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Fatigue
Published in Carolyn Torkelson, Catherine Marienau, Beyond Menopause, 2023
Carolyn Torkelson, Catherine Marienau
Detoxification is the body’s way of getting rid of toxins that could otherwise build up and interfere with health. The liver is the main site of whole-body detox, through various pathways that eliminate and neutralize toxins. Our bodies were designed to handle stress, detoxify chemicals, and preserve cell function, but when the burden increases, those naturally built-in systems can’t keep up with demand. Signs of poor detox include fatigue, difficulty concentrating, and unexplained aches and pains. Detoxification can be optimized by making diet and lifestyle changes to support good cellular cleaning processes.
Naturopathic Medicine and the Prevention and Treatment of Cardiovascular Disease
Published in Stephen T. Sinatra, Mark C. Houston, Nutritional and Integrative Strategies in Cardiovascular Medicine, 2022
Considering the enormous toxin burden we are facing today, detoxification must become of way of life, or toxin accumulation will inadvertently affect our health, and more importantly the health of future generations. Since the industrial revolution and the introduction of chemical fertilizers and pesticides, the level of toxins present in the air, water, and soil has skyrocketed to unprecedented levels. Heavy metals such as mercury, pesticides such as DDT, and xenoestrogens such as phthalates found in plastics have infiltrated the environment and ultimately our bodies. The amount of chemicals used for agriculture alone has increased tremendously over the last half decade, and some of these pesticides originally deemed as safe are proving to be carcinogenic.103 This massive increase in environmental toxins has put tremendous strain on our cell’s detoxification mechanisms, and consequently, toxins are being stored rather than properly excreted.
Drug Withdrawal: Recognition and Treatment
Published in Frank Lynn Iber, Alcohol and Drug Abuse as Encountered in Office Practice, 2020
A recent evaluation of inpatient versus outpatient detoxification has been published that randomized 164 low-socioeconomic-status veterans to a prospective trial and treated all with decreasing doses of oxazepam. The mean duration of treatment was significantly longer for inpatients (9.2 days) versus outpatients (6.5 days), but more inpatients completed detoxification. Neither group experienced serious medical complications of the treatment. Outcome evaluations at 1 and 6 months were similar, with significant improvement in both groups and no differences. Costs were quite different, with outpatient cost averaging $175 to $388 per patient depending upon the length and inpatient cost averaging $3319 to $3665. This study concluded that outpatient detoxification is effective and safe for patients with mild to moderate symptoms.14 An editorial places alcohol withdrawal treatment in perspective.15 Another review discusses recent improvements.16
The effect of perceived social support on quality of life in Turkish men with alcohol, opiate and cannabis use disorder
Published in Journal of Ethnicity in Substance Abuse, 2023
Nazli Ates, Basak Unubol, Engin Emrem Bestepe, Rabia Bilici
One hundred and thirtyone patients who were hospitalized at Addiction Clinic of Istanbul Erenkoy Psychiatric and Neurological Diseases Training and Research Hospital in Turkey, between January 2015 and November 2015 and diagnosed as alcohol, opiate and synthetic cannabinoid use disorder were included in the study. This unit is the inpatient treatment center for detoxification of substance addicts such as alcohol, opium, cannabis and other (cocaine, other psychostimulants, inhalants, etc.). Treatment costs of the patients are covered by the state health insurance and no additional funding was used in the study. Depending on the substance to which the individual is dependent, detoxification is provided by pharmacological treatments. In addition to pharmacological treatment, psychosocial support is provided at the center, and the mean duration of hospitalization is 3 weeks. The study was approved by the Erenköy Scientific Research Center, which is an ethics committee of the hospital.
Effects of a same-day post-detoxification residential alcohol use disorder treatment admission policy
Published in Journal of Social Work Practice in the Addictions, 2023
Benjamin H. Garland, Robert M. Mindrup, Lisa K. Zottarelli, Jill D. McCarley
Alcohol use disorders (AUDs) are highly prevalent, comorbid, and disabling conditions that are often untreated in the US population (Timko et al., 2015). According to the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions III (Grant et al., 2015), the adult twelve-month and lifetime prevalence for AUDs were 13.9% and 29.1%, respectively. However, only 19.8% of people with a lifetime instance of an AUD receive treatment. In 2009, there were 326,365 detoxification discharges for all substance use disorders (SUDs) in the United States, but only 11% of these discharges were followed by transfer to treatment (Substance Abuse and Mental Health Services Administration [SAMHSA], 2012). Furthermore, the need for detoxification is heightened for AUDs, as medical management is typically recommended during withdrawal to prevent symptoms such as autonomic instability, seizures, delirium, or death (Stotts et al., 2009). Additionally, many clinicians do not view detoxification as treatment, instead characterizing it as preparation for treatment. In fact, detoxification alone is often ineffective in achieving sustained recovery (Haley et al., 2011).
Multi-organ system failure secondary to difluoroethane toxicity in a patient “huffing” air duster: a case report
Published in Journal of Addictive Diseases, 2022
Benjamin Fogelson, David Qu, Milind Bhagat, Paul R Branca
According to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-V), inhalant use disorder is diagnosed when there is a pattern of hydrocarbon-based inhalant substance use leading to clinically significant impairment or distress.19 Furthermore, at least two symptoms, as outlined in the DSM-V, must be present within a 12-month period for the diagnosis of inhalant use disorder to be made.19 The number of diagnostic criteria or symptoms can be used to determine disorder severity.19 Treatment for inhalant use disorder starts with detoxification in an inpatient or outpatient rehabilitation facility, which is determined based on the disorder chronicity and severity.19 Detoxification is followed by psychotherapy and substance misuse techniques.19 It is recommended that co-occurring psychiatric disorders be addressed prior to inhalant use disorder. Unfortunately for many patients with inhalant use disorder, there are multiple barriers to care including limited mental health providers, transportation, homelessness, and patients’ lack of motivation to change.20 While our patient had both the healthcare resources and family support to undergo treatment for severe inhalant use disorder, she had poor insight and lacked motivation to seek help.