Hyperbaric Oxygen Therapy and Alzheimer’s Disease

Hyperbaric oxygen therapy [which is Oxygen therapy under increased pressure] has a number of beneficial effects on the body which can potentially benefit patients with Alzheimers or at risk for Alzheimers disease. 

Dr. Scott Sherr is the director of Integrative Hyperbaric Medicine and Heath Optimization at Hyperbaric Medical Solutions. In this role, he facilitates protocol development, patient engagement, and outreach efforts.   Scott is also an independent provider of Integrative HBOT who runs a worldwide education, consulting, and advocacy telemedicine practice.

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 #longevity #wellness  #hyperbaricoxygen #lifestylemedicine #younger #ketosis #biohacking #acetone #RobertLufkinMD #rapamycin #alzheimers #scottsherrmd #HBOT

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Robert Lufkin 0:01
Welcome back to the health longevity Secret show and I’m your host, Dr. Robert Lufkin hyperbaric oxygen therapy, which is oxygen therapy under increased pressure has a number of beneficial effects on the body, which can potentially benefit patients with Alzheimer’s disease or at risk for Alzheimer’s disease. Dr. Scott shear is the director of integrative hyperbaric medicine and health optimization at hyperbaric medical solutions. In this role, he facilitates protocol development, patient engagement and outreach efforts. Scott is also an independent provider of integrative hyperbaric oxygen therapy who runs a worldwide education, consulting and advocacy telemedicine medicine practice. Thanks again for your support of this video podcast. We appreciate any reviews that you provide, which help us to spread the word of the work that we do. As a thanks for your review, we will send you a copy of one of our most popular guests book, the path mastering the nine pillars of resilience and success by Dr. Steven siter off to receive it just email a screenshot of your review along with your name and us address and include the title the path to male m a i l at Robert Lufkin md.com. We’re sorry that we can only ship to us addresses at this time. And now, please enjoy this presentation by Dr. Scott. Sure.

