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Foot Gangrene Reversed Nutritionally: Extensive Patient-Centered Free Resource for Practical Information on Reversing Diabetic and Non-Diabetic Foot Gangrene

Halt the Progression of Gangrene and Prevent Amputation Naturally
Reverse Advanced diabetic, non-diabetic dry foot gangrene in toes. Stop progression of gangrene to avoid foot or leg amputation.
The person who says it cannot be done should not interrupt the person doing it (Chinese proverb).  
Clear-G Formula | Reverse Foot Gangrene Naturally Clear-G Formula: Reverse Foot Gangrene Nutritionally Reversing Foot Gangrene Naturally | Catalog | Price List

Warning: The pictures you are going to view on this website are graphic and not for the faint of heart.
Foot gangrene, as a part of diabetes and/or atherosclerosis management, has become a major medical problem. This website is intended to allow you to manage your own care, ask the right questions, insist on adequate management and information, and seek an optimal outcome for yourself as an informed patient. Perhaps it will even help the health professionals - vascular specialists and foot doctors (chiropodists, podiatrists) - who are giving care to better understand and, hopefully, incorporate into their practice the nutritional approach to gangrene - its prevention and treatment.

Please note that this website is not intended for “most people”. It is written for those who want to stand out in self-health care. If you are such a person, we strongly advise that you give serious thought to all of the suggestions about how to stop the progression of gangrene, dry foot gangrene in particular. If you are tempted to think the suggestions are too complicated or too simplistic, or biased, we assure you they are not.

An amputation, one of the oldest surgical procedures, usually refers to the surgical removal of the whole or part of a lower or upper extremity - a foot/leg or a hand/arm.

Amputations are done for a variety of reasons, including:

  • congenital limb deficiency - when the limb is grossly deformed and useless
  • vascular insufficiency (peripheral vascular disease, or PVD) - ischemic conditions of the limb, such as
    • atherosclerosis and/or arteriosclerosis, predominantly diabetic, and usually resulting in dry gangrene
    • Buerger's disease (thromboangiitis obliterans) - acute inflammation and thrombosis (clotting) of arteries and veins in smokers, affecting the hands and feet; decreased blood flow (ischemia) leads to severe pain, skin ulcerations and gangrene of the digits (fingers and toes)
  • cancer - malignant tumour of bone or soft tissue, and
  • traumatic (crush) injury to the limb - due to transport and industrial accidents.

Amputation, however, should be attempted only after all forms of treatment have been exhausted.

In the United States people over the age of 60 account for approximately 85 percent of all amputations, the majority of which involve removal of a lower extremity.

Foot Gangrene Controlled Nutritionally - Common Cuase of Amputation Surgery Common Cause of Amputation

About 30-40 percent of amputations are performed in diabetics. The estimated risk for major amputation in diabetics is 15 to 40 times higher than the general population.
The vast majority of amputations are performed due to vascular disease or vascular insufficiency (decreased blood flow), especially in older men who smoke.

The arteries of the legs have become narrowed, hardened and, finally blocked due to a disease called atherosclerosis or arteriosclerosis.

Blockages in the arteries result in insufficient blood supply to the limb.

Because diabetes can cause vascular insufficiency, about 30 - 40 percent of amputations are performed in diabetics. In fact, amputations are an extremely feared complication of diabetes as diabetics often loose their protective sensation and may form ulcerative complications, such as osteomyelitis - an acute or chronic inflammatory process of the bone and its structures.

About 30-40 percent of amputations are performed in patients with diabetes; about 7 percent of diabetics have an active foot or toe ulcer or a healed ulcer.
When narrowing or hardening of the arteries becomes severe gangrene develops and amputation may be the only option.

If left untreated - depending on the severity of someone's condition - infection can develop and threaten the life of the patient. If amputation is not performed, in these circumstances gangrene can be fatal.

Sometimes bypass surgery may help avoid amputation, but not all patients are suitable for bypass surgery.

Many patients with diabetes - by itself a risk factor for atherosclerosis - develop foot or toe ulceration. In fact, about 7 percent of diabetics have an active ulcer or a healed ulcer.

Ulcers are recurrent in many diabetic patients and approximately 5-15 percent of diabetics with ulcers require an amputation.

Foot Gangrene Controlled Naturally - Standard Gangrene Treatments Ignored Foot Problem: Doug’s Story

Doug was typical of a diabetic who paid the price for ignoring a foot problem.

When he was first diagnosed with type 2 diabetes, he thought, "Oh, I feel fine, there's nothing the matter with me."

In late August [2005], he noticed a small "bruise" on his left foot but didn't think much of it. When the "bruise" began to spread, he soaked his foot in hot water, but didn't notice that he had scalded his foot badly, making matters worse.

Gangrene set in and he lost a couple of toes. Despite his best efforts, the problem only grew. Doctors said the only treatment was an amputation.

He was scared. He certainly didn’t look forward to losing part of his leg.

Unfortunately, while the amputation surgery went well, another complication of diabetes hit Doug.

He suffered a fatal heart attack days after the operation.

    Source: Amputation Rates For Diabetics Unacceptably High. News Staff, Mon. Nov. 28 2005

Foot Gangrene: Types and Levels of Amputations Types (Levels) of Amputations

Amputations can be divided into two types: minor and major. Usually, before the operation (although not always) the surgeon decides at what level the amputation will be performed.

Minor or limited amputations are amputations where only a toe or part of the foot is removed.

A ray amputation is a particular form of minor amputation where a toe and part of the corresponding metatarsal bone is removed; and the wound is usually left open to heal. This sort of operation is performed frequently for foot infections in patients with diabetes. A partial foot amputation through the metatarsal bones is called transmetatarsal (TM) amputation.

