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Description: In This Issue: Addressing Stress and Depression, Sports Nutrition, Fibromyalgia, and Bone Health

w w www.naturalpractitionermag.com June July 2015 w. O Na ur tu W Vis ra lP eb it ra s ct it iti e on er M ag .c om A VRM Media Publication Go to www.naturalpractitionermag.com davinci for info about this advertiser Go to www.naturalpractitionermag.com americasfinest for info about this advertiser TABLE OF CONTENTS June July 2015 VOLUME 4 NO. 4 22 FEATURES 22 Addressing Stress and Depression Natural practitioners are taking a personalized approach when it comes to dealing with their patients stress and depression. 26 8 COLUMNS 4 Editor s Note 8 Practitioner Corner 34 Product Focus Bone Health 26 Focusing on Fibromyalgia Natural practitioners can help their patients with fibromyalgia address the symptoms head on. DEPARTMENTS 14 Health News 36 Practitioner Chat 38 Natural Health Studies 41 Natural Marketplace 43 Media Corner 44 Conferences & Events 44 Advertiser Index 30 Athletic Endurance Whether running toward the end zone or hitting the gym good nutrition and dietary supplements give athletes the fuel they need. Visit NaturalPractitionerMag.com FreeProductInfo for FREE Product Information or Samples from All Natural Practitioner Advertisers FREE Subscription (Print Digital or BOTH) FREE E-newsletter Visit NaturalPractitionerMag.com Copyright 2015. Natural Practitioner (ISSN 2331-2580) Volume 4 Number 4 June July 2015. Natural Practitioner is published monthly (except for bimonthly January February March April June July and September October) by Vitamin Retailer Magazine Inc. 431 Cranbury Road Suite C East Brunswick NJ 08816 USA Phone (732) 432-9600 Fax (732) 432-9288. All rights reserved including the right to reproduce in whole or in part. Not responsible for unsolicited material. Opinions expressed in by-lined articles or advertisements are not necessarily those of Natural Practitioner or its owners. Publisher is not liable for advertiser product claims or representations. Advertisers assume total responsibility for the contents of their advertisements. No portion of this magazine is intended to diagnose treat cure or prevent any disease. Printed in U.S.A. Basic annual subscription rate is 50.00. POSTMASTER Send address changes to Natural Practitioner P.O. Box 15246 North Hollywood CA 91615-5246. Subscription Customer Service Natural Practitioner P.O. Box 15246 North Hollywood CA 91615-5246 USA Phone (818) 286-3169 Fax (800) 869-0040 nprcs magserv.com www.naturalpractitionermag.com. Back Issues & Single Copies For order information contact (732) 432-9600 or info naturalpractitionermag.com. December issue is 25.00. All other issues are 10.00 each. 2 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2015 Go to www.naturalpractitionermag.com xlear for info about this advertiser EDITOR S NOTE Change & Growth hange and growth is inventible. Recently the staff at VRM Media experienced change first hand when Editor-inChief Daniel Breeman moved on to new opportunities. And while we were all sad to see him go I am honored to follow in his footsteps. A member of the editorial staff since Natural Practitioner s (NP) inception I have watched the publication grow and evolve and I am excited to leave my mark on NP as its new editor-in-chief. Complementary and alternative medicine (CAM) has seen its own fair share of growth as of late especially when it comes to education. As Americans are looking to live healthier lives many are seeking out health care practitioners educated in CAM to assist them. The influx of practitioners wanting to be educated in CAM has given educational institutions that offer these programs the opportunity to expand. For instance the National College of Natural Medicine (NCNM) recently announced that in the fall it will introduce its newest degree program--the Doctor of Science in Oriental Medicine (DSOM)--which is not only the first doctoral-level classical Chinese medicine degree offered by the college but is also one of the first of its kind in North America (see page 14). In addition to the DSOM the college has been expanding its flagship programs in naturopathic medicine and classical Chinese medicine in recent years by launching two undergraduate degrees and master s programs in integrative mental health global health nutrition and integrative medicine C research--growing its enrollment 33 percent since 2007. The Oregon College of Oriental Medicine (OCOM) saw its own fair share of growth and change when the school recently announced the selection of Trustee Deborah Howe PhD FAICP as interim president pending the retirement of current President Michael J. Gaeta EdD after his 10 years of service to OCOM (see page 16). During Dr. Gaeta s tenure as president OCOM relocated the campus and clinic facility which doubled the school s classroom space expanded its clinical services and added a community room to its campus. The new campus and clinic facility feature sustainability upgrades LEED Gold certification and enhanced access to public transportation. OCOM s vision to be the preeminent educational destination in the U.S. for anyone seeking a graduate degree in Chinese medicine continues to find healthy expression through the efforts of our community said Dr. Gaeta. Just as relocating our campus--a major strategic initiative from our 2005 Strategic Plan--doubled the size of our physical plant and more centrally located us in Portland we also must continue to expand our relationships to stay abreast of as well as ahead of the accelerating curve of change. Once again I look forward to growing with you all in my new role as editor-in-chief and I encourage you to contact me at sharib vrmmedia.com with any comments or ideas you have regarding NP and how we can help you better serve your patients. PUBLISHER DANIEL MCSWEENEY EDITORIAL DIRECTOR DanM VRMmedia.com ASSOCIATE PUBLISHER RUSS FIELDS RussF VRMmedia.com ADVERTISING ROY KIEFFER SALES MANAGER RoyK VRMmedia.com ADVERTISING GARY PFAFF SALES ASSOCIATE GaryP VRMmedia.com INDEPENDENT GLENN DULBERG SALES REPRESENTATIVE GlennD VRMmedia.com EDITOR-IN-CHIEF SHARI BARBANEL ShariB VRMmedia.com ASSISTANT EDITOR CRISTINA GOODWIN CristinaG VRMmedia.com CONTRIBUTING EDITOR JANET POVEROMO JanetP VRMmedia.com CONTRIBUTING WRITER LISA SCHOFIELD ART DIRECTOR ROBERT CERTO PRODUCTION MANAGER RobertC VRMmedia.com PRODUCTION ASSISTANT BRYAN ZAK GRAPHIC ARTIST BryanZ VRMmedia.com CIRCULATION MANAGER ROSIE BRODSKY Rosie StarkServices.com VRM MEDIA 431 Cranbury Road Ste. C East Brunswick NJ 08816 PHONE (732) 432-9600 FAX (732) 432-9288 E-MAIL info VRMmedia.com WEBSITE www.naturalpractitionermag.com PRESIDENT DANIEL MCSWEENEY DanM VRMmedia.com MISSION STATEMENT Natural Practitioner magazine provides alternative complementary and integrative health care professionals information about natural products market trends industry news health research and other content designed to benefit their practices and improve their business results. Subscription Customer Service To order a subscription or manage your account please contact us at Natural Practitioner P.O. Box 15246 North Hollywood CA 91615-5246 USA Phone (818) 286-3169 Fax (800) 869-0040 nprcs magserv.com www.naturalpractitionermag.com Back Issues See the Table of Contents page for price and order information. Connect With Us www.twitter.com vitaminretailer www.facebook.com naturalpractitioner www.linkedin.com www.instagram.com www.pinterest.com company vrm-media vitaminretailermagazine vrm_media 4 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2015 Go to www.naturalpractitionermag.com naturade for info about this advertiser Meet Natural Practitioner s Editorial Advisory Board In its search to provide readers with insight and perspective that will help them build and better their practices Natural Practitioner has culled together an Editorial Advisory Board of authoritative practitioners willing to do just that. You will see our Board members present in key editorial as well as each authoring their own column Practitioner Corner throughout the year that highlights their expertise and professional experiences. They will also lend us their perspective on trends and topics that Natural Practitioner will be covering in issues to come. Natural Practitioner s Editorial Advisory Board is comprised of Holly Lucille ND Dr. Holly Lucille is a nationally recognized licensed naturopathic physician lecturer educator and author of Creating and Maintaining Balance A Women s Guide to Safe Natural Hormone Health. Her private practice Healing From Within Healthcare focuses on comprehensive naturopathic medicine and individualized care. Outside of her practice Dr. Lucille holds a position on the American Association of Naturopathic Physicians board of directors and is on the faculty of the Global Medicine Education Foundation. She is the past president of the California Naturopathic Doctors Association where she spearheaded a lobbying effort to have naturopathic doctors licensed in the state of California. A graduate from the Southwest College of Naturopathic Medicine Dr. Lucilles commitment to naturopathic medicine has been recognized with the Daphne Blayden Award and more recently the SCNM Legacy Award. Shailinder Sodhi ND Growing up near the Himalayas Dr. Shailinder Sodhi developed an early interest in ayurvedic plants and herbs and received his BAMS (bachelor in ayurvedic medicine and surgery) degree from Dayanand Ayurvedic College in Jalandhar India in 1985. In 1993 he received a naturopathic medicine degree from Bastyr University as well as a degree in diagnostic ultrasound from Bellevue College. Dr. Sodhi practices naturopathic medicine along with his wife Dr. Anju Sodhi and his brother Dr. Virender Sodhi at the Ayurvedic and Naturopathic Medical Clinic in Bellevue WA which he established in 1989. In addition Dr. Sodhi serves as president of Ayush Herbs Inc. a manufacturer of high-quality ayurvedic herbal formulas is an adjunct faculty member at Bastyr and has been published in several natural health magazines. Amber Lynn Vitse BA LMT CN Amber Lynn Vitse BA LMT CN majored in economics with postgraduate work in medical sciences and additional certifications in bodywork and nutrition. She is the founder and principal of AmberLynnVitale an independent producer and presenter of unique media content designed to educate the public and the medical establishment on current health trends and ethical and legislative concerns. A leading edge provider and educator of Fusion Bodyworks she practices an integrated modality of ayurvedic medicine yoga advanced bodywork and holistic nutrition. Vitse uses her 17 years of experience in integrative medical practices to provide consultation on marketing to the consumer mindset. She recently joined the Garden of Life team as its Northeast educator. Adam Killpartrick DC Dr. Adam Killpartrick earned his degree from Palmer College of Chiropractic in Davenport IA. His primary practice focus has been a synergistic blend of NUCCA (upper cervical chiropractic) with Cranial Release Technique for which he has attained lead instructor status. Dr. Killpartrick furthered his education in clinical nutrition functional diagnostics and lifestyle medicine and has since successfully integrated this blend of specialized chiropractic care and functional medicine into his New Hampshire private practice. This practical experience led him to clinical consulting for numerous nutritional supplement companies. He is currently the chief scientific officer for DaVinci Laboratories. Jared M. Skowron ND Dr. Jared M. Skowron is a national expert in natural medicine for children. Author of the best-selling 100 Natural Remedies For Your Child his lifes work is dedicated to the optimal health of children. A faculty member at University of Bridgeport and founder of their Pediatric & Autism Clinic Dr. Skowron has helped thousands of children fulfill their optimal potential. He is vice president of the Pediatric Association of Naturopathic Physicians and his expertise is in pediatrics autism ADHD and acute and chronic EENT conditions. Jacob Teitelbaum MD A recognized authority on chronic fatigue syndrome (CFS) and fibromyalgia Dr. Jacob Teitelbaum is medical director of the Fibromyalgia and Fatigue Centers nationally and does phone consultations with CFS fibromyalgia patients worldwide. He is the author of the popular iPhone application Cures A-Z and author of the best-selling book From Fatigued to Fantastic (3rd revised edition Avery Penguin Group) and Pain Free 1-2-3--A Proven Program for Eliminating Chronic Pain Now (McGrawHill). His newest book is Beat Sugar Addiction NOW (Fairwinds Press 2010). Dr. Teitelbaum does frequent media appearances including Good Morning America CNN Fox News Channel the Dr. Oz Show and Oprah & Friends. 6 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2015 Go to www.naturalpractitionermag.com vitalnutrients for info about this advertiser PRACTITIONER CORNER Anti-Aging At The Genetic Level Telo-me-more By Adam Killpatrick DC first stumbled upon telomeres when I read a 2009 article in the American Journal of Clinical Nutrition entitled Multivitamin use and telomere length in women. Telomeres were not a topic that was covered in any way during my schooling and the topic of genetics in functional medicine is only now starting to pick up steam so this wasn t at the forefront of my awareness. The conclusion of the 2009 study stated ... epidemiologic evidence suggests that multivitamin use is associated with longer telomere length among women. As fantastic as I thought that was (I mean who wouldn t want longer telomeres right ) I had no clue what telomeres actually were and why they were important. So there began a journey into the wonders of these tiny genetic gems. I Nobel Prize The emergence of telomeres in the news and into the health care practitioner awareness largely took place in 2009. The Nobel Prize in Physiology or Medicine was awarded to three scientists who uncovered incredible information regarding chromosomal replication during cell division and the mechanism by which they are protected against degradation during replication. They found the answer to be inherent to the chromosomes themselves and the in enzyme that drives them. Elizabeth Blackburn Carol Greider and Jack Szostak began their work beginning in the early 1980s and outlined their discovery that the tips at the end of our chromosomes telomeres are home to a unique DNA sequence that protects the chromosomes from degradation and that a unique enzyme telomerase is responsible for the telomere health. Szostak Blackburn and Greider s discoveries explained the Hayflick limit better than any that had come before. The Hayflick limit also not something outlined in school was put forth in 1961 by Leonard Hayflick who determined that human cells can replicate only a finite number of times before division halts. With each division telomeres grow ever shorter until reaching a critical length. At this length cells can either die (apoptosis) or become senescent. Senescence is a state where the cell will not replicate. A senescent cell still living can then damage other living cells with inflammatory cytokines. While apoptosis is generally preferable to senescence both states leave the body s health in question due to undesirable cell function. From a functional medicine standpoint curbing damage from inflammatory cytokines is vital so obviously this whole telomere concept is shaping up to be a key component in patient care. But I needed more basic info on telomeres themselves. Telomere 101 Telomeres are specialized structures at each end of the DNA strand that allow full replication of the DNA through telomerase activity. Further they protect the chromosome 8 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2015 Go to www.naturalpractitionermag.com kyowa for info about this advertiser PRACTITIONER CORNER from degradation during the replication process. Telomeres shorten as replication takes place and is accelerated with a lack of the telomerase enzyme. And they do not fully replicate themselves resulting in a continual shortening. Imagine a cap (like the end of a shoestring) that grows shorter and shorter with each cell replication. The actual structure of the telomeres are composed of TTAGGG neucleotides in a repeating sequence. I never forget this because I always sing I m gonna pop some TTAGGG s got telomeres in my pocket. That s right genetic hip hop. Telomere function becomes impaired long before apoptosis takes place. That s why we can consider a telomere s shortening process as a countdown to cellular death or a bomb fuse wherein each tick or the slow burn signals to the body that its DNA is actually older. This is also why testing companies such as SpectraCell look at telomere length and can provide your functional age versus your chronological age. Interestingly in every cell in our body 92 telomere caps act as sentinels. If even one of those caps is weak or critically short the cell s function can be compromised. And if it hits the critical length the inflammatory cytokines become an issue. Addressing this shortening process and subsequent compromise by supporting a healthy production of telomerase the enzyme which builds our telomere DNA is a strategy that is gaining momentum in functional medicine. But for me and for many other practitioners exploring this field a chicken egg question has emerged. The nutrients used to provide this type of support also support other key systems and physiologic functions. So the question becomes whether the inflammatory immune and antioxidant support that some of these key nutrients provide is what provides the opportunity for the telomeres to retain their length or do these work at the genetic level and have a downstream effect. As the science around telomeres expands I m sure we ll find the answer to this question but in reality either mechanism works from a functional standpoint to improve health. Less Telomere Less Health This expanded view of physiology at the genetic level fits well into the functional medicine model and the data outlining the connections to overall health as well as specific systems is rapidly growing. When considering the relationship between telomere length and age researchers have dug still deeper showing correlation between leukocyte telomere length and disease. Telomere length is short in diseases associated with increased oxidative stress such as coronary artery disease diabetes mellitus heart failure and osteoporosis. Pain in women with fibromyalgia is associated with short telomere length as well as is fatigue in older adults. There is growing evidence that telomere erosion may be associated with and possibly a causative factor of cancer. Patients with dyskeratosis congenital a rare inherited bone marrow