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Description: In This Issue: Defining the Role of a Healthy Practice, Healthy Sleep & Rest, Detox & Cleanses, and Blood Sugar/Metabolic Support

www.naturalpractitionermag.com November 2015 V BO AT ISIT OT A US H 4M 4 04 6 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 November 2015 VOLUME 4 NO. 7 20 FEATURES 16 Sleep Tight Getting enough sleep and rest is essential for the human body to function properly. 16 24 COLUMNS 4 Editor s Note 8 Practitioner Corner 28 Product Focus Detox & Cleanses 20 The Blood Sugar Battle Diet and exercise are the keys to metabolic wellness but when the lock is jammed practitioners can help support the metabolic system naturally. 24 Defining the Role of a Healthy Practice Practitioners discuss what it means to have a healthy practice what you can do to create further community impact and how to weather any challenges. DEPARTMENTS 12 Health News 27 Practitioner Chat 31 Natural Health Studies 35 Natural Marketplace 36 Conferences & Events 36 Advertiser Index 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 7 November 2015. Natural Practitioner is published monthly (except for bimonthly January February March April June July and September October) by VRM Media 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 NOVEMBER 2015 Go to www.naturalpractitionermag.com xlear for info about this advertiser EDITOR S NOTE Learning to Rest Easy have never been a good sleeper. My mother says that when I was a baby I never napped and getting me to go to sleep at night was a nightmare that she lived daily. And I distinctly remember my kindergarten teacher making me sit on my mat during naptime while the other children slept. The problem went from bad to worse when I was in high school. As a member of the swim team I had to be up at 4 30 every morning to get to practice and be in the pool at 5 a.m. sharp. So I made sure to go to bed early in the hopes of getting a good night s rest before practice. It didn t work. I would lie there and watch the hours tick by until it was time to get up. In college getting one to two hours of sleep per night was a luxury. I tried overthe-counter sleep aids which didn t help (or work at all for that matter) neither did sleepy time teas music for sleep CDs or prescription medication. I just accepted the fact that getting a good night of sleep was not for me and my body seemed to just adapt. While working on my article on sleep and healthy rest (see page 16) I realized that I am not even close to being the only one with this problem. According to the National Sleep Foundation the recommended amount of sleep is 10 to 11 hours per night for children 8.5-9.25 for teenagers and seven to nine hours for adults. However nearly 30 percent of adults get less than six hours of sleep per night. There is a laundry list of reasons Americans aren t getting enough sleep but stress and anxiety are at the top. According to Penny Kendall-Reed ND medical advi- I sor to Douglas Laboratories those two issues cause more than half of all sleep problems. Among other reasons include poor diet a lack of exercise medication and too much time spent in front of smartphones or computers. Andreas Koch vice president of marketing for Natural Vitality also noted that Americans are constantly on the go which makes it hard for them to relax. There is a higher bar set on everything we do in our culture he said. We work more hours per year than most countries around the globe. Even away from work they body s switch is turned on and that affects our overall health. We are having [a] more difficult time finding time to relax or turn our switch off. Participants in the article recommended a number of lifestyle changes and supplement regimens that can be applied to help those with sleep issues practice better sleep hygiene habits. As for me I finally found the key to help me get to sleep at night. It took me years to learn that I don t need a prescription tea or relaxing sounds to get some quality shut eye--all I need to do is breathe. The 4-7-8 Breathing Exercise (also known as The Relaxing Breath) pioneered by Dr. Andrew Weil is a simple breathing routine that can be done in bed. The exercise requires you to close your mouth and inhale quietly through your nose to a mental count of four then hold your breath for a count of seven. Finally exhale completely through your mouth making a whooshing noise to a count of eight. The cycle can be repeated three more times for a total of four breaths--but I m usually half asleep through the second round. 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 LISA SCHOFIELD JACOB TEITELBAUM MD 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 NOVEMBER 2015 Go to www.naturalpractitionermag.com probioticsinternational 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 NOVEMBER 2015 Go to www.naturalpractitionermag.com kyowa for info about this advertiser PRACTITIONER CORNER Words As Healers Words As Slayers Embodying the art of medicine. By Jacob Teitelbaum MD hich do you think has a more powerful effect on the outcomes of people you treat The medicines and natural remedies you give them Or the words that you offer along with them You may be surprised that research shows the answer is Your Words. Why Because the words you use engage the body and mind s ability to both heal and cripple. To paraphrase Dr. Kenneth Pelletier who coined the term Mind As Healer Mind As Slayer the words you use can support healing or even kill. Let s look at the degree of effect. This varies on whether you re looking at changes in patient perception (e.g.