. To communicate to Ryan that he was so valuable, so needed, so appreciated. But Ryan couldn’t really absorb his friend’s intent. 

    Ryan felt helpless. Hopeless. With waves of despair and futility. 

    Life Seemed to Be Ending

    He couldn’t picture life without this gaping, numb emptiness. He couldn’t form a picture of life like it used to be.

    This flat, lackluster existence. Ryan knew he wasn’t “right.” He’d known it for a long time. Maybe this state of being had snuck up on him, and he didn’t recognize it at first. But, as time dragged on, he realized the light was gone and had been for awhile. What was left were depression and suicidal thoughts.

    He used to enjoy basketball in the driveway, or dancing with his wife at concerts in the park. But now, he didn’t enjoy anything. He didn’t enjoy, period. Nothingness.

    Paul read everything he could find to learn more about how to help someone with severe depression. He learned that trying to cheer him up didn’t help. It just communicated his inadequacy because Ryan was unable to enjoy anything. And it would likely make him feel even more isolated and misunderstood.

    So Paul learned to stop doing that. He practiced just listening to Ryan, if he had an urge to talk. To communicate to him that he loved him and their friendship no matter what form it took. That Ryan didn’t need to perform. 

    He also read that he should not be afraid to mention suicidal thinking. That when someone is as depressed as Ryan was, thoughts of suicide were likely already going through his mind. So to shine a light on them, and to explore whether Ryan has considered various methods or has potential weapons in his possession, could actually be life saving.

    So… He Did.

    “Ryan, do you ever think about stopping your pain by ending your life?”

    Ryan was quiet a few moments.

    “Yes, depression and suicidal thoughts go through my mind every day. It occurs to me that the boys would be so much better off if they weren’t weighed down by my inertia. My gloom. The boys could go places, have fun.”

    Paul listened. 

    “I try to tell myself that I wouldn’t want to die if I was going to get better at some point. But then, that seems so unlikely. And I wouldn’t want to live out my life like this.”

    Paul took a breath.

    “Ryan, I can’t know what you’re experiencing. I just can’t. But I can know what I’m experiencing…and by extension, I can guess what the boys may be experiencing. And that is how much we all love you. We love who you are. Right now. We would NOT be better off – or free to have fun – if you were gone. We’d be lost. Grief stricken. Never the same again.”

    Ryan looked at Paul.

    “I mean it, man. You don’t have to perform or entertain us to serve some purpose in our lives. We love YOU. And we’re going to stand by you, embrace your presence, no matter what.

    Something Better than Just Another Pill

    “I also want to tell you about something significant I’ve learned about. Have your doctors suggested IV ketamine treatment?”

    “No.”

    “It’s becoming a pretty widespread treatment now, though it was more controversial 8 or 9 years ago. Ketamine is an anesthesia medicine that’s been used safely for the last 50 years or so. But now, it’s often used off-label to treat depression and other psychiatric conditions. Plus, it can stop suicidal thoughts in a few hours. By stopping those thoughts, it can give you the freedom to work on getting better.”

    “I’ve tried so many things, Paul.”

    “I know, man, I know. But for a lot of people, people whose treatments with other methods haven’t been effective, this is a game changer. And they say that the action of stopping suicidal thoughts is distinct and separate from its antidepressant properties. So both of those things would be working on your frame of mind. Would you like me to send you some links about it? If you decide you’re interested in exploring it, there is a prominent psychiatrist who offers this treatment a short drive away. 

    “When you think about how long you’ve suffered, do you think it might be worth your time to check it out?  No pressure, but I thought you had a right to this information.”

    “Sure…send me the link. I’ll read it.”

    IV Ketamine Therapy

    With the demands of work and family, Paul didn’t talk to Ryan until the following weekend. 

    Ryan told him he had made an appointment with this psychiatrist, and she had encouraged him to hope. “She said she had seen people who had been severely depressed for years start improving and even achieving remission with ketamine. 

    “She also assured me that ketamine could stop suicidal thoughts in an afternoon, and had been lifesaving to lots of people.

    “So I started my first infusion on Tuesday, then received another on Thursday. I can’t say I actually feel better at this point, but the suicidal thoughts have stopped. That in itself is an improvement.

