Tag Archives: Delirium tremens

Misuse of alcohol

Alcoholism treatment classification

Alcoholism treatment classification

Alcoholism treatment classification. By the way, did you know that alcohol kills?

Alcoholism treatment classification: Inpatient and outpatient treatment

When addressing alcohol abuse problems, it is always important that patients have their conditions evaluated professionally before deciding on the treatment approach to take. And that is where alcoholism treatment classification comes in. Experts from AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury gives this problem two main treatment approach i.e. inpatient and outpatient.

Inpatient Treatment – this is usually a reserved for patients whose conditions of alcoholism places them in danger normally this is done in a general or psychiatric hospital or in any other facility dedicated to the treatment of alcohol and other substance abuse. Factors that indicate a need for this type of treatment include:

  • Coexisting medical or psychiatric disorder
  • Delirium tremens (a neurological condition associated with withdrawal that involves uncontrollable trembling, sweating, anxiety, and hallucinations or other symptoms of psychosis)
  • Potential harm to self or others
  • Failure to respond to conservative treatments
  • Disruptive home environment

A typical inpatient regimen may include the following stages:

  • A physical and psychiatric work-up for any physical or mental disorders
  • Detoxification – this phase involves initiating abstinence, managing withdrawal symptoms and complications, and ensuring that the patient remains in treatment
  • On-going treatment with medications in some cases
  • Psychotherapy, usually cognitive behavioral therapy
  • An introduction to AA

Some studies have established better success rates with inpatient treatment of patients with alcoholism. However, resent studies strongly suggest that alcoholism can be effectively treated in outpatient settings as opposed to the inpatient.

Alcoholism treatment classification: Outpatient Treatment

People with mild-to-moderate withdrawal symptoms are usually treated as outpatients. Basically, treatments methods are similar to those in inpatient situations and may include:

  • Psychotherapy or counseling
  • Medications that target brain chemicals involved in addiction
  • Social support groups such as AA
  • Cognitive therapies
  • Involvement of family and other significant people in patient’s life

The current approach to outpatient treatment uses medical management a disease management approach that is used for chronic illnesses such as diabetes. With medical management, patients receive regular 20-minute sessions with a health care provider. The provider monitors the patient’s medical condition, medication, and alcohol consumption.

Finally, treatment of alcoholism is a process involving many stages and serious commitment to the recovery process. When an addict makes the first and most important step of seeking help the journey will be a long one and a difficult one for that matter. Like indicated earlier treatment process may be complicated and fall back or relapsing may be the order of the day. But in all this, you must take courage because you have chosen a worthy course for your life and that of people around you. Seeking for professional help along the way would be a good idea and calling Akoury is a must do a thing for the commencement of your recovery process. Alternatively, you may visit AWAREmed Health and Wellness Resource Center to have a direct contact with doctor Dalal Akoury who is a medical doctor of over two decades of practice.

Remember that doctor Akoury has been helping many people overcome their addiction problems across the state and the world over in the most natural and efficient way. Your addiction condition will be professionally handled in her care while focusing on Neuroendocrine Restoration (NER) to reinstate normality through the realization of the oneness of Spirit, Mind, and Body, Unifying the threesome into ONE and you will have your life back and live it to the fullest.

Alcoholism treatment classification: Inpatient and outpatient treatment




Methylation and Addiction

The Mechanisms in Methylation and Addiction

Addiction refers to a very strong need to take something like drugs or do particular activities. Addictions are so strong that people think they have no control over them. Addiction becomes one of the important things in your life. Due to this it ends up affecting the quality of your life as well as your relationship with others.

Addiction occurs when one feels they should take something like drugs or alcohol or carry out a particular activity such as gambling. Today addiction affects people across all ages. There is no known reason why people get addicted to something. However, regular intake of drugs or gambling may result in the person’s life getting tuned to that particular choice. People get strongly attached to these things and they feel the need to repeat the same thing over and over again. This way they become addicted to that thing and it becomes an important part of their life.

What is methylation?

Methylation basically refers to the process of adding a methyl group to a substance or simply replacement of an atomic group with that of a group of methyl. It is takes place where a methyl group undergoes alkylation instead of the normal hydrogen atom replacing a carbon chain. Such terms apply in biochemistry, chemistry, biological sciences as well as soil science.

Methylation and Addiction

In biological sciences for instance methylation involves the enzyme catalyzation. This form of methylation is responsible for heavy metal modification, gene expression regulation, processing of RNA as well as regulation the functioning of proteins in the body. Heavy metal methylation often takes place outside the biological system. Reduction of histological staining is made possible by the chemical methylation of tissues in the body.

