FE & LNT Flashcards
Qualifying Question(s) for Repeated Muscle Challenge (Fatty Acids)
Contraindication
Do you have any injuries or recent surgery in these areas?
- CONTRAINDICATED
Do Chapman Reflex for Stomach/Duodenum
LNT?
Go from client’s Right to Left
6th Intercostal
A>P
1 Finger
LNT
Steps in FE Introduction
- Explain: assess organs
- Ask permission to touch
- Explain 0-10: TENDERNESS INDEX
- Check Anatomical INCH
Define Anatomical Inch
Length of CLIENT’s thumb, first joint
Do Oral pH FE (Fatty Acids)
LNT
- Qualifying Questions (2)
Use pH tape
no LNT
Do Bennett’s Reflexes (Small Intestine - Digestion)
LNT?
- From client Left
1. Landmark: Navel
2. Imagine a 2-3” CIRCLE around navel
3. Divide into 4 QUANDRANTS
4. First Round: use FLAT of FINGERS in each quadrant
5. 2nd Round, only if resistance located: palpate A>P
LNT
When LNT for Fatty Acids, always first …
Refer to Gallbladder
Do Ileocecal Valve FE (Large Intestine - Digestion)
LNT?
- Move to client’s RIGHT
1. Landmark: halfway Right ASIS & navel
2. Palpate A>P using SLIGHT circular (clockwise) motion
LNT
What organ: Chapman’s Reflex 8th, 9th, 10th Ribs
both Right and Left
Small Intestine
LNT: Digestion (Gallbladder)
Name products, in order of use
- Beta-TCP (thins bile)
2. Beta-Plus (normally for those w/o GB)
What organ: Murphy’s Sign
Liver/Gallbladder
Do Chapman’s Reflex for Small Intestine (Digestion)
LNT?
- From client Left
1. Find TIPS of the 8th, 9th, 10th Ribs
2. Tenderness BETWEEN ribs
LNT
Do Sanchez-Cuenca Test
- Client seated
- Take 60sec pulse
- Stand Up
- Wait 15-30sec
- Take 60sec pulse again
- Compare results: > 5 points = positive allergic tension
Name the different (LNT) patterns for Adrenal function (3)
- Hypo Adrenic
- Hyper Adrenic
- Switching Adrenal
LNT depends on type
Do Ridler’s Reflex HCl Point (Stomach - Digestion)
LNT?
Go from client's Right to Left Zyphoid Inferior 1" Lateral 1 Finger
No LNT
LNT: Digestion
ALWAYS work N to S
List Order of Organs and
first 3 LNT Products
- Stomach
- Gallbladder
- Pancreas
- Small Intestine
- Ileocecal Valve
- Large Intestine/Colon
1st: Water
2nd: Sea Salt
3rd: Livotrit (bitters)
LNT: Digestion (Small Intestines)
Name products, in order of use
- IPS (duodenum)
2. check workshop guide
Qualifying Question(s) for Posterium Ilium (SUGAR HANDLING)
Contraindication?
- Short Leg
1. Ever had a leg diagnosed as shorter? Which one?
2. Any back, hip, knee, or ankle injury?
CONTRAINDICATED
Do Ridler’s Reflex Enzyme Point (Pancreas - Digestion)
LNT?
Go from client's Left to Right Zyphoid Inferior 1" Lateral 1 Finger
No LNT
Do Dr.DeJarnette’s Sign for Liver (Sugar Handling)
LNT?
- Client SEATED
1. Landmark 3rd Rib, Right side
2. A>P with 1 Finger
LNT
LNT: Digestion (Pancreas)
Name products, in order of use
- Bio-6 Plus (pancreatic enzymes)
2. Bromelain Plus CLA
Qualifying Question(s) for Inguinal Ligament Tenderness
Any Contraindication?
- Show where on self
- Any discomfort?
* CONTRAINDICATED
Qualifying Question(s) for INTRODUCTION
Contraindication?
- EXPLAIN re FE and Palpitations
- Ask PERMISSION
- TENDERNESS INDEX 0-10
- Measure ANATOMICAL INCH
CANNOT perform if permission refused
List Steps: FE Exam Fundamentals
- Set Up station
- Introduction (4 items)
- Perform FE (Digestion to Fatty Acids: 18
* Know Qualifying Questions - LNT: first, explain to client how and why my choice(s)
- Explain client’s concerns to Proctor
- Explain to Proctor choice and reasoning for LNT
- LNT to completion
- Create & Explain RECOMMENDATIONS to client
Do Posterior Ilium FE (Sugar Handling)
LNT?