Scott Sherr 1:43
Hello there. My name is Dr. Scott Shearer and I’m an internal medicine physician specializing in hyperbaric oxygen therapy. Today we are going to talk about hyperbaric medicine, health optimization medicine, another specialty of mine in the context of ultra Alzheimer’s disease. Thanks so much for having me and look forward to chatting with you about some of my specialties here and how they could potentially work inside the world of Alzheimer’s treatment. You can find me at Dr. Scott Shearer on Instagram, as well as my website and company H plus H plus. And again, thanks for having me. Okay, here we go. So my health practice is a combination of an integrative approach to hyperbaric oxygen therapy. And I often like to say that all you need to do is breathe, and we can heal, with synergizing also accelerating the healing process and working with other therapies in combination. And the other part of my practice is called Health optimization medicine. Health optimization medicine is a foundational approach to health founded by a colleague and mentor of mine that I use in my own hyperbaric practice as the foundation. And as we’ll talk about, there’s many other ways to do this. But this is the way that I found to be most effective within my own personal practice. You can find me at the websites below as well. Integrated hbot.com and home dash sf.co. So let’s talk about hyperbaric therapy first. Oh, but before we do, I’m also a practicing hospitalist. So I still work part time in the hospital seeing acute care patients as well. And this is the first time kind of shabbily that I got dressed to see COVID patients before we really knew what we were doing back in March of 2020. Okay, so let’s start with hyperbaric therapy. So hyperbaric therapy, the definition of is the intermittent administration of increased inspired oxygen and increased atmospheric pressure. Now, most of where we start with hyperbaric therapy is in the history in the sense of why do we have hyperbaric therapy to start off with, and that’s because of diving in because of bridge building bridges that were built. Many years ago, this one particularly is one that was built in the 1880s is the Brooklyn Bridge over here. What would happen is that people would be kind of sunk down deep underneath the water. And if they came up too fast, they get these severe symptoms at the eventually called the beds found out relatively recently, relatively soon after the bridge was being built this this particular bridge, the Brooklyn Bridge, that this is because of something called decompression illness and nitrogen bubbles that were happening outside of circulation. And what they realized is that people went back into these chambers, these pressurized chambers underneath the water as their symptoms would get better. They didn’t of course, die before they went back into inside these chambers. And hyperbaric environments are higher pressure environments have been around since the 1600s actually when they were first invented, but it wasn’t really until the 19 hundred’s where the physiology was really more well understood. And so all the determination, the sorry, the nomenclature of hyperbaric therapy comes from the world of diving and so when we talk about up three atmospheres of pressure. We talked about 66 feet of seawater, two atmospheres of pressure is 33 feet of seawater. And one atmosphere of pressure is at zero feet of seawater, three ata, 66 feet of seawater, you can imagine all that water above you, is significantly heavy. And it’s that heaviness that we’re simulating in a hyperbaric environment without using water, of course. And it’s that heaviness that really changes physiologic functions in the ways that hyperbaric therapy allows hyperbaric therapy to be as effective and as important as it is. And also to mention that when you’re on an airplane, you are pressurized to certain amounts of feet above sea level, typically in airplanes about 8000 feet above sea level. In this particular example, we’re 18,000 feet above sea level. And that’s the equivalent of 0.5 atmospheres of pressure. So when you’re on an airplane, you’re in a Hypo H YPO, barrack environment. And that has significant implications, as well, as we’ll talk about with oxygen in a minute. So again, definitions, nomenclature, hyperbaric therapy, we talked about each treatment being a dive because of this work starting in diving in bridge building, and ata 182 8380, for the very specific types of pressures that we use, and simulate inside a hyperbaric environment. So let’s talk about oxygen. So oxygen, is kind of a big deal, we need oxygen to make energy at the site of the level. And then interestingly enough, most of us do very, very well actually at saturating the amount of oxygen we can in our body to bring it to the tissues that we need. So oxygen is typically carried on red blood cells, there’s 21%, oxygen in the air that we breathe, and 97 to 100% of the sites on red blood cells, the hemoglobin molecules that carry oxygen, are saturated once the red blood cell leaves the lungs, so there’s not a whole lot more oxygen that you can get on the red blood cells themselves, and to increase oxygen carrying capacity. But there are other ways to increase oxygen carrying capacity, the most common way is to increase red blood cell density. So if the number of red blood cells in circulation increase, the number of oxygen binding sites on hemoglobin is going to go up as well. And so you have people that go to altitude to increase the number of red blood cells in circulation by helping the circulation of blood a hormone called estrogen. You also have cyclists like Landsdowne here, and others that use the estrogen, exogenous li or as an oral oral, actually as a subcutaneous injection most of the time, and they would use it that way. And they would stimulate their red blood cells to make more of them and increase oxygen carrying capacity that way. So that’s the major and the most common way to increase oxygen carrying capacity is to increase the number of red blood cells in circulation. But there is another way as well. Now, I don’t know if you can hear the music right now. But this is an important song to remember. David Bowie, Freddie Mercury under pressure.

Okay, so go back to there for a second, sir. So let’s see here, I get this come back. So it’s the pressure, that’s key in a hyperbaric environment, the pressure changes how gas interacts, and changes it from going from a gaseous form to a liquid form, the more pressure you put on a gas, the more that gas is going to go into liquid form. So in a hyperbaric environment, we’re not only saturating the red blood cells with oxygen, we’re also saturating the plasma, where the liquid of our blood, now you have lots of cellular components to your blood, but you also have a liquid component of your blood that’s as it’s as prominent or even more so than the cellular components of your bloodstream. And the plasma is it’s kind of like saline. It’s where your everything kind of floats in to get it from place to place and it has very little oxygen in it at sea level. If you pressurize an environment, you change a gas, in this case, oxygen from its gaseous form to its liquid form, it’s going to bind any free sites on the red blood cells. But after that, it’s going to saturate the plasma itself and add three atmospheres of pressure, which is 66 feet of seawater, you no longer need

