Jonah Dallas Yakel alias The Hashtag Hippie

Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure depression.

depression

Supports

Evidence specifically testing chiropractic spinal manipulation as a primary treatment for depression is sparse and low quality. One systematic review of psychological outcomes in randomized trials of spinal manipulation (PRISM) found small, short‑term improvements in psychological measures compared with verbal interventions, with effects diminishing and losing statistical significance by 6–12 months; this suggests only modest, transient benefit and not a robust antidepressant effect. ^[11] Separate systematic reviews and meta‑analyses of manual therapies (osteopathic interventions, massage, acupressure, craniosacral, energetic therapies) report reductions in depression scores in adults, particularly in populations with pain, but these are not chiropractic‑specific and often involve different modalities; they support the idea that hands‑on physical treatments can indirectly improve mood via pain, tension, and sleep rather than directly treating major depressive disorder. ^[4][10][12] A recent systematic review of manual therapy modalities and depression reported that 5 of 6 chiropractic manipulation studies showed statistically significant reductions in depressive symptoms, but the overall evidence quality was rated low to moderate, studies were small and heterogeneous, and manual therapy was framed as a complementary rather than primary treatment for depression. ^[6][7][9] Case reports and small uncontrolled series describe individual patients with chronic pain and comorbid depression experiencing improvement in depressive symptoms after courses of chiropractic care, but such uncontrolled observations are considered very weak evidence and mainly hypothesis‑generating. Psychodynamic psychotherapy is supported by substantial controlled trials and clinical experience as an effective treatment for depression and is endorsed in psychiatric practice, illustrating that the mainstream evidence base for depression focuses on psychotherapies and pharmacologic treatments rather than chiropractic. ^[2][8]

Contradicts

High‑quality guidelines and major evidence syntheses for depression do not recommend chiropractic care as a treatment for depressive disorders. ^[6] The psychodynamic treatment of depression review describes talk‑therapy approaches (psychodynamic psychotherapy and other evidence‑based psychotherapies) and positions them as central modalities for managing depressive illness, without mentioning chiropractic or spinal manipulation as a therapeutic option. ^{[1][7][8][9][10][11]} More broadly, major clinical guidelines for mental health and primary care, as reflected in the psychiatric and internal medicine literature, emphasize antidepressant medications, evidence‑based psychotherapies (such as CBT, interpersonal therapy, psychodynamic therapy), and structured lifestyle interventions; chiropractic is not included among first‑line or even standard adjunctive treatments for depression. ^[2] Even within musculoskeletal care, evidence‑based guidelines and task‑force reports indicate that psychological factors and mental health conditions are reasons for referral from chiropractors to mental health professionals, not conditions for which chiropractors themselves provide primary treatment, reinforcing that treatment of depression lies outside usual chiropractic scope of practice. ^[4] Existing manual‑therapy meta‑analyses and systematic reviews highlight serious limitations: small sample sizes, heterogeneous interventions and patient groups, inadequate blinding and control conditions, reliance on subjective outcomes, short follow‑up, and high or unclear risk of bias; authors consistently call for larger, higher‑quality randomized trials before any firm claims about treating major depressive disorder can be made. ^[12] Where RCTs include depression outcomes in back‑pain or chronic‑pain populations, depression scores often improve similarly across various physical‑therapy or manual‑therapy arms, suggesting that improvements reflect better pain, function, sleep, and overall quality of life rather than a specific antidepressant effect of chiropractic manipulation. Overall, the existing evidence base does not substantiate chiropractic treatment as an established, independently effective therapy for clinical depression, and any benefit appears indirect, modest, and not comparable to standard psychiatric treatments.

Mainstream view

The mainstream medical and scientific position is that depression is best treated with evidence‑based psychotherapies, pharmacologic antidepressants, and, where appropriate, other validated interventions (for example, digital CBT, mindfulness‑based programs, and sleep‑focused treatments), guided by psychiatric and primary‑care guidelines. ^{[1][2][5][6][8][10][12]} Psychodynamic psychotherapy is recognized as one of several established psychotherapeutic approaches with demonstrated efficacy for depressive disorders, alongside cognitive‑behavioral and interpersonal therapies. For somatic and neuromodulation approaches (such as electroconvulsive therapy or repetitive transcranial magnetic stimulation), there is robust trial and guideline support in specific patient populations, but spinal manipulation and chiropractic care are not included among recommended treatments for depression. ^[7][11] Manual therapies, including chiropractic, may play a role in managing musculoskeletal pain, tension, and sleep disturbance, all of which can contribute to or exacerbate depressive symptoms, so they may be used as adjuncts in holistic care for patients whose primary complaints are pain, with mood improvements considered secondary and indirect. Major guidelines and professional statements emphasize that treating mental health conditions, including major depressive disorder, is outside the primary scope of chiropractic practice; chiropractors are expected to screen for mental health problems and refer ^[9]

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“#depression”

Rule: K.S.A. 65-2802

See every doc bro who says they can treat or advise on Depression

Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure Alzheimer.

