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<p class=MsoNormal><b><span style='font-family:Arial'>Chronic Fatigue</span></b></p>
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<p class=MsoNormal><span style='color:red'>Chronic Fatigue</span> <br>
<a href="index.html">Home</a></p>
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<h2><span style='font-size:11.0pt;font-family:Arial'>CHRONIC FATIGUE AND
IMMUNE DYSFUNCTION SYNDROME (CFIDS): ALTERNATIVE APPROACHES </span><span
style='font-size:11.0pt'><o:p></o:p></span></h2>
<p class=MsoNormal><b style='mso-bidi-font-weight:normal'><span
style='font-size:11.0pt;font-family:Arial'>Looking for a drug cure for
Chronic Fatigue Syndrome is a bit like trying to buy a new Buick from a Ford
dealer:</span></b><span style='font-size:11.0pt;font-family:Arial'> it just
isn't possible. The first rule of fishing is to put your hook in the water,
because that is where the fish are. Let's consider nutrition research
and see what REAL options are available for the CFIDS patient that has been
told to "learn to live with it." </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><b><span style='font-size:11.0pt;font-family:Arial'>Vitamin A as
CAROTENE: </span></b><span style='font-size:11.0pt'> <br>
</span><span style='font-size:11.0pt;font-family:Arial'>Chronic fatigue
syndrome encompasses a depressed immune function. Your immune system is
stronger when beta-carotene is adequately supplied by the diet. And,
not at all surprisingly, vitamin A deficiency weakens immune function.
(Chandra, R. K. "Nutrition and Immunity: Basic Considerations, Part
1," <i>Contemporary Nutrition</i>, Vol 11, No. 11,
1986) "Fewer than 10% of us actually consume "adequate"
beta-carotene." (Patterson, B. H. et al, "Fruit and Vegetables in
the American Diet: Data from the NHANES II Survey," <i>American Journal
of Public Health</i>, 1990, 80:1443-1449). This means that supplements
are virtually essential. </span><span style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>For example: after
surgery, the body's inventory of lymphocytes does NOT decrease (as it
otherwise will) when large doses of vitamin A are given. (Cohen, B. et al:
Reversal of Postoperative Immunosuppression in Man by Vitamin A," <i>Surgery,
Gynecology and Obstetrics</i>, 149:658-662, 1979.) </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>Beta-carotene supplements
in particular have been shown to strengthen the immune system by helping the
body to build more helper T cells. (Alexander, M et al: "Oral
Beta-carotene Can Increase the Number of OKT4 Cells in Human Blood," <i>Immunology
Letters</i>, 9:221-224, 1985.) The amount used in this well-controlled
study was 180 milligrams of beta-carotene per day. This is,
theoretically at least, the equivalent of 300,000 I.U. of vitamin A per
day! Even AIDS patients have benefited from dosages such as this
(Graham, N. <i>American Journal of Epidemiology</i>, December, 1993).
Surely AIDS is the ultimate immune dysfunction. </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>The body (ideally) can
derive 10,000 I.U. of vitamin A activity from each 6 milligrams of
beta-carotene consumed. The actual yield is almost certainly lower,
however. Studies using small amounts of beta carotene (20 mg or so) are
likely to show no benefit even though the "theoretical" yield would
be over 30,000 I.U. of Vitamin A activity. 30,000 I.U. is six times the US
RDA for vitamin A. Either that isn't enough, or beta-carotene isn't
converted nearly as efficiently as supposed. Or both. </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>The safest way to give
Vitamin A is as beta-carotene, as the body will convert it into vitamin A as
needed and overdose is automatically avoided. Excessively large does of
preformed, fish oil vitamin A may actually depress immune function; huge
doses of beta-carotene do not appear to have that negative effect. </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><b><span style='font-size:11.0pt;font-family:Arial'>Vitamin
B-COMPLEX: </span></b><span style='font-size:11.0pt'> <br>
</span><span style='font-size:11.0pt;font-family:Arial'>The very discovery of
the B-vitamins is a story of fatigue itself. The disease
"Beri-beri" means "I cannot, I cannot," relating to
severe weakness and exhaustion. This "incurable" condition was
found to be simply a deficiency of thiamine (B-1). Eating whole brown rice,
instead of polished white rice, was enough to effect a remarkable cure from
fatigue which no drug on Earth could obtain. </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>Here's another one:
Pellagra is niacin (vitamin B-3) deficiency. Niacin deficiency results
in (among other things) weakness and lassitude (Williams, S. <i>Nutrition and
Diet Therapy</i>, 7th Ed., Mosby, 1989, p. 201). </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>Why? </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>In your body, food must
be broken down into simple molecules like glucose, and in your cells, energy
must be released from glucose. A major part of this complex process is
called the citric acid or Krebs cycle. This entire, elaborate
energy-releasing pathway grinds to a complete halt without the B-complex
vitamins. Your body without enough B-vitamins is like a huge, rusty
Ferris wheel without oil. It's there, but it's not moving. </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>The four B-vitamins most
involved with our cellular energy cycle are thiamin, niacin, pantothenic acid
and riboflavin. I have focused on the first two, as the last two are
actually hard to NOT get, even in American diets. Riboflavin is in
all milk products, which cover a multitude of dietary sins for many of us.