Major amputations are amputations where part of the leg is removed. These are usually:
A Below Knee Amputation. Picture provided by John Byrne, Albany Medical Centre, New York, USA

  • below the knee, called transtibial (TT) amputation, or
  • above the knee, called transfemoral (TF) amputation.

Occasionally an amputation of just the foot can be performed with a cut through the ankle joint. It can be an option in some patients with diabetes.

Above on the left, in below the knee operation (transtibial amuptation), the bone in the lower leg (tibia) is divided about 12-15 cm below the knee joint. This produces a good size stump to which a prosthesis can be fitted.

Foot Gangrene: Surgical Judgment - Chance of Healing Surgical Judgement: Chance of Healing

There is no test that can predict in every patient whether healing will take place after amputation; it is a matter of surgical judgement and experience whether a wound is likely to heal or not after amputation.
Sometimes gangrene will only involve a toe or part of a foot and a limited or minor amputation can be performed. This is only worthwhile if there is a chance of healing.

One of the most important factors in healing of the wound is the sufficient blood supply to the tissues. If the blood supply is damaged or impaired it may not be possible for the tissues to heal even after a minor amputation.

If the conditions are right for healing the wounds can heal well over a period of 1-3 months and leave a fully functioning leg and foot.

Unfortunately, it is difficult to predict in every patient whether healing will take place. Physical exam, surgical judgement and experience, PVR (pulse volume recording), and segmental pressures are not able to make this prediction accurately.

The question whether a wound is likely to heal or not can best be answered noninvasively by a measurement of the pressure of oxygen on the surface of the skin, i.e., the transcutaneous oxygen pressure (TcPO2).

This pressure reflects the amount of oxygen coming out through the skin, which in turn reflects the amount of oxygen delivered to the skin by the blood. Studies have shown this test to be an accurate predictor of wound outcome.

Even so, the predicted outcome is wrong in 10 to 15 percent of cases as other factors in addition to oxygen supply can affect wound healing. The test can be applied equally well in diabetics and non-diabetics.

Normal TcPO2 at the foot averages about 60 mmHg, but 50 mmHg or greater is considered normal.

With severe arterial occlusive disease TcPO2 is decreased significantly. The average TcPO2 at the foot in patients with rest pain or gangrene is about 4 mmHg.

Wound healing is predicted, though not a certainty, for a TcPO2 greater than 20 mmHg and wound failure is predicted for a TcPO2 less than 20 mmHg.

However, studies have shown that wound healing can occur (though only in about 10 percent of cases) when the TcPO2 is zero.

Please note that falsely low TcPO2 levels may be measured

  • if the leg is swollen (edematous) or
  • if the central body arterial oxygen level is low (hypoxia).

Any wound requires more blood than normal in order to heal. If that extra blood is not forthcoming the wound never heals and, in fact, dies back.
Unfortunately, many people need to have an above knee amputation. This may be because the blood supply to the lower leg is too poor and a below knee amputation would not heal properly.

In this operation, the bone in the thigh (femur) is divided about 12-15 centimeters above the knee joint and the muscle and skin closed over the end of the bone with stitches.

However, an amputation stump will remain a potentially vulnerable area that requires lifelong care and attention.

Foot Gangrene: Transmetatarsal (TM) Amputation Transmetatarsal (TM) Amputation

Transmetatarsal amputation - an amputation of the distal third of the foot - is most commonly performed for gangrene or non-healing ulcer of the toes. It is indicated, if:

  • amputation of more than two toes is required and
  • gangrene extends proximal to the metatarsal-phalangeal joint.

Gangrenous lesions may be due to emboli, atherosclerosis, or diabetic neuropathy.

Below on the left is a photograph of a diabetic foot with a transmetatarsal amputation taken three weeks after surgical intervention (the wound still visible).

Photograph of transmetatarsal amputation of foot taken three weeks after surgical intervention. Copyright © 1999 by the American Academy of Family Physicians.

Below on the right is a photograph of a diabetic foot with a previous healed transmetatarsal amputation that demonstrates an ulcer in the region of the ankle

A diabetic foot with a previous healed transmetatarsal amputation demonstrates an ulcer in the region of the ankle.

Foot Gangrene: Transtibial (TT)  Below the Knee (B-K) Amputation Transtibial (TT): Below the Knee (B-K) Amputation

The following images contain pictures of long below-knee (B-K) amputation - an amputation of the lower leg between the ankle and the knee (in the distal third of the tibia), also called transtibial amputation. Pictures taken by Wayne Smith, RN in 2000 during his volunteer work at Scheer Memorial Hospital in Banepa, Kavra, Nepal.

These photographic images may not be suitable for sensitive people.

Foot before amputation: below-knee (B-K) amputation - amputation of the lower leg between the ankle and the knee; called long below-knee when in the distal third of the tibia and short below-knee when in the proximal third of the tibia; called also transtibial amputation. A picture taken by Wayne Smith, RN during his volunteer work at Scheer Memorial Hospital in Banepa, Kavra, Nepal in 2000.

Foot ready for amputation: below-knee (B-K) amputation - amputation of the lower leg between the ankle and the knee; called long below-knee when in the distal third of the tibia and short below-knee when in the proximal third of the tibia; called also transtibial amputation. A picture taken by Wayne Smith, RN during his volunteer work at Scheer Memorial Hospital in Banepa, Kavre, Nepal in 2000.

