Counteracting EMF with (Forget Global Warming EMFs are Killing Us)

Dr. Kent Holtorf, MD

Medical Director/CEO, Holtorf Medical Group (HoltorfMed.com) Medical Director/CEO, National Academy of Hypothyroidism (NAHypothyroidism.org) Medical Director, Integrative Peptides (IntegrativePeptides.com) Disclosure Statement

 Owner/CEO - Holtorf Medical Group HoltorfMed.com A multi-specialty medical group specializing in the treatment of complex endocrine dysfunction, CFS/fibromyalgia, chronic infectious diseases, immune dysfunction, neurodegenerative disease, and other complex chronic illnesses.  Chief Medical Officer - The Non-Profit, The National Academy of Hypothyroidism and Integrative Sciences (NAHIS) NAHypothyroidism.org NAHIS is a non- profit, multidisciplinary medical society dedicated to the dissemination of new information on the diagnosis and treatment of hypothyroidism and complex conditions. NAHIS receives grants for clinical and laboratory research for novel methods in the diagnosis and treatment of hypothyroidism and chronic illnesses  Chief Medical Officer - Integrative Peptides IntegrativePeptides.com Currently sells orally active and absorbable natural peptides in oral supplement form with unique delivery methods

2 Disclosure Statement

Important Disclaimer  In the interest of full disclosure, I am the All studies have limitations, and there is no perfect study. As with other studies, the studies Chief Medical Officer of Integrative Peptides. mentioned in this presentation and during the summit have limitations that should be considered when evaluating the efficacy of any treatment, including peptides, and determining the The opinions expressed are mine and do not appropriateness of therapy for consumer use. A short summary, the abstract or reference to necessarily reflect those of Integrative a study may be discussed or provided. We are happy to provide you the entire study for your review of any study discussed, mentioned, presented or referenced. Peptides. It is strongly recommended that you read each study in its entirety to best understand the uses, risks, effects, and limitations of the data on a peptide. While studies suggest that these are possible  None of the information and claims outcomes, Integrative Peptides does not endorse the use of any of its products for any condition. Studies are discussed, presented, or mentioned are provided for educational use only. contained within this presentation or The Some limitations of many or all the studies discussed, presented, or mentioned may include: The use Peptide Summit have been endorsed by of animal studies; being foreign studies; having variable peptide administration, including oral, Integrative Peptides and have not been intraperitoneal, intravenous, local injection and transdermal; use of induced disease models on animals; use of variable treatment protocols and dosing; use different forms of outcome assessment, reviewed by the FDA. including clinical response, histopathological, postmortem, gross pathology, and microscopic; variable methods of statistical analysis; no study is currently of the actual brand being marketed; variable sizes and selection methods of treatment and control groups; some may have no control  No statements in this presentation or during group, or subjects may serve as their own controls; variable study designs; wide-range of conditions the Summit have been evaluated by the FDA. tested; and small treatment and control groups. Products from Integrative Peptides are not There, of course, might be other study limitations. If you find any issues or concerns that you wish to report or have any questions, please contact Integrative Peptides (IntegrativePetides.com). intended to diagnose, treat, cure, or prevent Integrative Peptides can put you in contact with our chief medical/scientific officer (CMO) for any disease." clarifications.

3 Goals/Objectives

 What are EMFs  How they work (natural vs man-made)  Controversy  Types of exposure  The effects of EMFs and EMF Toxicity on health and how it relates to multi-system dysfunction seen with other chronic illnesses, toxic exposure, aging and lifestyle  Neurological Effects  Immunological Effects  Behavioral/Psychological Effects  Cellular Effects  Introduction to peptides, the basic major clinical classes of peptides, including immune-modulating, rejuvenating, brain/, mitochondrial/energy, anti-aging, anti-inflammatory, and others  The importance of the Gut-Brain Axis in EMF Toxicity  The synergy between multiple peptide therapies to combat the effects of EMF Toxicity

4 What are EMFs? Polarization: A Key Differentiator Between Man-made and Natural EMF and Biological Activity

 All types of man-made EMFs are polarized (single direction-usually vertical) while naturally produced EMFs are non-polarized and dispersed in all directions  As you can see in figure 1 polarized EMFs from multiple sources undergo constructive and destructive interference that amplify their intensities at many points.  Natural EMFs produced from the sun, light bulbs, etc. are non-polarized, with EMF waves sent in all directions (infinite number) and along all planes produced by large numbers of molecular , atomic, or nuclear transitions of random orientation and random phase differences between them (see figure 2). Thus, they always undergo destructive interference with the sum of the waves equaling zero  Thus, there is no force on charged or polar molecules in the body other than a general increase in heat if large enough.  Because all human-made EMFs are polarized, which undergo constructive interference, multiple sources can result in force multiplication of EMF energies at multiple points that unpredictable vary in location and strength depending on the location of the source and frequency, causing unpredictable varying biologic effects , or result in static “hot spots” of energy with the intersection of EMF’s from multiple static EMF sources.

Figure 2

Panagopoulos DJ, et al. Polarization: a Key Difference between Man-made and Natural Electromagnetic fields, in regard to Biological Activity. Sci Reports Oct 2015:1-10 7 Polarization: A Key Difference Between Man-made and Natural EMF and Biological Activity

 The polarized reinforced wave forms from alternating currents can force all charged or polar molecules to oscillate on parallel planes and in phase with the applied EMF field.  This is a major problem for cell membrane electrochemical sensors and gated ion channels, which include those for Ca+, K+, Na+, etc. that result in a cascade of cellular effects. Figure 3  Living organisms on earth have been exposed to non-polarized EMFs from the dawn of time but have never been exposed to polarized EMFs created from modern human technology.  Very large non-polarized EMF exposure can cause increased random oscillations due to increased thermal energy, which has no biologic effects, but a coherent polarized oscillation at even millions of times smaller energy than the average thermal molecular energy EMFs can cause significant biological effects.

