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Description: In This Issue: The Road to Healthy Pregnancy, Addiction, Personalized Medicine, and Pain & Inflammation

w w www.naturalpractitionermag.com September October 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 September October 2015 VOLUME 4 NO. 6 18 FEATURES 18 Nutrition s Supporting Role in Addiction Recovery When implemented as part of an integrated addiction treatment program nutritional foods nutraceuticals and natural supplements can play an integral role in restoring health and well being and in supporting a client on their journey through the addiction recovery process. 22 8 COLUMNS 4 Editor s Note 8 Practitioner Corner 28 Product Focus Pain and Inflammation 22 The Road to Healthy Pregnancy Ensuring a healthy pregnancy starts with proper preconception care for both women and men--supporting fertility in both sexes with the right diet and appropriate supplementation. DEPARTMENTS 12 Health News 30 Practitioner Chat 32 Natural Health Studies 36 Natural Marketplace 38 Media Corner 40 Conferences & Events 40 Advertiser Index 25 Special Report So Personal While the model of personalized medicine is growing among practitioners there is no consensus of what the practice entails just yet. 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 6 September October 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 SEPTEMBER OCTOBER 2015 Go to www.naturalpractitionermag.com xlear for info about this advertiser EDITOR S NOTE Back to Nature n August I had the opportunity of attending the American Association of Naturopathic Physicians (AANP) Annual Conference for the first time. The first stop on my itinerary was a panel discussion presented by Tori Hudson ND Paul Herscu ND MPH Joseph Pizzorno ND Lise Alschuler ND FABNO Mona Morstein ND and Holly Lucille ND. Entitled Naturopathic Philosophy in the Modern World of Health Care Integration Collaboration and Diseases and Patients of the 21st Century each panelist discussed one of the six principles of naturopathic medicine First Do No Harm Identify and Treat the Causes Doctor as Teacher Treat the Whole Person Prevention and The Healing Power of Nature. Dr. Hudson covered the principle of The Healing Power of Nature and spoke about nature deficit disorder and how many problems today are due to our disconnect to nature. She also talked about forest bathing and how exposure to nature has positive effects to the nervous system My daily mantra with patients is be outside-- somehow or some way Dr. Hudson said. Her words really hit home for me because that morning a friend sent me a link to a video created by granola bar company Nature Valley Canada which was a part of the company s Rediscover the Joys of Nature campaign. In the video three generations of families were asked one question What did you like to do for fun as a kid The grandparents and parents talked among I about going blueberry picking fishing playing games in the yard building forts other outdoor activities. But when the children answered the question their responses were quite different. Video games text messages phones and email were among their answers. My favorite thing to do in the world is definitely watching videos and playing video games. Those take up so much of my time one child responded. And when asked how much time per day they spent using these devices the children responded three to five hours. One child proudly revealed that in the previous week he watched 23 episodes of a TV series in just four days. Another child remarked I forget I m in a house I have parents I have a sister I have a dog--I just think I am in the video game. I completely get lost. The children s videos were then shown to the parents and grandparents who watched with tears in their eyes. One mother said that she feels sad for her son because he is missing out on what s out there in the beautiful world. The video ended with the tag line Nature has always been a part of childhood--let s make sure it doesn t stop with us. As someone who is part of the generation who grew up as technology rapidly advanced while having access to computers and video games was great I wouldn t trade the times I had with friends--riding bikes and making up games outside until our parents made us come in for dinner--for anything. Here is hoping that every child has the opportunity to discover the joys of the great outdoors. 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 EDITOR-IN-CHIEF SHARI BARBANEL ShariB VRMmedia.com ASSISTANT EDITOR CORINNE ANDERSON CorinneA VRMmedia.com CONTRIBUTING EDITOR JANET POVEROMO JanetP VRMmedia.com CONTRIBUTING WRITERS COURTNEY ANAYA CPT DR. SHAILINDER SODHI LISA SCHOFIELD CARA WATERS 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 SEPTEMBER OCTOBER 2015 Go to www.naturalpractitionermag.com seroyal 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. Isaac Eliaz MD MS LAc A recognized expert in the field of integrative medicine since the early 1980s with a specific focus on cancer immune health detoxification and mind-body medicine. He is a respected formulator clinician researcher author and educator. As part of his commitment to the advancement of integrative medicine Dr. Eliaz partners with leading research institutes and has co-authored numerous peer-reviewed papers on innovative therapies for immune enhancement heavy metal toxicity and cancer prevention and treatment. He is founder and medical director of Amitabha Medical Clinic and Healing Center in Santa Rosa CA where he and his team of practitioners pioneer individualized treatments for cancer and chronic illness. 6 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2015 Go to www.naturalpractitionermag.com mitoq for info about this advertiser PRACTITIONER CORNER Ayurvedic Guide to Mindfulness and Meditation By Dr. Shailinder Sodhi Origin of Mind Is the mind a physical organ or energetic Does consciousness direct the mind or does the brain project consciousness Here we will discuss the ayurvedic understanding of consciousness and the mind and how to use it to live a life of balance. The mind is the most complex and controversial organ for scientists since the beginning of time. The features and definitions of this organ have been debated by scientists and medical professionals for centuries. Despite this the importance of the mind is undeniable. The Merriam-Webster English Dictionary defines the mind as the part of a person that thinks reasons feels and remembers. For decades neuroscientists have been looking for this part of the person within the brain. Yet we are only inching towards real progress in medicine. Ayurveda gives us a profound insight on this subject. Birth of Conciousness and Mind The Samkhya philosophy realized by Rishi Kapila describes the origin of the universe Conciousness and the Mind. The union of Masculine (Purusha) and Feminine (Prakruti) initiate the creative process that gave birth to this universe. The first manifestation of the creative process is Universal Intelligence called Mahad. According to Vedic philosophy Mahad is the pure intelligence that permeates all things it brings order to all things. Some examples of this are the natural laws of physics and chemistry that govern the material universe the regulation and activity of each individual cell within our bodies the automatic function of all of our organs adaptations of animal and plants to their environment and seasons. Modern science also confirms that the universe is also made of energy.1 Thus we Source Textbook of Ayurveda by Dr. Vasant Lad 8 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2015 Go to www.naturalpractitionermag.com albion for info about this advertiser PRACTITIONER CORNER know that the basis of the known universe is intelligence and energy it is pure undifferentiated and universal. The intelligence and energy evolves through the filter of Ahamkara or Ego into three distinct qualities of intelligence and energy. These are called Sattva Rajas and Tamas 2 1. Sattva expresses purity clarity wisdom faith insight love compassion serenity etc. 2. Rajas expresses actions emotions motivation attachment passion egoism restlessness etc. 3. Tamas expresses rigidity inertia laziness ignorance confusion obstruction darkness heaviness etc. Sattva gives birth to the five sense organs and five organs of action as well as the mind Sense organs Ears (hearing) skin (touch) eyes (vision) tongue (taste) nose (smell). Action organs Mouth hands feet reproductive organs and excretory organ. The mind is describe as the Sarvaindriya-para --the master of all sensory and action organs. Conversely the physical form of all things we are able see touch smell taste and hear are a condensed energy that appears as matter. These material manifestations are products of Tamas. Rajas is the active principle that mediates the interaction of the Sattva (the mind and organs) with the Tamas (the material world). and organs express the qualities of Sattva (purity clarity wisdom etc.) when they are healthy and in balance. On the other hand mind is adversely aggravated by either Rajas (attachment passion etc.) or by Tamas (ignorance laziness etc.). Sage Charaka describes a simple solution for the afflictions of the mind. It is explained Liberation is possible by the absence of Rajas and Tamas... Ch. Sh. (1 142) When the expression of Rajas (attachement) and Tamas (ignorance) are controlled the mind naturally expresses Sattva (harmony and wisdom). Therefore ayurveda calls on us to cultivate discipline over the Rajas and Tamas consciousness. This in turn allows the mind and organs to express their inherent Sattvic nature. 2. 3-D spatial orientation 3. Learning 4. Attention and concentration 5. Memory and recall 6. Decision making Additionally animal studies have shown that use of brahmi help in regeneration of nerve connection.5 Thus Bacopa may also improve interconnectivity of the brain--making it more resilient to degeneration. And brahmi is the ideal herbal support of cognitive enhancement memory support emotional calmness and mental regeneration. References 1) Lad V. Textbook of Ayurveda Fundamental Principles Vol. 1. The Ayurvedic Press Albuquerque New Mexico. 2) Sharma PV. Charak Samhita (Text with English Translation). Chaukhambha Orientalia Varanasi India. 3) Peth-Nui T et al. Effectsof12-Week Bacopa monnieri Consumption on Attention Cognitive Processing Working Memory and Functions of Both Cholinergic and Monoaminergic Systems in Healthy Elderly Volunteers. Evidence-Based Complementary and Alternative Medicine Volume 2012 Article ID 606424 10 pages. 4) Kongkeaw C. et al. Meta-analysis of randomized controlled trials on cognitive effects of Bacopa monnieri extract. Journal of Ethnopharmacology (2013). 5) Aguiar S and Borowski T. Neuropharmacological review of the nootropic herb Bacopa monnieri. Rejuvenation Res. 2013 Aug 16(4) 313-26. Ayurvedic Support for Cultivating Sattva Meditate on Your Actions As you go through the day notice what circumstances people media or actions cause you to experience Rajas or Tamas consciousness. Journal it if you need help remembering. In the evening review the one to three of the most challenging moments. Take 10 minutes to reflect how Sattva consciousness can be expressed in those moments. Repeat this every day for one month and notice the difference. Herbal Support Bacopa monnieri also called brahmi is a name synonymous with cognitive support in ayurvedic medicine. The name brahmi relates to Lord Brahma the creator and Brahman the Universal soul. Traditionally brahmi is regarded as one of the most useful medhya rasayana rejuvenator of the mind. It is given to young and old equally because it is non-toxic and wonderfully effective in promoting development and regeneration. The nervine activity of brahmi supports the capacity of the brain to process new information and learn. Studies have shown that use of brahmi supports attention cognitive processing and working memory among healthy adults.3 In a more specific study use of brahmi showed improvement in performance of various tasks 4 1. Remembering numbers and pictures Qualities of Consciousness and the Mind Mind is unconscious but active while the Pure Intelligence kindles the consciousness but is inactive. The omnipresent one becomes active only when it come in contact with the mind. --Charaka Samhita Sharirasthana Ch. 1 verse 75. The mind is born from universal intelligence and it also functions as a receiver and transmitter of this into our consciousness. The mind can receive information from observation through the sense organs inference and even intuition. The mind can transmit consciousness through the organs of action. Ayurveda goes into great detail about the qualities of consciousness that heal the mind and those that create imbalance. Because these are born from Sattva mind 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. 10 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2015 Go to naturalpractitionermag.com probioticsinternational info info about this advertiser Go to www.naturalpractitionermag.com naturade for for about this advertiser HEALTH INDUSTRY NEWS Cleveland Clinic Receives 1 Million Gift to Support Center for Functional Medicine T he Cleveland Clinic has received a fouryear 1 million gift from Pure Encapsulations (Sudbury MA) that will support its Center for Functional Medicine. The gift will be used for clinical research education curriculum development community programs and policy change initiatives. A growing number of patients especially those with chronic conditions are finding relief with functional medicine which focuses on the underlying causes of disease said Dr. Mark Hyman director of Cleveland Clinic s Center for Functional Medicine. This generous gift provides us with the opportunity to educate health care providers as well as consumers about the benefits of the functional medicine model. Functional medicine is based on the evidence that lifestyle factors--such as nutrition sleep exercise stress levels relationships and genetics--are major contributors to disease. Pure Encapsulations produces a line of hypoallergenic nutritional supplements which are an important component of the functional medicine model. We realize the transformative power of the Cleveland Clinic Center for Functional Medicine on our modern health care system said Joy Devins vice president of Pure Encapsulations. Pure Encapsulations is ecstatic to have been involved with the center since its inception and to support research education and community programs that will change the way health care is delivered across the globe. Cleveland Clinic functional medicine physicians are working with specialists to set up four clinical trials studying the effect of functional medicine on the treatment of asthma inflammatory bowel disease migraines and Type 2 diabetes. In the spirit of innovation the Cleveland Clinic was the first major academic medical center to embrace functional medicine and patients are coming from across the country to be treated said Dr. Patrick Hanaway medical director of Cleveland Clinic s Center for Functional Medicine. This gift will help further our research to show the impact functional medicine can have on patients. Cleveland Clinic s Center for Functional Medicine opened in September 2014 in collaboration with the Institute for Functional Medicine. For more information visit www.clevelandclinic.org. Nestl Health Science Launches Enact Quality Improvement Through Nutrition Program for Health Care Professionals estl Health Science (Florham Park NJ) recently announced the launch of ENact a web-based integrated enteral nutrition program aimed at improving patient outcomes through the adoption of nutrition-focused quality improvement (QI) initiatives in the hospital setting. The evidence is clear clinical nutrition therapy improves patient outcomes making it a necessary and invaluable part of health care. And yet despite decades of scientific research that supports how nutrition helps diminish complication risk reduce hospital length of stay and cost of care and improve overall quality of care nutrition continues to be critically under-leveraged and under-valued. In an environment where health care outcomes couldn t be a higher priority now is the time to make sure clinical nutrition becomes an essential component of highquality patient care. Health care mandates today demand more from hospitals than ever before instilling