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Vaccination is NOT Immunization
Prevention, Detection, Evaluation, and Treatment of High Blood
Pressure (JNC 7), introduction of a new "prehypertension”
The National High Blood Pressure Education Program Coordinating
Committee, administered by NHLBI, is a coalition of 39 major professional,
public, and voluntary organizations and seven federal agencies. The
committee last issued guidelines in 1997[2]
.
•50 years, 140 mm Hg is a "much more important“ than diastolic
BP
•risk of CVD, 115/75 mm Hg, doubles with each increment of
20/10 mm Hg
•normotensive at 55 years of age have a 90% lifetime risk for
developing hypertension
•120 to 139 mm Hg or a diastolic BP of 80 to 89 mm Hg
"prehypertensive,“
•130/80-to-139/89-mm-Hg range have twice the risk of
hypertension as those with lower values
JNC 8 guidelines include a detailed treatment algorithm
and a handy table spelling out key
differences between JNC 7 and JNC 8.
1.Does initiating therapy at specific BP thresholds improve health
outcomes?
2. Does drug treatment to specified goals improve health outcomes?
3.And do different drugs/drug classes differ in benefits and harms?
•Age 60 treat to 150/90 mm Hg
•140/90 for everybody else.
lead author on the new guidelines, Dr Paul A James (University of Iowa, Iowa City)
"So what you have is doctors who want to achieve these BP measures having
patients with 126/60 blood pressures, and when you are talking about elderly
patients, who are already taking many other medications, taking additional
drugs, and having their blood pressures pushed down that low, you have to
really question whether you are doing good."
"Don't you find it fascinating that high cholesterol and high blood
pressure are two of our most prominent risk factors for
cardiovascular disease, we've known effective therapies for
those two things for 10, 20, and in some cases 30 years, yet we
still don't know what the right treatment targets should be, or
indeed, whether we should have targets at all?"
WHAAAT???
Flu Shot Insanity
•6 months post-vaccination, 156 (6.1%) Fluzone High-Dose, 93
(7.4%) Fluzone had a serious adverse event.
•No deaths were reported within 28 days post-vaccination.
•23 deaths were reported during the period Day 29–180 post-
vaccination:
•(0.6%) among Fluzone High-Dose recipients and 7 (0.6%) among
Fluzone 1 recipients. The majority of these participants had a
medical history of cardiac, hepatic, neoplastic, renal, and/or
respiratory diseases.
• No deaths were considered to be caused by vaccination.
3,833 participants 249 serious adverse events
Fluzone / Fluzone High Dose
The high-dose flu vaccine is more effective for seniors,
according to new evidence presented at the October
meeting of the Advisory Committee on Immunization
Practices (ACIP).
..”extremely important landmark study," Dr. Greenberg told the committee
In December 2009, high-dose seasonal flu vaccine for seniors aged 65
years or older (Fluzone®) was granted accelerated approval by the FDA.
It contains 4 times more hemagglutinin per dose than the standard flu
vaccine
But it has downsides: more injection site reactions, and it is more than
double the price.
Package insert:
There are no data demonstrating clinically relevant prevention of
culture
confirmed influenza or its complications after vaccination with Fluzone
in a large-scale clinical trial, vaccine maker Sanofi Pasteur told the
Advisory Committee on Immunization Practices (ACIP) of the
Centers for Disease Control and Prevention.
Sanofi Pasteur developed Fluzone High-Dose, which delivers 4
times the antigen dose found in Fluzone,
at ONLY twice the cost!!
There were no clinical studies at the time of approval, …in actually
preventing cases of influenza or its complications in the elderly.
As part of the vaccine's approval, the FDA required Sanofi Pasteur to conduct
such a confirmatory study,
The results: case closed.
The high-dose shot was more effective in seniors.
It was 24% better at preventing flu than the standard flu shot
The study was presented by vaccine manufacturer Sanofi
Pasteur at the October ACIP meeting.
• It included 32,000 adults 65 years and older
• followed them for the past 2 flu seasons.
• All received either the standard
or high-dose flu version.
The results: case closed.
It was 24% better at preventing flu than the standard flu shot.
For seniors, the high-dose flu shot is clinically superior to
standard formulations. The company is in the process of
submitting revised labeling language to the FDA touting this
clinical superiority.
32,000 adults aged 65 of years or older
United States and Canada
2011-2012 and 2012-2013 flu seasons
•receive either Fluzone or Fluzone High-Dose
•laboratory-confirmed influenza :
•Fluzone High-Dose was 1.43%
•Fluzone was 1.89%.
•For the FDA to deem Fluzone High-Dose as superior, the vaccine
needed to demonstrate a relative efficacy rate of at least 9.1%. It
achieved a rate more than twice that — 24.2%.
Just the Facts??
Does CDC know the exact number of people who die from seasonal
flu each year?
CDC does not know exactly how many people die from seasonal flu each
year. There are several reasons for this. First, states are not required to
report individual seasonal flu cases or deaths of people older than 18 years
of age to CDC. Second, seasonal influenza is infrequently listed on death
certificates of people who die from flu-related complications. Third, many
seasonal flu-related deaths occur one or two weeks after a person’s initial
infection, either because the person may develop a secondary bacterial co-
infection …
Why does CDC estimate deaths associated with seasonal flu?
CDC feels it is important to convey the full burden of seasonal flu to the public.
Seasonal flu is a serious disease that causes illness, hospitalizations, and deaths
every year in the United States
British Medical Journal research finds that the CDC
(Centers for Disease Control) has over-reported
the amount of death associated with the flu.
2005; 331 doi: http://dx.doi.org/10.1136/bmj.331.7529.1412 (Published 8
December 2005)
Cite this as: BMJ 2005;331:1412
.
Are US flu death figures more PR than science?
 Animal reproduction studies have not been
conducted…..It is not known whether [the
vaccine] can cause fetal harm when