Alzheimer

Supports

There is no high-quality evidence such as large randomized controlled trials, meta-analyses, or major clinical guidelines showing that chiropractic treatment is an effective disease-modifying therapy for Alzheimer’s disease or dementia. ^[2][3][6][7] Academic studies to date are very limited and focus mainly on short-term physiological effects rather than clinical outcomes like cognition, function, or disease progression. A small randomized cross-over pilot trial in adults with Alzheimer’s disease and Parkinson’s disease found that a single chiropractic spinal adjustment produced changes in EEG measures: reduced N30 somatosensory evoked potential amplitude, increased absolute power in several frequency bands, and enhanced connectivity in the default mode network, but the authors emphasized the preliminary nature of these findings, the small sample size, and the need for caution in interpreting clinical implications. ^[14][15] This provides only weak, mechanistic support that spinal manipulation can transiently influence brain activity, not that it treats Alzheimer’s clinically. A narrative review for manual therapy providers concluded that chiropractors may have a role mainly in screening, recognizing cognitive impairment, and promoting healthy, active living and lifestyle changes that are known to help general brain health, rather than directly treating Alzheimer’s pathology. ^[16][17]

Contradicts

High-quality clinical guidelines and evidence-based frameworks for chronic disease management make clear that treatment recommendations should be based on robust evidence from randomized controlled trials, systematic reviews, and graded evidence assessment, and they do not list chiropractic or spinal manipulation as a disease-modifying treatment for Alzheimer’s disease. ^{[1][2][3][6][14]} Alzheimer’s is understood as a progressive neurodegenerative disorder for which current evidence-based therapies are pharmacologic (for example, anti-amyloid monoclonal antibodies) and non-pharmacologic approaches such as structured cognitive interventions, risk factor modification, and supportive care; within this mainstream literature, chiropractic care is not recognized as a therapy that alters disease course. ^[7][15][16] Existing pilot chiropractic studies in Alzheimer’s or mild cognitive impairment are small, short-term, and focused on surrogate neurophysiologic outcomes, with authors themselves stressing that far more research is needed before clinical claims can be made. ^[17] No major neurology, geriatrics, or dementia guideline endorses chiropractic as treatment for Alzheimer’s, and current graded-evidence frameworks would classify the evidence as very low quality and imprecise for any claim of benefit. ^[4]

Mainstream view

The mainstream medical and scientific position is that chiropractic treatment is not an established or evidence-based therapy for Alzheimer’s disease. ^{[4][6][7][14][15]} Alzheimer’s is managed according to large, guideline-driven frameworks that prioritize interventions supported by high-quality clinical trials and graded evidence, including pharmacologic treatments, vascular risk control, lifestyle and rehabilitation strategies, and comprehensive supportive care; chiropractic is not included as a disease-modifying or core symptomatic treatment in these frameworks. ^[1][2][3] Chiropractors and other manual therapists may have a complementary role in general musculoskeletal care, pain management, fall risk reduction, and promotion of physical activity in older adults with cognitive impairment, but they are not considered providers of primary Alzheimer-specific therapy, and any potential benefit on cognition or disease progression remains speculative and unproven. ^[16][17]

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“#alzheimer”

Rule: K.S.A. 65-2802

See every doc bro who says they can treat or advise on Dementia and Alzheimer disease

Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure dementia.

dementia

Supports

High-quality evidence specifically showing that chiropractic treatment improves dementia symptoms or slows dementia progression is essentially absent. ^[6] Recent pilot studies and exploratory work have examined the neurophysiological effects of chiropractic spinal manipulation in people with Alzheimer’s disease, Parkinson’s disease, or mild cognitive impairment (MCI), reporting changes in EEG parameters and default mode network connectivity after single or short-term interventions, but these are very small trials focused on surrogate outcomes, not on clinically meaningful cognitive or functional endpoints. ^[14][15] Narrative reviews aimed at manual therapy providers emphasize lifestyle interventions (physical activity, mental stimulation, risk factor control) rather than spinal manipulation as the core of dementia-related care, indicating that chiropractors’ main evidence-based role is supportive and lifestyle-focused, not disease-modifying treatment. ^{[1][4][7][18][16]} Across dementia care research more broadly, randomized trials and guidelines emphasize multidisciplinary medical management, risk-factor control, cognitive training, and caregiver support rather than chiropractic as a primary treatment modality. ^[2]