Methylation in the body

It is one of the important processes that take place in the body.  It takes place when the body receives a substance and converts it to another. This is basically so that the substance can be removed from the body. Methylation takes place in the liver during the second detoxification phase a billon times per second.

In order to understand detoxification, there is need to look at what makes up a methyl group. A methyl group is basically made up of three atoms of hydrogen. Methylation takes place when S-adenosine methionine (SAMe) gives out a methyl group that is then attached to the molecule that undergoes detoxification.  The SAMe s then converted to homocysteine. The methylation process must occur often in order to detoxify the body regularly. Buildup of toxics in the body leads to poisoning of cells which can lead to serious medical conditions a like inflammation and cancer. The methylation process is kept going by vitamin B12, B6 as well as folic acid. These substances are necessary in the body in order to facilitate homocysteine reduction to facilitate the process of methylation.

Homocysteine is an amino acid that is naturally toxic to the body. If left to accumulate it can prove toxic to the cells leading to several health conditions. If methylation does not take place as it should a person can suffer from conditions like stroke, cancers of the reproductive system, colon cancer, Alzheimer’s disease, heart disease, defects of the neural tubes, impairment in DNA repair, kidney infarct, impaired detoxification and dysplasia among others.

Faulty methylation leads to the levels of homocysteine increasing. This leads to poisoning of the cells and tissues. However, studies show that B vitamins facilitate lowering of the levels of homocysteine in the body and therefore reducing the risk of a person getting disease like stroke and heart attack.  Common belief among people is that the main cause of heart attack is in accumulation of cholesterol in the body therefore they cut out their intake of cholesterol in their foods. However, studies show that only a fraction of people who suffer from heart attacks is as a result of cholesterol build up in the body. This being the case, other people who suffer from heart disease may be because of buildup of homocysteine in the body.

Methylation and Addiction

Methylation and Addiction

Recent research studies show that over exposure to certain drugs facilitates chances in methylation levels in the bloods. The same also promotes DNA methylation levels to be altered. DNA methylation takes place in the brain neurons. The altered level of methylation promotes altered levels in gene expression this can happens when one is addicted to certain substances like drugs and alcohol.

Basically methylation is used in DNA. Naturally, each cell in the body contains DNA of other cells. Methyl groups that occur naturally in the body are responsible from suppression of DNA that should not be read. When there is poor methylation due to an addiction to drugs or alcohol, the methyl groups are removed from the genes in order to be used in other body processes. This removal of a methyl group is what leads to cancer expression in the body.

For more information about methylation and addiction, visit www.awaremednetwork.com today. Here you will also find other helpful health and awareness tips. Dr. Dalal Akoury will provide assistance with any information you may need.

The Mechanisms in Methylation and Addiction


Alcoholism Increases the Risk to Diabetes

 Alcoholism Increases the Risk to Diabetes

Alcoholism is a vice that ought to be fought at all costs. This is because apart from the health risks and diseases associated with it, it also affects the economy of a nation. Today there are very many people who have been rendered liabilities to their families as a result of their addiction to alcohol. Most people who have become dependent on alcohol have no places to work. Even if they were employed they will lose their jobs as no organization is interested in employing a person who can’t control his craving for alcohol. Being drunk and disorderly is a common recipe for arrests and so it is not strange to hear men who have been jailed for assaulting their wives when under the influence of alcohol. These are the heavy penalties that our societies suffer as a result of alcoholism. However there are some problems that will affect the individual health wise and this includes diabetes.

Alcohol and Diabetes

What is diabetes?

Diabetes is a lifelong condition that is associated with high blood sugar levels.  The term  describes a group of metabolic diseases in which the person has high blood sugar level which is either caused by deficiency in  insulin production is  or failure of  the body’s cells do not respond appropriately to insulin, or both. Common symptoms associated with high blood sugar level are that the patients will typically experience frequent urination, they will become increasingly thirsty and hungry at the same time.

Diabetes is a serious disease that has disabled many people around the globe and so anything that may heighten the risk of getting this disease should be avoided. In 2013 alone it was estimated that over 382 people in the world had diabetes. That just shows how serious problem diabetes really is. The most common diabetes symptoms include frequent urination, intense thirst and hunger, weight gain, unusual weight loss, fatigue, cuts and bruises that do not heal male sexual dysfunction, numbness and tingling in hands and feet.