pressures and setting quality standard requirements. So today it is imperative that we focus on efforts that truly result in visible lasting positive change for patients and hospitals alike explained Matthew Bechtold MD FACP FASGE FACG University of Missouri Health Systems. And one tangible solution--the application of N targeted evidence-based enteral nutrition in patient care through programs such as Enact--can result in a myriad of improvements from stronger patient outcomes and streamlined costs to increased organizational efficiencies. Nestl Health Science developed ENact (ENactNutrition.com) to directly address this need and demonstrate the value of nutrition by utilizing QI methodology in the hospital setting. The program focuses on awareness education and providing health care professionals resources to develop and implement nutrition QI projects designed to optimize healthcare outcomes better achieve mandated performance goals and reduce the cost of care. ENact represents a new stage of innovation for both Nestl Health Science and the broader health care landscape that is changing the management of health and forging an increasingly integral role for nutrition therapy in improving health overall said Juan B. Ochoa MD FACS chief medical officer for Nestl Health Science in North America. As part of this health care evolution ENact addresses current gaps in nutritional care by supporting differentiated science-based nutrition-focused QI initiatives to help healthcare professionals seamlessly and effectively deliver optimized nutrition care for patients. ENact offers free resources specific to the development of nutrition QI projects for the acute care setting with a focus on those who are critically ill undergoing surgery or malnourished. Featuring a library of QI nutrition toolkits to help implement and champion nutrition projects and track related improvements ENact also offers educational materials and downloadable Plan-DoStudy-Act (PSDA) methodology templates to facilitate QI nutrition project development. The information and specialized resources unique to ENact allow professionals to learn more about nutrition and QI and immediately put into action nutrition QI initiatives within their organization explained Dr. Ochoa. At the core of ENact is a program that helps us improve and measure patient outcomes in the clinical setting allowing hospitals to achieve measurable benchmarks to demonstrate sustainable quality improvement. For more information visit www.enactnutrition.com. 12 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2015 Go to www.naturalpractitionermag.com vitalnutrients for info about this advertiser HEALTH INDUSTRY NEWS Consuming Adequate Choline is Critical During Pregnancy C holine is an essential nutrient critical to overall health. It is especially important during pregnancy. Choline plays a vital role in development of the brain in the fetus and in infants. Insufficient choline in the fetal brain adversely affects the development of the hippocampus and cortex--areas of the brain that regulate higher thinking and memory including visual memory. These are the brain areas children use for mental math and adults employ to remember where to find their car in a parking lot. According to Steven Zeisel MD PhD Kenan distinguished professor in the Department of Nutrition and director of the Nutrition Research Institute at University of North Carolina a mother s choline consumption during pregnancy affects the child s IQ and memory tests. The mother s choline intake during pregnancy can be related to children s performance when they re school age Dr. Zeisel said. He noted that children born to women with lower intakes of choline during the first and second trimesters of pregnancy did not perform as well in intelligence and visual memory tests at 7 years of age as did children born to women who had consumed higher levels of choline during pregnancy. In 1998 The Institutes of Medicine--the public health arm of the National Academy of Sciences--documented the important role of choline in pregnancy and lactation. They set the adequate intake (AI) recommendations at 425 mg per day for women 450 mg per day for pregnant women and 550 mg per day for lactating women. In addition to its impact on the brain throughout life choline also acts like a folate in preventing neural tube defects (NTD) in fetal development. Neural tube birth defects such as anencephaly or spina bifida occur early in pregnancy before many women realize they are pregnant. Currently more than 90 percent of the U.S. population does not meet the AI recommendation for choline. Because consumption of choline-rich foods like eggs and liver has decreased in recent years it is almost always necessary to supplement the diet with choline. Women should check their prenatal vitamins for choline not all multi vitamins including prenatal vitamins contain choline. For more information visit www.thecholineinformationcouncil.com. Fairhaven Health Announces Partnership with Toni Weschler F airhaven Health (Bellingham WA) has announced its new partnership with Toni Weschler nationally renowned women s health educator and speaker and author of the bestselling book Taking Charge of Your Fertility. Through this partnership Fairhaven Health and Weschler are combining forces to empower women around the world with the information and tools they need to achieve pregnancy naturally. It is a tremendous honor to be collaborating with Toni said Suzanne Munson vice president of product development at Fairhaven Health. Her trail-blazing work in the field of female fertility and reproductive health is truly inspiring and her passion in this area makes her an absolute delight to work with. For nearly 20 years Taking Charge of Your Fertility has been the go-to resource for women seeking to learn more about their bodies. Through her book and her nationwide speaking engagements Weschler has taught hundreds of thousands of women the principles of the Fertility Awareness Method which Weschler describes as a remarkable system of knowledge that uses the two primary fertility signs of basal body temperature and cervical fluid to accurately gauge when you are ovulating. This information has helped countless women achieve pregnancy naturally and countless others avoid unwanted pregnancies. Fundamental to Weschler s teachings is fertility charting which she said requires only a basal body thermometer and a piece of paper with a chart on it. But while that remains as true today as it was 20 years ago Weschler recognizes that many women enjoy the convenience and sophistication that technology brings to fertility charting--which is why she has chosen OvaGraph Fairhaven Health s free fertility charting website and mobile app as the official charting tool of Taking Charge of Your Fertility. While we are experts in fertility and fertility charting in our own right our partnership with Toni has helped us transform OvaGraph into an even better place for women to learn to chart their fertility and to share in a vibrant and growing community of women desiring to really understand their reproductive health said Ethan Lynette partner at Fairhaven Health. OvaGraph s charting interface was designed by Toni to match the intuitive charting style described in her book and the interpretive fertility algorithms are the most sophisticated available. Along with advanced fertility charting tools OvaGraph offers educational content and interactive forums on a range of topics covering all aspects of female reproductive health--all free of charge. For more inforation visit www.ovagraph.com or download the free mobile app from iTunes or the Google Play Store. 14 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2015 Natural Partners Opens New East Coast Distribution Center or the past 20 years Natural Partners (Scottsdale AZ) has been a trusted resource for integrative health care practitioners who were so busy caring for their patients they had no time left in the day for the logistics of planning ordering and dispensing inventory to their patients. Today the company is a leading distributor partner for thousands of health care professionals across the country. With this new service center we are now much closer to some of the biggest integrative wellness communities in the country said Natural Partners President Fran Towey This significant expansion in our distribution capacity enables us to offer greatly improved levels of service to our customers and provides our profes- F sional brand partners better access to key practitioner communities nationwide. The new distribution center is located in Lancaster PA. The location of this facility was chosen not only because it allows for quicker delivery to East and Midwest customers but also because it enables Natural Partners to significantly extend its service levels to customers across the country. Effective immediately customer orders received by 5 00 p.m. PST MST or 6 30 p.m. EST CST will ship same day. Today s announcement marks a major milestone for Natural Partners Towey continued advancing and automating technology to simplify patient care is consistent with our history of caring deeply about our partnership with wellness practitioners. For more information visit www.naturalpartners.com. Go to www.naturalpractitionermag.com emerson for info about this advertiser SEPTEMBER OCTOBER 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 15 HEALTH INDUSTRY NEWS MediNutritionals Research to Sponsor Boutique Adrenal Health Conference ediNutritionals Research (Farmingdale NY) announced that it will sponsor an educational seminar in New York NY on Saturday November 7 entitled Adrenal Physiology & The Stress Response. This boutique conference limited to only 25 attendees--will help health care professionals answer the question What drives exhaustion fatigue and mal-adaptation Loren Marks DC DACBN who has been in private practice in New York City for 31 years has taught clinical nutrition for the past 21 years across the U.S and is the founder of Integrative Assessment Technique will present the six-hour program. While many courses M outline the stages of adrenal exhaustion Dr. Marks focuses on identifying the perpetuators of adrenal exhaustion--the keys to effective management and resolution of chronicity. This workshop will give you the foundational background insight and practical clinical techniques to confidently work up and treat patients who may present with conditions and symptoms of adrenal exhaustion noted Dr. Marks. The seminar will be held at Trattoria Dell-Arte 900 7th Ave. at 57th St. in New York NY from 8 30 a.m. to 3 30 p.m. Early Bird registration is 99 (or 129 after October 29) and includes lunch and a BioHealth Labs Adrenal Stress Test Kit. The conference sponsor MediNutritionals Research LLC is a health care practitioner exclusive supplement company. Patient One MediNutritionals span categories including Cardiovascular Support Immune Support Digestive Support Bone and Joint Support Cognitive Support Endocrine Support Healthy Aging Detox and Weight Management Emotional Wellness Eye Care Men s and Women s Health and more. For more information call (877) 723-0777 or visit www.patientoneformulas.com seminar. 16 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2015 Oregon Health Authority Certifies NCNM Clinic T he Oregon Health Authority (OHA) now recognizes the NCNM Clinic at the National College of Natural Medicine (NCNM) as a Tier 3 Patient-Centered Primary Care Home--the highest level of health care certification granted by the OHA. The state of Oregon established the Patient-Centered Primary Care Home (PCPCH) model as part of the state s health system transformation to meet the Triple Aim--deliver better health and better care at lower costs for all Oregonians. A PCPCH is a health care clinic recognized for its commitment to providing highquality patient-centered care by promoting better coordination of care and clinical teamwork and a better understanding of the patient s overall health care needs. Primary care homes reduce costs and improve care by focusing on preventive care wellness and management of chronic conditions. Last year NCNM received an Oregon Health Authority grant to participate in a PCPCH learning collaborative. Participants received support in developing patient care teams and the technical expertise necessary to meet all quality standards and metrics required for PCPCH certification. Others in the learning collaborative were OHSU Family Medicine Doernbecher Pediatric Wallace Medical Concern Metropolitan Pediatrics and St. Alphonsus Medical Group. NCNM Dean of Clinic Operations and Chief Medical Officer Regina Dehen ND LAc noted that the PCPCH recognition of the NCNM Clinic is significant in a number of ways. Receiving a Tier 3 Star is a noteworthy achievement--particularly for a natural medicine clinic. The vision of NCNM is to be the known leader in natural medicine education and in becoming a PCPCH we are teaching our students the gold standard of patient-centered care. We are honored to be recognized as leaders in Oregon s primary care practice transformation. In 2013 another NCNM teaching clinic the Center for Natural Medicine which supervises NCNM interns and residents in cardiovascular and pulmonary medicine won the distinction of being the first naturopathic clinic in the U.S. to earn this designation. While a small number of other Oregon naturopathic and integrative care clinics have been designated as PCPCH clinics the NCNM Clinic is the largest natural medicine clinic to be recognized in Oregon. Naturopathic doctors (NDs) at the NCNM Clinic are trained to focus on each patient s unique health condition rather than addressing symptoms Dr. Dehen said. From a PCPCH care perspective NDs meet the OHA requirement of patient-centered care which addresses a patient s overall care. What s new at the NCNM Clinic is that we ve created health care teams based on the PCPCH model that assures each patient s continuity of care. Dr. Dehen explained that an NCNM health care team consists of the patient s naturopathic primary care physician (PCP) and a team of NCNM NDs and licensed acupuncturists--all familiar with that patient s treatment program and needs. Because each patient requires a different level of care the team can include integrative care with medical specialists. The care team for a cardiology patient would work with the patient s allopathic cardiologist she explained. The PCP leads the team and everyone on the team is responsible for the successful health outcome for the patient. If the PCP is unavailable every member of the team is able to step in to care for the patient. Together they chart the patient s progress she said. NCNM has long been dedicated to providing better health at lower costs for our patients and their families Dr. Dehen observed. This recognition by the Oregon Health Authority gives us additional support as we continue to focus on disease prevention and health maintenance and provide quality evidence-based care. It will also expand our ability to coordinate health care services for our patients with hospitals medical specialists and other care organizations. For more information visit www.ncnm-clinic.com. RIBUS Inc. (St. Louis MO) has announced the addition two new staff members to its team. Laurie Wittenbrink has been hired as the company s global marketing manager and will manage all marketing efforts globally for RIBUS. In Lisa Harter s new role in global business development she will lead RIBUS global dietary supplement group and manage its broker and distributor network in 23 countries. You re Hired www.naturalpractitionermag.com rainbowlight SEPTEMBER OCTOBER 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 17 Nutrition s Supporting Role in Addiction Recovery When implemented as part of an integrated addiction treatment program nutritional foods nutraceuticals and natural supplements can play an integral role in restoring health and well-being and in supporting a client on their journey through the addiction recovery process. By Cara Waters W alking a person through addiction recovery requires a multidisciplinary team approach. A client-centered focus meeting the individual where they re at establishing a relationship of trust and addressing the whole person s physiological emotional mental and spiritual needs are key to helping someone along their journey to recovery. Once a client has been