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Dear Patients,
Some of you participated in our one day symposium, Take Charge of Your Health: A Functional Medicine Symposium.
For those of you who missed it, here are some highlights from the previous event. Be sure to look for announcements on our website and Facebook page for upcoming events.
Doctor’s Guide to Optimal Wellness
Gerard L. Guillory, M.D. The Care Group, P.C.
Dr. Guillory, founder of The Care Group, began the symposium by explaining, “Traditional medicine focuses on the diagnosis and treatment of disease. Usually that treatment involves the use of pharmaceuticals. Functional medicine looks at the underlying cause of the problem and on the prevention of disease by bringing more tools than just the prescription pad to a patient, we are able to provide an integrated approach in treating the whole person.”
Focusing on optimal wellness, Dr. Guillory mentioned a number of health and dietary issues facing patients today:
· Inflammation – Cellular inflammation adversely affects overall health, as well as our biological clocks and signs of aging. Inflammation can be reduced through elimination of transfats and staturated fats, as well as foods with high glycemic indexes. Adding Omega 3 and olive oil to your diet along with the herbal supplement, Zyflamend, has been found to successfully reduce inflammation helping with the symptoms of arthritis. By reducing inflammation you can slow your biological clock and you may delay the onset of many age-related disorders.
· Bad Bacteria – The “bad” bacteria in your gut causes inflammation through biological reactions that are similar to making sour milk inside the gut. These bad bacteria activate the immune system and cause inflammation. This condition can lead to digestive disorders, cause fatigue and inflammation which can promote other more serious problems. Probiotics are the good bacteria that can be added to the diet through probiotic supplements to dramatically improve gut functioning and overall health.
· Water – Acidic beverages such as soda are not good for you. Some bottled drinking water can also have a high level of acidity. When drinking bottled water, look for water that is from springs, which will usually have a neutral pH and contains a range of health promoting minerals. We recommend obtaining a simple filtration system for clearing out some of the impurities found in your tap water and only drinking bottled water when the situation dictates it – such as when traveling.
· Headaches – MSG and Aspartame stimulate receptors in the brain, which can trigger headaches. Being aware of these chemicals and avoiding them in the diet can eliminate headaches and other reactions to these additives.
· Gluten Sensitivity – Gluten sensitivity is a growing concern in society that can cause auto-immune disorders. Being tested for sensitivity and eliminating gluten which is found in wheat from the diet has been shown to dramatically improve the health of those with gluten intolerance. Once thought to be a rare disorder affecting one in 3000 people, gluten sensitivity now affects one in 100 people and is on the rise. Have you wondered why you see so many more gluten-free products these days?
· Low Ferritin – This condition, low iron, can cause fatigue, restless leg syndrome and ADD, and often is the result of using acid-blocking drugs. With the antacid compounds interfering with iron absorption, adding iron back into the diet can increase energy and eliminate the discomfort associated with restless leg syndrome.
· Iodine Deficiency – For many years iodine has been added to highly refined salt. Iodine deficiency is making a comeback as we avoid salt to minimize other health issues. With unrefined sea salt gaining popularity, an increase in iodine deficiency has been seen due to the fact that sea salt is not usually fortified with iodine. Iodine deficiency is most often associated with disorders of the thyroid gland and has also been implicated in ovarian cancer. We recommend using an unrefined sea salt which contains a range of minerals and trace elements that are beneficial for optimal health. Appropriate supplements through your healthcare provider can bring the iodine back in to balance within the system.
· Vitamin D Deficiency – This has become a very common condition, almost a national epidemic, and is associated with high blood pressure, heart attacks, 16 different types of cancer, increased susceptibility to respiratory infections, osteoporosis, multiple sclerosis, and a range of other diseases. Adding additional vitamin D is essential and can be the most important vitamin to have for achieving optimal overall health.
The Doctor-Patient Relationship Jay A. Krakovitz, M.D. The Care Group, P.C.
Dr. Jay Krakovitz provided valuable insight into finding a physician who practices functional medicine, preparing for a visit to the doctor’s office, and how to deal with an insurance carrier (he was formerly the medical director for a major health insurance company).
To find a physician that best meets your personal needs, Dr. Krakovitz recommends:
· Look for a physician who has a relationship with a compounding pharmacist who can custom blend needed medications and supplements.