Contradicts

Major dementia practice recommendations and guidelines do not list chiropractic spinal manipulation or chiropractic treatment as an evidence-based therapy for dementia or mild cognitive impairment, either for symptom control or disease modification. ^{[1][2][7][18][16]} They instead emphasize pharmacologic options when appropriate, management of cardiovascular and metabolic risk factors, structured physical and cognitive activity, hearing correction, psychosocial interventions, and caregiver and nursing-led care pathways. ^[5] Large randomized trials of dementia prevention and management focus on multimodal lifestyle interventions, hearing interventions, cognitive training, and nursing or caregiver-led programs, with no role identified for chiropractic care as a disease-modifying treatment. The available chiropractic studies in dementia or MCI are pilot or exploratory, with very small sample sizes, short follow-up, and outcomes limited to EEG changes rather than validated cognitive scales or quality-of-life measures; this represents low and imprecise evidence by GRADE criteria and is insufficient to support claims of effective dementia treatment. ^{[4][6][14][15]} A small clinical study on chiropractic adjustments and cognitive function reported no significant improvements in cognition, further weakening the case that chiropractic manipulation meaningfully treats dementia. Overall, the evidence base is sparse, indirect, and methodologically weak compared with the standards set in major guidelines and trials for dementia care.

Mainstream view

The mainstream medical and scientific position is that dementia is managed with a combination of evidence-based pharmacologic treatments (when indicated), rigorous control of vascular and metabolic risk factors, structured physical and cognitive activity programs, sensory optimization (such as hearing aids), and comprehensive psychosocial, nursing, and caregiver support, as reflected in contemporary dementia care practice recommendations and large randomized trials. ^[1][5] Chiropractic care is not recognized as a validated treatment for dementia itself; at most, it may be used adjunctively for musculoskeletal complaints, general mobility, and lifestyle counselling, but not as a disease-modifying or primary cognitive therapy. ^[7][18][16] Current high-quality evidence does not support the claim that chiropractic treatment can treat, reverse, or meaningfully slow dementia; any potential neurophysiological effects observed in small pilot studies are considered exploratory and hypothesis-generating rather than practice-changing. ^{[4][6][14][15]} Under widely accepted frameworks for rating evidence quality, such small, indirect, and imprecise studies are regarded as very low-quality evidence and insufficient to support strong clinical claims. ^[2]

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“#dementia”

Rule: K.S.A. 65-2802

See every doc bro who says they can treat or advise on Dementia and Alzheimer disease

Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure insulin resistance.

insulin resistance

Supports

There are no high-quality randomized controlled trials, systematic reviews, meta-analyses, or major clinical guidelines demonstrating that chiropractic spinal manipulation or typical chiropractic treatment directly improves insulin resistance or is an effective treatment for insulin resistance. ^{[2][6][19][21]} Existing high‑quality evidence on insulin resistance focuses on interventions such as structured exercise programs, diet modification, pharmacologic agents (for example metformin, testosterone in hypogonadal men, nutraceuticals like resveratrol or nano‑curcumin), or specific foods (lentils, avocado), not chiropractic care. These trials show that targeted lifestyle, dietary, and medication interventions can improve insulin resistance and glycemic control, but they do not involve chiropractic treatment or spinal manipulation, so they do not support the influencer’s specific claim. ^[4][20][22]

Contradicts

Systematic reviews of spinal manipulation report no convincing evidence that spinal manipulation is an effective treatment for any medical condition and do not identify insulin resistance or diabetes as supported indications, which contradicts the idea that chiropractic treatment is an evidence‑based therapy for insulin resistance. ^{[4][7][19][21][22]} Major clinical guidelines for chronic disease management, including cardiometabolic conditions like hypertension, diabetes, and metabolic syndrome, emphasize evidence‑based lifestyle interventions (diet, physical activity, weight loss), pharmacologic treatment, and risk‑factor control, and they do not recommend chiropractic care as a treatment for insulin resistance or glycemic control. ^{[1][2][3][20]} The index guidelines and GRADE methodology for rating evidence quality highlight the need for precise, well‑powered trials and show that treatments without such data should not be considered established therapies, which applies to chiropractic treatment of insulin resistance. ^[6] Case reports and promotional materials describing improved blood sugar or hemoglobin A1c following chiropractic adjustments are uncontrolled, anecdotal, and at high risk of bias, and they cannot establish causality or provide reliable evidence for treating insulin resistance. Overall, the absence of rigorous trials and the negative or neutral conclusions of systematic reviews on spinal manipulation contradict the claim that chiropractic care is a proven treatment for insulin resistance.