    Depression and suicidal thoughts can crush your future, but ketamine can help you achieve remission.

    “She also explained that ketamine does a variety of things around the brain. It’s an NMDA receptor antagonist, and builds a dense network of synapses as a result of the brain-derived-neurotrophic-factor, the BDNF.

    It also works in the lateral habenula to improve my reward system, and can increase serotonin. So it actually targets my ability to enjoy. That’s a big factor. With our medical training, we can both see how all that supersedes what oral medications do.

    “I’m watching for improvement, and the boys have their eyes peeled, too.”

    “Wow! This is great news, man. Great news. Maybe we can meet for lunch after your session on Tuesday. I could pick you up and take you home afterwards. What do you think?”

    “Ok, that might be nice. Thanks for the offer. I may be a little squirrelly for awhile until it wears off.”

    “No worries, Ry. I’ll look forward to it.”

    Symptoms Improve Dramatically

    On Tuesday, after the infusion, Ryan noticed a lifting sensation. Almost a physical feeling in his chest, but somehow instinctively he knew it must be his sad emotions being lifted.

    “Weird,” he thought.

    At least it’s not my imagination, he mumbled.

    He actually enjoyed lunch with Paul, for the first time in a couple years. That emptiness and numbness…could it be changing? It was a little easier to talk, to think of something to say. Hmmmm….

    Even better, the compulsion to get off by himself and withdraw into silence…to avoid human contact… wasn’t so overwhelming. 

    A week later, Paul picked him up again, and they headed for lunch.

    “So how are you today, Ry?”

    Remission From Depression and Suicidal Thoughts

    “I’m improving. It’s a subtle process, but unmistakeable. Hope is brewing. I can actually see I’m improving. Still no thoughts of ending my life. And that listless, futile feeling is dissipating.

    I’m beginning to get glimpses of life without depression. I find myself thinking of something I want to get done, and I get up and do it. Honestly, I haven’t been able to do that in a looong time.

    “And…I looked forward to seeing you today! How about that??” Ryan smiled a bright smile.

    In all, Ryan received 10 infusions with dosages that increased incrementally each time. By that time, he was smiling and laughing. He felt relaxed and hopeful. He found he could enjoy things he used to enjoy…and over the coming weeks he felt better and better.

    Ryan also discovered that he had the power to follow through with activities and responsibilities that used to be integral to his life, but that he’d not been able to manage for a long while. Ryan looked to the new year with confidence. And hope.

    How Are You Doing?

    The holidays can be a difficult time, and for some it’s a painful time. When the people around you are having fun, it can magnify how bad you feel… and make you feel isolated.

    If you have been experiencing depression and suicidal thoughts, call us.

    IV ketamine treatment can stop suicidal thoughts in an afternoon, and help you achieve remission from your symptoms. We’re here to help.

    If you’re having suicidal thoughts or thoughts of hurting yourself, call the Suicide and Crisis Lifeline at 988 now.

    And a very Happy New Year to you and your loved ones!

    Lori Calabrese, M.D. is on the front end of the race to stop PTSD in its tracks using IV ketamine treatment.

    To the restoration of your best self,

    New Year

  • Holiday Optimism Sets a Path for Success In the New Year

    Holiday Optimism Sets a Path for Success In the New Year

    Kayla breathed a sigh of relief. A car moving into her lane spotted her car just in time and swerved away to avoid her. Gratitude filled her at the near miss. It could have been a horrible crash, but all was well. This holiday traffic was heavy. Everyone shopping for gifts and groceries, as well as attending luncheons and parties. She loved this time of year. The excitement and anticipation. The decorations everywhere. Ornamented trees, snow on the ground, green, red, blue, and white lights on the streets and in the stores. Kayla wished she could share her joy with everyone she saw. She knew holiday optimism sets a path for success in life. But she also knew such enthusiasm wasn’t received well by everyone. She knew some were sad or angry, feeling losses especially painfully at this time of year.

    Offering Encouragement

    She drove to the specialty grocery store where she liked to shop for tasty treats and unusual ingredients for her Christmas baking. After grabbing a basket she started in the produce section and who did she see selecting oranges and figs but  Megan Watson. 

