7 Steps to Determine Medical Necessity for the AMP-K Diet* Dr. Donald L. Hayes, DC, President; Greens First
STEP 1) Review patient’s complaints for connection with hyperinsulinemia
or Metabolic Syndrome, (MetS.). Most disorders associated with MetS.
have no symptoms, although according to the Mayo Clinic a large waist
circumference is a visible sign (1).
STEP 2) Due to lack of symptoms with MetS., look instead for weight gain,
cravings for sugar, intense hunger, feelings of anxiousness, lacking
motivation and fatigue (2). Keep in mind that hyperinsulinemia leads to
MetS., and if left untreated MetS., usually develops into type 2 diabetes
within 8 to 10 years. Once type-2 diabetes develops the potential lifespan
is decreased around 10 to 15 years.
STEP 3) If patient has excess weight at the waist, be suspicious of adiposopathy (or Sick Fat) defined as pathologic
adipocytes that may contribute to chronic inflammation and neck, back, joint or musculoskeletal pain (3, 4).
STEP 4) Observing a large waist circumference, conduct a Waist-to-Height Ratio (WHtR), as an independent risk factor for chronic inflammation that could be causing cardiovascular or musculoskeletal issues.
• 2017 study concluded that WHtR was the best predictor for risk of Metabolic Syndrome, heart attack, stroke and death over Body Mass Index, (BMI) (5).
• According to The National Heart, Lung, & Blood Institute, WHtR is calculated by dividing waist size by height using inches. Waist circumference should be less than half the height. Results of .43 to .52 is healthy weight; .53 to .62 overweight and over .63
• If WHtR is not within the healthy range, suspect Adiposopathy or “Sick Fat Syndrome”, the medical term used when an elevated
WHtR is associated with the chronic systemic inflammatory state of Metabolic Syndrome (6).
STEP 5) With abnormal WHtR measured, recommend the Greens First Lean AMP-K Diet Program. Consider Medical
STEP 6) If patient agrees to diet, provide the six Amp-K Diet Program upplements and the protocol sheet (7).
If patient declines to diet, recommend three AMP-K Diet stand-alone products for a month; Amp-Up with B12; Carb Blocker 5.0; and Control; to activate AMP-K, control appetite and produce the feeling of fullness, in upport of losing visceral fat.
STEP 7) If the patient has difficulty losing visceral fat, suspect intense cellular inflammation. To help burn fat for fuel, you must reverse “Sick-Fat Syndrome”. To do so, you must reduce chronic inflammation throughout the body.
Recommend the EndFlame™ finger-stick, at-home, blood test to determine the patient’s fatty acid profile and to see the existence and extent of “Sick-Fat Syndrome”. If the blood test results show an Omega-3 deficiency, recommend Greens
First and Greens First Omega-3