Wednesday, October 24, 2012

This was just forwarded to me by one of our professions best activists--Dr. Jim Knight, DC. Thanks for all you do, Jim----and keep up the good work, we all need you, doctors and patients alike!

Why 2012 Health Insurance Report Cards Are Bad News for ChiropractorsWritten by Tom Necela, DC, CPC, CPMA, CCP-P on October 23rd, 2012

Topics: chiropractic billing, chiropractic collections, chiropractic insurance

The National Health Insurance Report Cards recently celebrated its 5 year anniversary of giving geeks like me a lot of the dirt and data on how insurance is paying (or not paying). The 2012 version of the report cards were not very different from previous years. Although a few payers made improvements, most are woefully slow, problematic and downright secretive with how claims are processed and providers are reimbursed.  While these report cards are not specific to chiropractic itself, there is much we can learn as a profession from this data.

As an individual business owner and our calendar year is winding toward a close, this is also an important time to consider the direction of where you want to take your practice for 2013.  Integral to that plan may be the decision to continue to be a provider for certain insurance payers – or whether to not accept that insurance at all.

So, below is an “executive summary” of some of the highlights of the report card from 2012 as well as 5 year trends.  If you’d like to read all about it in full gory detail, you can click here.

Error Rates

Error rates for private health insurers as a whole on paid medical claims dropped from 19.3 percent in 2011 to 9.5 percent in 2012.  Although there is certainly an improvement here, that’s still a whopping 10% of claims that are paid incorrectly!
Fee Schedule Match

  • It would seem obvious that a payer would pay according to its own fee schedule.  Unfortunately, many payers have been found to “accidentally” pay you less than their already pitiful rates.

Unfortunately, the category of MEDICINE, which almost all chiropractic procedures are paid under, is subject to the worst abuses! CPT Codes in this category were only paid correctly 88% of the time!
  • Topping the list of the most egregious offender for all states was Regence BCBS who only managed to pay claims according to contracted rates 86% of the time; runner-up on this bad list was Anthem BCBS who honored their contract 89% of the time.
Scraping the bottom of the barrel is one state is Humana, who paid Kansas DC’s correctly only 20% of the time. Second dog is in the chiropractic mecca of Iowa, where HCSC honored their contract with Iowa DC’s only 48% of the time!
Payment Timeliness

Late payments irritate everyone.  Worse, they handicap cash flow and your profitability.  Most states have prompt pay laws, but apparently some losers don’t like to adhere to them.
  • Regence BCBS tops the list again, paying only 80% of their claims in a timely manner.
  • Denials and $0 Payments

  • Worse than a late payment is the denial or a claim line paying $0.  Certainly, some of these are your fault.  But some payers are notorious for frequent denials or mistakes processing a claim – whether correct or not. Unlike the late payment, the denial not only means you get no money, but it also produces more work on your end to fight for your hard earned money.
  • Anthem BCBS leads the pack with the largest percentage of $0 claim lines – a whopping 27% of all claims paid.  
  • HCSC and Cigna aren’t far behind, denying 25% and 24% of all claims, respectively. 
  • Aetna and UnitedHealthCare round out the loser’s list, denying more than 20% of claims as well.
Payer Specific Claim Edits

In a perfect world, all payers use CPT or Medicare guidelines to administer their policies.  They are published, generally clear and easy to access.  Unfortunately, welcome to 2012 and the land of “proprietary” edits. Essentially, payers make up their own rules about which codes and code combos they will or won’t pay.  Worse, many payers make these policies very difficult or impossible to find – that is, until you get a denial!

The sneakiest payer in this category is Aetna, who uses its own proprietary edits nearly 89% of the time.
Anthem is in second place at 77% and Humana trails at 54%.

Total Number of Claims Edits

For those of you who can’t quite put a finger on what those percentages mean, the total number of claims edits gives you a more tangible number.  This figure represents the total number of edits – rules, if you will – that the payer uses to administer their claims.

Medicare takes #1 in this category with an equally unfathomable and horrifying 19, 683, 450 claim edits for you to navigate to get paid properly!  No wonder why there is such trouble with Medicare!!!
UHC and Anthem don’t even come close, but still have 82,000 and 63,000 claim edits to create many hoops for you. Finally, no surprise, Aetna makes this list with a horrifying 62,335 claim edits.
What Chiropractors Need to Do About This

  • 1. Keep a close eye on your EOB’s:  Sure, you may be at fault for low payments, but as demonstrated above, it may be insurance shenanigans!

