“Education is the most powerful weapon which you can use to change the world.”
-Nelson Mandela
Accurate Education
What’s New
This page provides links to some of the areas on the website that have recently been updated, along with a brief description of each updated section including a reference to who may specially benefit from reviewing the section.
Pain Management Crisis
Louisiana and the rest of the country is experiencing an unparalleled crisis in pain management. Chronic pain patients are experiencing more and more limitations to obtaining appropriate treatment.
This is a highly recommended patient advocacy website:
Youtube channeL: @EricEhlenbergerMD.
This is on hold right now, but coming soon!
Dr. Ehlenberger has a new Youtube channeL: @EricEhlenbergerMD. In an effort to provide a medium of presenting educational materials that is more accessible and more appealing than the written word, I have begun the task of offering videos on each educational topic on this websites. The links to these videos will be posted at the beginning of each educational page and, of course, the available videos can be found on the home page of the @EricEhlenbergerMD Youtube channel.
To be notified of newly uploaded videos, please subscribe to my channel. You will not be bombarded with any ads. If one has requests for new videos on any particular topic, please post them.
What’s New: Handouts
About Accurate Clinic
- Handout – Introduction to Accurate Clinic
- Handout– Accurate Clinic Integrative Medicine Program
- Handout – Acupuncture and Acupressure Massage
Handouts Regarding Current DEA Policy Enforcements
- Handout – Why the 50 mile policy is inappropriate when applied to Accurate Clinic
- Handout – How to Formally Document and File a Grievance
- Handout – DEA Actions – Legal Grounds for Lawsuits
- Handout – The legal landscape regarding the 50-mile distance policy and pill quantity limits
- Handout – Overview of Recent DEA Actions – and What to Do
- Handout – Legality of the current DEA actions
- Reference – Fifth Circuit Rejects DEA’s Longstanding Interpretation
- Reference – Neumann’s Pharmacy vs DEA – Fifth Circuit Court of Appeals
- Reference – Fourth Wave of Opioid (Illicit Drug) Overdose Deaths and Diminishing Access to Prescription Opioids and Interventional Techniques: Cause and Effect
Handouts for Pharmacists – DEA-Related
- OPEN LETTER – Letter to pharmacist regarding 50 mile policies
- Handout – Why the 50 mile policy is inappropriate when applied to Accurate Clinic
- Handout – Overview of Recent DEA Actions – and What to Do
- Handout – The legal landscape regarding the 50-mile distance policy and pill quantity limits
- Handout– Clinical Rationale for Immediate-Release Opioid Prescribing
- Reference – Fifth Circuit Rejects DEA’s Longstanding Interpretation
- Reference – Neumann’s Pharmacy vs DEA – Fifth Circuit Court of Appeals
- Reference – Fourth Wave of Opioid (Illicit Drug) Overdose Deaths and Diminishing Access to Prescription Opioids and Interventional Techniques: Cause and Effect
Handouts for Pharmacists – Accurate Clinic-Related
- Handout – Why the 50 mile policy is inappropriate when applied to Accurate Clinic
- Handout – Introduction to Accurate Clinic
- Handout– Accurate Clinic Integrative Medicine Program
- Handout – Pain Management Crisis
Handouts for Pharmacists – Medications-Related
- Handout– Clinical Rationale for Immediate-Release Opioid Prescribing
- Handout – Buprenorphine with other opioids
