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High pressure management issues in our case history n 2

Case Study 2: Rob's Heart Attack

The legal profession can be a high-pressure, fast-paced environment with many challenges that can contribute to declining health. In this case study, I will share the story of Rob, a successful attorney who suffered a heart attack at age 67, despite having no regular risk factors for heart disease.

FInding the  Root Cause of Heart Attack

Symptoms and Diagnosis:

On a beautiful summer evening, Rob felt intense chest pain and was short of breath. His wife encouraged him to go to the emergency room where he was asked several questions about his symptoms. After a series of tests, including an electrocardiogram (EKG), cardiac catheterization, and blood tests, Rob was diagnosed with a heart attack. The cardiologist recommended that Rob have a stent placed in his heart to improve blood flow, which Rob agreed to have done.

Root Cause of Heart Attack:

Rob was dissatisfied with the cardiologist's response that his heart attack was due to his age and decided to seek a more integrative approach to determine the underlying root cause of his heart attack. So he came to me via another doctor who knew about my approach.

I reviewed the tests and recommended additional testing for MTHFR mutation and C-reactive protein (CRP). MTHFR is a gene that plays an important role in processing amino acids, and people with MTHFR mutations have trouble with detoxification, leading to vascular damage and an increased chance of arterial blood clots. CRP is a blood test marker for inflammation in the body. Rob tested positive for both the MTHFR mutation and highly sensitive CRP.

Supplements and vitamines


I approached both conditions with a modified nutrition plan and lifestyle changes, high-quality Methylated B vitamins designed specifically for people with the MTHFR variant, and curcumin, known for its anti-inflammatory properties. I also prescribed him mind-body-spirit wellness classes and therapy to help him de-stress. Rob continues to take statins due to his stent, but he is no longer taking blood thinners and is leading a vibrant life more than a decade later.


Rob's case highlights the importance of seeking a second opinion and exploring the root causes of health issues, even when conventional medical treatments seem to have resolved the immediate problem. By addressing the underlying conditions that contributed to his heart attack, Rob was able to make lifestyle changes and take supplements to support his health, leading to a better quality of life.


If you're struggling with similar issues, consider consulting with a functional nutrition therapist to explore the natural and effective treatment options available.

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