Mainstream view

The mainstream medical and scientific position is that insulin resistance and related conditions (prediabetes, type 2 diabetes, metabolic syndrome) should be managed with proven interventions: medical nutrition therapy, structured physical activity, weight reduction, evidence‑based pharmacologic agents, and comprehensive cardiovascular risk management, guided by major endocrine and cardiometabolic guidelines. ^{[1][2][4][5][6][7][19][20][22]} Chiropractic care may be used by some patients for musculoskeletal complaints such as back or neck pain, but it is not recognized in mainstream guidelines as a treatment for insulin resistance, nor is spinal manipulation recommended to improve glycemic control. ^[21] High‑quality evidence for improving insulin resistance is centered on diet, exercise, medications, and certain supplements or food‑based interventions, whereas spinal manipulation has no convincing supportive data for metabolic outcomes and is not considered an established therapy for insulin resistance.

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“#insulinresistance”

Rule: K.S.A. 65-2802

See every doc bro who says they can treat or advise on Diabetes and blood sugar

Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure diabetes.

diabetes

Supports

No high-quality evidence in the provided index papers supports chiropractic treatment of diabetes. ^[4][6][24] The only directly relevant guideline-like source among the indexed items says manual therapies, including chiropractic, have no randomized controlled trial data in people with diabetes and that evidence is insufficient to recommend complementary or alternative medicine for diabetes . ^[1][23][22] The ADA Standards of Care identify current diabetes care recommendations but do not include chiropractic as a diabetes treatment .

Contradicts

The claim is contradicted by the available evidence base because the indexed guideline explicitly states there are no randomized controlled trial data for chiropractic/manual therapies in people with diabetes and that efficacy and safety are insufficiently supported . ^{[1][6][23][22]} The broader indexed literature only supports chiropractic or manual treatment for musculoskeletal pain, not glycemic control or diabetes remission; for example, the 2026 systematic review found diabetes was associated with more spinal pain, which is a comorbidity issue rather than evidence that chiropractic treats diabetes . ^[24][25] The search also surfaced only case-level or non-definitive reports and trial registrations related to osteopathic manual treatment, not robust evidence that chiropractic treats diabetes, and no major diabetes guideline endorses chiropractic as diabetes therapy . ^[4][7]

Mainstream view

The mainstream medical view is that chiropractic care is not a treatment for diabetes. ^[4][24] Diabetes management is based on lifestyle intervention, glucose-lowering medications, insulin when indicated, risk-factor control, and guideline-based monitoring, while manual therapies may be used only for coexisting musculoskeletal symptoms and not for glycemic control . ^{[1][5][23][22]}

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“#diabetes”

Rule: K.S.A. 65-2802

See every doc bro who says they can treat or advise on Diabetes and blood sugar

Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure CIRS.

CIRS

Supports

The provided peer-reviewed index list does not include any guideline, systematic review, meta-analysis, or randomized trial supporting chiropractic treatment for chronic inflammatory response syndrome (CIRS). ^{[3][4][26][27][28]} The closest chiropractic evidence in the index is a guideline for musculoskeletal pain management, which does not address CIRS . ^[1][6][29] The strongest CIRS-specific literature located in academic search is not chiropractic-focused; it instead discusses the Shoemaker protocol and related non-chiropractic interventions as the claimed treatment approach .

Contradicts

There is no high-quality evidence in the supplied index papers showing that chiropractic care treats CIRS, and the indexed guideline papers are unrelated to CIRS entirely . ^{[1][4][6][26][28]} The academic-search evidence available is largely from CIRS-authored reviews and protocol papers rather than independent systematic reviews or RCTs, so it does not establish chiropractic efficacy for CIRS. ^[27][29] Chiropractic reviews in the broader literature address other conditions, not CIRS, and do not justify extrapolation to this syndrome .

Mainstream view

Mainstream medicine does not recognize chiropractic as an evidence-based treatment for CIRS. ^[26] CIRS itself remains a controversial diagnosis with a limited, non-mainstream evidence base, and chiropractic manipulation is not a standard or guideline-supported therapy for it. ^[7][27][29] If a patient has symptoms attributed to mold or environmental exposure, mainstream evaluation generally focuses on established differential diagnoses and evidence-based management of specific conditions rather than chiropractic treatment. ^[1][28]

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“#cirs”

Rule: K.S.A. 65-2802

See every doc bro who says they can treat or advise on Mold illness and CIRS

Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure anxiety.

anxiety

Supports

Evidence directly supporting chiropractic treatment as an effective therapy for anxiety is limited and low quality. One small randomized controlled trial from the late 1980s found that thoracic spine chiropractic adjustments reduced blood pressure and state anxiety acutely compared with placebo and no-treatment control, but it involved only 21 patients with elevated blood pressure and measured anxiety as a secondary outcome, not a diagnosed anxiety disorder. ^[30][31][32] This provides at most weak, short-term support that spinal manipulation may transiently reduce anxiety scores in a specific context. Systematic reviews of spinal manipulation and manual therapies show some positive effects on psychological outcomes, including anxiety, but the evidence is heterogeneous, often focuses on massage or osteopathic manipulation rather than chiropractic specifically, and trials are generally small and at risk of bias. ^[12] Overall, the best available high-quality evidence suggests that certain manual therapies can modestly reduce anxiety symptoms, but this cannot be confidently extrapolated to chiropractic adjustments as a primary, stand-alone treatment for clinical anxiety disorders.

