Consultations
Bio-identical Hormones
 Our office provides a comprehensive and individualized approach using bio-identical hormones. Bio-identical hormones are identical to those made by the body and are synthetic (made in a laboratory). It is a misconception that plants contain natural hormones; plants DO contain hormone-like chemicals that are often used as starting chemicals when bio-identical hormones are produced in the laboratory. The human body is unable to convert hormone-like chemicals in plants such as soy and wild yams to active hormones. Hormones used by conventional OBs, internist and endocrinologists are also synthetic, but are very different structurally from those made endogenously (in the body). Bio-identical hormones are easily recognized by the body and are thought to carry far less risk of hormone related cancers compared to synthetic, non-bio-identical hormones.

Our office utilizes several important tests for determining the best balance of bio-identical hormones required. These important tests include:
  • Certain blood hormone levels
  • Specific saliva hormone measurements
  • Urine measurements of estrogen metabolites
  • Non-hormone nutritional and other laboratory tests that evaluate various body processes that determine directly or indirectly hormone need, use and overall balance.
It is the combination of these tests that give the most comprehensive assessment of hormone levels, relative use by body tissues in need and potential cancer risk (Yes! Even natural hormones may increase cancer risk in a given individual).

Cancer Consultation
 Our research and clinical experience has taught us that many people with cancer benefit from improved nutrition. Below are described some of the areas relating to cancer that we believe deserve special attention:
  • Prominent and respected sources such as the National Institutes of Health, The American Cancer Society and the American Institute of Cancer Research have all stated that good nutrition may play a prominent role in: cancer prevention, treatment and prevention of cancer recurrence.
  • Many cancer medications may have enhanced effects when combined with certain foods and nutritional supplements. Our office provides accurate information and guidance regarding drug-nutrient interactions.
  • Side-effects of cancer therapies may also be lessened or prevented with improved nutrition or the use of nutritional supplements.
    • For example, many forms of chemotherapy and radiation directed to the gastrointestinal tract cause troublesome symptoms: nutrients including the amino acid glutamine, whey protein and probiotics (i.e., acidophilus, plantarum, saccromyces boulardii, etc.) may effectively reduce symptoms of radiation and chemotherapy. Our detailed and individualized testing helps us determine the proper combination of lifestyle, foods and nutritional supplements for your state of health.
    • Certain types of omega 3 fatty acids, but not others, have the potential of improving both nutrient and chemotherapy delivery to target tissues.
    • Many more examples of complementary approaches to cancer prevention, treatment and reduction of cancer recurrence are available.
  • If you want to know about cancer treatments speak with an oncologist; if you want to know about nutrition please allow us to work with you in partnership. Together, traditional oncology and advanced nutrition (Integrated Medicine style!) can help you enjoy life to its fullest!

Combined Medical and Nutritional
 Medicine alone does not have all of the answers, and neither does natural medicine: our combined approach simply offers you more! Whether your health issue(s) started from nutritional problems, or resulted in nutritional problems, it is likely that nutritional and natural approaches may help.

Our complete medical and nutritional evaluation and treatments are designed for thoroughness and results in the following ways:
  • We take a complete medical and health history by listening to and questioning you from a medical and nutritional (holistic) perspective
  • We are mindful that a combination of traditional medications and natural and nutritional approaches may be needed - so we bring you options so that you may make an informed decision
  • We are happy (and look forward) to communicating fully with your other health care providers and doctors - we never let our ego's get in the way... we are your health advocates!
  • Carefully, we investigate all prior test results you have had - often important information is left out or considered unimportant. From a holistic perspective, even your prior "normal" tests may lend important clues towards your health and wellness efforts
  • When developing a lifestyle program for you we combine your health history, past-efforts to get well (and your results or lack of results) together with our investigations and your future goals.