--pain fatigue nausea) versus biochemical markers (e.g.-- glycosylated hemoglobin average blood sugars). Overall for the former group the effectiveness of placebo in studies is often far over 30 percent. Interestingly it is eyeopening to look at the side effects in the placebo group as well. W It is remarkable how the specific side effects in the placebo group often seem to match those in the active treatment group. It is suspected that this occurs because the informed consent process tells people to expect those side effects. For example in a meta-analysis of migraine treatment studies researchers found a high rate of adverse events in the placebo arms of trials with anti-migraine drugs matching those described for the specific type of real drugs under investigation. For example anticonvulsant placebos produced anorexia memory difficulties paresthesia and upper respiratory tract infection--all adverse events [commonly] reported in the side effect profile of this class of anti-migraine drugs. 1 This was also seen in another large metaanalysis comparing tricyclic antidepressants with serotonin raising medications. These two medications have quite different sets of side effects each of which they would have been warned about during the informed consent. The fascinating finding Simply giving the warning of specific side effects increased the prevalence of these side effects upwards of 300 percent. For example patients receiving TCA (tricyclic) placebos reported higher side effect rates than those receiving Prozac like SSRI placebos for dry mouth (19.2 percent vs. 6.4 percent) vision problems (6.9 percent vs. 1.2 percent) fatigue (17.3 percent vs. 5.5 percent) and constipation (10.7 percent vs. 4.2 percent).2 Looking at effectiveness as much as 90 percent of the effectiveness of Prozac medications was attributed to the placebo response. There was only a 10 percent difference between the active and placebo group. This was enough because of the large sample size to torture statistical significance out of the data. Even this 10 percent difference over placebo effect may be optimistic. As Dr. Colloca noted in her review the drug-placebo difference was zero for people who were moderately 8 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2015 Go to www.naturalpractitionermag.com seroyal for info about this advertiser PRACTITIONER CORNER depressed. For this rather large group of sufferers anti-depressants seemed to have no drug effect at all. 2 The effect that occurs when one suggests the possibility of harm has been called the nocebo effect. This is a rather old concept and used to be called putting a curse on someone Physicians and sadly even holistic practitioners are often putting curses on the people we treat day in and day out. When the traditional MD tells a person that those unscientific natural remedies can t help you and may kill you or when we as healers drone on about the horrific toxicity of the person s medications we are putting a curse on people. For example when we use unreliable IgG testing for food allergies that act like a random result generator 3 telling the person that they are allergic to 30 foods for the rest of their lives we are putting a curse on the person making them sick every time they eat those foods. Then we go on and on and on about GMOs (genetically modified organisms) chemicals and countless other things our words often being more toxic than the environment itself. These are not benign things to do to people. When wielding tools as powerful as our words it behooves us to do so consciously. So simply put to the degree that it is consistent with the truth paint as positive and hopeful a picture as you can for those you treat. Whether you tell the person there is no hope or that there is good reason for hope you are likely to be correct. Which of these are you choosing to offer those who come to you for help Another option Teach people that we are giving their bodies what they need to thrive in the current environment. Then do so In my experience effective treatment (or at least functional improvement) is available for almost all conditions. Unfortunately standard medicine only knows about those treatments that are very profitable leaving them helplessly incompetent at treating fatigue pain and a host of other conditions. Though this is a problem it also gives us a tremendous opportunity to help people. ical school. To make this complex information easily available to both the public and health practitioners I have made three powerful but simple free tools available 1. Cures A-Z. This popular app is available for both iPhone and Android. It lists hundreds of different health topics (from acne to zoster) offering a quick summary of the condition along with the treatment options most supported by the science and clinical experience. In addition to natural remedies it often discusses the pros and cons of some of the medications as well. This way when somebody walks in your office you can become an expert on his or her condition in 30 seconds 2. The free Energy Analysis Program at www.endfatigue.com can analyze your client s symptoms and even their pertinent lab tests if available to determine what is causing their personal energy crisis. This can be especially helpful for people with fatigue