red blood cells to carry out your physiologic functions, because you can get so much oxygen saturated into your plasma. And so that’s really the power of hyperbaric therapy is that without pressure, you can’t do this. And we simulate pressure, various levels of pressure inside a hyperbaric environment. And so, what happens next is to understand what happens after you immediately infuse all that oxygen in circulation. And immediately what you have it you have is a constriction of blood vessels. And this can be mild or it can be significant depending on the pressure, the more pressure the more constriction. This can be very important if you have a blood vessel that’s been injured, for example, and you don’t want a lot of stuff to be leaking out of it. So things that are like leaking, causing swelling, leaking, causing inflammation, etc. So you can start down the blood vessel and decrease the amount of leak leakage from it. So decreasing swelling and inflammation. You also directly infuse more oxygen in circulation, you get more oxygen into tissue because there’s more oxygen available. And as a result of that we save people all the time, in the sense of patients with strokes with heart attacks with traumatic brain injuries, spinal cord injuries, acute traumas delay in this compartment syndrome, acute ischemia is if you can get oxygen to tissue quickly, you can save that tissue potentially. And there’s studies in all these realms to show how hyperbaric therapy can be effective in the in the acute setting of an ischemic event. Now, of course, you want to stabilize people before you get them into the chamber. But afterwards, it can significantly help can significantly help. You also have an immediate effect on decreasing inflammation and pain. There’s an exponential release of stem cells, which are the cells in our body that can go to areas to help make new cells and also help mature the stem cells that are in various tissues already. There’s also increased neutrophil and macrophage activation, this is the immune system starting to rev up and starting to heal tissue that’s been injured. We can kill bugs, especially bugs that do not like high oxygen environments. And also bugs that are what are called facultative anaerobes. bugs that like a little bit of oxygen, but not a lot like lime bugs. The Borrelia organism, along with MRSA are two good examples of that we could potentially antibiotic so we usually combine hyperbaric therapy with antibiotics or other whether it be prescribed antibiotics or pharmaceutical antibiotics, etc. To help with various bugs along the way in combination with the oxygen. And it’s also the enhancement of blood flow and lymphatic flow as a result of what we believe is the creation of something called more easy water inside of cells because the pressure and oxygen combination. This is a concept that was developed by a colleague, Dr. Gerald Pollack at the University of Washington, basically more pressure, more oxygen, more flow into tissue and more flow out of tissue. Now an oxygen diffusion protocol, really what we’re doing here is rebuilding scaffolding and tissue. This is a longer term protocol. This is anywhere between 310 20 up to as many 120 academic sessions, what you’re doing is seeing a shift in how DNA expression is expressing itself. genes that are responsible for inflammation and programmed cell death are getting downregulated genes that are responsible for decreasing inflammation and for growth are being upregulated. So the the upstream effect of that is that you have angiogenesis, you have new blood vessels that are forming, you have optimizes optimized stages of wound healing all the stages of wound healing, antioxidant upregulation, mitochondrial biogenesis downregulation of inflammatory cytokines, TNF alpha, il one, il six, il 12, decreased senescence cell populations, these are zombie cells that don’t divide any more than cause inflammation and, and are associated with cancer and aging, etc. There’s also potential for increased telomere length as well, which we’ll talk about. And so in the end, what hyperbaric therapy is really doing is these five things. The first is it’s reversing hypoxia, and by stimulating and driving a bunch of oxygen in circulation, and then over the long term, it’s creating blood vessels to help regenerate tissue in areas that may have been injured. It’s also helping with mitochondrial biogenesis. So the energy production capability of cells is also going to go up. There’s an immediate decrease in inflammation. This inflammation is immediately effective in the sense of, you’re getting more oxygen circulation, you’re constricting blood vessels down, you’re getting less stuff to leak into blood, vascular spaces, or tissue beds and causes decreased swelling and inflammation. And over the long term, you’re also seeing these inflammatory cytokines get down regulated as the exponential release of stem cells that helps new cells mature into areas where they’re required or needed, you can kill bugs, and you enhance blood and lymphatic flow. So really, it’s revitalizing, regenerating and optimizing. And if doing this at the ground, cellular level, using our cellular foundation as the way to build up from there.