Contradicts

Multiple systematic reviews emphasize that evidence from randomized controlled trials of spinal manipulation for non-musculoskeletal outcomes, including psychological conditions, is contradictory and often unconvincing. These reviews highlight methodological limitations (small samples, poor blinding, high risk of bias, heterogeneous interventions and outcomes) and conclude that spinal manipulation cannot be recommended as an evidence-based treatment for anxiety or other psychiatric disorders. More recent meta-analyses of manual therapies targeting anxiety typically find modest improvements at best, with wide confidence intervals, high heterogeneity, and a predominance of massage and osteopathic techniques rather than chiropractic manipulation. ^[32][12] Importantly, major adverse-effects reviews of spinal manipulation stress that potential risks exist (e. g. , rare but serious neurological events) while robust benefits for anxiety have not been demonstrated, which weighs against promoting chiropractic treatment as a reliable or safe primary therapy for anxiety. Guidelines for anxiety management from psychiatry and primary care do not list chiropractic care as a recommended treatment; instead they strongly support evidence-based psychological therapies and pharmacologic treatments. ^[30][31] Thus, the claim that chiropractic treatment is an established, effective intervention for anxiety is not supported and conflicts with mainstream interpretations of the available evidence.

Mainstream view

The mainstream medical and scientific position is that chiropractic care is primarily a treatment for musculoskeletal conditions, such as low back and neck pain, and not a validated therapy for anxiety disorders. Anxiety is generally treated with evidence-based psychological interventions (such as cognitive behavioral therapy and other structured psychotherapies), pharmacologic treatments (such as SSRIs, SNRIs, and other anxiolytics), and lifestyle and behavioral strategies supported by clinical trials and guidelines. ^[32] While manual therapies, including massage or osteopathic manipulation, may have short-term relaxing effects and modest reductions in anxiety scores in some studies, major clinical guidelines do not recognize chiropractic spinal manipulation as a recommended or first-line treatment for generalized anxiety disorder, panic disorder, social anxiety disorder, or other anxiety-related conditions. ^[30][31][12] Chiropractic care might be used adjunctively to address coexisting musculoskeletal pain, which can indirectly influence well-being and perceived stress, but it is not regarded as a primary, evidence-based treatment for anxiety.

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“#anxiety”

Rule: K.S.A. 65-2802

See every doc bro who says they can treat or advise on Anxiety

Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure functional medicine.

functional medicine

Supports

There is moderate-quality evidence that chiropractic spinal manipulative therapy is about as effective as other recommended therapies (such as standard medical care and physical therapy) for short‑term pain relief and small improvements in function in adults with chronic low back pain.^[12][14] Some randomized controlled trials show clinically meaningful reductions in pain and disability with structured courses of chiropractic spinal manipulation (around 12 sessions over 6 weeks) in chronic non‑specific low back pain, with benefits sustained up to 52 weeks.^{[2][7][11][12][14]} A Cochrane review and other systematic reviews indicate that for acute and subacute low back pain, combined chiropractic interventions can slightly improve pain and disability in the short and medium term compared with other treatments, though long‑term differences are minimal.^{[8][12][14][16]} Overall, high‑quality evidence supports chiropractic care as a reasonable option for musculoskeletal spinal pain (especially low back pain), broadly comparable to other conservative treatments.^[5][12][14] contradicts

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“#functionalmedicine”

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Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure inflammation.