- Handout – Microdosing Rotation to Buprenorphine
Naltrexone for Pain – for Clinicians
- Handout (non-Pain Specialist) – OIH & Naltrexone
- Handout (non-Pain Specialist) – OIH & Naltrexone (with references)
Naltrexone for Pain – for Patients
Buprenorphine for Pain
Management of Pain and Related Conditions
- Handout – Brief Review of the Key Supplements in the 4-D Protocol
- Handout – Opioid Tapering With Nutraceutical Support
- Handout – Understanding Your Blood Tests
- Quick Reference– Target Ranges of Blood Tests
- Handout – Nutraceuticals – Dosing and Purchasing Guidelines
- Handout – The 4-Domain Approach – First Step
- Handout – A Patient Guide to the Four-Domain Approach
- Handout – The 4-Domain Approach to Chronic Pain
- Handout – Preventing Acute Pain from Developing into Chronic Pain
- Handout – Nutraceuticals for Central Pain Syndrome Pain (CPSP)
- Handout – Cold Weather and Pain
- Handout – Acupuncture and Acupressure Massage
- Handout – Nutraceuticals for Peri-Operative Period
- Handout – Plant-Based Nutrients (Phytonutrients) for Pain
- Handout – Sea Moss
- Handout – Aromatherapy
- Handout – Nutraceuticals for Fibromyalgia – Pain
- Handout – Nutraceuticals for Fibromyalgia – Fatigue
- Handout – Nutraceuticals for Fibromyalgia – Brain Fog
- Handout – Nutraceuticals for Insomnia
- Handout – Nutraceuticals for Migraines
- Handout – Nutraceuticals for Osteoarthritis
- Handout – Nutraceuticals for DPN
- Handout – Nutraceuticals for Central Sensitization
- Handout – Micronutrient Synergies for Pain
- Handout – High Dose / Prescribing Opioids
Individual Nutraceuticals for Pain
- Handout – Why Nutraceutical Supplements?
- Handout – Brief Review of the Key Supplements in the 4-D Protocol
- Handout – Agmatine
- Handout – Alpha Lipoic Acid (ALA)
- Handout – B Vitamins
- Handout – CoQ10
- Handout – Curcumin
- Handout – Magnesium
- Handout – Melatonin
- Handout – Omega-3 Fatty Acids
- Handout – PEA (Palmitoylethanolamide)
- Handout – Resveratrol
- Handout – Sulforaphane
- Handout – Taurine
- Nutraceutical Dosing Summary
Marijuana (Cannabis)
Anti-Inflammatory Diet
- Handout – Cooking Oils
- Handout – Plant-Based Nutrients (Phytonutrients) for Pain
- Handout – CRP (C-Reactive Protein)
- Handout – Chia Seeds
- Handout – Victananda’s Basic Recipe for Chia Seed Pudding
- Handout – A Brief Review of Omega-3 Fatty Acids
- Handout – Diet and Superfoods for migraines.
Vitamins & Minerals
- Handout – Vitamins, A Quick Review
- Handout – B Vitamins
- Handout – Magnesium
- Handout – Multivitamins
- Handout – Multi-Nutrient with Phytonutrients
Politics of Pain
- Handout – Pharmacy 50 Mile Policy
- Pharmacy Letter – Pain Management Crisis
- Handout – Walgreens Policy 4/2025
- Handout – Response to Walgreens new policy
Misc
What’s New: Web Pages
5/8/26
4/26/26
- Opioid Tapering with Nutraceutical Support – A Patient Guide
- Opioid Tapering with Nutraceutical Support – A Physician Guide
4/20/26
3/22/26
- A Guide to the 4-Domain Approach
- Nutraceuticals to Reduce the Driving Forces of Chronic Pain (Part 1)
- Nutraceuticals to Reduce the Driving Forces of Chronic Pain (Part 2)
3/15/26
3/6/26
- Chemotherapy-Induced Peripheral Neuropathy (CIPN)
- Nutraceutical Protocol: Chemotherapy-Induced Peripheral Neuropathy (CIPN)
- Acupuncture – Chemotherapy-Induced Peripheral Neuropathy (CIPN)
- TCHM – Astragali Radix + Cinnamomi Ramulus
3/4/26
Nutraceutical Protocols:
- Nutraceutical Protocols: Central Post-Stroke Pain (CPSP)
- Nutraceutical Protocols: Chemotherapy-Induced Peripheral Neuropathy (CIPN)
