As we have seen, the brain uses more fuel than 
any other area in the body, and the creative brain requires a lot 
more fuel than a normal brain. Because of this, people with creative brains are the ones who get shaky or irritable if they go too long without eating. This, of course, is an adrenaline 
effect. So it’s important for them to eat frequently, every three 
or four hours. However, anyone with any type of ADHD  
requires fuel for the brain. The safest and most logical approach 
for all people with ADHD , then, is to eat a small low-glycemic 
carbohydrate meal about every three hours. For people with creative type ADHD, this timing is 
especially critical. They need to eat often because 
their brains are more active. For all people with adrenaline dominance conditions, the 
importance of eating breakfast has to be stressed. And breakfast 
needs to be a balanced meal of protein and low-glycemic 
carbohydrates. This may be a challenge at first, since excess |   121 MANA gINg Ex CESS  ADRENALINE
adrenaline can take away the appetite, so people with excess 
adrenaline conditions may be used to skipping breakfast. But 
if lunch is their first meal, it means the brain and muscles 
have gone without fuel for at least 16 hours. As a result, these 
people are most likely living on adrenaline, that is, they are 
caught in the insulin-sugar-adrenaline cycle that keeps their 
adrenaline level high. However, if they follow the protocols 
outlined here, their adrenaline levels will be significantly lower 
at night, and their appetite for breakfast will return. The brain uses more fuel than any other area in the 
body, and the creative brain requires a lot more fuel 
than a normal brain. For some people, it is also important to eat a low-glycemic 
snack just before bedtime so the brain doesn’t run out of fuel 
during the night. A bedtime snack is recommended if any of 
the following symptoms are occurring at night: tossing and 
turning, restless leg syndrome, teeth grinding, hot flashes, 
awakening through the night, or nighttime urination. Those with mixed type ADHD —showing characteristics 
of both types—need to observe the meal timing for creative 
type ADHD , since their brains also use large amounts of fuel. HORMONAL TREATMENT: PROGESTERONE
Progesterone cream, used correctly, is vital to controlling excess 
adrenaline; it represents 30 percent of achieving success with the protocol. Progesterone cream is available by prescription 
in various strengths from a compounding pharmacy, or it can 
be obtained as an over-the-counter (OTC) preparation. The object is to obtain a cream that is bio-identical, which  122  | 
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means it is identical in molecular structure to the progesterone 
produced by both men and women. The cream is made from 
a natural source, either yam or soy. If an OTC label says 
“wild yam extract” and does not also say “USP progesterone,” 
it is best to avoid that cream, since the body has no way of 
converting yam extract into progesterone. Bio-identical progesterone cream is extremely safe. I have 
never heard of anyone overdosing on progesterone in this form. Some people have an allergy to soy-based products; people with 
this allergy may develop a rash where a soy-based bio-identical 
cream is applied. Bio-identical progesterone cream is extremely 
safe. I have never heard of anyone overdosing on 
progesterone in this form. Application: How Much, When, and Where  
The initial dosage I recommend is 50 mg, three times a day, 
applied one to three minutes before breakfast, lunch, and 
dinner. Later on, doses can be adjusted downward as the 
symptoms lessen. The best way to determine if the dose is correct is to assess 
how the person is feeling. He or she should no longer be 
getting hypoglycemic (sleepy) between 3 and 4 p.m. or while 
in a car or after eating. The person may have started to lose 
weight. If excess adrenaline was a concern, the person should 
be more relaxed, sleeping better, focusing better, and less 
irritable. Premenopausal women should experience a marked 
reduction in PMS, cramps, breast tenderness, and so on. Migraine headaches and asthma should be gone.|   123 MANA gINg Ex CESS  ADRENALINE
 
The best way to determine if the dose is correct is to 
assess how the person is feeling. If the person is still getting sleepy in the afternoon, he 
or she may not be applying the cream at the right times. For 
controlling insulin, timing can be critical. The body releases 
insulin as soon as food hits the tongue, so the progesterone 
must be in the bloodstream before eating. Since progesterone 
is short-lived in the blood stream, I recommend applying 
the progesterone cream one to three minutes before a meal. The body puts out the most insulin in the afternoon, so the 
progesterone cream application just before lunch is possibly 
the most important of the day. For people who have creative type ADHD  and have 
trouble staying asleep through the night, eating a snack of low-glycemic carbohydrates just before going to bed is 
important. Progesterone cream should be applied one to three 
minutes before this bedtime snack. Perhaps the easiest site for applying the cream is the inner 
forearm. After the cream is applied, the two forearms should be rubbed together so the cream can be absorbed over a wide surface area. For people who suffer from tinnitus (ringing in 
the ear) or who get traction (tension) headaches, I recommend 
placing the cream on the back of the neck. Someone with a migraine headache may find that the headache is gone three to four minutes after applying the cream to the forearms and forehead. Avoid placing the cream over fatty areas, such as the 
abdomen or inner thighs. The forearms, the back of the neck, 
the cheeks, and the upper chest are better because in those 
areas the skin is thin and there is a good blood supply. 124  | 
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Eventually, some time after applying the cream, the level 
of progesterone in the brain will be 20 times higher than 
anywhere else. This affinity for brain tissue explains why 
progesterone has such a marked effect on neurotransmitters 
in the brain, and why it is so effective at reducing swelling 
in traumatic brain injuries. Perhaps football players, who are subject to head injuries, should be using it routinely. Notably, the incredibly high levels of progesterone that 
occur in the second and third trimesters during pregnancy 
help the fetal brain to develop. I am hoping that some day 
it will occur to neonatologists that they should be providing bio-identical progesterone to premature infants. Special Considerations When Using Progesterone 
For the most part, progesterone cream is extremely well 
tolerated. However, progesterone can significantly affect how 
the body functions, and people tend to react to hormones 
differently, so some people may experience side effects from 
progesterone. In my experience, if side effects occur, they are usually temporary. A major benefit of bio-identical creams is 
that it is easy to titrate the dose or change the area of application 
and thus reduce or avoid side effects. Side effects may include:
• Headaches and/or dizziness (extremely rare)
• Acne (uncommon)
• Sleepiness (only when used orally)
• Menstrual spotting or heavier periods 
• Nipple tenderness in women 
In most cases, progesterone cream actually eliminates the 
first three side effects listed. Women with migraine headaches 
secondary to estrogen may find that their headache disappears |   125 MANA gINg Ex CESS  ADRENALINE
within minutes after using progesterone. In the rare cases 
where headaches do occur as a side effect of progesterone, I 
recommend either temporarily reducing the dose or applying 
the cream on the inner ankle, which allows the progesterone 
to attach to many receptor sites as it moves through the 
bloodstream before reaching the head. Acne, which can be triggered by elevated testosterone, 
often improves with progesterone because the progesterone 
can lead to a decrease in testosterone production in women 
who overproduce it. This is often seen in cases of polycystic 
ovarian syndrome (PCOS). However, progesterone can also 
downregulate into other hormones including testosterone, and 
thus can cause acne. If this is the case, I would decrease the 
dose or ask the patient to apply it at her ankle. This side effect 
should eventually disappear. If the problem persists, obtaining 
a prescription for spironolactone, 25–50 mg/day, may be 
helpful. This drug can block the production of testosterone. Sleepiness or fatigue is rare as a side effect of progesterone 
cream, but it is common with any type of oral progesterone, 
including Prometrium, progesterone troches, and drops 
placed under the tongue. This is because any form of oral 
progesterone goes directly to the liver, where it converts into 
allopregnanolone, which does cause fatigue. This is why 
Prometrium is always prescribed at bedtime. With progesterone 
in cream form, on the other hand, fatigue from hypoglycemia 
is usually eliminated, since progesterone controls insulin. Because progesterone can block adrenaline, a person 
starting on progesterone cream may experience a noticeable 
loss of energy, especially if he or she has been “living on 
adrenaline” (for example, those with a type A personality). If 
thyroid levels are on the lower side of normal, excess adrenaline  126  | 
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can sometimes mask the fatigue typically associated with 
subclinical hypothyroidism. In this case, the person, when first 
starting progesterone cream, can experience significant fatigue, 
which can be eliminated by adding thyroid medication. In some people, the sudden drop in adrenaline has 
a dramatic effect on the body comparable to the sudden 
withdrawal from a psychoactive medication, and can cause 
unpleasant side effects, such as uncontrollable crying. I have 
seen this most often in people whose level of adrenaline—the 
rage and anger hormone—was very high. The crying jag is most 
likely an expression of relief and is a temporary phenomenon. Rarely, some people show an increase in adrenaline-like 
symptoms such as palpitations, nervousness, and trouble 
sleeping. The cause for this is unclear. It could be the body 
responding to the sudden drop in adrenaline by increasing 
the production of this hormone. Or it could be related to 
progesterone blocking the insulin receptor sites of brain cells, 
which in effect lowers the sugar level inside the brain cells, 
causing the release of adrenaline to raise the sugar level. In 
these cases, I recommend reducing the dose of progesterone 
temporarily, allowing the body to acclimate to it more slowly, 
and then gradually increasing the dose to an effective level. If menstrual spotting occurs when a woman starts using 
progesterone cream, or if the menstrual flow is heavier, it is often 
because the progesterone is bringing about healing of the uterus. These effects usually go away after several months. In some cases, 
progesterone can initially downregulate into estradiol (one of 
the three forms of estrogen), in which case the progesterone 
dose may actually need to be increased to balance the increase 
in estrogen. This side effect is more commonly seen when using 
a low dose (2%) over-the-counter  progesterone cream.|   127 MANA gINg Ex CESS  ADRENALINE
Women trying to conceive may want to replicate the 
hormonal pattern of the normal menstrual cycle, which means 
not using the progesterone cream from day one to day ten of 
their cycle. Because there are many progesterone receptor sites around 
the nipples, some women may experience tenderness in this 
area when first starting on progesterone cream. In these cases, 
the dose can be cut in half until the discomfort disappears 
and then returned to full dose. Progesterone causes apoptosis (death) of breast cancer 