fibromyalgia and pain. You can send people to the website to do it. Another option I am happy to send you the questionnaire (see number three below). Simply have the person fill out the questionnaire and have your staffer enter the information. Then the printout will give you a detailed list of the contributing factors to their fatigue and a comprehensive treatment protocol based on these. Feel free to not even mention the program. They will think you spent hours analyzing the data and that you are a wizard 3. I am happy to email you a free set of treatment tools that include a patient questionnaire and treatment checklist for CFS (chronic fatigue syndrome) and fibromyalgia. Simply email me at endfatigue aol.com and request the Treatment Tools. The questionnaire will allow you to gather information that would take over an hour to get verbally and assess it in under five to 10 minutes organized in a way that also clarifies the person s diagnoses. In addition are you finding that you are writing the same thing over and over each day (and often illegibly) That is a waste of your time and usually not very effective for the person you re treating. The treatment tools contain a checklist of the most common treatments used for fatigue fibromyalgia sleep pain candida hormonal issues and a host of other topics. Simply check off the ones that you want for the person. It will have detailed information on how to use it and any problems to watch for--all in the one second it takes to check it off. These also give you a template that you can easily modify for your practice. One final note. Practicing the healing arts should be fun. If it s not you re doing it wrong and it is time to explore your next stage of growth. I would note that spending more than 28 hours a week in direct patient care may be a recipe for compassion burnout. If you are finding that you re getting exhausted cut back. You may feel more balanced using the additional time you spend beyond 28 hours a week to produce income in other ways--that will leave you better balanced. Or instead you may simply invest the time in yourself and your family. My e-book Three Steps To Happiness--Healing Through Joy is a simple guide that can help both you and those you are treating. As our old health care system becomes obsolete we are now creating amazing possibilities of health and vitality for people s futures. There is very good reason to be optimistic Love and blessings Jacob Teitelbaum MD References 1 Amanzio M Corazzini LL Vase L Benedetti F. A systematic review of adverse events in placebo groups of anti-migraine clinical trials. Pain. 2009 146(3) 261 269. 2 Colloca L. Miller FG. The nocebo effect and its relevance for clinical practice. Psychosom Med. 2011 Sep 73(7) 598 603. Published online 2011 Aug 23. www.ncbi.nlm.nih.gov pmc articles pmc3167012 r31. 3 www.tldp.com issue 174 igg%20food%20allergy.html. Free Tools to Make You an Overnight Holistic Expert Having been in holistic medicine for 40 years and having read tens of thousands of studies it was a shock to find that natural remedies are often more effective than the medications we were taught about in med- Jacob Teitelbaum MD director of the Practitioners Alliance Network is one of the most frequently quoted integrative medical authorities in the world. He is the author of the best-selling From Fatigued to Fantastic Pain Free 1 2 3 the Beat Sugar Addiction Now series Real Cause Real Cure The Fatigue and Fibromyalgia Solution and the popular free Smart Phone app Cures A-Z. He is the lead author of four studies on effective treatment for fibromyalgia and chronic fatigue syndrome and a study on effective treatment of autism using NAET. Dr. Teitelbaum appears often as a guest on news and talk shows nationwide including Good Morning America The Dr. Oz Show Oprah & Friends CNN and Fox News Health. Learn more at Vitality101.com. 10 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2015 Go toto www.naturalpractitionermag.com vitalnutrients for info about this advertiser Go naturalpractitionermag.com probioticsinternational for info about this advertiser HEALTH INDUSTRY NEWS NPA Challenges New Study On Supplements and ER Visits T he Natural Products Association (NPA) has challenged the methodology and findings of a study published in the New England Journal of Medicine that claimed dietary supplements are responsible for approximately 23 000 hospital visits each year. The Study Emergency Department Visits for Adverse Events Related to Dietary Supplements based its findings on data from 63 emergency departments from 2004 through 2013 instead of relying on the official U.S. Food and Drug Administration s (FDA) Serious Adverse Event Reporting database for dietary supplements. The laws that regulate supplements require official reporting of adverse events so that the regulators the health care community and others can review the data and make informed public policy decisions. This so-called study excludes that very data which is more than puzzling because it was written in part by FDA officials who know this said Dan Fabricant PhD NPA executive director and CEO. The facts are that adverse events from supplements are extremely low given their widespread usage and most of these are the result of three factors accidents people not consulting with their doctor or misuse of a product combined with other health factors Dr. Fabricant continued Supplements are safe which is why millions of