What is the relationship between diabetes and alcoholism?

Through numerous research studies scientists have been able to establish the fact that alcoholism can increase a person’s chances of getting diabetes. As known to many, diabetes type 2 is caused when there is insulin resistance. In an experiment done on rats it was found that binge drinking directly caused insulin resistance. In the past it was the link between binge drinking and diabetes had not been established but now scientist have proved that binge drinking alone aside from other factors as overeating can directly cause insulin resistance thereby leading to type 2 diabetes. People with a history of binge drinking have a higher risk of developing metabolic syndrome and type 2 diabetes.

A group of Researchers at the Diabetes Obesity and Metabolism Institute at the Icahn School of Medicine at Mount Sinai, in New York, published their findings in the 30 January issue of the journal Science Translational Medicine.  The scientists report that alcohol appears to disrupt insulin-receptor signaling by causing inflammation in the hypothalamus, an area of the brain that among other things is important for metabolic processes.

Alcoholism induces Insulin Resistance

Typically, the main role of the insulin receptor is to control the uptake of glucose. When there is a decrease in signaling of this receptor the cells will not be able to take up glucose, and this will result in too high sugar level in the blood a condition known as hyperglycemia among other consequences of type 2 diabetes.

Insulin resistance refers to a condition in which insulin does not bind properly to the receptor, thus hindering its ability to send the right signals to cells so they can use glucose for energy. This can happen even when the pancreas is producing enough insulin to keep glucose levels under control. One major symptom of insulin resistance is high levels of insulin in the bloodstream. This is a major component of metabolic syndrome, a group of risk factors that together increase the risk for type 2 diabetes, coronary artery disease, and stroke.

Senior author Christoph Buettner, an Associate Professor of Medicine, Endocrinology, Diabetes and Bone Disease, at the Icahn School of Medicine, is quoted in a research report saying; “Insulin resistance has emerged as a key metabolic defect leading to type 2 diabetes and coronary artery disease (CAD).” This statement shows the link between insulin resistance and type 2 diabetes.

“Someone who regularly binge drinks even once a week, over many years, may remain in an insulin resistant state for an extended period of time, potentially years,” he adds.

In their study, the researchers replicated human binge drinking by giving rats alcohol for three days while keeping another group of rats as controls. Both the groups had the same calorie intake but the control group was not fed alcohol. After the three days the researchers then ran a series of tests to check glucose metabolism. They found that even when there was no trace of alcohol left in their bloodstream, the binge drinking rats had higher levels of circulating insulin than the control rats this was a proof of insulin resistance in the drinking rats. This increase in circulating insulin hormone in the blood of drinking rats was induced by the alcohol.

Alcohol and Diabetes

Another author Claudia Lindtner, an Associate Researcher of Medicine, Endocrinology, Diabetes and Bone Disease at the Icahn School of Medicine, is quoted in the report saying; “Previously it was unclear whether binge drinking was associated with an increased risk for diabetes, since a person who binge drinks may also tend to binge eat, or at least eat too much.”

“Our data show for the first time that binge drinking induces insulin resistance directly and can occur independent of differences in caloric intake,” she concludes.

Drug Addiction is a vice that should be fought by all means that is why we at AWAREmed Health and Wellness Resource Center are committed to availing help to addicts and offering them a place to call home. It does not matter what kind of addiction you are wrestling with right now, just call on Dr. Dalal Akoury (MD) today and begin your journey to victory against addiction.

Alcoholism Increases the Risk to Diabetes



Long-term Effects of Toxicity

Toxicity and Its Long Term Effects

ToxicityToxicity- this refers to a degree to which a substance can be poisonous to anybody who uses it. Most of the drugs of recreation are toxic or are high in toxicity and using them for a long time results in damaged neurotransmitters among other problems. The degrees of toxicity can be categorized as acute, Sub-chronic and chronic. Acute toxicity involves harmful effects in an organism through a single or short-term exposure. Sub-chronic toxicity is the ability of a toxic substance to cause effects for more than one year but less than the lifetime of the exposed organism. Chronic toxicity is the ability of a substance or mixture of substances to cause harmful effects over an extended period, usually upon repeated or continuous exposure, sometimes lasting for the entire life of the exposed organism. This explains why those addicted to drugs are severely affected. The more you expose yourself to the substance the more the toxicity you are subjecting yourself to. Toxicity is not only a worry when dealing with recreational drugs, there are also other substances of high toxicity that you need to avoid. These may include pesticides, some window cleaners and other inhalants. With that said it is crucial to mention that in most cases we get these toxic substances by our own intervention especially through the use of drugs of recreation. Even some drugs that are used in hospitals may be toxic when recommended dosages are surpassed. For example benzodiazepines are very effective drugs when used within the specified dosages but are high in toxicity when used beyond the recommended dosages.