- Qualifying Questions (2) - contraindication
1. Visually measure any difference in length of legs at heels
LNT
Do Paradoxical Pupillary Reflex (Sugar Handling)
LNT?
- Qualifying Questions (5) - contraindication
1. Have client cover both eyes while keeping eyes open
2. Remove hand, Shine pen light
3. Check how long Pupil HOLDS and then begins to PULSE
4. Max 20sec
Score: HOLD
20+ sec = EXCELLENT
10sec then pulses = FAIR
Constricts, pulses, then enlarges after 5sec = POOR
Constricts, pulses, then enlarges immediately = FAIL
Larger Immediately = EXHAUSTION
No LNT
What organ: Chapman Reflex 6th RIGHT
Liver/Gallbladder
What organ: Ridler’s Reflex Enzyme Point
Pancreas (Digestion)
Special Note re LNT for Bennett Reflexes (what organ?)
Small Intestine
LNT only the Quadrant with HIGHEST number
Do Murphy’s Sign (Gallbladder - Digestion)
LNT?
- From client Left to Right
1. Ask client to bend knees
2. Ask client for 3 deep breaths
3. Start 1.5-2” away from ribs
4. 1st palpate: A>P
5. 2nd: Inferior to Superior + Lateral (Gallbladder)
6. 3rd BREATH: Slightly compress against tissue
7. Allow client to lower knees
No LNT
Do Chapman Reflex for Adrenals (Sugar Handling)
LNT?
* Both Right and Left Have client do a CRUNCH 1. Landmark: navel 2. 1-2" Lateral + 2" Superior 3. LOBSTER CLAWS
LNT
Do Chapman Reflex for Pancreas/Spleen (Sugar Handling)
LNT?
- Stand on client’s LEFT
- 7th Intercostal space
- A>P with 1 Finger
LNT
Do Ragland’s Postural Hypotension (Sugar Handling)
LNT?
- Qualifying Questions (3)
1. Blood Pressure Supine (both Systolic & Diastolic)
2. Blood Pressure Standing (only Systolic)
3. Measure Difference
Score: \+6-10 = EXCELLENT 0-+5 = FAIR -1-10 = POOR -11-20 = FAIL > -21 = EXHAUSTION
No LNT
Qualifying Question(s) for Paradoxical Pupillary Response (SUGAR HANDLING)
Any Contraindication?
- Eye surgery recently?
- EVER had head trauma, head injuries, neurological issues, or experienced seizures?
- Are you now wearing coloured contacts?
* CONTRAINDICATED
Do Inguinal Ligament Tenderness FE (Sugar Handling)
LNT?
- Qualifying Question (1): show on self (skip w discomfort)
- Both L & R (do Left side first, from client’s Left)
1. Landmark ASIS
2. Palpitate in violin motion from ASIS to Pubic Bone
LNT
Qualifying Question(s) for Oral pH (Fatty Acids)
Contraindication?
- Have you had anything to eat or drink past 30min?
- Tobacco, Gum, or Mints past 30min?
- Have any oral or gum infections?
Contraindicated or do later
Order of Organs tested for Sugar Handling FE
- Adrenals
- Pancreas
- Liver
First rule of LNT Liver
Always first address FAT DIGESTION
Qualifying Question(s) for Ragland’s Postural Hypotension (SUGAR HANDLING)
Contraindication?
- Do you know your regular Blood Pressure?
- Do you get dizzy upon standing from supine or seated?
- I will support you upon standing.
LNT: Digestion (Stomach)
Name additional products after first 3, in order of use
- Gastrazyme (chew)
- Betaine
- Bio-6 Plus (pancreatic enzymes)
- HCl-Plus (ONLY if Betaine AND Bio-6 work well)
Items for Set Up of FE station (12)
- Water
- Cups (zinc, water, spit)
- FE FORM
- Pen & Clipboard
- Tissue
- Stethoscope
- Blood Pressure Cuff
- Pen Light
- Zinc
- Iodine
- Q-Tips
- pH tape
Do Repeated Muscle Challenge FE (Fatty Acids)
LNT?
