Tamanu Oil for Keloid Scars

Hi, Dr. Ettinger!

My wife has suffered with a large, painful and growing keloid scar on her left shoulder at the site where she received her childhood vaccinations. I also believe that was the cause of the keloid scarring in the first place. Would tamanu oil be the best oil to put on this to relieve the pain and to possibly reduce the scar (or at least keep it from growing any larger)? Or would EMU Oil be more effective in your opinion?

The pain is SO BAD right now that she wants to go to a dermatologist to get a STEROID SHOT which I do not recommend, but she feels there is NO ALTERNATIVE. Do you know what the side effects are from the steroids shots used in treating keloid scars so that I can educate her?

Thanks for letting me know as soon as possible, Dr. Ettinger. I appreciate all of your help!

P.S.–Do you ship UPS Ground? The reason I ask is because UPS is the only major carrier that does not irradiate any of their products.

Dr. Ettinger’s Response:

Based on the urgency, I’m cutting to the quick. I would alternate oils throughout the day. If there is no relief, to her satisfaction, go for the shot (side-effects are far less than her pain) and continue with the oils.

Our organic, Tahitian tamanu oil is of the finest quality and purity and is what I use every day. We do ship UPS ground.


Go immediately for the shot and use the oils afterward. Personally, I would not want to watch my wife in pain until the package arrives.

Let me know what you decide and what works.


Dr. Marcus Ettinger, B.Sc., D.C

From New York University’s Langone Medical Center website:

Principal Proposed Natural Treatments
Keloid Scars
Other Proposed Natural Treatments

When the body repairs a wound, it often does so by creating fibrous scar tissue. Internal scars that may develop following surgery can cause significant pain. Surface scars are generally painless, but they may be cosmetically unpleasant. In some cases, scars on the skin can develop into a special form of oversized scar called a keloid. Keloids are generally red or pink, and often form a ridge several millimeters above the skin. These scars occur when the body continues to fill the scar with collagen after it has healed. Darker-skinned people are more likely to develop keloids than those with lighter skin.

Conventional treatment of any type of scar is less than entirely satisfactory. Keloids and other scars on the skin may be reduced in size by freezing (cryotherapy), steroid injections, radiation therapy, or surgical removal. However, a new, even more, visible scar may develop in the place of the one that was removed. Similarly, removal of painful internal scars may lead to the new formation of painful scar tissue.

Proposed Natural Treatments

The herb gotu kola is said to help remove keloid scars. 1,2 When used for this purpose, it is taken orally, applied to the skin, or injected into the scar. However, there is no reliable evidence that it is effective.

According to some schools of acupuncture, surface scars impede the flow of “energy,” and thereby cause various illnesses. Acupuncture treatment of both surface and internal scars is said either to shrink them or, at least, to reduce their effects. However, there is no meaningful scientific evidence to indicate that acupuncture offers any benefits for scars.

Other natural treatments proposed for scars, but again without reliable supporting evidence, include: Aloe vera, allantoin, coconut oil, collagen, elastin, jojoba oil, lavender oil, massage, magnet therapy, selenium, snail extract, tamanu oil, vitamin A, vitamin C, vitamin E, and zinc.


1. Kartnig T. Clinical applications of Centella asiatica (L.). Herbs Spices Med Plants. 1988;3:146-173.
2. Bosse JP, Papillon J, Frenette G, et al. Clinical study of a new anti keloid agent. Ann Plast Surg. 1979;3:13-21.

Dr. Ettinger    

Can B2, Iron and/or Zinc Deficiency Cause Cracks at the Corners of the Mouth?

Hi Dr. Ettinger,

I forgot to ask you when I was there for my appointment about the cracked skin at the corner of my mouth. It wasn’t so bad then, but it has gotten worse. I have never in my life gotten this, so it’s a mystery. I’ve tried putting some skin repair cream on it, but It hasn’t helped that much. I know there’s a reason why this happens, but I seem to have forgotten. Is it some nutritional deficiency? any suggestions about getting rid of it?

Thanks a lot.


B2, Iron and/or Zinc Deficiency


It’s called angular cheilitis or cheolosis.

Although the sores of angular cheilitis may become infected by the fungus Candida albicans (thrush), or other pathogens, studies have linked the initial onset of angular cheilitis with nutritional deficiencies, namely riboflavin (vitamin B2)[1][2] and iron deficiency anemia,[3] which in turn may be evidence of poor diets or malnutrition (e.g. celiac disease). Zinc deficiency has also been associated with angular cheilitis.[4]

Related Products:

Vegetarian Iron Complex

Liquid Complete B Vitamin Formula

Liquid Power Multi-V

Dr. Marcus Ettinger, B.Sc., D.C.