administered to a pregnant woman, or can
affect reproductive capacity. [The vaccine] has
not been evaluated for carcinogenic or
mutagenic potential, or for impairment of
fertility.
Dr. Tom Jefferson:
"The vaccine doesn't work very well at all. [...]
Vaccines are being used as an ideological weapon.
What you see every year as the flu is caused by 200
or 300 different agents with a vaccine against two of
them. That is simply nonsense.
Analysis and comment
Influenza vaccination: policy versus evidence
Tom Jefferson, Cochrane Vaccines Field, Anguilla
Each year enormous effort goes into producing influenza vaccines for
that specific year and delivering them to appropriate sections of the
population. Is this effort justified?
Vaccines have a massive infrastructure dependant on
Vaccine production
www.thedoctorwithin.com
www.drtenpenny.com
www.thinktwice.org
www.vaclib.org
DPT Shot Insanity
 1980 – 1995 = 92 deaths (6 per
year)
 1998 – 23 children died the
day after the vaccination
( all under 4 months old)
MMWR July 2002
 1997 = 112 falling
 1999 = 53 drowning
Acellular pertussis vaccination facilitates Bordetella
parapertussis infection in a rodent model of bordetellosis.
•Despite over 50 years of population-wide vaccination, whooping cough
incidence is on the rise.
•We show that aP vaccination helped clear B. pertussis but resulted in an
approximately 40-fold increase in B. parapertussis lung colony-forming units
(CFUs).
•vaccine-mediated facilitation of B. parapertussis …
•Further, we show that aP vaccination impedes host immunity against B.
parapertussis-measured …
•Our data raise the possibility that widespread aP
vaccination can create hosts more susceptible to B.
parapertussis infection.
journal Proceedings of the Royal Society B: Biological Sciences
Proc Biol Sci. 2010 Jul 7;277(1690):2017-25. doi:
published in the journal Proceedings of the
Royal Society Biological Sciences
•children who are vaccinated for whooping cough actually
suffer from decreased immunity and are more susceptible to
B. parapertussis infection than their unvaccinated peers.
•Vaccinated children, in essence, are the carriers of disease
when it comes to all these whooping cough outbreaks,
•infecting other mostly vaccinated children and putting massive
strain on local healthcare resources.
•unvaccinated children that remain largely healthy during
these outbreaks, as their immune systems are not crippled by
exposure to artificial vaccine antigens.
study funded by the U.S. Food and Drug Administration (FDA)
verified that the whooping cough vaccine
• does not even prevent the spread of whooping cough as
commonly claimed.
•the vaccine allowed the disease to fester inside the bodies of test
baboons for up to five weeks,
"[These findings] could explain the increase in pertussis that we're
seeing in the U.S.," admitted FDA researcher Tod Merkel,
affirming what many are now suggesting about the dangers
of the whooping cough vaccine.
Dangers of Whooping cough vaccine
exposed by FDA
Other Vaccine Insanity
two virologists, Stephen Krahling
and Joan Wlochowski have filed a
lawsuit against their former
employer and vaccine
manufacturer Merck.
“The lawsuit alleges that Merck
defrauded the U.S. for over 10
years by overstating the MMR
vaccine’s effectivenes. The
virologists claim in their lawsuit
that they ‘Witnessed firsthand the
improper testing and data
falseification in which Merck
engaged to artificially inflate the
vaccine’s efficacy findings.”
Whistleblowing virologists sue Merck for alleged
falsification of mumps data
50% of U.S. Children Have
Chronic Disease/Disorders,
21% Developmentally Disabled
Current rate of Autism 1 in 33 boys
2007 Academic Pediatrics, an estimated 43% to 54.1% of US children (32
million) have a chronic health conditions .
2011 issue of Pediatrics Between 1997 and 2008, the number of school-age
children diagnosed with autism, ADHD, or another developmental disability.
2011 Archives of General Psychiatry and it found that the U.S. has the
highest in the world lifetime rate of bipolar disorder at 4.4%
2013 autism, ADHD, or another developmental disability=amount to 21%
By 2016 60%-70% of American children, chronically ill, obesity, infertility.
22 Medical Studies That
Show Vaccines Can
Cause Autism
 molecular mimicry is an important factor in autoimmune
disease
 first published in 1985 and since that time substantial
evidence has accumulated
 causing many autoimmune diseases including: diabetes,
lupus, scleroderma, rheumatoid arthritis, multiple
sclerosis, chronic fatigue syndrome, autism
 “even though the data regarding the relation between
vaccination and autoimmune disease is conflicting some
autoimmune phenomena are clearly related to immunization”
 J.Autoimmun. 2000 feb 14(1) 1-10
1994 the Institute of Medicine concluded:
“ that there is compelling scientific evidence to
conclude that tetanus, DT and Td vaccines can cause
Guillain-Barre syndrome including death; brachial
neuritis; and death from anaphylaxis (shock).”
Denmark .03%
England .03%
France .05%
Germany .07%
Italy 3%
Japan * 2%
Netherlands .03%
Norway .03%
Sweden .03%
Bulgaria 8%
China 12%
Israel 2%
Latvia 3%
Mexico 1%
South Africa 8%
Spain 2%
United States .05%
 79 percent of all infant deaths
 71 percent of encephalopathy in infants
 92 percent of reported febrile convulsions
 88 percent of nonfebrile convulsions
 66 percent of SIDS
 99 percent of other neurological symptoms.
 Whole-cell vaccines can be more reactive than accellular vaccines.
 the culture medium for the vaccines
 numerous additives can cause allergic reactions.
 Some lots of vaccines may contain more toxins.
Pediatric Allergy & Immunology. 18(8):696-702, December 2007.
Kemp, Andrew S. 1,2
Multiple antibiotics affecting gut
Normal Abnormal
Proper nerve supply –
Get Checked for Subluxation
Regular Exercise (Daily)
Proper Nutrition (B-3, Vit C)
Sufficient Rest (Every night)
Prayer and Meditation
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Muscles and joint health
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Ibs and crohn's disease
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Headaches and migraines
Headaches and migrainesHeadaches and migraines
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Mais de John Bergman (20)