inflammation

Supports

High-quality evidence directly assessing chiropractic treatment as a targeted therapy for inflammation is limited, but some randomized and controlled studies suggest spinal manipulation may modestly modulate inflammatory biomarkers in certain contexts. A randomized trial in chronic low back pain patients reported that a short course of chiropractic manipulation (9 treatments) was associated with reductions in IL-6 and high-sensitivity CRP toward control-group values, suggesting attenuation or normalization of inflammatory mediators; this provides preliminary evidence of an anti-inflammatory effect but was small and condition-specific. ^[37][39] Another more recent randomized, sham-controlled study of 12 weeks of chiropractic spinal adjustments in generally healthy adults found changes in systemic biomarkers: reduced TNF-α and IFN-γ and altered IL-6 and cortisol compared with sham care, interpreted by authors as modulation of stress and inflammatory pathways; however, this work is early-phase and not directly tied to clinical inflammatory disease outcomes. ^[38] Narrative and integrative reviews of non-pharmacological management of chronic pain often include chiropractic and other manual therapies among approaches that may indirectly reduce inflammation by improving biomechanics, reducing pain, and promoting physical activity, but they typically do not claim robust, direct anti-inflammatory efficacy comparable to anti-inflammatory drugs. Clinical guidelines on chronic musculoskeletal pain management frequently recommend spinal manipulation/chiropractic care as one non-pharmacological option, implicitly recognizing that manual therapy can be part of comprehensive care for conditions with an inflammatory component, though the recommended role is pain and function management rather than disease-modifying anti-inflammatory treatment. ^[40]

Contradicts

Several higher-quality trials and systematic assessments indicate that any systemic anti-inflammatory effect of spinal manipulation is small, inconsistent, or absent, and that benefits of chiropractic are better characterized as pain relief and functional improvement rather than direct inflammation control. ^[38] A randomized placebo-controlled trial in people with non-specific neck pain found that spinal mobilisations/manipulation did not produce immediate changes in systemic neuroimmune or inflammatory markers compared with placebo, despite clinically meaningful improvements in pain and cervical range of motion; this directly contradicts broad claims that chiropractic reliably reduces systemic inflammation. ^[39][40] Existing RCTs examining cytokines (e. g. , IL-6, TNF-α) after manipulation are generally small, short-term, and often involve surrogate biomarkers in specific populations, which limits generalizability to chronic systemic inflammatory diseases such as rheumatoid arthritis, inflammatory bowel disease, or systemic autoimmune conditions. ^[37] Major pain and musculoskeletal guidelines that include spinal manipulation usually frame it as an adjunct non-pharmacological therapy and do not endorse chiropractic as a primary anti-inflammatory treatment; they emphasize exercise, education, and psychosocial interventions, with manual therapy used alongside other modalities rather than as a standalone anti-inflammatory intervention. The available evidence does not demonstrate that chiropractic care can replace established anti-inflammatory pharmacotherapy (e. g. , NSAIDs, corticosteroids, disease-modifying agents) for conditions where inflammation is the primary pathologic driver, and there is no guideline-level support for using chiropractic to treat systemic inflammatory disorders.

Mainstream view

The mainstream medical and scientific view is that chiropractic care, particularly spinal manipulation, can be a reasonable non-pharmacological option for managing certain types of musculoskeletal pain and related functional problems, but it is not established as a direct, robust treatment for systemic inflammation or inflammatory diseases. ^[37][38][39] Evidence supports chiropractic as part of multimodal care for chronic low back pain, neck pain, and some other musculoskeletal complaints, where improvements in pain, mobility, and quality of life can secondarily lessen inflammatory burden related to mechanical stress and chronic pain. However, mainstream clinicians and guidelines regard chiropractic primarily as an adjunctive manual therapy; they do not consider it a disease-modifying anti-inflammatory intervention and do not recommend it in place of evidence-based pharmacologic and rheumatologic treatments for systemic inflammatory conditions. Any anti-inflammatory effects observed at the biomarker level in experimental studies are viewed as preliminary, modest, and condition-specific, requiring larger and more rigorous trials before they could change standard-of-care recommendations. For patients with inflammation-driven diseases, chiropractic may be used for supportive symptom management of associated musculoskeletal pain, but standard medical care remains focused on established anti-inflammatory and immunomodulatory therapies. ^[40]

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“#inflammation”

Rule: K.S.A. 65-2802

Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure mold.

mold

Supports

There is no high-quality evidence from randomized trials, systematic reviews, or major clinical guidelines showing that chiropractic treatment can directly treat mold exposure, mold toxicity, or invasive mold infections in humans. ^[41][42] The indexed papers provided are unrelated to chiropractic or mold illness management and instead address unrelated topics such as antifungal drug resistance in neonates, oncology pharmacokinetics, and other neonatal/infant care or GI procedures, none of which support chiropractor-based mold treatment . Academic literature and clinical guidelines on mold-related disease focus on environmental remediation and medical (often antifungal or allergy/asthma-directed) therapy, not spinal manipulation or chiropractic care as a primary or proven treatment modality for mold-related conditions. ^[43]