    “Megan! It’s wonderful to see you! Looks like we had the same idea…shopping for holiday meals?

    “Hi Kayla. Yes, I’m trying. But they seem to be out of the things I came for.  I don’t know why I try. My dishes never turn out right anyway. My family just ridicules my efforts. It takes the fun out of all of it.”

    “Oh Megan, I’m sorry. I wish they realized how hard you try and encouraged you. I’m just learning myself. I used to cook the things my mother cooked, but realized there are other ways to prepare food that I like better. So I’m doing a lot of experimenting these days, finding recipes and trying them out. 

    How Learning Supports Optimism

    “Sometimes they’re good and sometimes not so much. When they don’t work I either scratch them from the list or study the recipe harder to figure out where I made a mistake so I can fix it. I figure optimism sets a path for success, you know? What ingredients are you trying to find?”

    “Well, I need fresh mozzarella and fresh basil for a caprese salad.”

    “Really? I love caprese salad. Surely they have both of those things here! I’ll help you look…”

    “I’m surprised you feel like you’re just learning. I’ve always thought of you as a gourmet chef, Kayla.”

    “No way..! I’m learning every day. And having fun with it. But thank you for the compliment.”

    A quick survey of the store’s “cheese shop” led Kayla to the mozzarella. Next, after looking near the lettuce and cabbage, she found the herbs and handed a package of basil to Megan. Then she saw it. Megan was covering her face with her purse, and Kayla could tell by the movement of her chest she was crying.

    Not Everyone Feels Joy About the Holidays

    “Megan? What’s going on? Are you ok..?”

    “I’m sorry, Kayla. I’m so discouraged. My whole life is a mess and I don’t know how to get my feet under me again. The course I was taking was so hard, and I think I failed the final. I’m worried I’ll fail the course. I shouldn’t have tried. I’m not sure I can ever find the courage to take a college course again.

    “I’m just not a good student. I should have known to not try to go back to school. I have bad luck at everything I try.

    “Now I’m trying to put together a plan for Christmas dinner, and I can’t think of anything. I’m no chef. Who am I kidding? Whatever I cook, my family will be disappointed. And I’ll feel humiliated. Plus I’ve gained weight, and my clothes don’t fit right. I don’t think my husband is attracted to me anymore…

    Pessimism Can Rob Joy and Confidence

    “And if my husband leaves me, what will I do? I married right out of high school, and can’t get a good job. It would be just my luck if he left me to take care of the kids by myself… I don’t know what to do anymore. Things don’t work out for me like they do for you.”

    Kayla looked into Megan’s eyes with compassion.

    “Megan, first of all, you’re really beating yourself up, and it’s not helping.”

    “Listen Kayla, I’m just being realistic.

    “Hey my friend, you’re not really being realistic, you’re worrying… and assuming the worst. That’s not the same thing. You do need support. In fact, what you really need is hope. But hope is something you can actually cultivate in yourself, by what you say to yourself and others, and how you view things.

    A dose of optimism wouldn’t hurt either, Kayla thought, since optimism sets a path for success in most things.

    A New Point of View

    “…Also, these situations you described aren’t things that depend on luck…it’s just that you may need to look at your circumstances with a different perspective. 

    “When you go over and over in your mind about how badly things are going to go, it undermines your confidence, and then you can’t do as well.”

    “Kayla, you’re different — you’re an eternal optimist. But life doesn’t always turn out the way you think it should.”

    “Megan, work with me here. I want to show you something. When your daughter is preparing for a test, does she study?”

    “Yes, of course— I make sure of it.”

    “Ok, you see to it that she prepares. So when she walks into that test, she’s not depending on luck, is she? She has prepared. She’s fed the information into her mind, and it’s there when she needs to draw on it for the test, right? As a result, she’s got confidence about what she’s learned.”

    “Yes. And she makes good grades.”

    “Ok. Excellent. Now, when you went in for that test you failed, had you studied for it until you knew the information forwards and backwards? Like, could you have taken the test blindfolded?”

    “No. There were too many things I needed to do for the kids, and too much gift shopping to do, and presents to wrap. I scanned my notes that morning before class.”