evaluated and a treatment plan determined--dietary plans nutritious foods nutraceuticals and supplements can all serve to play a supportive role in restoring health and balance to an individual as they detox recover and reconfigure their lifestyle. Away from addictive patterns and substance abuse-- towards healing wellness and wholeness. Defining Addiction According to Elizabeth Drew MD medical director of Summit Behavioral Health in Doylestown PA The American Society of Addiction Medicine has defined addiction as a primary chronic disease of brain reward motivation memory and related circuitry. Dr. Keith Kantor CEO of Georgia-based Named Program LLC described two categories of addiction substance addiction and process addiction. The first type of addiction substance addiction explained Dr. Kantor involves direct manipulation of pleasure through the use of products that are ingested into the body including drug use disorders and food-related disorders. Drugs of misuse often are grouped into categories such as cigarette smoking alcohol use and illicit substance use.1 The second type process addiction comprises a series of potentially pathological behaviors that expose individuals to moodaltering events by which they achieve pleasure and become dependent 2 he said. Process addictions include gambling types of internet use love sex exercise work and compulsive spending. A Focus on Alcohol and Drug Abuse The incidence of alcohol and drug abuse is on the rise in the United States and yet access to treatment to date has been limited. In 2010 the Partnership for Drug Free Kids reported 23.5 million Americans are addicted to alcohol and drugs cited Dr. Kantor. That s approximately one in every 10 Americans over the age of 12-- roughly equal to the entire population of Texas. Alcohol is still the most commonly abused substance and the substance of abuse we treat the most added Constance Scharff PhD director of addiction research at Cliffside Malibu in California. We are also seeing a lot of prescription medication abuse and heroin which is often a drug of choice for people who can no longer easily get their hands on prescription painkillers. Also we get a lot of mixing of substances people who abuse alcohol and other drugs together she explained. Deni Carise PhD chief clinical officer at Recovery Centers of America noted The greatest increase in the last five to eight years has been in opiate abuse. Prescription drugs and heroin abuse. This is an increasing problem for youth 18-26 18 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2015 years old. The number of deaths and dependence on these drugs has skyrocketed she said. According to the U.S. statistics the most common addiction for which treatment was sought was alcohol alone at 23 percent observed Dr. Drew. The other addictions requiring treatment were alcohol plus another drug 18.3 percent heroin and other opiates 20 percent and cocaine and other stimulants 17.8 percent. Dr. Carise pointed to The National Survey on Drug Use and Health report that every year 23 million people over the age of 12 meet the criteria for substance abuse or substance dependence. That represents 9 percent of the population she said. Of these 2.5 million get treatment which represents a 10 percent penetration rate--which is an unheard of percentage for disease treatment. Addiction s Physical Impact Physiologically the effects of addiction substance abuse and resulting lifestyle choices can lead to a malnourished and biochemically out of balance body and a brain that is structurally and functionally altered. When it comes to substance abuse Dr. Carise noted there are three ways in which addiction can affect the body 1. The effects of the drug itself--which can lead to loss of appetite liver vulnerability malabsorption of fat soluble vitamins A D E K calcium and iron 2. Poor eating habits--resulting in dehydration inadequate intake of carbohydrates and nutrient-dense foods and 3. Risky behaviors-- such as unsafe sex which can lead to the contraction of hepatitis and HIV. In any substance abuse there will most likely be a deficiency of amino acids and if this occurs for a long period of time the body may be irreversibly damaged acknowledged Dr. Kantor. Stimulant use results in overall malnutrition and electrolyte imbalances due to the body being up for days at a time weight loss and dehydration he said. Individuals in the active disease of addiction are seldom making other healthy choices added Dr. Drew. Nutrition is likely poor and in some specific addictions such as alcohol lack of thiamine and folate can create a dangerous situation in recovery. Severe vitamin B1 thiamine deficiencies resulting from heavy alcohol use can lead to the development of Wernicke-Korsakoff Syndrome or wet brain. Actual changes in the brain due to addiction are being revealed through PET Scans and imaging studies. What we re learning said Dr. Scharff is that while biochemistry is important the lasting and important changes are to both the structure and function of the brain. Part of the addiction process is that the brain is coopted in the areas of decision-making (among others) making it difficult if not impossible for the addict to make healthy decisions or follow through on decisions to stop abusing substances. The brain becomes wired to continue the using behavior. In recovery we work to rewire the brain actually changing its structure and function so that the addict can make better decisions and engage in healthy behaviors. This is possible because of the neuroplasticity of the brain she added. Drugs of abuse affect multiple neurotransmitters in the brain including GABA glutamate dopamine serotonin norepinephrine and endogenous opioid peptides revealed Dr. Drew. There are correlations between certain drugs and neurotransmitters such as alcohol and benzodiazepine with GABA glutamate cocaine and stimulants with norepinephrine and opiates with endogenous opioid peptides. However all of these appear to ultimately work through dopamine and be associated with the pleasure and reinforcing effects of most drugs of abuse she said. The increase in dopamine through use of drugs is far greater than with other behaviors continued Dr. Drew. This increase is seen not just when obtaining the drug of choice but in anticipation of the reward. This can turn neutral stimuli into a trigger. For example if dopamine is released when you drive by the bar and your impulse control is diminished The Nelson Method for Addiction Treatment Our phobias fears and anxieties are what drive addictions. When we bury our feelings we create the need to medicate. Roy Nelson he Nelson Method for treatment was developed by Roy Nelson as a result of his own personal journey through addiction recovery. The Nelson Method comprises the actions I took to overcome my own addictions he said. It is a spiritual process that addresses and heals the error attitudes beliefs and subconscious conditioning that drive the addict s selfdestructive behaviors. The Nelson Method combines a rigorous series of actions my clients take to establish a life of self-care and healing along with a deep sense of safety and love that I provide which enables them to face the darkness that they have spent years running from so that they can finally break free and live a life of joy prosperity and usefulness. In his 28-day program Nelson gets to the heart of the matter. Addictions are symptoms of something deeper they are never the problem itself. Many treatment modalities focus on the addiction and the cravings but underlying emotions and circumstances are what drive their addictions. Addictions serve three primary functions as a Painkiller an Escape and a form of Punishment (I call this the PEP test). When we have pain we are not addressing we need to numb with an addiction (Painkiller). When we are afraid T (all addicts have an inordinate amount of fear) we want to check out with addictive habits (Escape). When we are guilt-ridden because we grew up with harsh messages from our parents or from religion and we are in turn selfish and harm others in pursuit of the next hit we Punish ourselves with destructive addictions. According to Nelson addressing these underlying emotions and conditions are key to a successful recovery. If the pain fear and guilt that perpetuate the behavior aren t addressed the addict will necessarily have to continue to use or substitute addictions if they happen to get clean from their primary addiction. If the underlying causes aren t healed they will be driven to use something to escape their reality he stated. Nelson takes referrals and has worked with people for whom other options simply have not helped them overcome their addictive behaviors. His 90 percent success rate he said is due to the fact he has shared the same experiences as his clients. So there is a level of identification and trust that enables them to make very rapid progress in their recovery he concluded. For more information visit www.roynelsonhealing.com. SEPTEMBER OCTOBER 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 19 Nutrition s Supporting Role in Addiction Recovery because of dysfunctional circuitry relapse becomes almost inevitable. Dopamine in particular plays a role in how the addiction cycle perpetuates changes in the neurological system which subsequently impacts behavior. Dr. Kantor explained Drug addiction has been diagnosed as a disorder that moves from impulsivity to compulsivity in a summarized cycle of addiction comprised of three stages preoccupation anticipation binge intoxication and withdrawal negative affect. As addiction develops the changes in the neurological system also adapt and increases in brain reward thresholds also grow as abuse of substances and behaviors increase. Dopaminergic function has been identified as a key common element of addiction lending support to what became a strong program on the role of dopamine and opiate receptors in addiction treatment and research. As the brain reward thresholds increase it will control all thoughts and behaviors reducing the ability to maintain relationships career finances and everyday tasks. Methamphetamine and cocaine use directly impacts dopamine levels specified Dr. Carise. It increases the amount of dopamine in the body. The body s system then reacts by dealing with extra dopamine by increasing the brain s receptors for dopamine and decreasing the body s own dopamine production she said. When a person comes off the drugs and the amount of dopamine in the body decreases people often develop anhedonia--a loss of pleasure in everyday life she added. The Role of Nutrition and Diet Many integrative treatment programs have recognized the importance of good nutrition and dietary guidelines in supporting someone through recovery. The approach of several experts is to get clients on a regimen of high quality enjoyable nutritional foods and establish a regular eating schedule in conjunction with an exercise program and quality sleep patterns early on in treatment. Most agree that this is best when initially done in a controlled environment if possible. At Cliffside Malibu Substance abusers usually come to treatment malnourished observed Dr. Scharff. Addicts don t think about eating when they re using. Many don t eat regularly at all or eat heavily processed fast foods. Our focus is on teaching them to eat healthfully. All of our residents are provided with high quality nutritionally balanced meals using organic ingredients whenever possible prepared by our chef. We provide good food that residents want to eat. In some of the more extreme cases we have used orthomolecular interventions during treatment but the focus is on managing lifestyle in a way that is easy to continue outside of residential treatment she said. A healthy diet is very important concurred Dr. Carise. Carbohydrates tryptophan-rich foods such as dairy and meat folic acid vitamins B6 and B12 and foods that help to increase serotonin levels. It is important to increase their ability for pleasure and to sleep well. The inability to sleep is a big complaint during recovery. Dietary supplements are good but nutrient-dense fresh food is also important. Good nutrition is an integral part of ensuring they buy-in to all of the steps to recovery. Nutrition is often the overlooked component of addiction and recovery yet one of the most powerful emphasized Dr. Kantor creator of the N.A.M.E.D. Program. Nourishing the body with optimal foods vitamins minerals and hydration will give the patient more control due to the reduction in cravings and suppression of opiate receptors. A craving for food can often be mistaken for a craving for the once abused substance he said. The main focus of his nutritional menu plans shared Dr. Kantor is to optimize the pH balance in the body reduce inflammation suppress opiate receptors to avoid any cravings incorporate high quality amino acid therapies and address nutrient deficiencies. The plan is caffeine free gluten free low sugar no refined sugar low dairy high fiber and macro nutrient balanced with healthy antiinflammatory fats high quality proteins and complex slow acting carbohydrates he said. Recommended tips for following the nutritional program are Develop a meal and snack schedule and adhere to the routine daily to reduce cravings while keeping the body in a state of balance. Aim to eat nine to 11 servings of fruits and vegetables daily. Preferably a ratio of one fruit to three vegetables. This keeps fiber intake at optimal levels and provides vitamins and minerals in their most raw form. Drink at least half of your body weight in ounces of stable alkaline water daily. This will promote optimal organ function electrolyte balance and reduce cravings. Include a high quality source of protein a heart healthy fat and fibrous carbohydrate at each meal. This is the most absorbable form of amino acids which have been shown to be critical in addiction and recovery. A high quality multivitamin and mineral supplement B complex vitamin D omega-3 fish oil and a probiotic are all recommended to take daily with meals for optimal absorption. More specific supplements and herbs can be recommended individually based on assessment and laboratory values. Reduce stop caffeine and stop smoking. Nutrition in recovery is essential agreed Dr. Drew. Proper nutrition is key in supporting the body so it can heal and repair. Specific types of nutrients are key in bringing back balance and should be based on individual needs however most individuals will benefit from a B complex containing thiamin and folic acid vitamin C and zinc supplements. Milk thistle can also be used to provide liver support and kava kava can come in handy for anxiety she said. Nutritional guidelines for recovery involve a well-balanced meal plan specific to the client s individual needs that focuses on blood sugar control through proper food combining portion control and cutting back on processed and sugary foods. We help the addict in recovery to make better lifestyle choices--and that s where proper nutrition comes in said Dr. Scharff. When we eat well our bodies become healthier and stronger and we feel better about ourselves. It s that physical health and self-worth that are important to develop in addicts...because people who feel really good about themselves are less likely to relapse than those who don t. Using Nutraceuticals for Extra Support Illinois-based Redd Remedies and Puricorp in Florida both offer nutraceuticals and natural supplements formulated 20 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2015 to help support the challenges of the addiction recovery process. The goal in developing these natural products was to provide emotional and physiological support and to aid in the suppression of cravings. According to Stacey Littlefield lead product formulator at Redd Remedies Redd Remedies discovered a need for natural alternatives to promote emotional health through Dr. Gregory Jantz founder of The Center--A Place of Hope. At the Center Dr. Jantz specializes in whole-person care for co-occurring issues including depression eating disorders and addictions. In partnership with Dr. Jantz we created INJOY an all-natural approach to emotional strength and wellness and Crave Stop for healthy eating habits she said. The key effective ingredients in INJOY At Ease and Crave Stop are adaptogens. Adaptogens are a group of unique herbal medicines that balance the HPA Axis and protect