So here’s some depictions. And if you’d oxygen infusion, what you’re basically able to do is get oxygen, past potential blockages because it’s diffused into the plasma. So these Oh twos represent that. And as a result of this sort of whitish area, you’re still able to get oxygen to this tissue, even though you’re not getting red blood cells that are oxygenated typically into that particular tissue. And then what happens over time, is that you, you basically create highways around or collaterals, around areas that are blocked, and you get oxygen that can infuse and maintain a tissue with red blood cells over the long term. And that’s the idea of angiogenesis that you can rebuild these vascular beds over time. And so there’s number different chambers that have been done have been developed over the years. The first type is something called a multiplex chamber. The chamber is going to very deep pressures. And they are often found in diving locations in an academic facilities. There’s also the added benefit that you can have an attendant or somebody that can be here You know, in the chamber with you to help people that have acute acute trauma, acute needs ventilators, IVs, pumps, all that kind of stuff. So they’re often used in that capacity. However, they’re also used for, for, for places that have the regular indications that we see that are not emergencies and also used for some of the things like anti aging, reverse aging optimization. And so the Seagal center of hyperbaric medicine is the largest hyperbaric facility in the world, seeing about 200 or so patients per day, and about 10,000 people on a waiting list for the reverse aging protocol, which we’ll talk about. The second type of chamber developed was called the mono place, these are chambers that can go to three atmospheres of pressure. And this is for almost all the medical indications of hyperbaric therapy outside of just the the diving and decompression illness types of things. And so otherwise, all the other medical indications can be treated in a marketplace chamber. And we treat them the way we treat people mostly in these types of chambers, in the outpatient setting, in medical grade facilities. The last type of chamber developed was called a mild hyperbaric chamber. These are chambers that typically go to 1.3 to 1.45 atmospheres. And these really are really what I would call as neurocognitive optimizers. There is some data to support using these chambers in neurocognitive optimization. But there is a lot of data outside of that category. So we’ll talk about it. This may be an option for people that have cognitive impairment, mild cognitive impairment, Alzheimer’s, etc. But in the context of what we’ll discuss in a little bit, as well, my company called hyperbaric, or HBot plus, is a company that’s developing technology that goes inside these chambers to make them better in a number of ways and faster, in the sense of how well how fast we can get results and safer as well. So approved indications in the hyperbaric and hyperbaric therapy in the US. The ones here that are in yellow are the ones that you can treat as an outpatient. We treat patients with delayed in radiation injury, and these are patients that have had treatment for cancer with radiation and have side effects that lasts greater than six months. Hyperbaric therapy is a fantastic healer of these radiation injuries. In fact, the best treatment available 80% of people that have radiation injury will get better in a hyperbaric environment, or regenerating these vascular events that have been irradiated. New stem cells in the area of decreasing inflammation, fantastic fantastically effective anything from brain radiation to toe radiation and everything in between diabetic foot ulcers we’re saving people from amputations all the time, because we can heal up these diabetic foot wounds to a significant degree and improve quality of life refractory bone infections called refractory osteomyelitis, sudden hearing loss. This is a neurologic hearing loss hyperbaric therapy is fantastically effective, especially if use in combination with regular conventional therapies that end doctors will use and as soon as possible to get into the chamber at risk flaps and grafts. These are in plastic surgeries. And the other ones are the ones that I trained in medical school and saw in the trauma center, carbon monoxide poisoning, decompression illness gas gangrene, crush injuries, severe anemia, etc. On the investigational side we have these are things that are not covered by insurance. There’s lots of things that we’re doing. This is me on a vo two Max bike in Israel back in 2018. Doing some of their pre diagnostics for their reverse aging protocol, and the optimal performance side of things. We’re doing muscle health optimization, cardiac optimization, sexual health, optimization, and more. And we’re doing this with athletes and we’re doing this with people that are normal in the sense of aging and want to reverse aging, etc. And we’re seeing some fantastic results in this in this world and studies that are coming out as well.

