Category: Pain / Inflammation

By Dr. Richard Z. Cheng, M.D., Ph.D.
Editor-in-Chief, Orthomolecular Medicine News Service
Adapted for RobLamberton.com


⚖️ A Landmark Discovery — And the Question It Didn’t Answer

The 2025 Nobel Prize in Medicine celebrated groundbreaking research explaining how our immune system maintains balance. Scientists discovered how regulatory T cells (Tregs) and the FOXP3 gene keep the immune system from attacking its own tissues — a molecular key to understanding tolerance and autoimmunity.

But while this discovery explains how immune balance is maintained, it leaves unanswered the deeper question:

“Why does this balance so often fail — and why now more than ever?”

That’s where Orthomolecular Medicine comes in.


🌿 The Orthomolecular Perspective: Root Cause Healing

Orthomolecular Medicine looks upstream — at what creates the imbalance in the first place.

Modern living constantly disrupts the redox–metabolic networks that regulate immune function. These aren’t random events. They are predictable biochemical consequences of nutrient depletion, oxidative stress, and toxic exposure — all products of our modern environment and lifestyle.


🍞 1️⃣ Diet: The Everyday Immune Saboteur

The Nobel Prize explained that Tregs calm inflammation.
Orthomolecular Medicine adds: a modern diet rich in processed foods, seed oils, and refined carbs silences those protectors.

High blood sugar and oxidative stress push immune cells toward inflammation. In contrast, whole-food, low-carb, antioxidant-rich diets restore balance and produce butyrate, a compound that reactivates FOXP3 — the immune system’s peacekeeper.

✅ Within weeks, better nutrition and movement can restore immune balance at its source — often achieving what billion-dollar drugs attempt to mimic.


☀️ 2️⃣ Micronutrients: The Foundation of Immune Tolerance

  • Vitamin D3 activates the FOXP3 gene through the vitamin D receptor.
  • Vitamin C helps “unmethylate” and stabilize this gene via enzyme activation.
  • Niacin (vitamin B3) and butyrate promote immune tolerance through GPR109A signaling.

When these nutrients are low — as they often are — immune regulation falters.
Replenishing them is not “alternative medicine.” It’s cellular maintenance — the foundation of immune resilience.


☣️ 3️⃣ Toxins & Stress: Breaking Redox Control

Air pollution, pesticides, plastics, and chronic stress generate oxidative injury that suppresses FOXP3 and promotes inflammatory dominance.

This toxic overload is one of the hidden autoimmune triggers of our era.
Orthomolecular detoxification — supporting liver, gut, and mitochondrial function — helps rebuild the redox terrain on which immune balance depends.


💥 The Ten Root Causes of Immune Imbalance

  1. Poor diet and metabolic stress
  2. Micronutrient deficiencies
  3. Environmental toxins
  4. Gut microbiome imbalance
  5. Hormonal dysregulation
  6. Chronic stress
  7. Physical inactivity
  8. Overmedication (polypharmacy)
  9. Epigenetic instability
  10. Early-life nutritional deficits

Across all ten, the common denominator is mitochondrial and redox injury.


🌿 How Orthomolecular Medicine Rebuilds Balance

  • Nutrition first: Real food, balanced carbs, rich in antioxidants
  • Micronutrient repletion: Vitamins C, D3, B3, Zn, Mg, Se
  • Detoxification: Reduce toxins, rebuild glutathione, repair the gut
  • Lifestyle optimization: Movement, sleep, stress recovery, hormone balance

These are not fringe therapies — they are biochemical first aid for the modern world.


💡 The Takeaway

The Nobel scientists revealed how the immune system maintains balance.
Orthomolecular Medicine explains why it fails — and how to restore it.

When we repair the terrain, FOXP3 and Tregs do what evolution designed them to do — keep us in balance naturally.


📖 Learn more at Orthomolecular.org

An exciting new technology is now available for at home breast cancer screening which uses the content from tears!

And as everyone knows breast cancer is a big concern, and the numbers support this concern:

♦️ The current incidence of breast cancer in the general U.S. population is as follows:

♦️ For 2025, an estimated 316,950 women will be diagnosed with invasive breast cancer, along with about 59,080 new cases of non-invasive (in situ) breast cancer.​

♦️ The age-adjusted incidence rate is approximately 130.8 per 100,000 women per year.​

♦️ Breast cancer represents about 15.5% of all new cancer cases in the U.S.About 1 in 8 women (13%) in the U.S. will develop breast cancer at some point in their life.​

♦️ Note: Less than 1% of cases occur in men, with about 2,800 men expected to be diagnosed in 2025.​

The screening test is available from Auria – auria.care

From the company’s website: “Tears make it clear.Large components in blood can mask small cancer markers. These components are not present in tears, making small protein biomarkers associated with cancer much easier to spot.