Foot amputation in process: below-knee (B-K) amputation - amputation of the lower leg between the ankle and the knee; called long below-knee when in the distal third of the tibia and short below-knee when in the proximal third of the tibia; called also transtibial amputation. A picture taken by Wayne Smith, RN during his volunteer work at Scheer Memorial Hospital in Banepa, Kavre, Nepal in 2000.

Amputated foot: below-knee (B-K) amputation - amputation of the lower leg between the ankle and the knee; called long below-knee when in the distal third of the tibia and short below-knee when in the proximal third of the tibia; called also transtibial amputation. A picture taken by Wayne Smith, RN during his volunteer work at Scheer Memorial Hospital in Banepa, Kavre, Nepal in 2000.

After foot amputation: below-knee (B-K) amputation - amputation of the lower leg between the ankle and the knee; called long below-knee when in the distal third of the tibia and short below-knee when in the proximal third of the tibia; called also transtibial amputation. A picture taken by Wayne Smith, RN during his volunteer work at Scheer Memorial Hospital in Banepa, Kavre, Nepal in 2000.

Foot Gangrene Controlled Naturally - Below-the-Knee Amputation Complications of Transtibial Amputations

Alterations in the amputation stump
Due to muscular atrophy and mobility between the tibia and the fibula, the prolonged use of prosthesis may generate alterations in the amputation stump.

The most frequently found alteration is the shortening of the distal diameter of the stump, which assumes a conical form and migrates towards the end of the prosthesis socket. This occurs by the approximation of the fibula behind the tibia due to socket compression, creating pressure points that may cause cutaneous (skin) ulcers and make prosthesis use impracticable.

Pain in the amputation stump
Another common complication is the presence of pain at the amputation stump. Its main cause is the presence of neuromas adhered to local scars. However, even on technically adequate amputations, the patient may have pain.

Frequent in conventional amputations are also intraosseous circulatory alterations on extremities. They result in a painful amputation stump at lower temperatures.

Foot Gangrene: Impact of Limb Amputation Impact of Limb Amputation

The loss of foot or leg is not like the loss of one's jewel or money. This type of loss is priceless. It means that you cannot walk or run as before.

After amputation of a foot or leg, the body weight of an amputee shifts to the other leg. The resulting wear and tear often leads to problems in the other foot or leg, and in a few years similar problems may develop, necessitating another... amputation. If this degenerative process continues, the results may be fatal.

Losing a limb has also a negative psychological impact. It leaves amputees feeling depressed, angry, or alone. They feel that they're no longer whole persons; or fear that others stare at them, or avoid them.

Loss of limb can be compared to losing a spouse or a child. The first time you see your body after the surgery will be very disturbing. You may be shocked to look down and see that a part of your body is missing. The trauma is deep and multi-layered. So it is not easy to adjust to the loss.

You will have very strong pain after your amputation surgery because the surgeon has cut through skin, muscles, nerves and bone. Your limb will be swollen. Swelling can cause pain and limit movement.

After an amputation, the muscles in and around the residual limb shorten. This pulls your joint into a bent position. If it is left like this for long periods of time, it will become difficult to straighten, or even become permanently stuck.

Recovery is never a fast process. Each step is difficult: sitting up in bed, then sitting in a wheelchair, standing, then using crutches.

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Foot Gangrene: Amputation Risks - Infection Most Important Risk of Amputation

Within 3 years, 70 percent of amputees having surgery for vascular ischemia (decreased blood flow) are dead.

In general, the more limited the amputation the lower the risks.

There are significant risks attached to undergoing an amputation, especially if you are elderly and have diabetes and/or narrowing or hardening of the arteries due to vascular disease (atherosclerosis/arteriosclerosis).

In this group of patients, the chances of dying in hospital after a major amputation (below or above knee) are somewhere between 10 - 20 percent.

In other words, between 1 in 10 and 1 in 5 patients who undergo a major amputation due to atherosclerosis, sometimes in combination with diabetes, will die in hospital.

This is why amputation is always a last resort and a surgeon advises a patient to undergo this operation only when it is absolutely necessary.

These statistics also mean that 4 out of 5 patients undergoing an amputation will do well.

However, 70 percent of amputees having surgery for vascular ischemia - due to atherosclerosis, diabetes, gangrene, Buerger's disease - are dead within 3 years.

Foot Gangrene: Complications of Amputation Other Complications of Amputation

Other complications of amputation surgery include:

  • chest infection
  • angina
  • heart attack
  • stroke
  • pressure sores
  • wound infections in the stump
  • failure of the stump to heal
  • knee or hip joint contracture
  • deep venous thrombosis in the leg
  • phantom limb pain.

Foot Gangrene: Phantom Limb Pain Post-Amputation Phantom Limb Pain

Up to 50 percent of people who have one leg amputated because of diabetes will lose the other within five years.
Besides stress, tension, and anxiety, amputees experience pains due to the loss of limb. Here are the most common types of pain:

Immediate post-op limb pain - where skin, nerves, bones, and muscle have been cut; it is exeperienced by everyone after an amputation.

Residual limb pain - in the natural limb (stump) after the amputation and may be present long after the surgery as the residual limb is usually more sensitive than other parts of the body.

Unfortunately, there is no one method or treatment guaranteed to reduce or eliminate residual limb pain. Sometimes surgery is necessary. Sometimes nothing will help.

Phantom sensation or feeling - in the amputated "phantom" limb which has been removed, such as itching, tingling, warmth, cold, pain, cramping, constriction, movement and any other imaginable sensation; it is experienced by almost all amputees.

The brain is “remembering” the missing part of the limb, and is still “reporting” its feelings.

Phantom pain - in the missing or amputated part of the limb; it varies from person to person - a little annoying, very unpleasant, severe, or disabling; it is different from pain in the residual limb and experienced by about 60–80 percent of amputees.