Pantothenic acid is found in all cells in all forms of life, so it cannot
easily be avoided in food. </span><span style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>Scientific research
indicates, over and over again, that B-complex (and other) vitamin
deficiencies weaken immunity. A considerable number of supporting
references appear in <i>Nutritional Influences On Illness</i>, by M. R.
Werbach, M.D. (Keats, 1988). This book is a valuable collection of
nutrition research abstracts (summaries). Pages 243-251 and 418-423 can be
applied to CFIDS. </span><span style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>Nutritionists, dietitians
and physicians often discount these findings by maintaining that vitamin
deficiencies are extinct in our modern civilization. For example, FDA
has now actually deleted B-vitamin information from food nutrition labels
because they perceive it to be unnecessary! Such opinion does not stand
up to close examination of the scientific literature, which confirms
widespread nutritional failings coast to coast. Nor does it explain the
large number of CFIDS patients who have taken large quantities of vitamin
supplements and noticed remarkable improvements. </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>It is common supplemental
practice to include a B-complex vitamin with every meal. Even more
frequent doses have been known to help more severe cases. </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p style='margin:0in;margin-bottom:.0001pt'><b><span style='font-size:11.0pt;
font-family:Arial'>VITAMIN C: </span></b><span style='font-size:11.0pt'>
<br>
</span><span style='font-size:11.0pt;font-family:Arial'>Very large doses of
vitamin C have been successfully used to boost the immune system for 50
years. Frederick R. Klenner, M.D. pioneered megavitamin C therapeutics
back in the 1940's, giving thousands of milligrams of vitamin C by injection
for a wide variety of viral illnesses. In his 1948 paper on treating
viral pneumonia with vitamin C, he writes: </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<blockquote style='margin-top:5.0pt;margin-bottom:5.0pt'>
<blockquote style='margin-top:5.0pt;margin-bottom:5.0pt'>
<p class=MsoNormal><i style='mso-bidi-font-style:normal'><span
style='font-size:11.0pt;font-family:Arial'>“This picture will then
develop to the point where severe frontal headache is noted along with a
feeling of weakness in the lower extremities so marked that the patient
complains of a dragging sensation when moving about in bed. This
weakness persists for some days... The patient can hardly support his
body weight without the fear of buckling at the knees.” (p
36) </span></i><i style='mso-bidi-font-style:normal'><span
style='font-size:11.0pt'> <o:p></o:p></span></i></p>
<p style='margin:0in;margin-bottom:.0001pt'><i style='mso-bidi-font-style:
normal'><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></i></p>
<p style='margin:0in;margin-bottom:.0001pt'><i style='mso-bidi-font-style:
normal'><span style='font-size:11.0pt;font-family:Arial'>“The purpose
of this paper is to outline a new and different form of treatment for
this type of virus infection which in 42 cases over a five-year
period has given excellent results... The remedy used was Vitamin C
(ascorbic acid) in massive doses.” (p 37) <o:p></o:p></span></i></p>
<p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:11.0pt'><span
style='mso-spacerun:yes'> </span><o:p></o:p></span></p>
<p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:11.0pt;
font-family:Arial'>(Klenner, F. R. "Virus Pneumonia and its Treatment with
Vitamin C," <i>Southern Medicine and Surgery</i>, February, 1948, p
36-46. </span><span style='font-size:11.0pt'><o:p></o:p></span></p>
</blockquote>
</blockquote>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>One
cannot easily help but draw a significant parallel with CFIDS
symptoms. If chronic fatigue is to a lesser or greater extent caused by
a virus, the immune-building and virus-stopping properties of large doses of
vitamin C need to be revisited. </span><span style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>Viral pneumonia is a
worthy foe, but the supreme test for vitamin C must surely be AIDS. </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>Robert F. Cathcart, M.D.