Americans use them every day. According to the U.S. Food and Drug Administration s (FDA) website (www.fda.gov food dietarysupplements re portadverseevent ) the Safety and Reporting Portal is a convenient secure and efficient method for letting FDA know when industry or consumers finds a problem with a dietary supplement. Further government data reported that there were 3 249 Adverse Event Reports for 2012 a far smaller number than the 23 000 annual average cited in the author s report. Even if the study estimates are accurate the number of hospital visits suggested to relate to dietary supplements would represent 0.0001687 percent of the 136.3 million hospital visits each year according to data from the Centers for Disease Control (CDC). The study authors concede that their figures could be an over or under-representation and that more than 90 percent of the patients who went to an emergency room were discharged. For more information visit www.npainfo.org. Duke & UNC Team Up for Nutritional Approach to Male Infertility t took Summer Goodson PhD nearly a year to find six men genetically qualified to participate in a sperm function study at the UNC Nutrition Research Institute (NRI) in Kannapolis NC. Male fertility is still a sensitive subject said Dr. Goodson a post-doctoral research associate at the NRI making it tough to rely on traditional recruitment methods like fliers and advertisements. But after the NRI partnered with Duke University s MURDOCK Study in Kannapolis which has nearly 12 000 participants Dr. Goodson needed only one day to identify 13 men who have the genetic variant she studies. The MURDOCK Study has a ready population of men who are interested in clinical studies and samples that allow me to more easily find men who meet our criteria she said. Our return on investment is much much higher. So far Dr. Goodson has screened 237 anonymous MURDOCK Study samples for the genetic variation. Once she determined which MURDOCK Study samples met her criteria Duke contacted those participants to gauge their interest in joining the NRI study. Partnering with the MURDOCK Study made sense and saved time she said. Both the MURDOCK Study and NRI are based at the North Carolina I Research Campus (NCRC). With more than 400 000 biological samples from 11 715 people enrolled in the Community Registry and Biorepository. Duke s MURDOCK Study is one of the most unique research initiatives of its kind and offers NCRC scientists like Goodson a more efficient way to find participants for hard-torecruit clinical studies. Dr. Goodson is researching the hypothesis that the nutrient betaine commonly found in foods such as beets and spinach could improve sperm function in certain men. Her work at the NRI in partnership with the MURDOCK Study has the potential to help treat male infertility a growing problem in the U.S. Starting in 2014 Dr. Goodson began searching for men with the variant in a particular gene that helps metabolize the nutrient choline into betaine in the body. Mice that lack the gene are infertile and men with the variant have less robust sperm motility. Goodson s study participants take dietary supplements of betaine to see if it improves their sperm function. We really had to cast a wide net to find 10 qualified men she said. After about a year I couldn t find enough men and a couple of people one day said What about MURDOCK Study samples In May 2015 Duke provided 150 anonymous DNA samples from the MURDOCK Study biorepository to Dr. Goodson. Her analysis indicated that 13 of the 150 samples or 8.6 percent showed the genetic variant which is consistent with the prevalence in the general population. After that initial success Duke provided 87 additional MURDOCK Study samples which yielded seven men with the genetic marker. Two MURDOCK Study participants eventually joined Dr. Goodson s study. She now has five men enrolled and needs a total of 10. So began a collaboration that could potentially help thousands of men with the variant which affects 5 to 9 percent of the general population conceive a child more easily. Dr. Goodson s research is a pilot project that will determine whether the NRI moves ahead with a full-scale study and hundreds of participants. This could mean hope for some couples having trouble conceiving naturally she said. There are far too few options available to couples affected by male infertility and this could represent a way to improve fertility using a natural non-invasive approach. For more information visit www.murdock-study.org uncnri.org or www.transforming-science.com. 12 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2015 Go to www.naturalpractitionermag.com carlson for info about this advertiser HEALTH INDUSTRY NEWS Research Team Receives 1.4 Million to Create Free Health Tool he Management Information Systems (MIS) department at the University of Arizona Eller College has received a 1.4 million grant from the National Library of Medicine of the National Institute of Health (NIH). The four-year grant funds the creation of a free online tool that simplifies health care related text making communication from a person s doctor or medical team easier to understand. Increasing rates of chronic diseases such as diabetes HIV and obesity require patients to be more involved in their own health care. However only 12 percent of American adults have proficient health literacy meaning nearly nine out of 10 adults may lack the skills they need to manage