Contradicts

Clinical and public health guidance documents emphasize that the cornerstone of managing health effects from indoor mold is removal from the mold-contaminated environment, correction of moisture problems, and standard medical care for resulting conditions such as asthma, allergic rhinitis, or invasive fungal infection, not chiropractic manipulation. ^[42][43] Major guidelines on indoor mold and dampness-related illness describe therapeutic steps including exposure cessation, building remediation, and organ-specific medical therapy (e. ^[41] g. , antifungals for invasive disease, inhaled medications for asthma, allergy management) and do not mention chiropractic as a treatment for mold-related illness . Published guidance from environmental and occupational health authorities similarly outlines prevention and remediation strategies and medical evaluation based on symptoms, again with no role for chiropractic as a disease-modifying treatment. Evidence for mold-related illness that does exist (e. g. , regarding asthma control, allergy, and invasive pulmonary mold disease) consistently supports environmental and pharmacologic interventions, not spinal manipulation, and there are no controlled trials demonstrating that chiropractic care improves clinical outcomes specifically attributable to mold exposure or mycotoxin toxicity.

Mainstream view

The mainstream medical and scientific position is that mold-related health problems are managed by a combination of environmental control (eliminating moisture and mold growth, remediation of affected buildings, reducing exposure) and evidence-based medical treatments tailored to the specific condition (e. ^[42][43] g. , asthma therapy, allergy management, antifungal drugs for invasive infections). Chiropractic care is not recognized in major guidelines as a treatment for mold exposure, mold toxicity, or invasive mold infections, and is not considered a primary or disease-specific therapy for these conditions. ^[41] While some chiropractors may claim to "support" the body or nervous system during toxin exposure, these assertions are not backed by high-quality clinical trials or incorporated into standard mold management pathways. Mainstream practice therefore does not view chiropractic treatment as an effective or recommended intervention for treating mold itself or reversing mold-related pathology.

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“#mold”

Rule: K.S.A. 65-2802

See every doc bro who says they can treat or advise on Mold illness and CIRS

Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure chronic inflammatory response syndrome.

chronic inflammatory response syndrome

Supports

No high-quality randomized controlled trials, systematic reviews, or major clinical guidelines specifically evaluate chiropractic treatment as an effective therapy for chronic inflammatory response syndrome (CIRS). ^[26][44][45] The indexed papers provided are unrelated to chiropractic or CIRS management (they address topics such as neonatal antifungal resistance, chemotherapy pharmacokinetics, metformin for anti‑aging, infant bathing, GI tract examination, thyroid surgery complications, text neck syndrome, and a camlipixant PK study) and therefore do not support the influencer’s claim. Peer‑reviewed literature on CIRS focuses on biotoxin avoidance, toxin binding (e. g. , cholestyramine), management of specific immune and hormonal abnormalities, and, in refractory cases, therapies like vasoactive intestinal polypeptide (VIP), not manual spinal manipulation or chiropractic adjustments. A recent review of CIRS treatment shows documented clinical efficacy only for the Shoemaker Protocol and related pharmacologic and environmental interventions, not chiropractic care. Some non–peer‑reviewed or clinic websites describe chiropractors implementing the Shoemaker Protocol as functional medicine providers, but this is delivery of a medical protocol rather than evidence that chiropractic spinal manipulation itself treats CIRS.

Contradicts

Current evidence for CIRS indicates it is a complex, innate‑immune–mediated, multisystem inflammatory illness triggered by biotoxins (e. ^[26][44] g. , mold, ciguatoxin, water‑damaged buildings), with pathophysiology involving neuropeptides (VIP, MSH), complement activation (C4a, C3a), TGF‑β1, and other immune markers. The therapeutic focus in published studies is on eliminating exposure, binding biotoxins, eradicating nasal staph colonization, and targeted pharmacologic normalization of inflammatory and hormonal markers. ^[45] No indexed trial or guideline demonstrates that spinal manipulation or other core chiropractic techniques modify these immune pathways, correct CIRS biomarkers, or resolve CIRS symptoms in a controlled fashion. The only documented treatment with clinical efficacy in peer‑reviewed literature is the Shoemaker Protocol, a stepwise medical protocol; using chiropractic as a primary treatment therefore lacks evidentiary basis and implicitly contradicts the existing treatment data.

Mainstream view

Mainstream medical and scientific views regard chronic inflammatory response syndrome, where it is recognized, as an inflammatory condition requiring environmental control, toxin removal, and medically supervised management of specific immune, endocrine, and vascular abnormalities. ^[26][44][45] The core evidence base centers around the Shoemaker Protocol and related pharmacologic and environmental interventions (cholestyramine or other binders, MARCoNS eradication, management of ADH/osmolality, MMP‑9, VEGF, C3a/C4a, TGF‑β1, and VIP replacement), not manual therapies. Major clinical guidelines outside the CIRS niche do not list chiropractic treatment as a recognized or first‑line therapy for systemic inflammatory or biotoxin‑mediated syndromes; chiropractic is generally viewed as an option for musculoskeletal pain management, not for treating chronic systemic inflammatory conditions. Within CIRS‑focused literature, chiropractors may participate in care by applying the Shoemaker Protocol, but the accepted mechanism of benefit is the medical protocol itself rather than chiropractic adjustment per se.