- Nutraceutical Protocols: Chronic Low Back Pain
- Nutraceutical Protocols: Complement Chronic Opioid Therapy
- Nutraceutical Protocols: Complex Regional Pain Syndrome (CRPS)
- Nutraceutical Protocols: Diabetic Peripheral Neuropathy (DPN)
- Nutraceutical Protocols: Fibromyalgia
- Nutraceutical Protocols: Inflammatory Bowel Diseases (IBD)
- Nutraceutical Protocols: Inflammatory Arthritis
- Nutraceutical Protocols: Migraine Headaches
- Nutraceutical Protocols: Multiple Sclerosis (MS)-associated pain
- Nutraceutical Protocols: Myofascial Pain Syndrome
- Nutraceutical Protocols: Osteoarthritis (OA)
- Nutraceutical Protocols: Post-Herpetic Neuralgia (PHN)
- Nutraceutical Protocols: Preventing the Transition From Acute to Chronic Pain After Trauma or Surgery
2/17-21/26
Nutraceuticals Coadministered With Opioids
- Nutraceutical Protocols to Complement Chronic Opioid Therapy
- Nutraceutical interactions with Opioid Pain Processing
Nutraceuticals
- A Quick Review of Nutraceuticals
- Nutraceuticals to Reduce the Driving Forces of Chronic Pain (Part 1)
- Nutraceuticals to Reduce the Driving Forces of Chronic Pain (Part 2)
- Classification of Nutraceuticals by Dominant Mechanisms
- Nutraceutical Combinations & Synergies
- Nutraceutical Protocols to Complement Chronic Opioid Therapy
- Nutraceutical interactions with Opioid Pain Processing
- Nutraceuticals for Central Sensitization (CS)
Nutraceuticals for Chronic Pain – Patient Guides:
- Acetyl-L-Carnitine (ALC) for Chronic Pain: A Patient Guide
- Agmatine for Chronic Pain: A Patient Guide
- Alpha-Lipoic Acid (ALA) for Chronic Pain: A Patient Guide
- B Vitamins for Chronic Pain: A Patient Guide
- Boswellia for Chronic Pain: A Pa0tient Guide
- CoQ10 for Chronic Pain: A Patient Guide
- Curcumin for Chronic Pain: A Patient Guide
- Magnesium for Chronic Pain: A Patient Guide
- Melatonin for Chronic Pain: A Patient Guide
- N-Acetylcysteine (NAC) for Chronic Pain: A Patient Guide
- Nicotinamide Riboside (NAD+) for Chronic Pain: A Patient Guide
- Omega-3 Fatty Acids for Chronic Pain: A Patient Guide
- Palmitoylethanolamide (PEA) for Chronic Pain- A Patient Guide
- Quercetin for Chronic Pain: A Patient Guide
- Resveratrol for Chronic Pain: A Patient Guide
- Sulforaphane (SFN) for Chronic Pain: A Patient Guide
- Taurine for Chronic Pain: A Patient Guide
- Vitamin D for Chronic Pain: A Patient Guide
How Nutraceuticals Impact Pain Processing
- Pain Processing
- How Acetyl-L-Carnitine (ALC) Impacts Pain Processing
- How Alpha-Lipoic Acid (ALA) impacts pain processing
- How Boswellia Impacts Pain Processing
- How CoQ10 Impacts Pain Processing
- How Curcumin Impacts Pain Processing
- How Magnesium Impacts Pain Processing
- How Melatonin Impacts Pain Processing
- How Omega-3 fatty acids (EPA and DHA) Impact Pain Processing
- How N-Acetyl Cysteine (NAC) Impacts Pain Processing
- How Nicotinamide Riboside (NR) Impacts Pain Processing
- How PEA (Palmitoylethanolamide) Impacts Pain Processing
- How Quercetin Impacts Pain Processing
- How Resveratrol Impacts Pain Processing
- How Sulforaphane (SFN): Impacts Pain Processing
- How Taurine Impacts Pain Processing
- How Vitamin D Impacts Pain Processing
2/12/26
1/31/26
1/25/26
1/22/26
1/17/26
- Cold Hyperalgesia
- Cold Hyperalgesia – Journavx (Suzetrigine)
- Nutraceuticals to reduce the driving forces of chronic pain
- Sensitization – Central and Peripheral
- Nutraceuticals for Central Sensitization
- Forces that Drive Chronic Pain, Condition or Process?