Auria has a sensitivity of 92%This means out of 100 women with breast cancer, Auria would classify 92 of those women as medium or high.

We have preferentially selected our algorithm to have a higher sensitivity in order to reduce the number of missed cancers.”

The company has also purposely made the screening test inexpensive ($199.00) so that it is accessible for the general population,

To review the company’s white paper and peer-reviewed papers here is the link:

auria.care

From my perspective, here are two key considerations:

♦️ This screening technology can potentially avoid radiation exposure and it has the potential to pick up warning signs much earlier vs. mammography (not to insinuate that it replaces mammography)

♦️ As an early detection technology, it allows practitioners in the functional space to work with patients to change their lifestyle and overall health which will lead to a shift in their internal terrain making it less hospitable to cancer growth!

I am pretty excited about this new technology!

What are your thoughts?

Manjistha, also known as Rubia cordifolia, is a cherished herb in the ancient science of Ayurveda. Steeped in tradition and proven through centuries of use, manjistha stands out for its remarkable ability to purify and rejuvenate the body. Let’s explore why both health professionals and wellness enthusiasts are turning to this botanical powerhouse.

I have used manjistha in drainage formulations and it is the most powerful drainage ingredient that I have worked with!

The Health Benefits of Manjistha

🩸 Natural Blood Cleanser
Manjistha is renowned for supporting healthy blood by eliminating toxins. This function not only benefits overall wellbeing but also plays a role in clearer, healthier skin.

🤸 Anti-Inflammatory Properties
Rich in natural anti-inflammatory compounds, manjistha may help manage joint pain, swelling, and various inflammatory conditions that are common in today’s fast-paced world.

🌸 Promotes Skin Glow
Traditionally used for skin conditions such as acne, eczema, and pigmentation, manjistha helps achieve a radiant, even complexion. Its cooling nature soothes rashes and irritation, making it a go-to solution for skin challenges.

💧 Lymphatic Support and Detoxification
By supporting lymphatic drainage, manjistha boosts the body’s natural detoxification process, strengthens immune function, and supports a lighter, healthier you.


Manjistha’s Role in Ayurvedic Medicine: Balancing the Doshas

Ayurveda teaches that balance among the three doshas—Vata, Pitta, and Kapha—is essential for health. Here’s how manjistha fits in:

  • Pitta Dosha:
    Manjistha has a cooling, calming effect, perfect for individuals with excess Pitta (heat). It purifies the blood, calms inflammation, and soothes conditions associated with Pitta imbalances, such as skin eruptions and irritability.
  • Kapha Dosha:
    For those with Kapha excess (congestion, sluggishness, water retention), manjistha helps stimulate lymph flow, reduce stagnation, and promote detoxification.
  • Vata Dosha:
    Although manjistha is generally cooling, it should be used cautiously in high Vata individuals, as it may aggravate coldness or dryness when used excessively.

Traditional Applications of Manjistha

  • Kwatha (Herbal Decoction):
    Used internally for cleansing the blood and supporting lymphatic health.
  • Lepa (Herbal Paste):
    Applied externally for pigmentary disorders, rashes, and other skin problems.
  • Churna (Powder):
    Consumed with honey or warm water as a daily detox for ongoing health maintenance.

Why Add Manjistha to Your Wellness Routine?
Whether you are a healthcare provider recommending herbal solutions or an individual enthusiastic about natural wellness, manjistha offers a holistic approach to purification, detoxification, and skin health.

Explore the wisdom of Ayurveda and invite manjistha into your routine for vibrant, balanced living.

If you’re a nutraceutical brand, healthcare company, or practitioner developing products in these areas, I help design and optimize formulations backed by science, efficacy, and market differentiation.

Let’s collaborate to bring advanced, evidence-informed products to life


For more insights on Ayurveda and natural health, explore my other articles at www.roblamberton.com.

#Ayurveda #Manjistha #NaturalHealing #Detox #SkinHealth #Doshas #HolisticHealth

In 2016 Dr. Marcus Zervos, head of infectious disease at Henry Ford Health in Detroit, a doctor who is about as pro-vaccine as they come crossed paths with Del Bigtree, a film producer and health journalist.

Bigtree urged Dr. Zervos to take on something public health had avoided for decades: a study comparing the health outcomes of vaccinated and unvaccinated children.

Dr. Zervos agreed – he was determined to prove Bigtree and other vaccine skeptics wrong. He vowed at the time “Whatever the results, they get published.”