the brain and the body against the negative effects of the allostatic load. By helping the brain and body adapt ingredients such as Schisandra chinensis Panax quinquefolius and holy basil establish a greater resistance to emotional stress and promote balance between body and mind she explained. Puricorp offers an extensive line of products for addiction recovery support including Declinol for alcohol cravings Snack Apiquel for food cravings Inabrex for smoking cessations support and Puridone for support of withdrawal from pain medication. LifeMode lifestyle sprays (Relax Awake Sleep Focus Immune Happy and Snack ) are designed to be used as secondlevel support as needed. Puricorp s director of marketing Jon Kirven described their approach to product development Those of us at Puricorp have all been impacted in our lives by over-use issues. We wanted to invent and provide access to non-pharmaceutical products that all people could afford regardless of their financial or health insurance status and that could enhance existing recovery programs by accelerating the individual s ability to control their cravings during the program and helping to control cravings after the program which is what normally leads to relapse. Each product is in the dietary supplement nutraceutical category and are formulated with key natural ingredients stated Kirven. For example Declinol uses a clinically-studied combination of kudzu root isoflavones gentian and bitter herbs (along with several other support ingredients) that in combination were found to support reduced alcohol cravings and the physiological changes associated with reduced alcohol intake. The primary mechanism for the over-use products is craving suppression. The prolonged use or repetitive behaviors of just about anything causes the craving to do more of it he said. If you can target the cravings centers of the brain and reduce the cravings the individual is better able to help themselves reach their target goal and stay at it. Kirven added that Puricorp products are very compatible with recovery programs because they assist they don t replace the program. Because they help reduce cravings quickly the client has an easier time integrating the program information and can make faster progress and can be more present . them towards healthier lifestyle choices are all essential components of an integrated and complementary treatment plan. A plan in which nutrition and nutraceuticals can play an important supportive and transformational role throughout the recovery process. References 1 Sussman S Ames SL. Drug abuse Concepts prevention and cessation. New York NY Cambridge University Press 2008. 2 Robinson TE Berridge KC. The psychology and neurobiology of addiction An incentive-sensitization view. Addiction. 2000 95 91-117. 3 Koob GF. Allostatic view of motivation Implications for psychopathology. In Bevins RA Bardo MT editors. Motivational factors in the etiology of drug abuse (series title Nebraska symposium on motivation. Vol. 50. Lincoln NE University of Nebraska Press 2004. pp.1-18. 4 Volkow ND Fowler JS. Addiction a disease of compulsion and drive Involvement of the orbitofrontal cortex. Cerebral Cortex. 2000 10 318-325. [PubMed] 5 Volkow ND Li TK. Drug addiction The neurobiology of behavior gone awry. Nature Reviews Neuroscience. 2004 5 963-970. [PubMed]. In treating addiction one must treat the whole person--mind body emotions and spirit. It takes an integrative support team to address all aspects of addiction. Nutrient rich foods and healthy eating habits promote recovery. Nutraceuticals can provide support for craving suppresion regulating sleep and emotional states and mind-body balance. Regular exercise quality sleep emotional support and addressing the underlying pain that led to the addiction are critical components of treatment. Healthy Take Aways FOR MORE INFORMATION Deni Carise PhD (610) 239-6100 www.recoverycentersofamerica.com Elizabeth Drew MD (215) 589-7111 www.summithelps.com Dr. Keith D. Kantor (770) 814-6900 www.namedprogram.com Puricorp (321) 297-9099 www.puricorp.com Redd Remedies (888) 453-5058 www.redremedies.com Constance Scharff PhD (800) 501-1988 www.cliffsidemalibu.com Treating the Whole Person is Essential Recognizing that addiction treatment requires a multi-disciplinary approach and working in conjunction with other health care professionals as a team to treat the whole person is critical. Addressing the immediate medical needs determining the underlying pain or conditions that led to the addiction nourishing and bringing the body back into balance alleviating the cravings helping to rewire the brain providing emotional support and guiding SEPTEMBER OCTOBER 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 21 Ensuring a healthy pregnancy starts with proper preconception care for both women and men--supporting fertility in both sexes with the right diet and appropriate supplementation. By Courtney Anaya CPT T he foundation for any successful pregnancy starts by supporting a woman s reproductive system nourishing it with adequate nutrition and seeking proper medical care--even before conception. Encouraging preconception care for women of reproductive age can improve pregnancy-related outcomes. There have been numerous advances in medicine and prenatal care yet birth outcomes in the United States are worse than many developing countries--such as having a low birth weight. According to the Centers for Disease Control and Prevention (CDC) in the United States there are 12.4 births per 1 000 population and 18 percent of the babies born in the U.S. have a low birth weight. With that said paying a yearly visit to see the OB GYN can help to better establish preconception health. In a 2011 review by the Kaiser Family Foundation it was reported that two-thirds of women paid at least one visit to their OB GYN--a fairly popular visit for women in their reproductive years. Yes frequenting the doctor during the year is a factor in boosting reproductive health but so is practicing health-promoting activities that involve a person s attitudes and behaviors. The creation of a reproductive life plan for women is also another driving force in supporting reproductive health prior to pregnancy. A reproductive health plan works to identify a woman s goal about becoming pregnant. Questions that encompass a plan are Do you use any contraceptive methods to avoid pregnancy or When would you like to become pregnant Close to half of all pregnancies in the United States are unplanned and many women now are waiting to have children until their 30s or 40s. And of that age group 12 percent of married women have trouble getting pregnant or maintaining a pregnancy. Due to this more women are becoming proactive with their fertility by using at-home diagnostic tools basal temperature charting and fertility supplementation. Suzanne Munson vice president of product development at Fairhaven Health in Washington said The CDC also reports that 6.7 million women in the United States aged 15-44 have an impaired ability to get pregnant or carry a baby to full term. In a nutshell age impacts fertility levels not just in women but men also. Age doesn t just pose as a factor in getting pregnant but so does the prevalence of certain toxins we encounter during our daily lives. These toxins are known as endocrine distributors which are chemicals that interrupt normal hormonal function. Egg health in women declines with age and can be negatively influenced by these toxins. As for men Munson stated Sperm health is impacted by age and exposure to toxins manifesting in low sperm count low sperm motility abnormal shape and size of sperm and DNA fragmentation--all of which impacts the ability of the sperm to fertilize 22 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2015 the egg and create a healthy embryo. Fertility Boosting Supplements When fertility troubles arise couples are on autopilot to travel down the road of invasive tests and hormone-altering medications. It s not only emotionally taxing but financially as well. That s why Fairhaven Health has developed a line of supplements that target couples who are seeking fertility treatment. The company has been supplying retailers and clinical facilities with products since 2005. It got its start in 2003 after partnering with leading fertility expert and OB GYN Amos Grunebaum. FairHaven Health offers 12 fertility-boosting products for both men and women. FertilAid for Women is an all-natural non-prescription patented formula that is made with a blend of herbal ingredients and essential vitamins to promote female hormonal balance and overall reproductive health. And FertilAid for Men is formulated with ingredients--antioxidants vitamins and l-carnitine--that support male fertility and enhance overall reproductive health. According to the company it s ideal for men who have a low sperm count or for those who are looking to improve their sexual health. Healthy sperm doesn t just depend on the quantity of sperm but also the quality--meaning sperm s motility and speed. Having healthy sperm motility allows sperm to live and move through the uterus to the fallopian tube--ultimately penetrating the superficial layer of the ovum and fertilizing the egg. As mentioned before toxins can negatively impact both men and women s reproductive health. FertileDetox also by Fairhaven Health works to detoxify the body by removing any toxic compounds that hinder reproductive health. These toxins can be found in the food we eat to cleaning supplies that we use on a daily basis--making our liver and intestines work harder to expel these compounds. FertileDetox is designed to be taken with FertileAid for Men Women. To name a few FertileDetox is made with milk thistle calcium d-glucarate and a group of amino acids (n-acetyl-cysteine l-glycine and l-glutamine). Milk thistle has the capability of reproducing liver cells and aiding the liver in removing toxins while calcium d-glucarate helps the liver remove fat-soluble toxins by reducing the activity of beta-glucoronidase. Beta-glucoronidase is an enzyme that supports the reabsorption of toxic chemicals. Last but not least the amino acids play a vital role in the synthesis of glutathione this antioxidant binds to fat-soluble toxins so that they are excreted more readily. And for those who would rather not swallow a pill Fairheaven Health has FertilTea and ViriliTea which are herbal teas designed to promote reproductive health and sex drive in men and women. Body Fat s Influence It has been seen that low and high percentages of body fat are linked to a reduction in fertility in both men and women. The reason body fat alters hormone levels because it s responsible for producing estrogen androgens and leptin--all hormones that effect the reproductive process. When estrogen androgens and leptin levels change in women amenorrhea and a short luteal phase can occur. It s thought that 30 percent of fertility cases are negatively impacted because of a drastic drop in weight. As for men a plummet in weight can significantly impact testosterone levels--the hormone that s responsible for sex drive and sperm production. According to the Harvard School of Public Health 33 percent of women who can become pregnant are considered obese and 62 percent are overweight. A body mass index (BMI) of 30 or higher indicates obese and a BMI over 26 signifies someone being overweight. Women who fall into either category or have a significant amount of body fat can also have elevated levels of estrogen. The extra abundance of estrogen can interfere with the ovulation cycle. Excess body fat can also negatively influence the luteal phase this phase is when fertilization and implementation occurs lasting for 14 days. When extra body fat is present progesterone levels can be lowered--hindering the development of the uterine lining and thus resulting in inadequate ovulation. And in men extra body fat will depress testosterone production and there will actually be more estrogen present. It s also more difficult for a woman who has a high body fat percentage to conceive through in vitro fertilization. And those who are overweight or obese at the time of conception have an increased risk of having a child with a structural defect such as spina bifida and neural tube defects (NTDs). With all that being said diet and weight should be a part of the reproductive health plan for both men and women. Entering preconception at a healthy weight can prevent any of the problems mentioned above and it also increases fertility in both sexes. watchful eye with what s being piled on to their plate. For starters when it comes to foods it s quality versus quantity. That means going for the complex carb instead of the white potato. Then from there it s determining how much can be put on to a person s plate such as cutting back on the portions to lose weight in hopes of boosting fertility. Once that foundation is set it s time to iron out any unnecessary food tendencies such as going for the junk food stash. Cutting back on sugary or greasy food items can help the baby cause--ultimately regulating ovulation. The reason junk foods can cause a spike in blood sugar levels which leads to an increased insulin level--interrupting the equilibrium of reproductive hormones that s needed for reproduction. Incorporating foods that are rich in calcium protein healthy fats and iron will benefit the baby-making production. For calcium foods women should not only look for dairy products but calcium-fortified juices nuts green leafy vegetables and soy products. As for protein it s recommended to choose lean cuts like chicken turkey and fish (avoiding ones that are high in mercury) because Healthy Pregnancy with Wu Ming Ojgong ealthy Pregnancy with Wu Ming Qigong is a new DVD series that features natural remedies for mothers-tobe--addressing any of their concerns. Dr. Nan Lu is the founding director of Traditional Chinese Medicine World Foundation. All mothers want to deliver a healthy intelligent baby. The best way is to make the mother s body a healthy environment for the unborn child Dr. Lu stated. Wu Ming Qigong is a powerful energy practice that helps balance body mind and spirit and connects mother and child in a special way. These videos offer easy-to-follow Wu Ming Qigong movements to promote energy flow within the body. The first DVD of Healthy Pregnancy demonstrates easy Qigong movements that are taught by Dr. Lu to alleviate anxiety and pregnancy related symptoms. As for the second DVD covers movements for leg cramps back pain water retention and headache. And lastly the third DVD discusses how a serious energetic element can hinder a healthy pregnancy. For more information visit www.tcmworld.org. H Quality vs. Quantity As for the diet portion women who are hoping to eat for pink or blue need to keep a SEPTEMBER OCTOBER 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 23 they re fertility-friendly. Iron is typically the topic of conversation at the doctor s office because iron-deficiency anemia can interrupt a woman s menstrual cycle--making it harder to conceive. Lean meats and leafy greens are prime iron-rich food sources. And to keep insulin levels from spiking complex carbohydrates will ensure that reproductive hormones are in check. Bonus complex carbohydrates are high in the pro-pregnancy nutrient folic acid. And healthy fats will feed the body with the right amount of omega-3 fatty acids. The Right Prenatal Plan Yes a sound diet should be the first route for providing proper nutrition to all women of childbearing age but a smart supplementation plan can play an important role. Marci Clow who has a master of science and is a registered dietitian-nutritionist for California-based Rainbow Light said Folic acid iron and calcium are three key nutrients which can help support a pregnancy. The company has been manufacturing supplements for both the retail and practitioner markets for more than 30 years. Folic acid is a major pro-pregnancy nutrient because it prevents birth defects of the brain and spinal cord--neural tube defects. Clow stated The neural tube is the embryonic structure that develops into the brain and spinal cord. It starts out as a tiny ribbon of tissue and by the 28th day a spinal cord is beginning to form When this process goes awry and the neural tube does not close properly NTDs can result. Folic acid is intricately involved in this process and has also been seen to