cells. For this reason, I consider progesterone beneficial for 
women who have or have had breast cancer that is progesterone 
receptor site positive. Most oncologists would probably disagree. However, their knowledge of progesterone is usually limited to 
synthetic progestins, such as Provera (medroxyprogesterone), 
which can cause the same side effects as estrogen: breast cancer, 
blood clots, and weight gain. Bio-identical progesterone, which 
behaves in the body quite differently from synthetic progestins, 
has none of these side effects. Remarkably, the State of California has, for some reason, 
decided that bio-identical progesterone causes cancer. This is in spite of the fact that in the 70 years of its existence it has 
never been demonstrated to cause cancer. Ironically, estrogen 
is a known cancer-causing chemical, yet it is injected into 
animals to fatten them (even though injecting a carcinogenic substance into an animal for this purpose is illegal). SUPPLEMENTS FOR BRAIN HEALTH
All the hormones discussed in this book—adrenaline, 
progesterone, cortisol, and insulin—significantly influence brain 
activity. They have a strong effect on neurotransmitters in the  128  | 
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brain, such as serotonin, GABA, dopamine, and acetylcholine. Neurotransmitters act as chemical messengers and are responsible 
for how neurons (brain cells) communicate with one another. They influence memory, mood, alertness, and thinking. Every 
single external stimulus perceived through touch, smell, vision, 
taste, or hearing results in the release of neurotransmitters. All the hormones discussed in this book—
adrenaline, progesterone, cortisol, and 
insulin—have a strong effect on neurotransmitters, 
which are responsible for how brain cells 
communicate with one another. Brain cell function is affected not only by these chemical 
messengers but also by the membranes surrounding the brain 
cells. The cell membrane acts as a barrier, or gateway, that 
prevents certain harmful substances from entering the cell 
and, at the same time, allows necessary compounds inside. As is true everywhere else in the body, the chemical 
processes involved in brain function tend to run more smoothly 
when things are in balance. For a thorough explanation of 
this important subject, I highly recommend the book The 
UltraMind Solution by Mark Hyman, M.D., published in 
2008. Dr. Hyman explains that low levels of dopamine are 
associated with problems of focusing and decreased energy. Low dopamine levels have been noted in people with 
ADHD  and agitated depression—an observation that provides 
a rationale for treating these conditions with drugs like Ritalin, 
which is similar to adrenaline. Needless to say, I disagree with this approach, since, in my 
view, these people already have too much adrenaline, which |   129 MANA gINg Ex CESS  ADRENALINE
may be suppressing their production of dopamine. If this is the 
case, it would be better to lower the adrenaline level in order 
to raise the dopamine level and improve the patient’s focus. Dr. Hyman also points out that some people may be 
dopamine resistant. This is a problem that can be reversed 
through nutrition and vitamin supplementation. Providing metabolic support for the brain involves a 
combination of correct nutritional supplementation for brain cells and correct amino acid intervention to help balance neurotransmitters. A complete discussion of the 
nutritional requirements of the brain is beyond the scope of 
this book. However, the following sections discuss the key 
nutrients needed to support brain function and provide some 
fundamental recommendations to help ensure a healthy brain. FATS
Neurons require four essential fats for their cell membranes to function: 
DHA, EPA , phosphatidylcholine, and 
phosphatidylserine. “Essential” in this context means that the 
body cannot manufacture these substances; they must be obtained 
through diet or supplements. These fats, or fatty acids, are 
necessary for the formation of acetylcholine, a neurotransmitter 
that is important for our cognitive (learning) abilities as well as memory. Low levels of DHA and the other essential fatty acids 
in the brain are associated with a decline in thinking capacity 
as well as the development of Alzheimer’s disease. DHA  and EPA can be obtained by eating fish or taking 
fish oil. The other two are best obtained as supplements:
a)  Phosphatidylserine—about 300 mg per day
b)  Phosphatidylcholine—best taken in the form of  130  | 
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L-alpha glycerylphosphorylcholine (alpha-GPC), 
up to 1200 mg per day in divided doses
Another useful fat for brain cell health is coconut oil. Until recently, sugar, in the form of glucose, was regarded 
as the only source of fuel for the brain. It is now known that brain cells also use ketone bodies for energy. In fact, 
D-betahydroxybutyrate (DBH) , the primary ketone body that 
replaces sugar for energy, is called a “brain superfuel.” DBH  
is actually a better fuel for the brain than sugar. It acts as an 
antioxidant to reduce free radical damage, and it also increases 
oxygen levels in brain cells. The best source for DBH  is from 
ketone bodies obtained from the metabolism of medium-chain 
triglycerides (MCT s) derived from extra virgin coconut oil. Coconut oil benefits the brain in another way, as well. A recent finding is that some people have insulin resistance 
limited to the brain cells only—a condition called type III 
diabetes that is regarded as a major cause of Alzheimer’s. Indeed, it is not hard to imagine that high levels of insulin 
can damage brain tissue similar to the way insulin causes 
neuropathies in the lower extremities. Most remarkably, DBH  
has been shown to counteract insulin resistance in the brain. Coconut oil can be used in various ways in the diet. It 
can be added to a smoothie, used to cook eggs, or combined with vinegar as a salad dressing. The recommended dose is 1 
to 1½ tablespoons of coconut oil per day. The dose for treating 
Alzheimer’s is 3½ tablespoons per day. |   131 MANA gINg Ex CESS  ADRENALINE
PROTEINS
Neurotransmitters are made up of amino acids, which explains 
why eating protein at each meal is so important. However, 
supplementation with certain amino acids can sometimes be 
helpful, for instance, when the patient is dealing with depression 
or anxiety, in which case the aim would be to increase the 
serotonin level. Antidepressant drugs such as Prozac and Zoloft 
do this by inhibiting the reuptake of serotonin. Serotonin is the neurotransmitter that helps to make us 
less anxious and less depressed and also helps with sleep. Foods 
that increase serotonin include dates, papayas, and bananas. Foods that lower serotonin include breads, especially whole 
wheat and rye. The most common amino acid supplement used to raise 
the serotonin level is 5-hydroxytryptophan, or 5-HT P,  the 
immediate precursor to serotonin. The dosage is 50–150 mg 
in the afternoon and at bedtime. Note, however, that in order to convert  5-HTP into 
serotonin, the body must have sufficient levels of vitamin B6, folic acid, vitamin C, and magnesium. Four other supplements are also useful in controlling 
anxiety and depression, and taking any one of them is an 
alternative to taking 5-HTP. They are:
Ashwagandha—200 mg per day
Holy basil—500 mg twice a dayPassion flower—100 mg per dayL-theanine—400 mg per day
GABA , or gamma-aminobutyric acid, is the major 
inhibitory neurotransmitter in the brain. It is produced directly 
in the brain from glutamate, using a form of vitamin B6  132  | 
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known as pyridoxal-5-phosphate. A higher level of GABA  
is associated with reduced anxiety and increased relaxation. GABA  can be supplemented in the dosage of 500 mg twice 
a day. Prometrium, a form of oral progesterone mentioned 
earlier, causes sedation and drowsiness through its effect on 
GABA . Excitogens are amino acids that act as neurotransmitters, 
but in an adverse way. In large amounts they can actually 
lead to the death of brain cells. To avoid excitogen damage 
to brain cells, it is wise to limit or eliminate the use of MSG 
(monosodium glutamate) in the diet, as well as aspartame (a 
sweetener found in diet drinks under the name of NutraSweet, 
and on the tables of many restaurants in packets of Equal). OTHER NECESSARY NUTRIENTS
The following additional nutrients for the brain are listed 
in random order without any relationship to their level of 
importance. Vitamin C – Vitamin C has no known level of toxicity—in 
other words, it’s not possible to take too much—and it easily 
crosses the blood-brain barrier to get into the brain. Once 
in the brain, it helps to neutralize toxic substances, such as 
high levels of iron, copper, aluminum, lead, and mercury. It 
slows the progression of plaque development in the arteries of 
the brain by reducing inflammation, much as it does in the 
coronary arteries. I recommend using a liposomal form of this 
vitamin at a dose of 1000 mg. In this form of vitamin C, 1000 
mg is equivalent to 8000 mg because it does not get oxidized. Glutathione – The powerful antioxidant glutathione (GSH) is 
also extremely useful for detoxifying the brain of heavy metals. It is the brain’s primary defense against the damaging effects |   133 MANA gINg Ex CESS  ADRENALINE
of free radicals. Just about every serious brain condition—this 
includes Parkinson’s, Alzheimer’s, strokes, Huntington’s, and 
traumatic brain injuries—is associated with low levels of GSH. Glutathione is manufactured in the body from precursor 
amino acids plus other substances. Supplementation is limited 
because the acid in the stomach destroys it. However, there 
is an acetylated form (acetyl-glutathione) that is supposed to 
be amenable to oral administration. A liposomal preparation, 
which protects the GSH from being degraded in the stomach, 
is also available. Two other possibilities are a skin patch and intravenous 
administration. The latter should be mandatory for the serious 
brain conditions mentioned in the first paragraph. Alpha lipoic acid – Alpha lipoic acid is an effective metal 
chelator for not only the brain but also the liver. It is helpful for 
Alzheimer’s as well as other dementias. It bolsters intracellular 
GSH and readily crosses the blood-brain barrier into the brain. Used in conjunction with vitamin E, which also readily crosses 
into the brain, it has been shown to prevent damage from a 
stroke. The recommended dosage is 300 mg twice a day. Curcumin  – Curcumin, a compound found in turmeric, 
has been shown to restore memory and insulin receptors in 
the cerebral cortex. It also restores decreased GSH levels. In combination with DHA, it has been shown to improve 
Alzheimer’s dementia. Some studies indicate that it helps to 
clear the amyloid plaques found in the brains of patients with 
Alzheimer’s. Recommended dosage: 500 mg twice a day. Vitamin D3 – Vitamin D3 is necessary for normal brain 
development. Low levels of this vitamin have been linked 
to depression and Alzheimer’s. Low levels during pregnancy  134  | 
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have been linked to the development of autism in the child. There are vitamin D3 receptors on just about every cell in 
the body. The recommended dosage issued by the Institute of 
Medicine (400 IU per day) is too low. A more logical dosage is 
10,000 IU per day. Vitamin D3 is not a fat-soluble vitamin; it is 
a prohormone and therefore does not benefit from the presence 
of an oil. So it is best to avoid taking vitamin D3 in gel caps, 
since the oil in them impairs absorption to some extent. Vitamin K2, in the form of MK-7, should always be taken 
along with vitamin D3 to prevent the possibility of vitamin D 