    Learning to Expect Happy Outcomes

    “Megan, I’m so sorry you’ve been so loaded with things that needed to be done, but can you see that it wasn’t bad luck that you failed the test? Can you see that maybe you could have prioritized the demands in your life differently, and given the time you had to studying…? And if you had, you would have made a much better grade?”

    Megan nodded. She listened wide-eyed.

    “When you said you were being realistic… that wasn’t exactly true. Maybe you’ve been sabotaging your success in a variety of ways, without realizing it. Your approach to all this is actually pretty pessimistic, because you couldn’t see how to be optimistic… or to have hope. But you do have a certain amount of control over that, if you can just see it.

    “Optimism can set a path for success, if you work on looking for the up side of a situation.

    “Life can become overwhelming, and sometimes it’s hard to get things right. But with support, and by adjusting your priorities, you can thrive. You really can be successful.

    Luck vs. Investing in Success

    “This isn’t about luck. It’s about giving yourself the opportunity to succeed. And about building your confidence with hard work. Then enjoying your own sense of accomplishment. So you can be proud of yourself. And expect things to go well for you.

    “Can you see the different perspective?”

    Megan’s eyes began to shine and she smiled. Hope was dawning.

    “So, no matter whether you fail the course or not, you can adopt a different strategy and try again next semester. And if you follow this strategy, you can expect it to go well for you. 

    Support and Social Stimulation are Important for Wellbeing

    “Maybe you should talk to your husband about his helping the kids with homework and maybe the dishes. Why don’t you? To give you more time to work on your school work.

    “And for your Christmas dinner, maybe search the internet for easy-to-prepare dishes that are tasty and festive? Then you can read the recipes, buy the ingredients, follow the instructions carefully, and prepare a wonderful meal your family will love. You don’t have to think of everything by yourself. That’s what Google is for!”

    “Oh Kayla, that’s a fantastic idea! I can see there are ways to plan, and set myself up to succeed.”

    “And about your discouragement with your weight. If you’re like me, you might be drawn to carbohydrates like sweets, and French fries, and chips when you’re feeling down… and those things pack on the weight. I know that first-hand so well. It feels good while you’re eating, but the good feeling doesn’t last.

    Ketogenic Psychiatry

    “I recently learned about a different lifestyle that’s helping me so much. It involves eating moderate amounts of meat, chicken, and fatty fish, with vegetables that are low in carbohydrates. Things like green leafy vegetables, colorful foods like eggplant, roasted Brussel sprouts, bell peppers, etc. And healthy high fat foods like avocados, eggs, nuts, and cheeses. 

    “When you eat foods like this, and avoid foods high in carbohydrates, your mood will be lifted, you’ll have more mental clarity and energy, and you’ll easily lose body fat. A few months from now, you could be a new size and shape.

    Touchpoints 180™ is Dr. Calabrese's program to help you achieve therapeutic nutritional ketosis so your mind and body can heal.

    “In fact, there’s a treatment program called TOUCHPOINTS 180™ that is all about metabolic strategies, eating the right foods for you, with support, groups, and community-building. The doctor and the dietitian live and breathe it themselves— and even walk with their patients 4 times a week out in nature settings. The transformation is pretty incredible. It’s what helped me do a 180.”

    Touchpoints 180™ can brighten your outlook and help you transform your mind, your body, and your life in ways you didn’t think were possible.

    We’re doing it, and living it. We see it every day.

    Giving Time and Support is a Most Valuable Gift

    “If you’re interested, maybe we could have coffee at my house, and choose dishes with great foods like this, and your whole family could begin to benefit. Instead of Christmas being a day full of pain and humiliation for you, it can be a day of fun and deliciousness! The beginning of a whole new approach to life! What do you think?”

    “Oh Kayla, that would be so wonderful. You’ve given me so much to think about, and you’ve given me hope. You’ve shown me my life can be different. I can’t wait to come over.”

    “Great! Hope is what the holidays are all about! Let’s get to work on a Merry Christmas!

    And that’s exactly what they did.

    Because holiday optimism sets a path for success in the new year.

    If you struggle with feeling overwhelmed and defeated, and maybe need a restart in your mental health and wellbeing, call us.