has published his successes with enormous doses of vitamin C against many
viral illnesses. Even among his patients with fully developed AIDS,
improved length of life and quality of life are the rule, not the
exception. Often, increased energy levels and increased resistance to
disease can be demonstrated in AIDS patients only with the highest doses of
vitamin C imaginable: up to 200,000 milligrams of vitamin C daily. It
is likely that CFIDS requires a lot of vitamin C as well, but almost
certainly less than this. (Murray, F. "Vitamin C and AIDS: Another Direction?" <i>Today's
Living</i>, September, 1987, p 5-25) </span><span style='font-size:11.0pt'>
<o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>The question, of course,
is HOW much vitamin C does one need, exactly? Too little and you miss
maximum benefits; too much is wasteful. Dr. Cathcart gives vitamin C to
bowel tolerance, which is the maximum amount the body can take without having
diarrhea. Any person can monitor this level at home, all by
themselves. Dr. Cathcart says that the sicker you are, the more
"C" you can (and will) hold. As you get better, you will not
be able to hold as much, so down comes the dose to an amount, again, just
below that which would cause loose bowels. It is a self-adjusting process.
("Vitamin C in Massive Doses Does Work," <i>Today's Living</i>,
December, 1981, p 10-11, 60-64) </span><span style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>This brilliant, Nobel
Prizeworthy finding is simple, relatively inexpensive and remarkably
safe. According to the many persons I have interviewed, the "take
all the vitamin C you can possibly hold" plan also WORKS. Still, it is
the one principle most consistently overlooked, even by doctors and authors
writing about nutritional therapies for CFIDS! I now judge a nutrition
book not by its cover but by checking to see if Cathcart's bowel-tolerance
principle is in the “Vitamin C” section. If not, the reader
is missing out on one mighty effective therapy, unless s/he reads Cathcart,
R. F. "Vitamin C in the Treatment of Acquired Immune Deficiency
Syndrome," <i>Medical Hypotheses</i>, 14:423-433, 1984 and Pauling,
Linus <i>How To Live Longer and Feel Better</i> (Freeman, 1986). </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>CFIDS is not AIDS, of
course. I use this as an extreme case of immune failure and the fatigue
that is known to accompany both AIDS and pneumonia. Mononucleosis is
even more closely related to CFIDS. What does Dr. Cathcart do for
that? </span><span style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>Again, the therapy is
vitamin C to bowel tolerance. Same reasons, same procedure, same
results. Dramatic response to aggressive vitamin C therapy has followed
patients taking a tablespoon of vitamin C crystals every hour. That is
close to 12,000 mg/hour, or about 150,000 mg/day. Dr. Cathcart reports
cures of mononucleosis in a matter of a few days at this rate of
intake. </span><span style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>I have witnessed such
swift recoveries myself. And, I personally have taken 2,000 mg of
vitamin C every 5 minutes when I had viral pneumonia. You see, when you
are sick, you need (and can hold) an awful lot of vitamin C without
diarrhea. You take enough C to be symptom free, whatever that amount
might be! Then, one's maintenance dose is just enough "C" to
keep you well, but not enough to cause loose bowels. </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><b><span style='font-size:11.0pt;font-family:Arial'>MAGNESIUM:</span></b><span
style='font-size:11.0pt'> <br>
</span><span style='font-size:11.0pt;font-family:Arial'>Magnesium is a
catalyst for literally thousands of biochemical reactions in each of your
body cells. Along with CALCIUM, magnesium is necessary for nerve
conduction and muscular activity. Calcium deficiency is almost
universal: according to the Arthritis Foundation, Americans consume only
about 550 milligrams of calcium daily. This is one-third to one-half
BELOW the modest US RDA! Magnesium deficiency may run as high as 99% among <st1:country-region
w:st="on"><st1:place w:st="on">U.S.</st1:place></st1:country-region>
teenagers. (MRCA Census for the calendar year 1975, General Mills, Inc.,
Minneapolis, MN, 1980) These are reasons why a calcium-magnesium
supplement should be included as a first-line measure against chronic
fatigue. 800 mg calcium and 300 to 400 milligrams magnesium are common
daily therapeutic levels. The dose should be divided among and taken with
meals. </span><span style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><b><span style='font-size:11.0pt;font-family:Arial'>CHROMIUM: </span></b><span
style='font-size:11.0pt'> <br>
</span><span style='font-size:11.0pt;font-family:Arial'>Organic chromium
supplements increase immune function in animals. Both stress and
infection increase the amount of chromium required for good health.
