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In this Issue...

Food & Recipes

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Rx News & Research

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Heather's IBS Newsletter ~ For Irritable Bowel Syndrome

July 11, 2006

Special Reader Follow Up - How Hypnotherapy Helps When Nothing Else Does

Hello to everyone -

This week we have an amazing reader letter I received in response to our recent special issue mind-body newsletter. If you missed this issue, and have heard the term "mind-body" or "brain-gut" before, and wondered exactly what that meant, definitely check it out and get your questions answered.

Plus, who says barbecue can't be IBS safe? See our scrumptious backyard barbecue recipe this week for some terrific ideas that are not just delicious, but digestion-friendly as well.

Best Wishes,
Heather Van Vorous

Did a friend send you this newsletter? Sign up here for your own free subscription. divider

Louisiana Barbecued Catfish Sandwiches with Sweet and Sour Slaw

Yep, it's true - you can have a terrific barbecue that is also IBS-friendly. The trick is to substitute seafood or skinless chicken white meat for the typical red meat, and make a low fat sauce (store-bought is just fine if you're in a hurry, but check that fat content and watch out for high fructose corn syrup as well). Use fresh white bread for a good soluble fiber foundation to your sandwich, and this will let you safely add in a little cooked insoluble fiber from the cole slaw as well.

Serve these sandwiches topped with the slaw, a handful of baked potato chips on the side, and a cool herbal ice tea, and you've got the perfect backyard barbecue meal!

Makes 4 Sandwiches

1 1/2 pounds catfish fillets

Barbecue Sauce
1/4 cup bourbon
1/4 cup soy sauce
1/4 cup whole grain mustard
1/4 cup ketchup
1/4 cup packed brown sugar
1 1/2 teaspoons dried rosemary, crushed
1/4 teaspooon cumin
1 teaspoon Acacia Tummy Fiber (optional)

Two 12 inch long narrow French bread baguettes, halved horizontally

Rinse and dry the catfish fillets and set aside. In a small bowl combine sauce ingredients, and microwave on high for 5 minutes, or until slightly reduced. Coat catfish with 1/2 cup barbecue sauce. Grill over medium coals (or saute in a large non-stick skillet over medium heat), and cook catfish until golden brown on both sides and cooked through.

Halve baguettes horizontally and grill or toast lightly. Top with catfish, remaining barbecue sauce, and wilted slaw to form sandwiches.

Sweet and Sour Wilted Cabbage Slaw
1 1/2 cups finely shredded green cabbage
1 1/2 cups finely shredded red cabbage
1 small carrot, finely shredded
1/2 small onion, thinly sliced
1/4 cup apple cider vinegar
2 teaspoons granulated sugar
1/2 teaspoon celery seed, crushed

In a small bowl stir together vinegar, sugar, and celery seed until sugar dissoves. In a large non-stick skillet sprayed with cooking oil saute onion until softened. Add cabbage and carrot and cook over medium low heat, stirring frequently, until just tender. Add vinegar mixture and salt and pepper to taste.

For a truly special treat, serve our delicious summer cherry almond cake for dessert!

Are you just learning how to eat for IBS? A little intimidated at the thought of special IBS recipes? Not quite sure just what makes these recipes special in the first place? Don't worry! Find the answers to all your questions in the IBS Diet Kit.

~ Heather's Tummy Fiber ~
For the Dietary Management of Abdominal Pain, Diarrhea, &, Constipation

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New Retail Stores Carrying Heather's Tummy Care Products
We're continuing our special rebate offer for people who buy Tummy Care products at their local stores, and we have new store announcements this week as well!

Carole Brown Herbalists
3235 S. Barcelona St
Spring Valley, CA 91977

Natural Healing
2450 Harrison Avenue
Butte, MT 59701

New York
Cornucopia Natural Foods
39 North Main St
Sayville, NY 11782

If you don't have a store in your area carrying Tummy Care products yet, please give them this flyer to ask them.