- Qualifying Questions (1) - contraindication
1. Postural Muscle
2. Non-Postural Muscle
Score: REPS > 20 = No Deficiency 15-19 = Mild Deficiency 9-14 = Moderate Deficiency 0-8 = Severe
LNT
FE Qualifying Questions: When? Digestion-Detoxification
@ 14 points
- Sugar Handling: RAGLAND’s HYPOTENSION
- Sugar Handling: PUPILLARY RESPONSE
- Sugar Handling: POSTERIOR ILIUM (Short Leg)
- Sugar Handling: INGUINAL LIGAMENT
- Fatty Acids: ORAL PH
- Fatty Acids: REPEATED MUSCLE CHALLENGE
- Mineral: LOWENBURGS
- Mineral: IODINE
- Mineral: ZINC
- Endocrine: MEDIAL HEEL and INSIDE ARCH
- Endocrine: CHAPMAN for OVARIES and UTERUS
- Endocrine: BREAST TENDERNESS
- Immune: TOE TOUCH
- Immune: INTERNAL HIP ROTATION
- NONE in (4) Digestion, Hydration, Cardio or Detox
LNT: Digestion (Ileocecal Valve)
Name products, in order of use
- Probiotics
2. Garlic Plus
LNT: Large Intestine
- ANYTHING that worked further North
- Chlorella Caps
- Marshmallow Root
- Slippery Elm
- Physillum Seed Husks
How to handle a Digestive Reaction to Nutritional Therapy
Support their digestion
How to handle a Sensitivity or Allergic Reaction to Nutritional Therapy
Find an alternate therapy
How to handle a Healing Reaction to Nutritional Therapy
If Mild/Moderate Symptoms: give client option to cut back dosage or work through it
If Severe: recommend the client call you
First FE examination is:
Sanchez-Cuenca (pulse twice)
Qualifying Question(s) for Lowenburg’s Test (MINERAL BALANCE)
Any Contraindications?
Any vascular or circulation problems like varicose, edema, etc
CONTRAINDICATED
Do Lowenburg’s Test (Mineral Balance)
LNT?
- ASK Qualifying Question (Contraindicated)
1. Client Seated - Leg @ 90 degree
2. Use Leg that cramps more often
3. Blood pressure cuff around largest part of Calf
4. Instruct client to let you know at ONSET of TWINGE
5. SLOWLY inflate cuff
6. Deflate immediately once threshold met
7. Wait 30sec then REPEAT
Scores:
1) > 240 = OPTIMAL
2) 200-239 = SUFFICIENT
3) 150-199 = DEFICIENT
4) < 150 = VERY DEFICIENT
LNT
Qualifying Question(s) for Iodine Status Test (MINERAL BALANCE)
Any Contraindications?
Allergies to Shellfish or Iodine?
Hashimoto?
CONTRAINDICATED
Do Iodine Status Test
LNT?
- Ask Qualifying Question (Contraindicated)
1. Apply 5cm x 5cm patch
2. Ask Client to monitor next 24 hours COMPLETELY gone
3. Will send you an Email
No LNT
Qualifying Question(s) for Zinc Status Test (MINERAL BALANCE)
Any Contraindications?
Eat or drink anything other than water within last 30min?
CONTRAINDICATED (do later)
Do Zinc Status Test
LNT?
- Ask Qualifying Question (Contraindicated)
Swirl gently in mouth, hold 30 sec, and then swallow
Scores:
1) Immediate, strong, bad taste = EXCELLENT
2) Immediate but not bad taste = FAIR
3) No immediate taste but after 10-15sec, mineral taste = POOR
4) Tastes like water = DEFICIENT
5) Tastes sweet = VERY DEFICIENT
No LNT
Do Chapmans Reflex for Kidneys (HYDRATION)
LNT?
- Similar to Chapmans for Adrenals: ChinUp andClaws
1. Navel
2. 1” Lateral + 1” Superior
3. A>P - Both R and L
LNT
Do Pituatary/Hypothalmus Point (ENDOCRINE)
LNT?
SEATED
- Locate V ridge on forehead
- Single finger A>P
No LNT
Do Costal Margins: Thyroid (ENDOCRINE)
LNT?
Approach from Above, Angled (V SHAPE) Curved Hands Start at Clavicle Rocking Motion, top to bottom Then across Bottom of Ribs Then Up the Medial of Both Ribs Check for General Tenderness
LNT
Do Chapman Reflex: Thyroid/Heart (ENDOCRINE)
LNT?