putting calcium into blood vessels. In fact, vitamin K2 might 
even pull calcium out of blood vessels. The recommended 
dosage of MK-7 is 180 mcg per day. Resveratrol  – Resveratrol has been shown to reduce amyloid 
plaque formation in brain cells, suggesting that it may benefit 
patients with Alzheimer’s. Recommended dosage: 300–500 
mg per day. A lower dose would suffice if it is combined with 
pterostilbene. Magnesium  – Magnesium is an anti-stress supplement, 
useful for problems related to anxiety, ADHD , insomnia, and 
autism. Recommended dosage: 1000 mg per day (reduce dose 
if diarrhea occurs). Selenium – Selenium is a very valuable mineral in the body. Mostly known for its anticancer effects, it also helps the body 
to synthesize GSH, utilize essential fatty acids, and produce 
thyroid hormones. Recommended dosage: 200 mcg per day. Zinc – Zinc is an important mineral for the immune system 
and for controlling inflammation in the body and the brain. It helps DNA to function, which is fundamental to how the 
body operates. It helps with digestion and preventing food |   135 MANA gINg Ex CESS  ADRENALINE
allergies as well as eliminating heavy metals and preventing 
depression. Recommended dosage: 50 mg per day. B vitamins – B vitamins are utilized in thousands of chemical 
reactions throughout the body, so their importance should 
not be underestimated. Each one is important for the brain 
in some way. The three most important for the brain are:
Vitamin B12 – in the form of methylcobalamin. Recommended dosage: 1000–5000 mcg per day. Folic acid  – in the form of l-methylfolate. Recommended dosage: at least 800 mcg per day. Vitamin B6  – in the form of pyridoxal-5-
phosphate. Recommended dosage: 50 mg per day. Berberine  – Berberine is not a well-known supplement, but I 
suspect it will be gaining popularity. Traditionally, it has been 
used to improve utilization of glucose and help with cholesterol 
metabolism in diabetic patients. However, it is now on the list 
of supplements to help prevent Alzheimer’s. It seems to help 
prevent type III diabetes, which is insulin resistance in the 
brain. I recommend that all people with diabetes consider taking 
this supplement, as they are at increased risk of developing 
Alzheimer’s. Recommended dosage: 1000 mg per day. DIET AND SUPPLEMENTS FOR CHILDREN 
WITH ADHD OR AUTISM
Supplement recommendations for children with ADHD  or 
autism deserve special mention in this book. The brains of 
children with ADHD  or autism are extremely active. It is not 
hard to surmise that excess adrenaline, insulin, and cortisol 
could be causing irregularities in their neurotransmitters and 
damage to their neurons. 136  | 
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I am very aware of the difficulty parents often have trying 
to provide nutritional support for these children. All I can 
suggest is: do the best you can. Green vegetables are the perfect 
form of sugar for children’s brains. If these can be provided in 
the form of a green smoothie, a number of supplements can 
also be added to the mixture by opening up capsules or using 
supplements in liquid form. At minimum, I would recommend daily: vitamin D3 in 
a dose of at least 5000 IU; a B complex that includes B12 
(500 mcg), folic acid (800 mcg), and B6 (10 mg) in the forms 
mentioned earlier; and some fish oil. For children with autism, I would recommend a diet very 
high in green vegetables along with some form of digestive 
enzymes so that they can metabolize the carbohydrates to 
provide fuel for their brains. Every meal should include 
protein along with low-glycemic carbohydrates. I would also 
recommend about three tablespoons of coconut oil per day, 
along with the supplements listed in the prior paragraph. Non-communicative autistic children may have a food allergy 
to gluten or casein (found in milk products); it has been 
reported that removing these allergens from their diet often 
gets them to start talking.137 
AFTERWORDTHOUGHTS 
ON THE STANDARD OF CARE
This chapter may appear to have nothing to do with adrenaline 
dominance. However, I am including it because many of the 
ideas in this book are nontraditional and so might be considered 
outside the “standard of care.” The standard of care is defined as 
the approach that a “prudent” doctor would take to assess and 
deal with a particular medical situation. It is a legal definition, 
not a medical definition. All new ideas in medicine arise outside the standard of care. For example, in 1981, two doctors, Barry Marshall and Robin 
Warren, proposed that peptic ulcer disease was caused by the 
bacterium H. pylori , rather than from too much acid. They 
were ridiculed and attacked by the traditionalists of medicine 
for treating their patients with antibiotics. Twenty-four years 
later, in 2005, they were awarded the Nobel Prize in Medicine 
for their idea. The point is that a “prudent” doctor is often unaware of 
changes occurring in medicine and is often resistant to change. Should these doctors be the ones responsible for determining 
the standard of care? At the end of the nineteenth century, 
Semmelweiss and Lister were destroyed by their medical 
peers for suggesting that doctors should wash their hands 
prior to surgery and between child deliveries. As we are all  138  | 
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aware, washing hands is now considered fundamental to good 
medicine. Enforcing the existing standard of care runs the risk of 
impeding progress in medicine. In California, my home state, 
the medical review board has lost sight of its original mission, 
which was to protect the consumers of California from harmful 
medical practices. It has become a punishment agency, often 
going after doctors whose ideas may be considered outside 
the standard of care, even though they have not harmed any 
patients. It is a system that rewards ignorance and punishes 
new ways of thinking. Regrettably, going outside the standard of care can make 
a practitioner vulnerable to losing his or her license, even 
when he or she has caused no harm. With regard to my own 
situation, the California medical board placed me on five 
years’ probation, essentially for failing to do a pelvic exam on 
a woman I was treating for stress incontinence. At the time 
I saw her, she was receiving annual pelvic exams from both 
her internist and gynecologist and was not in need of another. To address the stress incontinence, I had the patient utilize 
bio-identical testosterone cream intravaginally, along with 
doing Kegel exercises to build up the periurethral muscles to 
eliminate the incontinence. In more than 90 percent of cases, testosterone cream plus 
Kegel exercises eliminates stress incontinence in three to six 
days. However, the “standard of care” is to prescribe a drug 
such as Detrol or Ditropan, which is rarely effective. Many 
women with this condition wind up having unsuccessful 
surgeries, which are also within the standard of care. And 
some women have vaginal meshes inserted, which are now a 
source of multiple lawsuits, and yet are still within the standard |   139 THOU gHTS ON THE S TANDARD O f CARE
of care. Since the experts that the medical review board called 
in were in the “prudent doctor” category, I wound up being 
accused of multiple departures from the standard of care 
because of these doctors’ profound lack of knowledge. One of the stipulations of my five-year probation was to 
take a clinical evaluation course called PACE at the University 
of California San Diego. It included computerized testing, 
which I passed, plus a clinical evaluation by doctors—which I 
failed. Those doctors felt that my ideas of practicing medicine, 
which are delineated here as well as in my other books, The 
Miracle of Bio-Identical Hormones and The Platt Protocol for 
Hormone Balancing , were so dangerous that I should not be 
practicing medicine. The doctors involved with PACE seem to have lost the 
ability to think or reason. If information is not provided by 
a drug company, they feel it cannot be true. The head of this 
questionable program wrote a scathing evaluation of me, even 
though he never spoke to me. In a newspaper interview, he 
indicated that he was against alternative medicine. As a result 
of this clearly bigoted assessment by PACE, my license was 
suspended. In 40 years of practice, not a single patient of mine has 
ever complained to the review board that I harmed them. In 
spite of this, the assigned deputy attorney general pursued 
me for years, attempting to manufacture as much evidence 
as she could in order to destroy me. Relying on the clinical 
incompetence of the medical board’s “experts,” she was able 
to manufacture multiple allegations against me based on 
mistruths and ignorance. Over one hundred letters expressing 
support for me were sent to the board by my patients. Some 
of these letters are included in this book. When some of my  140  | 
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patients called the board to support me, they were told that if 
they had nothing negative to say, the board was not interested. The “investigation” was clearly one-sided and a sham. I was told that none of the letters submitted in support 
of me were read, although there was apparently an exception. A physician from Washington State who spent a day with 
me in my office after I helped him eliminate his daughter’s 
postpartum depression wrote a letter on my behalf to the 
California board, saying that the day he spent with me was a 
highlight of his medical career. I suspect they read his letter because he was a doctor. In response, the California medical 
board contacted the board in Washington, who went after this 
doctor in the same manner the California board pursued me. The California board, as part of their strategy with me, 
organized a sting operation and had me arrested for talking 
to their undercover agent while my license was suspended. The charges were dropped several months later by a district 
attorney’s office in Riverside County. However, under pressure 
from the board, they were refiled by another office. At that 
point, I realized that going to trial to restore my license would 
be futile. The trials are before an administrative law judge who 
renders an opinion. It is up to the board to make the final 
decision, and I knew what that would have been. Having no funds left after having spent almost $500,000 in 
legal fees, and with no other options available to me, I agreed 
to surrender my license with the proviso that the misdemeanor 
charges would be removed. The deputy attorney general agreed 
to this request. After I signed the papers, not only did the board 
not honor the agreement, they forced the district attorney’s 
office to change the charges from a misdemeanor to a felony. The settlement judge stated that in 20 years of sitting on |   141 THOU gHTS ON THE S TANDARD O f CARE
the bench, he had never seen the medical review board pursue 
any doctor as viciously as they did me. A recent criticism of 
the board has been their inaction in going after doctors who have been sanctioned by hospitals for incompetence. The Los 
Angeles Times  has published multiple articles about doctors who 
are killing patients by overprescribing narcotic medications. Many of these doctors have had multiple complaints filed 
against them, and yet the board failed to act. An example is a 
doctor in Santa Barbara who, despite multiple complaints filed 
to the board, caused the death of 410 of his patients via drug overdoses before he was finally arrested in early 2014 by the DEA. Is it possible that the medical review board is spending more energy eliminating doctors who they feel are practicing alternative medicine than they are investigating doctors who are killing patients with drugs or in surgery? Maybe it is time for this board to redefine its understanding of the “standard of care.”