Which will show you in regenerative medicine we’re combining hyperbaric therapy with stem cells with PRP with exosomes in a in a targeted way and also in a systemic way as well and have fantastic results there too. We’re using hyperbaric therapy in combination with other types of cancer therapies in a synergistic way. Hyperbaric therapy can help radiation chemotherapy work better. It can be in combined with the ketogenic diet. It can help with surgery recovery, as we’ll talk about and more ways of improving quality of life. It’s also hyperbaric therapies, affected potential post stroke and helping with recovery, chronic pain syndromes, inflammatory bowel disease, Crohn’s and Ulcerative Colitis, chronic fatigue and fibromyalgia. The dementia is and we’ll talk about Alzheimer’s in a minute, but vascular especially Parkinson’s and Alzheimer’s. Traumatic brain injury is patients with Lyme disease autoimmune conditions, small intestinal bacterial overgrowth, helping people recover from surgeries faster 30 to 70% Faster, getting women and men. Well helping men get women pregnant and helping women women get better And then on their own as well, increasing the vascular lining, as well as helping with sperm quality. Interestingly enough, drug withdrawals, including opioids, and many, many more. So that’s just a very quick overview. There’s blood flow improvements inside the chamber. And this is a study that was done in Israel, showing that you can have significant improvements in blood flow in various areas inside of your chamber using your protocol. And they also did studies in erectile dysfunction. They’ve done studies on stroke, they’ve done studies on traumatic brain injury, but they’re kind of HID study was this study here that was done earlier in 2021, showing that for the first time, hyperbaric therapy reversed signs of aging, telomere shortening and senescence, cell accumulation is a 20% improvement in telomere length 37% Decrease in senescence cell population, these were adults greater than 64 years old or greater. And there was no change in their diet or lifestyle during this protocol. They use 66 Zero hyperbaric sessions, what’s important to remember is that there’s an acute infusion of hyperbaric therapy where you’re getting all that oxygen circulation. And then there’s the long term benefits of hyperbaric infusion protocol. And that is where we see the benefits of hyperbaric therapy over the long term, that that epigenetic shift that we’re talking about. And so that’s why it takes a lot of therapy, not just one or two sessions to really see these benefits. I would say also that if you’re using other therapies and other modalities and other practices like functional medicine, health optimization medicine, which we’ll talk about, you get, I don’t feel that likely, you need this many sessions to get these potential benefits. So let’s talk about Alzheimer’s and hyperbaric therapy. So we think there’s potential mechanisms in play here. And I’m going to talk about a couple of studies that we have that can show why this might be but in general, what we’re talking about here is using hyperbaric therapy, and understanding its underlying physiologic shifts. And that’s really what’s happening we think inside of the world of Alzheimer’s and how hyperbaric therapy can be helpful. So we know hyperbaric therapy decreases inflammation, in fact, we know it decreases inflammation as powerfully, immediately as steroids do. And so we can use hyperbaric therapy as a neuro inflammatory down regulator, we can also use it as a way to increase blood vascularization. And we know that if you look at a patient that has Alzheimer’s or mild cognitive impairment, or even a 50 year old that gets into an MRI scanner, you’re going to see microvascular ischemic changes. And what happens is that the tissue around these micro vascular ischemic changes, starts dying. And if you can improve vascular flow in these areas, you’re going to improve the tissue health in these areas, because you’re gonna get more oxygen to them. And if you get more oxygen to the mitochondria, you’re gonna get more energy made, and so you’re going to keep them healthier, or regenerate these tissues that may be at risk for dying if they’re not getting enough vascular flow. We also talked about stem cell release and maturation, these stem cells being released, allow new cells in these areas to be made, and neuroplasticity as a result, mitochondrial biogenesis This is huge, making more energy within each of the cells that you have, is going to be more efficient and allow you to maintain the health of this tissue over longer periods of time. We also think that hyperbaric therapy might decrease amyloid burden. And there’s a couple different studies to show that. And there we do know that I’ve been therapy also decreases programmed cell death, which in the case of Alzheimer’s can be very helpful as well. So a couple of nonhuman studies, this is study on mice. And the model as described attenuating neuro inflammation.