- Right side for Thyroid and Left side for Heart
FROM ABOVE
1. 2nd Intercostal Space, VERY near sternum
2. A>P
LNT
Do Pretibial Edema: Thyroid (ENDOCRINE)
LNT?
Flattest part of Tibia
1/4” - 1/3” up TIBIA from Ankle
A>P
Check for Indentation
Score:
NONE = Disappears Immediately
MILD = Disappears within 10sec
SEVERE = Remains longer than 10sec
No LNT
Qualifying Question(s) for Medial Heel & Inside Arch FE (REPRODUCTIVE)
Contraindication?
Pregnant? Any chance?
Contraindicated
Do Medial Heel and Inside Arch (Reproductive)
LNT?
- Ask Qualifying Question (Contraindicated)
MEDIAL HEEL:
1/2 way between Ankle Bone & Heel Bone
Support with other hand
Lobster Claw
INSIDE ARCH:
Gently bend foot
Apex of Arch, FEEL for “pea”
No LNT (chronic points)
Do Iliotibial Band: Chapman Reflex for Uterus/Prostate (Reproductive)
LNT?
- Support leg hard on table
- Where client’s fingers end outside of leg
- Palpate
LNT
Qualifying Question(s) for Chapman Reflex: Ovaries/Testes (REPRODUCTIVE)
Contraindications
Show where the next points are on yourself and ask if client comfortable.
Client can choose to do by self or NOT AT ALL
Do Chapman Reflex: Ovaries/Testes (Reproductive)
LNT?
- Ask Qualifying Question
1. Ask client to locate the top of PUBIC SYMPHYSIS
2. INNER Points, R & L
3. 1 Finger on each point
4. A>P
5. Then other side
LNT
Do Chapman Reflex: Uterus/Prostate (Reproductive)
LNT?
- Ask Qualifying Question
1. From Chapman Reflex for Ovaries/Testes, slide fingers over to OUTSIDE points
2. 1 Finger on each point
3. A>P
LNT
Qualifying Question(s) for Breast Tenderness FE (Reproductive)
Contraindications
For WOMEN ONLY
- Do you experience any breast tenderness during your period?
- Are you currently menstruating?
FOR ALL:
Demonstrate palpations on yourself using the PINKIE side of hands and have them copy you.
NO Contraindications
Do Breast Tenderness FE (Reproductive)
LNT?
Have client palpate around the circumference of the breast using PINKIE side of hands
LNT (for MEN, Estrogen dominance)
Do Chapman Reflex: Sinuses (IMMUNE)
LNT?
- 1st Intercostal Space (R and L)
- Cavity of sternum and clavicle
- A>P LATERALLY from sternum
- Other side
LNT
Do Chapman Reflex: Lungs (IMMUNE)
LNT?
- 3rd & 4th Intercostal Spaces (R and L)
- Very near sternum
- A>P
- Move down to 4th
- Other side
LNT
Do Histamine Point FE (IMMUNE)
LNT?
- Right Side
- 1/2 way between Xyphoid and mid-Mammary
- Locate 6th intercostal space
- Move up ONTO 5th RIB and lateral
- Point is @ 5:00 on edge of Pectoral Muscle
- A>P
- Check if muscle Contracts or Relaxes
No LNT
Qualifying Question(s) for Toe Touch FE (IMMUNE)
Contraindication
Any lower back problems or injury?
Contraindicated
Do Toe Touch FE (Immune)
LNT?
- Ask Qualifying Question
1. Feet shoulder width apart
2. Measure CM from end of fingers to floor (don’t strain)
LNT
Qualifying Question(s) for Internal Hip Rotation
Contraindication
Any ankle, hip, or knee problems?
Contraindicated
Do Internal Hip Rotation FE (Immune)
LNT?
- Ask Qualifying Question
1. Cradle ankles with each hand
2. Gently ROLL INWARD
3. Measure rotation in DEGREES
LNT
When LNT for Cardiovascular B and G Types, how do you deal with a SWITCHER?
Treat as G-Type (Hypertension)
Match Cardiovascular B and G Types to either Hypertension or Hypotension
B Type = HYPO
G Type = HYPER
Do Balance Test FE (Detoxification)
LNT?
First, Eyes OPEN
Next, Closed ONLY IF able to stand > 20sec when OPEN
Scores: 20+ sec = EXCELLENT 11-19 = SATISFACTORY 6-10 = POOR 0-5 = FAIL
No LNT
