EVALUATION OF AUTONOMIC DYSFUNCTION UTILIZING ACETYLCHOLINE CHALLENGES

5 Nicotinic Receptors Test

Can the patient sustain a gamma 2 motor neuron maximal contraction for 12-15 seconds?

Usually the patient can only hold the contraction for 4-5 seconds Confirm with TL to ipsilateral GB1 then repeat sustained contraction for improvement. If there is inhibition and facilitation with GB1 proceed to nutrient testing with AcetylCoA Factors, iStressedout.

6. Muscarinic Receptors

Test – shine a light in the nasal eye field and test ipsilateral subscapularis and gracilis TL to ipsilateral GB1 then repeat test protocol If there is inhibition and facilitation with GB1, proceed to nutrient testing with AcetylCoA Factors, istressedOut

7 Kreb’s Cycle Evaluation - a long time useful procedure to determine function of this chemical pathway(s) is easily administered a Start with a normally facilitated muscle b Have the patient re-breathe their own air (use a paper bag to have them exhale and inhale out of usually 5-6 times) c Re-test indicator muscle for inhibition d If inhibition occurs then evaluate for nutrients such as i AcetylCoA Factors ii CoQ10 iii Acetyl-L-Carnitine e Repeat re-breathing challenge with specific nutrient to determine best approach to improving AcetylCoA production