failure disease and is considered the classic telomere disease have a 1 000-fold increased risk of tongue cancer and about a 200-fold increased risk of acute myeloid leukemia. In aplastic anemia patients with the shortest telomeres (absent mutations) are four to five-fold more likely to have their disease undergo malignant transformation to myelodysplasia and leukemia. Short leukocyte telomeres predict the development of cancer in Barrett s esophagus and in ulcerative colitis (which is associated Go to www.naturalpractitionermag.com hevert for info about this advertiser 10 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2015 Go to naturalpractitionermag.com probioticsinternational infoinfo about this advertiser Go to www.naturalpractitionermag.com ajinomoto for for about this advertiser PRACTITIONER CORNER with chromosome loss gain and rearrangement in cancer cells). The Cardiovascular Health Study of subjects over 65 years of age found that individuals in the shortest quartile for telomere length were 60 percent more likely to die than those in the longest quartile. Causes of death related to short telomeres were again infectious. Two twin studies at older age also correlated shorter telomeres with poorer survival. Finally an Italian cohort study that looked at participants at time zero and after 10 years found that death within 10 years was significantly more common in those with shorter telomeres. modifiable through nutritional supplementation are associated with longer LTL which underscores the potentially beneficial effects of this hormone on aging and age-related diseases. Omega-3s Omega-3 fatty acids have also found glory in the telomere length spotlight. One study3 published in 2010 in JAMA found that individuals in the lowest quartile of DHA EPA experienced the fastest rate of telomere shortening whereas those in the highest quartile experienced the slowest rate of telomere. Levels of DHA EPA were associated with less telomere shortening before and after sequential adjustment for established risk factors and potential confounders. Each 1-SD increase in DHA EPA levels was associated with a 32 percent reduction in the odds of telomere shortening. Conclusion stated that among this cohort of patients with coronary artery disease there was an inverse relationship between baseline blood levels of marine omega-3 fatty acids and the rate of telomere shortening over five years. Astragaloside IV Perhaps one of the most exciting and novel ingredients offered to support telomere health and telomerase activity is astragaloside IV an active constituent of astragalus. In 2010 astragaloside IV was the focus of a study published in Aging Cell journal. It looked specifically at supporting telomeres and telomerase. The article concluded that ...demonstrate that astragaloside IV is capable of increasing mouse telomerase reverse transcriptase levels in some mouse tissues and elongating critically short telomeres when supplemented as part of a standard diet in mice. Finally AG-IV dietary supplementation in female mice leads to an improvement of certain health-span indicators including glucose tolerance osteoporosis and skin fitness without significantly increasing global cancer incidence. Astragaloside IV has also been studied relative to a host of systems and physiologic functions including inflammatory transcription factors specifically NF-kB oxidative stress immune health blood sugar arthritic conditions memory and cardiac health. But again to revisit the earlier question does this extract have an effect on these varied systems because of supporting telomere health or does it support telomere health by providing support to these systems Whatever the answer the fact remains that the science is pointing to this compound having a profound impact directly on the length and health of the telomere. Bringing Telomere Health Into Practice Many practitioners have not heard of the telomere connection to overall wellness. So it s quite doubtful that patients have any insight into telomere or telomerase activity. So introducing this into practice is inevitably going to start with opening up a conversation about supporting health at the genetic level. Are there going to be some patients that are more open to the discussion Sure. Those for instance who are already looking to support a healthy aging process preventative health and those who allocate time energy and money to their wellness. In my practice so far many of these types of patients are already taking key nutrients such as CoQ10 methylation products antioxidants etc. And despite the fact that the practical application is new and very little has been documented in terms of clinical response opening up my patients awareness to the ability to make an impact on their health status at the genetic level with specific compounds has been embraced and met with great enthusiasm. Nutritive Strategies For Clinical Practice When it comes to strategies for inhibiting the degradation and subsequent sensenence there are specific nutrients that are proving to be assets clinically. Vitamin D In one study 1 published in 2012 Serum 25 hydroxyvitamin D levels and telomerase enzyme activity were assessed. While the vitamin D levels increased in the experiment group significantly more than the placebo group (from 35.4 11.3 at baseline to 103.7 31.5 nmol l(-1) and from 40.7 15.7 at baseline to 48.1 17.5 nmol l(-1) respectively) and PBMC telomerase activity increased by 19.2 percent from baseline. PBMC telomerase activity in the placebo group did not change from baseline. The conclusion of this study was that vitamin D supplementation significantly increased PBMC telomerase activity in overweight African Americans. The data suggest that vitamin D may improve telomere maintenance and prevent cell senescence and counteract obesityinduced acceleration of cellular aging. Telomere length itself has also been studied2 relative to vitamin D. Serum vitamin D concentrations were positively associated with telomere length and this relation persisted after adjustment for age and other covariates (age season of vitamin D measurement menopausal status use of hormone replacement therapy and physical activity). The difference in telomere length between the highest and lowest tertiles of vitamin D was 107 base pairs which is equivalent to 5.0 y of telomeric aging. This difference was further accentuated by increased concentrations of C-reactive protein which is a measure of systemic inflammation. The final conclusion was that higher vitamin D concentrations which are easily References 1 Zhu H. Increased telomerase activity and vitamin D supplementation in overweight African Americans. Int J Obes (Lond). 2012 Jun 36(6) 805-9. 2 Am J Clin Nutr November 2007 vol. 86 no. 5 1420-1425. 3 Farzaneh-Far R. Association of marine omega-3 fatty acid levels with telomeric aging in patients with coronary heart disease. JAMA. 2010 Jan 20 303(3) 250-7. Dr. Adam Killpartrick earned his degree from Palmer College of Chiropractic in Davenport IA. His primary practice focus has been a synergistic blend of NUCCA (upper cervical chiropractic) with Cranial Release Technique for which he has attained lead instructor status. Dr. Killpartrick furthered his education in clinical nutrition functional diagnostics and lifestyle medicine and has since successfully integrated this blend of specialized chiropractic care and functional medicine into his New Hampshire private practice. This practical experience led him to clinical consulting for numerous nutritional supplement companies. He is currently the chief scientific officer for DaVinci Laboratories. 12 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2015 Go to www.naturalpractitionermag.com orcas for info about this advertiser HEALTH INDUSTRY NEWS VRM Media Announces Editorial Staff Promotions Retailer said Daniel McSweeney Poveromo has been named EIC RM Media (East Brunswick NJ) the VRM president. Since first joinof VR the leading B-to-B publicahealthy business media company has ing the VR staff over nine years announced the promotion of two edito- tion serving retailers and other ago Janet has risen up the ranks members of the dietary supplerial staff members Shari Barbanel and Janet from associate editor to managment industry. Poveromo who Poveromo. ing editor and now to editor-inhas been with VRM Media since Barbanel who joined VRM in January chief of Vitamin Retailer. I con2006 was most recently the man2011 has been named the new editor-ingratulate Janet on her promoaging editor for VR. chief (EIC) of Natural Practitioner (NP) the tion and look forward to seeing In addition to serving as EIC of business magazine for alternative compleJanet put her own personal VR Poveromo will retain her cur- Janet Poveromo mentary and integrative health care professtamp on VR s editorial content. rent title as EIC of the sionals. Barbanel had most Since 1994 VRM Media has been a leadVRM s NIE which serves the recently been the managing ediing business media company serving the needs of nutritional product tor for NP while also contributinformational needs of the health and natumanufacturers and ingredient ing to Vitamin Retailer (VR) as ral products industry. The company s stable suppliers. well as Nutrition Industry of B-to-B publications also includes the Our company is very pleased Executive (NIE). recently acquired Fitness Trainer a digital to have someone with as much Shari is a very skilled business magazine for personal trainers and fitness industry experience business editor and I know she will have a instructors. knowledge and media expertise tremendously positive impact on For more information visit as Janet Poveromo to take over Natural Practitioner McSweeney Shari Barbanel www.naturalpractitionermag.com. the editorial reigns at Vitamin commented. V NCNM to Introduce Doctoral Program in Chinese Medicine T he National College of Natural Medicine (NCNM Portland OR) will introduce its newest degree program in Fall 2015 the Doctor of Science in Oriental Medicine (DSOM). The DSOM is an accredited four-year professional doctoral program that integrates modern biomedical science into a comprehensive framework of ancient Chinese medical science and philosophy to achieve enhanced clinical outcomes for practitioners and patients. This is the first doctoral-level classical Chinese medicine degree offered by the college and one of the first of its kind in North America. The classical approach to Chinese medicine honors the thousands of years of clinical knowledge and experience that in modern times has been standardized into a system called traditional Chinese medicine the version taught by most Chinese medical schools in the U.S. and abroad. With its focus on the ancient roots of traditional Chinese medicine classical Chinese medicine presents a highly complex system of knowledge that brings balance and healing to body mind and spirit through a highly individualized approach to the medicine. NCNM has been expanding its programmatic offerings to add to its flagship programs in naturopathic medicine and classical Chinese medicine in recent years by launching two undergraduate degrees and master s programs in integrative mental health global health nutrition and integrative medicine research--growing its enrollment 33 percent since 2007. The college s School of Classical Chinese Medicine has offered a Master of Science in Oriental Medicine (MSOM) program since 1995. Provost and Vice President of Academic Affairs Andrea C. Smith EdD observed that NCNM s new program is one of the most comprehensive and unique programs of its type in the world. NCNM s School of Classical Chinese Medicine was founded to cultivate Chinese medicine clinicians and scholars steeped in the deep wisdom and knowledge codified in ancient medical texts of revered physicians such as Sun Simiao and Huangdi--knowledge that was nearly lost to the practitioners of today said Smith. We are deeply indebted to the School s founding professor Heiner Fruehauf PhD and Dean Laurie Regan PhD and our renowned faculty through whose efforts NCNM is fanning the embers of passion once again for the ancient practice of Chinese medicine--to the benefit of patients throughout the U.S. The DSOM is designed to provide students a solid foundation in Chinese medicine theory through an appreciation of the original language of the ancient classical Chinese medical texts. These texts provide the foundation for training within a broad spectrum of Chinese medicine modalities including acupuncture and herbal medicine. A strong focus of the DSOM program is the integration of CCM with biomedicine training practitioners to develop the capacity to communicate educate and collaborate within the larger system of healthcare. Smith noted that the college s classical Chinese medicine students are mentored by some of the world s leading scholars. We encourage a deep and sustained exchange of inquiry in the classroom that assists our students as they learn to bridge and communicate Eastern and Western ways of understanding health and disease Smith said. Upon completion of the DSOM program our students are prepared to more fully communicate and collaborate with their Western medical colleagues and achieve successful clinical outcomes for their patients. For more information visit www.ncnm.edu dsom. 14 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2015 Go to www.naturalpractitionermag.com albion for info about this advertiser HEALTH INDUSTRY NEWS Industry Supports Those Affected by Nepal Disaster O n April 25 a 7.8-magnitude earthquake hit Nepal which has reportedly killed more than 7 500 people and injured more than 14 500. Hundreds of thousands of others were left homeless when entire villages were flattened and hundreds more were considered missing. After seeing the devastation in Nepal the natural supplement industry has offered its support in a number of ways. Washingtonbased R U Ved Inc. is supporting relief efforts by matching funds up to 1 000 while ZYM (Chicago IL) donated both proceeds and electrolyte drink tabs to the victims. Through May 31 2015 ZYM donated 20 percent of purchases made from the goZYM.com website to the Nepal Relief Fund. Vitamin Angels (Santa Barbara CA) is responding to recent requests from partner NGOs in Nepal following the earthquake. Partners including Global Nutrition Empowerment and Project for a Village have expressed the need for additional micronutrient supplement grants to expand their reach to affected communities. While not a disaster relief agency Vitamin Angels is responding to the emergency by expediting and increasing the number of vitamins being sent to the country. After the immediate crisis has been addressed Vitamin Angels will work to rebuild nutritional security in Nepal by partnering with local organizations focused on long-term strategies for fighting undernutrition. The importance of proper nutrition in the aftermath of disasters is vital to maintaining good health when those already at risk of undernutrition are faced with even greater challenges in obtaining food and clean water as well as increased exposure to illness said Howard Schiffer president and founder of Vitamin Angels. Schiffer founded Vitamin Angels in the wake of the 1994 Northridge earthquake in California. NOW Foods (Bloomingdale IL) is also joining in on the relief effort. According to NOW Board Member Sharon Wong the company just set up an employee match for Nepal via World Relief s partnering NGO Integral Alliance and local churches in the area. They are able to help with shelter food water medical attention and long term needs she said. We also have an employee match with Vitamin Angels to increase the amount of vitamins for the area to help support nutritional needs. Whatever our employees want to donate will come directly from their paychecks and NOW will match the amount that they donate. New York-based NBTY Inc. will be donating 500 000 worth of Nature s Bounty vitamins and supplements as well as nutrition bars from Balance Bar. The donation was made through the Feed The Children organization. NBTY has also made a monetary contribution to aid in the relief efforts. As a global leader in the wellness industry we at NBTY recognize our compelling corporate responsibility to do whatever we can to help alleviate some of the suffering being experienced by the people impacted by this horrific event said Andrea Staub vice president of communications and corporate social responsibility at NBTY. We wish the people of Nepal solace and strength as they begin the enormous task of rebuilding their lives and their country. OCOM Announces Interim President T he Oregon College of Oriental Medicine (OCOM) recently announced the selection of Trustee Deborah Howe PhD FAICP as interim president pending the retirement of current President Michael J. Gaeta EdD after his 10 years of service to OCOM s recent sale of its former campus OCOM. and clinic properties in southeast Portland is Dr. Howe has served on the OCOM Board another key part of the strategic operational of Trustees since 1998 and brings visionary and leadership transitions for the college. leadership extensive planning and development experience to her new role. She also has The sale marks the completion of a significant period of change and growth for the 30 years of experience in higher education institution culminating in the appointment during which she served in both administraof a new interim president with deep ties to tive and faculty positions at Temple the city of Portland. University and Portland State OCOM s current campus and University. clinic facility features sustainabil I am looking forward to ity upgrades including LEED returning to a wonderful cosmoGold certification and enhanced politan city said Dr. Howe. As an access to public transportation. I urban planner my professional intend to emphasize stewardship and scholarly work focuses on creand sustainability said Dr. ating healthy communities with Howe. These two concepts an emphasis on planning for an involve fundamental respect for aging society and creating built Deborah Howe what OCOM has and will environments that allows for accomplish effective management of existing active healthy living. Portland is the epitome resources and putting the systems in place of a healthy community and as such is a that ensure the college s long-term resiliency. wonderful setting for OCOM. The college s I am committed to supporting the processes downtown campus contributes to the city s and culture that ensure that we have an excitlivability. ing and fulfilling place to work and study. My approach is to listen to what is needed and collaborate with others in making things happen. In reflecting on his time as president Dr. Gaeta said OCOM s vision to be the preeminent educational destination in the U.S. for anyone seeking a graduate