· Look for a provider who gives you his or her undivided attention, makes eye contact, and exhibits a caring attitude.
· Look for a medical home – a place where you feel comfortable and where you feel you will be treated as though you are a member of the doctor’s family.
To prepare for your visit with the doctor:
· Make a list of questions that you want to ask of the doctor.
· Make a list of what you are taking, including prescription drugs, supplements and over the counter medicines.
· Bring in a log of your blood sugar and blood pressure readings.
· Talk about visits with other doctors, specialists, and health care providers. The more your primary care physician knows, the better your treatment will be.
· Be honest and fully disclose anything relevant to your health. · Discuss emotional and psychological health aspects since they can directly impact your physical health.
· Discuss financial barriers. Some patients cut medications to save money. The doctor needs to know if this is happening. For dealing with your insurance provider, Dr. Krakovitz suggests:
· Know what benefits you are entitled to.
· Locate your certificate of coverage, which lists your benefits and your legal rights.
· Always take advantage of every preventative heath care service available. Companies often waive co-pays for these critical services.
· Appeal all denials. Denials can happen for many reasons, mainly due to lack of complete information or understanding of the situation on the insurance company's side. Contact them directly to explain your claim.
The Integrative Approach to Cancer Therapy Dr. Sami Diab, M.D. Colorado Integrative Cancer Care
Dr. Sami Diab, M.D., said that although the use of Complementary and Alternative Medicine (CAM) is widespread and increasing, yet most mainstream oncologists have little understanding of these therapies which combine conventional cancer therapies with those focused on enhancing well being, such as:
· Hypnosis – An artificially induced state of consciousness in which a person is made receptive to suggestions. Studies have shown a reduction in post-surgery pain and distress as a result of pre-surgery hypnosis. It has also been demonstrated that cancer patients have a reduction in pain, nausea, fatigue, discomfort, emotional upset at discharge, and even a reduction in institutional cost with the use of hypnosis.
· Music therapy – When combined with conventional cancer treatments, music therapy has been found to help cancer patients maintain a better quality of life.
· Massage therapy – Massage therapy helps relieve symptoms commonly experienced by cancer patients, reducing anxiety, pain, fatigue, and distress.
· Acupuncture – This Eastern medicine practice releases neurotransmitters and changes brain-functional magnetic resonance imaging (MRI) signals which has been shown to relieve nausea and vomiting symptoms often associated with chemotherapy and radiation therapy.
· Yoga – Studies show that combining Yoga’s physical movement, breath control, and meditation, can lessen the negative social affects of chemotherapy among breast cancer patients, resulting in more favorable outcomes for overall quality of life, social, emotional well-being, and spirituality.
· Relaxation imagery – Studies have repeatedly demonstrated significant reductions in tension, depression, anger, and fatigue for those who received relaxation imagery during cancer treatment.
· Support Groups – Other research suggests improvements in quality of life, aspects of immune function, and life expectancy for cancer treatment patients who participated in a psychologist-led support group.
· Exercise – One study of nearly 3,000 breast cancer survivors demonstrated that 3 to 5 hours of average-speed walking per week lowered the risk of breast cancer-specific mortality by 50 per cent, compared with women reporting about 1 hour of walking.
· Diet: Nutrition - There is a wealth of epidemiological, animal, laboratory and human trials to support choosing or avoiding certain foods in order to reduce cancer risk. Diet is thought to account for 35-60% of cancer risk.
An anti-cancer diet consists of:
· Plant based diet with less meat and dairy
· 5-10 servings per day of a variety of fruits and vegetables
· Low in saturated and trans fats
· Beneficial ratio of n-6 to n-3 fatty acids (also called omega-6 and omega-3 oils)
· High fiber including whole grains, fruits, vegetables and beans
· Avoidance of known carcinogens such as HCA's, pesticides, nitrates
· Inclusion of probiotics, and Vitamin D
5 Secrets to Lose Weight, Increase Energy & Live Longer Mike Mutzel, MSc, CPT (NASM, ACE) The Care Group, P.C.
Body weight, energy level and mental function is a reflection of overall health. Mike Mutzel, certified Nutritionist and personal trainer explains optimal health can be achieved through a healthy lifestyle which goes beyond diet and exercise, including these 5 basic lifestyle practices:
1. Stress Reduction – Being exposed to high levels of stress, it is important to learn how to better handle and cope with stressors; because if left unchecked, the hormonal environment that is created leads to damage in nearly every bodily and organ system. Such effects include increased fat gain, loss of mental capacity, sleep loss, heart disease, cancer and more. Practicing daily meditation or prayer is also beneficial in reducing stress.