At present, the standard of care in medicine is dictated 
by the practices of the lowest common denominator of health 
care practitioners. They feel comfortable practicing within the 
cocoon of safety provided by state medical boards. These are 
traditional doctors, brainwashed by drug companies, who 
feel secure in giving out medications that often create more 
problems than the illnesses they are treating. They are reluctant 
to try anything “out of the box”; as a result, in my view, there has been no significant improvement in our approach to how 
we treat patients in the last 60 years. Doctors, for the most part, 
feel comfortable treating the symptoms of disease and give little 
thought to its causation. I do not find fault with these doctors, 
because this is how they were trained. However, the bottom line is that I can think of only a few medical conditions that  142  | 
ADRENALINE DOMINANCE
we have eliminated in the 40 years I have been in practice. As a result, doctors still approach illnesses by giving 
out Band-Aids for hypertension, diabetes, depression, 
asthma, obesity, fibromyalgia, anxiety, insomnia, etc. The 
pharmaceutical industry keeps developing new drugs, but 
these have not led to an improvement in health care. There 
is certainly a financial benefit for drug companies and also 
for physicians—just plugging in the latest drug lets them 
see more patients in less time. However, it is not good for 
the patients, who are still not well and now have more side 
effects; it is not good for state and federal government, who are 
wasting billions of dollars on expensive medications and on the 
400,000 hospitalizations per year for drug-related reactions. Insurance companies also pay for this inadequate approach, 
but they simply pass on the cost to the consumer, leading, of 
course, to higher premiums. It seems that the primary function of state medical boards, 
such as the one in California, is to prevent any progress in 
medicine that can be harmful to the business of medicine. I 
can think of nothing more destructive to medical progress 
than to put traditional doctors in the role of evaluating 
alternative ideas. Except in extremely rare instances, the only 
significant breakthroughs in the treatment of cancer have 
been via alternative medicine. Of course, these therapies are viciously assaulted by our friends at the FDA, along with the help of medical boards. As Voltaire said many years ago: “It is dangerous to be right 
in matters on which the established authorities are wrong.”
There are continuous advances in every field of medicine—
should they be eliminated or impeded (like stem cell therapy) 
because they are new? The field of bio-identical hormone therapy |   143 THOU gHTS ON THE S TANDARD O f CARE
is basically unexplored territory. Doctors do not learn about it 
during their traditional training. Therefore, the standard of care 
should not be utilized when assessing natural hormone therapy, 
because “prudent” doctors have no knowledge of it. As long as pharmaceutical companies determine the rules 
of medicine, and the FDA and medical boards enforce them, 
it is unlikely that medical doctors will be allowed to follow 
the spirit and letter of the Hippocratic Oath, which they all 
swear to at the time of graduation from medical school. EXCERPTS FROM THE HIPPOCRATIC OATH
I swear to fulfill, to the best of my ability and judgment, 
this covenant:
I will respect the hard-won scientific gains of those 
physicians in whose steps I walk, and gladly share knowledge 
as is mine with those who are to follow. I will apply, for the benefit of the sick, all measures that 
are required, avoiding those twin traps of overtreatment 
and therapeutic nihilism. [This phrase is widely believed 
to be a translation of the Latin primum non nocere , 
“first do no harm,” which in fact does not appear in the Hippocratic Oath.] I will prevent disease whenever I can, for prevention 
is preferable to cure. If I do not violate this oath, may I enjoy life and 
art, respected while I live and remembered with affection 
thereafter. May I always act so as to preserve the finest 
traditions of my calling and may I long experience the joy of healing those who seek my help. 144  | 
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The business of medicine thrives on disease and illness, 
not on wellness. This, in essence, is why there is no preventive 
medicine in this country, and why attempts are made from 
time to time to eliminate natural supplements from the 
marketplace. I suspect that the only reason that they have not 
been eliminated is that the ultimate aim of the pharmaceutical 
industry is to take over the nutriceutical companies. If that 
happens, supplements may only be available by prescription. My hope is that, in some small way, this book will help 
change how medicine is practiced. I believe that once people 
become aware that there is a healthier way to address their 
health problems, a revolutionary change in medicine will occur.145 
APPENDIX AMEAL PLAN 
TO LOWER ADRENALINE
The key to lowering adrenaline is to eliminate the underlying 
reason why the body is overproducing it. Since the brain 
uses more sugar than any other tissue in the body and must 
have sufficient fuel at all times, whenever the level of glucose 
in the brain is too low, the body releases adrenaline to raise the 
sugar level. The primary approach to managing adrenaline is 
to follow a meal plan designed to feed the body, and especially 
the brain, a steady supply of the proper amount and the right 
type of sugar (that is, from low-glycemic carbohydrates), along 
with using a bio-identical progesterone cream. Because everyone’s metabolism is different, there is no such 
thing as a one-size-fits-all meal plan. Thus the following meal 
plan should be treated as a set of guidelines, to be adjusted to 
the metabolic needs of each person’s body and brain. Even though this meal plan specifically addresses excess 
adrenaline, anyone who wants to eat healthfully can benefit 
from it. The plan will lower any excess adrenaline that may 
be contributing to stress. And because the meal plan keeps 
insulin production low, anyone with a weight problem can 
follow these guidelines to lose weight healthfully. The meal plan is based on two key principles: eating or 
drinking the right type of carbohydrates with each meal 
and paying attention to the timing of meals. Low-glycemic 
carbohydrates provide the ideal fuel for the brain. High-glycemic  146  | 
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foods—mostly refined carbohydrates such as white flour, white 
sugar, and products made with them—are digested quickly, 
which puts a lot of sugar into the bloodstream at once. This 
triggers the insulin–low sugar–adrenaline cycle that keeps 
adrenaline levels high. Low-glycemic foods—mostly unrefined 
foods, the kinds our bodies were designed to consume—are digested slowly, providing a steady supply of the right kinds of sugar into the bloodstream and then to the brain. The timing of eating is important, especially for the creative 
brain, which seems to require feeding every three hours—a 
guideline that can actually work well for anyone. Thus the 
meal plan encourages eating smaller, even half-sized, portions 
four or five times throughout the day. The brain, especially the creative brain, is working even 
while we are sleeping. So a light snack of a low-glycemic 
carbohydrate—such as green vegetables or brown rice or some 
sweet potato—just before bedtime can keep the brain from 
running out of fuel during the night. Eating correctly is the single most important factor in 
lowering adrenaline. Results are often seen in just 24 hours. MEAL PLAN GUIDELINES
WATER
If there is a magic liquid for weight loss and improved health, it 
is pure, clean water and lots of it. Water is the most abundant 
and important nutrient in the body. About 65 percent of the 
body is composed of water. Water regulates body temperature, 
transports nutrients, and builds tissues. It is required for joint 
lubrication, digestion, circulation, respiration, absorption, 
and excretion.|   147 MEAL pLAN TO L OWER A DRENALINE
Not only do you need plenty of water for optimal health, 
you need water if you want to lose fat. If you are on a diet and 
dehydrated, you will burn muscle before you burn fat. The 
body is not able to burn fat efficiently without enough water. Your level of thirst is not a good indicator of your level 
of hydration. By the time your body registers the sensation 
of thirst, you are already somewhat dehydrated. Therefore, 
you should continue to drink water throughout the day, even 
when you are not thirsty. The secret is to not let yourself get 
dehydrated in the first place. If in doubt, drink more, not less. To determine how much water you need to drink, divide 
your body weight in half. That number is the minimum 
number of ounces of water you should drink daily. SUGAR