Unfortunately, there is not one single guaranteed treatment to reduce or eliminate phantom pain. In most cases, it disappears within months, though most amputees (as many as 40 percent of them) may still experience phantom pain from time to time.

Management of post-amputation pain is a major problem and usually requires professional help; however, our understanding of the way at the brain handles pain and other sensations is still fairly crude.

Foot Gangrene: Walking After Amputation After Amputation: Walking Again

The possibility of walk after an amputation depends on a number of factors. For instance, a below knee amputation gives the patient the best chance of remaining mobile and successfully walking post-operatively with an artificial leg (prosthesis); 80 percent of below knee amputees will walk.

You more likely will walk after your amputation, if

  • you were able to walk normally before the amputation and
  • you do not have other illnesses, such as angina or breathing difficulties.

It can take between 6 and 12 months for full rehabilitation potential to be reached.

Most patients undergoing minor amputation (toe or foot) are able to walk after surgery virtually normally.

For the majority of elderly patients with a lower limb amputation the most important aspect is to walk again. Usually, rehabilitation from an amputation in an elderly person is a difficult process.

Unfortuanately, only 40 percent of above knee amputees walk. The factors which make it unlikely a patient will walk after their amputation include:

  • poor pre-operative mobility
  • age over 70 years
  • dementia
  • severe kidney disease
  • severe heart disease, or
  • stroke.

Over half of the elderly patients who undergo a below or above knee amputation never use artificial legs effectively.

In order to remain mobile after an amputation the majority of patients need the help of a wheelchair - especially those, who are very elderly or have had other serious illnesses, such as heart disease or stroke.

Foot Gangrene | Medical Costs of Lifecare for the BK Amputee Medical Costs of Lifecare for the BK Amputee

Based upon the professional evaluation of medical doctors and an experienced lifecare planner, a convincing proof of an appropriate lifecare plan for the survivor of a below the knee amputation of the leg requires a combination of:

  • human services,
  • special equipment and
  • home modifications.

The estimated costs listed below are in addition to:

  • medical costs,
  • lost income,
  • life-altering pain and
  • the daily ramifications of the loss of a lower leg.

Please note that the following estimation while comprehensive, is not complete and requires further personalized consideration necessary in every case and to provide for special medical needs.

  • MEDICAL HEALTHCARE PROVIDERS. Access on an as needed basis (PRN) to a combination of suitable and appropriate medical healthcare providers, including:
    1. Medical doctors (e.g., neurology, physiatry, orthopedics, psychiatry, dermatology, otology, etc.), three to five times/year (4 times per year median), $165.00 to $195.00/consult ($180.00/consult median). Annual median cost $620.00.
    2. Assessment and evaluation services (e.g., radiology, CT, MRI, EMG, medical technology, orthotics, psychological and neuropsychological tests and measurements, pain evaluations, etc.), $1,950.00 to $2,250.00 ($2,100.00/year median). Annual median cost $2,100.00.
    3. Allied medical-health specialists to deliver specific care (e.g., clinical psychologist, clinical neuropsychologist, physical therapist, occupational therapist, kinesiologist, pain management, audiologist, etc.), four to eight times/year (6 times per year median), $135.00 to $155.00/consult ($145.00/consult median). Annual median cost $870.00.
    4. Therapy and support services (e.g., physical and occupational therapists, psychotherapy, cognitive remediation, exercise therapy, pain therapy, orthotic-prosthetic therapy, etc.), a median of twelve times/year, $135.00 to $155.00/intervention ($145.00/intervention median). Annual median cost $1,740.00.
    5. Alternative medicine treatment sources (e.g., chiropractic, osteopathic, naturopathic, acupuncture-acupressure, ultra sound, hypnotherapy, aromatherapy, yoga, aqua-therapy, massage therapy, etc.), a median of twelve times/year, $105.00 to $125.00/consultation $115.00/consult median). Annual median cost $1,380.00.
    6. Pain center treatment program, $15,000.00 to $19,000.00/event ($17,000.00/event median), every two to four years (3 years median). Annual median cost $5,666.00.
  • COMPANION AND ATTENDANT SERVICES from a licensed, bonded home health agency for companion and attendant , eight hours/day (2,920 hours/year, $18.00 to $22.00/hour ($20.00/hour/median). Annual median cost $58,400.00.
  • HOMEMAKER-CHOREPERSON SERVICES for physically demanding aspects of housework, a median of four hours/week (208 hours/year) from a licensed, bonded agency, $15.00 to $18.00/hour ($16.50/hour median). Annual median cost.$3,432.00.
  • HANDYMAN SERVICES to assistance with maintaining the residence and immediately adjacent property, one-hundred hours/year (1.9 hours/week), $14.50 to $18.50/hour ($16.50/hour median). Annual median cost $1,650.00.
  • HEALTH CLUB MEMBERSHIP in a physical conditioning program, $50.00 to $60.00/month ($55.00/month median; $560.00/year median) and a certified physical trainer (monthly interventions), $60.00 to $70.00/intervention $65.00/intervention median; $780.00/year median). Annual median cost $1,440.00.
  • ARCHITECTURAL MODIFICATIONS AND RENOVATIONS of the family home to provide wheelchair and prosthesis accessible and barrier-free mobility. Installation of two-person elevator and single person stairglide between ground floor and upstairs; grab bars in the bath, shower and commode areas; standing poles in the kitchen area; ramps and guard rails at two entrances-exits; bath and shower stall renovation; modifications to door hardware, light switches and plumbing fixtures for wheelchair height access and floor surface changes to aid in wheelchair, walker and prosthesis ambulation, $150,000.00 to $190,000.00 ($170,000.00 median), with a fourteen year useful life. Annual median cost $12,142.00.
  • VARIABLY ADJUSTABLE BED SYSTEM, split-half, for independent position, firmness and/or configuration control, as an aid to pain system management and to provide the patient and her spouse an opportunity to share a common bed, $4,950.00 to $5,495.00 ($5,222.50 median), with a fourteen year useful life. Annual median cost $ 373.04.
  • ULTRALITE EVERYDAY BKA WALKING PROSTHESIS with flex foot features and all inherent components, $12,500.00 to $14,000.00 ($13,250.00 median); Ultralite BKA sport prosthesis with all inherent components and flex foot, $13,500.00 to $15,000.00 ($14,250.00 median) and BKA aquatic prosthesis for swimming and aqua-therapy, $11,750.00 to $13,000.00 ($12,375.00 median), with a two to four year useful life (3 years median). Annual median cost $4,125.00.
  • STUMP PROTECTOR custom designed for use when prosthesis is not being used, $550.00 to $700.00 ($625.00 median), with a three year useful life. Annual median cost $208.33.
  • AMBULATION - MOBILITY DEVICES. Roll-about four-wheel walker, standard caliper brake walker, crutches and related ambulation and mobility aids, $950.00 to $1,100.00 ($1,025.00 median), with a five year useful life. Annual median cost $ 225.00.
  • LIGHT WEIGHT COLLAPSIBLE WHEELCHAIR. Titanium framed, collapsible, manual wheelchair for home use and more efficient out of the home ambulation, $2,895.00 to $3,425.00 ($1,360.00 median), with a six year useful life. Annual median cost $ 526.67.
  • WHEELCHAIR MAINTENANCE/REPAIR. Manual wheelchair maintenance and repair, a median of $125.00/year. Annual median cost $ 125.00.
  • POWER CONVEYANCE. Battery powered scooter or other motorized conveyance for traversing long distances and for use in the absence of the prosthesis, $4,500.00 to $5,995.00 ($5,247.50), with a six year useful life. Annual median cost $ 874.58.
  • POWER CONVEYANCE MAINTENANCE AND REPAIR. Median annual maintenance and repair cost of $250.00.
  • MODIFIED LIFT OR RAMP VAN. Ramp or lift van with suitable and appropriate accessories, $43,550.00 to $46,225.00 ($44,887.50 median), with an end-use equity after seven years of $4,500.00 ($40,387.50), less the cost of a mid-sized automobile ($16,500.00), van cost differential of $23,887.50. Annual median cost $3,412.50.
  • VAN VERSUS AUTOMOBILE COST/MILE OPERATIONAL DIFFERENTIAL. The difference in the operational cost/mile of a van ($0.63/mile) and a mid-sized automobile ($0.40/mile) over 12,000 miles of driving is $2,760.00/year ($7,560.00 versus $4,800.00/year). Annual median cost $2,760.00.
  • PHARMACEUTICALS-NUTRACEUTICALS-PATIENT MEDICINES. For pain, sleep assist and emotional-psychological issues (stress, tension, depression, anxiety, etc.), $235.00 to $295.00/month ($265.00/month median). Annual median cost $3,180.00.