Non-Communicable Diseases
Non-Communicable DiseasesNon-Communicable Diseases
Non-Communicable Diseases
 
Mental health and nutrition
Mental health and nutritionMental health and nutrition
Mental health and nutrition
 
Headaches and migraines
Headaches and migrainesHeadaches and migraines
Headaches and migraines
 
Thoracic spine
Thoracic spineThoracic spine
Thoracic spine
 
Heal your brain from depression
Heal your brain from depressionHeal your brain from depression
Heal your brain from depression
 
Healthy blood pressure
Healthy blood pressureHealthy blood pressure
Healthy blood pressure
 
Recover from cancer diagnosis
Recover from cancer diagnosisRecover from cancer diagnosis
Recover from cancer diagnosis
 
Finding balance
Finding balance Finding balance
Finding balance
 
Autism
AutismAutism
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Deep sleep and stress
Deep sleep and stress Deep sleep and stress
Deep sleep and stress
 
Water
WaterWater
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Thoracic spine
Thoracic spineThoracic spine
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Power of plants and enzymes
Power of plants and enzymesPower of plants and enzymes
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Nervous system
Nervous system Nervous system
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Muscles and joint health
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Ibs and crohn's disease
Ibs and crohn's disease Ibs and crohn's disease
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Headaches and migraines
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Vaccine Truth