But the results did not turn out like he expected!

But now the buried study and the film are now available

Here is a link where you can watch the documentary

Titled “Impact of Childhood Vaccination on Short- and Long-Term Chronic Health Outcomes in Children: A Birth Cohort Study”, this retrospective analysis dug into electronic health records from Henry Ford Health’s network—tracking 18,468 kids born 2005-2015 over a decade (up to 2020 follow-up).

✴️ Chronic illness overall: 57.4% in fully/ partially vaccinated vs. 17.4% in unvaccinated (adjusted odds ratio ~5.03, or 403% higher risk).

✴️ Neurodevelopmental disorders (ADHD, learning disabilities, tics, etc.): 4.53% in vaxxed vs. 0.9% unvaxxed (453% higher).

✴️ Autoimmune diseases: 496% elevated in vaxxed.

✴️ Asthma: 329% up; other atopics (eczema, allergies): 203% higher.

✴️ Zero cases of brain-related issues in the unvaxxed cohort, per their coding.

Natural immunity is of course the best defense against infections! However the problem is that many individuals are not healthy so they have poor natural defense so they rely on vaccines – but perhaps there are negative consequences on this reliance.

Belief in vaccines has been described by some as similar to a religion: perhaps it is time we re-evaluated our blind faith in vaccines.

What are your thoughts?

A patient comes in and presents with the following symptoms:

✅ Persistent fatigue or low energy (especially in the morning)
✅ Unexplained weight gain or difficulty losing weight
✅ Cold intolerance (feeling cold when others are comfortable)
✅ Slowed metabolism and low basal body temperature
✅ Puffy face, hands, or feet due to fluid retention
✅ Brain fog, slow thinking, poor concentration
✅ Low mood, mild depression
✅ Constipation or sluggish digestion
✅ Brittle nails or slow nail growth
✅ Muscle weakness
✅ Bradycardia
✅ Hair loss with normal labs

Diagnosis: Hypothyroidism!

Solution: Prescribe them some levothyroxine or desiccated thyroid – right?

Maybe wrong!

There are many causes/conditions that can mimic hypothyroidism such as:

1️⃣ Adrenal Dysregulation (Cortisol Imbalance)
2️⃣ Low Cellular Conversion (Deiodinase Dysfunction)
3️⃣ Chronic Inflammation / Cytokine Load
4️⃣ Mitochondrial Dysfunction
5️⃣ Insulin Resistance & Blood Sugar Dysregulation
6️⃣ Estrogen Dominance or Altered Liver Clearance
7️⃣ Nutrient Deficiencies (Especially Tyrosine, Iodine, Selenium, Iron, and B Vitamins)
8️⃣ Environmental Toxicant Load (Fluoride, Bromide, Heavy Metals)
9️⃣ Gut Dysbiosis and Endotoxin Load
10️⃣ Non-Thyroidal Illness Syndrome (NTIS)

Some key markers to look at:


❇️ Cortisol pattern (DHEA/C ratio)
❇️ Ferritin, zinc, selenium
❇️ Reverse T3
❇️ Inflammatory markers (hs-CRP, IL-6)
❇️ Sex hormone profile
❇️ Nutrient status (B vitamins, tyrosine, iodine)
❇️ Mitochondrial function markers (organic acids, lactate/pyruvate ratio)

If I was working with this patient, I would want to run them through a comprehensive panel of functional labs:

✴️ 24 hour cortisol
✴️ DHEA-S
✴️ Cortisol/DHEA ratio
✴️ Sum Cortisol: DHEA-S
✴️ Testosterone
✴️ Estradiol
✴️ Progesterone
✴️ Progesterone/Estradiol Ratio
✴️ Noon melatonin (Immune system function)
✴️ SIgA
✴️ Indican (protein digestion)
✴️Total bile acids
✴️ 8-OHdG – oxidative damage/ROS
✴️ Zonulin
✴️ Histamine
✴️ DAO (Diamine Oxidase)
✴️Histamine/DAO ratio
✴️ GI-MAP
✴️ Metabolic Typing Diet
✴️ MRT (Mediator Release Test) – food sensitivities

Combined with a detailed intake process, I would then be able to get a true picture of what is going on with this patient and then be able to design a protocol for them to help them to resolve their health issues and improve their quality of life

People are fed up with the “trial and error” approach to trying to get better! They go to their provider and they are told that their labs are within “lab range” and there is nothing wrong with them!

This is where the functional approach becomes so powerful!

If you are in the functional space, have you had similar experiences to this where you have helped patients on the “trial and error” treadmill resolve their health issues?