Avoid processed sugar and anything with sugar in it. DAIRY
Avoid milk, ice cream, and flavored or sweetened yogurt. Use almond, rice, or coconut milk instead. GRAINS
Avoid foods made with refined grains (white flour) such as 
pasta, breads, pastries, and many cereals. Choose products 
made with whole grains, such as multigrain or sprouted breads 
(Ezekiel is a good brand), high fiber cereals, vegetable pasta, and flax and rice crackers. ALCOHOL
If you are serious about your health and you want maximum 
benefits from this program, alcoholic beverages should be 
eliminated. Alcohol is a potent diuretic. It draws water out of  148  | 
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the cells and increases the loss of water through the kidneys. This can cause dehydration and its associated negative effects. If you are wanting to lose weight, avoid alcohol. In the body, 
the alcohol converts into sugar, so the body will burn the 
alcohol for fuel instead of burning fat. VEGETABLES
A diet centered on fresh, raw, organic green vegetables 
(combined with lean proteins) is one of the best foundations 
for wellness (and for those trying to lose weight, an excellent 
way to get lean as quickly as possible). Green vegetables are 
the perfect sugar source for the brain. They are an excellent 
source of fibrous carbohydrates, contain relatively few calories, 
and it is virtually impossible to overeat them. Eat as many 
vegetables as you can. All varieties are good. FRUITS
Fruits are excellent to include in a healthy diet. They provide a 
type of sugar called fructose, which is not utilized by the brain. The focus should be on low-glycemic fruits in order to lessen 
insulin production. Choose among: cherries (a small amount), 
oranges (not the juice), all berries, apricots, grapefruit, kiwis, plums, peaches, pears, green apples, and green bananas. FIBER
Healthy, fiber-rich foods lower cholesterol and blood pressure, 
stabilize blood sugar levels, absorb toxins and poisons, and 
scrub the intestines, giving intestinal flora a place to colonize. Healthy choices include raw vegetables, nuts and seeds, oatmeal 
(steel cut is best), ground flaxseeds, and chia seeds. |   149 MEAL pLAN TO L OWER A DRENALINE
PROTEIN
Healthy sources of protein include: lean beef, poultry (skinless 
chicken, turkey breast), fish (including sardines), and seafood, 
as well as legumes (peas and beans) of all kinds. Raw nuts 
(especially almonds), seeds (flax, sesame, sunflower, pumpkin, 
chia), and sprouts (sunflower, broccoli, alfalfa) are all good 
sources of protein. You may also include eggs or egg whites, 
cottage cheese, and high-protein whole grains (quinoa, millet, 
amaranth). The blue-green algae “superfoods” (sea greens, 
spirulina, chlorella) supply protein, as does nutritional yeast. A vegetarian or vegan can get plenty of amino acids from the 
proteins available in vegetables, nuts, legumes, and superfoods. FATS
Fats from plant sources are essential for hormonal balance, 
proper brain function, and weight loss. Some of the healthiest 
fats come from olives, olive oil, coconuts, coconut oil, avocados, 
nuts, fish, and fish oil. GOOD (LOW-GLYCEMIC) CARBOHYDRATES  
Be sure to eat plenty of complex carbohydrates. They are filling 
and provide long-term energy. These include mixed salads, all 
low-carbohydrate vegetables (including a variety of greens), 
sprouts, brown rice, steel-cut oatmeal, plain yogurt, kefir, 
yams, and sweet potatoes. GREEN SMOOTHIES
A green smoothie is a blended drink consisting primarily of 
leafy greens like kale, collard greens, chard, spinach, lettuce, 
and wild greens, combined with fresh or frozen fruits like 
pineapple, mango, apple, pear, peaches, berries, kiwis, and  150  | 
ADRENALINE DOMINANCE
green bananas. Smoothies offer an easily digested source of 
all the nutrients from fruits and vegetables, including calcium, 
protein, vitamins, and minerals. Drink one green smoothie 
daily. Several recipes for green smoothies are provided toward 
the end of this meal plan. Sample Menu
The following are suggested meals for breakfast, lunch, and 
dinner. Experiment and eat a good variety of foods to prevent 
boredom. Drink a full glass of water with the juice of half a fresh lemon 
when you first wake up. Breakfast
• Drink a full glass of water before meal
• Apply progesterone one to three minutes before eating
• Scrambled eggs with sautéed onions and zucchini on a 
bed of baby spinach and sliced cucumbers
 Drink a full glass of water between breakfast and a morning snack. Morning Snack
• Drink a full glass of water before snack
• Half of a green smoothie
 Drink a full glass of water between morning snack  and lunch. Lunch
• Drink a full glass of water before meal
• Apply progesterone one to three minutes before eating
• Make a generous green salad with lots of chopped |   151 MEAL pLAN TO L OWER A DRENALINE
vegetables, sprinkled with nuts, seeds, or sprouts, 
topped lightly with herb-infused olive oil and lemon dressing
• Tuna fish or chicken added to the salad (optional)
• Only eat half of the salad
Drink a full glass of water between lunch and afternoon snack. Afternoon Snack
• Drink a full glass of water before snack
• Eat the other half of the salad
Dinner
• Drink a full glass of water with the juice of half a fresh lemon before meal
• Apply progesterone one to three minutes before eating
• Poached salmon
• Half a cup brown rice
• Steamed vegetables
Evening Snack
• If you need an evening snack, enjoy celery sticks with almond butter
Bedtime Snack  
If you tend to wake up during the night, try applying 
progesterone cream and eating something right before you 
go to bed, such as leftover vegetables from dinner, oatmeal, 
a green smoothie, or brown rice. You may also try a small 
amount of Greek yogurt. The following are other ideas for meals. Mix and match and get creative! 152  | 
ADRENALINE DOMINANCE
Breakfast Ideas
Eggs, scrambled with green vegetables 
No-crust spinach quiche Oatmeal with flax seeds, blueberries, or strawberries Soup Brown rice cereal with flax seeds, cinnamon, and 
slivered almonds 
Plain Greek yogurt with berries, sliced apples, and 
cinnamon
Lunch Ideas
Salad 
SoupGreen smoothie or a protein drink with fruit Burger or sandwich wrapped in  
 lettuce leaves instead of bread
Cottage cheese with berries or vegetablesAvocado, tomato, sprouts, and sliced cheese
(One possibility is to eat only half your lunch at lunchtime, 
and have the other half as your afternoon snack three 
hours later.) Dinner Ideas
Lean meat, fish, or poultry 
Green vegetables Brown rice, brown rice pasta, or sweet potato Beans Soup or stewChili with lean meat or turkey Stir-fry 
Green smoothie|   153 MEAL pLAN TO L OWER A DRENALINE
Snack Ideas
Raw vegetables dipped in nut butter or hummus 
Deviled or boiled eggs Tuna, chicken, or shrimp salad Cottage cheese Nuts and seeds Sliced apples with cinnamon Raw food bar or low-carbohydrate barBowl of mixed fruit
Making Green Smoothies
When making green smoothies, keep it simple: Use only 
low-glycemic vegetables and fruits, plus water, along with 
some protein powder. Keep the ingredient list short. Keep the 
ingredients tasty so you continue to enjoy the benefits. Use 
organic ingredients as often as possible. Fruit can be fresh or frozen. Frozen berries make a slushier 
smoothie. If you do not have a high-powered blender, avoid 
using all frozen fruit, or let frozen fruit thaw before blending. Avoid adding watermelon and other melons to smoothies; they 
are best digested on their own. Greens can be purchased in bulk or in bags. Good greens 
to use include: mixed baby greens, spinach, kale, and romaine 
lettuce. Peel, slice, and freeze green bananas, which are low in 
sugar, to use in smoothies. Adding a protein powder, preferably a vegetable protein 
powder, to all of the following recipes is recommended. The 
protein balances the carbohydrates from the vegetables and 
thereby helps to control insulin. My office makes available a  154  | 
ADRENALINE DOMINANCE
vegetable protein powder called Creative Meal Support that 
was specially formulated to help control adrenaline. Adding three tablespoons of extra virgin coconut oil to 
your smoothie is recommended. The following recipes will get you started. As you become 
familiar with making smoothies, feel free to experiment. How to Make a Basic Green Smoothie 
1. Pour one cup (or more) of water into a powerful blender. 2. Add protein powder. 3. Add chopped greens until the blender is full, and 
pulverize. 4. Add more greens to the blended greens and pulverize again. 5. Add cut up fruits in the combinations you think you will enjoy (suggested fruits are: apple, green banana, mango, and pineapple with mango) and pulverize again. 6. Add one to three tablespoons of coconut oil and briefly pulverize again. Voila! You now have a basic green smoothie. A tablespoon of freshly ground flaxseeds (buy whole seeds 
and grind in coffee grinder as needed) or whole chia seeds 