  • 1. Vaccination is NOT Immunization
  • 2. Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7), introduction of a new "prehypertension” The National High Blood Pressure Education Program Coordinating Committee, administered by NHLBI, is a coalition of 39 major professional, public, and voluntary organizations and seven federal agencies. The committee last issued guidelines in 1997[2] . •50 years, 140 mm Hg is a "much more important“ than diastolic BP •risk of CVD, 115/75 mm Hg, doubles with each increment of 20/10 mm Hg •normotensive at 55 years of age have a 90% lifetime risk for developing hypertension •120 to 139 mm Hg or a diastolic BP of 80 to 89 mm Hg "prehypertensive,“ •130/80-to-139/89-mm-Hg range have twice the risk of hypertension as those with lower values
  • 3. JNC 8 guidelines include a detailed treatment algorithm and a handy table spelling out key differences between JNC 7 and JNC 8. 1.Does initiating therapy at specific BP thresholds improve health outcomes? 2. Does drug treatment to specified goals improve health outcomes? 3.And do different drugs/drug classes differ in benefits and harms? •Age 60 treat to 150/90 mm Hg •140/90 for everybody else. lead author on the new guidelines, Dr Paul A James (University of Iowa, Iowa City) "So what you have is doctors who want to achieve these BP measures having patients with 126/60 blood pressures, and when you are talking about elderly patients, who are already taking many other medications, taking additional drugs, and having their blood pressures pushed down that low, you have to really question whether you are doing good."
  • 4. "Don't you find it fascinating that high cholesterol and high blood pressure are two of our most prominent risk factors for cardiovascular disease, we've known effective therapies for those two things for 10, 20, and in some cases 30 years, yet we still don't know what the right treatment targets should be, or indeed, whether we should have targets at all?" WHAAAT???
  • 6. •6 months post-vaccination, 156 (6.1%) Fluzone High-Dose, 93 (7.4%) Fluzone had a serious adverse event. •No deaths were reported within 28 days post-vaccination. •23 deaths were reported during the period Day 29–180 post- vaccination: •(0.6%) among Fluzone High-Dose recipients and 7 (0.6%) among Fluzone 1 recipients. The majority of these participants had a medical history of cardiac, hepatic, neoplastic, renal, and/or respiratory diseases. • No deaths were considered to be caused by vaccination. 3,833 participants 249 serious adverse events Fluzone / Fluzone High Dose
  • 7. The high-dose flu vaccine is more effective for seniors, according to new evidence presented at the October meeting of the Advisory Committee on Immunization Practices (ACIP). ..”extremely important landmark study," Dr. Greenberg told the committee In December 2009, high-dose seasonal flu vaccine for seniors aged 65 years or older (Fluzone®) was granted accelerated approval by the FDA. It contains 4 times more hemagglutinin per dose than the standard flu vaccine But it has downsides: more injection site reactions, and it is more than double the price. Package insert: There are no data demonstrating clinically relevant prevention of culture confirmed influenza or its complications after vaccination with Fluzone
  • 8. in a large-scale clinical trial, vaccine maker Sanofi Pasteur told the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention. Sanofi Pasteur developed Fluzone High-Dose, which delivers 4 times the antigen dose found in Fluzone, at ONLY twice the cost!! There were no clinical studies at the time of approval, …in actually preventing cases of influenza or its complications in the elderly. As part of the vaccine's approval, the FDA required Sanofi Pasteur to conduct such a confirmatory study, The results: case closed. The high-dose shot was more effective in seniors. It was 24% better at preventing flu than the standard flu shot
  • 9. The study was presented by vaccine manufacturer Sanofi Pasteur at the October ACIP meeting. • It included 32,000 adults 65 years and older • followed them for the past 2 flu seasons. • All received either the standard or high-dose flu version. The results: case closed. It was 24% better at preventing flu than the standard flu shot. For seniors, the high-dose flu shot is clinically superior to standard formulations. The company is in the process of submitting revised labeling language to the FDA touting this clinical superiority.