In this specific example, estimated annual median cost for goods and services in 2003 dollars is approximately $105,000.00 for Northern California.

    © 2003, Richard Alexander, a specialist in personal injury litigation.

Foot Gangrene: Beyond the Standard Cut and Medicate Gangrene Medical Treatment Beyond the Standard "Medicate-and-Cut" Treatments

A study recently published in the JAMA states that fewer than 10 percent of all patient decisions are well informed.

All "medicate-and-cut" treatments of gangrene carry with them one main shortcoming: they do little to stop the underlying cause of gangrene, that is the nutrient and oxygen deprivation in the affected areas due to impaired blood circulation.

Also surgery (read: amputation) has its limitations. In some cases it cannot be performed as it may put patient's life at even greater risk! Then, such condition is being qualified as... hopeless. "We're sorry, but nothing else can be done," vascular surgeons keep telling relatives of patients'.

And this is true - but only from the medical point of view.

What makes gangrene, especially its "dry" version, responsive to the nutritional method is the fact that this type of gangrene involves the resultant obstruction only of the arterial blood supply without interference to the venous return.

In other words, in dry gangrene the blood flow (circulation) is only partially impaired and the other part (venous system) is still functioning, or ready to function. Therefore, it is able to cooperate by supporting any attempt to restore internally faulty circulation, especially in its arterial part.

The other factor making dry gangrene highly responsive to the nutritional method is the fact that this disease is characterized by a gradual progression.

In other words, due to relatively slow development of gangrene, there is enough time to support the body nutritionally in order to restore partially impaired circulation - in this case, to unclog arterial blockages.

These two factors - the partial impairment of the blood flow and the gradual progression of the disease - have been commonly overlooked, not to say ignored, by standard medical treatments of gangrene.

Clear-G Formula | The Nutritional Revascularization Clear-G Formula: The Nutritional Revascularization

Without improving the flow of blood to the affected limbs - amputation is a futile exercise, although it can be life saving at times.

Fortunately, there are people, including a growing number of doctors, who admit that there are successful methods to halt the progression of gangrene, other than temporary medical intervention.

One of the natural, non-amputation methods to effectively treat dry foot gangrene is the nutritional revasculatization.

Its first and foremost goal is to improve and - over a period of time - restore the impaired circulation in the areas wounded by vascular ischemia (decreased blood flow) - the most common cause of foot ulcers and/or gangrene.