Figure 4 Panagopoulos DJ, et al. Polarization: a Key Difference between Man-made and Natural Electromagnetic Fields, in regard to Biological Activity. Sci Reports Oct 2015:1-10 8 EMF Toxicity Controversy, Bias & Safety

 Polarized EMF radiation of just 1 W emitted by a cell phone can damage DNA and cause adverse health effects2,3,4,5,6  Safety guidelines have historically used a formula for non-polarized EMFs and consider the average amount of exposure over time, not peak and only consider the potential for thermal heating and direct thermal damage to tissues as the safety benchmark, making them, by some estimates, about a million times too high.13-25

9 EMF Toxicity Controversy and Bias

 Polarized EMF radiation of just 1 W emitted by a mobile phone can damage DNA and cause adverse health effects2,3,4,5,6  Safety data estimates the potential thermal damaging effects using a formula for non-polarized, non-pulsed EMF exposure.  Bioactivity of EMFs correlate with peak pulses, not average, which is how modern WiFi, cell towers and other modern-day electronics work.  They are much more potent and able to elicit a biologic response at tiny non-thermally damaging doses, which is the only assumed mechanism used in models to determine safe levels of EMF exposure. 13-25  Hundreds of studies have shown and support the fact that very low intensity, polarized, pulsed, non-thermally acting EMFs can result in The use of the average EMF dose overtime grossly underestimates the abnormal activation of voltage-gated calcium channel (VGCC) at potential biological effects of pulsed EMFs levels that are 7.2 million times lower than what is considered safe exposure. 17

17. Pall ML. Scientific evidence contradicts findings and assumptions of Canadian Safety Panel 6: microwave act through voltage-gated calcium channel activation to induce biological impacts at 10 non-thermal levels supporting a paradigm shift for microwave/lower frequency electromagnetic field action. Rev Environ Health 2015;30(2):99-116. EMFs Inside Automobiles The metal body of an automobile is a conductor of electricity and acts like a Faraday cage, keeping EMF’s produced from inside the car, including the car’s electronics and wireless functions and passengers’ cell phone use, contained and magnified inside the car, so all cars have the potential of exposing passengers to high levels of EMFs (see fig 1).

Figure 1

 Electric vehicles pose a significantly larger risk due to the significant electrical current flow and batteries, which can vary significantly based on the battery and cable configuration. Tested magnetic fields greatly exceed (over 30x) levels generally seen in proximity to high tension wires (see fig 2).  Under high voltage transmission lines, the electric fields are generally in the range of 0.3 to 3 kV/m and magnetic fields are in the range of 0.5–5 μT.

“Passengers inside an EV could be exposed to MFs of considerable strength when compared with conventional vehicles or to other daily exposures (at home, in the office, in the street, etc.) “9 Figure 2 Effects of EMFs Health Effects of EMFs

 Over the last 20 years, a robust body of independent science has emerged showing significant negative biological impacts from exposure from electromagnetic radiation, including “clear evidence” of developmental delay, neurological and cognitive dysfunction, neurodegenerative diseases, heart abnormalities, thyroid and other hormone deficiencies, reproductive effects, accelerated aging, diabetes, autoimmunity, fatigue, cancer, and much more.1-8

 EMFs are shown to cause increased ROS and inflammation, immune dysfunction, mitochondrial dysfunction, epigenetic disruption, abnormal activation of voltage-gated ion channel, leaky gut and BBB, among other serious health problems.1-8

This was well recognized very early in the seventies by Dr. Robert O. Becker (twice nominated for Nobel Prize) who said, “I have no doubt in my mind that, at the present time, the greatest polluting element in the earth’s environment is the proliferation of electromagnetic fields (EMFs).”8

14 Symptoms in Relation to Distance from Cell Tower

 EMF sensitivity patients sound very much live CFS, FM, CIRS, Lyme, and diseases of aging.  They share the same immunological phenotype: Th1/Treg to Th2/Th17 shift, mitochondrial dysfunction and other underlying causes.  Dysfunctional CA+ gated channels and flux are a core component of the Cell Danger Response (CDR), abnormal cell signaling, pathological mitochondrial metabolism and cell toxicity and death.10-12  It is occurring in everyone; it is a matter of degree.

63. Havas M. Radiation from wireless technology affects the blood, the heart, and the autonomic nervous system. Environ Health 2013;28(2-3):75- 84 15 Symptoms from Occupational Exposure to EMF and Experienced Very Often By Those Who Live Within 300m of a Cell Tower

16 63. Havas M. Radiation from wireless technology affects the blood, the heart, and the autonomic nervous system Environ Health 2013;28(2-3):75-84 IL-6 levels in Technicians with Long-term low-level EMF Occupational Exposure compared to their Office Working Colleagues

 Workers chronically exposed to long-term “safe” levels of EMFs were found to have increased levels of the key inflammatory cytokine IL- 6 in direct correlation to their level of exposure

 Exposed workers were shown to also have significantly increased IL- 1B, WBCs, RBCs, MCV, lymphocytes, and HCT compared to their non- exposed counterparts in a dose- response manner.