Long-term medical consequences of toxicity

Since exposure to different substances will result in different symptoms of toxicity in the long-term, I suggest we focus on one type of drug and for this purpose we will work with benzodiazepines. Benzodiazepines are also good in this case as they drugs that are used clinically hence the result of their misuse can be of help to many.

Depression and anxiety

Using benzodiazepine for a long time results in depression. It has been found that alcoholics who use benzodiazepines for a long time become depressed. It is possible that benzodiazepines cause or aggravate depression, perhaps by reducing central monoamine activity. However, anxiety and depression often coexist, and benzodiazepines are often prescribed for mixed anxiety/depression. Sometimes, the drugs seem to precipitate suicidal tendencies in such patients. It also causes Emotional anesthesia which is the inability to feel pleasure or pain. It is therefore recommended that benzodiazepines should not be used alone in treating depression.


Due to high toxicity of some drugs they will affect the brain causing dependence on these drugs. The long term effect use of benzodiazepines for example can lead to both psychological and pharmacological dependence. After getting dependent on drugs other problems like tolerance and other withdrawal symptoms sets in whenever the person tries to stop using the drug.

Structural Brain Damage

There is insufficient to support the fact that long term use of benzodiazepines can cause structural brain damage. However some drugs have high toxicity and continued exposure to such drugs can cause structural brain damage.

Hemorrhoids – this is not limited to benzodiazepines alone. Long term use of other drugs with high toxicity can cause hemorrhoids where the varicose veins of the anus become painful, swell and itch. This is often caused by constipation and lack of dietary fiber.

Tolerance- long term use of certain drugs results in tolerance where a person will have to use more of a drug to feel the effect. This is a common problem that most people on long term use benzodiazepines go through.

Autopsy findings for inhalants

Inhalants are chemical vapors or gases that affect how the mind works when abused or misused by concentrating and intentionally inhaling these fumes. The inhalants may include volatile organic solvents, fuel gases, nitrites, and anesthetic gases. These inhalants may cause death when a person is exposed to them for a long time. Some of the common inhalants include;

ToxicityAmyl nitrites (poppers) – poopers are normally sold under such names as ram, rush, thunderbolt among other names. They are mostly used by gay men to prolong orgasm and enhance the sensation. Over a time the person will be dependent on these poppers so much that he can’t have sex without them. These poppers have been found to be responsible for many deaths especially through increased risk of HIV. However giving up on poppers isn’t easy since some people depend on it entirely for their sexual purpose. There is insufficient information on the number of deaths that have been caused by use of poppers however in one study it was found that 96% of gays who were HIV positive were using poppers.

Benzenes (gasoline) – CDC defines benzene as a chemical that is a colorless or light yellow liquid at room temperature. It has a sweet odor and is highly flammable. It is one of the inhalants that are greatly abused. When inhaled it alters the way the body cells work for example it can cause bone marrow not to produce enough red blood cells, which can lead to anemia. Also, it can damage the immune system by changing blood levels of antibodies and causing the loss of white blood cells. At extreme intoxication it causes death.

Finally, We at AWAREmed Health and Wellness Resource Center are committed to availing help to addicts by availing some of the most integrative approaches to healing an addict. We advocate for natural healing to all kinds of addiction. Call on Dr. Dalal Akoury (MD) at Myrtle Beach, South Carolina for help.

Toxicity and Its Long Term Effects



Intravenous Amino Acid Therapy


   Intravenous Amino Acid Therapy Is Effective For Addiction Treatment

Intravenous amino acidDrug addiction is a vice that many people are fighting with today. In fact the world’s economy has been seriously affected by drug addiction due to the huge amounts of money that many governments and organizations spend in rehabs to help those who are fighting addiction. Addiction recovery has never been an easy procedure. It takes time and resources and most importantly the input of the addict matters a lot. Doctors have been involved in research in the past to try and come up with better ways of help addiction patients through addiction recovery. However, in most cases addicts are treated by using medication detoxification drugs which are chemically similar to the chemical being removed from the body. The patient is given this substance to manage the severity of withdrawal symptoms.