- Antioxidants & Oxidative Stress
- Oxidative Stress, Pain and Disease
- How Oxidative Stress and Systemic Inflammation drive chronic pain
- PEA – Palmitoylethanolamide
- PEA – Palmitoylethanolamide – Central Sensitization
- Magnesium
- Magnesium Formulations
- Magnesium L-Threonate
- NAD+ Precursors
1/4/26
11/28/25
11/22/25
- Acupuncture and Acupressure Massage
- Myofascial Pain
- Plant-Based Nutrients (Phytonutrients) for-pain
- Nutrient Synergies for Pain
11/16/25
11/7/25
Aromatherapy
Aromatherapy and Terpenes
10/26/25
10/5/25
- Opioid-Induced Hyperalgesia (OIH)
- Naltrexone for Pain
- Rotating from other Opioids to Buprenorphine, for Pain
- Cold Pressor Test )CPT)
10/1/25
9/27/25
- Rotating from Other Opioids to Buprenorphine, for Pain
- Buprenorphine, for Pain
- Topical Copper Products
9/22/25
- Omega Fatty Acids
- Omega-3 Supplements – A Quick Review
- Omega Fatty Acid – Therapeutics
- Omega Supplements – Blood Thinners
9/15/25
8/29/25
- Essential Oils
- Essential Oils to Complement Cannabis
- Recommended Essential Oil Brands for Room Diffusers
- Aromatherapy: Protocols
8/23/25
- Aromatherapy: Introduction
- Aromatherapy: Protocols
- Aromatherapy: β-Caryophyllene
- Aromatherapy: Linalool
- Aromatherapy: Myrcene
8/17/25
8/10/25
8/7/25
See:
Nutraceuticals
- Nutraceutical Quality Review Organizations
- Nutraceutical Formulations for Enhanced Bioavailability
- Comparison of Nutraceuticals and their Antioxidant and Anti-inflammatory Benefits
- Mechanisms of Action for Nutraceuticals
- Levels of Confidence in Scientific Studies
8/1/25
7/27/25
Nutraceuticals
- Nutraceutical Formulations for Enhanced Bioavailability
- Mechanisms of Action for Nutraceuticals
- Resveratrol
7/26/25
7/19/25
- Weather and Chronic Pain
- Acupuncture – Dental Pain
- Acupuncture – Depression
- Acupuncture – Insomnia
- Acupuncture – Crohns & Inflammatory Bowel Disease
- Omega-3 Supplementation and Potential Drug Interactions with Eliquis
Acupuncture:
- Acupuncture – Anxiety
- Acupuncture – Opioid Use Disorder
- Acupuncture – Protracted Opioid Abstinence Syndrome (POAS)
- Acupuncture – Mechanisms of Actions
- Trigger Points & Acupuncture Points
7/12-16/25
- Dietary Phytonutrients for Pain – A Compound-based approach
- Dietary Phytonutrients for Pain – A Diagnosis-based approach
As part of an anti-inflammatory diet, phytonutrients are important components for pain management
- Traditional Chinese Medicine (TCM)
- TCM – Chinese Herbal Medicine (introduction)
- TCM – Acupuncture (introduction)
- Acupuncture – Migraine Headaches
- Acupuncture – Trigger Point & Myofascial Pain
- Acupuncture – Osteoarthritis
- Acupuncture – Peripheral Neuropathy (Overview)
- Acupuncture – Diabetic Peripheral Neuropathy (DPN)
- Acupuncture – Chemotherapy-Induced Peripheral Neuropathy (CIPN)
- Acupuncture – Sciatica
- Acupuncture – Fibromyalgia
- Acupuncture – Mechanisms of Actions
7/5/25
For patients who inquire about what supplement brands and products are recommended, this is an effort to field these questions: four well known supplement brands are reviewed here for comparison.