their health according to the U.S. Department of Health and Human Services. When you re diagnosed with a serious disease you are vulnerable said Gondy Leroy grant principal investigator and associate professor MIS. This is partially due to not understanding all T relevant information a problem we can solve with today s technology. We need to increase people s understanding so they re empowered to make proper decisions about their health care. Leroy is heading up a multi-disciplinary research team tasked with increasing health literacy by creating an online writing support tool for medical professionals. Similar to popular editing software the tool will provide suggestions for replacing difficult terminology improving awkward expressions and tuning the flow and structure of the information to make it more understandable for those with little background knowledge on the topic. The most commonly used tools available today measure the difficulty of medical text using a readability formula according to Leroy. This is supposed to make the text more understandable but there is little evidence showing this formula helps with rewriting text for improving comprehension and positive health outcomes. Leroy s team is working on a more effective tool that will be tested through comprehensive user studies to ensure it increases understanding among patients. It will be available in both English and Spanish and is slated to be complete by the end of 2019. Although earlier less sophisticated versions may be made available sooner. For more information visit https mis.eller.arizona.edu news-article 14m-grant-will-design-free-onlinetext-simplifying-tool. Nordic Naturals Inspires Support for Nonprofit Paws and Stripes alifornia-based Nordic Naturals is kicking off Buy One Bottle. Help Two Heroes a fall initiative to benefit Paws and Stripes a nonprofit organization that pairs combat-wounded military veterans with shelter dogs which the veterans train at Paws and Stripes. From October 1 through December 31 2015 purchases of featured Nordic Naturals products will support a 30 000 donation to Paws and Stripes plus a year s supply of omega-3s for the veterans and service dogs in their program. Qualifying Nordic Naturals products include all bottle sizes of ProOmega Omega-3 Pet and Pet Cod Liver Oil. We are aware of the enormous challenges our returning veterans face said Joar Opheim founder and CEO of Nordic Naturals. Every day we lose more than 20 to suicide. And with regard to shelter dogs more than a million are euthanized annually. This program offers crucial support to our veterans while also giving C shelter dogs a loving home. We are proud to support the important work of Paws and Stripes and we re excited to give our customers an opportunity to support them as well. As of 2014 Paws and Stripes had rescued more than 70 shelter dogs and provided therapeutic assistance to 97 veterans and their families. In a survey given to Paws and Stripes graduates asking about the impact of their service dogs on their daily lives these results were reported 71 percent experience better quality sleep 87 percent spend more time with family and friends 85 percent feel more comfortable visiting public places and attending social events Paws and Stripes is thrilled to work with Nordic Naturals on this campaign We love seeing companies like Nordic Naturals who share our goals of helping both people and animals said Lindsey Stanek CEO and co-founder of Paws and Stripes. Working together gives us the opportunity to help even more dogs and veterans. For more information visit www.pawsandstripes.org or www.nordicnaturals.com professionals.php. 14 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2015 Natural Partners Offers Online Dispensaries to Practitioners A rizona-based Natural Partners Inc. has made it easier for licensed health care practitioners to recommend professionalgrade vitamins supplements and natural wellness products to patients through the launch of NP Script a free customizable online patient dispensary. A new web-based platform powers NP Script s ability to manage inventory and fulfillment for more than 11 000 products and is scalable for thousands of practitioners. With NP Script practitioners have the capability to extend their care beyond the bounds of their office by providing patients convenient online access to purchase thousands of nutritional supplements. NP Script also helps with compliance by making it easier for patients to follow their practitioner-recommended treatment plans. NP Script is the ideal tool to help me with two important ways that keep my practice running smoothly and successfully--automation and patient compliance. The ease customiza- tion and patient engagement abilities save me time money and give me peace of mind. NP Script is a practice savior said Holly Lucille ND RN a nationally recognized and licensed naturopathic doctor and educator. Natural Partners will continue to provide the full range of products and level of service our customers with a physical supplement inventory have come to expect added Fran Towey president of Natural Partners. For practitioners looking to expand their service beyond the walls of their practice and interested in making supplements available to their patients online NP Script is a great solution. Industry-leading health care practitioner brands are available via NP Script including NeuroScience Pure Encapsulations Designs for Health Enzyme