degree in Chinese medicine continues to find healthy expression through the efforts of our community. Just as relocating our campus--a major strategic initiative from our 2005 Strategic Plan--doubled the size of our physical plant and more centrally located us in Portland we also must continue to expand our relationships to stay abreast of as well as ahead of the accelerating curve of change. The appointment of Dr. Deborah Howe as OCOM s interim president is very exciting. Her intimate knowledge of OCOM and higher education will serve the college exceptionally well as we navigate the dynamic landscape of higher education and health care reform. Her long-standing involvement with the college and familiarity with higher education will be of great benefit to OCOM as she continues the work of stewarding our current strategic plan formulated last spring. For more information visit www.ocom.edu. 16 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2015 Go to www.naturalpractitionermag.com mitoq for info about this advertiser HEALTH INDUSTRY NEWS Next Generation Health & Wellness Resort Opening in Santa Fe L ocated in Santa Fe NM Sunrise Springs Integrative Wellness Resort announced that it will open in August 2015. Located on 70 acres Sunrise Springs offers an integrative spa and therapeutically designed programming for those seeking healthy living rejuvenation and greater meaning and connection in their lives. Guests are invited to pause and decompress in a restorative environment that nourishes both the body and the mind. Through experiential and nature-based activities guests develop new skills increased self-awareness and healthy living practices that enable them to thrive and experience life differently. The Sunrise Springs Integrative Therapeutic Spa (ITSPA) fuses the expertise of an integrative medical clinic with the rejuvenating and restorative practices of a wellness spa. Unlike other health and wellness resorts Sunrise Springs also offers integrative behavioral health care to its guests. ITSPA services include an Integrative Wellness Evaluation nutritional assessment acupuncture and chiropractic care psychotherapy stress evaluation spiritual counseling and a wide range of spa services including hydrotherapy. The highly credentialed team is comprised of medical doctors nurses psychiatrists psychologists licensed mental health professionals integrative care specialists and licensed massage therapists. Sunrise Springs programming is guided by four evidence-based principles Nature Bathing Digital Detox Learning Through Experience and Food as Medicine. The first principle Nature Bathing is drawn from research that suggests spending even five minutes among trees or in green spaces can improve health by reducing stress and improving mood and energy levels. Digital Detox the second guiding principle is supported by evidence indicating that the increased use of technology contributes to social isolation sleep disruption depression anxiety and other health-related issues. At Sunrise Springs we encourage our guests to unplug tune-in and actively engage in their lives said Dr. David Hans executive director. The third guiding principle Learning Through Experience highlights the importance of tapping into both physical and mental processes to accelerate the development of new skills and self-awareness. We provide guests with the opportunity to discover what nourishes their soul--to play to experience joy and to find connection in their lives explained Niccole Toral director of experiential and psychological services. Consistent with the fourth guiding principle of Food as Medicine Executive Chef Paul Novak works closely with local farmers to cultivate the culinary and therapeutic gardening programs. With an on-site greenhouse and demonstration kitchen guests learn to grow herbs and vegetables and to create delicious and nutritious meals that can easily be prepared at home. The 90 000-square-foot facility is comprised of thoughtfully designed spaces including a greenhouse and culinary classroom two dining spaces yoga studio fitness studio swimming pool and multiple art spaces all of which embody the textures and tones of the high desert. Accommodations include 20 spacious and well-appointed casitas with gas fireplaces and private courtyards and 32 resortstyle guest rooms overlooking the property s sacred Medicine Wheel. There is intention behind every aspect of Sunrise Springs said Dr. Hans. In each waking moment guests are afforded the opportunity to learn grow and thrive. For more information visit www.sunrisesprings.com. Integrative Health Care Event Launching in Canada D iversified Communications has announced the launch of a Canadianbased integrative health care event. The Integrative Healthcare Symposium (IHS) Canada as it s titled will be taking place October 23-24 2015 at the Sheraton Parkway Toronto North in Ontario. IHS Canada will provide a clinically relevant evidenced-based continuing medical education (CME) program. The event aims to gather multi-disciplined practitioners from all over the country looking to hear about the latest research and practical applications of integrative medicine as well as share best practices with like-minded professionals. This inaugural event will cover topics such as metabolic syndrome pain management women s health brain mind & mood nutritional science and brain gut health among others. Attending practitioners will include medical doctors osteopaths residents registered nurses registered dieticians nutritionists chiropractors naturopaths homeopaths traditional Chinese medicine practitioners pharmacists faculty and more. Supporting organizations and associations include the Canadian School of Natural Nutrition Ontario College of Traditional Chinese Medicine and the International Organization of Nutritional Consultants. For more information visit www.ihsymposium.com canada. Fairhaven Health (Bellingham WA) has announced the addition of Virginia E. Morrison Esq. to the company s team. Morrison recently joined Fairhaven Health as the vice president of sales and will be heading up the company s international distribution and domestic clinical sales efforts. Health Diagnostic Laboratory Inc. (HDL Inc. Richmond VA) has announced the appointment of Dan Dunham to the position of senior vice president chief compliance officer. Dunham has been serving as interim chief compliance officer since December 2014 and has now joined HDL Inc. full time. You re Hired Correction In the Product Focus article on thyroid health that ran in the May 2015 issue on page 38 Gaia Herbs Thyroid Support s price was listed incorrectly. The correct price is 29.99 for a 60-ct. bottle. 18 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2015 Go to www.naturalpractitionermag.com newhope for info about this advertiser HEALTH INDUSTRY NEWS Expanded Study Focuses on Methylation and Patient Outcomes T he Metagenics Healthcare Institute for Clinical Nutrition (MHICN Gig Harbor WA) recently announced an expanded clinical research program in collaboration with Erasmus Medical Center and ErasmusAGE (Rotterdam the Netherlands). This project will expand the current work on cardiometabolic and women s health issues to now include nutrigenomic and epigenomic influences on the health status in both aging population groups as well as in child development. The focus of this new project will evaluate the role and influence of methylation status in population cohorts of more than 30 000 individuals over a 30-year period. Selected DNA samples over this time period have been collected and will evaluate specific effects that certain dietary and lifestyle practices played in DNA methylation and the resulting influence in cardiovascular and cognitive performance. This will be the first study and analysis of its kind using large population groups for better understanding of the role and influence that methylation processes play in health status and outcomes said Oscar Franco MD PhD professor and executive director of the project. This collaboration will be able to provide new insights in clinical practices and better understanding of nutrigenomic influences on health. Methylation is a key biochemical process critical for proper functioning of nearly all the body s systems said John Troup PhD chief science officer for Metagenics. This first of its kind assessment in large-scale clinical nutrition studies will be essential in developing and supporting targeted clinical solutions for the health care provider--and helping close the gap toward the goal of personalized and precision medicine. For more information visit www.mhicn.com. THE GO TO RESOURCE FOR ALTERNATIVE & INTEGRATIVE HEALTHCARE PROFESSIONALS www.VitaminRetailer.com 20 Y ars Celebratingellence e of Exc www.GlutenFreeRetailer.com 1995 2015 www.NaturalPractitionerMag.com www.NIEmagazine.com www.FitnessTrainerMag.com NP s Upcoming Issue Highlights August 7 13 15 ad closing Company Profiles AANP Show Issue Our 2015 Media Planner Is Now Available At NaturalPractitionerMag.com 2015-Media-Planner Contact One of Our Ad Specialists Today Russ Fields at 732-432-9600 ext. 102 e-Mail RussF VRMmedia.com Roy Kieffer at 719-358-9838 e-Mail RoyK VRMmedia.com Gary Pfaff at 732-432-9600 ext. 103 e-Mail GaryP VRMmedia.com 20 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2015 Depression Natural practitioners are taking a personalized approach when it comes to dealing with their patients stress and depression. By Shari Barbanel Addressing Stress and E veryone has dealt with stress at some point. But according to the Anxiety and Depression Association of America (ADAA) seven out of 10 adults in the U.S. say they experience stress or anxiety daily while one-third have experienced persistent stress or excessive anxiety or that they have had a panic attack. And seven out of 10 of those adults said that they have trouble sleeping. Additional research from the American Institute of Stress (AIS) and the American Psychological Association (APA) reported that in 2014 77 percent of people regularly experience physical symptoms caused by stress 73 percent say that they regularly experience psychological symptoms caused by stress while 48 percent of those surveyed claim that their stress has increased over the past five years. The poll also listed the top seven causes of stress in the U.S. At the top of the list was job pressure followed by money health relationships poor nutrition media overload and sleep deprivation. Further Adam Killpartrick DC chief science officer for Vermont-based DaVinci Laboratories noted that according to the Centers for Disease Control and Prevention (CDC) the prevalence of depression in noninstitutionalized people over the age of 12 was 8 percent in any two-week period from 2007-2010. Statistics about stress are less tenable as there exist a vast number of causes and symptoms of stress and it does not have a direct diagnosis he explained. Cheryl Myers chief of scientific affairs and education for Wisconsin-based EuroPharma Inc. makers of the Terry Naturally and EuroMedica brands said that while the national stress average does appear to be decreasing over the past seven years down from 6.2 percent in 2007 to 4.9 percent in 2014 (on a 10-point scale) it is reported that women and young people are experiencing a higher level of stress. The gap is widening between genders where women tend to report higher average stress levels than men (5.2 vs. 4.5 in 2014 and 6.3 vs. 6.0 in 2007 respectively) she said. Almost one-third of surveyed women reported increases in stress levels in the past year compared to 25 percent of men. Of those ages 18 to 33--the Millennial generation--39 percent say their stress has increased in the past year 52 percent say stress has kept them awake at night in the past month added Kristy L. Anderson NMD medical director for Oregon-based Hervert USA. And more than any other age group they report being told by a health care provider that they have either depression or an anxiety disorder. Because everyone is different there is no way to pinpoint just one thing that may cause stress and depression including possible combinations of several biological psychological and lifestyle factors according to Dr. Adrian Lopresti clinical psychologist and researcher at Murdoch University in 22 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2015 Australia. From a biological perspective genetics can play a part. Disturbances in brain chemicals (known as neurotransmitters) are also believed to be important he explained. Interestingly from a biological perspective recent research has also confirmed that stress and depressive problems are also associated with increased inflammation and oxidative stress (excessive damage from free radicals). Lifestyle causes are also very important in mental health. A poor diet inadequate sleep lack of exercise and high stress can all trigger or exacerbate anxiety and depressive symptoms. From a psychological perspective our coping skills beliefs about ourselves and our environment and unrealistic expectations are all important in stress and depression. Dr. Anderson added that while there can be a number of factors that cause stress our reliance on technology may be exacerbating the problem. As our lives get more complicated with technology and rapid-paced stressors our stress level seems to be increasing she said. When stress turns into chronic stress then depression can start to set in as our neurotransmitters are depleted our sleep is interrupted and our nutrient status diminishes. Yes for some stress levels have risen but we are more likely to recognize it and start to take measures to reduce our stress and depression. We are now compared to five to 10 years ago more likely to seek out ways to reduce stress as we feel stress levels rising. Personalized Approach While many traditional health care practitioners often prescribe medication such as antidepressants immediately Dr. Lopresti noted that those medications often cause side effects that are undesirable. The most common treatments for stress and depressive problems included pharmacological medications (e.g. antidepressants) and psychological therapies (e.g cognitive-behavior therapy) he said. While these can be effective for many people they are far from perfect. Antidepressant medication is also associated with many side effects including weight gain digestive problems sexual dysfunction and headaches. For some antidepressants are the best treatment protocol but exploring other options can be beneficial for a number of patients. Dr. Killpartrick pointed out that sometimes a combination of the two is beneficial for the patient. As we continue to accurately identify both the symptoms and the causes we re able to create products and strategies to support the patient s needs. And in terms of drug therapy it doesn t need to be an either or situation he said. Strategically combining drug and nutrition- al therapies when appropriate can be exactly what the patient needs in order to be able to function in everyday life. Dr. Lopresti agreed noting that it is important that practitioners look at natural treatments to be used as an adjunct to these therapies. Our best chance of achieving optimal success in treating depressive and anxiety symptoms is going to occur by combining natural psychological and possibly pharmaceutical treatments he said. We need to also be careful about falling into the trap of believing that just giving someone a supplement will cure their problems. It needs to be multifaceted. The two key factors in the treatment protocol are the importance of finding the underlying cause of the imbalance and personalizing each patient s treatment. According to Dr. Killpartrick identifying the root cause should be the priority and is unfortunately often overlooked. For instance rather than simply recommending St. John s wort in order to impact serotonin levels why not dig a little deeper and uncover the root cause Because St. John s wort is not an essential nutrient the body cannot be deficient in it. Therefore there has to be another cause for the neuro endocrine imbalance. Whether it is a nutrient deficiency inflammatory issue or endocrine imbalance the underlying issue needs to be identified and addressed he said. Dr. Lopresti explained that ideally every treatment should be personalized. This means that the best treatment is one that targets an individual s unique causes that might be impacting his or her anxiety or depressive symptoms. For example if someone is eating a poor diet not exercising and sleeping poorly then treatment should target these factors. He continued noting that in terms of a generalized approach the most important natural treatments for anxiety and depression include the following Eating a balanced nutritious diet e.g. a Mediterranean diet Optimizing healthy sleep patterns Moderate exercise Learning practicing relaxation skills Psychological therapies targeting unhelpful beliefs and coping skills e.g. cognitive behavioral therapy (CBT) Natural supplements Hervert s Dr. Anderson agreed adding that aromatherapy and water therapy may be beneficial. She also stressed the importance of proper nutrition and exercise such as yoga. Without the proper nutrients in the body you cannot make neurotransmitters. Without the proper balance of neurotrans- mitters in the body you are likely to overreact to situations and cause undue stress to the body and this can even cause inflammation and cytokines to raise and cause even more damage to blood vessels tissues and organs long term. She added that yoga s movement therapy could help increase blood flow neurotransmitter state and psyche. Supplementation Dietary supplementation is often beneficial in conjunction with eating a balanced diet exercising and the generalized protocol layed out by Dr. Lopresti. Further research has shown that certain ingredients may be beneficial for those dealing with stress and anxiety including omega-3 fatty acids St. John s wort curcumin and ashwagandha among others. Magnesium According to Ken Whitman president of Texas-based Natural Vitality low magnesium levels in the body can cause or exacerbate stress. Further magnesium can be excreted or depleted by alcohol consumption caffeine physical exertion and sweating stress and the use of some prescription drugs (such as proton pump inhibitors). Magnesium is nature s anti-stress mineral. It relaxes and is the opposite (and balancing) side of the coin of calcium. While calcium excites nerves magnesium relaxes them he said. If a person is magnesium deficit (and most people don t get their minimum daily requirement of magnesium) the nervous system and cells will not completely relax and the result is an experience of stress or contraction in various forms. Natural Vitality offers Natural Calm and Natural Calm Plus Calcium. Natural Calm supports