#healthcare #functionalmedicine #naturopathicmedicine #integrativemedicine #healthspan #nutrition #pharmaceuticals #allopathicmedicine #functionallabs #health #patientcare

Introduction

Deep in the Amazon rainforest, there’s a plant known as Iporuru (Alchornea castaneifolia) whose bark, leaves, and roots have been woven into the traditions and medicines of indigenous communities for generations. Today, as integrative health practitioners and curious health consumers seek botanicals backed by both tradition and science, Iporuru offers an intriguing case study: strong ethnobotanical use, some early lab evidence, and many open questions.

In this article, I’ll walk through its traditional roles, the early scientific underpinnings, safety cautions, and how clinicians might consider using it (with prudence).


Traditional & Ethnomedical Uses

  • Among indigenous peoples of Peru and the Amazon, Iporuru has long been used for rheumatism, arthritis, muscle pain, joint stiffness, coughs, colds, diarrhea, fertility, and as an aphrodisiac / tonic. RxList+3Rain-Tree+3Rain-Tree+3
  • The Shipibo and Candochi-Shapra tribes have used bark and roots for rheumatism. The Tikuna tribe reportedly uses bark decoctions before meals to reduce diarrhea. Rain-Tree+2Rain-Tree+2
  • In local herbal marketplaces in Peru, Iporuru is sold as remedies for arthritis and musculoskeletal complaints. Rain-Tree

Phytochemistry & Biological Actions

  • Preliminary chemical screening reveals Iporuru contains alkaloids (e.g. alchorneine), steroids, flavonoids, tannins, saponins, phenolics, xanthones, among others. Rain-Tree+1
  • Anti-inflammatory action is the most prominent mechanistic hypothesis: ethanol extracts of stembark in animal / in vitro models reduce swelling, inhibit prostaglandin synthesis, and modulate inflammation — consistent with its traditional use for joints and pain. Tropical Plants
  • Some sources also cite antifungal, antiviral and antitumor potential, though these remain speculative and insufficiently validated in human studies. Rain-Tree

Known & Unknown: Safety, Evidence Gaps & Cautions

  • There is a paucity of human clinical trials or controlled studies. Available data are largely from ethnomedicine or preclinical models.
  • Traditional sources note mild hypotensive (blood-pressure–lowering) effects, which suggests cautious use in those prone to hypotension or on antihypertensives. Rain-Tree
  • Unknowns include: interactions with drugs, effects in pregnancy or lactation, hepatotoxicity or nephrotoxicity, standardization of preparations, and consistent dosing parameters.
  • As always with less-studied botanicals: start with conservative dosing, monitor carefully, and communicate transparently with patients about uncertainties.

How Practitioners Might Responsibly Integrate It

Below is a suggested framework (in a clinical / integrative setting):

  1. Select appropriate patients — those already interested in botanical / complementary therapies, with mild-to-moderate joint discomfort not uncontrolled by standard therapies.
  2. Start small — use low-potency leaf decoctions or mild tinctures, rather than high-concentration isolates.
  3. Adjunctive role only — do not displace evidence-based standard of care (NSAIDs, physical therapy, etc.).
  4. Monitoring — track patient-reported outcomes (pain, mobility, quality of life), plus lab metrics (liver, kidney, BP) over time.
  5. Use in a learning / data collection mindset — consider sharing anonymized outcomes, adverse events, or case series to help build the evidence base.
  6. Patient education & transparency — make it clear that Iporuru is a botanical under investigation, not an approved pharmaceutical.

Final Thoughts

Iporuru stands at the crossroads of rainforest tradition and modern integrative interest. Its history as a joint / musculoskeletal tonic and anecdotal profile are compelling; its early laboratory signals intriguing. But the path ahead is long: we need human trials, standardization, safety profiling, and real-world clinical experience.

I have used Iporuru personally and in formulations and I have found it to be very effective for pain and inflammation.

As integrative clinicians, we have both opportunity and responsibility: to explore promising botanicals with curiosity and rigor, to communicate uncertainty, and to ensure patient safety. Iporuru might be a botanical to watch — but it’s not yet a frontline therapy.

If you’re a nutraceutical brand, healthcare company, or practitioner developing products in these areas, I help design and optimize formulations backed by science, efficacy, and market differentiation.

Let’s collaborate to bring advanced, evidence-informed products to life. 

#health #healthcare #herbs #medicinalherbs #functionalmedicine #naturopathicmedicine #integrativemedicine #nutraceuticals #healthspan #lifespan #naturalmedicine #herbalmedicine #nutrition #naturalhealth