The process of natural revascularization can be triggered with an application of nutritional - natural and essential - factors that - when presented in specific ratios and amounts - are able to correct longer standing deficiencies and imbalances which are known to contribute to the circulatory problems.

As opposed to standard medical methods of treating vascular ischemia, the nutritional revascularization helps to reduce the impact of factors that created the buildup of atherosclerotic plaque in the arteries.

Clear-G Formula | No Risk For Very High Gain Clear-G Formula: No Risk For Very High Gain

Any wound requires more blood than normal in order to heal. If that extra blood is not forthcoming the wound never heals and, in fact, dies back.

The natural restoration of blood flow to the arteries can be done with the help of Clear-G Formula - a targeted, orthomolecular formulation providing a comprehensive support for the entire circulatory system.

Simply put, Clear-G Formula works to improve and/or restore circulation. And improved circulation allows the body to heal itself.

What could be better than a nutritional supplement fixing the impaired circulation that develops in a diseased body?

There have been medical studies on the beneficial effect of nutritional supplementation on the circulatory system; it appears people with poor blood flow do benefit from specialty dietary supplements.

Nutritional factors - naturally occurring substances, not drugs whose substances are foreign to the body - are able to boost the body chemistry by

  • correcting possible deficiencies and/or imbalances and
  • providing optimum conditions for the proper functioning of the body's own intrinsic ability to heal itself.

As far as the cardiovascular system is concerned, according to orthomolecular nutrition, if the right building blocks (nutrients) are present in the body - in the right amounts and at the right time - the body will do the rest.

In other words, if you want to stop the progression of gangrene due to impaired cirulation you need to get to the root of the problem. By just pulling a dandelion out by its leaves, you are not going to get very far.

The nutritional non-amputation foot gangrene control program shared with the public on the Internet around the world. So far, we have supplied Clear-G Formula to our clients and customers in 40 countries: the United States (including Virgin Islands and Hawaii), Canada, Malaysia, Australia, the United Kingdom, South Africa, Thailand, New Zealand, Germany, Belgium, Trinidad, Mexico, Italy, Pakistan, Singapore, Mauritius, Suriname (South America), France, Bolivia, Russia, Croatia, Poland, Portugal, Denmark, Israel, Azerbaijan, Kenya, Bosnia, Malta, Ukraine, Czech Republic, Ethiopia, Greece, Spain, Kuwait, Germany, Venezuela, Colombia, Honduras, and Nicaragua.

This all-natural combination of 105 nutrients and phytonutrients (plant nutrients) not only keeps your blood flow to the affected limbs in check (as drugs do), but actually helps your body rebuild the organs and systems that control blood circulation - without side effects.

No wonder, our Clear-G Formula can produce results that doctors have not seen before, even with hard-core prescription drugs. And, unlike pharmaceutical drugs, it is very body-friendly.

Gangrene Clear-G Formula: All-Natural  Blood Flow Modulator Clear-G Formula: Advanced Blood Circulation Support

It takes 20 times more energy to heal a wound than to maintain a healthy foot.
Clear-G Formula is a complete "multi" supporting healthy blood circulation. It has been designed to provide optimal concentrations of vitamins, anti-oxidants, lipotropic factors, chelated minerals, trace minerals, and digestive enzymes as they are all necessary to optimize the blood flow.

In other words, Clear-G Formula does not "destroy" gangrene! It helps the body to eliminate its cause, namely, to stop the progression of gangrene through improving and, over a period of time, restoring impaired blood circulation that is known to contribute to gangrene.

In our clinical experience, Clear-G Formula does that in a way of:

  • reducing the dysfunction of endothelium - the innermost arterial lining by stimulating the body’s natural built-in, internal free-radical scavenging system
  • overcoming peripheral vascular ischemia by improving and/or restoring circulation - blood flow to the wounded areas
  • encouraging vasodilatation - widening (dilation) of the lumen of blood vessels
  • promoting the body's ability to develop collaterals - new, small blood vessels in the problem areas
  • delivering more vital, oxygen-rich and nutrient-dense blood to the affected areas
  • producing the growth factors - the necessary for healing substances released by the body into bloodstream and stimulating the growth of tissue and skin
  • preventing and/or fighting off the infection of gangrenous tissues.

CLEAR-G FORMULA | New and Upgraded CLEAR-G Formula® Powder
Advanced Blood Circulation Support*
Net Weight: 0.972 Lb. / 441 G