natural stress reduction as well as heart and bone health better sleep and natural energy production. Natural Vitality uses only organic flavors and organic stevia and is vegan gluten free and certified non-GMO (genetically modified organism). The company recently introduced a professional product Natural Calm Cream for topical application and has received an enthusiastic response from practitioners relating their patients positive feedback. Omega-3s & Curcumin Chronic inflammation has been linked to a number of health issues including brain health and according to EuroPharma s Myers controlling chronic inflammation should be a part of any health care routine. We are just beginning to discover and understand the complicated relationship between inflammation and brain health and JUNE JULY 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 23 Depression well being she said. Chronic inflammation is a key factor in almost every health condition seen in practices today including stress and depression. If we can reduce inflammation we can reduce the likelihood of patients suffering from debilitating diseases of the body and mind. Both omega-3 fatty acids and curcumin have been utilized to help reduce inflammation in the body. Myers noted that while it is well known that omega-3s have cardiovascular benefits and anti-inflammatory properties few know about the anxiolytic features omega-3 fatty acids may possess. Most Americans consume far too many omega-6 fatty acids which are pro-inflammatory. Incorporating more omega-3s may help address the underlying brain inflammation and properly balance the omega-3 to omega6 ratio she said. EuroPharma offers Vectomega which is an extract of salmon naturally bound to phospholipids for superior absorption and stability. DaVinci Laboratories EPA 825 Super Critical Extracted Fish Oil is the company s superior quality omega-3 formula that provides a high yield of EPA. The omega-3 fish oil in this product is from wildcaught anchovies and sardines. The oil undergoes a critical CO2 extraction process without the use of hexane ethanol or any other solvent for purity bioavailability concentration and stability. A chemical compound found in turmeric curcumin has powerful antioxidant factor and anti-inflammatory effects. EuroPharma s CuraMed is standardized to 500 mg curcuminoids per capsule which is what was used in three studies on major depressive disorder (MDD) explained Myers. DMG & Bacopa According to Dr. Killpartrick DMG is an adaptogen that supports physical and mental energy levels by reducing lactic acid build-up during periods of stress. It also supports mental alertness and brain function he said. Perhaps most importantly it functions as an indirect methyl donor Addressing Stress and providing useful building units for the biosynthesis of vitamins hormones neurotransmitters antibodies and nucleic acids. DaVinci Laboratories flagship product DMG supports mood well. The company also offers a chewable product called Serenity Now for supporting stress management specifically at times of increased stress. Bacopa monniera has been used in the ayurvedic system of medicine for centuries. Dr. Killpartrick noted that traditionally it was used as a brain tonic to enhance memory development learning and concentration. The constituents responsible for Bacopa s cognitive effects are bacosides A and B he said. Bacosides aid in repair of neurons by enhancing kinase activity neuronal synthesis and restoration of synaptic activity and nerve impulse transmission. They also have antioxidant activity. Relora from DaVinci Laboratories is an advanced natural and patented combination of magnolia phellodendron and Bacopa monniera extracts to help support normal levels of the cortisol and DHEA hormones produced by the body to promote the management of stress. It works by binding to stress receptors in the nervous system to promote relaxation and feelings of well being while ignoring the receptors associated with sedation. Homeopathy Dr. Anderson noted that homeopathic medications are her first resource when addressing stress because they are easy to take are effective immediately and give a focused calm to most patients. Homeopathy is about regulating the body allowing the body to oscillate around a homeostatic set point sometimes referred to as equilibrium and this allows the body to be free and agile to flex when stress is present and not to be rigid. She explained that some key ingredients in the homeopathic products she uses include Ignatia amara For nervous disorders emotional discord or upset Cimicifuga racemosa For nervous conditions of excitement and depressive emotional upset Platinum metallicum For hyper excitability emotional discord Zincum valerianicum For nervous insomnia Coffea For insomnia Valeriana officinalis For insomnia with restlessness nervous disorders Hervert USA s Stress Relief provides temporary relief of minor symptoms of tension and stress without causing dizziness or drowsiness. According to the company Stress Relief may be used for effective relief of symptoms such as restlessness mild mood changes temporary anxiety and occasional sleeplessness. Support System When it comes to addressing a patient s stress anxiety or depression it is important that they feel as though they can count on their health care practitioners to help them get through it all. Overall practitioners can be available to listen and support their patients. Our patients need someone to listen to them and then support their health goals from the inside out. This means to look at nutrient levels in the body look at the lifestyle and diet of the patient and meet them where they are at concluded Dr. Anderson. You cannot expect someone to make a radical 180 degree change in their lifestyle overnight. This is the extreme exception not the rule. Therefore meet your patients where they are at educate them on how to slowly make lasting lifestyle changes over time and then you will teach them how to fish and not simply feed them for a day. This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose treat cure or prevent any disease. According to the Anxiety and Depression Association of America (ADAA) seven out of 10 of adults in the U.S. have experienced persistent stress or excessive anxiety or have had a panic attack. Centers for Disease Control and Prevention (CDC) reported that the prevalence of depression in noninstitutionalized people over the age of 12 was 8 percent in any twoweek period from 2007-2010. Thirty-nine percent of those in the Millennial generation (ages 18 to 33) say their stress has increased in the past year while 52 percent say stress has kept them awake at night in the past month. Healthy Take Aways FOR MORE INFORMATION DaVinci Laboratories (800) 325-1776 www.davincilabs.com EuroPharma Inc. (920) 406-6500 www.europharmausa.com Hervert USA www.hervert.com Natural Vitality (800) 446-7462 www.naturalvitality.com 24 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2015 Go to www.naturalpractitionermag.com mushroomwisdom for info about this advertiser Fibromyalgia Natural practitioners can help their patients with fibromyalgia address the symptoms head on. By Lisa Schofield Focusing on F ibromyalgia has been recognized by physicians since the early 1800s but it wasn t until 1981 when the first scientific study confirmed that its symptoms were found in the body according to Fibrocenter.com. Soon after in 1990 the American College of Rheumatology composed the first set of guidelines for physicians to diagnose fibromyalgia and in 2005 the American Pain Society published the first guidelines for medical treatment. Soon after in 2007 the first prescription medication to manage fibromyalgia was approved by the FDA (U.S. Food and Drug Administration). Still it is very confusing to many people as its key symptoms are often seen as singular or as representative of something else. It is closely related to chronic fatigue syndrome of which there are several shared symptoms. Vladimir Badmaev MD PhD CEO of American Medical Holdings explained Fibromyalgia (FM) and chronic fatigue syndrome (CFS) represent a syndrome or a group of closely associated symptoms including generalized muscular and skeletal pain tissue tenderness persistent fatigue sleep disturbances cognitive impairment and psychological distress. He elaborated that the fatigue characteristic in both FM and CFS is that it comes suddenly and is relentless or relapsing causing debilitating tiredness in someone who has no apparent reason for feeling that way. The onset of CFS often mimics flu however unlike a flu that comes and goes away this conditions leaves a person with longterm enduring flu like symptoms. Overall body aches normally associated with the onset of the flu is commonly associated with CFS and in fibromyalgia there s also chronic diffuse pain of muscles and bones. Fibromyalgia said FM expert Jacob Teitelbaum MD--author of numerous books including The Fatigue and Fibromyalgia Solution is characterized by muscle pain--sometimes all over the body or sometimes only in specific areas. These painful areas can be transient or persistent and a shortening or tightening of the mus- cles causes FM pain. As with the rest of the body healthy and normal muscle function requires adequate sleep and nutrition. People with CFS FM typically suffer from a combination of different problems he pointed out. The pattern can include infections (viral or bacterial) insomnia and hormonal problems a combination I call the autoimmune triad. Other possible underlying issues include immune system dysfunction mild chronic low blood pressure low blood sugar (hypoglycemia) and iron deficiency anemia. Symptoms & Causes The rate of FM cases has risen observed Amber Lynn Vitse CN ayurvedic practitioner and regional educator for Florida-based Garden of Life. She ascribes it partially to the fact that more medical professionals are recognizing FM as a syndrome with a collection of coinciding symptoms and that there are diagnostic algorithms in place. She believes as well that the increase in FM cases may also reflect rising rates of stress obesity 26 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2015 underlying inflammation and more consumption of processed foods that abet obesity and inflammation. Fibromyalgia cases are increasing agreed Dr. Teitelbaum. What used to be a rarer diagnosis he said now impacts between 2 and 6 percent of the population. The prevalence is rapidly increasing as lifestyle changes result in a perfect storm for a worsening energy crisis. Dr. Teitelbaum also agreed with Vitse about the processed-food junk food diet which depletes a significant percentage of nutrients thus causing corresponding obesity and malnutrition. He also points to diminished sleep--now typically about six to seven hours a night as opposed to the nine hours received by our ancestors. This is a 30 percent pay cut for the body he described. Exacerbating this pay cut is the rapidly increasing speed of life with instantaneous demands on our time and our response. Finally he points to the marketing of fear which results in increasing adrenal fatigue. There are other causes but these are some of the more common ones--the increased speed and stress of modern life result in adrenal fatigue which then triggers fibromyalgia. The other problems cause the energy crisis which triggers the fibromyalgia directly (fibromyalgia basically represents an energy crisis in the body) Dr. Teitelbaum summarized adding that it is not the increased cortisol from adrenal stress that triggers FM. Instead fatigued adrenals are unable to maintain normal cortisol output resulting in lower cortisol. Although the symptomology and aggravating factors of FM as described above are accepted as FM it is still generally agreed upon by the medical community that the exact cause of FM remains unclear. Vitse doesn t think that FM has a singular causation but may be the result of multiple possible initiating causes. For years in functional medicine and integrative nutrition we ve seen the relationship between fibromyalgia and underlying inflammation and gut health. Emerging science from the human microbiome she said demonstrates the connection between gut microbial imbalance and inflammation. Vitse asserted that most of her clients presenting FM symptoms need a lot of help with their diet with cleaning out and supporting total cellular function with recognizing the duration and quality of exercise best for them and with addressing the toxic emotional aspects of their daily lives and human interactions. In Dr. Teitelbaum s professional opinion FM signifies an energy crisis where the person essentially trips a circuit breaker the hypothalamus which controls sleep hormones temperature and autonomic function. An energy deficiency causes the muscles to get locked in the shortened position causing chronic pain which then triggers what he calls brain pain (central sensitization) and nerve pain. Infections stress poor diet (lack of adequate nutrition) lack of healthy sleep hormonal deficiencies and or inflammatory illness he said can cause this energy crisis. Fibromyalgia cases are increasing. What used to be a rarer diagnosis now impacts between 2 and 6percent of the population. The prevalence is rapidly increasing as lifestyle changes result in a perfect storm for a worsening energy crisis. --Jacob Teitelbaum MD Dr. Badmaev points to chronic inflammation as a potential culprit. This complex clinical presentation has resulted in a multidisciplinary therapy utilizing therapies in chronic muscle and bone pain conditions nerve pain caused by diabetes shingles but also in treatment of depression and anxiety. The lead compounds used in fibromyalgia are SSRIs and SSNRI (selective serotonin and norepinephrine reuptake inhibitors) which treat mood conditions as well as modulate the immune system. The effect on the immune system may be particularly important in fibromyalgia since there is a growing evidence that the condition is in large part caused by the chronic inflammatory process or chronic inflammation--as seen in chronic degenerative conditions he explained. Thus regulation of the serotonergic system operated by neurohormones like serotonin in FM patients may have positive effects on the psychological distress but importantly may regulate the immune functions--addressing the chronic inflammation component. According to Dr. Teitelbaum there is no one specific lab test to confirm that an individual has FM or CFS. An FM diagnosis he pointed out is often made by a practitioner and patient after medical evaluation and lab testing have eliminated other possible causes. An experienced practitioner can see subtle nuances in traditional blood testing that indicate CFS FMS. Because of the need to exclude other disorders with similar symptoms such as Lyme s disease MS (multiple sclerosis) or depression it can often take months of evaluation before a person realizes they have CFS FMS he said. Nutritional Protocols There are certainly an attractive number of natural tools to help FM clients achieve higher senses of well-being. We have much at our disposal in natural medicine to promote relief to help a person get to the point they can start exercising and can take responsibility for making better food choices and nourishing themselves said Vitse. She will work with her client to address five key areas she feels will help bring back balance and manage symptoms. Pain and inflammation can be addressed both herbally through anti-inflammatory blends that include turmeric bioperine boswellia gugguls adaptogens like holy basil rhodiola ashwagandha and mushrooms and metabolically with systemic enzymes taken on an empty stomach. Beyond a supplement protocol for pain alleviation Vitse also recommends manual therapies like chiropractic osteopathic various types of massage acupressure yoga and then acupuncture and somatic therapies like Feldenkrais. A progressive exercise program is also crucial creating a feedback loop of beneficial endorphins blocking pain receptors she said. GI (gastrointestinal) symptoms and each person s history of assaults to the gut such as medications and chronic stress must be addressed with a gut-healing protocol Vitse said. I would say it s nearly impossible for a person to have the symptoms that can be assessed as fibromyalgia without having intestinal permeability or leaky gut she asserted. Practitioners of functional medicine and integrative nutrition have long addressed food allergies or sensitivities toxic burdens hormonal imbalances elevated inflammatory markers in the bloodstream and irritated or inflammatory symptoms in the bowels including chronic constipation by adjusting diet. When necessary digestive JUNE JULY 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 27 Practitioners of functional medicine and integrative nutrition have long addressed food allergies or sensitivities toxic burdens hormonal imbalances elevated inflammatory markers in the bloodstream and irritated or enzymes and probiotics are added to support digestive function. Third Vitse addressed cognitive function to help alleviate anxiety and depression associated with and as well as the physical symptoms of chronic fatigue pain and malaise. She recommends fish oils and co-therapy with pharmaceuticals when necessary. Fourth is addressing the fatigue and malaise typically via herbal adaptogens addressing the HPA Axis diet (good quality sources of essential amino acids good quality fats reduction of sugar producers) and a gradual increase in exercise. Finally Vitse recommends addressing hormone imbalances and toxic load which she said tend to go hand in hand. As with the gut toxic offenders must be removed from the diet she asserted. Supported through clean foods the body can start to clean house on its own and when a person is stronger and has more nutrient reserves an herbally and dietarily supported cleanse can be considered. This is a gradual and ongoing process. If the client is overweight or obese it will be a longer-term process. When fat is accessed and reduced toxins encapsulated in the adipose tissues are released again into circulation. So weight loss and detox support must go hand in hand. Again this is an area in which a person s history of exposure is so important. The practitioner must have detailed information on past environmental exposures and all exogenous hormones both from pharmaceuticals and the food and water supply. Another believer in an ayurvedic (and Tibetan) adaptogenic approach is Dr. Badmaev who explained that the nutritional and or pharmacological means to maintain and restore energy balance in ayurveda are termed vitalizers. The concept of vitalizers he explained recognizes the need to shield the psyche and physical body from the effect of various stress factors that deplete energy. Some traditional