- Traditional Chinese Medicine (TCM)
- TCM – Chinese Herbal Medicine (introduction)
- TCM – Acupuncture (introduction)
- Acupuncture – Migraine Headaches
- Acupuncture – Trigger Point & Myofascial Pain
- Acupuncture – Osteoarthritis
- Acupuncture – Peripheral Neuropathy (Overview)
- Acupuncture – Diabetic Peripheral Neuropathy (DPN)
- Acupuncture – Chemotherapy-Induced Peripheral Neuropathy (CIPN)
- Acupuncture – Sciatica
- Acupuncture – Fibromyalgia
- Acupuncture – Mechanisms of Actions
Traditional Chinese Medicine (TCM) is coming soon to Accurate Clinic!! We will be offering acupuncture and Chinese herbal medicine by a Chinese physician trained in western medicine (he is an MD) and extensively trained in TCM in China.
6/29/25
Traditional Chinese Medicine (TCM) is coming soon to Accurate Clinic!! We will be offering acupuncture and Chinese herbal medicine by a Chinese physician trained in western medicine (he is an MD) and extensively trained in TCM in China.
This section reviews Omega-3 products and doses based on dietary and/or blood levels of Omega-3
This section reviews how to choose the best marijuana product for your therapeutic needs
6/25/25
5/21/25
A new medication indicated for treatment of acute pain, including acute exacerbations of chronic pain, that is not related to opioids or NSAIDs (non-steroid anti-inflammatory drugs, such as ibuprofen).
4/26/25
4/5/25
3/31/25
3/30/25
3/24/25
- An Anti-Inflammatory Diet
- A Quick Look at Vitamins & Minerals
- Dietary Fiber
- Omega Fatty Acids
- Chia Seeds
- Cooking Oils
- Magnesium
- Zinc
- Gratitude
2/26/25
2/23/25
2/15/25
- Matcha Green Tea (with updated info on chocolate and carob)
- Carbohydrates and Sweeteners
2/2/25
1/22/2025
Starting the new year, there are new pages that focus on diet and nutrition as well as recommended nutraceutical supplements frequently recommended by. Dr. Ehlenberger
Nutricceuticals:
1/1/2025
Starting the new year, there are new pages that focus on diet and nutrition as well as recommended nutraceutical supplements frequently recommended by. Dr. Ehlenberger
11/3/24
The RelieVRx program is a new, first of its kind, virtual reality pain management program based on evidence-based principles for the treatment of chronic low back pain. Accurate Clinic is proud to be the first, and so far only, clinic that offers this fun and remarkable treatment option.
This program empowers patients to manage their own pain with a treatment that’s self-administered using a VR headset provided by the company for use in the comfort of their own home. The program consists of 56 sessions, averaging 6 minutes each, engaged daily over a span of 8 weeks.
The RelieVRx program reduces chronic back pain by promoting the reprogramming of nerve pathways in the brain involved in the pain experience. Practicing the sessions over the 8 weeks enables patients to develop long-term skills to effectively respond to their pain.
In many cases with commercial and Medicare insurance, the program may be completely covered or may include an affordable co-pay. Our staff will assist you in assessing your coverage.
9/8/24
As related to our updated Weight Loss Program, the following sections have be updated:
- Accurate Weight Loss Program
- Visceral Fat
- GLP-1 Receptor Agonists
- Diet and Pain – An Overview
- Dysfunctional Eating Behavior
- Improving Self-Control
- Hedonic Eating
- Emotional Eating
- External Eating
- Night Eating Syndrome
- Gut Microbiota
9/5/24
New Weight Loss Medications: offered in our Weight Loss Program
GLP-1 Receptor Agonists: semaglutide (Ozempic, Wegovy) and Liraglutide (Saxenda)
A new class of medications offering substantial and sustained weight loss is gaining popular attention based on their effectiveness and safety. At Accurate Clinic we offer a full, multi-disciplinary approach to helping people lose weight successfully for the long term. For those wishing medication management, these new medications are also available, while those wishing to lose weight without medications will be provided the necessary tools to do so.