help prevent other birth defects including cleft lip and palate. Folic acids also aid in the development of new blood cells in the mother. When a woman eventually becomes pregnant iron plays a critical role during the second and third trimester because it s needed to produce hemoglobin in both maternal and fetal red blood cells. Clow said The blood volume of the pregnant woman increases by about 50 percent from conception to 8 months of pregnancy. Calcium doesn t just help build strong bones it also works to decrease pre-term delivery and reduce leg cramps. Hormonal changes within a pregnant woman can also impede calcium metabolism. And interestingly enough The body will attempt to compensate for chronically low intake levels of calcium by making the existing calcium in the mother s bones more bioavailable to the fetus stated Clow. Prenatal One by Rainbow Light is a multivitamin that covers all of those three nutrients--800 micrograms of folic and acid 30 milligrams of iron. It was designed to surpass purity potency and bioavailability of over-the-counter and prescription prenatal products. It s a food and herbal-based product that includes red raspberry fresh ginger juice and organic spirulina. And for women who are over the age of 35 Rainbow light has developed Embrace Prenatal 35 . This supplement has a complete multivitamin profile while addressing key concerns for women of this age group. It contains bioflavonoid blend that supports the microcirculatory system for healthy blood pressure and circulation while specific nutrients maintain healthy blood sugar levels. The right multivitamin supplement should also be stacked with an omega-3 supplement--Prenatal DHA Smart Essentials from Rainbow Light. Prenatal DHA Smart Essentials is composed of pure omega-3 fatty acids and other nutrients that support brain function and cognitive development. Clow said The pharmaceutical grade fish oils are sustainably derived from sustainable anchovy sardine and have U.S. Pharmacopeia (USP) verification which is the most rigorous quality assurance verification available. hormone metabolism and it s made to be taken with oral contraceptives. A heavy menstrual flow can also be a burden by limiting physical activity and make a woman feel more self-conscious. Slow Flow by Vitanica is formulated with astringent herbs ginger and uterine tonics to support a normal period flow. Women s Phase 1 was developed using clinical evidence and research in herbal medicine and nutrition to support a woman s cycle from mid-cycle to the start of menses. References Birth and Natality. FastStats. N.p. 2013. Web. 09 Sept. 2015. www.cdc.gov nchs fastats births.htm. Johnson Kay Samuel Posner and Janis Biermann. A Report of the CDC ATSDR Preconception Care Work Group and the Select Panel on Preconception Care. Centers for Disease Control and Prevention. Centers for Disease Control and Prevention 6 Apr. 2006. Web. 10 Sept. 2015. www.cdc.gov mmwr preview mmwrhtml rr5506a1.htm. Preconception Care to Improve Women s Health and Maternal and Perinatal Outcomes. PsycEXTRA Dataset (n.d.) n. pag. Preconception Health and Health Care. Web. 09 Sept. 2015. www.cdc.gov preconception documents rlphealthproviders.pdf. Ranji Usha and Alina Salganicoff. Women s Health Findings from the California Women s Health Survey 1997-2003. PsycEXTRA Dataset (2006) n. pag. Kaiser Family Foundation. May 2011. Web. 09 Sept. 2015. https kaiserfamilyfoundation.files.wordpress.com 2013 01 8164.pdf. Ward Elizabeth M. RD. Prime the Body for Pregnancy - Preconception Care and Nutrition for Moms-to-Be. Prime the Body for Pregnancy Preconception Care and Nutrition for Moms-to-Be. N.p. Dec. 2008. Web. 09 Sept. 2015. www.todaysdietitian.com newarchives 120108p26.shtml. Two-thirds of women visit their OB GYN at least once a year. Sperm health is impacted by age and exposure to toxins. Thirty percent of fertility cases are impacted by an extreme decrease in weight. 6.7 million people in the United States aged 15-44 have trouble getting pregnant. Extremely high or low levels of testosterone can negatively impact male fertility. Many women are waiting to get pregnant until their 30s or 40s. Healthy Take Aways Overall Monthly Cycle Care Irritability food cravings fatigue and back pain are all signs that a friend is about to pay a monthly visit. Menstrual periods are uncomfortable and unwanted by most women. Yet a regular monthly visit indicates that a women s body is healthy and it s a clear indicator of no pregnancy. But those who are not looking to have a baby any time soon are simply looking to alleviate the discomforting period symptoms. Oregon-based Vitanica offers Menstrual Cycle Support. Vitanica is a dietary supplement company that has been existence for 21 years and offers natural products. The company came to the forefront after Dr. Tori Hudson established her clinical practice. Vitanica offers more than 70 products with 12 support categories. Within that category is Cramp Bark Extra which is composed of a safe and supportive formula that reduces unwanted muscle cramps. OC Companion promotes enhanced FOR MORE INFORMATION Fairhaven Health (800) 367-2837 www.fairhavenhealth.com Rainbow Light (866) 972-6989 www.rainbowlight.com Vitanica (800) 572-4712 www.vitanica.com 24 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2015 SPECIAL REPORT So Personal By Lisa Schofield Participants include Michael A. Smith MD Senior Health Scientist Life Extension Fort Lauderdale FL www.lifeextension.com While the model of personalized medicine is growing among natural practitioners there is no consensus of what the practice entails just yet. Carolyn F. A. Dean MD ND Maui HI Author of Death by Modern Medicine www.rnareset.com www.drcarolyndean.com Carolyn F. A. Dean Michael A. Smith T he U.S. Food and Drug Administration (FDA) describes personalized medicine as providing the right patient with the right drug at the right dose at the right time. More broadly personalized medicine (also known as precision medicine) may be thought of as the tailoring of medical treatment to the individual characteristics needs and preferences of a patient during all stages of care including prevention diagnosis treatment and follow-up. But there seems that there isn t precise consensus of what exactly practicing personalized medicine entails or even if at base it is a viable model of health care. Opinions differ. This is just a sample. SEPTEMBER OCTOBER 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 25 To be personal with patients So Personal NP How would you assess the current state of the theory and practice of personalized medicine Dr. Smith I see personalized medicine as evolving. When asked about personalized medicine practitioners usually give one of two responses I already practice it. I take personal medical and lifestyle histories to help diagnosis and identify the best form of treatment or How do I personalize prescription drugs The concept is well received by practitioners but the application of personalized medicine is not well understood. Dr. Dean The term personalized medicine just makes me laugh. But it s an Oh My laugh not a belly laugh. It s completely laughable that medicine has to legislate how to be a proper doctor. I learned how to be a proper doctor in medical school in the mid-70s and added naturopathy to my training. A true naturopath and a true doctor instinctively and intuitively follows The Seven Principles of Naturopathic Medicine which are a recognition and belief in the following The Healing Power of Nature Identify and Treat the Cause First Do No Harm Doctor As Teacher Treat the Whole Person Prevention and The Hierarchy of Therapeutics. Even worse personalize medicine is not even about how to make medicine more humane it s a deceptive cover name for pharmacogenomics. The FDA s position gives lip service to personalized medicine but in the typical fashion of government bureaucracy and medicine it doesn t mention that the agency is collaborating with patients. They are always left out of the equation while the powers that be pat themselves on the back that they are doing the right thing. If only personalized medicine were about taking into account the patient. But it s just about genetics. Evidence of the erosion of medicine is the failure of primary care doctors to care or give primary care or even be available to their patients. Primary care doctors have four-to-seven- the practitioner needs to talk to them find out who they are what they eat what their health goals are what their stressors are. You will never find all that out in four to seven minutes. --Carolyn F. A. Dean MD ND minute appointments hardly ever examine their patients mostly make referrals and write prescriptions. The patient is shunted off to a specialist who attends to his her specialty using drugs and surgery and no one is in charge of the whole person and nothing in the way of alternative choices for medical treatments is ever discussed. NP What challenges exist in typical modern patient-care to provide more personalized medicine protocols for individuals Dr. Smith For one relying on protocols less. A structured approach to a given disease or symptom based on evidence is helpful but should not be the primary method of practicing medicine. Time is another challenge. To personalize medicine clinicians need more time with each patient--more time for in-depth medical inventories more time for historical molecular and genetic analysis more time for ranking and scoring symptoms and more time reviewing genetic and laboratory tests. Dr. Dean To be personal with patients the practitioner needs to talk to them find out who they are what they eat what their health goals are what their stressors are. You will never find all that out in four to seven minutes. So in my experience true personalized medicine will never happen. The only challenges are to the agencies that want to test everyone s genes. I suppose their challenge is to make sure insurance that we are all forced to pay will cover the costs. NP How can personalized medicine be practiced for potential prevention Any chance of this becoming the norm for true health care rather than sick care Dr. Smith Using single nucleotide polymorphisms (SNP)--genetic variations of a gene--testing is the hope of preventative medicine. By studying the genomes of patients with known diseases we can identify SNP that are common to the disease. Healthy people can then test their own genomes looking for those same SNPs. If 26 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2015 they are identified it s an increased genetic risk of disease. With this kind of information patients and doctors can initiate preventative lifestyle strategies. NP What key research about genetics technology or related personalized medicine do you find appealing compelling and or potentially even groundbreaking Dr. Dean It s a myth that we can affect our genes. Instead it is the epigenetic factors of environment vitamins and minerals that turn genes on and off. Gene testing is inappropriate ineffectual and scares patients. It s an attempt to recoup some of the billions spent on the Genome Project. And I guess medicine knows that so it s turning genetic testing into individualized drug testing to see what drugs will work on which individual. But even that won t work because they will continue to ignore vitamin and mineral cofactors that rule By studying the genomes of patients with known diseases we can identify SNP that are common to the disease. Healthy people can then test their own genomes looking for those same SNPs. If they are identified it s an increased genetic risk of disease. With this kind of information patients and doctors can initiate preventative lifestyle strategies. --Michael A. Smith MD every metabolic process in the body. My major expertise is in magnesium-- magnesium is required for 700-800 enzymatic processes in the body. Magnesium turns genes on and off. Many drug side effects are related to magnesium deficiency because drugs deplete magnesium. All that needs to be done to personalize medicine is to do accurate ionized magnesium testing on all patients replace magnesium losses with highly absorbed magnesium and watch their health improve. Instead medicine has bought into the pharmaceutical industry s monopoly on health and disease and is entirely focused on drugs vaccines and surgery. 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 Nov. Dec. 10 19 15 ad closing 11 3 15 ad closing A4M Show Issue Annual Sourcebook Contact One of Our Ad Specialists Today Russ Fields at 732-432-9600 ext. 102 e-Mail RussF VRMmedia.com Gary Pfaff at 732-432-9600 ext. 103 e-Mail GaryP VRMmedia.com SEPTEMBER OCTOBER 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 27 PRODUCT FOCUS Got Pain A wide variety of people suffer from pain and inflammation. According to the CDC (Centers for Disease Control and Prevention) An estimated 52.5 million adults in the United States reported being told by a doctor that they have some form of arthritis rheumatoid arthritis gout lupus or fibromyalgia. Inflammation is when a part of the body becomes reddened swollen hot and normally painful. This happens as a result of injury or infection or because of certain immune diseases like rheumatoid arthritis (RA) gout sprains strains bursitis etc. The joints are one of the most common sufferers of inflammation. Joints are the connections between bones they aid in movement and provide support. When these joints are damaged whether from disease or injury they can cause a lot of pain and inhibit movement. According to Arthritis.org the most commonly affected joints of OA (osteoarthritis) include the lower back hips and knees. In 2009 almost 30 percent of adults had back pain in the three months prior to the survey the American Physical Therapy Association reported. By Corinne Anderson Functional limitations in common daily activities are common among adults with arthritis 40 percent report it is very difficult or they cannot do at least one of nine important daily functional activities the CDC stated. Inflammation isn t always a bad thing it is the way the body heals and protects itself. However it s not always the most comfortable sensation and in some cases as mentioned by the CDC can limit the ability to perform daily tasks. The CDC said that almost eight million adults who report an activity limitation due to their arthritis also report severe limitation in their ability to stoop bend or kneel while six million cannot walk a quarter mile. As people age joint pain becomes more common and can range from mild to debilitating. Cartilage starts to deteriorate protective membranes and fluids in the joints begin to dry up and these changes in the body allow the bones in joints to rub against each other change shape increase the frequency of stiffness and become swollen. Back pain is one of the more common complaints. According to the U.S. National Library of Medicine eight out of 10 people complain of back pain at some point during their life. Age is not the only cause of joint pain and inflammation let s not forget the pain associated with overuse and injury. While overuse-injuries are avoidable some patients may not use the proper form or gear during a workout. Additionally they may focus heavily on one area of the body or even forget to pace themselves and not overwork or over intensify their programs. Motion flexibility and balance can be affected according to the Mayo Clinic. Lucky for patients relief can be found in multiple forms including topical creams that can directly be applied to the area of pain oral products and even body systems that allow patients to ease some of their pain at home. Below is a sampling of products that aid in the reduction of painful inflammation for natural practitioners to offer their patients. CoCurcumin Ayush Herbs CoCurcumin is a mild tasting powder that utilizes proven methods to enhance the absorption of curcuminoids allowing for high dosing without handfuls of pills according to the company. CoCurcumin (suggested price 44.00 5-oz.) is a combination of purified curcuminoids with medium chain triglycerides (MCT s) and an ayurvedic digestive combination called trikatu (long pepper black pepper and ginger). The fats and pepper extract dramatically increase the bioavailability of the product. Additional CoQ10 is added for inflammatory and cardiovascular support. For more information call (800) 925-1371 or visit www.ayush.com. MDMatrix