vitalizers became prime examples of relatively recently defined adaptogens--pharmacological agents that result in adaptive reactions to physical and psychological stress. Improved economy of bioenergetic processes in the body may be particularly useful in improving chances against the disturbed energy characteristic of FM and CFS the approach that would alleviate loss Fibromyalgia Focusing on inflammatory symptoms in the bowels including chronic constipation by adjusting diet. When necessary digestive enzymes and probiotics are added to support digestive function. --Amber Lynn Vitse CN of energy due to stress would seem an appropriate therapeutic regimen. Adaptogens can be particularly useful in treatment of bioenergy disturbances because by definition they act as smart drugs which help utilize biological energy as well as conserve it for the use when needed. American Medical Holdings offers Adaptrin a botanical and mineral formula based on Tibetan medicine principles to support the immune system affected by chronic stress. Based on the long-standing tradition of nutritional use and published studies Dr. Badmaev explained Adaptrin lowers stress levels sharpens memory overall energy and alertness sleep patterns and promotes an increased general subjective sense of wellbeing. Further Dr. Badmaev said that Adaptrin s synergistic mechanism of suboptimal dose ingredients provides a cumulative mechanism that may help the body mobilize its own means to improve health via the gradual buildup of adaptation energy. Dr. Badmaev also recommends Zembrin another botanical formula that also appears to operate through the adaptogenic mechanism lowering the psychological distress in those with FM and CFS. Zembrin is a standardized extract of Sceletium tortuosum used for centuries by the San people of South Africa for building mental and physical stamina and nutrition. A 2014 peerreviewed published clinical study evaluated the cognitive effects of Zembrin as well as its safety and tolerability in healthy subjects who received either 25 mg capsules of Zembrin or placebo once daily for three weeks. Zembrin statistically significantly improved cognitive and executive functions (performance of daily tasks) compared with the placebo group and the Zembrin group showed improvements in mood and sleep patterns Dr. Badmaev reported. The study authors ascribed Zembrin s effects to preserving neurohormones involved in maintaining communication between brain cells facilitating effective flow of information in the neural system. Dr. Teitelbaum who originated the SHINE protocol--(Sleep Hormones Infections Nutrition Exercise as able)--stated that his published placebo-controlled study showed that the protocol helped 91 percent of cases with an average 90 percent increase in quality of life. SHINE is customizable for each individual presenting with FM complaints and is geared toward helping him or her increase energy production naturally and optimally. Dr. Teitelbaum said that he recommends the following supplement protocol Ribose 5 grams two to three times per day two studies performed on 257 people at 53 clinics showed an average 61 percent increase in energy after only three weeks of taking ribose. Daily Energy Enfusion vitamin powder by Integrative Therapeutics one drink replaces 35 pills which promotes better compliance. And from EuroMedica both Euromega 3 one a day for omega-3 support (replaces eight fish oil pills with one pill) and Curaphen for pain alleviation. There is neither a cure nor short-term solution to FM and its presenting symptoms. Using the whole health approach combined with stress management and energy production and balance may go a long way for your clients with FM to achieve and sustain a much higher quality of daily living. Physicians have recognized fibromyalgia since the early 1800s but it wasn t until 1981 when the first scientific study confirmed that its symptoms were found in the body. There is no one specific lab test to confirm that an individual has fibromyalgia or chronic fatigue syndrome. Fibromyalgia cases are increasing impacting 2 to 6 percent of the population. Healthy Take Aways FOR MORE INFORMATION Amber Lynn Vitse CN www.amberlynnvitale.com Jacob Teitelbaum MD www.endfatigue.com Vladimir Badmaev MD PhD www.adaptrin.com 28 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2015 By Cristina Goodwin T oday s athletes are well aware of the nutrients lost during physical activities and therefore are looking toward various outlets that provide the body with the right nutrition vitamins and minerals for optimum performance and recovery. According to Dr. Jackie Mills chief creative officer of Les Mills International in Auckland New Zealand the functional sports nutrition industry is part of a massive growing and crowded marketplace. Roughly 4.7 billion of a global 6 billion sports nutrition industry is in the U.S. with 3.3 billion of this being protein powders. In the U.S. alone there has been more than 5 percent growth every year for the past decade she added. The field of sports nutrition continues to grow as more athletes both amateur and professional understand the crucial role nutritional status can play in their performance. It is becoming a bit more mainstream and recognized as a legitimate intervention to improve sports performance explained Holly Lucille ND RN. Sports nutrition has expanded its playing field and is no longer solely targeting the younger players. Additionally we have many athletes who are staying active for decades--people in their 50s 60s 70s even 80s--continuing in the activities they love. As the body ages there can be more challenges to performance and even more post-athletic pain and discomfort which can respond beautifully to nutritional interventions she said. Dr. Andrew Halpner vice president of product development for Pennsylvaniabased Klean Athlete powered by Douglas Labs has also noticed a change in demographic. We ve seen increased supplement use among recreational participatory and weekend warrior athletes over the last several years he said. This new group of athletes has placed an increased emphasis on maintaining and promoting health and wellness through daily nutritional supplement use exercise and fitness-oriented activities he added. California-based Nordic Naturals team sports athletic consultant Kerry Gobei agreed There is significant growth happening in sports nutrition. Interest in research studies with athletes and a shift from just a performance focus to performance based on wellness and recovery is driving growth. As Dr. Lucille previously noted this affects both amateur but also professional athletes. Due to professional sports organizations cracking down on banned substances athletes are searching for dietary supplements vitamins minerals and proper nutrients to take their place. Professional athletes have been the most consistent nutritional supplement users over time without significant attention to standards and policies on quality and safe- 30 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2015 ty Dr. Halpner added. However recently there has been an increased focus on recommendation and consumption of healthier cleaner and safer products. Sports Cardiovascular and Wellness Nutrition (SCAN) a dietetic practice group of the Academy of Nutrition and Dietetics found that sports organizations such as Major League Baseball (MLB) National Football League (NFL) and their players associations have partnered with companies like NSF International that test and certify dietary supplements. NSF screens supplements for banned substances (steroids stimulants hormones etc.) and monitors manufacturing facilities for compliance with the U.S. Food and Drug Administration s (FDA) good manufacturing practices (GMP). Beyond safety legality and quality effectiveness and proper dosage of dietary supplements need to be evaluated. Consumer product safety and development of public health standards is the primary focus of organizations like the NSF and Klean Athlete partners with their prestigious NSF Certified for Sport program for banned substance environmental contaminant and label claims testing on all products Dr. Halpner said. It ensures Klean Athlete products are safe for daily consumption by both professional and recreational athletes. This testing along with tighter regulatory compliance requires sports nutrition and supplement manufacturers to ensure that their products are safe and manufactured according to certain standards and procedures he noted. ers for answers on how to further optimize their health before during and after physical activity. They are searching for formulas that are backed by science support their active lifestyle and give you everything you need and nothing you don t Dr. Halpner commented. When it comes to exercise more isn t necessarily better. Continuous training can actually weakeneven the fittest athletes. --Holly Lucille ND RN Klean Athlete focuses on promoting peak performance by building a solid base and supporting the overall health of athletes. Klean Athlete products help patients up their game by promoting everyday health and wellness so that they can exercise and train more consistently and effectively. They are designed to be taken daily to promote health and wellness so athletes can train more effectively and safely reach their fitness and peak performance goals he continued. Klean Athlete s sports supplements are broken up into three categories with The Foundation Bundle helping all athletes. It allows them to live healthily train smart and be at their best he said. We re talking about the basics Klean Multivitamin for enhanced nutritional intake Klean Omega for joint support and Klean Probiotic to support GI (gastrointestinal) health nutrient absorption and a healthy immune system. The company also offers is its Train and Compete Bundle for athletes whose bodies deserve nutrition that meets their unique training and competition needs safely and effectively. Klean Isolate is pure whey protein isolate free of artificial flavoring or sweetener. Klean Endurance is a chewable tablet that supports the natural way the human body produces energy. Klean Electrolytes is formulated with every kind Every Athlete According to Gobei Sports nutrition focuses on providing the body with the proper fuel and safe supplementation that is supportive during physical activity and for recovery. When our body is not properly fueled for activity we struggle to recover. Patients are looking to their practition- of athlete in mind supplying a blend of minerals in capsule form to help replenish electrolytes and retain hydration. Also included in the Train and Compete Bundle is Klean Recovery a 4 1 carbohydrate to protein ratio to be taken postworkout or competition with whey protein isolate and hydrolyzed marine protein rich in amino acids such as methionine histidine and arginine. Lastly the Targeted Bundle provides complete nutritional support at times when athletes need it the most. Klean Antioxidant helps guard against cellular damage that comes from intense training. Klean Cognitive is a unique combination to support brain health. Klean-D provides targeted support when your body can t produce vitamin D naturally. Whatever the level of physical activity noted Nordic Naturals Gobei it s wise for athletes and fitness enthusiasts to make sports nutrition especially a high-quality natural triglyceride form omega-3 part of their routine. The primary function of omega-3 comes from the long-chain polyunsaturated EPA and DHA essential fatty acids. There is a profile of other omegas but supportive EPA and DHA levels are what a patient needs most. These fatty acids absorb into the lipid (fat) layer of the cell membrane where they regulate a healthy immune response and improve cell structure. DHA targets the brain the eyes and the nervous system while EPA works to support heart and circulatory system health metabolism body composition positive mood and a healthy inflammation response after strenuous exercise. She referenced a recent study published in the European Journal of Sport Science on endurance cyclists who supplemented 1.3 grams of omega-3 for three weeks. The study found that EPA and DHA supplementation increased the cyclist s nitric oxide levels compared to the placebo group. The omega-3 supplementation also improved blood flow dilation which is associated with improved oxygen uptake she added. When it comes to exercise more isn t necessarily better. Continuous training can actually weaken even the fittest athletes. What s more going overboard whether it s exercising for too long or at too great an intensity can easily set the aging athlete up for injury. So too can neglecting the importance of taking a one--or several--rest days each week. Rest days are important because they JUNE JULY 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 31 and vegetables to replace potassium. Muscle Health Muscle health is an important sector in sports nutrition in that many active patients find that muscle growth and recovery are in the back of their minds when performing. This is due to the importance of strength building since optimizes performance. allow the body time to repair and strengthen itself. That s why fitness trainers typically build rest days into their client s exercise routines Dr. Lucille said. Sleep is also important for recovery and provides time for the body to adapt to the physical and mental demands of training she continued. While moderate exercise can enhance the quality and quantity of sleep recent findings in the Journal of Clinical Sleep Medicine suggest that sleep also influences exercise performance the next day in older adults. To aid in recovery and maximize the next day s workout it s important to get seven to nine hours of high quality sleep every night. In addition to supplements and rest replacing nutrients lost during activity can be achieved by rehydrating the body. According to SCAN for short duration ( 60 minutes) of low to moderate intensity activity water is a good choice to drink before during and after. Sport drinks (6-8 percent carbohydrate) are good options for moderate to high intensity activity lasting longer than 60 minutes especially when the goal includes replacing carbohydrate and electrolytes. SCAN recommends that when beginning an activity one should be well hydrated by drinking fluids during the day and within the hour before the activity. Athletes are prone to high sodium losses and are encouraged to eat salty foods preworkout and rehydrate post-workout to replace the fluid lost when they sweat. Practitioners should encourage their patients to replace sweat loss by drinking fluids regularly during activity. Rehydrate after performing to replace weight lost as fluid during activity and follow a personalized fluid replacement plan to prevent the consequences of excessive ( 2 percent body weight loss) dehydration such as early fatigue cardiovascular stress increased risk of heat illness and decreased performance. In addition to liquids doctors can also steer patients into eating their way back to hydration. SCAN recommends waterbased foods that contain salt and fruits To aid in recovery and maximize the next day s workout it s important to get seven to nine hours of high quality sleep every night. --Holly Lucille ND RN Supplements Recently research has demonstrated that nutrients that we may not have previously associated with exercise could yield beneficial results for the athlete. For example a number of studies have shown that vitamin D levels can impact exercise performance including both sprint times and vertical jumping ability. Additional research is needed to further understand the relationship between vitamin D and exercise performance but its role may be related to its ability to influence both the number and size of fast twitch muscle fibers Dr. Halpner said. In addition to vitamin D he added that supplementation with omega-3s has been shown to enhance the effect of strength training in older women and may also influence other parameters of exercise performance. Physicians want to recommend a highquality natural triglyceride form omega-3 vitamin D3 a probiotic and for patients over 40 ubiquinol CoQ10 for cellular energy production and its potent antioxidant function Gobei said. Nordic Naturals Ultimate Omega-D3 Sport is a high-quality natural triglyceride form omega-3 combined with 1 000 I.U. of vitamin D3 per serving. Patients appreciate that they get the foundational support of omega-3 along with additional vitamin D3 support all in a single product. Nordic Naturals Ultimate Omega-D3 Sport is also available as a liquid. It delivers therapeutic levels of omega-3--again combined with vitamin D3. The therapeutic levels support injury recovery and are appropriate for patients that are very omega-3 deficient. The Ultimate Omega-D3 Sport products go through additional product testing and the label has the NSF Certification for Sport seal. That tells the patient the product has been thoroughly tested and is guaranteed to be free of any athletic banned substances. In order to get the most out of your performance Dr. Lucille recommends a series of supplements to consider. Ubiquinol not only assists in the production of adenosine triphosphate (ATP) research published in the European Journal of Nutrition reports that it also modulates the inflammatory signaling that can lead to muscle damage. This potent antioxidant also prevents exerciseinduced oxidative damage by scavenging free radicals. Regular supplementation increases plasma CoQ10 levels and increases the time to exhaustion during exercise she explained. However she believes that branchedchain amino acids (BCAAs) are the most popular pre-workout supplement for athletes because it helps improve exercise performance and reduce muscle breakdown. While there is little evidence that this combination of valine leucine and isoleucine can help exercisers go longer or stronger a number of studies support BCAAs as a way to reduce muscle breakdown and delayed-onset muscle soreness (DOMS) Dr. Lucille explained. In one 2010 study 12 non-athletic women were assigned to either BCAAs or a placebo before participating in squat exercises. For three days all of the women performed seven sets of squats consisting of 20 squats per set. DOMS was significantly lower in those taking the BCAAs leading the researchers to conclude that exerciseinduced muscle damage could be suppressed by BCAA supplementation. You can find BCAAs from a number of quality companies. Dr. Lucille also reccomends Corvalen D-Ribose which contains naturally occuring 5-carbon sugar to support healthy muscle tissue and provide a key building 32 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2015 block of adenosine triphosphate (ATP). It is theorized that one of the mechanisms involved in muscle recovery