2.  Appeal Incorrectly Processed Claims!  The good news is that the majority of appeals actually win (64%, according to a recent study); the bad news is less than 10% of claims are appealed!  Consider getting our newly revised Chiropractic Appeals Toolkit (click link for more info), if you need help in this department. It includes even more letters than the popular previous version to fight the madness.

3. Do the math and drop bad payers:  if you have a payer that is in the frequent violator list and they create huge payment hassles for you, it’s time to consider dropping them.  Your time (and that of your staff) is worth something.  And that $0.27 check is probably not enough.  Either do something about the insanity or get off the plan.

4. Make Noise!  Join your state and/or national association and tell them how the payers are trying to raise your blood pressure to a boiling point.  Complain to the Insurance Commissioner. And tell your patients the truth about their lying, cheating, sneaky health insurance so that they can use their muscle too!

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Friday, May 13, 2011

Your Balanced Baby- Part II “A 6 Week Old Infant Pre – Post Atlas Correction”

Little Kimberly entered the world 6 weeks ago through a relatively unremarkable birth process. She has not yet had a bowel movement on her own, and has struggled nursing—having more difficulty on one side, than the other.

Kimberly's mom had been a patient of mine, and Kimberly's older sister, Kristen (now 3) had needed an adjustment right after she was born. So, fortunately for Kimberly, her mom knew what signs and symptoms to look for. She brought Kimberly in several days ago, and I examined her, and determined that she was indeed subluxated—not all newborns or children are subluxated, some are just fine—but this wasn't the case with Kimberly. We decided it would be of benefit to do some imaging to help us determine the exact nature of the Atlas Subluxation.

In the x-rays above, the pre-correction x-ray (on the left) shows that the atlas bone is elevated on the left side 7.5 mm. Close examination also shows the collar bone on that same side is dislocated and elevated. Notice mothers loving hands supporting Kimberly's tiny head, stabilizing it for the x-ray. Everything is miniature in this X-ray, except the misalignment.

After taking the initial frontal view, I was able to calculate the appropriate vector to properly reposition the base of the skull on C1. After doing so, little Kimberly was immediately more happy.

A close look at the Post-correction X--ray shows not only the head and neck realigned, but the collar bone has properly repositioned itself.


In an earlier blog post, I gave parents a few pointers on what to look for in their newborns and infants so they might be able to detect when the newborn or infant was in need of getting balanced by an AO or NUCCA doctor.

Kimberly's mom noticed some of those signs, such as, she was frequently “scrunched” up on one side, and tended to hold her head in fixed patterns and positions. She also noticed that Kimberly was more difficult to nurse on one side over the other—a tell-tale sign of an Atlas Misalignment.

Getting this corrected at this age will make all the difference. At six weeks, Kimberly is tabula rosa, meaning a blank slate. Her genetic body plan is to develop a straight and balanced spine. I believe that undetected atlas misalignments can cause the bony structures to adapt to the cranio-cervical distortion, and change the course of her healthy body plan. Some of the research suggests that early spinal distortions can lead to more serious structural problems later in life.

I am not sure this little lady would have been referred by her pediatrician—in fact, I’m quite sure she would not have. In my 15 years of practice, I have never had a referral from a pediatrician. The clinical need for AO and NUCCA work does not often show up on the radar of conventional medical practice as pediatric resources—but rather falls squarely in their blind spot. Mostly, it is discerning parents who are able to perceive the need. If you are curious about what to look for, I posted an earlier blog that addresses that very subject.

I love this work! And as always, I'm here to help you with your family's health.

Your comments and questions are welcome.

Dr. Chapman

Tuesday, May 3, 2011

Is Your Head On Straight?

C1 is situated between the base of the occiput and the superior articular surfaces of C2, much the way a tea cup rests in a saucer on a table surface.

Let us look at the anatomy of a tea cup in a saucer, as this comparison is useful in demonstrating how the head sits on the neck.

The tea cup base is formed to be stably situated in the circular impression of the saucer below. If it is dislodged from this impression, it will be situated slightly askew on the saucer, and the cup’s rim will rest at an angle that is not co-planer with the base circular impression of the saucer, or the table surface.

