" Try something else it sucks"Now THERE is an informed scientific opinion on the therapeutic outcomes of the LEAP Disease Management Program for IBS.There is an occasional patient who does of course make such a statement, just as any lifestyle modification program may suck for some people. This is because it only works if you follow it exactly as prescribed. Often, when people recidivise, the behavior nust be rationalized somehow. This is quite common in Disease State Management of any kind.Patients who do not follow the protocol, just as with ANY other treatment protocol from cancer to wart therapy, will not get the desired results. Those who follow the program as prescribed get results. If you want to know if a treatment protocol is successful ask the physicians who use it.Perhps one can contrast this "opinion" with the views of some physicians who actually treat patients daily using this method, read some other information in the links below, and if you like, ask for an information package to be sent to you. Then one can make an informed decision.One may wish first to visit the Medical Advisory Board listing to view the medico-intellectual lightweights behind the program and its ongoing development and clinical success in actual practice.
http://www.nowleap.com/about_us.html Lightweights such as...William T. Kniker, MDAmerican College of Allergy, Asthma, and Immunology: � Chairperson of Adverse Reactions to Foods Committee, now a regular member � Contributing Editor, Annals of Allergy � Co-Chairman Literature Review Committee � Member, Editorial Board & Publications Committee Annals of Allergy � Member of the International Literature Review Committee � Chairman of the International Food Allergy Symposium Committee � Co-editor of Journal Club Allergy/Immunology: monthly feature of Annuals of Allergy � Chairman of the Training Director�s Committee � Member of the Scientific & Educational Council � Member of the annuals of Allergy Liaison Committee � Member of the Food Allergy Committee � Member International Food Allergy Symposium Committee Other Professional
Activities:Scientific Member, Autism Research Center of South TexasConsultant, Merieux Institute, Miami, FLConsultant, Pharmacia Diagnostics, Piscataway, NJConsultant Immunologic Research, Lincoln Laboratories, Decatur, ILConsultant in Allergy and Immunology, U.S. ArmyAttending Immunologist, Wilford Hall, USAF Med Center _____________________________A FEW CASE SUMMARIESSubmitted by LEAP affiliate Physician, Board Certified in Gastroenterology, who did his fellowship at Johns Hopkins and has been on the faculty of (2) medical schools.Submitted byDr. Fred WilliamsGastroenterologySt. Louis, MissouriNOTE: Dr. Williams has been so impressed with the therapeutic outcomes from the LEAP program he recently accepted the appointment as LEAP�s Medical Director. So the Program is under the medical direction of a respected Board Certified Gastroenterologist.Also, an article about LEAP was published in the January 2004 issue of "The Disease Management Advisor." Anyone desiring a reprint may email me and I will be glad to mail you a reprint of the article as well as other supportive information.MNL ____________________Case # 1: Male, Irritable Bowel SyndromeThe patient is a 39 year old white male who complained of a six year history of having three to five loose, non-bloody bowel movements per day. He denied other symptoms including nausea, vomiting, constipation, weight loss, or fever. He reported that sometimes these symptoms seemed to increase with stress. He was seen by his primary care physician at which time a physical exam was unremarkable. He was placed on hyoscyamine 0.125 mg po every four hours as needed. Approximately five years ago he was referred to a gastroenterologist and underwent evaluation that included a colonoscopy with colonic biopsies, upper gastrointestinal series with small bowel follow through, stool studies for giardia antigen, Clostridium difficile toxin, ova and parasites, fecal white blood cells, and stool culture for salmonella, shigella and campylobacter. All the above studies were normal. A diagnosis of Irritable Bowel Syndrome was made and the patient was begun on dicyclomine 10 mg po twice a day. The dicyclomine initially resulted in a decrease his diarrhea. However, approximately one year later, the diarrhea worsened despite the ongoing use of dicyclomine, and the patient returned to the gastroenterologist. A complete blood count, Westergren sedimentation rate, and anti-transgluatminase IgA antibody were obtained and all were normal. The patient was told to continue the dicyclomine and use loperamide on an as needed basis. He returned approximately two years later stating that he had stopped the dicyclomine and found that if he used loperamide either once or twice a day on a regular basis his diarrhea was controlled. A decision was made to continue with loperamide and add amitriptyline 20mg po every night. Approximately, one year later the patient again presented complaining of the same symptoms. The amitriptyline was minimally effective, and the patient continued to require the frequent use of loperamide to control the diarrhea. The patient then underwent LEAP testing for food and chemical sensitivities and was counseled in a LEAP diet devoid of test-positive foods. Within two weeks the diarrhea had completely