    Our Touchpoints 180™ program can set you on a new path— a happier, peace-filled, and healthier path.

    Happy Holidays… and a Very Merry Christmas and Happy New Year to You!

    Lori Calabrese, M.D. is on the front end of the race to stop PTSD in its tracks using IV ketamine treatment.

    To the restoration of your best self,

  • There’s Hope After a Long Life of Debilitating Depression

    There’s Hope After a Long Life of Debilitating Depression

    David looked in the mirror. He looked tired, sad, empty. He’d tried so hard to find solutions. For as long as he could remember. And suicidal thoughts … they’d always been there. Since he was four, life had seemed so empty and futile. Packed with disillusionment upon disillusionment … and disappointment. He could remember when he was only 6 years old, wondering if he drank a bottle of window cleaner, if the pain would end. He’d lived his life having too many days when he just couldn’t get out of bed, or face even routine tasks. Now he was 45, and he felt like he’d tried it all. Two decades of psychotherapy that better equipped him for living a circumspect life, but never relieved the pain and emptiness. He was losing hope after a long life of debilitating depression, because nothing seemed to help.

    A Lifetime of Depression

    In his 30’s, he’d worked with psychiatrists for years, trying SSRIs, SNRIs, and testosterone replacement.  Each effort gave some mild relief, but never seemed to touch the core problem.

    Then, in his 40’s, he worked with brilliant professionals in prominent university hospitals, did the whole thing, looked for help in every good place. But only recently did me meet someone who worked at the front lines of innovation.

    Her name was Bea, and she had a deep knowledge of nutrition at the cell level. They met for lunch, and she talked about her work with mitochondria, the proverbial “power house” in the cell. The more she talked, the more glued he became to her every word. 

    She talked about her research partners, and what they were learning about mental health. She explained how the mitochondria in each cell are the source of mental and physical energy. That if they aren’t producing enough energy, then the person lacks the mental, emotional, and physical energy he needs to function. 

    That concept hijacked David’s attention. He’d been held hostage by a long life of debilitating depression. He’d spent his entire life trying to find ways to simply function consistently. This was an explanation that had never occurred to him.

    So he opened up to Bea about his story. He’d had phenomenal educational and entrepreneurial opportunities, but fluctuated between times of elite inventive accomplishments and periods when he couldn’t function at all. His self-confidence was badly damaged as a result. But in sparkling times, he could create amazing things. 

    What worried him the most was that his wife had just given birth to their son. He had become obsessed with finding solutions that would empower him to be present and engaged with his baby boy. To be a reliable part of his life.

    As things were, he had periods of time when he had to pull into himself, close the blinds, and try to recover. He didn’t want that to continue through his son’s life. He just had to find a way to get rid of his lifelong depression. He didn’t want it be lifelong throughout his son’s new life. Or throughout the rest of his wife’s life.

    As Bea described the needs of the cells, and how they functioned, he was introduced to a whole new paradigm. Could this have anything to do with his condition?

    Ketogenic Psychiatry in Connecticut

    Bea told him about a psychiatrist in Connecticut whose practice provides metabolic psychiatry, ketogenic psychiatry really, for people who’d suffered like he had. It was only an hour and a half away.

    David made an appointment, and drove to that office 3 days later. Was it possible he would learn about a true solution?

    He’d been so hampered all this life. During the drive he thought about how different his life could have been if he’d found out about this 40 years ago. His entire long life of depression could have been completely different.

    All those years of ups and downs, times he could excel and times he was all but disabled. What would it have been like to feel good and functional all that time? 

    But then, how long had they known about this? How new was it?

    And then another thought occurred to him. If he hadn’t suffered so severely, would he have dedicated his life to finding solutions for himself, and in turn, for others who suffered like he had?

    It was staggering to consider.

    The doctor was clearly astute, informed, and compassionate. She explained metabolic psychiatry, and their Touchpoints 180™ program. They talked about how they use food to transform the way he was feeling — food he actually liked. Real food. Good food. Not shakes, powders, or pills. How it’s personalized and adapted by their registered dietitian, using low carbohydrate, moderate protein, and how its high in healthy fats that can actually turn on an energy cascade, and shrink his body fat. And she suggested he read Brain Energy by Christopher Palmer, M.D., explaining that it would help him understand why generating ketones for his brain cells could be so restorative.