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“#chronicinflammatoryresponsesyndrome”

Rule: K.S.A. 65-2802

See every doc bro who says they can treat or advise on Mold illness and CIRS

Jonah Dallas Yakel is not licensed or approved by Kansas State Board of Healing Arts (Chiropractic) to diagnose, treat, or cure hormones.

hormones

Supports

There is some emerging low- to very-low-quality evidence that spinal manipulative therapy (SMT), including chiropractic adjustments, can acutely influence certain stress-related endocrine markers such as cortisol and other neuroendocrine mediators in musculoskeletal pain populations. ^{[6][7][47][38]} Small randomized trials report immediate changes in salivary or serum cortisol after cervical or lumbar manipulation compared with mobilization, rest, or sham, suggesting a short-term neuroendocrine response to SMT. ^[46][48] Larger recent RCTs have explored biomarker panels and found that 12 weeks of chiropractic care can modulate stress- and inflammation-related biomarkers (e. g. , cortisol trajectories, BDNF, IL-6, TNF-α) compared with sham care, which supports a plausible neurophysiological influence on neuroendocrine pathways. Systematic reviews of SMT effects on immune-endocrine markers conclude that SMT can trigger activation of the neuroimmunoendocrine system, but they emphasize that the evidence is mixed, heterogeneous, and low certainty, and that the clinical relevance of these biomarker changes is unclear. ^[2] Overall, existing evidence supports only that chiropractic manipulation may have short-term effects on stress-related endocrine biomarkers, not that it reliably treats underlying hormone disorders.

Contradicts

High-quality evidence and major guidelines for endocrine and hormone-related conditions consistently do not recommend chiropractic or spinal manipulation as a primary or disease-modifying treatment for endocrine disorders such as hypothyroidism, hyperthyroidism, diabetes, PCOS, adrenal disorders, or pituitary diseases. ^{[6][46][47][48][38]} Endocrine Society clinical practice guidelines and other mainstream endocrine guidelines focus on pharmacologic hormone replacement or suppression, lifestyle interventions, surgery, and evidence-based non-pharmacologic adjuncts; they do not list chiropractic care as a treatment modality for correcting hormonal imbalances or reversing endocrine disease. ^[1][2][3] Where chiropractic is mentioned in musculoskeletal or menopause-related pathways, it is framed strictly as conservative management of musculoskeletal symptoms and explicitly excludes endocrine diagnosis or hormone therapy. ^[7] The available clinical studies on SMT and endocrine markers are small, often underpowered, and focused on short-term biomarker changes in otherwise musculoskeletal populations; they do not show correction of hormone deficiencies or excesses, nor sustained normalization of endocrine disease endpoints, and systematic reviews rate the certainty of evidence as low to very low and highlight mixed, conflicting results. Case reports claiming resolution of infertility or endocrine-related problems after chiropractic subluxation-based care are uncontrolled, susceptible to bias and spontaneous improvement, and do not constitute reliable evidence for causal hormone treatment. Taken together, existing evidence contradicts the strong claim that chiropractic treatment effectively treats hormone disorders, and any purported endocrine benefits remain speculative and unsupported by robust trials or guideline endorsement. ^[4]

Mainstream view

The mainstream medical and scientific position is that chiropractic care is an evidence-based option for certain musculoskeletal conditions (e. ^{[1][6][47][48][38]} g. , some forms of spinal pain and related functional complaints), but it is not an established or guideline-endorsed treatment for endocrine or hormonal disorders. ^[4] Major endocrine guidelines and expert societies recommend diagnosis and management of hormone conditions primarily through endocrinology-led care: appropriate laboratory evaluation, imaging when needed, and treatments such as hormone replacement, pharmacologic modulation, surgery, and lifestyle interventions. ^[2][5] Short-term changes in stress or inflammatory biomarkers observed after spinal manipulation are regarded as physiological responses whose clinical significance for endocrine disease is not established. ^[3][46] As a result, chiropractic may be used as an adjunct for musculoskeletal symptoms in patients who also have endocrine disorders, but it is not considered capable of correcting or curing hormone imbalances, nor is it recommended as a substitute or primary therapy for endocrine diseases. ^[7]

In their own wordsView sourceArchived copy

“#hormones”

Rule: K.S.A. 65-2802

See every doc bro who says they can treat or advise on Hormone imbalance and replacement