Clarevasa Formula | Made in USA MADE IN USA
Foot Gangrene | Clear-G Formula
Supplement Facts: Amount Per Serving (1 Scoop) Approx.
8.3 g
1. Vitamin A (as Vitamin Retinyl Palmitate and Beta Carotene) 2,500 IU
2. Vitamin C (as Ascorbic Acid and Ca Calcium Ascorbate) 675 mg
3. Vitamin D3 (Cholecalciferol) 400 IU
4. Vitamin E (as D-Alpha Tocopheryl Acetate and Mixed Tocopherols) 62.5 IU
5. Vitamin B1 (as Thiamine HCl) 62.5 mg
6. Vitamin B2 (as Riboflavin and Ribloflavin-5-Phosphate) 7.5 mg
7. Vitamin B3 (as Niacin, Niacinamide, Inositol Hexaniacinate, and Niacinamide) 92.5 mg
8. Vitamin B6 (as Pyridoxin HCl and Pyridoxal-5-Phosphate) 37.5 mg
9. Folic Acid 400 mcg
10. Vitamin B12 (as Methylcobalamin) 125 mcg
11. Biotin 2,250 mcg
12. Pantothenic Acid (as Calcium D-Pantothenate) 125 mg
13. Calcium (as Calcium Ascorbate, Calcium Ca Citrate-Malate, and D-Calcium Pantothenate) 83.5 mg
14. Iodine (from Kelp) 62.5 mcg
15. Magnesium (as Mg Citrate, Mg Taurinate, and Mg Aspartate) 93.75 mg
16. Zinc (as Zn Monomethionine) 18.75 mg
17. Selenium (as Selenomethionine) 10 mcg
18. Manganese (as Mn Citrate) 1.75 mg
19. Chromium (as Cr Polynicotinate) 187.5 mcg
20. Potassium (as K Aspartate, K Phosphate, and K Bicarbonate) 17.5 mg
Amino Acids (L-Cysteine HCl, Arginine [Arginine HCl and Arginine Pyroglutamate], L-Lysine, L-Taurine, DL-Methionine, L-Glycine, N-Acetyl Cysteine, L-Carnosine, L-Citrulline, L-Histidine, L-Ornithine), Gotu Kola Extract (Centella asiatica) (std. to 10% Asiaticoside), Broccoli Sprouts Powder (std. to 0.4% Sulforaphane), Hesperidin, Citrus Bioflavonoids, Hyaluronic Acid (as Sodium Hyaluronate), Inositol, Rutin, Pectines (Apple, Grapefruit), Curcumin (Curcoma longa extract, std. to 95% Curcuminoids) (Rhizome), Apple Cider Vinegar, Choline (as Choline Bitartrate), Cinnamon 4:1 Extract (Cortex cinnamoni) (Bark), Quercetin, Alpha-Lipoic Acid, Caprylic Acid (as Sodium Caprylate), DMG (Dimethylglycine) HCl, Chondroitin Sulfate Hops 4:1 Extract (Humulus Lupulus) (std. to 0.35% Flavonoids as Rutosides), Serrazimes (from Aspergillus oryzae and Aspergillus melleus), Inositol Phosphate (IP-6), Blueberry Leaf 4:1 Extract (Vaccinium corymbosum), Green Cardamon (Elettaria cardamonum) (seed), Celery 4:1 Extract (Seed), Moringa Leaf Extract 4:1 (Moringa oleifera), Mulberry (Morus alba) Leaf 4:1 Extract, Onion Extract (Allium cepa) (Bulb), Astragalus Root 0.3% Extract (Astragalus membranaceus), Bacopa Extract (Bacopa monnieri) (std. to 20-38% Total Bacosides), Bitter Melon Leaf Extract (Momordica charantia) (std. to 2.5 Bitter Principles charantis), Fennel Seed Extract (4:1), Methylsulfonylmethane (MSM), Glandular Concentrates (Adrenal, Spleen, Thymus, Hypothalamus, Pituitary/Anterior), Horse Chestnut Seed Extract (Aesculus hippocastanum) (std. to 18-22% Escin), Stone Root (Collinsonia canadensis), Ashwaganda (Withania somnifera) (std. to 1.5 Withanolides, 1% Alkaloids) (Root), Black Currant (Ribes nigrum), Bromelain, Burdock Root (Arctium lappa), Grape Seed Extract (Vitis vinifera) (std. to 95% Oligometric Proanthocyanidins), Green Tea Leaf Extract (Camellia sinensis) (decaffeinated, std. to 90% Tea Polyphenos), Olive Leaf 4:1 Extract (Olea europaea), Papain, Pomegranate Extract (std. to 40% min. Ellagic Acid) (Fruit), Silymarin Extract STD (from Milk Thistle Seed), Witch Hazel Leaf (Hamamelis virginiana), Açai Extract 4:1 (Euterpe oleracea) (Fruit), Barbery Root Extract 4:1 (Berberis aristata), Beta-Sitosterol, Betaine Anhydrous (Timethylglycine), Chlorophyll (as Sodium Copper Chlorophyllin), Cranberry Powder (Vaccinum macrocarpon) (90% Cranberry Solids), Echinacea Extract STD [70% Echinacea angustifolia, 30% Echinacea pupurea], Goji Berry Extract (3-5% Polysaccharides) (Lycium barbarum) (Fruit), Grapefruit Seed 4:1 Extract , Guava (Psidium guajara), Marigold Extract STD (Calendula officinalis) (Flower), Ox Bile, Policosanol (from Sugar Cane Wax), Vinpocetine (from Vinca major seeds), Trans-Resveratrol, BioPerine® (Black Pepper Extract) (Fruit), Silica (as Si Dioxide), Vanadium (as Vanadyl Sulfate), Boron (as Boron Citrate). 1,705.75 mg
Larch Arabinogalactan (Larix occidentalis), Inulin, Peppermint Powder (Mentha piperita) (Leaf), Stevia Pure Powder (Stevia rebaudiana) (std. to 90% Steviosides), Spirulina, Guar Gum Powder, Probiotic Yeast (Saccharomyces boulardii), Aloe Vera Powdered Extract (200:1 Concentrate), BeFlora® (Soluble Fiber), Triphala (Terminalia belerica, Terminalia chebula, Emblica officinalis) (Fruit), Yellow Gentian Powder (Gentiana lutea) (Root), Bifidobacterium longum (0.83 billion CFU). 395.8 mg
Xylitol Crystals (Natural Source), Beet Root Powder (Beta vulgaris rubra), Citric Acid, Carrot Root Powder (Daucus sativus), Guar Gum Powder, Lo Han Extract (Momordica grosvenori) (Fruit).
Calories 20
Total Carbohydrates 4 g
Fiber 1 g
Protein 1 g
Iron 0.47 mg
Sodium 25.4 mg
Manufactured in the USA with domestic and imported ingredients in a GMP-compliant facility.