can be added to this smoothie. Adding a ripe avocado gives it 
a creamy texture and flavor. For a colder, frothier smoothie, add ice and blend. Hint: If you or your family members or children are trying 
a smoothie for the first time, use very little greens and lots of fruit to avoid a strong greens flavor. Do not add starchy vegetables to green smoothies. Starchy |   155 MEAL pLAN TO L OWER A DRENALINE
vegetables include: carrots, beets, broccoli stems, zucchini, 
cauliflower, cabbage, brussels sprouts, eggplant, pumpkin, 
squash, okra, peas, corn, and green beans. Starchy vegetables 
combine poorly with fruit and may produce gas. Always rotate the green leaves that you add to your 
smoothies. Almost all greens contain minute amounts of 
alkaloids. Small quantities of alkaloids cannot hurt you and 
actually strengthen the immune system. However, if you keep 
consuming kale, spinach, or any other single green for many 
weeks without rotation, eventually the same types of alkaloids 
can accumulate in your body and cause unwanted symptoms of poisoning. Green Smoothie Recipes
Easy Green Smoothie
8–10 oz water
2 handfuls of greens of choice½ cup fruit of choice (low-glycemic)1 tbsp of chia seeds or fresh ground flaxseedvegetable protein powder
Tastes-Like-a-V-8 Smoothie
2 cups water5 kale leaves½ avocado2 roma tomatoes3 garlic clovesJuice of ½ lime½ tsp sea salt 156  | 
ADRENALINE DOMINANCE
Tropical Delight Smoothie
11 ounces water
1–2 handfuls of greensFruit from one young coconut½ green papaya1 cup pineapple3–4 slices green banana
Very Veggie Blend
4 tomatoes  
6 stalks celery 
2 cucumbers 1 zucchini  
Handful of chopped cilantro  
1 small slice of red pepper 8–10 ounces of water
Kid-Friendly, Not Too Green Smoothie
3–4 slices of green banana
2 large rainbow chard leaves 1 heaping cup frozen cherriesEnough water to blend 
Blue Smoothie
2–3 slices of frozen green banana2 cups blueberries2 apples1 stick celery4 huge leaves of kale3 cups of water (or more to assist in blending)|   157 MEAL pLAN TO L OWER A DRENALINE
This meal plan is fairly simple to follow and certainly not 
revolutionary. The take-home message is the importance of 
eating or drinking the right type of carbohydrates with each 
meal and eating small, frequent meals through the day, including 
right before bedtime if nighttime adrenaline is a problem. 159 
APPENDIX BGLYCEMIC 
INDEX
WHAT IS THE GLYCEMIC INDEX (GI)? *
The Glycemic Index (GI) is one the best tools for fat loss. It 
measures how quickly foods break down into sugar in your 
bloodstream. High glycemic foods turn into blood sugar 
very quickly. Starchy foods like potatoes are a good example. Potatoes have such a high GI rating, it’s almost the same as 
eating table sugar. The glycemic index of green vegetables is 
zero because they convert into sugar slowly and thus stimulate 
little insulin production. Meat and most nuts contain no 
carbohydrates and thus stimulate no insulin production, so 
they also rate zero on the glycemic index scale. WHAT IS THE GLYCEMIC LOAD (GL)? The GI tells you how fast foods spike your blood sugar. But the 
GI won’t tell you how much carbohydrate per serving you’re 
getting. That’s where the Glycemic Load (GL) is a great help. It 
measures the amount of carbohydrate in each serving of food. Foods with a glycemic load under 10 are good choices—these 
foods should be your first choice for carbs. Foods that fall 
between 10 and 20 on the glycemic load scale have a moderate 
effect on your blood sugar. Foods with a glycemic load above 
20 will cause blood sugar and insulin spikes. Try to eat those foods sparingly. * The information and chart provided here are reproduced with the permission of  
Al Sears, M.D. Please refer to his website for other excellent natural health, wellness, 
and anti-aging related information: www.alsearsmd.com. 160  | 
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FOOD GI Serving Size (g) GL
CANDY/SWEETS
Honey 87 2 tbs 17.9
Jelly Beans 78 1 oz 22
Snickers Bar 68 60g (½ bar) 23
Table Sugar 68 2 tsp 7
Strawberry Jam 51 2 tbs 10.1
Peanut M&M’s 33 30g (1 oz) 5.6
Dove Dark Chocolate Bar 23 37g (1 oz) 4.4
BAKED GOODS & CEREALS
Corn Bread 110 60g (1 piece) 30.8
French Bread 95 64g (1 slice) 29.5
Corn Flakes 92 28g (1 cup) 21.1
Corn Chex 83 30g (1 cup) 20.8
Rice Krispies 82 33g (1¼ cup) 23
Corn Pops 80 31g (1 cup) 22.4
Donut (lrg. glazed) 76 75g (1 donut) 24.3
Waffle (homemade) 76 75g (1 waffle) 18.7
Grape-Nuts 75 58g (½ cup) 31.5
Bran Flakes 74 29g (¾cup) 13.3
Graham Cracker 74 14g (2 squares) 8.1
Cheerios 74 30g (1 cup) 13.3
Kaiser Roll 73 57g (1 roll) 21.2
Bagel 72 89g (¼ in.) 33
Corn Tortilla 70 24g (1 tortilla) 7.7
Melba Toast 70 12g (4 rounds) 5.6
Wheat Bread 70 28g (1 slice) 7.7
White Bread 70 25g (1 slice) 8.4|   161 gLyCEMIC  INDE x
FOOD GI Serving Size (g) GL
Kellogg’s Special K 69 31g (1 cup) 14.5
Taco Shell 68 13g (1 med) 4.8
Angel Food Cake 67 28g (1 slice) 10.7
Croissant, Butter 67 57g (1 med) 17.5
Muselix 66 55g (⅔ cup) 23.8
Oatmeal, Instant 65 234g (1 cup) 13.7
Rye  Bread, 100% Whole 65 32g (1 slice) 8.5
Rye Krisp Crackers 65 25 (1 wafer) 11.1
Raisin Bran 61 61g (1 cup) 24.4
Bran Muffin 60 113g (1 med) 30
Blueberry Muffin 59 113g (1 med) 30
Oatmeal 58 117g (½ cup) 6.4
Whole Wheat Pita 57 64g (1 pita) 17
Oatmeal Cookie 55 18g (1 large) 6
Popcorn 55 8g (1 cup) 2.8
Pound Cake, Sara Lee 54 30g (1 piece) 8.1
Vanilla Cake and 
Vanilla Frosting42 64g (1 slice) 16
Pumpernickel Bread 41 26g (1slice) 4.5
Chocolate Cake w/Chocolate Frosting38 64g (1 slice) 12.5
BEVERAGES
Gatorade Powder 78 16g (¾ scoop) 11.7
Cranberry Juice Cocktail 68 253g (1 cup) 24.5
Cola, Carbonated 63 370g (12oz can) 25.2
Orange Juice  57 249g (1 cup) 14.25
Hot Chocolate Mix 51 28g (1 packet) 11.7
Grapefruit Juice, Sweetened 48 250g (1 cup) 13.4 162  | 
ADRENALINE DOMINANCE
FOOD GI Serving Size (g) GL
Pineapple Juice 46 250g (1 cup) 14.7
Soy Milk 44 245g (1 cup) 4
Apple Juice 41 248g (1 cup) 11.9
Tomato Juice 38 243g (1 cup) 3.4
LEGUMES
Baked Beans 48 253g (1 cup) 18.2
Pinto Beans 39 171g (1 cup) 11.7
Lima Beans 31 241g (1 cup) 7.4
Chickpeas, Boiled 31 240g (1 cup) 13.3
Lentils 29 198g (1 cup) 7
Kidney Beans 27 256g (1 cup) 7
Soy Beans 20 172g (1 cup) 1.4
Peanuts 13 146g (1 cup) 1.6
VEGETABLES
Potato 104 213g (1 med) 36.4
Parsnip 97 78g (½ cup) 11.6
Carrot, Raw 92 15g (1 large) 1
Beets, Canned 64 246g (½ cup) 9.6
Corn, Yellow 55 166g (1 cup) 61.5
Sweet Potato 54 133g (1 cup) 12.4
Yam 51 136g (1 cup) 16.8
Peas, Frozen 48 72g (½ cup) 3.4
Tomato 38 123g (1 med) 1.5
Broccoli, Cooked 0 78g (½  cup) 0
Cabbage, Cooked 0 75g (½  cup) 0
Celery, Raw 0 62g (1 stalk) 0|   163 gLyCEMIC  INDE x
FOOD GI Serving Size (g) GL
Cauliflower 0 100g (1 cup) 0
Green Beans 0 135g (1 cup) 0
Mushrooms 0 70g (1 cup) 0
Spinach 0 30g (1 cup) 0
FRUIT
Watermelon 72 152g (1 cup) 7.2
Pineapple, Raw 66 155g (1 cup) 11.9
Cantaloupe 65 177g (1 cup) 7.8
Apricot, Canned 
in Light Syrup64 253g (1 cup) 24.3
Raisins 64 43g (small box) 20.5
Papaya 60 140g (1 cup) 6.6
Peaches, Canned, Heavy Syrup58 262g (1 cup) 28.4
Kiwi, w/ Skin 58 76g (1 fruit) 5.2
Fruit Cocktail, Drained 55 214g (1 cup) 19.8
Peaches, Canned, Light Syrup52 251g (1 cup) 17.7
Banana 51 118g (1 med) 12.2
Mango 51 165g (1 cup) 12.8
Orange 48 140g (1 fruit) 7.2
Pears, Canned in Pear Juice 44 248g (1 cup) 12.3
Grapes 43 92g (1 cup) 6.5
Strawberries 40 152g (1 cup) 3.6
Apples, w/ Skin 39 138g (1 med) 6.2
Pears 33 166g (1 med) 6.9
Apricot, Dried 32 130g (1 cup) 23
Prunes 29 132g (1 cup) 34.2 164  | 
ADRENALINE DOMINANCE
FOOD GI Serving Size (g) GL
Peach 28 98g (1 med) 2.2
Grapefruit 25 123g (½  fruit) 2.8
Plum 24 66g (1 fruit) 1.7
Sweet Cherries, Raw 22 117g (1 cup) 3.7
NUTS
Cashews 22 --- 0
Almonds 0 --- 0
Hazelnuts 0 --- 0
Macademia 0 --- 0
Pecans 0 --- 0
Walnuts 0 0
DAIRY
Ice Cream (Lower Fat) 47 76g (½  cup) 9.4
Pudding 44 100g (½ cup) 8.4
Milk, Whole 40 244g (1 cup) 4.4
Ice Cream 38 72g (½ cup) 6
Yogurt, Plain 36 245g (1 cup) 6.1
MEAT/PROTEIN
Beef 0 --- 0
Chicken 0 --- 0
Eggs 0 --- 0
Fish 0 --- 0
Lamb 0 --- 0
Pork 0 --- 0
Veal 0 --- 0|   165 gLyCEMIC  INDE x
FOOD GI Serving Size (g) 0
Deer–Venison 0 --- 0
Elk 0 --- 0
Buffalo 0 --- 0
Rabbit 0 --- 0
Duck 0 --- 0
Ostrich 0 --- 0
Shellfish 0 --- 0
Lobster 0 --- 0
T urkey 0 --- 0
Ham 0 --- 0
Follow these tips for Fat-Busting Meals:
• Avoid grains, including corn. • Avoid potatoes and other white foods, like white rice,  
sugar, and salt. • Try making protein the focus of each meal. It kicks your metabolism into higher gear. All meats, fish, and poultry are the real “guilt-free” foods. The protein will help you handle insulin better, build muscle, and repair tissue— all essential for staying lean and preventing diabetes. • Snack on nuts and seeds. They are a good source of  protein and have omega-3s. • Avoid processed foods, trans fats, caffeine, and high  fructose corn syrup. All increase insulin resistance. • Choose vegetables that are low glycemic. • Choose fruits such as berries and fruits that you can eat with the skin on. • Eat a high protein breakfast every morning. It will  