1.  Dorfman J, The Center for Special Dentistry.
2.  MedlinePlus (2005-08-01). “Riboflavin (vitamin B2) deficiency (ariboflavinosis)”. National Institutes of Health.
3.  Lu S, Wu H (2004). “Initial diagnosis of anemia from sore mouth and improved classification of anemias by MCV and RDW in 30 patients”. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98 (6): 679–85.
4.  Gaveau D, Piette F, Cortot A, Dumur V, Bergoend H. (1987). “[Cutaneous manifestations of zinc deficiency in ethylic cirrhosis].”. Ann Dermatol Venereol. 114 (1): 39–53. PMID 3579131.


Fatty Acids, Omega 3-6-9, Should Be In A Balanced Form

February 15, 2012 by  
Filed under Essential Fatty Acids, Vitamins and Minerals


I have been a customer of CAOH for a while now and I am very happy with the products.  I’ve read so much about the importance of DHA and EPA in omega supplements.  A lot of products on the market, when compared to your product, have a much higher amount of omega altogether and much higher amounts of DHA and EPA.  Does that mean they are better?  Why does your product seem to have a small amount of DHA and EPA?  Thanks for your help in understanding this.

Hope your day is great!

Linda K.


Our Ultra Omega 3-6-9 formula is a balanced “omega fatty acid” formula, supplying omega 3’s (ALA, EPA and DHA), omega 6 (GLA) and omega 9 fatty acids. A high potency EPA/DHA is appropriate only under a health care practitioner’s supervision. Not because it’s dangerous but because long-term use will create deficiencies of other fatty acids. This can lead to hormonal changes, especially in females, and other health issues. My recommendation is to always take a balanced formula. If you want more EPA/DHA, take more capsules of our balanced formula. I personally take 3 per day, which makes the bottle last 1 month. As an added note, we have a complement of tocopherols (vitamin E) in the formula to help the fatty acids from oxidizing. Rancid fatty acids are a potential health hazard.

Let me know if this answers your question.


Dr. Marcus Ettinger, B.Sc., D.C.

Linda’s response back: Thanks for your quick response!  This does help explain things.  I appreciate your help.

 Hope your day is great!

Normocellular bone marrow with progressive trilineage hematopoiesis

Dr. Ettinger

Do you have any feedback from any of the patients trying MM?

Secondly – a follow up to that blood work of my dads – he had a bone marrow test and turns out he has the following condition:

“Normocellular bone marrow with progressive trilineage hematopoiesis, erythroid hyperplasia, and no significant immunophenotypic abnormalities.

Peripheral blood with mild macrocytic anemia.”

Then there is the actual bone marrow analysis.

Cellularity …. the normocellular % is 40% which is normal for my age.

Basically something that could be genetic and that he has had for a long time. Conventional treatment is wait and watch… Any thoughts or insight?



I haven’t used “The Miracle Mineral Solution” (chlorine dioxide) it in my practice. I have had a few patients use it on their own, though I’ve never heard any rave testimonials about it. Personally, I’m not going to be using it.

As far as your dad’s diagnosis goes, I have had other patients with similar diagnosis and have referred them out to various integrative medical clinics to receive treatments I can’t perform at my practice.

When you see this type of blood test result you would naturally think leukemia/lymphoma. This would need to be ruled in or out. Another thing I would like to rule in or out is, zinc excess or copper deficiency. Here is a link to what I’m talking about. Hypocupremia (copper deficiency) and bone marrow failure. This is important because if it’s part of the puzzle, resolution can’t occur unless the issue is also addressed.

The common denominator in treatment for all has been monthly sessions of IV vitamin C and ongoing LDN (Low Dose Naltrexone) therapy. The patients I’m referring to have all had a diagnosis of leukemia (CLL mainly) or lymphoma (both Hodgkin’s and non-Hodgkins).

Supplement wise has been: alpha lipoic acid (can be added to the vitamin C drip), CoQ10 (100+ mg’s), astaxanthin (8-12 mg’s), Vitamin D3 (2000-6000 IU’s), NAC w/selenium & molybdenum (Now Foods 1000+ mg’s), folic acid/B12 (400 mcg’s/2000 mcg’s) and betaine HCl (200-600 mg’s, per meal) for proper absorption of iron and other minerals.

N-acetylcysteine (NAC) Benefits

Cancer Adjuvant Therapy (including NAC, CoQ10, selenium and alpha lipoic acid)

I hope this helps.

Dr. Marcus Ettinger, B.Sc., D.C.

Where’s the iron, supplement that is?

Question: I was looking for iron on your website & did not find anything in the general area or under the Women’s section.

Do you not carry that supplement?



Answer: Julie,

You request something and we answer your request!