Moreover, we offer a Clan Plan that provides a discount to friends and family who accompany our existing patients in their weight management visits.
Obesity and chronic pain share a malignant co-dependency. For those interested in learning more about the connection between obesity and pain and how to treat obesity successfully for long-term please start with these sections.
8/17/24
Suzetrigine is a novel new medication soon to be available for the management of moderate to severe acute pain. It represents a potential breakthrough for not only the treatment of acute pain but also for the potential for reducing the transition from acute to chronic pain.
6/17/24
For many, the role of diet – what and how we eat – is a hugely underestimated variable determining the extent of chronic pain one experiences. One’s affects not only one’s sensitivity to pain, but also the intensity and the development of the severity of pain. Despite the enormous impact diet has on chronic pain, dietary intervention is extremely underutilized as a means of treating chronic pain and improving quality of life.
5/31/24
How marijuana affects sleep
A review of how cannabis affects sleep and sleep disorders such as insomna, sleep apnea and restless legs syndrome. Additionaly it reviews which constituents in marijuana that facilitate sleep
5/31/2024
What does getting high really mean? How does it affect the therapeutic benefits of cannabis?
5/31/2024
New Weight Loss Medications:
GLP-1 Receptor Agonists: Semaglutide (Wegovy) and Liraglutide (Saxenda)
A new class of medications offering substantial and sustained weight loss is gaining popular attention based on their effectiveness and safety
2/4/24
“Soothe” BCP/PEA Topical Cream
This topical cream is new and contains both BCP and PEA, tow components is highly recommended as a trial for nerve pain,. joint and muscle pain and arthritis. Also, evidence suggests that the BCP in this cream may reduce the joint pain associated with cold weather (see below). BCP, or beta-caryophylline, is a substance found in many plants including black pepper and cannabis and has been shown to have many clinical benefits. PEA (palmitoylethanolamide) is a substance that has extensive research supporting its potential benefit for neuropathic pain as well as muscle and joint pain (See: PEA palmitoylethanolamide. Please review the above link for more information regarding BCP.
1/28/24
This topical cream with CBD and BCP is highly recommended as a trial for joint and muscle pain, arthritis and especially for those with rheumatoid arthritis. Also, evidence suggests that the BCP in this cream may reduce the joint pain associated with cold weather (see below). BCP, or beta-caryophylline, is a substance found in many plants including black pepper and cannabis and has been shown to have many clinical benefits. Please review the above link for more information regarding BCP. The clinical benefits of CBD are covered here.
The following website offers a $2 sample size: AliceCBD.com.
Topically applied medications are important treatment options for those with both acute and chronic pain. This section provides the information needed to make informed decisions regarding OTC products as well as providing insight as to prescription medications recommended by a clinician.
1/28/24
Inversion therapy is a form of spinal traction achieved by hanging by the legs, ankles, or feet in an inverted angle or entirely upside down to achieve therapeutic benefits. It. Gravity boots or ankle supports are designed to support inversion therapy.
11/10/23
Sensitization – Central and Peripheral
Central and peripheral sensitization are very common but under-addressed processes that afflict a large portion of chronic pain patients suffering from chronic neck or back pain, migraine headaches, fibromyalgia and visceral organ pain (like pancreas or liver). These sensitization processes also impact conditions not specifically related to pain including anxiety, panic attacks and restless legs syndrome.
Additionally, central (CS) and peripheral sensitization (PS) contribute to the transition of acute to chronic pain, whereby the pain from an acute injury becomes chronic, despite resolution of the original injury initially triggering pain.
Knowledge of PS and CS is important to anyone that suffers from chronic pain. Understanding them will provide insights as to why pain becomes so severe but more importantly, understanding CS in particular may allow one to reduce further development of CS and possibly reduce the severity of existing central sensitivity.
10/15/23
What can you do about increased pain with cold weather?
or
Why do wild giant pandas frequently roll in horse manure?
This is a burning question that I know you need to be answered!
The answer lies in understanding “β‐caryophyllene“