Therapeutic Cream MDMatrix cream (suggested price 46.00 3oz.) is a clinically tested pharmaceutical grade patent-pending joint relief cream. Formulated to help reduce pain and inflammation in muscles joints and skin while remaining free of steroids opioids NSAIDs (nonsteroidal anti-inflammatory drugs) or parabens. MDMatrix Therapeutic Cream contains broccoli curcumin resveratrol green tea therapeutic oils and other natural ingredients that provide relief from pain and inflammation. For more information call (812) 421-0831 or visit www.mdmatrixhealth.us. Arnicare Gel Boiron s natural active ingredient Arnica montana in they company s Arnicare Gel is a new choice for pain relief. As a homeopathic medicine Arnicare works naturally to relieve muscle pain stiffness and swelling from injuries faster the company said. It is unscented paraben free non-greasy and quickly absorbed by the skin for use anywhere on the body. It also provides an extra benefit of addressing bruises. The suggested price for a 2.6-oz. bottle of Arnicare Gel is 10.99. For more information call (888) 264-7668 or visit www.arnicare.com. 28 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2015 Tru-Align Body System The Tru-Align Body System (suggested price 395.00) by Kacelia is an at home system that helps to alleviate back and neck pain by using for just 20 minutes a day. It is clinically proven to alleviate the pain that was created by a chiropractor. Along with relieving pain the Tru-Align system also improves posture flexibility and spinal alignment from the groin all the way up to the neck and jaw. Each product is made of quality medical-grade material and is assembled in the U.S. For more information call (847) 715-6747. Hevert Pain Relief Hevert Pain Relief (suggested price 19.90 100 tablets) provides temporary relief of muscle pain and stiffness as well as reducing bruising and minor swelling due to injuries and overexertion. It is a non-drowsy quickdissolving formula that can be taken along with conventional medication. There is no aspirin of other salicylates. Adults and children over 12 should take two tablets three times a day for chronic issues or two tablets six times a day for an acute issue the company stated. For more information call (855) 387-6466 or visit www.hevertusa.com. Curaphen Euromedica s professional pain formula Curaphen (suggested price 66.95 120-ct. 38.95 60-ct.) is developed using clinically studied BCM-95 Curcumin a blend of turmeric oils that is recognized for its pain-relieving abilities and BosPure Boswellia a healing plant that was clinically studied and uniquely standardized for higher levels of AKBA (acetyl-11-keto-B-boswellic acid) the botanical s key compound for pain relief. Curaphen also has DLPA a combination of amino acids that address mood so that you feel great physically and mentally as well as nattokinase which helps support healthy circulation so the ingredients can get where they are needed much sooner according to the company. Curaphen is certified vegan and also comes in extra strength (suggested price 46.95 60-ct. 83.95 120-ct.). For more information call (866) 842-7256 or visit www.euromedicausa.com. Super Curcumin C3 Complex with BioPerine America s Finest Inc. s (AFI) Super Curcumin (suggested price 34.99 60-ct.) is a standardized extract from turmeric root containing Curcumin C3 Complex a blend of the naturallyoccurring curcuminoids Curcumin Demethoxycurcumin and Bisdemethoxycurcumin. Curcumin C3 Complex is scientifically proven to be a powerful dual protection antioxidant quenching alreadyformed free radicals and preventing the formation of new free radicals the company said. According to AFI Curcumin C3 Complex inhibits the major inflammatory pathways involving COX-2 Lipoxgenases and Thromboxanes. For more information call (800) 350-3305 or visit www.afisupplements.com. Pain T4 Redd Remedies Pain T4 works to restore the balance between the body and the mind and supports the joints and muscles by recognizing the unique individuality of the sensations of pain. It dismisses the single-action approach of many common pain relievers the company stated. The product modulates the body s stress response quiets the mind s response to pain signals without dulling the senses and promotes healthy inflammation management according to Redd Remedies. Pain T4 is available in three sizes 12 capsules (suggested price 8.99) 60 capsules (suggested price 34.99) and 120 capsules (suggested price 65.99). For more information call (888) 453-5058 or visit www.reddremedies.com. SEPTEMBER OCTOBER 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 29 PRACTITIONER CHAT WITH SHARI BARBANEL A Ajay Goel PhD Gastrointestinal Cancer Research Baylor Research Institute Baylor University Medical Center Dallas TX Website www.baylorhealth.edu jay Goel PhD is director of epigenetics cancer prevention and cancer genomics and director of gastrointestinal cancer research at Baylor Research Institute Baylor University Medical Center in Dallas TX. He is one of the top scientists in the world investigating botanical interventions. Goel has spent 20 years researching cancer and has been the lead author or contributor to more than 150 scientific articles published in peer reviewed international journals and several book chapters. He is currently researching the prevention of gastrointestinal cancers using integrative and alternative approaches including botanical products. Two of the primary botanicals he is investigating are curcumin (from turmeric) and boswellia. Goel is particularly interested in the medical applications of curcumin. He has several scientific studies underway in the laboratory and reports he is extremely encouraged by the new promising discoveries being made. A member of the American Association for Cancer Research and the American Gastroenterology Association Goel is also on the international editorial boards of Gastroenterology Clinician Cancer Research PLoS One Digestive Diseases and Sciences World Journal of Gastroenterology and World Journal of Gastrointestinal Oncology. He performs peer-reviewing activities for more than 75 scientific journals and serves on various grant-funding committees of the National Institutes of Health Veterans Affairs Medical Centers and other international funding agencies. tumor growth cancer stem cells and tumor metastasis. In the first study a combination of curcumin and boswellia proved to be a much more potent anti-cancer treatment while in the second study we showed that curcumin when combined with 5-fluorouracil based chemotherapy has the ability to sensitize chemoresistant cells by targeting cancer stem cells. We used colon cancer cells and animal models in this research but we believe that the mechanics of tumor suppression would be much the same regardless of the type of cancer. Although no two cancers are alike the fact that curcumin affects various pathways simultaneously gives it a greater likelihood of blocking the alternate routes used by tumors to grow so aggressively. We now know that cancer results from genetic expression environmental exposure diet and or a combination of each. With regards to its treatment the conventional mono-targeted therapies have generally let us down because cancer is generally not caused by a single issue or pathway. As a result when we treat cancer conventionally by focusing on only one contributing factor you may cut off one route for the growth of cancer but it simply finds another. The next monotherapy sets up a repeat pattern where the treatment always appears to be a step behind the tumor formation. Q A We hear about cancer a lot but do we know what causes it Much of my curcumin research focuses on the genetic tendencies we have toward certain health concerns and how diet and lifestyle can influence 95 percent of all cancers. However how our bodies react to those external influences--a relationship called epigenetic activity --is Q A What is your current research regarding curcumin and cancer what my work on curcumin is zeroing in on. Epigenetics examines the relationship between our genes and dietary and environmental influences and looks at which factors dial up certain genes and which factors dial them down--including curcumin. In a study published in the journal PLoS One my colleagues and I examined how oncogenes could be influenced--and dialed down--by curcumin. When cancer cells flourish it is partly due to a process called methylation. While methylation is involved in healthy vital functions in the body aberrant methylation suppresses natural anti-cancer activity in the body via tumor suppressor genes. These genes go to sleep which allows cancer to develop and thrive. Essentially it silences certain genes that are designed to suppress tumors and circumvents our body s own defense mechanisms. But curcumin changes that. It is able to reawaken the sleeping genes that power the body s own tumor suppression activity that keeps cancerous tumors from growing and spreading. We have also recently published two additional studies in the journals Cancer Prevention Research and Carcinogenesis showing that curcumin can influence the expression of specific microRNAs (or miRNAs) which in turn control the expression of many genes that control Historically there are large amounts of turmeric in the diets in India and the differences between types of diseases between India and the United States and other countries with a Western diet are very compelling. Because curcumin is the primary medicinal compound in turmeric it has long been credited with being one of the most powerful cell protecting botanicals Q A How does curcumin work against cancer Why consider it for cancer research 30 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2015 in the world and an explanation for the value of a turmeric-rich diet. Tumors often start as a reaction to inflammation and oxidative stress. Both of these conditions are really the cause of all disease states whether or not the triggering mechanism was based through environment or diet or by an unfortunate confluence of heredity and gene mutations. Curcumin works through many pathways--including as a powerful anti-inflammatory and antioxidant--which is exactly why it is so effective against cancer. Is curcumin the same as the spice turmeric which many people add to their food It is not the same and this is a big point of confusion for many people who hear about the benefits of curcumin (or turmeric) and then think of the two terms interchangeably. Curcumin is a compound--the active principle--from turmeric but it is not the same thing as turmeric especially when you re talking about therapeutic value. But the confusion persists and you see it reflected on many turmeric and curcumin supplements as well--bottles of plain turmeric will be labeled as having curcumin when in reality there s very little of the compound present in the product. In fact there is only about 2 to 5 percent curcumin content in powdered turmeric--that s just not enough for medical issues. What type of curcumin do you use in your research Is it available in health food stores or is it only reserved for researchers I use BCM-95 Curcumin in my research. It is an enhanced absorption curcumin that it is blended with turmeric essential oil containing valuable medical compounds called tumerones that boost curcumin s absorption and activity. In fact BCM-95 Curcumin absorbs up to 10 times better than plain curcumin. It now has 24 published studies which is another reason I continue to use it in my studies. This is what attracted me to it for research--it seemed like a much more likely form of curcumin for practical applications because you don t need to use as much of BCM-95 to achieve beneficial results. Standard curcumin is available in health food stores in a variety of supplement for- mulas and as a stand-alone ingredient by multiple vendors but the BCM-95 Curcumin products are found in the Terry Naturally brand by EuroMedica. cer stem cells which are not always fully eliminated by chemotherapy. Q A Very few when you re talking about normal dosages of BCM-95 Curcumin. With large dosages of standard curcumin there have been digestive complaints but that was typically seen at levels of 10 to 12 grams daily. Q A Any adverse effects associated with curcumin Q What about people who are currently being treated for cancer Should they take curcumin if they are receiving chemotherapy or radiation therapy A Curcumin works through many pathways-- including as a powerful anti-inflammatory and antioxidant-- which is exactly why it is so effective against cancer. What kind of evidence is there for curcumin and cancer--cell studies animal studies or human studies The support for curcumin as a therapeutic treatment for cancer is substantial. There are cellular studies animal studies and human clinical trials that expand the idea of how we can use curcumin alongside conventional chemotherapies and or radiation therapies. More research needs to be done but I am hopeful that in five to 10 years we will see curcumin more commonly used to help in the fight against cancer. For example curcumin sensitizes human colon cancer cells that would otherwise resist chemotherapy treatment. This is critical considering tumor recurrence rates can be as high as 50 to 60 percent. In the research I mentioned earlier we showed that curcumin actually enhanced the treatment and specifically targeted can- Q A Q A First they must discuss this option with their doctor. However in many instances it might be very useful. For example breast cancer research has shown that curcumin alters the potential for tumors in a very direct way by inhibiting the activity of matrix metalloproteinase-9 (MMP-9) and MMP-2. These enzymes are normally involved with building tissue which in most cases is a good thing but obviously that s not the case when you re talking about tumors. One of the biggest challenges in conventional cancer treatment is that tumor cells become resistant to chemotherapy over time. And you can only increase chemotherapy dosages so far before the patient is in serious danger of dying from the treatment rather than the cancer itself. However we ve learned that when cancer stem cells are treated with a low dose of BCM-95 Curcumin they become re-sensitized to the toxic effects of chemotherapy. For example in a clinical study curcumin has been shown to alleviate side effects of one of the most common treatments for prostate cancer external beam radiotherapy (EBRT)--the use of radiation to destroy tumors and cancer cells. This form of prostate cancer therapy can be extremely difficult for the patient. It s often accompanied by many symptoms including sexual dysfunction digestive problems and urinary tract issues. The higher the dosage of radiation the more effective it is but the risk of adverse effects grows as well. Because of this doctors must often use less radiation to limit side effects. Unfortunately that makes the treatment less effective. In this study researchers tested the ability of curcumin to prevent the side effects of ERBT treatment in men with prostate cancer. Patients took 3 grams of BCM-95 curcumin (two 500 mg capsules three times daily) or a placebo beginning one week before radiotherapy until the completion of the treatment. Each BCM-95 Curcumin capsule contained a full spectrum of curcuminoids curcumin (the (Continued on page 37) NATURAL PRACTITIONER SEPTEMBER OCTOBER 2015 WWW.NATURALPRACTITIONERMAG.COM 31 NATURAL HEALTH STUDIES Omega-3s May Help Improve Treatment Quality of Life in Cancer Patients A dding omega-3 fatty acids to antitumor medications may improve treatment response and quality of life for cancer patients according to a new study by researchers at the University Hospitals of Leicester in the United Kingdom. The study published in the OnlineFirst version of the Journal of Parenteral and Enteral Nutrition (JPEN) the research journal of the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) examined 50 patients with advanced pancreatic cancer. Patients were given 1 000 mg of gemcitabine weekly followed by up to 100 g of omega-3 rich lipid emulsion for three weeks followed by a rest week. This was continued for up to six cycles until progression unacceptable toxicity patient request or death occurred. The study found evidence of activity in response and disease stabilization rates reduction in liver metastasis volume and improved quality of life scores in