If the cup is filled with tea, the liquid will seek equilibrium, and the liquid surface will be oriented to the surface of the table and the circular recess within the saucer, but not the rim of the saucer. This is not only an example of compensation, it is an unstable system. The fluid elements seek equilibrium within the rigid form structures. The system comes into balance and equilibrium when the tea cup is placed properly into the circular recess of the saucer, and brings the rigid forms and the fluid elements into balance, and one could say that the system has achieved a higher level of thermodynamic balance, i.e., a lower energy state. Objects at rest tend to remain so, hence, stability.

The analogy is useful if one considers that bringing the base of the cranium, i.e., the occiput back onto the superior articular facets of C1 is like restoring the tea cup to the circular formed impression on the saucer. The cranium is the tea cup, while the base of the tea cup is the occipital condyles. The liquid may be analogous to the dynamic compensatory functions organized and initiated by the pre-motor cortex in keeping the head in a state of dynamic balance. The saucer is related to the Atlas bone which maintains a “physical” relationship with the cranium above and the spine below. The superior surface of C2 may be analogous to the table top surface.

It's about "tea-time"... Is your tea cup straight?

Saturday, February 12, 2011

What is wrong with our health paradigm today?

What is wrong with our health paradigm today?


There is much confusion on what the foundation of health is.

In our western society, we are conditioned to believe certain things—and disbelieve others. Tragically, some very essential keys and approaches to staying well and healthy have been pushed right out of the discussion. Some ideas that are so basic---so fundamental---so crucial---so common sense when you stop and think about them, and yet you never hear about them...


The idea of a BALANCED SPINE is largely missing from the health care discussion on how to stay well. I am not talking about a manipulated spine; I am talking about a spine that has been aligned through precise means and in a state of healing. A spine that has become clear of nervous tension and structural distortions.

I know of only two procedures that deliver A BALANCED SPINE.


Our clinic is the only clinic that will offer both procedures in the state of Utah.

As we explore the ideas of healthcare, we have to understand that there are two kinds of healthcare providers or practitioners:

Chemists and Vitalists.

The Doctor of Medicine is achemist, or atomist; and the NUCCA or Atlas Orthogonal Doctor is a Vitalist. One introduces chemical agents to the body, the other returns vitality to the body through natural but scientific means.

Vitalistic doctors tend to be oriented around Holistic ideas and the procedures that bring about wellness, prevention of disease, improve the quality of life and fix pre-existing problems naturally and scientifically. Doctors of Medicine tend to focus on prescribing chemical agents (drugs), conducting research and performing surgeries.



We do not have a prescription pads, but we offer real solutions to health problems.

Migraines, dizziness, nausea, jaw pain (TMD) asthma, arm, leg, hip head, neck, knee, ankle, feet pain, just to name a few.

All of these symptoms can arise from a body whose FOUNDATION IS OFF CENTER—OUT-OF-BALANCE.

Our solutions are not head-lining in the national debate on health care, but they are based upon good science and common sense and sound methodology—in fact, the procedures we perform offers the best of science, sense and method, and will help you get your HEALTHY FOUNDATION BACK.

* * *

Why is it that so few really good things ever become truly popular? I am talking about things that are actually good for us, and don’t cause a host of other problems? How much money is spent on advertising personal organic gardening? Very little. But how much is spent on imbedding unhealthy behaviors like smoking cigarettes? Or advertising French Fries? We’re all still looking for the BEEF….

There are hundreds of millions of dollars spent on pharmaceutical advertising every day. The advertising efforts are relentless. Advertising influences the way we think. It influences what we consume. And our consumption has consequences—therefore, the effects of our consumption patterns can and are influenced as well.

I would imagine that the reason we consume healthcare is because we want to be healthy—but perhaps we are being duped.. Let’s look at it:

Take a look at HOW the average American sees healthcare. Think of your health insurance policy. Your insurance policy has enumerated your “health benefits”. These “benefits” are supposed to keep you healthy, and, should you fall prey to some illness or another, will help you regain your health? Right?

In your health package, you may have really good prescription drug benefits

In most cases, will that keep you healthy? No.

The number one cause of DEATH in patients over the age of 65 is “polypharmacy”—meaning drug interaction related death. Great benefit!! Patient’s seeking true healthcare in my clinic are actually able to GET OFF much if not all of their medication when their FOUNDATIONS are RESTORED TO BALANCED through a BALANCED SPINE.

Perhaps you have really great surgical benefits in your policy, but will those keep you healthy?