resolved and loperamide was no longer needed. He has been on the diet for six months and continues to do well. He has found that his symptoms often return when he consumes foods to which he has been found to be sensitive. ____________________Case # 2: Male, Irritable Bowel SyndromeThe patient is a 51 year old white male who has had years of left lower quadrant pain, flatulence and one to five loose bowel movements per day. His past medical history and physical exam were unremarkable. Three years ago he underwent a colonoscopy into the terminal ileum that was normal. He was placed on dicyclomine 10 mg po twice a day. The dicyclomine did not seem to be effective and the patient tried various dietary manipulations. He noted that his symptoms improved to some extent when he avoided milk products and several grains including wheat, corn, and rice. Because of the improvement of his symptoms on a wheat-free diet, he underwent an esophagogastroduodenoscopy to evaluate for celiac disease. The endoscopy including small bowel biopsies was normal. The patient then underwent LEAP testing for food and additive hypersensitivities. He was found to have several hypersensitivities including wheat and corn, but not rice. He was begun on a LEAP diet lacking in the offending foods. The patient very quickly noticed an improvement in his symptoms. He has now been on the diet for eight months and reports that he is markedly improved. His diarrhea, flatulence and cramping have decreased significantly. In addition, he previous had problems with gastroesophageal reflux and insomnia, and they have also significantly improved. _________________________Case # 3: Female, Irritable Bowel Syndrome and GERDThe patient is a 17 year old white female who has had a several year history of lower abdominal pain and cramping, diarrhea, gastroesophageal reflux, nausea, chest tightness, chronic sinusitis, headaches and allergies. The physical exam was unremarkable. An evaluation one year ago included an abdominal ultrasound, and abdominal and pelvic CAT scan which were normal. An upper gastrointestinal series showed moderate gastroesophageal reflux. An esophagogastroduodenoscopy showed grade I esophagitis and normal small bowel biopsies. The patient was started on esomeprazole 40 mg po once a day and noted a good improvement in her reflux, chest tightness and nausea. The lower abdominal pain and cramping did not improve with fiber supplementation and hyoscyamine 0.125 mg p.o. every four hours as needed. The patient tried a lactose free diet. She did not notice any improvement, but she did find that she had some improvement in her lower abdominal symptoms with the avoidance of fructose containing foods. However, a fructose hydrogen breath test did not show that the patient was fructose intolerant. The patient underwent LEAP testing for food sensitivities and was subsequently started on a LEAP oligoantigenic diet [that eliminated offending foods]. Within one month, the patient noted an improvement in her overall health with a marked decrease in her lower abdominal pain, cramping, diarrhea, heartburn, headaches, sinusitis, and chest tightness. Her level of energy has increased. She has been able to stop the esomeprazole. The patient has been on the LEAP diet for five months and continues to do well. She has noted that her symptoms quickly return when she varies from the diet and consumes any test-positive foods. ________________________Case # 4: Female, Irritable Bowel Syndrome and MigraineThe patient is a 47 year old white female who complains of years of heartburn, bloating, flatulence, diarrhea, and migraine headaches. Otherwise her history was unremarkable and her physical exam was normal. An upper endoscopy was performed that was normal. The patient was placed on ranitidine 300 mg twice a day and had good improvement in her gastroesophageal reflux symptoms but continued to complain of bloating, flatulence, and diarrhea. Fructose and lactose hydrogen breath tests were performed and were both negative. The patient underwent LEAP testing for food sensitivities and was subsequently started on a diet that eliminated offending foods. Within one month her flatulence, bloating, diarrhea, and headaches have completely resolved. She continues to take ranitidine 300 mg po twice a day but has noted less breakthrough reflux symptoms since starting the LEAP diet. She also has had less insomnia and fatigue and more energy. After five months on the diet she continues to do well, and has noted that her symptoms return if she strays from the diet. ___________________________January 20, 2003To Whom It May Concern,I have been asked to comment regarding my experience with the L.E.A.P. (Lifestyle, Eating and Performance) Program. We have been performing these tests for well over a year now and have had phenomenal results.Our most impressive results have come with Irritable Bowel Syndrome and Fibromyalgia, though we have had very impressive results as well with other conditions such as migraine, depression, and gastroesophageal reflux disease.Our experience has been a 95% or better success rate, in that this percentage of persons have either become completely symptom free or have improved in their symptomology. Reimbursement is excellent and easily obtained from private insurance companies. Signet Laboratories has been very easy to work with and are very aggressive about keeping us well stocked on supplies for these tests. Overall, our experience has been a tremendous success and I would highly recommend it to any physician who deals with any of these problems.Sincerely,W. Brad Wilson, M.D.1602 East Starr AvenueNacogdoches, Texas 75961ORIGINAL SIGNED LETTER ON FILEPosted 1.24.03