60. Hosseinabadi MB, et al. Effect of long-term occupational exposure to extremely low-frequency electromagnetic fields on proinflammatory cytokine and hematological Parameters. Int J Rad Onc June 12, 2019:1-8. 17 Toxic Effects of EMFs on the Cardiovascular System

 Exposure to electrosmog generated by electric,  An increasingly common response includes clumping (rouleau formation) electronic, and wireless technology is of the red blood cells, heart palpitations, pain or pressure in the chest accelerating to the point that a portion of the accompanied by anxiety, and an upregulation of the sympathetic nervous population is experiencing adverse reactions system coincident with a downregulation of the parasympathetic nervous when they are exposed. system typical of the "fight-or-flight" response.  The symptoms of electrohypersensitivity (EHS),  Provocation studies presented in this article demonstrate that the best described as rapid aging syndrome, response to electrosmog is physiologic and not psychosomatic. Those who experienced by adults and children resemble experience prolonged and severe EHS may develop psychologic problems symptoms experienced by radar operators in because of their inability to work, their limited ability to travel in our the 1940s to the 1960s and are well described highly technologic environment, and the social stigma that their in the literature. symptoms are imagined rather than real.

63. Havas M. Radiation from wireless technology affects the blood, the heart, and the autonomic nervous system. Rev Environ Health 2013;28(2-3):75-84 18 EMF Effects on Coagulation

A. Live blood without any chemicals added in an electromagnetically clean environment. B. Same person’s blood after speaking on a cordless phone for 10 min C. Same person’s blood after using a wired computer for 70 min. D. See erythrocyte clumping with activation of the clotting system, being short of causing a clot (immune activation of coagulation).

63. Havas M. Radiation from wireless technology affects the blood, the heart, and the autonomic nervous system Environ Health 2013;28(2-3):75-84 19 EMF Sensitivity: Randomized, Double-Blind Study with Sham Exposure to Study the Cardiovascular Effects of Exposure to 2.4 GHz Cordless Phone Base (same frequency used in WiFi)

3. Pt C: Immediate increase of HR from 65 to 86 bpm with arrythmia accompanied with an upregulation of the SNS and a downregulation of the PNS. The exposure is 0.3% of safe guidelines recommended by the FCC and other international regulatory agencies.

1. Pt. A: No response to exposure. 2. Pt. B: HR increased from 68 to 122 with exposure (unknown to pt.) and then back to 58 bpm when it was turned off.

63. Havas M. Radiation from wireless technology affects the blood, the heart, and the autonomic nervous system Environ Health 2013;28(2-3):75-84 20 EMF’s and Developmental Delay, Chronic Illness and Rapid Aging

 Prenatal exposure to 900 Mhz EMFs resulted in a dysfunctional thymus and spleen, as well as mitochondrial and immune dysfunction (thymic dysfunction with Th1/Treg-Th2/Th17 shift), with subsequent decreased glutathione and SOD, reduced NK cell function and number, gut dysbiosis and permeability, increased BBB permeability, cardiac dysfunction, CVD, arrythmias, chest pain, HTN, insomnia, fatigue, depression, anxiety, cognitive dysfunction, headaches, memory loss, infertility, GI disorders, low libido, abnormal activation of voltage-gated CA+ channels, developmental delay and potentially autism, ADD, OCD, infertility and fetal loss, tinnitus, osteoporosis, neurodegenerative diseases (Alzheimer’s, ALS, Parkinson’s), hormone imbalances, weight gain, mast cell activation, allergies, autoimmunity, diabetes, as well as increased lipid peroxidation and ROS protection, cancer, rapid aging, MCS, behavioral changes, electrohypesensitivity, and much more1-63  The good news is that peptide combinations can mitigate and prevent a significant amount of EMF toxicity1-118,1-73 (BPC references)  There has been a massive increase in EMF exposure in the last few decades and exponentially increasing. We are exposed to 1018 more EMFs (1,000,000,000,000,000,000) than we experiences just since 1917.16

21 Jane R. (case study of multi-system dysfunction)

 37 yo F with long hx CFS  Severe fatigue, insomnia, anxiety, cognitive dysfunction, night sweats, POTS, palpitations, interstitial cystitis, swollen legs, livedo reticularis, urinary incontinence, hair loss, irregular periods, multiple food and other allergies, and other multi-system symptoms. Mostly house and bed-bound.  Been sick for over 9 years – “has seen too many doctors to count.” Dx with CFS, FM, MCAS, POTS, pre- lupus, pre-RA, antiphospholipid syndrome (resolved), Lyme test negative.  Ended up positive for Lyme, bartonella, mold, CIRS, Immune activation of coagulation, severe immune dysfunction, hypothalamic-pituitary dysfunction, hypothyroidism with nl TFTs, hypometabolic (mitochondrial dysfunction).  Got patient feeling much better with T3SR, biest, progesterone, 6-8 peptides, ozone, exosomes, a short course of antibx, NAD+, Poly MVA, PC--resolution or dramatic improvement in most all symptoms, but she continued to suffer from anxiety, insomnia and could not get NK cell function above 5 LU (nl >30).  Asked about potential EMF sources: No major power lines, unknown cell tower location, WiFi router in bedroom, sleeps with iPhone, TV, house alarm, smart thermostat and TV.

2222 Jane R. (case study of multi-system dysfunction)

 Recommended that she turns off her Wifi at night, flip the breaker to the bedroom at night, turn the phone Wifi and blue tooth off, and keep the phone outside of the bedroom at night.  Pt returned several months later, noting significant improvement in insomnia (feels getting some deep sleep, which she felt she never got before).  Anxiety was better and felt overall much healthier.  I asked about what she does in a typical day; she mentioned that she goes out with her husband in his Tesla. I told her to drive her gas-powered car instead, but she said she wasn’t ready to drive yet. She said she’ll try to not go very often with her husband. Also, added and adjusted several therapies and drew a set of labs.  Pt returned 3 months later, stating that her anxiety was dramatically better if she doesn’t drive in the Tesla, and she was driving her gas-powered BMW.