("Chromium Improves Immune Responsiveness," <st1:State w:st="on"><st1:place
w:st="on"><i>Manitoba</i></st1:place></st1:State><i> Co-Operator</i>,
December 2, 1993) On top of that, the U.S. Department of Agriculture
found that 90% of us are eating chromium-deficient diets. (Anderson, R.
and Kozlovsky, A. "Chromium Intake, Absorption, and Excretion of
Subjects Consuming Self-Selected Diets," <i>American Journal of Clinical
Nutrition</i>, 41:6, pp 1177-1183, 1985) High sugar intake
actually drains the body of chromium. (Anderson, R. "Chromium
Metabolism and Its Role in Disease Processes in Man," <i>Clinical and
Physiological Biochemistry</i>, 4:31-41, 1986) Including what is used in
food processing, Americans consume over 120 POUNDS of sugar PER PERSON
per year. That is a third of a pound of sugar EACH DAY! And if you
are not eating that much sugar, then someone else is eating more. </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>200 to 400 micrograms of
organic chromium daily is a safe and worthwhile measure to try. Chromium
polynicotinate or chromium picolinate are probably the best forms to take as
supplements. No fair nibbling on a car bumper, because that is the toxic, or
hexavalent, form of chromium. </span><span style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><b><span style='font-size:11.0pt;font-family:Arial'>ZINC: </span></b><span
style='font-size:11.0pt'> <br>
</span><span style='font-size:11.0pt;font-family:Arial'>Zinc may be
"tail-end Charlie" of the nutritional alphabet, but it is near the
top in importance. Of the trace minerals, only iron is found in you in
greater quantity. Oddly enough, it is excessive iron consumption that
can reduce your zinc absorption from food. Women, in particular, often
need supplemental iron, for they lose iron in their menstrual flow each
month. But a woman is more than a foundry, and merely giving her giant
amounts of iron, in supplements or even iron-fortified foods, does not answer
all her metallic needs. She needs zinc, too. (Incidentally, Vitamin C
supplements substantially increase your iron absorption. Many anemic persons
can get more iron just by taking more vitamin C. Isn't that
ironic? Ha!) </span><span style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>So, have you seen many
"zinc-enriched" foods lately? Neither have most Americans, for
we do NOT even get the US RDA of zinc (which is a very low 12 to 15
mg/day). Nationwide zinc deficiency almost surely has contributed to
CFIDS. It is well known that zinc is needed for dozens of the body's
enzyme systems. Reduced immune function follows zinc deficiency (Bogden,
J. D. et al, "Zinc and Immunocompetence in the Elderly: Baseline Data on
Zinc Nutriture in Unsupplemented Subjects,"<i> American Journal of
Clinical Nutrition</i>, 46:101, July 1987). Zinc is absolutely essential
for lymphocytes, T-helper cells, T-suppressor cells, and natural-killer
cells. Alcohol knocks zinc out of our bodies. Even if you have a blood
test showing nearly normal plasma zinc levels, you may still have too little
zinc in the cells themselves. This means your immune system may be
seriously weakened and tests may not reflect it. Does this sound
familiar to chronic fatigue patients? (Prasad, A. S. "The Role of
Zinc in Human Health," <i>Contemporary Nutrition</i>, 16:5, 1991) </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>How well does zinc work
clinically? Zinc has been shown to shorten the duration of the common
viral cold by over 50% (Elby, G. A.; Halcomb, W. W.; and Davis, D. R. in
Antimicrobial Agents and Chemotherapy, cited by <i>Medical World</i>,
February 13, 1984). Zinc displays antiviral activity, according to B. D.