Detoxification
 Detoxification is a serious procedure that deserves exacting attention and testing. Drinking fruit juices and eating alkaline foods is not only misleading, but may not provoke adequate detoxification. The nutritional detox process can only be accomplished with doctors who understand the cellular detox process (involving cytochrome P450 enzymes, etc.). Specific nutritional factors are needed for cellular detox (and may not be found in the healthy foods one is consuming), but as importantly, detox efforts must be based on the specific toxins to be removed. Different detoxifying agents are required for different metals and for bacterial, fungal or parasitic endotoxins, for example. Detox must further consider genetics, lifestyle, personal health history, absorption issues and possibly many other factors. The concept of acid/alkaline is also largely misunderstood by both the lay public and by health professionals. In short, to be more alkaline is a meaningless statement as the mouth should be alkaline, the stomach acidic, the small intestines alkaline, the venous blood slightly higher than neutral, etc., etc. Please allow us to help guide you through the important and essential process of detoxification.


Distance Education Consultation
 Our office is happy to work with you or your family and friends that may live far from our office even in other states and countries. Here's how it works:
  • We provide the patient with our medical and health forms to complete
  • We schedule a phone consultation once we have received and reviewed our paperwork. This consultation is like all others that we have in our schedule book, and we look forward to it as we would any other consultation with an individual that is in our office in person.
  • During the consultation we will formulate ideas and suggestions and will often recommend testing. We can provide a complete list of tests including blood tests for your local lab or doctor to perform. Once these tests are completed, a follow up phone consultation will be scheduled. If laboratory work has been performed within the last three months then we will often not re-take these blood tests; however, we may suggest additional tests and procedures.
  • To schedule, please call us at: 914-242-8844.
  • Please call if you have any other questions or concerns.
  • We are delighted to use Skype for video conferencing your consultation.

Food, Diet and Nutritional Supplement Consultation
 During these consultations, Dr. Wald or his nutritional consultant will discuss the details of all nutritional supplements that you need based upon your health problems and laboratory (blood) work as partially determined through his patent-pending Blood Logic technology. Even if you have been told that your blood tests are "normal" this doesn't mean that they are ideal... this may be why you are not optimally well. All dietary and nutritional supplement recommendations are designed specifically for you! No guess work or wasted time and money. Cooking consultations and group food preparation classes are also available.

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Environmental Medicine Consultation
 It is now common knowledge that we are exposed to literally thousands of toxins daily. Depending on our ability to detoxify these toxins and our nutritional and immune resiliency, we may be more or less predisposed to ill health, disease and recovery. Our environment also exposes us to potential allergies and a myriad of other chemicals. Careful laboratory testing and consultation with health care providers who are knowledgeable in the area of environmental medicine is crucial for creating health. Our practitioners are like laboratory and nutritional detectives... they will work hard for you!

Healthy-Aging Medicine
 Dr. Wald has published a leading book in the Anti-Aging field entitled, The Anti-Aging Encyclopedia. Healthy-aging medicine recognizes that natural hormones, diet, nutrition, herbs, and exercise can be used to make you feel younger and lower your risk for disease. How well you age and how long you live are largely determined by your genes and by your daily health choices. Our office intelligently and thoroughly provides aging marker tests and solutions so you can live a longer QUALITY life...allowing you to live life to its fullest!