is the re-synthesis of ATP she said. Because ATP is used as fuel for every cell in the body assisting with the regeneration of ATP may be a useful way to recover after exercising ... When supplementing with ribose after intense intermittent training significant outcomes in muscle recovery were noted. Dr. Lucille references one study where athletes participated in one week of high intensity endurance exercise during which muscle levels of ATP were reduced by nearly 30 percent. Over the next three days participants were given a daily dose of either 10 g of ribose or a placebo. Those in the ribose group experienced a rapid and complete restoration of ATP levels. No such effect was seen in those taking the placebo. The company that introduced D-ribose and has been used in human clinical studies is called Corvalen D-Ribose. It is available from several natural medicine companies. Exercise results in an increase in oxidative stress and a change in various signaling molecules all of which can contribute to delayed onset muscle soreness she said. Through their ability to modulate oxidative stress and help regulate inflammatory processes directly related to acute exercise omega-3s can play an important role in helping to minimize post-exercise muscle soreness. Nutrition The goals of nutrition are to maintain blood glucose levels promote hydration and electrolyte balance and optimize exercise performance according to SCAN. Sports bars are primarily used as a portable source of carbohydrates and protein and composition is generally 40-60 grams of carbohydrates and 6-20 grams of protein. And finally sports gels gummies and beans provide bite-sized carbohydrates and 20-25 grams of carbohydrates per serving. Post-workout supplementation assists the body during recovery however according to SCAN if you have two athletic performances per day or your next physical activity is within eight hours recovery nutrition is crucial. If the athlete isn t hungry then they should opt for liquids that meet their recovery goals weigh themselves before and after a performance and replenish what was lost. They should then replace muscle fuel (carbohydrates) utilized while performing provide protein to aid in repair of damaged muscle tissue and to stimulate development of new tissue and begin nutrition recovery with a snack or meal within 15-60 minutes following a performance. Recovery snacks include smoothies made with yogurt and frozen berries sports drink (carbohydrate electrolyte fluid) sports bar (carbohydrate protein) graham crackers with peanut butter low-fat chocolate milk and banana. Lastly recovery meal ideas includes a whole wheat pita sandwich with turkey and veggies pretzels low-fat milk rice with beans cheese salsa avocado whole grain tortilla chips or whole wheat tortilla stir fry with lean steak broccoli bell peppers carrots and brown rice. SCAN advises consumers to eat a carbohydrate-rich snack or meal before exercise to top off muscle stores although with pre-performance jitters liquid meal replacements may be a better choice than whole foods. They recommend including small amounts of protein in pre-performance meal(s) because protein helps build and repair muscle tissue. Adequate protein before a performance may help reduce post-exercise muscle ness and make sure to choose pre-performance meal(s) that are low in fat and fiber to ensure optimal digestion. They recommend eating three to four hours before physical activity and drinking sports drink or water beans or gummies sports bars and pieces of fruit or a jam sandwich. Most trainers stress the importance of pre- and postworkout nutrition. But that all-important protein shake likely won t be enough to improve performance or maximize the benefits of exercise Dr. Lucille said. And it certainly won t help to reduce post-workout pain that is often present in the aging athlete or speed recovery from injury at any age. Dr. Lucille suggests Curaphen to support proper healing post-workout a natu- ral pain reliever by EuroMedica blended with which four ingredients which address pain and or inflammation from a different perspective. The heaviest lifter is BCM-95 Curcumin which has 24 published studies including 11 human clinical trials a few of which were on very painful conditions such as rheumatoid and osteoarthritis. It has enhanced bioavailability so it absorbs up to 10 times better than standard curcumin and contains turmeric essential oil she continued. Turmeric essential oil contains key compounds not found in curcumin called tumerones which play a role in absorption and also boost the activity of the curcumin. It is combined with a uniquely standardized boswellia also clinically studied and the amino acid DPLA and the enzyme nattokinase. The nutrition sector overall holds much confusion for consumers and sports nutrition even more so Dr. Mills concluded. While there are many reputable companies with quality products there are also products out there that do not stand up to the claims they make. There simply isn t a silver bullet or an easy fix to health and fitness. Real results require long-term lifestyle nutrition and exercise changes. Roughly 4.7 billion of a global 6 billion sports nutrition industry is in the U.S. There has been an increase in supplement use among recreational participatory and weekend warrior athletes over the last several years. For short duration ( 60 minutes) of low to moderate intensity activity water is a good choice to drink before during and after. Sport drinks (6-8 percent carbohydrate) are good options for moderate to high intensity activity lasting longer than 60 minutes Healthy Take Aways FOR MORE INFORMATION EuroMedica (866) 842-7256 www.euromedicausa.com Douglas Laboratories (800) 245-4440 www.douglaslabs.com Nordic Naturals (800) 662-2544 www.nordicnaturals.com JUNE JULY 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 33 PRODUCT FOCUS Natural Bone Support imilar to other bodily organs bones are living and growing tissue and over time new bone replaces the old bone. However as people age it is much harder to replace the old with the new. It is easier for young adults to build strong bones but for the growing amount of Baby Boomers bone loss tends to go into overdrive rapidly. Although once considered an older women s disease without proper health care and preventative treatment the Boomer demographic could see a substantial increase in bone loss. By the year 2030 there will be about 72 million people over the age of 65 in the U.S. For these aging individuals bone health is a critical concern said Juniper Devecis MS RD CCN director of product development at Massachusetts-based Pure Encapsulations. Estimates suggest that roughly 10 million adults have osteoporosis and another 43 million have low bone mass. These statistics are particularly concerning as osteoporosis takes a significant personal S By Cristina Goodwin and economic toll--each year osteoporotic fractures in the U.S. lead to more than half a million hospitalizations and estimated direct care expenditures of 16 to 22 billion. With such a rapid increase in an aging population more individuals are focused on age-related health issues more than ever before added Ron Antriasian vice president of sales and business development for Florida-based Life Extension. One of the biggest health issues is bone and joint health. Estimates of global sales of bone and joint supplements are between 8 to 10 billion annually. Adding to the popularity of this category are athletes both professional and amateur as well as a younger demographic that is taking an increasingly proactive approach to health. With bone health becoming of great concern to Baby Boomers practitioners are finding new ways to help support bone health. According to James J. Scaffidi CEO and president of Massachusetts-based ZyCal Bioceuticals Healthcare Co. the bone health market is dominated with mineral based solutions primarily calcium plus other nutrients. However Antriasian noted that bone density loss is not just associated with calcium deficiency but also with an insufficient intake of a host of other nutrients including magnesium and vitamin D3 he said. Adequate amounts of zinc magnesium manganese and other nutrients are also needed to help calcium and phosphorus move into the bone matrix. Additionally many forms of calcium are not particularly well absorbed. Dietary supplements have expanded to target specific health needs thanks to modern-day research. This allows doctors to provide options to those in need of the proper nutrients specific to the patients needs. Below are a handful of products to recommend to patients who are looking for alternative ways to support bone health. Protein Complex ZyCal Bioceuticals Healthcare Co. offers Ostinol Advanced powered by Cyplexinol Pro the golden standard of osteobiologics and a unique bone and cartilage stimulating protein complex that grows new bone and cartilage tissue so traditional nutrients can work. The powerful proteins in Ostinol Advanced are backed by more than 40 years of scientific and medical research have been used by surgeons for more than 25 years to grow bone and cartilage and orally by health care professionals for the past eight years with great clinical success. Ostinol Advanced helps grow bone tissue so that calcium and minerals can stick grows cartilage tissue so that glucosamine and chondroitin can work and is safe and effective--all natural bioactive complex is clinically tested and used by millions. For more information please call (888) 77-ZYCAL or visit www.zycalbio.com. Kids Chewable Calcium Carlson Laboratories Inc. provides bone health support to kids with its Carlson for Kids Chewable Calcium (MSRP 10.50 60-ct. 19.90 120-ct.) a vanilla-flavored chewable supplement containing 250 mg of calcium from calcium citrate with freshness potency and purity guaranteed. Children need calcium to form strong bones and teeth. Although children may receive calcium through their daily diets it may not be enough to reach the recommended daily intake. For this reason a supplement may be a great choice. Carlson for Kids Chewable Calcium is free of gluten milk and wheat. In addition this product is tested by an independent U.S. Food and Drug Administration (FDA)-registered laboratory and is found to be fresh fully potent pure and free of more than 30 contaminants. For more information call (847) 255-1600 or visit www.carlsonlabs.com. BoneActiv North American Herb & Spice offers Raw BoneActiv Capsules ( 39.99 1-fl.-oz.). The bone health supplement consists of calcium from microcrystalline hydroxyapatite (MCHC) which is from grass-fed New Zealand cattle as well as powerful wild mountain-grown calcium-concentrating spices sage oregano and rosemary. MCHC and mountain spice has been shown through scientific studies to strengthen the bone and promote bone health. Raw MCHC is biologically more active than heat-treated alternatives while sage oregano and rosemary grow wild on rock instead of soil absorbing the minerals needed. The bioavailable concentration of the minerals--calcium phosphorus copper and zinc--is essential for building healthy powerful bones and preventing age-related bone loss. In addition the company offers BoneActiv Bone & Joint Rubbing Oil ( 34.99) a combination based upon Swiss research which includes wild oils blended with oregano sage and rosemary. The blend of oils block bone loss while stimulating the deposition of new bone. The oil is ideal for supporting the natural pain-fighting and inflammation-fighting response. For more information call (800) 243-5242 www.northamericanherbandspice.com. 34 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2015 Vitamins & Calcium Pure Encapsulations Calcium K D combines 400 mg of elemental calcium combined with vitamins D3 K1 and K2 (MK-7). The calcium in the formula is provided as the new high bioavailability dicalcium malate chelate offered by Albion Advanced Nutrition. Malate is a Kreb s cycle intermediate similar to citrate. With two moles of calcium bound to one mole of malic acid it offers a fully chelated form with 29 percent elemental calcium. This allows for a higher elemental amount of calcium per capsule compared to calcium citrate with only 21 percent elemental calcium. Each two capsules serving of Calcium K D also contains 1 000 IU vitamin D 100 mcg vitamin K1 and 30 mcg vitamin K2. Consumers can take up to three servings per day (MSRP 25 180-ct.). For more information call (800) 753-2277 or visit www.pureencapsulations.com. OsteoStrong EuroMedica offers OsteoStrong contains a blend of key nutrients specifically selected for their ability to promote optimal bone development and maintain strong healthy bones. OsteoStrong features high levels of vitamin D one of the most important nutrients for bone health. Vitamin D promotes proper calcium absorption in the intestines and aids in bone growth and healthy bone development (MSRP 38.95 120 tablets). For more information call (866) 842-7256 or visit www.euromedicausa.com. Restore Life Extension offers a proprietary comprehensive mineral formula called Bone Restore (MSRP 22 120-ct.) designed to support healthy bone density and strength. Bone Restore provides 700 milligrams of elemental calcium from three different forms in addition it its critically important nutrients magnesium boron zinc silicon manganese and vitamin D3 needed for healthy bones. In fact the boron in this formula called FruiteX B OsteoBoron is a calcium carbohydrate boron complex similar to what is found in fruits and vegetables and is more bioavailable than boron citrate. Scientific research has established the beneficial effects of boron on the strength of bones and joints. It comes with or without vitamin K2. Life Extension offers Bone Restore with or without vitamin K2 and it comes in capsule form in order to maximize full breakdown in the digestive tract. For more information call (800) 678-8989 or visit www.lifeextension.com. Healthy Bones Redd Remedies offers two products to support bone health Bone Health Original ( 18.99 120ct.) and Bone Health Advanced ( 28.99 120-ct.). Bone Health Original is designed for premenopausal woman or as a foundational supplement to prevent bone issues. In addition it includes eggshell calcium a naturally dynamic material that contains transporter proteins microminerals and other necessary co-factors to support healthy bone tissue. Further Bone Health Original also provides a bioavailable source of magnesium and vitamin D to support bone mineral density and strength. Bone Health Advanced also is formulated with eggshell calcium and helps patients who already have bone issues. These additional nutrients vitamin K2 boron and a highly bioavailable magnesium rice protein chelate provide increased support for bone strength and bone mineral density. For more information call (888) 453-5058 or visit www.reddremedies.com. JUNE JULY 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 35 PRACTITIONER CHAT R Raphael Kellman MD The Kellman Center for Integrative & Functional Medicine 150 E. 55th St. 6th Fl. New York NY 10022 Phone (212) 717-1118 Website www.raphaelkellmanmd.com aphael Kellman MD author of The Microbiome Diet is a pioneer in functional medicine who has a holistic and visionary approach to healing. In 17 years of practice he has treated more than 40 000 patients many of whom have come to him from all over the world after suffering without help for years. Dr. Kellman is driven by his desire to help people regain health based on a new vision and understanding of healing and the causes of disease. As a doctor trained in internal medicine at the Albert Einstein College of Medicine in New York Dr. Kellman uses the latest drugs and technology to treat specific diseases but his approach to medicine is patient-centered and holistic. He focuses on the complex interaction of systems--not just the disease but on you as a whole person who is greater than the sum of your parts. The main feature of a healthy microbiome is bacteria diversity that the gut bacteria produce abundant short chain fatty acids like butyrate. Another sign of a healthy microbiome is that the human host is not producing any signs of inflammation within the gut. What are the implications of microbiome medicine in healing practices The number one implication is that an imbalanced microbiome is a significant cause of a wide variety of disorders. Therefore if you do not address this imbalance you are missing fundamental underlying causal factors that are contributing to the disease or disorder. Microbiome medicine offers a new powerful modality of treatment for many of the chronic illnesses we face today. This modality can heal more deeply than the mere use of medications or even of natural compounds. What s amazing about the microbiome is we have this ancient alliance. The bacteria in the gut because of their exquisite ability to provide an unending supply of Q A Q A What are the main distinguishing features of a healthy microbiome DNA give us incredible flexibility and development and without it we wouldn t have been able to develop into who we are today. The script of healing has already been written. These ancient bacteria inside us have been around since the beginning. They co-evolved with us and know how to change our physiology better than we as humans could ever know. This is why it is our job to help nourish and nurture the microbiome so in return the microbiome will nourish and nurture us. Absolutely. The gut microbiome is the lynchpin of health for a number of reasons. Number one it s the gatekeeper of the flow of nutrients and information to the rest of the body especially the brain. Number two the gut and microbiome can also be looked at as a collection of genes--a staggering quantity of genetic information that is provided for us. Think of it as a repository of virtually unending flows of information from the outside world (through food and nutrients) and genetic information. The gut microbiome processes all of this and transmits all this information nourishment in various forms to the body. A healthy flow of information is essential to overall good health. What can integrative physicians do to promote gut health with their patients First and foremost physicians and patients need to develop a familiarity with the microbiome (reading my Q A Is gut health the key to overall good health Q A book The Microbiome Diet is a great place to start). Beyond that it s important to learn what foods and medicines can have an adverse effect on the microbiome and what will help nourish and heal the microbiome. Physicians need to keep this information in mind when helping their patients. First integrative physicians should begin by asking the appropriate questions about their patient s history. Including but not limited to whether the patient was born through Cesarean section or natural