You can read all this. I’m not going to read everything on this page. But the idea here is that a 14 treatment 14 day treatment protocol basically showed that hyperbaric therapy improved hippocampal or where we saw our memories, blood flow and oxygenation and also released reduced amyloid burden. It reduced micro gliosis Astra gliosis and secretion of pro inflammatory cytokines. So very, very promising in the way that it did this in the from a neuro inflammatory and from an oxygenation perspective. And another study that combined hyperbaric therapy with gingko showed similar effects, reducing cell toxicity and oxidative stress and mitochondrial mediated apoptosis and combining with ginkgo improve these effects. There’s also a case study that was done by a colleague colleagues of mine, Dr. Paul harch, and Dr. Ed Fogarty. That showed hyperbaric therapy working after affording treatment protocol and using very mild hyperbaric treatments using PET imaging to show corresponding improvements in regional and global increase in brain metabolism. And they were able to show that in conjunction with standard standard pharmaco pharma, co therapy, outpatient symptom level of function ensued about about a 22 month instability, which is pretty impressive. But this is just one case study, as we know. And so there’s another study that was just done this is in China. This is in 2020, it was published, showing how hyperbaric therapy, and these particular pressures improved many, many, many mental exams. And ADL score is both in Alzheimer’s disease patients. And, and as they described in mild cognitive impairment, or amnestic, mild cognitive impairment. So there’s significant potential for hyperbaric therapy to work from a neuro inflammatory perspective, from a mitochondrial biogenesis perspective, from potentially helping with amyloid burden. And that might be related to some of the work that hyperbaric therapy does on the detoxification side that we talked about earlier. Now, in my estimation, this is how I practice hyperbaric medicine, if you have an acute condition, you want to get into the chamber, because you’re gonna get immediate oxygen infusion, all the fun things that we talked about all the amazing ways of decreasing inflammation and swelling and, and getting oxygen into tissue, etc. But if you haven’t more chronic condition, including Alzheimer’s, the way I found to be most effective is to use it as an adjunctive therapy as a neuro inflammatory down regulator, as potentially helping with apoptosis. And if there’s any bugs around to that could also be helpful. But using it as a an adjunctive, to a comprehensive foundation assessment. In my world, I think about things like this, if your vitamins and mineral levels and oxygen levels are in the tank, you’re not going to make energy effectively, and you’re also not gonna be able to detoxify effectively either. So getting into a hyperbaric chamber is not going to be potentially as helpful as it could be if this was optimized. Plus, if you want your brain to function at optimal capacity, you really need to be considering optimizing levels of these things before or during the time of optimizing for somebody’s diet or lifestyle, etc. And that’s why comprehensive analysis is so important. If you’re, if you are, if you have significant bouts of oxidative stress in the body, the body doesn’t have a good level of antioxidant capacity. And that’s also going to be challenging for the body to be able to heal itself and optimize. That’s also same thing with heavy metals. If you’re heavy metal toxic, this can affect your brain function. So these really, these really do need to be addressed before getting into a hyperbaric environment, in my estimation.