stabilize your blood sugar and get you off to a good start.THE MIRACLE OF BIO-IDENTICAL HORMONES
Winner of four national book awards, 
The Miracle of Bio-Identical Hormones 
is designed to help patients understand 
the importance of and rationale for 
hormone balancing. It includes patients’ 
own stories of how their lives were 
transformed by following this approach 
to wellness. The Miracle is a best-selling 
hormone book in Europe and Asia. The Miracle of Bio-Identical Hormones  
by Michael E. Platt, M.D. Clancy Lane Publishing, 2007. 219 pages. ISBN: 978-0977668328. Available in Spanish:  
El Milagro de las Hormonas  Bio-Identicas ,  
Clancy Lane Publishing, 2007. To order copies visit:  
www.plattwellness.com  and click on the image of the book. For wholesale orders of 10 or more 
($12.50 each plus shipping), phone: 760-836-3232, or e-mail: questions@plattwellness.com. Available in Germany as: Die Hormon Revolution
THE PLATT PROTOCOL FOR HORMONE BALANCING
Written for healthcare providers,  
The Platt Protocol for Hormone Balancing  
provides professionals with the 
information needed to incorporate the use of bio-identical hormones 
into their practice with confidence. It 
includes protocols for hormone usage 
to give to patients, as well as intake 
questionnaires. An entire chapter is 
dedicated to managing adrenaline. The Platt Protocol for Hormone Balancing 
by Michael E. Platt, M.D. Clancy Lane Publishing, 2012. 124 pages. ISBN: 978-0615649405. To order copies visit:  
www.plattwellness.com  and click on the image of the book. PLATT PRO 5%
Natural Progesterone Cream
Platt Pro 5% is a natural, bio-identical progesterone 
cream specially formulated by Dr. Platt to provide 
maximal effectiveness. The large, 3-ounce pump 
container provides 50 mg of progesterone per pump, 
the initial dose Dr. Platt recommends. The cream is available at www.plattwellness.com. (Click on the image of Platt Pro 5%.) An information sheet on progesterone  and a protocol explaining how to use  Platt Pro 5% are available to download. Price: $42 for a single bottle, or $117 for three. Platt Pro 5% is available at a wholesale price for 
practitioners interested in providing their clients or patients with the benefits of progesterone. For further information about 
Dr. Platt and his work:
website:  www.plattwellness.com
e-mail: questions@plattwellness.com  
phone:  760-836-3232
AdrenalineDominance_eBook.txt
Summarize the following text section accurately and concisely. Maintain specific details and numerical information, and use anti-repetition mechanisms:

        As we have seen, the brain uses more fuel than 
any other area in the body, and the creative brain requires a lot 
more fuel than a normal brain. Because of this, people with creative brains are the ones who get shaky or irritable if they go too long without eating. This, of course, is an adrenaline 
effect. So it’s important for them to eat frequently, every three 
or four hours. However, anyone with any type of ADHD  
requires fuel for the brain. The safest and most logical approach 
for all people with ADHD, then, is to eat a small low-glycemic 
carbohydrate meal about every three hours. For people with creative type ADHD, this timing is 
especially critical. They need to eat often because 
their brains are more active. For all people with adrenaline dominance conditions, the 
importance of eating breakfast has to be stressed. And breakfast 
needs to be a balanced meal of protein and low-glycemic 
carbohydrates. This may be a challenge at first, since excess |   121 MANA gINg Ex CESS  ADRENALINE
adrenaline can take away the appetite, so people with excess 
adrenaline conditions may be used to skipping breakfast. But 
if lunch is their first meal, it means the brain and muscles 
have gone without fuel for at least 16 hours. As a result, these 
people are most likely living on adrenaline, that is, they are 
caught in the insulin-sugar-adrenaline cycle that keeps their 
adrenaline level high. However, if they follow the protocols 
outlined here, their adrenaline levels will be significantly lower 
at night, and their appetite for breakfast will return. The brain uses more fuel than any other area in the 
body, and the creative brain requires a lot more fuel 
than a normal brain. For some people, it is also important to eat a low-glycemic 
snack just before bedtime so the brain doesn’t run out of fuel 
during the night. A bedtime snack is recommended if any of 
the following symptoms are occurring at night: tossing and 
turning, restless leg syndrome, teeth grinding, hot flashes, 
awakening through the night, or nighttime urination. Those with mixed type ADHD —showing characteristics 
of both types—need to observe the meal timing for creative 
type ADHD, since their brains also use large amounts of fuel. HORMONAL TREATMENT: PROGESTERONE
Progesterone cream, used correctly, is vital to controlling excess 
adrenaline; it represents 30 percent of achieving success with the protocol. Progesterone cream is available by prescription 
in various strengths from a compounding pharmacy, or it can 
be obtained as an over-the-counter (OTC) preparation. The object is to obtain a cream that is bio-identical, which  122  | 
ADRENALINE DOMINANCE
means it is identical in molecular structure to the progesterone 
produced by both men and women. The cream is made from 
a natural source, either yam or soy. If an OTC label says 
“wild yam extract” and does not also say “USP progesterone,” 
it is best to avoid that cream, since the body has no way of 
converting yam extract into progesterone. Bio-identical progesterone cream is extremely safe. I have 
never heard of anyone overdosing on progesterone in this form. Some people have an allergy to soy-based products; people with 
this allergy may develop a rash where a soy-based bio-identical 
cream is applied. Bio-identical progesterone cream is extremely 
safe. I have never heard of anyone overdosing on 
progesterone in this form. Application: How Much, When, and Where  
The initial dosage I recommend is 50 mg, three times a day, 
applied one to three minutes before breakfast, lunch, and 
dinner. Later on, doses can be adjusted downward as the 
symptoms lessen. The best way to determine if the dose is correct is to assess 
how the person is feeling. He or she should no longer be 
getting hypoglycemic (sleepy) between 3 and 4 p. m. or while 
in a car or after eating. The person may have started to lose 
weight. If excess adrenaline was a concern, the person should 
be more relaxed, sleeping better, focusing better, and less 
irritable. Premenopausal women should experience a marked 
reduction in PMS, cramps, breast tenderness, and so on. Migraine headaches and asthma should be gone. |   123 MANA gINg Ex CESS  ADRENALINE
 
The best way to determine if the dose is correct is to 
assess how the person is feeling. If the person is still getting sleepy in the afternoon, he 
or she may not be applying the cream at the right times. For 
controlling insulin, timing can be critical. The body releases 
insulin as soon as food hits the tongue, so the progesterone 
must be in the bloodstream before eating. Since progesterone 
is short-lived in the blood stream, I recommend applying 
the progesterone cream one to three minutes before a meal. The body puts out the most insulin in the afternoon, so the 
progesterone cream application just before lunch is possibly 
the most important of the day. For people who have creative type ADHD  and have 
trouble staying asleep through the night, eating a snack of low-glycemic carbohydrates just before going to bed is 
important. Progesterone cream should be applied one to three 
minutes before this bedtime snack. Perhaps the easiest site for applying the cream is the inner 
forearm. After the cream is applied, the two forearms should be rubbed together so the cream can be absorbed over a wide surface area. For people who suffer from tinnitus (ringing in 
the ear) or who get traction (tension) headaches, I recommend 
placing the cream on the back of the neck. Someone with a migraine headache may find that the headache is gone three to four minutes after applying the cream to the forearms and forehead. Avoid placing the cream over fatty areas, such as the 
abdomen or inner thighs. The forearms, the back of the neck, 
the cheeks, and the upper chest are better because in those 
areas the skin is thin and there is a good blood supply. 124  | 
ADRENALINE DOMINANCE
Eventually, some time after applying the cream, the level 
of progesterone in the brain will be 20 times higher than 
anywhere else. This affinity for brain tissue explains why 
progesterone has such a marked effect on neurotransmitters 
in the brain, and why it is so effective at reducing swelling 
in traumatic brain injuries. Perhaps football players, who are subject to head injuries, should be using it routinely. Notably, the incredibly high levels of progesterone that 