Korant et al in Nature, vol. 248. Duchateau et al demonstrated improved
immune response with about 400 mg/day. ("Beneficial Effects of Oral Zinc
Supplementation on the Immune Response of Old People," <i>American
Journal of Medicine</i>, Vol. 70, May 1981) Several clinical studies on
zinc are well summarized by J. Challem and R. Lewin in <i>Let's Live</i>,
June 1983 ("Fight Infections With Zinc") and by Frank Murray in <i>Better
Nutrition For Today's Living</i>, July 1990, pp 12, 13 and 26. At doses
of 50 to 150 milligrams per day, zinc is completely safe to
take. Long-term doses over 300 to 600 mg/day, especially of non-natural
zinc sulfate, may cause copper or iron deficiency anemia (the reverse of what
too much of THESE minerals do to zinc levels!) </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>OK, here we go again.
Here is yet another nutrient that is essential to the immune system,
deficient in our diets, and available as a supplement. I think we are on
to something here. </span><span style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>The first rule of testing
an electrical appliance is to be sure it is plugged in. You would be
surprised how many service calls would be avoided if this were done
first. The first rule of CFIDS should be to plug in the minerals and
vitamins. </span><span style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>If you are sick and tired
of being sick and tired, knowing about therapeutic nutrition may perk you up.</span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:Arial'>A lot. </span> <br
style='mso-special-character:line-break'>
<![if !supportLineBreakNewLine]><br style='mso-special-character:line-break'>
<![endif]><i style='mso-bidi-font-style:normal'><span style='font-size:11.0pt;
font-family:Arial'><o:p></o:p></span></i></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>One
reader writes:<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><span
style='mso-spacerun:yes'> </span><o:p></o:p></span></p>
<p class=MsoNormal><i style='mso-bidi-font-style:normal'><span
style='font-size:11.0pt;font-family:Arial'>“I discovered the power of
vitamin C early last year. I went to my family doctor in summer 1999
complaining of increasing drowsiness at work. His only answer was that I was
just "getting old." I was 48. <o:p></o:p></span></i></p>
<p class=MsoNormal><i style='mso-bidi-font-style:normal'><span
style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></i></p>
<p class=MsoNormal><i style='mso-bidi-font-style:normal'><span
style='font-size:11.0pt;font-family:Arial'>“I started taking 3,000
mg/day of vitamin C, and other supplements. One day, After another 1 1/2
years of increasing frequency and level of this drowsiness (falling asleep at
my desk almost daily), as well as declining cognitive ability (unable to
concentrate more than 30 minutes at a time) and severe memory loss (could not
remember names of 30-year neighbors), I felt a cold coming on, so I took
1,000 mg/hour of C.<o:p></o:p></span></i></p>
<p class=MsoNormal><i style='mso-bidi-font-style:normal'><span
style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></i></p>
<p class=MsoNormal><i style='mso-bidi-font-style:normal'><span
style='font-size:11.0pt;font-family:Arial'>“Next day – BAM! My
energy level was back to my pre-teen level or better. I had that
"spring" in my step that I had heard about, but had never
experienced. I worked like a beaver for a full 8 hours, then studied on the
computer at home for another 4 hours, and wasn't sleepy or tired then. Since
then I have only had minor drowsiness maybe a half dozen times.”<o:p></o:p></span></i></p>
<p class=MsoNormal><i style='mso-bidi-font-style:normal'><span
style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></i></p>
<p class=MsoNormal><i style='mso-bidi-font-style:normal'><span
style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></i></p>
<p><b style='mso-bidi-font-weight:normal'><span style='font-size:10.0pt;
font-family:Arial'>Andrew Saul is the author of the books <i>FIRE YOUR
DOCTOR!</i> How <i>to be Independently Healthy </i>(reader reviews at<i> </i><a
href="http://www.doctoryourself.com/review.html">http://www.doctoryourself.com/review.html</a>
) and <i>DOCTOR YOURSELF: Natural Healing that Works.</i> (reviewed at <a
href="http://www.doctoryourself.com/saulbooks.html">http://www.doctoryourself.com/saulbooks.html</a>
) </span><o:p></o:p></b></p>
<p><b style='mso-bidi-font-weight:normal'><span style='font-size:10.0pt;
font-family:Arial'>For ordering information, <a
href="http://www.doctoryourself.com/order.html">Click Here</a></span> .<o:p></o:p></b></p>
<p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:11.0pt;
font-family:Arial'><o:p> </o:p></span></p>
<p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:11.0pt;
font-family:Arial'>Copyright C 2005 and prior years Andrew W. Saul. <o:p></o:p></span></p>
<p><span style='font-family:Arial'> </span></p>
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