New Stores That May Add Tummy Care Products
We have quite a long list of stores (and we update the list each week) that have expressed interest in carrying our products, have asked for samples and information, but have not yet ordered. To see if one of these stores is in your area, please check our list of potential stores and practitioners. If someone on the list is near your location please let them know you'd like them to add the Tummy Care line for you.

Now with 50% More Enteric Coating!
~ Heather's Tummy Tamers ~
For the Dietary Management of Abdominal Pain &, Bloating

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Because our Peppermint Oil Caps have the added benefits of fennel and ginger oils, they are truly unbeatable for preventing abdominal pain, gas, and bloating!

divider Another Heartfelt Success with the IBS Hypnotherapy Program

One of the best avenues for actually treating IBS through a mind-body approach is hypnotherapy, and we recently had an astonishing letter from a woman named Marilyn who had literally tried almost everything - all to no avail - to help her IBS. Thanks to gut-directed hypnotherapy she finally has her life back, and she's so grateful she now spends her time helping others with IBS.

Hypnotherapy is the ONLY current treatment for IBS that holds the potential of actually curing the underlying brain-gut dysfunction, and Marilyn's letter encouraged another reader, Stephanie, to share her story below. I hope Stephanie inspires you to explore this terrific therapy.


I, too, am a testimony for the IBS Audio 100 Program for self-hypnosis. Like Marilyn, the letter writer in a previous newsletter, I tried it as a last resort - out of desperation.

The first thing I noticed was a change in my thought pattern and my reactions to stressful situations. Then I slowly began to see a change in my bowel movement. The changes went back and forth for me for a while because I'd just started a new job that was very stressful, along with the fact that I am a full time wife and mother who's taking a full course load in college. So I knew that if was to work for me, it had to be pretty good.

It was difficult for me to stay on track with the schedule at times, but I was persistent because I knew that this was something I had to do for myself. With such a busy schedule, I was always tired when I listened to it and would fall asleep every time. Thank goodness hypnotherapy works on the subconscious, allowing the subject to totally relax. I began to see a total healing in about 75 days.

For the first time in years, I have eaten a full tossed salad as a main course, ice cream and other things that I had sworn off because of IBS. My only concern now is keeping my weight down. I commend Michael Mahoney for a terrific, effective program. It works. It truly works. It is worth the money. There is no reason for people to suffer unnecessarily.

Thanks for all that you do. I hope that others will listen as well.

Stephanie Norton

Thank you, Stephanie! I am so thrilled to hear you're doing better! ~ Heather

Did you miss the last reader letter from Marilyn, whose journey and success with IBS hypnotherapy dramatically saved her life? Find it here...

The Best Gut-Directed Self-Hypnosis Program for All IBS Symptoms

IBS Hypnosis
Gives an average 85% reduction of pain and bowel dysfunction symptoms.
Listen to IBS Audio Program 100 samples!

divider New IBS-Diarrhea Drug in Development in Japan
Astellas Pharma, Japan's third-biggest drug maker, has said it would give highest development priority to three new medicines, including one for IBS. Newly appointed president Masafumi Nogimori told a news conference on the company's research and development that Astellas will aim for speedy development of YM060 to treat irritable bowel syndrome. YM060, which the company sees as more effective in diarrhea and lower bowel symptoms than competitors' products, is being filed for approval in Japan and is in phase II trials in Europe. Go here for comprehensive information about all available medications for Irritable Bowel Syndrome.

Go here for more information about this study...

Prevalence and Incidence of Chronic Constipation
Two studies presented during this year's Digestive Disease Week conference addressed the prevalence and incidence of chronic constipation. The first was a multinational study conducted by Wald and colleagues involving 13,958 persons from 7 different countries. The study authors demonstrated that constipation is highly prevalent worldwide, with rates ranging from 14% to 18% in France, Brazil, South Korea, and the United States. It is interesting to note that rates in 3 European countries were lower (5% in Germany and 8% in both Italy and the United Kingdom), although the investigators did not comment on why this may be. In all 7 countries, constipation was more prevalent in individuals aged 60 years and older. Go here for a review of the 5 Constipation Frustrations.