Heart Health Consultation
 Cardiologists are experts in diagnosing various forms of cardiovascular disease and providing medications and surgical treatments. Often, people seek us out because they want more then generalized recommendations regarding good nutrition. Cardiologists and dieticians are trained in the basics such as eat a low fat diet and exercise appropriately for your heart condition and rehabilitation. Our experience and focus allows us to go further in these ways:
  • Your Personalized Fitness Program: Exercise is not just exercise. We will develop your personalized lifestyle and exercise plan.
  • Promote Healthy Weight: Specific nutritional laboratory tests and an electrical bioimpedance body composition analysis helps us determine how your unique cardiovascular experience has, and may affect, your nutritional needs. Knowing your metabolic rate (how you burn calories), your body percentage of muscle, water and fat are essential for maximizing your Optimal Cardiovascular Health Plan.
  • Improve Energy: Cardiovascular disease often results in reduced overall energy. Our Heart Health Consultation is a balanced plan that optimizes your nutritional and lifestyle needs (see our patent-pending, Blood Detective Program).
  • Reduce Side-Effects of Various Medications: Certain nutrients and foods can affect how your medications work for better and for worse. For example, if you are taking a statin medication (to lower your cholesterol) you should probably also take a nutrient called, CoQ10. However, if you are taking a statin you should probably not take niacin (vitamin B3 or lipoic acid). Let us help you correctly balance your overall diet and nutritional supplements safely and effectively.
  • Improve Quality of Life.
If you think you've had "every test there is", and that "you've seen the very best doctors", think Integrated Medicine & Nutrition! Please know that we are happy to coordinate your care with your cardiologist and other health care provider(s).

Neurological Examination and Consultation - holistic style!
 Dr. Nilay Shah is a talented neurologist who provides thorough neurological examinations and consultations. Dr. Shah can provide all types of tests available at any neurologist's office, but also integrates nutritional solutions into his work-up and therapy regimen. Download a PDF of an article written by Dr. Shah on holistic neurology.

Weight Loss Plan
 Measuring TapeReducing caloric intake and exercise may not have worked best for your weight loss efforts. In our experience, weight loss efforts must consider the entirety of your health care needs. Here are some examples of important considerations often missed:
  • Hormonal Imbalances: Deficiencies of testosterone, DHEA, thyroid hormones, hormone and/or progesterone for example can and often do slow or prevent weight loss efforts. Blood, urine and/or salivary hormone tests may all be required to get a complete handle on your hormonal problems. Keep in mind that foods and exercise affect hormone levels! However, if hormone levels are imbalanced the effects of even the most carefully planned out diet calorically and exercise plan will be blunted.
  • Toxicity: Many toxins are fat soluble which means that they are stored by the body in fatty tissues such as the breast tissue and the fat around organs. Weight loss efforts are often slowed or prevented when the issue of toxicity is not adequately handled. Not all detoxification programs are the same and they should not be!! Our detox plans are toxin-based which means that tests are done to identify some predominant toxins in your body and a food, exercise, supplement and lifestyle plan invented for your health, detoxification and long term weight loss needs.
  • Exercise: So you think you exercise enough and exactly as you should? Maybe or maybe not. Exercises should be based on your overall health and weight loss goals and not all exercises will affect you and your metabolic rate the same. If you have never heard of muscle confusion or lactic acid threshold then you are probably not exercising correctly. Also, your exercise , food and nutritional supplement plan must all be coordinated together in a way that is, "do-able", relatively enjoyable and results ultimately in the desired weight loss from fat and water weight and not from lean body tissue. PDF Download

Research Option
Dr. Michael Wald and Dr. Nilay Shah are available to provide extended research into your particular health concerns. Both of our doctors have vast knowledge in a large variety of medical health issues, medical treatments and procedures and both medical and nutritional interventions. All of our patients benefit from the knowledge of our doctors and we are proud to be of significant service to our patients.

Often we are approached by individuals and groups wishing to have one or both of our doctors provide undivided research regarding one or more health issues beyond what would usually be provided or regularly available. For example, we treat many patients with multiple sclerosis and our doctors possess great knowledge regarding the nutritional and medical management/treatment of this potentially devastating condition. Imagine, if you will, if in addition to the current state of information that our doctors now have (i.e., for multiple sclerosis), if they were to spend several full days, weeks or months researching the medical and health literature for hidden pearls and other information that would otherwise take years to accumulate just for you or a loved one? Imagine no further! Our doctors are ready to provide this service, as necessary.

A consultation (15-minute no charge) is required to clarify this service and to discuss individualized cost.