this group of patients. While this is the first study to use omega-3 fatty acids with a chemotherapy agent in a cancer setting the researchers believe the results are encouraging enough to warrant further investigation in a randomized phase III trial. (Source Journal of Parenteral and Enteral Nutrition--July 2015) Genetic Study Finds Association Between Reduced Vitamin D and MS Risk G enetic findings support observational evidence that lower vitamin D levels are associated with increased risk of multiple sclerosis (MS) according to a new research article by Brent Richards from McGill University Canada and colleagues published in the journal PLOS Medicine. MS is a debilitating autoimmune disease that affects the nerves in the brain and spinal cord. There is no known cure for MS and it usually presents between the ages of 20 and 40 years. While some observational evidence suggests there may be a link between lower vitamin D levels and MS risk it is difficult to infer a causal relationship because individuals who develop multiple sclerosis in these studies might share another unknown characteristic that increases their risk of MS (this is known as confounding). Using a genetic technique called Mendelian randomization to reduce the possibility of confounding the authors examined whether there was an association between genetically reduced vitamin D levels (measured by the level of 25hydroxyvitamin D the clinical determinant of vitamin D status) and susceptibility to multiple sclerosis among partici- pants in the International Multiple Sclerosis Genetics Consortium study which involves 14 498 people with multiple sclerosis and 24 091 healthy controls. The authors found that a genetic decrease in the natural-log-transformed vitamin D level by one standard deviation was associated with a two-fold increased risk of MS. While the Mendelian randomization approach used by the authors largely avoids the possibility of confounding or reverse causation the reliability of these findings may be limited by some of the assumptions made by the researchers during their analysis. Nevertheless the authors concluded that genetically lowered vitamin D levels are strongly associated with increased susceptibility to multiple sclerosis. Whether vitamin D sufficiency can delay or prevent multiple sclerosis onset merits further investigation in long-term randomized controlled trials. The authors also noted ongoing randomized controlled trials are currently assessing vitamin D supplementation for the treatment and prevention of multiple sclerosis ... and may therefore provide needed insights into the role of vitamin D supplementation. (Source PLOS Medicine--August 2015) 32 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2015 Hypertensive Patients Benefit From Acupuncture Treatments Study Finds P atients with hypertension treated with acupuncture experienced drops in their blood pressure that lasted up to a month and a half researchers with the Susan Samueli Center for Integrative Medicine have found. Their work is the first to scientifically confirm that this ancient Chinese practice is beneficial in treating mild to moderate hypertension and it indicates that regular use could help people control their blood pressure and lessen their risk of stroke and heart disease. This clinical study is the culmination of more than a decade of bench research in this area said Dr. John Longhurst a University of California Irvine (UCI) cardiologist and former director of the Samueli Center. By using Western scientific rigor to validate an ancient Eastern therapy we feel we have integrated Chinese and Western medicine and provided a beneficial guideline for treating a disease that affects millions in the U.S. Longhurst and his UCI colleagues Dr. Peng Li and Stephanie Tjen-A-Looi conducted tests on 65 hypertensive patients who were not receiving any hypertension medication. Separated randomly into two groups the subjects were treated with electroacupuncture--a form of the practice that employs low-intensity electrical stimulation--at different acupoints on the body. In one group of 33 receiving electroacupuncture on both sides of the inner wrists and slightly below each knee the researchers found a noticeable drop in blood pressure rates in 70 percent of participants an average of 6 to 8 mmHg for systolic blood pressure (the high number) and 4 mmHg for diastolic blood pressure (the low number). These improvements persisted for a month and a half. Also in this group the team identified significant declines in blood concentration levels of norepinephrine (41 percent) which constricts blood vessels and increases blood pressure and glucose levels and renin (67 percent) an enzyme produced in the kidneys that helps control blood pressure. In addition the electroacupuncture decreased aldosterone (22 percent) a hormone that regulates electrolytes. No consequential blood pressure changes were found in the group of 32 who received electroacupuncture at other acupoints along the forearm and lower leg. Although the blood pressure reductions in the first cohort were relatively small-- mostly in the 4-to-13-mmHg range--the researchers noted that they were clinically meaningful and that the technique could be especially useful in treating systolic hypertension in patients over 60. Because electroacupuncture decreases both peak and average systolic blood pressure over 24 hours this therapy may decrease the risk for stroke peripheral artery disease heart failure and myocardial infarction in hypertensive patients Dr. Longhurst said. (Source Medical Acupuncture--August 2015) Hot Chili May Unlock New Treatment for Obesity U niversity of Adelaide researchers have discovered a high-fat diet may impair important receptors located in the stomach that signal fullness. Published in the journal PLOS ONE researchers from the University s Centre for Nutrition and Gastrointestinal Diseases (based at the South Australian Health and Medical Research Institute) investigated the association between hot chili pepper receptors (TRPV1) in the stomach and the feeling of fullness in laboratory studies. The stomach stretches when it is full which activates nerves in the stomach to tell the body that it has had enough food. We found that this activation is regulated through hot chili pepper or TRPV1 receptors said Associate Professor Amanda Page senior research fellow in the University of Adelaide s School of Medicine and lead author on the paper. It is known from previous studies that capsaicin found in hot chilies reduces food intake in humans. And what we ve discovered is that deletion of TRPV1 receptors dampens the response of gastric nerves to stretch--resulting in a delayed feeling of fullness and the consumption of more food. Therefore part of the effect of capsaicin on food intake may be mediated via the stomach. We also found that TRPV1 receptors can be disrupted in high fat diet induced obesity. Dr. Stephen Kentish National Health and Medical Research Council (NHMRC) fellow from the University of Adelaide s School of Medicine said that these findings will inform further studies and the development of new therapies. It s exciting that we now know more about the TRPV1 receptor pathway and that the consumption of capsaicin may be able to prevent overeating through an action on nerves in the stomach he explained. The next stage of research will involve investigation of the mechanisms behind TRPV1 receptor activation with the aim of developing a more palatable therapy. Dr. Kentish continued. We will also do further work to determine why a high-fat diet desensitizes TRPV1 receptors and investigate if we can reverse the damage. (Source PLOS ONE--August 2015) SEPTEMBER OCTOBER 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 33 NATURAL HEALTH STUDIES Chestnut Leaves Yield Extract That Disarms Deadly Staph Bacteria L eaves of the European chestnut tree contain ingredients with the power to disarm dangerous staph bacteria without boosting its drug resistance scientists have found. PLOS ONE published the study of a chestnut leaf extract rich in ursene and oleanene derivatives that blocks Staphlococcus aureus virulence and pathogenesis without detectable resistance. The use of chestnut leaves in traditional folk remedies inspired the research led by Cassandra Quave an ethnobotanist at Emory University. We ve identified a family of compounds from this plant that have an interesting medicinal mechanism Quave said. Rather than killing staph this botanical extract works by taking away staph s weapons essentially shutting off the ability of the bacteria to create toxins that cause tissue damage. In other words it takes the teeth out of the bacteria s bite. The discovery holds potential for new ways to both treat and prevent infections of methicillin-resistant S. aureus or MRSA without fueling the growing problem of drug-resistant pathogens. Antibiotic-resistant bacteria annually cause at least two million illnesses and 23 000 deaths in the United States according to the Centers for Disease Control and Prevention. MRSA infections lead to everything from mild skin irritations to fatalities. Evolving strains of this super bug bacterium pose threats to both hospital patients with compromised immune systems and young healthy athletes and others who are in close physical contact. We ve demonstrated in the lab that our extract disarms even the hyper-virulent MRSA strains capable of causing serious infections in healthy athletes Quave said At the same time the extract doesn t disturb the normal healthy bacteria on human skin. It s all about restoring balance. In the study Quave teamed up with Alexander Horswill a microbiologist at the University of Iowa whose lab focuses on creating tools for use in drug discovery such as glow-in-the-dark staph strains. The researchers steeped chestnut leaves in solvents to extract their chemical ingredients. The work produced an extract of 94 chemicals of which ursene and oleanene based compounds are the most active. Tests showed that this extract inhibits the ability of staph bacteria to communicate with one another a process known as quorum sensing. MRSA uses this signaling system to manufacture toxins and ramp up its virulence. We were able to trace out the pathways in the lab showing how our botanical extract blocks quorum sensing and turns off toxin production entirely Quave said. Many pharmaceutical companies are working on the development of monoclonal antibodies that target just one toxin. This is more exciting because we ve shown that with this extract we can turn off an entire cascade responsible for producing a variety of different toxins. A single dose of the extract at 50 micrograms cleared up MRSA skin lesions in lab mice stopping tissue damage and red blood cell damage. The extract does not lose activity or become resistant even after two weeks of repeated exposure. And tests on human skin cells in a lab dish showed that the botanical extract does not harm the skin cells or the normal skin micro-flora. The Emory Office of Technology Transfer has filed a patent for the discovery of the unique properties of the botanical extract. The researchers are doing further testing on individual components of the extract to determine if they work best in combination or alone. We now have a mixture that works Quave says. Our goal is to further refine it into a simpler compound that would be eligible for FDA (U.S. Food and Drug Administration) consideration as a therapeutic agent. Potential uses include a preventative spray for football pads or other athletic equipment preventative coatings for medical devices and products such as tampons that offer favorable environments for the growth of MRSA and as a treatment for MRSA infections perhaps in combination with antibiotics. It s easy to dismiss traditional remedies as old wives tales just because they don t attack and kill pathogens Quave said. But there are many more ways to help cure infections and we need to focus on them in the era of drug-resistant bacteria. (Source PLOS ONE--August 2015) 34 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2015 Knowledge About Alternative Medicine Connected to Education Income eople with lower educational levels and incomes are less likely to know about yoga acupuncture natural products and chiropractic medicine according to a new study from San Francisco State University (SF State) in California. Studies on the use of complementary and alternative medicine (CAM) have typically focused on learning more about who use these types of practices and why. Less is known about trends among those who do not partake which inspired new research by Professor of Health Education Adam Burke published in PLOS ONE. It s very important to know why somebody is not doing a particular behavior said Burke who is also the director of SF State s Institute for Holistic Health Studies. If your child isn t eating broccoli and you want him to you need to know why. If it s just a matter of the pieces being too big you can cut it up. But if you don t know why the child will not eat the broccoli. The research based on the 2007 National Health Interview Survey looked at data from more than 13 000 respondents who said they had never used acupuncture chiropractic natural products or yoga four common CAM practices. Lack of knowledge as a reason for non- P use was strongly associated with lower education levels and income. Those who attended college were 58 percent less likely to indicate lack of knowledge as a reason for non-use and individuals with higher incomes were 37 percent less likely. The implication of this study is that the lack of access to health knowledge is a root of health inequity Burke said. If you are poor you have less access to health information for a variety of reasons. Physical activity levels were also found to correlate with knowledge. People who described themselves as less physically active were significantly more likely to claim a lack of knowledge of all four complementary practices. One finding of the study that surprised Burke was that the results held true for survey respondents who experienced lower back pain. Since back pain is the medical condition most commonly linked to use of complementary health treatments Burke and his co-authors hypothesized that backpain sufferers would have greater knowledge about these treatments even if they opted not to use them as their pain would compel them to learn about a variety of remedies. But Burke found that the relationship between lower education levels and lack of knowledge remained--in other words back pain did not seem to be a significant enough motivator to seek out these common alternative treatments. But it s especially important for people with back pain to know about CAM methods Burke said. Often the solution for chronic pain is addictive prescription medications which are problematic in all communities especially in lower-income communities Burke said. Complementary methods have the potential to mitigate such addiction problems and may help address the root problem rather than just managing the symptoms which is a real benefit. This study indicates a greater need among doctors to follow best-practice guidelines for sharing information about integrative practices combining conventional western and CAM approaches Burke said. It s highly likely that a lack of knowledge prevents some individuals from using these integrative approaches--if they knew more they would use them more Burke said. These are cost-effective treatments that have limited side effects and may actually help remediate people s problems. Especially in lower-income communities it is important for health care providers to recommend them. (Source PLOS ONE--June 2015) Bright Screens at Night Imperil Sleep of Young Teens new study has an important implication for tweens and young teens as they head back to school Taking a gadget to bed could really hurt their sleep. Enough light exposure at night can keep anyone from falling asleep as quickly as they otherwise would have. But the new research published online in the Journal of Clinical Endocrinology & Metabolism found that the sleep biology of boys and girls aged 9 to 15 who were in the earlier stages of puberty were especially sensitive to light at night compared to older teens. In lab experiments an hour of nighttime light exposure suppressed their production of the sleeptiming hormone melatonin significantly more than the same light exposure