2323 Cycle of Dysfunction in EMF Toxicity, CFS, FM, PTSD, CLD, CDR, Aging, Etc.

Holtorf, K. Cycle of Dysfunction in CFS/FM, 2003 24 Immune Dysregulation and Chronic Illness ( 6 (IL-6) may be the common denominator-vicious cycle)

Conditions associated with Th1/Treg-Th2/Th17 shift and increased IL-6:

 Chronic infections (Lyme and any other  resistance and DM chronic bacterial, viral, fungal or parasitic)  Obesity  CFS/FM/CIRS/MCAS/Autism  Depression and bipolar  Autoimmunity  Dieting  Stress/anxiety/depression/suicide  Neurodegenerative disease  Toxic exposure/EMF’s  Migraines  Aging  Inflammation  Dysbiosis, IBS, SIBO, IBD  Cancer (many)  CV disease  TBI  High cholesterol and triglycerides  All the diseases of aging  PTSD/PMS  Infertility  Anorexia  Hypothyroidism with normal blood tests (TSH,  Osteoporosis etc.)  Excessive exercise

3. McManus M, Cincotta A. Advances in Integrative Medicine. Adv Integ Med 2015;2:81-89. 25 Stress, Aging, EMF Exposure and Th1/Treg-Th2/Th17 Shift and Mast Cell Activation

 Mast cell activation is a major concern for Lyme, CFS, fibromyalgia, CIRS, MCS and MCAS (of course) patients, especially with POTS and other mast cell related symptoms.  Due to a dysfunctional, out of balance, immune system  Direct mast cell inhibitors are the mainstay of treatment, but upstream regulation can be much more successful treatment of mast cell activation syndrome (MCAS).  Restoring and supporting normal immune balance (normal Th1/Treg-Th2/Th17 balance) inhibits mast cell activation by upstream and directly inhibits mast cells activation.73

97. Clerici M, Shearer, GM. The Th1-Th2 hypothesis of HIV infection: new insights. Immunology Today 1994;15(12):575-581 26 How Peptides Can Help with EMF Toxicity Peptides (the master regulators)

 Peptides are naturally occurring (or analogs) short chains of amino acids.

 If <50 AA in length, it is considered a peptide. If longer, it is considered a protein.

 Peptides are generally cell surface signaling molecules that indirectly affect cellular activity via a cascade of secondary messengers.

 Hormones work on specific receptors in the nucleus, effecting protein synthesis (slow on, slow off, more general, higher risk).

 Peptides have pleiotropic effects (no one effect-increases safety like vitamins); generally quick on, quick off, but can have lasting epigenic changes

 Peptides are very synergistic with other peptides, hormones, antibiotics and most other therapies.

28 Peptides (the master regulators)

 Peptides regulate most every known process and system in the body in a tissue and cellular specific manner (another, more precise layer of bio- regulation).  Peptide therapies generally have tissue-specific effects while hormones have less precise with broad effects.  Shown to be extremely safe (some at 100- or 1000-fold typical effective doses).  Increasing numbers of peptides are becoming clinically available that can safely improve, optimize or normalize specific functions of the body.

29 Peptide Categories

 Immune modulating peptides  Brain peptides (memory, depression, — Thymosin Beta 4 (Tβ4)/TB4 Active Frag anxiety, TBI, brain function, etc.) — BPC-157 — Semax — Thymosin Alpha 1 — Selank — — Thymulin/thymogen — — Epithalon/Pinealon — Cortagen  Sleep peptides — Synergistic with epitalon, TB4, TB4 Active — Epitalon/Pinealon Frag, BPC-157, DSIP — Delta sleep inducing peptide (DSIP)  Growth Hormone secretagogues — GHRP/GHRH — CJC/Ipamorelin (GHRH/GHRP)(other combo’s) — AOD — AOD

Most of these peptides are naturally produced by the body,

but some are synthetic . 30 Peptide Categories

 Antimicrobial peptides  Mitochondrial/Energy peptides — LL-37 — MOTSc — TA1, TB4, TB4 Active Frag — 5-Amino-1MQ — BPC-157 — Humanin  — SS31 Rejuvenation/Pain — BPC-157 — BPC-157 — TB4/TB4 Frag — TB4 and TB4 fragments and other thymosins  Melanotropic peptides — Epitalon/Pinealon — Alpha-melanocyte stimulating hormone — DSIP — KPV — GHRH/GHRP — Melanotan I, II — PT-141  Side effects — Some nausea — Local reactions — Very large safety profiles

Most of these peptides are naturally produced by the body,

but some are synthetic drugs 31 31 EMFs Accelerate Thymic Dysfunction

 According to the U.S. Center for Disease Control (CDC), approximately 80 % of aged individuals are afflicted with at least one chronic disease as a result of a declination of thymic-related immune function.73

 Many things have negative effects on thymus involution and pineal dysfunction, and subsequent immunity, including age, genetics, inflammation, lifestyle, obesity, EMFs, diet, exercise, stress, pregnancy, toxins, hypothyroidism, low growth hormone, chronic infections, and zinc deficiency.119-121

 EMFs are shown to dramatically speed up thymic and pineal dysfunction and involution, resulting in rapid multi-system aging and increased risk for multisystem diseases and degeneration previous felt to be diseases of the old.13

72. Consolini R,, et al. Distribution of age-related thymulin titres in normal subjects through the course of life. Clin Exp Immunol 2000; 121:444-447 73. Gui J, et al. Thymus Size and Age-related Thymic Involution: Early Programming, Sexual Dimorphism, Progenitors and Stroma. Aging Dis 2012;3(3):280-90 3232 The Role of Thymic Peptides as We Age