In most cases the substitutes for the chemical used is either Librium or Valium. These drugs are used because they can calm the nervous system. When using these drugs the dose is gradually reduced as symptoms subside. The drugs however do have a half-life for several days after the course is completed. During this process the patient can still experience severe discomfort with tremors, nausea, vomiting, and occasionally even delirium tremens (DTs). These are just of the disadvantages of using advent pharmaceuticals in fighting addiction in patients besides medical detoxification in drug addiction patients takes longer than the IV amino acid vitamin therapy because the addicted person has also to withdraw from the substitute drug. The fight against addiction from a substance may get complicated when the patient become dependent on the substitute drug.

Intravenous Amino Acid Treatment safe and effective in fighting addiction

As commonly practiced most addiction detoxification is done by use of another substance of substitute. This may work well but as you have noticed it will take a longer period of time for the patients to be free from dependence on the drug of abuse with a higher risk of becoming dependent on the substance of abuse. Were it not for the withdrawal symptoms that addicts suffers when they stop using the drugs then the fight against drug addiction could be easily won. But the bitter reality is that even with the advent pharmaceuticals that can be used in addiction recovery the patient will suffer withdrawal symptoms if they stop using them. However there is hope for the addicts as with IV nutritional detoxification no substitute medication is necessary. So the process is far faster and consequently more effective. The use intravenous amino acid treatment in fighting addiction is devoid of the withdrawal symptoms and therefore safe and more efficient in fighting addiction as the patients will not take more time fighting withdrawal from the very substitutes used in fighting addiction.

In spite of the advent of pharmaceutical medications is now the prevailing form of detox therapy – the standard one-size-fits-all medical detox , amino acids have been a popular option for the alternative or natural form of treatment used for depression , addiction and other issues relating to brain chemistry imbalances, since the early 1900s. Since then amino acid therapy has become a vital component of addiction recovery, thanks to its efficiency and effectiveness.


Intravenous Amino acids therapy works in a way that it gives the brain what it craves from the substance of abuse so cravings are greatly reduced even after one IV therapy session. Safe and effective, these proven natural remedies allow the client to detox in a comfortable manner that significantly diminishes withdrawal discomforts, many times eliminating cravings. Craving for the substances of abuse is what keeps the addicts asking for more of the drug and because during drug addiction the brain cells are affected in that a manner that they become dependent on substance of abuse to be able to perform. it therefore means that the brain must be detoxified so as to clear all the residue of the drug of abuse and break its effects on the brain and the entire nervous system and nothing does that better than intravenous amino acid therapy. The amino acid therapy is the best for fighting addiction because it gives the brain what it craves in a natural non habit forming way while rebuilding the neurotransmitters which are always destroyed by substance of addiction. Normally, the cravings will begin to recede very rapidly. In most cases the cravings will take between 3-5 days subside with minimal if at all there is any withdrawal symptoms. This is because amino acids boost the body’s own detox response eliminating most of the symptoms expected from a withdrawal.


The process of using intravenous amino acid in addiction therapy is completely safe, the solutions are made from ingredients that occur naturally in the body and are prepared by a compounding pharmacy. Only FDA-approved ingredients of the highest purity are used.

The use of intravenous amino acid in detoxification was developed by Dr. William Hitt who reached his formulas after a lifetime of research. He received several awards during his lifetime, completing his research with the help of the World Health Organization. He was a member of the 1985 International Physicians for the Prevention of Nuclear War. The organization was awarded the Nobel Peace Prize.

Addresses the root cause

Intravenous amino acidUp to date there is still no drug currently in use, medical or recreational, addresses the root cause of neurotransmitter levels. Drugs merely stimulate temporary excessive release of pre-existing neurotransmitter stores. They do not increase production of neurotransmitters. Greater transport into the brain of the relevant amino acids, vitamins and minerals augment nourishment of the brain when there are less than adequate levels. The only cure that heals from the roots is intravenous amino acids and good nutrition. However with the effectiveness of intravenous amino acid therapy in effective treatment of addiction it still matters a great deal the commitment and willingness of the patient to stop using the drug of abuse.

Drug Addiction is a vice that should be fought by all means that is why we at AWAREmed Health and Wellness Resource Center are committed to availing help to addicts and offering them a place to call home. It does not matter what kind of addiction you are wrestling with right now, just call on Dr. Dalal Akoury (MD) today and begin your journey to victory against addiction.

   Intravenous Amino Acid Therapy Is Effective For Addiction Treatment