birth where the patient has lived and where he or she grew up. It s also important to find out their history of antibiotic use history of proton pump inhibitor and NSAID use their overall stress level lifestyle and dietary habits. Once the physician has a comprehensive understanding of their patient s history and medical background the doctor can then begin to help the patient improve bacterial diversity and overall gut and microbiome health through a comprehensive program such as the 4 R program. The 4 R s that physician s should teach their patients which are essential to healing the gut are Remove Replace Reinoculate and Repair Remove from the diet anything that interferes with a healthy microbial balance or causes growth to bad bacteria dairy soy gluten fungus sugar etc. Replace stomach acid and enzymes you need to break down food effectively. Re-inoculate with probiotics and prebiotics. Repair the gut with supplements and eating foods that support gut health asparagus carrots garlic jicama leeks onion radishes tomatoes artichokes 36 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2015 olive oil sunflower seed oil etc. The 4 R s as outlined in depth in my book is a great foundational diet that increases overall health but some of the details of this approach do depend on the nature of the problem. For example a patient with an autoimmune disease should consider starting right away on the repair phase. Q Can conventional and integrative medicine achieve this same goal working together It is not possible for these two medicines to achieve the same goal because supporting the microbiome is not an approach that s amenable to drug therapy. Integrative medicine physicians need to address the deeper causes and improve the function and landscape of the microbiome which only dietary changes and nutritional interventions can accomplish. Conventional medicine is wonderful as a temporary measure and to reduce symptoms of diseases or disorders but it A is not designed or intended for real improvement of deeper function and restoration of optimal health. Q A Can healthy gut bacteria treat mood disorders Healthy gut bacteria absolutely can and does treat mood disorders. There are studies to show that an unhealthy microbiome can lead to depression and anxiety while improvement in gut function can improve anxiety and depression. JUNE JULY 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 37 NATURAL HEALTH STUDIES Study Links Exposure to Common Pesticide With ADHD in Boys new study led by researchers at Cincinnati Children s Hospital Medical Center links a commonly used household pesticide with attention deficit hyperactivity disorder (ADHD) in children and young teens. The study found an association between pyrethroid pesticide exposure and ADHD particularly in terms of hyperactivity and impulsivity rather than inattentiveness. The association was also stronger in boys than in girls. Given the growing use of pyrethroid pesticides and the perception that they may represent a safe alternative our findings may be of considerable public health importance said Tanya Froehlich MD a developmental pediatrician at Cincinnati Children s and the study s corresponding author. Due to concerns about adverse health consequences the United States Environmental Protection Agency banned the two most commonly used organophosphate (organic compounds containing phosphorus) pesticides from residential use in 2000-2001. The ban led to the increased use of pyrethroid pesticides which are now the most commonly used pesticides for residential pest control and A public health purposes. They also are used increasingly in agriculture. Pyrethroids have often been considered a safer choice because they are not as acutely toxic as the banned organophosphates. Animal studies on the other hand suggested a heightened vulnerability to the effects of pyrethroid exposure on hyperactivity impulsivity and abnormalities in the dopamine system in male mice. Dopamine is a neurochemical in the brain thought to be involved in many activities including those that govern ADHD. The researchers studied data on 687 children between the ages of 8 and 15. The data came from the 2000-2001 National Health and Nutrition Examination Survey (NHANES) which is a nationally representative sample of the United States population designed to collect information about health. The 2000-2001 cycle of NHANES was the only cycle of the study that included a diagnostic interview of children s ADHD symptoms and pyrethroid pesticide biomarkers. Pesticide exposure measurements were collected in a random sample of the urine of half the 8-11 year olds and a third of the 12-15 year olds. ADHD was determined by meeting criteria on the Diagnosic Interview Schedule for Children (DISC) a diagnostic instrument that assesses 34 common psychiatric diagnoses of children and adolescents or by caregiver report of a prior diagnosis. The DISC is administered by an interviewer. Boys with detectable urinary 3-PBA a biomarker of exposure to pyrethroids were three times as likely to have ADHD compared with those without detectable 3PBA. Hyperactivity and impulsivity increased by 50 percent for every 10-fold increase in 3-PBA levels in boys. Biomarkers were not associated with increased odds of ADHD diagnosis or symptoms in girls. Our study assessed pyrethroid exposure using 3-PBA concentrations in a single urine sample said Dr. Froehlich. Given that pyrethroids are non-persistent and rapidly metabolized measurements over time would provide a more accurate assessment of typical exposure and are recommended in future studies before we can say definitively whether our results have public health ramifications. (Source Environmental Health-- May 2015) Lack of Vitamin B12 Can Cause Trouble in School V itamin B12 deficiency in elementary school children from Bogot Colombia was strongly associated with the students having to repeat a grade and with their number of school absences researchers from the University of Michigan School of Public Health found. Dr. Eduardo Villamor and team discovered that students deficient in vitamin B12 were at 2.4 times greater risk of repeating a grade and had 1.9 times more absences than those who were not deficient. Vitamin B12 is necessary for adequate brain development said Dr. Villamor associate professor of epidemiology. Deficiency very early in life or in old age has been linked to cognitive and behavioral problems but it was not known whether it could be related to academic difficulties during school age. Grade repetition and school absenteeism are important outcomes because they predict school dropout and impair children s options for educa- tional advancement and development. As part of the Bogot School Children Cohort a longitudinal investigation of nutrition and health in school children the researchers took blood samples from 3 156 students ages 5 to 12 from public primary schools. They measured ferritin hemoglobin mean corpuscular volume zinc vitamin A folate and vitamin B 12. They found that 15 percent of school children had marginally deficient vitamin B12 status and another 2 percent were deficient. The overall risk of grade repetition was 4.9 percent and the absenteeism rate was 3.8 days per child over a year of observation. Of all micronutrients studied only vitamin B12 had an impact on grade repetition. Dr. Villamor said solutions would be fairly simple but would first need to be tested in randomized interventions. Vitamin B12 could be included into forti- fication formulas added to commonly consumed foods in countries where these programs are in place he said. Inclusion of foods that are rich in vitamin B12 into school feeding programs is another possibility. Identifying children who are vitamin B12-deficient and providing supplements is yet another option but again it should be first tested in experimental studies. (Source The Journal of Nutrition-- May 2015) 38 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2015 Stress Relief Techniques Help Cancer Patients Overcome Fear of Treatment A service evaluation at The Christie NHS Foundation Trust in Manchester England has shown the benefit of rapid stress management techniques (RSMTs) to help cancer patients who experience procedure-related stress. Cancer patients benefit from stress relief techniques and complementary therapy to manage their fears of medical procedures according to a new service evaluation study. Patients experiencing distress related to medical procedures were able to achieve a calm state both before and during procedures as a result of the interventions. Those who took part were positive about the experience. The study reported in the journal Cancer Nursing Practice was carried out at the acute oncology complementary therapy service at the Christie NHS Foundation Trust in Manchester among patients who had been experiencing difficulties such as needle phobia claustrophobia and the fear of nausea before actual treatment. Face-to-face or telephone interviews were conducted with 19 patients--most of whom were women. All had been referred to the service over distress related to radiotherapy and chemotherapy procedures. The four themes picked up were being distressed coping with distress surviving distress and thoughts about the complementary service. Interviews revealed pre-existing phobias the experience of flashbacks to previous traumatic events fear of the disease spreading and the possibility of dying. Participants typically reported being taught two rapid stress management techniques sometimes after another brief complementary treatment such as massage aromatherapy or reflexology. On learning self-help techniques one patient described the benefits mindfulness selfhypnosis and relaxation ... to help me to look at things in a different way ... not to panic ... to be able to sleep because I was exhausted ... Complementary therapies helped participants avoid negative feelings such as loneliness fear or exhaustion the study found. The service also helped participants main- tain mind over matter. Feelings of panic were reduced and even enabled patients to fight the disease. The most commonly used stress management techniques deployed were tightening and releasing stress balls in time with four slow breaths redirecting the fight or flight response by tightening and releasing groups of muscles combined with slow comfortable breaths and taking a sip of water and holding it on the tongue for 10 seconds before swallowing repeating the process three times. (Source Cancer Nursing Practice-- May 2015) The Less You Sleep the More You Eat F actors influencing food intake have and continue to be a hotly contested subject. A new paper published in the SAGE journal Journal of Health Psychology (JHP) suggests that disrupted sleep could be one factor contributing to excessive food intake and thus leading to long-term chronic health damage in both adults and children. In a special issue on Food Diets and Dieting the paper explores how a bad night s sleep--something that affects millions of people worldwide--can affect eating habits and behaviors. Though it is wellknown that a bad night s sleep can affect our ability to perform daily duties what is less known is how disrupted sleep can influence both our food choices and intake. It is well recognized that food intake is implicated in many chronic health issues including obesity diabetes and heart disease and diet is often a target of treatment to prevent the onset of these conditions commented the researchers Alyssa Lundahl and Timothy D. Nelson of the University of Nebraska Lincoln. However understanding the mechanisms linking disrupted sleep patterns to increased food intake is important for informing both prevention and treatment interventions for chronic health conditions. Food intake is driven by biological emotional cognitive and environmental factors. Though diet is important to consider in the treatment for chronic health disorders associated with food intake a closer look should be given to how sleep affects these factors. Lundahl and Nelson argue that these mechanisms are heavily altered and influenced by sleep patterns. For example after a bad night s sleep the hormone controlling appetite is affected emotional stress is greater more food is desired to compensate for lack of energy and impulsivity is increased all of which affect the amount of food that you would consume in a day. They concluded that health psychologists should be mindful of the link between sleep and eating and sleep should be actively considered in efforts to modify dietary behavior. The research stimulated by Lundahl and Nelson has important treatment implications for health conditions often treated with dietary interventions and illustrates the need for research to empirically examine the underlying mechanisms of food intake stated Dr. David Marks editor of JHP. It is important for people to be aware the findings of this study so that if they suffering from lack of sleep they can take greater care to consider the quality and quantity of food that they are consuming. (Source Journal of Health Psychology-- June 2015) JUNE JULY 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 39 NATURAL HEALTH STUDIES Nurses Cut Stress 40 Percent With Relaxation Steps at Work study by researchers at The Ohio State University Wexner Medical Center found that a workplace mindfulness-based intervention reduced stress levels of employees exposed to a highly stressful occupational environment. Members of a surgical intensive care unit at the large academic medical center were randomized to a stress-reduction intervention or a control group. The eight-week group mindfulness-based intervention included mindfulness gentle stretching yoga meditation and music conducted in the workplace. Psychological and biological markers of stress were measured one week before and one week after the intervention to see if these coping strategies would help reduce stress and burnout among participants. Results of this study published in the Journal of Occupational and Environmental Medicine showed that levels of salivary [alpha]-amylase an index of sympathetic activation of the nervous system--also known as the fight or flight response-- were significantly decreased from the first to second assessments in the intervention group. The control group showed no A changes. Psychological components of stress and burnout were measured using well-established self-report questionnaires. Our study shows that this type of mindfulness-based intervention in the workplace could decrease stress levels and the risk of burnout said one of the authors Maryanna Klatt associate clinical professor in the department of Family Medicine at Ohio State s Wexner Medical Center. Chronic stress and stress reactivity have been found associated with increased levels of salivary [alpha]-amylase. What s stressful about the work environment is never going to change. But what we were interested in changing was the nursing personnel s reaction to those stresses. We measured salivary alpha amylase which is a biomarker of the sympathetic nervous system activation and that was reduced by 40 percent in the intervention group. Klatt who is a trained mindfulness and certified yoga instructor developed and led the mindfulness-based intervention for 32 participants in the workplace setting. At baseline participants scored the level of stress of their work at 7.15 on a scale of one to 10 with 10 being the most stressful. The levels of work stress did not change between the first and second set of assessments but their reaction to the work stress did change. When stress is part of the work environment it is often difficult to control and can negatively affect employees health and ability to function said lead author Dr. AnneMarie Duchemin research scientist and associate professor adjunct in the department of Psychiatry and Behavioral Health at Ohio State s Wexner Medical Center. People who are subjected to chronic stress often will exhibit symptoms of irritability nervousness feeling overwhelmed have difficulty concentrating or remembering or having changes in appetite sleep heart rate and blood pressure Dr. Duchemin said. Although work-related stress often cannot be eliminated effective coping strategies may help decrease its harmful effects. The changes in the levels of salivary alpha-amylase suggest that the reactivity to stress was decreased after the eight week group intervention. (Source Journal of Occupational and Environmental Medicine-- April 2015) Low Vitamin D Levels and Depression Linked in Young Women A new study from Oregon State University (OSU) suggests there is a relationship between low levels of vitamin D and depression in otherwise healthy young women. OSU researchers found that young women with lower levels of vitamin D were more likely to have clinically significant depressive symptoms over the course of a five-week study lead author David Kerr said. The results were consistent even when researchers took into account other possible explanations such as time of year exercise and time spent outside. Depression has multiple powerful causes and if vitamin D is part of the picture it is just a small part said Kerr an associate professor in the School of Psychological Science at OSU. But given how many people are affected by depression any little inroad we can find could have an important impact on public health. The new study was prompted in part because there is a widely held belief that vitamin D and depression are connected but there is not actually much scientific research out there to support the belief Kerr said. I think people hear that vitamin D and depression can change with the seasons so it is natural for them to assume the two are connected he said. Kerr s study focused on young women in the Pacific Northwest because they are at risk of both depression and vitamin D insufficiency. Past research found that 25 percent of American women experience clinical depression at some point in their lives compared to 16 percent of men for example. OSU researchers recruited 185 college students all women ages 18-25 to participate in the study at different times during the school year. Vitamin D levels were measured from blood samples and participants completed a depression symptom survey each week for five weeks. Many women in the study had vitamin D levels considered insufficient for good health and the rates were much higher among women of color with 61 percent of women of color recording insufficient levels compared to 35 percent of other women. In addition more than a third of the participants reported clinically significant depressive symptoms each week over the course of the study. As expected the women s vitamin D lev- els depended on the time of year with levels dropping during the fall at their lowest in winter and rising in the spring. Depression