2. Sleep – Even mild sleep deprivation leads to increase levels of stress hormones, decreased mental function, fat gain, and increased preference for simple sugar containing foods. Seven to nine hours of sleep is optimal.
3. Mediterranean anti-inflammatory diet – This diet consists of 5 core food groups: vegetables, fruits, lean protein (wild fish and unprocessed lean meats), nuts, and seeds. Ideally, the fruits and vegetables are rich in deep colors. Minor consumption of the grains brown rice, quinoa or oat products can be added. Seventy percent of dark chocolate, red wine, dark beer and other treats are acceptable on occasion.
4. Exercise: both aerobics and strength/resistance - The combination of daily, short duration, high intensity exercise has been scientifically proven to balance hormones and stimulate the formation of lean body mass and removal of fat at a faster rate than either exercise in isolation. Aim for 3-5 days of 20-40 minutes of a combination of both strength and aerobic exercise.
5. Essential Supplements – Modern societies have an increased level of toxic heavy metals, petrochemicals and other foreign materials which challenge the body, requiring more nutrients to help detoxify. Moreover, recent advanced in agricultural practices have lead to decreased nutrient content in our food supply; mainly lower levels of micronutrients such as vitamins and minerals. Balance your life through supplements:
· Omega 3 fatty acids · High potency multivitamin/mineral · Vitamin D · Zyflamend · ProBiotics
Short Circuit Your Stress Cycle Audrey Boxwell, Ph.D., CHT Psyche Hike
Audrey Boxwell, Ph.D., CHT, treats a variety of physical and emotional disorders through hypnosis and guided imagery. She explained that we process over 100,000 thoughts a day, many of which are negative and stress-inducing. These stresses can cause a flight or fight reaction that can create health issues. Finding ways and time to release stress is key in reducing the negative impact on the mind and the body. Besides moving and exercising, two quick and highly effective stress reducers are:
1. Stop and take a step back – Put things into perspective and focus on the important things in your life. If you are having a problem managing your stress, talk to your healthcare provider for ways to help get control of the stress.
2. Just Breath – You can use a breathing technique anytime, anywhere to regain calmness:
3. Slowly inhale and count to 4
4. Hold your breath and count to 7
5. Now exhale slowly while counting to 8. Repeat this cycle 4 times. Breathe in through the nose and out through the mouth. You will be amazed at how calming this can be.
Food Allergies: How Foods Make You Sick John Thoreson US BioTek Laboratories
John Thoreson with US BioTek Laboratories explained our gut lining is 200 times the surface area of our skin. It’s one cell thick. It has a massive responsibility, processing one ton of food per year. And, with the gut having 100 trillion bacteria in it, not all those bacteria are going to be friendly.
We have evolved to tolerate certain bacteria that live in our gut, but there is an increasing number of foods that can trigger allergic responses such as nuts, milk, eggs, gluten, soy and some meats. These allergies can cause a whole host of health issues. Functional testing is now available that can identify inflammation in the body, nutritional deficiencies and imbalances, environmental toxicities, as well as food allergies and sensitivities. The test is a simple blood test that analyzes the affects of different food groups. Working with your healthcare provider, you can identify foods to avoid for maintaining good health.
Hormone Balancing Susan Davenport, R. Ph. Pencol Compounding Pharmacy
Hormones give messages to every cell in the body. They are a part of the anti-aging process, but around age 50, they begin to decline. To compensate for this decrease in hormone production, patients are often treated with hormone replacement therapy using bioidentical hormones, which are molecularly identical to the hormones that the body produces. These Bioidentical hormones, sometimes referred to as natural hormones, are often used to treat menopause symptoms, perimenopause, and post-menopause. “Because commercial BHRT products are very limited, a compounding pharmacy can often meet specific patient treatment requirements by purchasing hormones and then compounding them for the patient,” explained Susan Davenport, licensed pharmacist with Pencol Compounding Pharmacy.