http://www.ibsgroup.org/cgi-local/ubbcgi/u...t=000407#000002 ___________________________January 28, 2003Dear [Signet],Thank you so much for introducing our practice to the LEAP Test. We have had numerous patients with symptoms to justify the test. Even more importantly, we�re getting results.In just a couple of weeks after changing their diet, patients are experiencing significant relief from their symptoms. Without LEAP Testing, food restriction was just a shot in the dark. Patients didn�t even want to try it. Now, with verifiable results, they are more willing to make lifestyle changes. The format of the Guide that comes with the test results is very informative and the patients are very impressed with the amount of information and how understandable it is.We appreciate knowing about this technology.Sincerely,Steven G. Bander, D.O.Bander Family Medical and Preventive Medicine ClinicWylie, TexasORIGINAL SIGNED LETTER ON FILE________________________�some patients self-reporetd cases __________________________posted 07-08-2002 10:42 AM I got my LEAP blood test results back two weeks ago, and have been totally "on" the diet as of just last week. The result has been very dramatic. I have had pain predominant IBS for 25 years, but up until about 5 years ago I could manage it with food, sleep, valium. Five years ago I started on a downward spiral, with bad cramping in the afternoons followed by urgent BM's. And more pain. I have been at the end of my rope for a few years now. I really don't know what to say about this...the absence of pain...????....does anyone understand that you could feel intense pleasure from just feeling pain-free, relaxed and calm within your own body?? I consider myself a real "foodie" -- love the exotic stuff--- thai, indian, italian --- but I am not even tempted by any foods right now, I am so at peace with JUST FEELING LIKE A NORMAL HUMAN BEING. That's how I feel for now. I am scared that something will happen as has happened so many times before with remedies for IBS-- my body will find a way around it and deliver the pain anyway.......I hope not. I think it's important to realize that IBS is not just one thing...I have probably three things that contribute to stomach problems....nerves, general disposition, and now I know about the food sensitivities. Right now I am just thankful, so thankful for each day without pain. My main reactive foods were black pepper, tyramine (bananas) and wheat, all of which I ate every day.
http://www.ibsgroup.org/cgi-local/ubbcgi/u...pic;f=4;t=00028 6;p=3#000106Just another in a non-stop string of successes!!! Makes it all worthwhile!
http://www.ibsgroup.org/ubb/ultimatebb.php...ic;f=4;t=000364 I'm a relative newbie to the LEAP program having had my blood drawn on April 15th (tax day) of this year. That makes it about 3 months on the program so far. Let me say that I didn't expect a great improvement ... some improvement but nothing major. I had expected to feel a bit better and hoped to reduce the medications I was taking. I had figured that if my symptoms were reduced about 20% to 30% I would be satisfied. However, I had no idea how much of a change the program would provide.The results have been nothing short of amazing! It is the best $700 (I think that's about what it cost) I've ever spent. After suffering about 30 years with IBS-D I've finally found major relief. My drug intake is reduced about 97% (Imodium and Bentyl). I rarely get 'digestive disturbances' any more and when they happen I can easily pinpoint the foods that caused it. I don't get the squirts for a week at a time anymore. Now that I know exactly what foods to avoid life is much more pleasant. I don't live from toilet-to-toilet like I used to. I'm still not like a 'normal' non-IBS-D person, but I'm doing so much better than I had been doing for many years. My recommendation: If you've got IBS-D go to the LEAP website and fill out the qualification form to see if they feel you will benefit from their program. If so, do it! It doesn't matter if insurance will pay for it or not, just find a way to get the test done. Your health and quality-of-life are worth much more than the cost of this test. Bob
http://www.ibsgroup.org/cgi-local/ubbcgi/u...f=4&t=000427#00 0015posted 09-01-2002 10:44 AM you couldn't be more right, Mike! I'm now on day five! Another normal BM (who hooooo) and I feel GREAT! I have NO pain (not any, not even a little) This is the best I have felt in YEARS!!!!!!!!!!!!!!!!!!!!!!!!!!!!!![ 09-01-2002, 10:44 AM: Message edited by: yodiss ]---------------------SuzinIt takes twice as many muscles to frown than to smile! So smile more!!!LEAP PT UPDATES*
http://www.ibsgroup.org/ubb/ultimatebb.php...ic;f=4;t=000286 LEAP and BLOOD TESTS
http://www.ibsgroup.org/ubb/ultimatebb.php...ic;f=4;t=000285 NEW THREAD: LEAPERS PROGRESS REPORT
http://www.ibsgroup.org/cgi-local/ubbcgi/u...f=4;t=000331#00 0001NEW LEAP PATIENT 6.12.02 STARTUP THREAD �YESTRDAY WAS THE DAY�
http://www.ibsgroup.org/ubb/ultimatebb.php...ic;f=4;t=000302 WHAT IS LEAP?