Allergen free (Milk, eggs, fish, crustacean shellfish, tree nuts, peanuts, wheat, soy).

Refrigerate the jar after opening. Keep out of reach of children. Store in a coll, dry place.

Color of this product may vary due to color variantions of the ingredients.

SUGGESTED INTAKE: Unless advised otherwise, take 1 scoop 4 times daily always with food (beginning after breakfast), until the jar is empty. Each time mix the powder well in ½ cup of purified, room-temperature water. Leave it for a few minutes, then stir thoroughly and drink. Immediately after pour into the same cup another ½ cup of water, stir and drink again. DIRECTIONS
WARNING: Do not take this product if you are pregnant, nursing, have an auto-immune disorder, or if you are taking immune suppressants without consulting your healthcare practitioner first.

RECOMMENDATION: Consult your physician prior to use if you have a diagnosed cardiovascular condition and are taking prescription medications, such as antihypertensives and blood thinners.

CAUTION: Discontinue use 2 weeks prior to elective surgery.
CLEAR-G FORMULA® : Advanced Blood Circulation Support*
The Mierzejewski Formula™

Formulated and distributed by Full of Health, Inc.
Lancaster, PA 17601

* This statement has not been evaluated by the FDA. This product is not intended to diagnose, treat, cure or prevent any disease.
Full of Health® and Clear-G Formula® are registered trademarks of Full of Health, Inc.

Although necrotic tissue damage cannot be reversed, Clear-G Formula can help stop or delay further progression of pathological changes and reduce their complications.

As you can see, Clear-G Formula consists only of the natural factors vital to the cardiovascular system and present in specific ratios and amounts in order to correct longer standing deficiencies and imbalances that are known to contribute to the common circulatory health problems.

This complex dietary supplement has mitigative, preventive and protecting properties. However, there is no one "miracle" ingredient in Clear-G Formula. It is a special and unique, orthomolecular combination of all of ingredients that helps to accelerate the inner self-healing effect.

In many individuals Clear-G Formula also helps to

  • reduce and stabilize the blood sugars, therefore,
  • lower insulin requirements (in many cases, better than most prescription drugs).

And there appears to be no harm in taking Clear-G Formula.

Reverse Gangrene: Gangrene Clear-G Formula Continue reading this article...

Clear-G Formula | Testimonials | Users' Feedback Clear-G Formula: Testimonials Reversing Foot Gangrene Naturally | Catalog | Price List

Almost every month we hear new stories from relatives, husbands, wives, daughters or sons of those who have benefited from Clear-G Formula. They admit that there is a successful method to halt the progression of foot gangrene other than standard "cut or medicate" treatments. Their stories speak for themselves.

Although not a substitute for "valid science," these personal experiences should be taken into serious consideration, especially as a means of communicating how some people can get well.

Clealr-G Formula | Users' Feedback | Testimonials Read more testimonials...

Foot Gangrene: Open the Door to Alternatives Clear-G Formula: The Door to Alternatives

The nutritional control of atherosclerotic, diabetic or frostbite foot gangrene. Halt the progression of dry gangrene and restore blood circulation to avoid toe, foot or leg amputation The best way to get control of your health is to take action - move forward and do something about it.

Therefore, it is important for you, or someone you love or hold dear, to be decisive about what you want to do about your condition, rather than to be vague or unsure. The consequences of your indecisiveness could be detrimental...

At Full of Health Inc., we hope that you will give the nutritional approach serious consideration; it can help you get and keep gangrene in your feet or legs under control without humiliating surgery.

Think, feel and act positive. Be more concerned with what is right than with who is right. All-in-all, gangrene is a serious, life-threatening condition!

When gangrene develops dire calls for medical help often are too late as standard interventions are only temporarily and - most of the time - minimally effective.
Discover what many people still don't know, or do not want to know about nutritional gangrene control; your life, or the life of someone you know or hold dear, may depend upon it!

By sharing this information, you can discomfit those who desperately want to believe that conventional medicine has all the answers worth considering.

We hope everyone with a relative or friend with diabetes or atherosclerosis effecting the brain, legs or heart, will at least open the door to them to alternatives.

The nutritional approach to gangrene is for you - if you have courage, good will and persistence, and are not afraid to take your health into your own hands.

As opposed to amputation, the nutritional gangrene control is something you can do on your own - and get results.

Foot Gangrene | Naturopathic Program Foot Gangrene: Naturopathic Program
Speak to Andrzej J. Mierzejewski | Bioenergy Healing Practitioner | Registered Holistic Nutritionist | | Reverse Foot Gangrene Naturally | Clear-G Formula Foot Gangrene | For Information on CLEAR-G FORMULA, Call:  Stop the  Progression of Foot Gangrene Clear-G Formula 1. 705. 304. 6246 (US/Can)
Mon. Wed. Fri. 11:00 am - 3:00 pm EST (Holidays Excluded)

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Reverse Clear-G Formula: Stop the Progression of Foot Gangrene Naturally
© 2000-2017 Reverse Foot Gangrene Controlled Naturally with Clear-G Formula. Stop the Progression of Dry Gangrene: Avoid Toe, Foot or Leg Amputation. All rights reserved worldwide. This document may not be copied in part or full without express written permission from the publisher. The information on reversing gangrene nutritionally provided herein is a general overview on this topic and may not apply to everyone, therefore, it should not be used for diagnosis or treatment of any medical condition. While reasonable effort has been made to ensure the accuracy of the information on reversing dry foot gangrene naturally, Full of Health, Inc. assumes no responsibility for errors or omissions, or for damages resulting from use of the information herein.
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