Diseases of Aging  Thymus involution is influenced by age-starts a sharp decline around 15 years of age with a nadir around 40- 45, which is when the “diseases of aging” start occurring.  Progressive thymic dysfunction and immunosenescence naturally occur with aging and Childhood Diseases results in: — Increased susceptibility to infections — Inadequate immune response to vaccinations — Increased propensity for autoimmune diseases — Increased cancer risk — Increased CV disease — Increased degenerative diseases

72. Consolini R, Legitimo A, Calleri A, et al. Distribution of age-related thymulin titers in normal subjects through the course of life. Clin Exp Immunol 2000; 121:444-447 73. Gui J, Mustachio LM, Su DM, et al. Thymus Size and Age-related Thymic Involution: Early Programming, Sexual Dimorphism, Progenitors and Stroma. Aging Dis 2012;3(3):280-90 33 Thymosins (produced by the Thymus): Mechanisms of Action

 Modulate the immune system to maintain a healthy a Th1/Treg-  Stimulates phagocytosis and autophagy.116 Th2/Th17 as opposed to the pathogenic, inflammatory  26,27,28,29,33,34,37,115 Increases antioxidant and glutathione TH2/Th17/Th9 immune system. production.26,27,28,31,28,29,63,66  Significant repairing, restoring and healing properties.  Stimulate stem cell activity and  Needed to maintain normal antimicrobial activity.26,27,28,29,30,116 proliferation.32,34,36,38,40,41,42  Boosts mitochondrial function with increased ATP production79  Needed to maintain healthy GI mucosa and blood brain barrier permeability, greatly promoting the expression  The thymus works by activating secondary messengers to affect cell of tight junction proteins that maintain tight junction function and epigenetic gene expression. integrity.116,117  Stimulates wound healing by enhanced angiogenesis, cell migration,  Reduces microglial activation from toxins, EMFs, and promotion of stem cell differentiation.76-79,81 infections and alcohol.113  The thymus has anti-inflammatory properties: decrease  Binds and blocks the effects of inflammatory cytokines80,82 neuro/endotoxins/electromagnetic toxins.111  Increases nitric oxide levels.  Boosts NK function.26,35  Breaks down biofilms and granulomas.116  Reduce IL-6 induced immune and mitochondrial dysfunction. 34 What is TB4 Active Fragment and How Can It Help?

 TB4 has multiple domains (active sections) that code for different and overlapping functions.  TB4 active fragment, the four amino acid fragment (1-4)(AcSDKP) of the 43 amino acid full-length TB4 peptide, is the workhorse of TB4, possessing the immune modulatory, angiogenic, healing, anti-inflammatory, cellular protective, and repair actions of full-length TB4.  Except that: — More potent antifibrotic — 10 times the potency of full length TB4 by weight — Does not stimulate mast cell activation (segment 16-38) — It is orally active (absorbs intact) while full-length TB4 needs to be injected — The significantly reduced molecular weight allows TB4 Active Frag (AcSDKP) to cross the blood-brain barrier and penetrate biofilms. — Inhibits TGF-b induced Plasminogen Activator Inhibitor-1 (PAI-1), helping prevent the hypercoagubility seen with chronic illness113

KentKanasaki Holtorf, M, MD Nagai T, Kitada M, Koya D, Kanasaki K. Elevation of the antifibrotic peptide N-acetyl-seryl-aspartyl-lysyl-proline: a blood pressure-independent beneficial effect of I-converting enzyme inhibitors. Fibrogenesis & tissue repair. 2011 Dec;4(1):25. 35 TB4 Active Fragment (AcSDKP)

Kent Holtorf, MD 36 EMFs and the Gut-Brain Axis

 The mammalian brain is protected by the BBB, which prevents harmful substances from reaching brain tissue.  Numerous animal studies have, however, shown that a just a short 2 hr exposure to the small EMF from a cell cellphone in rats resulted in immediate disruption of this protection, allowing large molecules, such as albumin to extravagate from the brain into the body and from the body into the brain.  The increased permeability lasted for 14 days after the single 2 hr exposure.  Significant brain damage was found 28 days and 50 days in the exposed rats, but not in unexposed rats.  Anti-glutamate and antioxidant therapies were able to partially prevent the subsequent permanent brain damage.  The toxic effects of EMFs were compounded in those who already had compromised health or pre-existing increased permeability.

37 EMFs Increase GI and BBB Permeability and Alter Gut Flora (Dysbiosis)

 The microbiome secretome effects on the neurologic system and most every system in the body, as well as overall health status  The brain can determine the microbiome by influencing the GI functioning and environment (intestinal mobility, mucous secretion, secretory functions, blood flow, etc.)  Leaky gut = Leaky BBB (seen with EMF exposure)  Gut inflammation = Brain inflammation  Radio frequencies similar to those emitted by mobile devices or WiFi typically cause pathogenic bacteria, such as pathogenic E. coli and Listeria, to grow faster and become more resistant to antibiotics.

