1. Welcome BECOMING THE NUTRITIONAL G0-TO DOCTOR IN YOUR COMMUNITY” Dr. Robert A. Bartosh 1

2. ASSESSING THE pH There is an “acid epidemic” that is threatening the health of most, if not many, Americans today. Diseases, including cancers, cannot live in an alkaline environment, however, the Standard American Diet (S.A.D.) has created a dangerously acidic population which is not functioning at its best and is causing us to age at an alarmingly accelerated rate! Two ways to assess the pH is by using saliva and urine. 1. If testing with urine, ideally we should have a urinary pH of around 6.5 in the morning (using the first urination after 4:00am) The first morning pH reflects the body’s ability to buffer excess acidity or a state of relative acidity. The evening urine sample shows us what’s left after we have processed all we’ve consumed through our daily intake of food and beverage and should show a pH level around 7.5 in the evening. 2. Saliva gives us a “snapshot look” of what minerals are available at the time of the test, whereas the urine shows us what’s left after we have processed all we have consumed through our daily intake of food and beverage. 2

3. Without correct pH levels: 1.Hormones and enzymes cannot function at their maximum capacity 2.Oxygen saturated hemoglobin can’t release oxygen properly (tissues starve from low oxygen levels) 3.Oxygen depleted environment allows; a.Fungal growth * Dr. Tulio Simoncini believes cancer is a fungus b.Bacterial growth c.Viral growth 4.The bottom line – Diseases thrive in acidic pH environments. *So…, pH is something we really should assess with every patient given this information. 3

4. IN-OFFICE pH TESTING 1.Make sure the patient refrains from eating or using chewing gum for at least an hour before the test 2.Have an acidifying solution (I use 1tbsp of water and 1 tbsp. of “real lemon” 3.Have the patient collect saliva in their mouth and take a base-line reading of their pH 4.Have the patient slosh the water/lemon mixture in mouth for 30 seconds and swallow 5.Wait one minute and re-measure the pH and record 6.Repeat measuring the pH every minute for the next five minutes 4

5. THE IDEAL pH REACTION 1.The pH should drop to 5.0-5.5 after the lemon the acidification agent is swallowed (2 nd reading) 2.After 1 minute the buffering should begin and the pH should rise to around 6.4 (3 rd reading) 3.After 2 minutes pH rises to 7.0 (4 th reading) 4.After 3 minutes pH rises to 7.2 (5 th reading) 5.After 4 minutes pH rises to 7.4 (6 th reading) 6.After 5 minutes pH rises to 7.5 (7 th final reading) 5

6. RESULT INDICATIONS 1.If pH is sluggish to return, it clearly demonstrates that the individual is deficient in natural buffers i.e., *magnesium (most common), sodium, potassium, calcium. 2.In this instance the patient is typically dehydrated and devoid of or lacking in fruits and vegetables in their diet (Request a 7-day food diary, schedule a consult and advise) 3.If the initial pH reading is acidic but increases after the challenge it usually indicates a hyper- sympathetic state with adrenal dysfunction (* Commonly seen in Fibromyalgia patients) 6