Science Integrative Therapeutics Thorne Research and Vital Nutrients among others. For more information visit www.npscript.com. Natural Partners Inc. (Scottsdale AZ) has appointed Joyce Ito as its new vice president of marketing and business development. Ito will be leading the company s marketing product and brand strategies as well as its e-commerce and business development initiatives. German homeopathic manufacturer HevertArzneimittel has appointed Jocelyn Levesque as president CEO of Hevert s U.S. subsidiary Jocelyn Levesque Hevert Pharmaceuticals. Before joining Hevert Levesque was vice president of practitioner sales for Pennsylvania-based MediNatura Inc. Prior to that she was director of sales for Heel Inc. (Albuquerque NM) for five years and implemented the management buyout of Heel Inc. in 2013-2014. You re Hired Go to www.naturalpractitionermag.com emerson for info about this advertiser NOVEMBER 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 15 Sleep Tight Getting enough sleep and rest is essential for the human body to function properly. By Shari Barbanel S leep is essential for everyone but unfortunately most Americans do not get enough of it. According to the National Sleep Foundation the recommended amount of sleep is 10 to 11 hours per night for children 8.5 to 9.25 for teenagers and seven to nine hours for adults. However nearly 30 percent of adults get less than six hours of sleep per night. The majority of Americans do not get optimal sleep said Jacob Teitelbaum MD Natural Practitioner advisory board member and director of the Practitioners Alliance Network. The average night s sleep in the United States used to be nine hours a night until 130 years ago when light bulbs were developed. It has now dropped to 6.75-- basically a 30 percent pay cut for your body. Stress and anxiety have a lot to do with the inability to get a good night s rest according to Penny Kendall-Reed ND medical advisor to Pennsylvania-based Douglas Laboratories who noted that more than half of all sleep problems are caused by these issues. Chronic stress results in a loss of negative feedback within the HPA (hypothalamic-pituitary-adrenal) axis leading to continued production of cortisol which persists independently of the stressful stimulus she explained. This shifts the natural circadian rhythm of cortisol secretion and creates a glucocorticoid peak at 2-4 a.m. This not only wakes the individual but also impairs stage-4 delta wave recuperative sleep. Regular sedatives and sleep aids are ineffective for this problem. Douglas Labs Sereniten Plus helps restore normal functioning of the HPA axis. Dysfunction of the HPA and loss of feedback is one of the main causes of sleep disturbance ranging from occasional nighttime waking to chronic insomnia. Establishing a normal stress response permanently fixes the problem and restores healthful restorative sleep said Dr. Kendall-Reed. Supplements that simply mop up excess glucocorticoid production or lower cortisol release are far less effective since once the supplement is stopped the underlying problem of HPA dysregulation still exists. Mary Bove ND medical educator for Gaia Herbs Inc. in North Carolina noted that pain and inflammation are also commonly linked to sleep issues and that those with a hormonal imbalance--such as women experiencing menopause people who are magnesium deficient or those with adrenals that are fatigued are more likely to need support for restful sleep. Adrenal fatigue is a term people are hearing in the media more often and that is starting the conversation around healthy stress response restful sleep and balanced hormones Dr. Bove explained. As resiliency becomes a more common topic that too becomes part of the conversation about stress and in turn sleep. According to Dr. Kendall-Reed other factors that lead to tossing and turning all night include poor diet lack of exercise medication and health conditions such as obesity gastric reflux sinus congestion and hyper- 16 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2015 Go to www.naturalpractitionermag.com ajinomoto for info about this advertiser Sleep Tight thyroidism. In addition our dependence and overuse of smartphones tablets and computers can also impact the quality of sleep we get. A lack of sufficient sleep and rest may have a variety of causes for any one individual. Environmental factors such as light--especially the type of light that comes from constant access to a screen as on a smartphone--can significantly influence sleep cycles through influencing the release or lack thereof of sleep hormones explained Adam Killpartrick DC CNS Natural Practitioner advisory board member and chief science office of Vermont-based FoodScience Corporation (maker of DaVinci Laboratories of Vermont products). The American work schedule and notions of productivity may also be related to insufficient sleep. Finally sleep and wakefulness disorders are incredibly common with an estimated 50-70 million adults in the United States experiencing some type. Sleep apnea and insomnia are two important and well-known sleep disorders.1 There is a higher bar set on everything we do in our culture added Andreas Koch vice president of marketing for Texas-based Natural Vitality. We work more hours per year than most countries around the globe. Even away from work the body s switch is turned on and that affects our overall health. We are having more difficult time finding time to