occur in the second and third trimesters during pregnancy 
help the fetal brain to develop. I am hoping that some day 
it will occur to neonatologists that they should be providing bio-identical progesterone to premature infants. Special Considerations When Using Progesterone 
For the most part, progesterone cream is extremely well 
tolerated. However, progesterone can significantly affect how 
the body functions, and people tend to react to hormones 
differently, so some people may experience side effects from 
progesterone. In my experience, if side effects occur, they are usually temporary. A major benefit of bio-identical creams is 
that it is easy to titrate the dose or change the area of application 
and thus reduce or avoid side effects. Side effects may include:
• Headaches and/or dizziness (extremely rare)
• Acne (uncommon)
• Sleepiness (only when used orally)
• Menstrual spotting or heavier periods 
• Nipple tenderness in women 
In most cases, progesterone cream actually eliminates the 
first three side effects listed. Women with migraine headaches 
secondary to estrogen may find that their headache disappears |   125 MANA gINg Ex CESS  ADRENALINE
within minutes after using progesterone. In the rare cases 
where headaches do occur as a side effect of progesterone, I 
recommend either temporarily reducing the dose or applying 
the cream on the inner ankle, which allows the progesterone 
to attach to many receptor sites as it moves through the 
bloodstream before reaching the head. Acne, which can be triggered by elevated testosterone, 
often improves with progesterone because the progesterone 
can lead to a decrease in testosterone production in women 
who overproduce it. This is often seen in cases of polycystic 
ovarian syndrome (PCOS). However, progesterone can also 
downregulate into other hormones including testosterone, and 
thus can cause acne. If this is the case, I would decrease the 
dose or ask the patient to apply it at her ankle. This side effect 
should eventually disappear. If the problem persists, obtaining 
a prescription for spironolactone, 25–50 mg/day, may be 
helpful. This drug can block the production of testosterone. Sleepiness or fatigue is rare as a side effect of progesterone 
cream, but it is common with any type of oral progesterone, 
including Prometrium, progesterone troches, and drops 
placed under the tongue. This is because any form of oral 
progesterone goes directly to the liver, where it converts into 
allopregnanolone, which does cause fatigue. This is why 
Prometrium is always prescribed at bedtime. With progesterone 
in cream form, on the other hand, fatigue from hypoglycemia 
is usually eliminated, since progesterone controls insulin. Because progesterone can block adrenaline, a person 
starting on progesterone cream may experience a noticeable 
loss of energy, especially if he or she has been “living on 
adrenaline” (for example, those with a type A personality). If 
thyroid levels are on the lower side of normal, excess adrenaline  126  | 
ADRENALINE DOMINANCE
can sometimes mask the fatigue typically associated with 
subclinical hypothyroidism. In this case, the person, when first 
starting progesterone cream, can experience significant fatigue, 
which can be eliminated by adding thyroid medication. In some people, the sudden drop in adrenaline has 
a dramatic effect on the body comparable to the sudden 
withdrawal from a psychoactive medication, and can cause 
unpleasant side effects, such as uncontrollable crying. I have 
seen this most often in people whose level of adrenaline—the 
rage and anger hormone—was very high. The crying jag is most 
likely an expression of relief and is a temporary phenomenon. Rarely, some people show an increase in adrenaline-like 
symptoms such as palpitations, nervousness, and trouble 
sleeping. The cause for this is unclear. It could be the body 
responding to the sudden drop in adrenaline by increasing 
the production of this hormone. Or it could be related to 
progesterone blocking the insulin receptor sites of brain cells, 
which in effect lowers the sugar level inside the brain cells, 
causing the release of adrenaline to raise the sugar level. In 
these cases, I recommend reducing the dose of progesterone 
temporarily, allowing the body to acclimate to it more slowly, 
and then gradually increasing the dose to an effective level. If menstrual spotting occurs when a woman starts using 
progesterone cream, or if the menstrual flow is heavier, it is often 
because the progesterone is bringing about healing of the uterus. These effects usually go away after several months. In some cases, 
progesterone can initially downregulate into estradiol (one of 
the three forms of estrogen), in which case the progesterone 
dose may actually need to be increased to balance the increase 
in estrogen. This side effect is more commonly seen when using 
a low dose (2%) over-the-counter  progesterone cream. |   127 MANA gINg Ex CESS  ADRENALINE
Women trying to conceive may want to replicate the 
hormonal pattern of the normal menstrual cycle, which means 
not using the progesterone cream from day one to day ten of 
their cycle. Because there are many progesterone receptor sites around 
the nipples, some women may experience tenderness in this 
area when first starting on progesterone cream. In these cases, 
the dose can be cut in half until the discomfort disappears 
and then returned to full dose. Progesterone causes apoptosis (death) of breast cancer 
cells. For this reason, I consider progesterone beneficial for 
women who have or have had breast cancer that is progesterone 
receptor site positive. Most oncologists would probably disagree. However, their knowledge of progesterone is usually limited to 
synthetic progestins, such as Provera (medroxyprogesterone), 
which can cause the same side effects as estrogen: breast cancer, 
blood clots, and weight gain. Bio-identical progesterone, which 
behaves in the body quite differently from synthetic progestins, 
has none of these side effects. Remarkably, the State of California has, for some reason, 
decided that bio-identical progesterone causes cancer. This is in spite of the fact that in the 70 years of its existence it has 
never been demonstrated to cause cancer. Ironically, estrogen 
is a known cancer-causing chemical, yet it is injected into 
animals to fatten them (even though injecting a carcinogenic substance into an animal for this purpose is illegal). SUPPLEMENTS FOR BRAIN HEALTH
All the hormones discussed in this book—adrenaline, 
progesterone, cortisol, and insulin—significantly influence brain 
activity. They have a strong effect on neurotransmitters in the  128  | 
ADRENALINE DOMINANCE
brain, such as serotonin, GABA, dopamine, and acetylcholine. Neurotransmitters act as chemical messengers and are responsible 
for how neurons (brain cells) communicate with one another. They influence memory, mood, alertness, and thinking. Every 
single external stimulus perceived through touch, smell, vision, 
taste, or hearing results in the release of neurotransmitters. All the hormones discussed in this book—
adrenaline, progesterone, cortisol, and 
insulin—have a strong effect on neurotransmitters, 
which are responsible for how brain cells 
communicate with one another. Brain cell function is affected not only by these chemical 
messengers but also by the membranes surrounding the brain 
cells. The cell membrane acts as a barrier, or gateway, that 
prevents certain harmful substances from entering the cell 
and, at the same time, allows necessary compounds inside. As is true everywhere else in the body, the chemical 
processes involved in brain function tend to run more smoothly 
when things are in balance. For a thorough explanation of 
this important subject, I highly recommend the book The 
UltraMind Solution by Mark Hyman, M. D. , published in 
2008. Dr. Hyman explains that low levels of dopamine are 
associated with problems of focusing and decreased energy. Low dopamine levels have been noted in people with 
ADHD  and agitated depression—an observation that provides 
a rationale for treating these conditions with drugs like Ritalin, 
which is similar to adrenaline. Needless to say, I disagree with this approach, since, in my 
view, these people already have too much adrenaline, which |   129 MANA gINg Ex CESS  ADRENALINE
may be suppressing their production of dopamine. If this is the 
case, it would be better to lower the adrenaline level in order 
to raise the dopamine level and improve the patient’s focus.
10,000 IU per day
What is the recommended dosage of vitamin D3?
50-150 mg
What is the recommended dosage of 5-HTP?
Coconut oil, olive oil, and fish
What are some examples of healthy fats for brain health?
500 mg twice a day
What is the recommended dosage of curcumin?
Every 3-4 hours
What is the recommended timing for eating in the case of creative type ADHD?