I.V. EDTA Chelation Therapy Consent Form

I, ________________________________ do hereby give consent to Kelowna Naturopathic Clinic and specifically to Dr. Garrett G. Swetlikoff, N.D. to perform intravenous Ca and/or MgNa2EDTA chelation therapy (“Chelation Therapy”) for the purpose of treatment of atherosclerotic disease and/or heavy metal toxicity, and/or prevention or treatment of degenerative diseases. I understand that Chelation Therapy is a standard therapy widely approved for the treatment of heavy metal toxicity: however, its usage is considered controversial for the generalized treatment of atherosclerotic vascular disease and other degenerative diseases, and the view that it is of benefit in the treatment of such disorders is accepted by a minority of the medial community and is considered “experimental” by most physicians and insurance companies. I am advised that my treating physician believes that Chelation Therapy does have positive clinical benefits. I have been informed that other treatment approaches have been used in these conditions, including but not limited to bypass surgery or angioplasty and these alternatives have been explained to me to my full satisfaction.

I understand that the benefits of Chelation Therapy are much greater if I follow a healthy lifestyle, (non-smoking, weight control, proper exercise, proper diet, and nutritional supplementation). I understand that an initial series of ____ treatments are anticipated, and that these treatments may be extended over a number of months. I have been informed that Chelation Therapy may need to be repeated from time to time in the future in order to maintain the benefits. I understand that it is my option to stop this treatment protocol at any time without incurring any further expense after I have directed that such treatment be stopped.

I have been informed of possible risks and side effects including but not limited to: discomfort at the injection site, thrombophlebitis, hypocalcemia, fatigue, muscle cramps, kidney problems including nephrotoxicity, allergic reaction, congestive heart failure, liver disease, anticoagulation, lowering of blood sugar levels and/or hypoglycemia, mineral loss and generalized complaints.

If I have suffered from any previous kidney disease, I agree to execute a medical release so that all previous identified medical records of mine may be obtained form previous treating physicians, and I have disclosed openly any known previous kidney disorders. I understand that this therapy should not be used if I am pregnant unless I have a severe like-threatening disease. I understand that if I have a history of tuberculosis, Chelation Therapy may reactivate arrested tuberculosis and I agree to inform my physician of any occurrence of this disease. I understand the nature of the proposed procedure and the risks and dangers have been explained to me to my full satisfaction. I have not been asked to discontinue care with any specialist.

While I understand that there have been no warranties, assurances or guarantees of successful treatment made to me, I desire to undergo this treatment after having considered the information contained in this document, the information provided to me through my conversations with my treating physician and through materials provided to me by the office to educate me about the treatment. I acknowledge that I had the opportunity to ask any questions of my physician with respect to the proposed therapy and the procedures to be utilized and all of my questions have been answered to my full satisfaction. I also acknowledge that I have received a copy of this signed, informed consent.

I understand that the Medical Service Plan does not pay for chelation therapy with EDTA for vascular disease and does not pay for laboratory testing after chelation therapy has been instituted. I also understand that there are very few commercial insurance companies that will pay for chelation therapy with EDTA for vascular disease.

Date: _________________________

Patients Name: ________________________________________

Patients Name: ________________________________________
Printed or Typed

Witness: _____________________________________________

Relative or Representative: _____________________________

Rlationship to the Patient: ______________________________

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    Intermittent Fasting

    food, health, plate

     Intermittent Fasting: Fasting is not starvation. Starvation is the involuntary absence of food, while fasting is the voluntary withholding of food for health or spiritual reasons.
    Fasting has been practiced by all civilizations worldwide for thousands of years.
    Intermittent fasting (IF) is an eating pattern that cycles between periods of fasting and eating. It’s not about what you eat, but more about when you eat. Fluids such as water, tea, small amounts of coffee etc. are not restricted in IF.


    These are the most popular methods:

    The 16/8 method: Also called the Leangains protocol, it involves skipping breakfast and restricting your daily eating period to 8 hours, such as between 12-8 . Then you fast for 16 hours in between, til lunch the next day. Ideally you do not want to eat later than 3 hours before bedtime.

    Eat-Stop-Eat: This involves fasting for 24 hours, once or twice a week, for example by not eating from dinner one day until dinner the next day.

    The 5:2 diet: With this method, you consume only 500–600 calories on two non-consecutive days of the week, but eat normally the other 5 days.

    IF has been shown to drop insulin levels and make insulin more sensitive. This forces more fat loss, thus assisting in weight loss. Growth hormone levels significantly rise in IF which help muscle growth and fat loss. Many immune and genetic functions balance and repair themselves with IF, leading to longevity and disease protection.

    IF can help you lose weight, reduce inflammation, improve blood sugar and insulin control, improve brain and heart health, may reduce cancer risk and overall act as an anti-aging tool.

    Pregnant, breastfeeding, underweight/eating disorder individuals and less than 18 years of age people should not IF. Diabetic, hypoglycemic, low blood pressure or seriously ill people should not IF without medical guidance or supervision.

    At KNC, we have experience with IF and assisted many through implementation and monitoring of this technique. If interested, give us a call.

    Some info above is taken from https://www.healthline.com/nutri…/intermittent-fasting-guide


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