Taheri M, et al. Evaluation of the Effect of Radiofrequency Radiation Emitted From Wi-Fi Router and Mobile Phone Simulator on the Antibacterial Susceptibility of Pathogenic Bacteria Listeria monocytogenes and Escherichia coli. Dose-Response; Sage Journals Jan 23, 2017 38 Modulation of the Gut-Brain Axis

67. Kim N, Yun M, O YJ, et al. Mind-altering with the gut: Modulation of the gut-brain axis with probiotics. J Microbiology 2018;56(3):172-82. 39 Body Protection Compound (BPC-157): Protection against EMF

 BPC 157 is a petadecapeptide (composed of 15 amino acids) and was discovered in and isolated from human gastric juice. It is highly stable and resistant to hydrolysis or enzyme digestion, even in the gastric juice.  BPC-157 is shown to have a wide range of healing mechanisms, which include the up regulation of growth factors and genes involved with healing, proangiogenic effects, modulation of nitric oxide (NO) synthesis, modulation of the serotonergic and dopaminergic systems, as well as exerting significant beneficial effects via the positive effects on leaky gut, the gut-brain axis and the microbiome.  Oral and systemic administration significantly improves varied cardiovascular issues by blocking many of the toxic effects from EMFs, including immune dysfunction, mitochondrial dysfunction, excessive ROS, and by inhibiting the abnormal activation of voltage-gated gated calcium channels. . Heart failure, hypotension and hypertension, post MI cardiac damage, arrhythmias (shortens long QT interval), and vascular repair. 15,17,22,50,61,62,63,64,72  Oral BPC-157 is shown to be effective in the treatment of central and peripheral nervous system pathologies that are associated with EMF exposure, including: . TBI, MS, Alzheimer’s, Parkinson’s, neuropathy, s and peripheral nerve damage12-14,19,20,24,43,44,47,102 . Mood disorders, depression, exaggerated stress response and anxiety 7,24,38,45,46,68

40 BPC-157, TB4 Active Frag and KPV for Leaky Gut, Brain and Normalizing Gut-Brain Axis

 Numerous studies are showing the importance of healing leaky gut (increased intestinal permeability), the brain-gut axis and the microbiome in chronic illness.  BPC-157, KPV, and TB4 Active Frag are probably the best treatments EMF induced leaky-gut, leaky brain and dysfunctional gut-brain axis. TB4 Active Frag are shown to directly repair EMF induced tight junctions dysfunction while BPC-157 and KPV help maintain, protect and repair GI mucosal and BBB integrity.  Very synergistic effect when used together.

Sikiric P, et al. Brain-gut Axis and Pentadecapeptide BPC 157: Theoretical and Practical Implications. Current Neurophamacology 2016;14:857-865 ** Graphic from Dr. Sam Rubar and Dr. Sandeep Gupta. SIBO, Leaky Gut and Mold Renga G, et al. Thymosin B4 promotes autophagy and repair via HIF-1alpha stabilization in chronic Illness (Mold Illness Made Simple) granulomatous disease. Life Sci Alliance, Nov 2019. 41 Oral BPC-157 Stabilizes and Protects the GI and Nervous Systems

As an organoprotective gastric peptide, BPC-157 has been used to successfully impact a variety of different gastrointestinal issues2-5, 27-37

 Inflammatory bowel disease (IBD)  Mast Cell Activation  Leaky gut  GI infections  Gastric ulcers, gastritis and GERD  Irritable bowel syndrome (IBS)  GI perforations and fistulas  Binds and protects the body against toxins (mycotoxins,  Ischemia neurotoxins, drugs, alcohol)  Bowel anastomoses  Is more effective than many 3,4, 10-14  SIBO . H2-blockers (Zantac)  Food Intolerance . Proton pump inhibitors (Omeprazole) . Gastric coating agents (Sucralfate)

42 EMFs - DNA Damage, Cancer, and Aging

 Much of the safety attention has historically been placed on ionizing radiation, which is powerful enough to cause DNA damage, while non-ionizing EMFs have been considered harmless except in the situation of thermal heating.  Even short-term, low level exposure to nonionizing radiation, well within standard safety limits, has been clearly shown to be able to cause DNA damage and subsequent increases in senescent cells, apoptosis and cancer through different mechanisms, including the formation of ROS, DNA repair enzyme suppression, epigenetic mechanism, as well as immune and mitochondrial dysfunction.2  Free radicals and interaction with transitional (e.g., iron) and heavy metals have also been implicated to play a role in the genotoxic effects observed after exposure to these fields.49,51,52,58

Kent Holtorf, MD 43 Mobile Cell Phone Use and Risk of Glioma

 The CERENAT study finding (figure 1) of increased risk of glioma is consistent with studies that evaluated use of mobile phones for a decade or longer and corroborate those that have shown a risk of meningioma from cell phone use.59

“In CERENAT, exposure to RF-EMF from digitally enhanced cordless telephones (DECTs), used by over half the population of France during the period of this study, was not evaluated. If exposures to DECT phones could have been taken into account, the risks of glioma from mobile phone use in CERENAT are likely to be higher than published.”

Kent Holtorf, MD 44 Thymosins (TA1, TB4, TB4 Frag, Thymosin, Thymogen) and Pineal Peptides (Epitalon, Pineleon) and Cancer Reduction

 Increase in mean and maximum lifespan in animals consistently seen with both thymic and pineal gland peptides with direct correlation to increased cellular immunity with the subsequent reliable reduction in cancer in both animals and humans. “The obtained results demonstrate a high efficiency of epitalon therapy for prophylaxis of age-related pathology, including cancer, showing a new physiological way to slow down pathological processes and to extend human life spans”58

66. Khavinson V. Peptides and ageing. Neuroendocrinology Letters 2002;23(3):11-144 Kent Holtorf,71. Anisimo MD VNN, et al. Effect of synthetic thymic and pineal peptide on biomarkers of ageing, survival and spontaneous tumor incidence of female CBAmice. Mech Ageing Dev 2001;122(1):41-68. 58. Khavinson VKh, et al. Experimental studies of the pineal gland preparation Epithalamin. The Pineal Gland and Cancer: Neuroimmunoendocrine Mechanisms in Malignancy 2001:294-306. Thymosins/Pineal Peptides and Lifespan

 Increase in mean and maximum lifespan in animals consistently seen with both thymic and pineal gland peptides with direct correlation to increased cellular immunity with the subsequent reliable reduction in cancer in both animals and humans.