How many times have I heard a patient who has experienced miraculous results with NUCCA say: “I have told my friend about you, or, I have told my neighbor about what you do, or, “I told my dad about you and he just doesn’t believe it can help him”. “His insurance will cover his back, hip or knee surgery once it get’s bad enough, so he’s just going to endure the pain until he qualifies for knee surgery, or back surgery…” I actually hear these type of comments from patients! And how does one qualify for knee of back surgery? They have to let it get really bad!! OK. That makes a lot of sense-----great benefit.

Some policies have rehabilitation, mental care, and even chiropractic care and nutritional counseling benefits—will these keep you healthy?—they do come a lot closer, but it depends on how you use them. If you use them for prevention, then yes. Sadly, these benefits are the little tiny sliver of things available to most health insurance policy holders.

But by and large, the healthcare system as we have known it was not designed to keep you healthy--IT IS DESIGNED TO REDISTRIBUTE WEALTH. It does this by taking money from you regularly, systematically, and distributing your wealth to the insurance and banking industry. Then, if claims are made, that wealth flows towards the medical industrial complex--- which is made up of hospitals, drug companies, research universities and finally physicians who are all benefited financially when you get sick.

The medical industrial complex guys are benefited when you get sick—not when you stay well! The insurance, investment banking guys are benefited when you or your employer pays your healthcare premiums. They all benefit off of the Big Idea that is being sold as healthcare. They get richer—you get sicker, until you die.

Folks, don’t get hung up in thinking that your health insurance policy—with its inclusions and exclusions is all you need to keep healthy. It’s NOT!

I ask you to keep this in mind: When you consider the real "value", and the actual purpose of your healthcare benefits, please understand that you are basically just using the policy to answer this question: (We’ll call it question-A)

“How is the medical system going to take care of me when I get sick?” And look at it honestly—because most of you who are insured, are ultimately looking at this way. If this is your only solution to healthcare, you are headed towards "a world of hurt". It’s the wrong question.

The right question is: (We’ll call this Question B)

“What do I need to understand and know about myself, and the world I live in so that I can improve the quality and quantity of my own life, and the lives of my loved ones?”

We are taught to believe question A is the right approach to healthcare. I am saying, NO.

Question B is the right question. And if you’re asking question B, then you are closer to understanding what the FOUNDATIONS of healthcare really ARE.


It is:

Keeping your body in its most optimally functional state by MAINTAINING A BALANCED SPINE THROUGHOUT YOUR LIFE, and while doing so,

FEEDING your body with healthy, toxin free nutrients, including

plenty of pure water,

Getting proper rest and relaxation,

Performing purpose driven meaningful work,

Engaging in healthy non-injurious play,

Engaging your mind in uplifting activities and studies in the liberal arts, sciences, religion and humanities. Discovering your vital relationship with your God, and

Learning to love and express your love, and

Receive love from others.

Your BODY is----a most wonderful vessel----- in which---- you experience---- life.

NUCCA and Atlas Orthogonal procedures balance the Body.

A balanced body becomes the key foundation for your health. Everything is better when the spine is in alignment and the body in balance. True, we need good water, plenty of exercise and good food. And if we get these things when our BODY’S ARE BALANCED, we

· assimilate the food nutrients better,

· absorb the water better,

· our blood flows more freely,

· our bowels work more normally,

· we have less pain, more energy, better sleep.

· And YES—pain free living is possible with a balanced, aligned spine.

It is not normal to lose focus and concentration power when you get older!

The medical establishment may sell that "bill of goods", to justify and prepare you to by their drugs...


Keep the blood flowing to the brain,

keep the oxygen and vital nutrients moving into the brain tissues and the other vital organs.

It’s a choice. What do you want to settle for? Healthcare as it is presented? That is not healthcare—it is disease care.

IF you want to feel the very best you can feel, call the clinic, schedule to get your spine balanced and turn on the healing, vital power that has lain dormant. In some cases, it was never switched on—with some of you. Some of you were misaligned at birth and have never experienced vital health. It doesn’t matter how long your system has been hibernating. If you’re still breathing—you can and will be helped by getting aligned.

Everybody needs this. Your friends, your family. What do you want out of life?