    So David went to work on removing seed oils from the pantry and headed to the grocery store for foods that he would begin to eat, with cool ratios that would work for his metabolism, and not against it. He didn’t have to figure anything out–they’d done all that for him! And had a long talk with his wife about how he was going to use food as medicine — and his hope that it would work.

    By the end of the first day, David came face to face with a culprit that had been holding him back all his life. Sugar. Actually, sugar addiction. Actually…. it was bigger than that. It was really like processed food addiction. Was that even a thing?

    Sugar Addiction had Fed His Long Life of Depression

    He hadn’t considered how hard it would be to drop his carbohydrates so drastically. He found himself craving cookies, donuts, and ice cream. Arrrggghhhh! He’d always craved candy bars, or cookies and milk, but never thought of it as an addiction per se. But, he also found that if he ate something high in fat, like avocados, the craving would subside. So that was good to know.

    By the end of the second day, his mind seemed to be clearing. What?? He hadn’t realized how much brain fog he had until it began to go away.

    After 3 days, he was feeling so much better. He was amazed at how he could look at foods he would have devoured before, like a package of cookies, and he no longer felt tempted. His mind was clear, his emotions seemed more stable

    Touchpoints 180™ is Dr. Calabrese's program to help you achieve therapeutic nutritional ketosis so your mind and body can heal.

    His experience with their metabolic psychiatry program, Touchpoints 180TM got him outside in fresh air, enjoying nature walks, and interacting with others who were on the same journey — with a doctor and a dietitian who actually walked with their patients! He felt like he was part of a community. And not so alone.

    In the next few weeks, David had more physical energy, and mental energy, as well. HIs creativity soared, as he worked on plans for his business venture. His long life of debilitating depression seemed like it was his past life. It didn’t feel like it was going to be his future any more.

    And he couldn’t help but notice something else… he was stable. His emotions weren’t fluctuating. He wasn’t falling into the ditch emotionally. There were no days when he couldn’t get out of bed. This was amazing!

    Every day, in between work obligations, he spent with his baby boy, playing, reading stories, entertaining him during tummy time. His wife told him the transformation in him floored her! And that she was thrilled they were both living a low carb lifestyle where ketones were front and center.

    Getting Better and Better

    After six months had passed, he began to realize this was going to last. Never in his wildest dreams could he have imagined life being like this. The anxiety that had made it hard for him to leave the house at times seemed to lose their hold.

    David knew he was going to keep feeding his brain with ketones that his body could produce for the rest of his life. (People have done this for decades–he just never knew that!) When they said their treatment was a Ketogenic Metabolic Therapy, that was for sure! He felt better than he ever had with therapy. He had never lived so well. He’d actually never felt so well, and so healthy. He’d never known this capacity for accomplishment, for relationships, for creating…and for being available for his son.

    And he knew he didn’t have to ever go back to the misery and suffering of his life up until six months ago. He had such hope for the future.

    How About You?

    Have you struggled and suffered with depression that has plagued you all your life? Have you searched for answers through every pathway you could find to no avail?

    Metabolic psychiatry and Ketogenic psychiatry is providing a path for restoration and remission of a wide variety of psychiatry conditions.

    If you’ve suffered like David, and nothing you’ve tried has helped, call us.

    Learn about our Touchpoints 180™ program and see what we can do for you.

    We’re here to guide you to a happier, healthier life.

    Lori Calabrese, M.D. is on the front end of the race to stop PTSD in its tracks using IV ketamine treatment.