Our Vegetarian Iron Complex™ utilizes the Albion Labs patented Ferrochel® Iron chelate where research has demonstrated it to be highly absorbed, well tolerated and non-constipating at recommended levels.

  • Superior Bioavailablity
  • Non-Constipating
  • Enriched with Vitamins & Herbs
  • A Vegetarian Dietary Supplement
  • 100 Tablets

This is an extremely absorbable form of iron with natural co-factors. I find that iron deficiency anemia is not so common. Most people lack the co-factors for absorption and utilization. This formula has it all. Plus, the form of iron we use is the least constipating of all forms. You will want to take 1 per day with meals.

Take care and have a wonderful 2012


Dr. Marcus Ettinger, BSc., D.C.

Response Back: Good Morning….

That is great news, I will check back & order some along with my Liquid Power Multi-V. I had my annual doctor appt & when my blood work came back it showed me being anemic, so was told to take 325mg of iron a day. We think that part of it is my “pre-menopause” stage & the 2 week long cycles vs. the good ole 5 days.

Thank you for your time & wonderful supplements…

You too have a very Happy New Year!


Do you have a vegetarian iron supplement with folate and not folic acid?

January 9, 2012 by  
Filed under Recent Posts, Vitamins and Minerals

Question: I’m interested in your Vegetarian Iron Complex, but I don’t want to buy any supplements with folic acid in them.  Is the folate listed in your Vegetarian Iron Complex true folate or folic acid?


Answer: Julia,

Our “folate” is “folate”, not folic acid.

I’m sure your are already aware that the terms “folate” and “folic acid” represent two different forms of the same vitamin. Folic acid is the synthetic (man-made) form that is used in vitamin supplements and fortified foods and folate is the form of the B vitamin found naturally in whole-foods. Both forms of folate have their pluses and minuses. The one thing they both have in common is that they are good for people of all ages.

I hope this helps and I hope you enjoy our Vegetarian Iron Complex.


Dr. Marcus Ettinger, BSc., D.C.

Response Back: Thanks so much for your response.  I wasn’t sure only because on another supplement it said folate as folic acid.  I’ve done extensive research on the most current (2011) studies on long-term folic acid supplementation and fortification, which wasn’t done in original studies, and depending on a person’s unique genetic make up & whether or not they have cancer, long-term exposure to folic acid can do harm to certain vulnerable groups while helping others.  More studies on long-term use need to be done, but initial studies are solid, with high P-values, and are raising red flags.

Anyway, thanks so much for the info. and I’ll definitely be buying the iron formula.


Liquid Power Multi-V or Ultra Supreme Greens and Fruits or Both?

Question: Hi,

I have been taking your Liquid Power Multi-V and your Mangosteen Elxir and I love it!  I am very interested in your Ultra Supreme Greens & Fruits and I just wanted to know is taking the liquid power multi-v and the Greens & Fruits a good idea or is it too much and I only need one.  I noticed the Greens & Fruits has a decent amount of vitamins in it already.  If I only need one which one do you recommend and if you recommend both how do you recommend I take them.  Both at the same time in the morning to start my day or one in the morning and one in the afternoon.  Thanks!

Answer: Jason,

Liquid Power is the base and you will build from there. Here are a few other ESSENTIALS.

A complex of essential fatty acids Ultra Omega 3-6-9 and Lecithin granules (lecithin in the emulsifier that allows you to metabolize the oils, plus the brain is 30% lecithin, and it’s good for cholesterol metabolism).

Whey Protein: Proteins are essential parts of all living organisms and participate in every process within our cells. Protein is also what makes up our muscles, immune system, internal organs, hair, nails, skin, and connective tissue. Whether your body resembles a brick house, stick house, or straw house is determined by the level of protein in your body. When a client comes in for a consultation with weak nails, poor hair growth, a weak immune system, and/or low energy, I always know they are deficient in their intake of (quality) protein. I usually take one scoop a day (25 grams of protein), but two scoops on the days I am working out in the gym.

Vitamin D is mandatory for all of my patients – 5-6,000IU’s per day (see www.vitamindcouncil.org for more data)

Here is a protocol I put together some time back.

I hope this helps.


Marcus Ettinger, BSc., DC

Coral Calcium for Rheumatoid Arthritis (RA)?

A high potency magnesium supplement

Question: I am writing for information concerning my sister. She is only 57 and her fingers are already starting to be deformed due to rheumatoid arthritis. Is there anything she can take to reverse it or keep it from getting worse. I was wondering about coral calcium but she has a problem with calcium deposits. Will coral calcium cause calcium deposits? Also wanted to know if coral calcium will cause kidney stones as I have an aunt that would like to take calcium supplements but she has a problem with the kidney stones.