66. Khavinson V. Peptides and ageing. Neuroendocrinology Letters 2002;23(3):11-144 71. Anisimo VNN, et al. Effect of synthetic thymic and pineal peptide on biomarkers of ageing, survival and spontaneous tumor incidence of female CBAmice. Mech Ageing Dev 2001;122(1):41-68. 47 Thymic Peptides Effects on Age and Cancer

Bioidentical thymic protein was injected into mice staring at the age of 3.5 months prolonged mean life span by 28%, decreased rate of cancer 2.8 fold

10. Morozov, V.G. and V.K. Khavinson, Natural and synthetic thymic peptides as therapeutics for immune dysfunction. International. Journal of Immunopharmacology, 1997. 19(9-10): p. 501-505. 48 Pineal Peptide Epithalon on Cancer and Aging

 Female mice carrying the breast cancer gene HER-2/neu (genetically prone) received epitalon five times per week from the 2nd month of life until death.34  The percent of mice that developed breast cancer was 3.7-fold higher in control group (73% reduction in treatment group).  Epithalon also decelerated the rate of aging of the reproductive system with only 8% of aged mice having irregular menstrual cycles vs. 52% of aged control mice.

25. V. N. Anisimov, V. Kh. Khavinson, et al. Inhibitory effect of the peptide epitalon on the development of spontaneous mammary tumors in Kent Holtorf, MD HER-2/neu transgenic mice. Int. J. Cancer. 2002;101;1:7-10. 49 Epitalon Reverses Age-related Insulin Resistance, Pancreatic Function and normalizes neurotransmitter levels

 Study of age-related changes in insulin resistance, pancreas function, neurotransmitter levels, and endocrine function in young and old rhesus monkeys before and after the treatment of old monkeys with epitalon for ten days and throughout the seven day testing period.  Melatonin levels in old monkeys at 22:00 was 44.8 vs. 86.0 in young animals. Epitalon treatment essentially restored melatonin levels in old monkeys, being, on average, 80.7 while there was no change in the placebo group.  The area under the curve of glucose after challenge was, on average 294.9 in young monkeys vs. 479.6 in old monkeys. Epithalon normalized the glucose area under the cure in old monkeys, having no significant difference with young monkeys after treatment.  The authors concluded, “…epitalon obviously shows promise as a remedy to restore the age-related endocrine dysfunctions of primates.”

113. Goncharova, ND. Pineal peptides restore the age-related disturbances in hormonal functions of the pineal gland and the pancreas. Experimental Gerontology 2005;40:51–7 50 Synergistic Peptide Therapy may Currently be our Best Weapon Against Accelerated Aging from EMF Toxicity

 The geroprotective effects of thymic (thymulin) and pineal peptides (Epitalon) were investigated over a 6-8 years period in 266 elderly patients after being treated for the first two to three years of the study.  RESULTS: “The obtained results convincingly showed the ability of the bioregulators to normalize the basic functions of the human organism, i.e. to improve the indices of cardiovascular, endocrine, immune and nervous systems, homeostasis and metabolism. Homeostasis restoration was accompanied by a 2.0-2.4-fold decrease in acute respiratory disease incidence, reduced incidence of the clinical manifestations of ischemic heart disease, hypertension disease, deforming osteoarthrosis and osteoporosis as compared to the control.”  “Such a significant improvement in the health state of the peptide-treated patients correlated with decreased mortality rate during observation: 2.0-2.1-fold in the Thymulin-treated group; 1.6-1.8-fold in the Epitalon-treated group and a 2.5- fold in the patients treated with Thymulin plus Epitalon as compared to the control.”  A separate group of patients was treated with the peptides annually for 6 years and their mortality rate decreased 4.1 times as compared to the controls.

10. Vkh, Morozov VG. Peptides of pineal gland and thymus prolong human life. Neuro Endocrinol Lett. 2003 Jun-Aug;24(3-4):233-40 51 Underlying Effects of EMFs on the Brain

 Numerous studies show significant impacts on memory, learning, and anxiety with EMF exposures well within the so-called safe levels along with structural and physiologic changes in various parts of the brain, especially the BBB, the hippocampus, the cerebellum, the amygdala and the cerebral cortex, as well as activation of glial cells throughout the brain, with subsequent brain inflammation and associated changes in neurotransmitter levels.  Possible causes and contributing effects of brain dysfunction caused by EMF exposure: . Increased ROS . Increased permeability of gut and BBB . Activation of apoptotic pathways . Effects on DNA (Direct damage and epigenetic) . Calcium influx across membranes . Likely a combination of increased

Kent Holtorf, MD Narayanan SN, et al. Radiofrequency electromagnetic radiation-induced behavioral changes and their basis. Envir Sci Pollution Res. Aug 28, 2019:1-18 52 EMF Effects on Learning and Memory

 Aldad et al. exposed pregnant mice in utero to a mobile phone on active call mode throughout gestation. The offspring were shown to have memory impairment and hyperactive behavior compared to unexposed mice.64  Tang et al. chronically exposed rats to 28 days of mobile phone EMFs. They found significantly altered neurobehavioral perfances, impaired spatial memory and damaged BBB permability by activating the mkp- 1/ERK pathways. It was also shown that the rats experienced impaired special learning and reference memory. Morphologic changes were found in the rat's hippocampus.65  Saikhedkar et al exposed rats to cell phone radiation for 4 hrs/day for 15 days, which induced deficis in learning and memory. They also found hippocampal neuronal degeneration.66  Pregnant rats exposed to cellphone RF-EMR throughout gestation drastically affected learning acquisition and memory retention,67 and further study also showed hippocampal morphological changes.68  Numerous studies have shown that rats exposed to cellular phone RF-EMR for various periods of time, results in increased long-standing subsequent anxiety with one study finding reduced GAGA and aspartic acid in the cortex and hippocampus.68,69