    To the restoration of your best self,

  • Family in Crisis? Ketamine Treatment Now Can Restore Peace

    Family in Crisis? Ketamine Treatment Now Can Restore Peace

    Dean and Nicole stared at each other like deer in the headlights. Their kids’ behavior shocked them…again. Where was this coming from?  Caden screamed at his sister, throwing a vase at her, which hit the wall and shattered. Emma, his 14 year-old sister, ran to her room, slammed the door, and locked it. Again. There was so much turmoil — and neither Dean nor Nicole had grown up in volatile households. They didn’t know what to do with all this. They’d always enjoyed a peaceful, supportive family atmosphere, till now. Well, looking back, conflict and dysfunction had slowly crept in over the past 3 years, but it was getting way out of hand. Nicole had come into Emma’s room a few weeks ago, and found her cutting her ankles… just above the hem of her jeans, where no one could see. Nicole had never seen anything like it. Several parallel lines of blood on each ankle. When she asked Emma what she was doing, Emma just shrugged. She shared the disturbing scene with Dean later that night. They were a family in crisis — and they hadn’t seen it coming.

    At the same time, Caden seemed to be having more and more frequent meltdowns, without any obvious provocation.

    He was deeply depressed when he was 13, and now it seemed he was going into depression again. But these volatile outbursts from time to time didn’t fit a pattern they understood. Clearly, their family was in crisis, and they didn’t know what to do about it. 

    Different Symptoms in Different Family Members

    They had always had a healthy structure in their family, and their 12 year-old daughter Ashley had responded well to it, excelling at school, making friends, and enjoying outings with them. But as Caden and Emma each hit puberty, their emotions seemed to swing more and more out of control

    Caden pushed against boundaries, sometimes broke curfew, and was not that willing to follow through on his responsibilities. They tried a variety of consequences in search for a more effective method, but grounding him didn’t change his behavior much. 

    Sometimes he did productive things, like experiment with recipes, tinker in the garage with woodworking — but other times he just lay in bed and slept long hours when he was too depressed to be creative.

    And once he was no longer grounded, he was back to his same old habits.

    Emma, on the other hand, caused possibly even more concern. She seemed to withdraw into herself, with very little to say most of the time, or closed up in her room.

    Oh, she complied with rules… like making her bed, dusting the living room, and helping with the dishes. But she was listless, emotionally flat. And kept to herself.

    She’d been a lively child, full of fun and energy. When she’d walked into a room, it was as if sunshine had come with her. But now she only wore dark colors. She chose her words carefully. And she avoided bathing. Her hair looked dirty. Emma’s and Caden’s struggles put the whole family in crisis.

    It Was As If She Was Mourning…

    After years of working so hard to help all three of her kids cope with life, Nicole began to succumb to a slump. The daily strain of almost willing Emma and Caden to get up each morning and face school, making sure they ate, driving them to school and pushing them to screw up their courage and get out of the car to walk into school…making sure they did their homework in the afternoons, asking them to just pick up or help with the dishes…on and on and on. 
    It was exhausting.

    Always trying to help Ashley feel supported in the midst of the turmoil with Caden and Emma wasn’t easy, but Nicole was determined to try to protect Ashley from it all— she didn’t want her damaged by what she was seeing at home. 

    Mom Grows More Drained and Exhausted

    Nicole became more and more weary, with each passing month, but she forged on. 

    Until Caden’s frequent meltdowns took such a toll on her. Now, she was having trouble snapping back.

    Tragedy Strikes

    Then, a terrifying turn of events became almost too much.

    As Nicole stopped in each of the kids’ rooms before she and Dean went to bed, she discovered an empty bottle of sleep aid pills and a partial glass of water beside Emma’s bed. She tried to wake Emma, but she didn’t respond.

    She called 911 then shouted to her husband. Emma was limp as Dean kept trying to pick her up, shake her, and shout to make Emma hear him. Soon, Caden and Ashley ran into the room.

    After following the ambulance to the hospital, waiting for Emma’s stomach to be pumped, hoping beyond hope that she would recover, and crying together for Emma’s apparent despair, a doctor came to talk to them.

    He asked if this had happened before and they assured him it had not. Then he asked if they knew she was cutting herself. Nicole expressed she had just discovered it a couple weeks ago. “Do you think the cutting is connected to her taking the pills tonight?” Dean asked.

    “Yes, I think it may be. It’s hospital policy to admit patients for 72 hours who have attempted suicide, then to re-evaluate. So we’re going to admit her once she’s alert and stable. 

    “Have you seen any psychiatric symptoms in any other members of your family? Possibly behavioral problems, or depression, or severe anxiety?”