Thank you, Bonnie

Answer: Bonnie,

This request is way too complex for this forum. I wish it was as simple as saying yes to the coral calcium and all would be better, but it wouldn’t. RA is an auto immune disease and the triggers are unique to the individual. I have helped many of my patients with RA, with the initial work-up being the most important component. Treatment involves dietary and lifestyle changes, along with targeted nutritional supplementation.

I have a distance patient program that will do all of this. Here is a link to that information. Also, please read my blog-post, There is a cure for arthritis – Reactive Arthritis (Reiter’s Syndrome). This form of auto-immune arthritis is similar to RA.

As far as your aunt goes, she would be better off with magnesium than calcium. Calcium supplementation is very, very over rated. Magnesium deficiency is of a greater concern and more prevalent than that of calcium. So is vitamin D. My recommendation would be to take 3000 IU’s (3 caps) of our Vitamin D (power D3) and 800mg’s (1 cap in the AM & 1 cap in the PM) of our magnesium (Calm).

I hope this information helps.


Marcus Ettinger, BSc., DC

Could you please advise if there are any synthetic versions of vitamins in Kidamins?

Question: Dear Dr. Ettinger,

Could you please advise if there are any synthetic versions of vitamins in Kidamins? could you also comment on another liquid multi I have purchased which uses a synthetic form of vitamin E as they (the supplier/manufacturer) state that the natural version is too unstable in a liquid formula????

Kind regards,

Rob Brady

Answer: Rob,

The only way to get a natural source of a vitamin would be to buy a food based supplement. Most likely it will be a tablet and only one or a few vitamins will be included. A label would look like this:

Cataplex C – Standard Process – $13.00

Supplement Facts
Serving Size: 3 Tablets

Calories    4
Vitamin C    17 mg    25%
Calcium    30 mg    4%

Three tablets supply approximately: 225 mg veal bone PMG™ extract, 80 mg bovine adrenal, and 40 mg buckwheat leaf juice.

Proprietary Blend: 595 mg
Veal bone PMG™ extract, bovine adrenal, dried buckwheat (leaf) juice, buckwheat (seed), nutritional yeast, dried alfalfa (whole plant) juice, alfalfa flour, mushroom, magnesium citrate, bovine bone, defatted wheat (germ), calcium acid phosphate, echinacea (root), carrot (root), veal bone, soybean lecithin, mixed tocopherols (soy), and rice (bran).
Other Ingredients: Calcium lactate, honey, acerola (berry), camu camu (berry), manioc (root), calcium stearate, and arabic gum.

My 6 year old daughter takes Kidamins (Kidamins YouTube Video) and the quality of the product is of the highest standards. I am an alternative medicine practitioner of 22  years and have no problem giving it to her. I do give her other products, some of them being food based.

It would be impossible to make a 100% broad-spectrum, high-potency, whole-food based supplement. The key is to have a good diet and supplement what may be missing with this product. It’s safe and effective.

I hope this helps.


Marcus Ettinger BS, Sc

Can a patient on dialysis take Liquid Complete B Formula?

Question: Hi,

I am a renal dietitian in western Massachusetts and have a patient who takes your liquid B vitamins.  I noticed several minerals included in the ingredients and was wondering if these are in trace amounts, or not.  For instance, potassium and phosphorus are included, and renal patients need to limit their intake of these minerals.  Any info you may have on this would be helpful.

Thank you.

Emily Lewis, MS, RD

Answer: Emily,

The amount of minerals in our Liquid Complete B Formula is in TRACE quantities. I totally understand that you want to limit supplemental forms of certain minerals, but it’s the form and total amount that matters the most. As you know, a person would die (or not do well) without adequate daily potassium and other minerals. The RDA for potassium, for instance, is 3.3 grams per day, really should be 4.0 grams/day. That would be 33, 99 mg potassium (gluconate or citrate) caps/day. The issue with a doctor… restricting a particular mineral should be based on, not going above or beyond the RDA values. If a clients diet is one of fast-food or void of fruits and vegetables, supplemental minerals should be prescribed, even if the client is on dialysis. Just my professional opinion.

I usually run a routine blood chemistry to determine the blood levels of these minerals: potassium, calcium, sodium, chloride and magnesium, as they are added back, to mimic plasma concentrations, during dialysis. If these minerals are low or not in, what I call the functional range (a narrower bell-curve range than is used by Quest, LabCorp….), I will supplement until a stable range has been achieved on follow-up  blood tests.

I hope this helps and sorry for the drawn out answer.

Since you do this every day and I don’t, if you have data that will help me in my practice on this matter, can you e-mail me back.


Marcus Ettinger BS, DC

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