  • 10. 32,000 adults aged 65 of years or older United States and Canada 2011-2012 and 2012-2013 flu seasons •receive either Fluzone or Fluzone High-Dose •laboratory-confirmed influenza : •Fluzone High-Dose was 1.43% •Fluzone was 1.89%. •For the FDA to deem Fluzone High-Dose as superior, the vaccine needed to demonstrate a relative efficacy rate of at least 9.1%. It achieved a rate more than twice that — 24.2%. Just the Facts??
  • 11. Does CDC know the exact number of people who die from seasonal flu each year? CDC does not know exactly how many people die from seasonal flu each year. There are several reasons for this. First, states are not required to report individual seasonal flu cases or deaths of people older than 18 years of age to CDC. Second, seasonal influenza is infrequently listed on death certificates of people who die from flu-related complications. Third, many seasonal flu-related deaths occur one or two weeks after a person’s initial infection, either because the person may develop a secondary bacterial co- infection … Why does CDC estimate deaths associated with seasonal flu? CDC feels it is important to convey the full burden of seasonal flu to the public. Seasonal flu is a serious disease that causes illness, hospitalizations, and deaths every year in the United States
  • 12. British Medical Journal research finds that the CDC (Centers for Disease Control) has over-reported the amount of death associated with the flu. 2005; 331 doi: http://dx.doi.org/10.1136/bmj.331.7529.1412 (Published 8 December 2005) Cite this as: BMJ 2005;331:1412 . Are US flu death figures more PR than science?
  • 13.
  • 14.  Animal reproduction studies have not been conducted…..It is not known whether [the vaccine] can cause fetal harm when administered to a pregnant woman, or can affect reproductive capacity. [The vaccine] has not been evaluated for carcinogenic or mutagenic potential, or for impairment of fertility.
  • 15. Dr. Tom Jefferson: "The vaccine doesn't work very well at all. [...] Vaccines are being used as an ideological weapon. What you see every year as the flu is caused by 200 or 300 different agents with a vaccine against two of them. That is simply nonsense. Analysis and comment Influenza vaccination: policy versus evidence Tom Jefferson, Cochrane Vaccines Field, Anguilla Each year enormous effort goes into producing influenza vaccines for that specific year and delivering them to appropriate sections of the population. Is this effort justified?
  • 16. Vaccines have a massive infrastructure dependant on Vaccine production www.thedoctorwithin.com www.drtenpenny.com www.thinktwice.org www.vaclib.org
  • 17.
  • 19.  1980 – 1995 = 92 deaths (6 per year)  1998 – 23 children died the day after the vaccination ( all under 4 months old) MMWR July 2002  1997 = 112 falling  1999 = 53 drowning
  • 20. Acellular pertussis vaccination facilitates Bordetella parapertussis infection in a rodent model of bordetellosis. •Despite over 50 years of population-wide vaccination, whooping cough incidence is on the rise. •We show that aP vaccination helped clear B. pertussis but resulted in an approximately 40-fold increase in B. parapertussis lung colony-forming units (CFUs). •vaccine-mediated facilitation of B. parapertussis … •Further, we show that aP vaccination impedes host immunity against B. parapertussis-measured … •Our data raise the possibility that widespread aP vaccination can create hosts more susceptible to B. parapertussis infection. journal Proceedings of the Royal Society B: Biological Sciences Proc Biol Sci. 2010 Jul 7;277(1690):2017-25. doi:
  • 21. published in the journal Proceedings of the Royal Society Biological Sciences •children who are vaccinated for whooping cough actually suffer from decreased immunity and are more susceptible to B. parapertussis infection than their unvaccinated peers. •Vaccinated children, in essence, are the carriers of disease when it comes to all these whooping cough outbreaks, •infecting other mostly vaccinated children and putting massive strain on local healthcare resources. •unvaccinated children that remain largely healthy during these outbreaks, as their immune systems are not crippled by exposure to artificial vaccine antigens.