    Psychiatric Illness Sometimes Runs in Families

    Dean and Nicole looked at each other, realizing they had, but they hadn’t grasped what was going on.

    “Yes I think so. Our son has had really volatile episodes periodically, and they’re getting to be more common. We try to help and to tighten his structure, but it doesn’t seem to do much to change things with him.

    It’s all been a lot to manage for a few years, and I’ve been feeling more and more down. Discouraged. Somewhat hopeless.”

    The doctor listened intently. Then, he pulled a writing pad out of his pocket and wrote down a website, then handed Nicole the slip of paper. 

    Family in Crisis

    He said, “It sounds like your family is in a time of crisis. You need support. This is a great psychiatrist not too far from here. She uses advanced treatments for depression, anxiety, PTSD, OCD, bipolar depression, and suicidal thinking. Check out her website and see what you think. The treatment she offers might be a real help to your family.”

    Dean and Nicole thanked him. They were stunned by all that had happened. Certainly, they tried to let all he said soak in. They decided, once Emma was out of the woods, to go home and look up this website and see what they could learn.

    After Emma was awake, they spent a few minutes with her. She was sheepish, but they reassured her of their love and how glad they were that she had survived… so grateful they’d found her in time. They also assured her they wanted to do whatever was needed help her feel better about herself and her life.

    There was a lot of information about ketamine therapy, and how much it helped. They could see that they were in no position to diagnose their family members, but they read enough to realize there were reasons for Caden’s and Emma’s behaviors, and there were treatments that could help. 

    In fact, they learned that Nicole was possibly getting depressed herself, from all the stress of her children’s problems and their family crises, and ketamine treatment could help her, too.

    Hope Through Ketamine Therapy

    As soon as Emma was out of the hospital, they made an appointment as a family to meet with this doctor. She diagnosed Emma with severe major depressive disorder, Caden with bipolar disorder, and agreed with Nicole that she was depressed, and ketamine could help. A lot.

    The doctor also explained what ketamine therapy could do for suicidal thinking, and that many times it can stop those thoughts in an afternoon. In fact, this doctor had published a paper on her own data with patients in her practice.

    They made appointments to begin infusions for Caden’s bipolar depression, for Emma’s depression and suicidal thoughts, and Nicole’s depression, too.

    By the time Emma went for her second infusion, the suicidal thoughts had stopped.

    So that crisis was averted. But she continued the infusions, twice a week for 5 more weeks, and her depression symptoms lifted more and more. She was feeling hope and resilience by the 10th infusion, and continued to improve in the weeks that followed.

    Caden’s depression was lifting by the 5th infusion, and he was dramatically improved by the 9th. His behavior problems got much better over the following months. His hope, his self-respect, and his joy also improved greatly.

    Of course, with the improvement in Caden and Emma, Nicole felt like the weight of the world had lifted from her shoulders, but her ketamine treatment relieved her stress and despair. She had a new spring in her step and new hope for herself and her family… and energy for life after she received 8 infusions in all.

    A Reset in This Family’s Life

    Three months later, Dean and Nicole agreed they couldn’t have imagined the improvement in their family that was ahead when they’d been so alarmed and stressed out. What a relief! The kids were getting along again, and the loving atmosphere they used to share seemed to be returning. Their family seemed to be past that horrific crisis, finally.

    Of course, every family has its challenges, but they had seen enough hard and frightening times to know to appreciate these better days their family was enjoying. 

    In the following months, Emma needed a booster when her outlook began to sink again. But after that, her hope returned. Her parents were just so thankful there was something they could do to help her stability. And her joy.

    She began to shop for new colorful clothes, cute sandals, and natural makeup. And she began to make new friends.

    Psychiatric Disorders Often Run in Families

    How is your family? When more than one family member is suffering, the pain and chaos can quadruple for everyone.  If your family is in crisis, ketamine treatment can offer hope, peace, and resilience.

    If you have a family member who has symptoms like Emma, Caden, or Nicole, call us.

    The people you love can live rewarding and hopeful lives, and so can you.

    It’s for families like yours that we get up every morning. 

    We want to help.

    Lori Calabrese, M.D. is on the front end of the race to stop PTSD in its tracks using IV ketamine treatment.

    To the restoration of your best self,

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