Go here for more information about this study...

Probiotics Help Chronic Constipation
The pathogenesis of constipation remains to be completely defined, although the condition is commonly categorized as normal-transit constipation, pelvic floor dysfunction, and slow-transit constipation. The role of bacteria in the generation of constipation symptoms has begun to receive considerable attention. In an interesting study in Gastroenterology involving 22 patients with slow-transit constipation documented by radio-opaque markers, randomized subjects received either Lactobacillus casei or placebo for 4 weeks. Measurement of colonic transit time was repeated after 4 weeks. Patients in the Lactobacillus group had an objective improvement in colonic transit time from 95.6 hours to 77 hours, primarily due to more rapid transit through the rectosigmoid colon. The study authors did not report symptom response and did not report whether colonic transit time worsened after Lactobacillus treatment had stopped. Go here for information about prebiotic Acacia Tummy Fiber, which encourages the growth of probiotics in the gut.

Go here for more information about this study...

Biofeedback for Functional Constipation
In a recent study in Gastroenterology, patients meeting the Rome II criteria for chronic constipation were randomized to a usual care group (lifestyle and dietary recommendations along with general advice) or a biofeedback group (usual care and 6 sessions of biofeedback for presumed pelvic floor dysfunction every 2 weeks). Sixty patients entered the study and were randomly and equally assigned to 1 of the 2 treatment groups.

After treatment, the number of complete spontaneous bowel movements increased in both groups to similar frequencies. However, the biofeedback group had a significant reduction in straining, feelings of incomplete evacuation, bloating, and laxative use. The results of this study are intriguing because they support the view that pelvic floor dysfunction is a significant cause of constipation, either alone or in conjunction with normal-transit or slow-transit constipation. Thus, a treatment program for presumed pelvic floor dysfunction can yield significant benefits without the need to objectively measure patients using anorectal manometry. Go here for information about the brain-gut dysfunction that underlies functional constipation and diarrhea both.

Go here for more information about this study...

Looking for more IBS research and news? Check the IBS Research Library!

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divider The IBS Patient Symposium
"Are there any medical conferences about IBS that are for patients, not doctors?"

Yep - there is one, and it should be terrific. It's also coming up very quickly, so if you're in the Chapel Hill area of North Carolina, make plans to attend asap.

Every year, the UNC Center for Functional GI & Motility Disorders (quite literally one of the very best IBS research and treatment center in the US) hosts a patient symposium. This year, it's on Saturday, July 15, and the theme is "Understanding IBS." Douglas Drossman, MD and Bill Whitehead, PhD, two of the leading functional bowel disorder specialists in the country, are the founders of the symposium and active participants. Olaf Palsson, PsyD has done wonderful studies on hypnotherapy for IBS, and he is also one of the participants. I've met all three of these men, and they were kind, gracious, and genuinely interested in helping IBS patients.

The day-long event features multiple presentations on understanding and treating IBS, with topics as varied as low-dose antidepressants, how to talk to your doctor, and pediatric concerns. There will be in-depth sessions on functional GI disorders and what, exactly, an IBS diagnosis means. The symposium will also cover causes and risk factors for IBS, as well as IBS medications.

One of the most exciting elements is the coverage of behavioral and alternative treatments such as hypnotherapy and biofeedback. The UNC has helped pioneer gut-directed hypnosis treatments for IBS and fought to push this therapy into the mainstream. They have conducted research studies with the center's patients and they help to train hypnotherapists around the country in IBS protocols. I think their efforts in this area are going to do for IBS hypnotherapy in the US what Michael Mahoney has done for this treatment in the UK, and I'm thrilled that they've devoted symposium sessions to this subject. It is sure to be one of the most interesting presentations of the day.

Finally, there are also question and answer sessions so you can ask whatever you like!

If you're interested in attending, call Kirsten Nyrop at 919-966-0289 and tell her Heather's IBS Newsletter sent you!

~ Heather

Did you miss the last "Ask Heather" and an update to IBS diagnostic criteria? Find it here...

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