did for teens aged 11 to 16 who were farther into puberty. The brighter the light in the experiments A the more melatonin was suppressed. Among 38 children in early to middle puberty an hour of 15 lux of light (think dim mood lighting) suppressed melatonin by 9.2 percent 150 lux (normal room light) reduced it by 26 percent and 500 lux (as bright as in a supermarket) reduced it by 36.9 percent. The 29 teens in the late or post-puberty stage were also affected but not as much. Exposure to 15 lux did not suppress melatonin at all 150 lux reduced it 12.5 percent and 500 lux reduced it by 23.9 percent. The effects were the same for boys and girls. Small amounts of light at night such as light from screens can be enough to affect sleep patterns said study senior author Mary Carskadon professor of psychiatry and human behavior in the Alpert Medical School of Brown University and director of chronobiology and sleep research at the E.P. Bradley Hospital in East Providence RI. Students who have tablets or TVs or computers--even an old-school flashlight under the covers to read--are pushing their circadian clocks to a later timing. This makes it harder to go to sleep and wake up at times early the next morning for school. Carskadon lead author Stephanie Crowley of Rush University Medical Center and their co-authors said children and their parents should limit use of screens at bedtime even though it has become pervasive. One study found that 96 percent of teens use at least one form of technology in the hour before going to bed. (Source The Journal of Clinical Endocrinology & Metabolism--August 2015) SEPTEMBER OCTOBER 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 35 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 email to ShariB VRMmedia.com Myo-Inositol PITTSBURGH PA--New from Genestra Brands Myo Inositol is an ovarian health supplement that helps promote healthy ovulatory activity and oocyte quality (suggested price 40.50 6.6-oz. container). Myo-inositol is a naturally occurring inositol isomer that helps promote the activities of the ovaries and healthy glucose metabolism. In a clinical trial myoinositol supplementation with folic acid better promoted hormonal balance menstrual regularity and insulin sensitivity when compared with the placebo folic acid treatment. Myo-Inositol from Genestra Brands provides 4 g of myo-inositol per daily serving. Available in a gluten- and dairy-free powder format Myo-Inositol mixes easily with water or juice. 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. SeasonALL PITTSBURGH PA--SeasonALL is a combination of phytonutrients designed to support the body s immune response to seasonal changes in the environment throughout the year. Douglas Laboratories manufactures the product with ingredients such as nettle leaf bromelain isoquercetin tinospora cordifolia and elderberry that help maintain healthy immune function in response to the environment. The special addition of Longvida Optimized Curcumin with SLCP technology for enhanced curcumin absorption works to modulate healthy cytokine levels the company said. SeasonALL is available in 60-ct. capsules with a suggested price of 45.00. For more information call (800) 245-4440 or visit www.douglaslabs.com. 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It also contains combinations of coconut oil providing emollients that moisturize the skin and are ideal for all ages and skin types. For more information call (845) 871-4900 or visit www.mypainawaycreams.com. Superfood Infusions LIVINGSTON NJ--Superfood Infusions are wholesome blends with real fruits and veggies superfood chia seeds plus vitamin B12. They are certified organic and the suggested price is 2.99 for a 7.5-oz. bottle. Superfood Infusions delivers omega-3 fatty acids and more fiber. These ingredients are blended with vitamin B12 vital for biological functions like blood cell production and nervous system function to create a pack of daily essentials the company stated. For more information call (973) 535-8750 or visit www.nutrientrich.com. 36 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2015 Nordic CoQ10 Ubiquinol Sport WATSONVILLE CA--Nordic Naturals introduced the new Nordic CoQ10 Ubiquinol Sport. The dietary supplement provides 100 mg of coenzyme Q10 (CoQ10) ubiquinol the active antioxidant form of CoQ10. Ubiquinol Sport supports cardiovascular health cellular energy production and enhances physical performance according to the company as well as having a positive effect on long-term health status. It has been Certified for Sport by NSF International is a non-GMO product and gluten free. The bottle contains 60 soft gels and the suggested price is of 59.95 per bottle. For more information call (800) 662-2544 or visit www.nordicnaturals.com. HMF Fit for School PITTSBURGH PA--New from Genestra Brands HMF Fit for School (suggested price 34.65 30 tablets) includes a combination of research-driven probiotic strains and vitamin C designed to help support upper respiratory tract health and immune function in children according to the company. HMF Fit for School provides 50 mg of the antioxidant vitamin C and 12.5 billion CFU of proprietary probiotic strains. HMF Fit for School supports cellular immunity with 1000 IU of vitamin D per serving according to the company. Gluten- and dairy free HMF Fit for School is available in a convenient chewable tablet format with a natural blackcurrant flavor. 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. Hyaluronic Acid Gummies RIVERSIDE MO--Hyaluronic acid (HA) is the natural lubricant for the joints. Hyalogic s naturally flavored and lightly sweetened HA supplements synovial fluid within the joint to maintain cushioning properties according to the company. HA is a water-loving molecule that acts as a lubricant for joints a hydrating moisturizer for skin and is an important component of healthy eye function. Each bottle contains 60 berry-flavored gummies and can be taken anywhere without water. Suggested price is 39.95 per bottle. For more information call (866) 318-8484 or visit www.hyalogic.com. For more information call (888) 737-6925 or visit www.seroyal.com brands genestrabrands. Rhodiola & Schisandra PALMYRA WI--MediHerb s new product Rhodiola & Schisandra (suggested price 23.50 40 tablets) is an herbal supplement designed to support the body s ability to adjust to physical and emotional stress. Its unique formula may help the body maintain feelings of general wellbeing when experiencing temporary stress support healthy cognitive function and support healthy liver and nervous system function. The formula utilizes Rhodiola rosea which contains important active constituents of rosavins and saldroside. MediHerb has coupled therapeutic doses of rhodiola and schisandra herbs in the newest product formula to support healthy function of the body s natural processes while providing vital energy the company stated. 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. ionDEFENDER FALLON NV--Advanced Nutritional Innovations Inc. s supplement ionDEFENDER (suggested price 31.95 150 capsules) protects the body against damaging radiation by increasing levels of superoxide dismutase (SOD) and other antioxidant enzymes the company stated. It also helps to destroy free radicals protect against DNA damage and reduce cell death induced by high levels of radiation. Composed of wheat and soy sprout enzymes it takes about a quart of sprouted organic seeds to make each caplet. ionDEFENDER is non-GMO and gluten free. For more information call (866) 848-2797 or visit www.iondefender.com. For more information call (800) 558-8740 or visit www.standardprocess.com or www.mediherb.com. PRACTITIONER CHAT (Continued from page 31) principle compound in the extract) desmethoxycurcumin bisdesmethoxycurcumin and essential oil of turmeric. At the end of 20 weeks there was a dramatic difference between two groups. The curcumin group saw a 50 percent difference in the frequency of daytime urinations a 20 percent reduction in sleep disturbances at night in order to urinate and a 15 percent reduction in problems with urinary leakage. The curcumin group also showed improvements in sexual function. Also BCM-95 did not reduce the effectiveness of radiation therapy. This is a great point to raise to medical professionals who might otherwise be wary of recommending a natural extract during cancer treatment. And since the only side effects of the curcumin is reduced inflammation and cellular stress it can help the body heal faster. But no two patients are alike and there are a great number of chemotherapy and radiation therapy regimens so it really is a matter between individual patients and their doctors. should someone take who is being treated for cancer This is a tough question. Anyone with an increased risk of cancer (but who isn t diagnosed with cancer) could start with a daily dose of 250 to 500 mg of BCM-95 Curcumin. Someone being treated with cancer could use higher amounts such as 500 mg three times a day. This is a decision that should be made with your health care practitioner. For a full list of references visit www.naturalpractitionermag.com. A Q What level of curcumin could be a cancer preventative Or how much SEPTEMBER OCTOBER 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 37 MEDIACORNER Helping to Heal Author Patti Wood Pages 41 Price 8.99 Publisher The Helping to Heal Foundation Contact (516) 883-2195 Author Patti Wood a visiting scholar at Adelphi University in Long Island NY created this book for parents of children facing serious illness. It acts as a guidebook designed to empower parents by suggesting positive steps in two important areas that parents are best qualified to address diet and environment. The book also focuses on making the parent an active partner in their child s healing process. In addition to being for sale copies of the book are given out at no cost to parents by hospitals cancer treatment centers support centers and other qualified health institutions. This powerful little book is helpful to practitioners parents and others involved in the care of children. Lifelines Unlock the Secrets of Your Telomeres for a Longer Healthier Life Author Elaine Chin Pages 208 Price 16.95 Publisher Figure 1 Publishing Contact (800) 788-3123 They re like the plastic tips of your shoelaces that keep them from fraying. But they re at the ends of your DNA and they keep you from developing disease and dying too young. The discovery of telomeres is one of the great breakthroughs in contemporary medicine. Novel-winning scientist Dr. Elizabeth Blackburn and her research teams have opened a world of promise when it comes to living longer and healthier. Today we have the know-how to slow the disintegration process to beat our biological clock and prevent disease. Keeping your telomeres robust and as long as possible is crucial to your health. In the book noted physician Dr. Elaine Chin offers practical and realistic ways to optimize the length of your telomeres and maximize your health. Containing comprehensive information on diet and lifestyle the potential of supplements hormone-replacement therapy sleep patterns mindfulness stress management and life purpose Lifelines will show you how to use our knowledge of telomere science to give you an advantage in what really counts most in life--how long and how well you will live FitClick Talk-to-Track App When people tracking their calories input their meals for the day the New York Times reported that they frequently underestimate their daily calorie intake. Even researchers studying calorie consumption are challenged to acquire accurate data given that the surveys they use like the National Health and Nutrition Examination Survey rely on individuals memories. When participants are asked to recall what and how much was consumed things like a mid-afternoon handful of potato chips may be left out. FitClick s new Talk-to-Track app features transcribed-text-toauto-tracking technology that allows users to verbally state the foods they eat. The app will automatically identify food items from its expansive database and provide accurate calorie totals based on the food and quantity named. The app compiles a running calorie total throughout the course of the day. Users can therefore track their calories as they eat run errands or engage in other tasks throughout the day. The Talk-to-Track app is a more effective way for individuals to gauge their calorie consumption and could be used to more accurately complete nutritional surveys James Mrowka president of the social fitness community FitClick stated. The FitClick Talk-to-Track Diet App is available for free on Android and iOS and the FitClick Diet & Workout Tracker App (with personalized workout routines the ability to track nutrients and keep track of calories burned and consumed) is only available for iOS for 3.99. For more information visit www.fitclick.com. 38 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2015 CONFERENCES AND EVENTS October 15-19 Annual AHG Symposium Granby CO On October 15-19 at the YMCA of the Rockies in Granby CO The American Herbalists Guild (AHG) will host the 26th Annual Symposium New Horizons in Clinical Herbalism. The Annual Symposium will host some of the world s leading herbal educators and deliver presentations on a wide range of topics in herbal medicine. This year the Annual Symposium will cover a special track of classes addressing chronic disease and herbal therapies. Those who attend four workshops in this track as well as the post-symposium intensive will earn a certificate of completion in Chronic Disease and Herbal Therapies Training. For more information visit www.americanherbalistsguild.com. October 25-29 Academy of Integrative Health & Medicine (AIHM) San Diego CA This year s annual conference provides a combination of educational experience and sacred space blending the art and science of integrative health and medicine with the most pressing global issues. The 2015 conference highlights include comprehensive educational courses evidence-based integrative medicine with leading experts Integrative Medicine Board Review course pre-conference workshops on October 24 networking opportunities AIHM Gala Celebration dinner and awards ceremony AIHM membership opportunities and complimentary events (Holisitic Happy Hour Membership Breakfast etc.). For more information visit www.aihm.org fellowship or email kgates aihm.org. November 3-7 American Meditation Institute (AMI) Lenox MA Ancient meditation techniques will be presented at the seventh annual Heart and Science of Yoga Complete Self-Care CME Conference for Physicians November 3-7 2015 at the Cranwell Resort and Spa in Lenox MA. Speakers will explain how to limit or eliminate stressors how to strengthen physical and psychological health prevent and reduce stress and burnout honor emotional and spiritual needs foster and sustain personal and professional relationships and achieve a healthier and more rewarding work-life balanced by actualizing the intuitive power of the superconscious mind. For more information visit www.americanmeditation.org. November 12-15 ACAM 2015 Fall Conference Las Vegas NV The American College for Advancement in Medicine (ACAM) has open registration for the 2015 ACAM Meeting Integrative Medicine s New Landscape Practical Applications of New Technologies. For more information visit www.acam.org. December 10-13 The American Academy of Anti-Aging Medicine (A4M) Las Vegas NV The American Academy of Anti-Aging Medicine hosts its 23rd annual World Congress covering topics including anti-aging and regenerative and aesthetic medicine. The conference invites physicians scientists and members of the public to discuss biomedical sciences breaking technologies and anti-aging issues and will learn from physicians health practitioners scientists government officials and members of the general public representing more than 110 nations. Attendees will learn advancements in technology helping to detect prevent and treat related diseases and will promote research into methods to retard and optimize the human aging process. For more information visit www.a4m.com. ADVERTISER INDEX ADVERTISER Albion Laboratories Inc. America s Finest Inc. DaVinci Laboratories of Vermont Emerson Ecologics MITOQ Naturade Natural Partners Protocol for Life Rainbow Light Nutritional Systems Seroyal (Genestra) Vital Nutrients Inc. 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