This is the citric acid cycle. This is how we make energy. If you can’t make energy effectively, whether you’re getting a job from your chamber or not, you’re not going to do as good a job as you could at maintaining the health of your mitochondria and maintaining the health of your cells. And so for me, this is health optimization medicine. This is my practice. This is a nonprofit as well. That’s teaching doctors and practitioners a foundational approach to health that is not mutually exclusive to conventional medicine, or even functional medicine. The goal is not to treat disease here that you wrote, the goal is to optimize health, looking at and balancing toxicities and deficiencies. And looking at hormone optimization, as we’ll talk about, and this is the concept of the whole of violent The idea is that we are this whole organism made up of human cells of bacteria, fungus and virus were made up of the toxins in our environment. And we can measure all these things at the metabolomic level, which is the cellular level where everything’s happening. So we use metabolomics. We assess the microbiota, epigenetics, mitochondria, we look at things from an evolutionary medicine perspective. exposome x, which is the study of toxins in our environment, Coronavirus ology and circadian rhythms and hormone optimization. And so my hyperbaric practice is a combination of health optimization medicine, various technologies, whether it be love light therapy or or detox technologies like sauna, or post electromagnetic field technology neurofeedback, all those other things in conjunction with health optimization, medicine has been my foundation, various practices, breathing practices, yoga, exercise, breathing, etc, are many other things that you consider an ally and practitioners that can also help. If somebody comes to me, for example, and they have mild cognitive impairment, or Alzheimer’s. The first things that I’m thinking about are not getting into the chamber. The first thing I’m thinking about is how can I help with that foundation? Health optimization medicine is what I do. But there’s functional medicine doctors, there’s Bredesen, doctors and Dale, I know he’s speaking at this conference to and what he does is fantastic because he’s looking at all these markers and helping with an overall optimization, cellular optimization strategy, which is so important. And then you add in things like technology practices, Allied practitioners, and then you use this massive synergize er, and hyperbaric therapy is decreasing inflammation programs, so death, getting blood flow to tissue angiogenesis, etc, then you have this amazing combination, and I’m seeing this real time in my practice all over the world. And so the other part of this just to finish up is that there are different types of chambers for different types of indications. Now, the milder chambers, as I mentioned before, are more for neurocognitive optimization and deeper chambers are more for systemic optimization, although the deep chambers can be used for for the cognitive optimization as well. So oftentimes in patients with cognitive issues, I like to think about using mild depression, somewhere between 1.3 to 1.75 atmospheres. Typically, these protocols are somewhere between 40 to 60, sometimes 80 hyperbaric sessions, and oftentimes, it’s not done in a vacuum, almost all the time that anybody’s working with me, it’s not going to be done in a vacuum, it’s gonna be done in an integrated way. And that’s my whole practice. I’m an integrative guy, and an integrative physician. And I work with patients all over the world. And I work with clinics all over the world, to establish protocols using hyperbaric therapy in an integrative way to help optimize the therapies that you may already have, if you’re a clinician, or the other technologies and practitioners, practitioners that you may have in your life, if you’re a patient that has hungrier chamber in your home, or yet, you’re going to have big chamber in your community. And so

there’s a lot of information out there about hyperbaric therapy, what I’d like you to remember is that it’s important in the context, always to understand that hyperbaric therapy, if it’s not an acute indication is a synergistic tool. It’s something that really is best used in combination in an integrative way. And that’s my practice. I’m an integrative hyperbaric physician. And that’s how I started when I left medical school 10 years ago, and I really created an integrative hyperbaric practice. And now the foundation of that practice for me, is health optimization medicine. And that’s building up people from the ground. beneath us our cellular Foundation, nutrient optimizing, gut, optimizing, immune, optimizing, and hormone optimizing, not in a disease focused fashion, but more in a health optimizing fashion. And when you do that, the beneficial side effects are myriad of breathing. And so it’s this combination that I use in patients with Alzheimer’s with mild cognitive impairment. And I use mild chambers with patients in this context, I use deep chambers in this context, if there’s a vascular component, we do things a little bit differently. If there’s an infectious component, we do things a little bit differently as to where as well, if there’s a heavy metal component, we can do things differently, as well. So we have to personalize these protocols to the people that we see. And that’s what I do in my practice. So you can find me a spot dot plus slash integrated HBot at Dr. Scott shore on Instagram. And I want to thank you for listening and I hope this was helpful to everybody. So I’m gonna play this I don’t know if you can hear it, but this is under pressure. Remember, if you are wondering why hyperbaric therapy works so well, is because we put you under pressure.

Unknown Speaker 32:44
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