Narayanan SN, et al. Radiofrequency electromagnetic radiation-induced behavioral changes and their basis. Envir Sci Pollution Res. Aug 28, 2019:1-18 Kent Holtorf, MD 53 EMF Effects on Learning and Memory

70. Kishore KG, et al. Effect of 1800-2100 MHz Electromagnetic Radiation on Learning-memory and hippocampal Morphology in Swiss Albino Mice. Int J Sci Res 2018;7:682-684

Narayanan SN, et al. Radiofrequency electromagnetic radiation-induced behavioral changes and their basis. Envir Sci Pollution Res. Aug 28, 2019:1-18 Kent Holtorf, MD 54 EMFs Increase the Risk of Alzheimer’s, ALS, and is Associated with Decreased Memory Performance

 The aim of this study is to investigate “Epidemiologic findings: Workers with whether memory performance in primary occupations likely to have adolescents is affected by resulted in medium-to-high ELF EMF radiofrequency electromagnetic fields  A case-control study of the possible exposure are at increased risk of AD.” (RF-EMF) from wireless device use or by association of occupations with likely the wireless device use itself due to exposure to electromagnetic fields and non-radiation related factors. Alzheimer's disease (AD).  The adjusted odds ratio for males was 4.90 “A change in memory performance over (p = 0.01), and for females was 3.40 (p = one year was negatively associated with 0.10) cumulative duration of wireless phone use and more strongly with RF-EMF dose. This “These results are consistent with previous may indicate that RF-EMF exposure affects findings regarding the hypothesis that “It is concluded that for amyotrophic lateral memory performance.” electromagnetic field exposure is etiologically sclerosis, there are relatively strong data associated with the occurrence of AD.” indicating that electric utility work may be Kent Holtorf, MD associated with an increased risk.” 55 Tβ4 and Neurologic Regeneration

Kent Holtorf, MD © 56 Peptide Cerebrolysin

 Mixture of neuropeptides  Is currently approved for use in 44 countries as a treatment for and  Neuroprotective  Neurotrophic repair properties  Penetrates the BBB, as the active portion is less than 10,000 Daltons.  Stimulates central and peripheral neural growth factors  Improves cognitive function  Has been used for TBI, Alzheimer’s and stroke patients  Shown to be effective in autism and Asperger’s syndrome at very low doses114  Historically given intravenously, but bioavailable orally (effective when given orally)

Vereshagin N V et al., 2001 Therapeutic Archives, 73:22-27 Masliah E. et al. / Drugs Today (Barc). 2012 Apr;48 Suppl A:324 114. Kranoperova MG, et al. the effect of Cerebrolysin on cognitive function inchildhood autism and Asperger syndrome. Ah Nevol Psikhiatr IM SS Korasakova 2003;103(6):15-8 57 Nootropic Peptide Cerebrolysin

71. Ruether E, Husmann R, Kinzler E, Diabl E, Klingler D, Spatt J, Ritter R, Schmidt R, Taneri Z, Winterer W, Koper D. A28-week, double-blind, placebo-controlled study with Cerebrolysin in patients with mild to moderate Alzheimer's disease. International clinical psychopharmacology. 2001 Sep 1;16(5):253-63. 58 Nootropic Peptides Semax/Selank

 Neurotrophic action similar to that of nerve growth factors72-74  Peripheral and central nervous system stimulation and rejuvenation  Shields neurons from neurotoxins, inflammation and injury117,118  Protective against stress and depression  Improve memory and attention (even in healthy adults)115  Beneficial in learning and memory  Have an effect on the dopaminergic system and serotonin levels  Improved recovery from stroke69,73,116  Neurological regeneration . TBI69 . Alzheimer’s15,69-72 . Parkinson's’ . Stroke69,73 . Toxin induced  No significant side effects reported15,69,70,72,73

59 Summary

 EMF exposure can contribute to a wide range of illnesses and immune dysfunctions, which are a key component to a vicious cycle of the multi-system diseases.  A healthy, balanced immune is an essential component to maintain health.  The gut-brain axis is a core contributor to overall health and wellness.  Improper function or deficiency of a particular peptide or class of peptides can be detrimental in our ability to heal from toxic exposures.  Peptides control multiple aspects of the body and can help combat the effects of EMF Toxicity.

60 Peptide Starting Dosing Strategy

 The usual dose for oral TB4 Active Frag and BPC-157 is one cap BID  Generally, start oral BPC-157 one cap (500mcg) BID or SQ 500-2000 mcg and quickly increase depending on severity of illness/symptoms  I sometimes work up to three caps tid for several weeks or 4000 mcg SQ if very ill or symptomatic  After 4 weeks, start the TB4 Frag in a similar manner, while staying on the BPC-157  Some more severely afflicted patients may need higher doses (1-2 tid 150 mcg TB4 Frag caps or up to 750 mcg tid TB4 SQ for the short term but can usually back down on the dose as they see improvement.  Empty stomach is best with oral but OK with food  3 mg BPC-157/3mg TB4 IV for pain  Can add in epitalon, DSIP, KPV for inflammation and sleep and to boost pineal and hypothalamic-pituitary function  LL-37 as antimicrobial  Semax, Selank, Cerebrolysin, Dihexa for cognitive function  5 Amino 1MQ, MOTSc, humanin to boost mitochondrial function  Synergistic with most every therapy (ozone, MSC, exosomes, NAD+, phosphatidylcholine, LDN, hormones, SOT, probiotics, etc.).

Kent Holtorf, MD 61 Thank You Enjoy the Summit References

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Kent Holtorf, MD 67