did not show as a clear pattern prompting Kerr to conclude that links between vitamin D deficiency and seasonal depression should be studied in larger groups of at-risk individuals. Researchers say the study does not conclusively show that low vitamin D levels cause depression. A clinical trial examining whether vitamin D supplements might help prevent or relieve depression is the logical next step to understanding the link between the two Kerr said. (Source Psychiatry Research-- March 2015) 40 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2015 NATURAL MARKETPLACE NATURAL MARKETPLACE PROVIDES INFORMATION ABOUT NEW PRODUCTS AVAILABLE TO THE NATURAL HEALTH CARE INDUSTRY. ALL STATEMENTS CLAIMS AND PRODUCT INFORMATION ARE PROVIDED BY THE MANUFACTURER. NATURAL PRACTITIONER DOES NOT ENDORSE ANY PRODUCTS INCLUDED IN NATURAL MARKETPLACE OR ATTEMPT TO CORROBORATE ANY CLAIMS MADE BY THE MANUFACTURER. To have a new product included in Natural Marketplace please send a press release and photograph to Natural Practitioner by e-mail to ShariB VRMmedia.com Beauty Scoops NEW YORK NY--The new take on beauty from within is the patent proven and peerless BeautyScoop. Backed by science the supplement is said to enhance nails hair and skin within three weeks according to the company. It comes in a subtle vanillaflavored powder that blends into any beverage and delivers faster results than pills bars and for some even faster than a healthy diet. It provides the body with nutrients to strengthen nails including peptides lipids biotin zinc and calcium. Essential fatty acids and proteins enhance hair s shine manageability and growth. The MSRP for BeautyScoop is 70 for a one-month supply 210 for a three-month supply 190 for the auto-ship program and 4.95 for a recipe book. For more information call (212) 861.1212 or visit www.beautyscoop.com. Probiotic-enhanced Neck Cream NEW YORK NY--TULA Advanced Neck Cream (MSRP 75 1.7-oz.) named as a new beauty breakthrough by the American Academy of Dermatology is a hydrating balmlike cream that works by firming and attacking fine lines wrinkles and sagging skin. It is suitable for all skin types and incorporates the company s probiotic technology as well as retinol and peptides. TULA s probiotic technology defends against harmful external bacteria with a proprietary blend of important ingredients probiotics including yogurt and milk extracts nutripeptides from hydrolyzed rice vitamins A C and E turmeric white tea and blueberry extract and omega-3 and omega-6 fatty acids derived from wild flax oil. In addition it is gluten free and free of parabens phthalates mineral oil propylene glycol and petroleum. For more information call (201) 895-3309 visit www.tulaforlife.com. Cor Defense PITTSBURGH PA--Genestra Brand introduce Cor Defense ( 34.10 30-ct.) a baker s yeast formula containing antioxidants and EpiCor a dried fermentation of Saccharomyces cerevisiae (baker s yeast) for immune support. A once-daily capsule format Cor Defense contains European elderberry flower extract vitamins C and D and zinc along with 500 mg of clinically tested EpiCor. Studies found that within three months EpiCor improved immune response to seasonal challenges and that within two hours the supplementation enhanced activation of natural killer (NK) cells and greatly increased antioxidant protection. The product provides respiratory immune and healthy sinus support does not contain gluten or dairy and is ideal for vegetarians. For more information call (888) 737-6925 or visit www.seroyal.com brands genestrabrands. These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose treat cure or prevent any disease. Realizen PURCHASE NY--Relizen is a patented non-hormonal product that helps to relieve hot flashes associated with menopause. Endorsed by gynecologists Relizen stands apart from other products because it has been clinically shown for efficacy safety and patient tolerability. Relizen is unique as a natural therapy for the relief of hot flashes available in the United States in that it is truly nonestrogenic does not use phytoestrogens and is backed by placebocontrolled efficacy data. Its active ingredient is a Swedish flower pollen extract that has had pollen allergens removed. MSRP 49.99 for a one-month supply. For more information call (855) RELIZEN (4936) or visit www.relizen.com. These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose treat cure or prevent any disease. Mega-Bright for Night NEW YORK NY--Dr. Andrew Weil for Origins Mega-Bright Dark Spot Correcting Night Mask is specifically formulated to help address a root cause of skin discoloration and intercept irritation before it damages the skin. The groundbreaking science behind Mega-Bright Dark Spot Correcting Night Mask employs integrative technology which combines powerful anti-irritation ingredients and efficacious brightening ingredients to help quell the cascade of irritation build skin s resilience to boost hydration and amplify its radiant translucency overnight (MSRP 55 75 ml.). For more information call (212) 572.6810 or visit www.origins.com. EZC LOS ANGELES CA--EZC Pak is the first physician formulated five-day tapered immune support pack composed of certified organic echinacea zinc and vitamin C that is designed to reduce inappropriate antibiotic use. The suggested price for the five-day Adult Pack is 19.99. For more information call (310) 749-8730 or visit www.ezcpak.com. JUNE JULY 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 41 NATURAL MARKETPLACE Vision Support PITTSBURGH PA--Ultra Preventive Vision is a comprehensive multivitamin mineral formula with phytonutrients and carotenoids specifically designed to help support a healthy macula retina and visual performance for aging adults that are affected by excess blue-light exposure and free radical damage. Ultra Preventive Vision was developed in conjunction with Dr. Stuart Richer one of the leading experts in eye health and is based on the most up-to-date research. The suggested retail price for Ultra Preventive Vision is 50 120-ct. For more information call (800) 245-4440 or visit www.douglaslabs.com. These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose treat cure or prevent any disease. Rewind Recovery Time SPRINGFIELD MO--Make People Better LLC introduced re iimmune an illness recovery formula which combines clinical strength hydration with a variety pack of essential nutrients including a prebiotic and a complex of 14 probiotics to support intestinal immunity. This dual-action formula helps break down recovery time from illness and dehydration including but not limited to flu recovery antibiotic use pre- and postsurgery post-hospital syndrome intestinal issues and senior care. re iimmune is available in an all-natural dry powder form that when combined with a 16-oz. glass of water can be used in adult and pediatric (older than 1 year) patients. With no added sugars fruit juice synthetic colors or preservatives it is gluten free and safe for diabetic use. Overall it helps patients recover faster from illness restore intestinal health rehydrate more efficiently and relieve the effects of diarrhea (MSRP 29.99 10 packets). For more information call (417) 862-guts (4887) or visit www.reiimmune.com. Anti-Aging Acne Line EL SEGUNDO CA--Murad Inc. has enhanced its award-winning Anti-Aging Acne line with its Advanced Acne & Wrinkle Reducer ( 44 1-fl.oz.) and Anti-Aging Moisturizer Broad Spectrum SPF 30 PA ( 48 1.7-fl.-oz.) in addition to its Time Release Acne Cleanser ( 32 6.75-fl.-oz.). The new Advanced Acne & Wrinkle Reducer is a full-face treatment that prevents acne and hormonal breakouts while helping to reduce lines and wrinkles using glycolic acid and retinol to gently exfoliate and accelerate cell turnover plus phytoestrogen black cohosh for its anti-inflammatory and soothing properties that target hormonal acne and help calm irritated skin. Lastly the Anti-Aging Moisturizer Broad Spectrum SPF 30 PA hydrates controls oily skin and helps to unclog pores with Murad s Oil Control Complex formulated with saw palmetto sesame seed and argan kernel. For more information call (888) 996-8723 or visit www.murad.com. PureGenomics SUDBURY MA--Pure Encapsulations offers PureGenomics Multivitamin a multivitamin and mineral complex targeting common genetic polymorphisms. It provides vitamins A B C D and E in highly bioavailable forms activated B vitamins including pyridoxal-5-phosphate riboflavin-5-phosphate enhanced-retention thiamin derivative benfotiamine and 800 mcg of Metafolin L-5-methyltetrahydrofolate (L-5MTHF) the naturally occurring universally metabolized form of folate. In addition the product offers vitamin B12 in a unique blend of adenosylcobalamin and hydroxycobalamin and 2 000 IU vitamin D to support healthy vitamin D receptor activity. The multivitamin has a convenient one capsule per-day dosing (MSRP 32.20 60-ct.). For more information call (800) 753-2277 or visit www.pureencapsulations.com. These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose treat cure or prevent any disease. The Travel Kit WASHINGTON NJ--Herbalist & Alchemist has introduced a new collection to their popular line of comprehensive herbal kits for specific needs the Travel Kit ( 44.95). David Winston RH (AHG) company founder and clinical herbalist developed the comprehensive kits as selected solutions to common concerns. The kits are conveniently packaged and contain detailed usage guidance. The Travel Kit contains four products which include Bitters Compound to support digestive function Herbal Relief Botanical Throat Spray Phytocalm which promotes restful sleep and Andrographis to support healthy immune function. For more information call (908) 689-9020 or visit www.herbalist-alchemist.com. 42 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2015 MEDIACORNER The Complete Guide to Beating Sugar Addiction Author Jacob Teitelbaum MD Pages 304 Price 19.99 Publisher Fair Winds Press Contact (800) 458-0454 Dr. Jacob Teitelbaum s new book offers readers a guarantee to beat sugar addiction. The Complete Guide to Beating Sugar Addition is only one of his books in his Beat Sugar Addiction NOW series. It educates readers on new research new ways of treatment and offers 50 sugar-free recipes that support health and an optimum energizing lifestyle. Dr. Teitelbaum breaks down four types of sugar addictions to help readers better understand the complexities. It also includes quizzes to help readers find their type of sugar addiction as well as a step-by-step plan to fix the causes not the symptoms. By beating sugar addiction you can get multiple monkeys off your back Dr. Teitelbaum said adding that sugar addition can lead to diabetes cardiovascular disease anxiety and a plethora of other medical problems in everyday life. Dr. Teitelbaum noted that common complaints include fatigue irritability when hungry chronic sinusitis digestive problems weight gain with inability to lose weight even on a diet as well as poor concentration and memory. New Beginnings The Triumphs of 120 Cancer Survivors Author Bill Aron Pages 224 Price 24.99 Publisher Skyhorse Publishing Inc. Contact (212) 643-6818 Author Bill Aron who was diagnosed with cancer 20-years ago tells his story about surviving cancer. The tables have turned for those diagnosed and Aron s most recent book New Beginnings The Triumphs of 120 Cancer Survivors not only tells his story but also tells the stories of others encouraging all to think of cancer as a fresh start to life. The book features a collection of narratives and pictures of men women children and families of all ages and ethnicities to inspire readers. New Beginnings can help those diagnosed with cancer and their family friends and loved ones. It is the gift of hope for those affected. It motivates the 120 cancer survivors and shares what they all have in common which every cancer patient should know Aron noted. These 120 lives that have overcome cancer have positively changed their outlook on life going from feeling helpless to feeling alive. Out of 120 individuals mentioned in New Beginnings a few include Sally Craigen who lived life to fullest even after her second diagnosis 30 years later Rabbi William Cutter a survivor of three heart attacks while battling prostate cancer Sophia Coly a girl who was diagnosed at the age of only 15-months and has been through more in her 10 years of living than many people do in their entire lives and Coby Karl a professional basketball player who brushed off his diagnosis of thyroid cancer so he could continue his dream. Stop Vision Loss Now Prevent and Heal Cataracts Glaucoma Macular Degeneration and Other Common Eye Disorders Author Dr. Bruce Fife Pages 256 Price 16.95 Publisher Piccadilly Books Ltd. Contact (719) 550-9887 Chronic and progressive eye disorders have been thought to be untreatable however Dr. Bruce Fife author of Stop Vision Loss Now Prevent and Heal Cataracts Glaucoma Macular Degeneration and Other Common Eye Disorders and director of the Coconut Research Center has found a solution that is pain free and drug free a sight-restoring diet. Dr. Fife s book points out that the key to this diet is coconut oil and select dietary supplements which he found on his own while searching for a cure to his own glaucoma. This one-of-a-kind solution has the potential to help prevent and treat cataracts glaucoma macular degeneration diabetic retinopathy dry eye syndrome Sjogren s syndrome optic neuritis irritated eyes conjunctivitis (pink eye) and eye disorders associated with neurodegenerative diseases. In addition the book contains success stories from both the author and others who have overcome eye disorders by using Dr. Fife s strategy. Readers will also find studies backing up his dietary program will learn the basic causes for the most common eye diseases and the best ways to prevent stop and reverse them. Kumu Wellness Coaching iTunes App Kumu is a program dedicated to providing an alternative approach to nutrition calculators and rigid exercise plans with its personal Kumu Wellness Coaches who give the user 100 percent more personal attention. The Kumu Wellness Coaching app offers a portal for consumers by adding a human connection to make health data insightful and actionable. Kumu s partnership with Apple Health gives clients the ability to sync their activity with Kumu and allow their coach access to that data. Through the app a Kumu Coach is able to look at a client s activity daily and work with them to create actionable goals based on the individuals activity as well as offer advice on how to interpret the information. In addition the Kumu app s Activity Feed also highlights clients active time for that day so that users are always aware of their progress and even if they don t have a fitness tracker. The app showcases instantaneous messaging live video chat goal cards coach console access to 150 coaches activity tracking team feed and IAP for a 19.99 per month subscription. Before downloading Kumu s app you must sign up for Kumu answer a few questions get matched with a coach chat with your coach virally work with him her to create daily goals connect your favorite tracker or Apple Health to allow coaches to access your activity monitor your active time and progress and receive extra motivation and support in the Kumu Team Stream. Kumu is available for iPhone 4S and newer devices. For more information visit www.getkumu.com. JUNE JULY 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 43 CONFERENCES AND EVENTS August 5-8 AANP Annual Conference 2015 Oakland CA The American Association of Naturopathic Physicians (AANP) will host its 30th annual conference and invites naturopathic doctors and students licensed acupuncturists and doctors of osteopathy to register and attend this year s event. Dr. Tori Hudson will lead the event that brings together participants and attendees to interact and network while learning about the most up-to-date information in natural medicine. For more information visit www.naturopathic.org. September 17-20 The 6th Annual Integrative Medicine for Mental Health Conference San Diego CA Taking place at the Hyatt Regency Mission Bay Spa and Marina in San Diego CA this year s Integrative Medicine for Mental Health Conference welcomes psychiatrists naturopathic physicians family physicians chiropractic physicians psychologists nutritionists registered dieticians nurses and nurse practitioners allied mental health professionals and leaders of mental health support groups to join together and learn about the field of integrative medicine in treatment of mental health autism and related disorders. For more information visit www.immh2015.com. September 19-20 Nova Scotia Naturopathic Conference Halifax NS Canada The Nova Scotia Association of Naturopathic Doctors (NSAND) will hold its annual conference at the Best Western Plus Chocolate Lake Hotel in Atlantic Canada where it will be representing licensed naturopathic doctors in the surrounding location. The mission is to improve patient care through high caliber on going educational opportunities for naturopathic and medical doctors on the East Coast as well as offering sponsors the opportunity to showcase new products and services. For more information visit www.nsnc.info. September 25-27 Metagenics 2015 Lifestyle Medicine Summit Phoenix AZ Metagenics is hosting its 4th annual Lifestyle Medicine Summit themed Healthy Aging 100% Vitality for Your First 100 Years Resorting and Maintaining Optimal Health. As the level of patient demand among the country is from the aging population modern physicians are making healthy aging a crucial area of focus. The conference invites all health care professionals and researchers who are transforming lifestyle medicine with cutting-edge insights and innovations to address the most prominent health issues affecting the aging population. This year s speakers include Jeffrey Bland PhD FACS CN Charles Serhan PhD Fabrizio Mancini DC and 12-time Olympic medalist Dara Torres. For more information call (312) 396-4398 or visit www.metagenics.com. October 9-10 Integrative Healthcare Symposium Hollywood FL Integrative Healthcare Symposium (IHS) Focus on the Microbiome will be taking place in Hollywood FL on October 9-10 2015 at the Diplomat Resort & Spa. The symposium will discuss the latest research and unveil the roles of microbes in its health destiny. Attendees will include medical doctors doctors of osteopathy nurse practitioners chiropractors physician assistants naturopaths nutritionists and dieticians as well as other highly engaged practitioners. For more information visit www.ihsymposium.com focus-event. ADVERTISER INDEX ADVERTISER Ajinomoto Co. Ltd. Albion Laboratories Inc. America s Finest Inc. DaVinci Laboratories of Vermont Hevert Pharmaceuticals Kyowa Hakko USA. 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