http://www.ibsgroup.org/ubb/ultimatebb.php...ic;f=4;t=000287 DOES LEAP WORK?
http://www.ibsgroup.org/ubb/ultimatebb.php...ic;f=4;t=000364 DISCUSSION OF LEAP PROTOCOLS WITH PROSPECT
http://www.ibsgroup.org/cgi-local/ubbcgi/u...f=5&t=000313&p=[/UR[/URL] L]LEAP DIET/RECIPE THREAD (INLCUDES JAN AND THE DIG DIS WK FINIDNGS)
http://www.ibsgroup.org/cgi-local/ubbcgi/ultimatebb.cgi?ubb=get_topic;f=4;t=00029 3;p=2#000069WHAT IS A GOOD BLAND DIET [URL=http://www.ibsgroup.org/ubb/ultimatebb.php?ubb=get_topic;f=4;t=000276][url="http://www.ibsgroup.org/ubb/ultimatebb.php?ubb=get_topic;f=4;t=000276"]http://www.ibsgroup.org/ubb/ultimatebb.php...ic;f=4;t=000276 PHYSICIAN COMMENT ON EFFECTIVENESS OF LEAP DM PROGRAM
http://www.ibsgroup.org/ubb/ultimatebb.php...ic;f=5;t=000073 PHYSICIAN REPORTS NEW LEAP SUCCESS 6/7/02
http://www.ibsgroup.org/cgi-local/ubbcgi/u...f=5&t=000356&p=[/UR[/URL] L]HELP GOT MRT RESULTS BUT NO HELP FROM MD
http://www.ibsgroup.org/cgi-local/ubbcgi/ultimatebb.cgi?ubb=get_topic;f=4;t=000320#00 0016LEAP DIET [URL=http://www.ibsgroup.org/cgi-local/ubbcgi/ultimatebb.cgi?ubb=get_topic&f=4&t=000383#00][url="http://www.ibsgroup.org/cgi-local/ubbcgi/ultimatebb.cgi?ubb=get_topic&f=4&t=000383#00"]http://www.ibsgroup.org/cgi-local/ubbcgi/u...f=4&t=000383#00 0010LEAP: PRODCUT THREAD [NEW TECHNOLOGY ETC]
http://www.ibsgroup.org/cgi-local/ubbcgi/u...f=5&t=000126&p=[/UR[/URL] L]STORY OF A LEAP FOUNDER WITH IBS
http://www.ibsgroup.org/ubb/ultimatebb.php?ubb=get_topic;f=17;t=000033LEAP???? [FROM PRODUCT BOARD] [URL=http://www.ibsgroup.org/cgi-local/ubbcgi/ultimatebb.cgi?ubb=get_topic;f=5;t=000363#00][url="http://www.ibsgroup.org/cgi-local/ubbcgi/ultimatebb.cgi?ubb=get_topic;f=5;t=000363#00"]http://www.ibsgroup.org/cgi-local/ubbcgi/u...f=5;t=000363#00 0002FOOD CRAVINGS, INTOLERANCE, IBS AND EXORPHINS
http://www.ibsgroup.org/cgi-local/ubbcgi/u...f=1;t=028290#00 0001REACTIONS TO �SAFE� FOODS?
http://www.ibsgroup.org/cgi-local/ubbcgi/u...f=4;t=000335#00 0009RELATED THREADS ON IBS DIET: Eating exactly the opposite of what you should
http://www.ibsgroup.org/cgi-local/ubbcgi/u...f=1&t=028290&p=[/UR[/URL] L]MY INSURANCE PAID
http://www.ibsgroup.org/ubb/ultimatebb.php?ubb=get_topic;f=4;t=000353WHATS UP WITH LEAP? [URL=http://www.ibsgroup.org/ubb/ultimatebb.php?ubb=get_topic;f=4;t=000389][url="http://www.ibsgroup.org/ubb/ultimatebb.php?ubb=get_topic;f=4;t=000389"]http://www.ibsgroup.org/ubb/ultimatebb.php...ic;f=4;t=000389 A NEW LEAP PATIENT 8/19/02
http://www.ibsgroup.org/ubb/ultimatebb.php...ic;f=4;t=000418 NEW 8/27/02: LEAP GOT MY RESULTSNote Immediate oral challenge confirmation of test result
http://www.ibsgroup.org/cgi-local/ubbcgi/u...f=4&t=000427#00 0006
http://www.ibsgroup.org/cgi-local/ubbcgi/u...f=4&t=000427#00 0015LEAP CREATING (good) HAVOC IN MY LIFE!!!
http://www.ibsgroup.org/ubb/ultimatebb.php...ic;f=4;t=000421 _____________MNL