Working with a doctor and a compounding pharmacist, a patient can gain several key benefits from pharmaceutical compounding, including:
· Avoiding Side Effects – Medications can be compounded to meet your unique health needs and avoid possible side effects.
· Allergen Avoidance – Certain dyes and other possible allergens can be avoided in the compounding process, eliminating the dangers of allergic reactions.
· Unavailable/Discontinued Medications – Many effective drugs that are no longer commercially available can be obtained through a compounding pharmacist by prescription.
· Difficult Regimens – Many dosage forms may be difficult to swallow, especially for children and the elderly. A compounding pharmacist can produce alternative forms like liquids or transdermal patches, flavoring, etc. to help the medicine go down easily.
· Custom Dosages - Pharmaceutical companies package many medications in set strengths and, unfortunately in many cases, one strength does not fit all needs. A compounding pharmacist can provide prescriptions in custom strengths prescribed by your doctor.
Neurotransmitters: Their Role in Health Bridget Meyers NeuroScience, Inc.
Bridget Meyers is a medical liaison, bringing the most clinically relevant, applicable and valid tools for assessing the nervous, endocrine and immune systems in order to identify root causes of illness and to effectively determine treatment protocols. Bridget spoke about Neurotransmitters and how they are chemicals inside our bodies that enable nerves to communicate with each other. These communicators regulate aspects of our body’s operation – moods, how we sleep, and how we live. If our neurotransmitters become imbalanced, our moods, bodies, and overall health reflect the imbalance in a negative way. Stress, eating the wrong foods, toxins such as household chemicals or molds, and challenges to our immune system can throw neurotransmitters into an imbalanced state.
Unlike hormones, which are created through the endocrine glands and go through the bloodstream, neurotransmitters are released by a nerve cell and sent directly to an adjoining receptor, so blood tests can not detect any problems. Historically, health care practitioners would ask a few questions and target just one neurotransmitter. Then through trial and error, a whole series of different treatments might be used to find the right balance. There are now comprehensive tests that can be performed on collected urine or saliva samples so that a tailored treatment regime can be prescribed, thus avoiding the waste of time and money on the trial and error method.
Osteopathic Medicine: The Path to Health Dr. Emmy Lawrason, D.O. Colorado Osteopathic & Integrative Medicine Associates
Dr. Lawrason defined Osteopathy as a hands on approach to healing. Working with the body, Osteopaths listen through their hands to identify physical problems and facilitate the body healing itself. “We can feel decreased movement and other problems. It’s a continuous learning process. Anyone can find disease. I find health, and focus on getting back to the cause of the problem,” she explained.
Osteopthic medicine is a holistic approach to treatment that has a combined focus on the mind, body and spirit. Using an integrated approach, many treatment modalities are combined to treat all tissues of the body. Patients seek out osteopathic medicine for relief from pain, post-operative conditions, as well as stress experienced by adults, children and even newborns who experienced stress during delivery with the use of vacuum assist and forceps.
Event Summary
Taking charge of your health and designing a personalized approach to health care can help create a healthier, longer, more satisfying life. As always, The Care Group suggests you work in conjunction with your healthcare providers to create a plan and products that work best for you.
For more information about the topics covered in this summary, please visit the article section on The Care Group website: http://www.thecaregrouppc.com/. We would also like to thank the following companies for helping make the symposium possible:
· Biotics Research Corporation – www.bioticsresearch.com · Colorado Integrative Cancer Care – http://drdiab.info · CO Osteopathic & Integrative Medicine Associates – www.cointegrative.com · G Food Concepts - www.gfoodconcepts.com · HealthOne Clinical Services – www.healthoneclinics.com · NeuroScience – www.neurorelief.com · New Chapter Organics – www.newchapter.com · PenCol Compounding Pharmacy - www.pencolrx.com · Pharmax – www.pharmaxllc.com · PsycheHike – www.psychehike.net · Spectracell Laboratories – www.spectracell.com · US BioTek Laboratories – www.usbiotek.com
Regards, Pam Marsh Director of Communications The Care Group, PC www.TheCareGroupPC.com
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