  • 22. study funded by the U.S. Food and Drug Administration (FDA) verified that the whooping cough vaccine • does not even prevent the spread of whooping cough as commonly claimed. •the vaccine allowed the disease to fester inside the bodies of test baboons for up to five weeks, "[These findings] could explain the increase in pertussis that we're seeing in the U.S.," admitted FDA researcher Tod Merkel, affirming what many are now suggesting about the dangers of the whooping cough vaccine. Dangers of Whooping cough vaccine exposed by FDA
  • 24. two virologists, Stephen Krahling and Joan Wlochowski have filed a lawsuit against their former employer and vaccine manufacturer Merck. “The lawsuit alleges that Merck defrauded the U.S. for over 10 years by overstating the MMR vaccine’s effectivenes. The virologists claim in their lawsuit that they ‘Witnessed firsthand the improper testing and data falseification in which Merck engaged to artificially inflate the vaccine’s efficacy findings.” Whistleblowing virologists sue Merck for alleged falsification of mumps data
  • 25. 50% of U.S. Children Have Chronic Disease/Disorders, 21% Developmentally Disabled Current rate of Autism 1 in 33 boys 2007 Academic Pediatrics, an estimated 43% to 54.1% of US children (32 million) have a chronic health conditions . 2011 issue of Pediatrics Between 1997 and 2008, the number of school-age children diagnosed with autism, ADHD, or another developmental disability. 2011 Archives of General Psychiatry and it found that the U.S. has the highest in the world lifetime rate of bipolar disorder at 4.4% 2013 autism, ADHD, or another developmental disability=amount to 21% By 2016 60%-70% of American children, chronically ill, obesity, infertility.
  • 26. 22 Medical Studies That Show Vaccines Can Cause Autism
  • 27.  molecular mimicry is an important factor in autoimmune disease  first published in 1985 and since that time substantial evidence has accumulated  causing many autoimmune diseases including: diabetes, lupus, scleroderma, rheumatoid arthritis, multiple sclerosis, chronic fatigue syndrome, autism  “even though the data regarding the relation between vaccination and autoimmune disease is conflicting some autoimmune phenomena are clearly related to immunization”  J.Autoimmun. 2000 feb 14(1) 1-10
  • 28. 1994 the Institute of Medicine concluded: “ that there is compelling scientific evidence to conclude that tetanus, DT and Td vaccines can cause Guillain-Barre syndrome including death; brachial neuritis; and death from anaphylaxis (shock).”
  • 29. Denmark .03% England .03% France .05% Germany .07% Italy 3% Japan * 2% Netherlands .03% Norway .03% Sweden .03% Bulgaria 8% China 12% Israel 2% Latvia 3% Mexico 1% South Africa 8% Spain 2% United States .05%
  • 30.  79 percent of all infant deaths  71 percent of encephalopathy in infants  92 percent of reported febrile convulsions  88 percent of nonfebrile convulsions  66 percent of SIDS  99 percent of other neurological symptoms.  Whole-cell vaccines can be more reactive than accellular vaccines.  the culture medium for the vaccines  numerous additives can cause allergic reactions.  Some lots of vaccines may contain more toxins. Pediatric Allergy & Immunology. 18(8):696-702, December 2007. Kemp, Andrew S. 1,2
  • 31.
  • 32.
  • 33. Multiple antibiotics affecting gut Normal Abnormal
  • 34. Proper nerve supply – Get Checked for Subluxation Regular Exercise (Daily) Proper Nutrition (B-3, Vit C) Sufficient Rest (Every night) Prayer and Meditation Keys to Restore & maintain health
  • 35. www.owners-guide.com Free 7 day Trial Free access if You Are a Bergman Family Chiropractic Patient VIDEOS Handouts Private Facebook Power Points
  • 36. www.youtube.com Johnbchiro (subject here) Reverse Arthritis Eliminate High Blood Pressure Diabetes Reverse Cancer Correct Fibromyalgia Headaches solution Sciatica Low back pain Irritable Bowel Syndrome Infertility and dysfunction RLS Restless leg Syndrome Neuropathy Be part of the Health Renaissance
  • 37. Take Action Today Disease Risk Assessment is $275.00 5 Step Disease Risk Assessment!! •Disease Proof your Body •Get Your Vitality Back •Feel Young Again •Reduce or Eliminate Your Dependency on Rx Only $20