I have placed a few interesting statistics produced by the #1 healthcare system in the world--allegedly ours:

(Our American Healthcare system has produced some very interesting statistics)

Abortions 1,210,880 [2nd of 19]

Age of women at first childbirth 24.9 years old [15th of 17]

Drug access 95% [27th of 163]

Heart disease deaths 106.5 per 100,000 people [13th of 26]

Life expectancy at birth > Male 75.29 years ime series[48th of 226]

Obesity 30.6% [1st of 29]

Spending > Per person 4,271 [1st of 133]

Suicide rate > Females 4.4 per 100,000 people [40th of 80]

Suicide rate > Gender ratio 4.5 per 100,000 people [17th of 76]

Suicide rate > Males 19.8 per 100,000 people [30th of 80]

Teen birth rate 64 [1st of 40]

Teenage pregnancy 494,357 births [1st of 26]

Breast cancer incidence 21.2 per 100,000 females [17th of 26]

Daily smokers 17.5% [29th of 30]

Death from cancer 321.9 deaths per 100,000 people [9th of 16]

Life expectancy at birth > Total population 78.14 years ime series[46th of 225]

Maternal mortality 8 per 100,000 [121st of 136]

Hospital beds 3.6 per 1,000 people [27th of 29]

Hospital beds > per 1,000 people 3.3 per 1,000 people ime series[37th of 149]

Physicians > per 1,000 people 2.3 per 1,000 people ime series[31st of 148] (San Marino: 47.35 per 1,000 people)

Improved water source > % of population with access 100 % ime series[15th of 176] Definition: Health > Improved water source > % of population with access Source: World Development Indicators database

Consultation with doctors 8.9 per person per year [2nd of 15] Definition: Health > Consultation with doctors Source: OECD Health Data 2003 and Health Data 2002. Australian Institute of Health and Welfare, Australia's Health 2002

Motor vehicle deaths 15.5 deaths per 100,000 people [1st of 17] Definition: Health > Motor vehicle deaths Source: UNICEF

Per capita government expenditure on health in international dollars 2,368 [5th of 185] Definition: Health > Per capita government expenditure on health in international dollars Source: World Development Indicators database

Percentage of life lived in ill health > Males 10.8% [9th of 29] Definition: Health > Percentage of life lived in ill health > Males Source: OECD

Red Cross donations 221,259,000 [1st of 37] Definition: Health > Red Cross donations Source: OECD Health Data 2004

Child maltreatment deaths 2.2 per 100,000 children [1st of 27] Definition: Health > Child maltreatment deaths Source: UNICEF (1995-1998)

Monday, November 29, 2010

Results: Gentle Upper Cervical Care for Baby's

In my last video, Part 1, I showed how you could tell if your baby was in need of being corrected by a NUCCA doctor. I am re-posting that video here for your convenience.

Next, in Part 2 I show the correction procedure. It's pretty interesting, but you really need to see Part 1 so you can see the immediate differences. I am also posting the video---Part 3---of my exam of the infant and my interview with the mother regarding the extraordinary results from just one correction in just 2 days!

In my first video, I showed how parents could recognize when their baby is out of alignment and needs to be corrected using the gentle NUCCA procedure.

I discussed how a small amount of misalignment between their head and neck can cause symptoms affecting the eyes, ears, nose and throat--including digestion and airway disorders. I made recommendations that parents should have their infant checked by a Grostic based upper cervical doctor such as a NUCCA or Atlas Orthogonal specialist.

I pointed out that one of the things parents and caregivers can look for is: the tendency of the length of their little bodies to bend or twist to one side, in a "banana" like posture while sleeping, diaper changing or laying on their backs. Also, notice any difficulty in breast-feeding more on one side than the other. This usually indicates a subluxation in the infant.

Here is the first of three. Enjoy, and share this with someone you love.

Part 1

Tuesday, November 23, 2010

Alkaline Producing Foods You Can Eat Freely


The following is a list of common foods with an approximate, relative potential of

Acidity (-) or Alkalinity (+). as pH

This is an excerpt taken from Dr. Robert O. Young's book, Sick and Tired. ENJOY!

Foods You Can Eat Freely:


Brussels sprouts -1.5

Peas, Ripe +0.5

Asparagus +1.1

Artichokes +1.3

Green Cabbage, March Harvest +2.0

Lettuce +2.2

Onion +3.0

Cauliflower +3.1

White Cabbage +3.3

Green Cabbage, December Harvest +4.0

Savoy Cabbage +4.5

Lamb’s Cabbage +4.5

Peas, fresh +5.1

Zucchini +5.7

Red Cabbage +6.3

Rhubarb stalks +6.3

Leeks (Bulb) +7.2

Watercress +7.7

Spinach, March Harvest +8.0

Chives +8.3

French cut beans (green beans) +11.2

Sorrel +11.5

Spinach (other than March) +13.1

Garlic +13.2

Celery +13.3

Cabbage lettuce, fresh +14.1

Endive, fresh +14.5

Cayenne pepper +18.8

Straw grass +21.4

Shave grass +21.7

Dog Grass +22.6

Dandelion +22.7

Kamut grass +27.6

Barley grass +28.7

Soy Sprouts +29.5

Sprouted radish seeds +28.4

Sprouted Chia seeds +28.5

Alfalfa grass +29.3

Cucumber, fresh +31.5

Wheat grass +33.8

Root Vegetables

White radish +3.1

Rutabaga +3.1

Kohlrabi +5.0

Horse radish +6.8

Turnip +8.0

Carrot +9.5

Fresh red beet +11.3

Red radish +16.7

Summer black radish +39.4


Limes +8.2

Fresh lemon +9.9

Tomato +13.6

Avocado (protein) +15.6

Non-stored Organic Grains & Legumes

Buckwheat groats +0.5

Spelt +0.5

Lentils +0.6

Soy flour +2.5

Tofu +3.2

Lima beans +12.0

Soybeans, fresh +12.0

White beans (navy beans) +12.1

Granulated soy (cooked, ground soy beans +12.8

Soy nuts (soaked soy beans then air dried) +26.5

Soy lecithin, pure +38.0


Hazelnut -2.0

Almond +3.6


Wheat Kernel -11.4

Pumpkin seeds -5.6

Sunflower seeds -5.4

Flax seeds -1.3

Sesame seeds +1.1

Fennel seeds +1.3

Caraway seeds +2.3

Fats (Fresh, Cold-Pressed Oils)

Olive oil +1.0

Borage oil +3.2

Flax seed +3.5

Evening primrose oil +4.1

Marine lipids +4.7


Distilled (neutral)

Foods You Can Eat Sparingly:


Fresh Water fish -11.8


(In season, for cleansing only, or with Moderation)

Rose hips -15.5

Pineapple -12.6

(Fruits continued)

Mandarin orange -11.5

Banana, ripe -10.1

Pear -9.9

Peach -9.7

Apricot -9.5

Papaya -9.4

Orange -9.2

Mango -8.7

Tangerine -8.5

Currant -8.2

Gooseberry, ripe -7.7

Grape, ripe -7.6

Cranberry -7.0

Black currant -6.1

Strawberry -5.4

Blueberry -5.3

Raspberry -5.1

Yellow Plum -4.9

Italian Plum -4.9

Date -4.7

Cherry, sweet -3.6

Cantaloupe -2.5

Red currant -2.4

Fig juice powder 2.4

Grapefruit -1.7

Watermelon -1.0

Coconut, fresh +0.5

Cherry, sour +3.5

Banana, unripe +4.8


Ghee -1.6

Non-Stored Grains

Brown rice -12.5

Wheat -10.1


Walnuts -8.0

Filberts -2.0

Brazil nuts -0.5

Foods You Should Never Eat:

Root Vegetables

Stored Potatoes +2.0

Meat, Poultry and Fish

Pork -38.0

Veal -35.0

Beef -34.5

Ocean fish -20.0

Chicken -18.0 to -22.0

Eggs -18.0 to -22.0

Oysters -5.0

Liver -3.0

Organ Meats -3.0

Milk and Milk Products

Hard cheese -18.1

Quark -17.3

Cream -3.9

Homogenized Milk -1.0

Buttermilk +1.3

Bread, Biscuits (Stored Grains/Risen Dough)

White Bread -10.0

White biscuit -6.5

Whole-meal bread -6.5

Whole-grain bread -4.5

Rye Bread -2.5


Pistachios -16.6

Peanuts -12.8

Cashews -9.3


Margarine -7.5

Corn oil -6.5

Butter -3.9


Artificial Sweeteners -26.5

White sugar (refined cane sugar) -17.6

Beet sugar -15.1

Molasses -14.6

Dr. Bonner’s Barley Malt Sweetener -9.8

Dried sugar cane juice (Sucanat) -9.6

Barley malt syrup -9.3

Fructose -9.5

Milk sugar -9.4

Turbinado sugar -9.5

Brown rice sugar -8.7

Honey -7.6


Ketchup -12.4

Mayonnaise -12.5

Mustard -19.2


Liquor -28.6 to -38.7

Wine -16.4

Beer -26.8

Coffee -25.1

Fruit juice, packaged, natural -8.7

Fruit juice sweetened with white sugar -33.4

Tea (black) -27.1


Canned Foods - Processed Food - Microwaved Food