relax or turn our switch off. medical advisory board member of the Nutritional Magnesium Association these sleep aids have probably fallen out of favor because they don t really work she said. Sleeping pills have a warning that they are for short-term use only or you can become addicted and can suffer from many harmful side effects. And people can become addicted to alcohol if they use it inappropriately to help them sleep. Thus they search for other options. Making Changes When dealing with sleep issues Americans often turn to over-the-counter (OTC) sleep aids or talk to their doctor about prescription medications such as Ambien or Lunesta. According to the Centers for Disease Control and Prevention (CDC) nearly nine million adults in the U.S. take prescription sleep aids. But often these pills come with unwanted side effects such as nightmares daytime drowsiness or a feeling of being hungover the next day. Further these aids are meant to be used in the short term but many people become reliant on them and some are unable to sleep without them. Even more worrisome some people turn to alcohol to help them sleep. According to Carolyn Dean MD ND Discussing Lifestyles Sleep disorders often occur due to other issues in the body such as a hormone imbalance poor diet or a lack of exercise. Dr. Bove noted that in her practice she talks to patients about their lives to try to pinpoint their issues. In my naturopathic practice when people came to me to talk about sleep I take a step back and ask them about their lifestyle and habits. Sleep is rarely just about the hours we spend in bed resting she explained. I would ask about their evening habits-- are they winding down or getting worked up just before bed Are they eating a big meal late at night or burning the midnight oil she continued. Are they exercising during the day--or perhaps too close to bedtime Are they using alcohol caffeine or nicotine One thing practitioners might want to look at doing in practice is connecting sleep to their symptoms added Dr. Killpartrick. Include sleep questions on the intake. Not simply how many hours do they sleep but the quality of the sleep if they feel rested when they wake etc. Dr. Killpartrick also noted that it is important for practitioners to remember that not all patients have the same natural sleep cycle and it is best to find programs or ideas that work for each individual patient. Developing a healthy sleep routine choosing to go to bed at the same time every night and wake up at the same time every morning for example can be a part of the solution he said. Similarly striving for consistency and moderation in diet and exercise screen time and even temperature of the sleeping space can have an influence. Caffeine in the afternoon large meals before bedtime and nicotine should be avoided. Tips For Sound Sleeping M ary Bove ND medical educator for Gaia Herbs Inc. noted that a bedtime routine is beneficial for those that have trouble sleeping. Here she offers some small sustainable lifestyle changes that patients can apply to their daily lives to help them get some shuteye Having a bedtime routine is important. If you want a restful night s sleep you need to slow down in the evening. That means making sure there isn t a lot of excessive light digital screens in the bedroom etc. Don t eat too late--try to have your last meal at least four hours before bed. (A light snack 30 minutes before bed is fine for those whose blood sugar tends to be low.) Get some exercise to help get you good and tired and eat a healthy well-balanced diet during the day. Those will all contribute to sleep hygiene. Some easy enjoyable ways to unwind are to take a bath preferably with herbs and Epsom salts or drink a cup of herbal tea. One of my colleagues recommends her patients with sleep and stress concerns have a mug of herbal tea in the evening and she insists that part of the routine be that nothing else can happen while you re drinking your tea. You sit sip and savor the rest can wait. I like that idea--to use tea as a meditative ritual. (And the herbs in the tea could also support rest and healthy sleep.) Though as adults we scoff at the idea a regular bedtime is important. Our bodies naturally like to go to sleep and wake up at the same time. After dinner is not the time to stimulate or invigorate the mind and body. I often tell people who want to sleep better to avoid stimulating or agitating conversations at night. That includes rehashing work stress to your partner. (Let it go as part of building resilience.) I also say no 11 p.m. news and no suspenseful 10 p.m. TV shows--use our round-the-clock access to technology to your advantage and catch up on headlines or your favorite program tomorrow morning or afternoon. Instead do some light yoga and read something entertaining but not stimulating. (Save sudoku and crosswords for morning too). Supplements for Sleep In addition to making lifestyle changes to help patients sleep supplementation may be beneficial. Health supplements designed for sleep and rest are well placed in today s market said Crystal D. Webber MS RD manager product development for New Jerseybased Ajinmoto North America Inc. Many lifestyle and behavioral modifications can 18 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2015 greatly improve sleep quality. However those modifications are not easy or even possible for some individuals in the U.S. Medications are available but clients and their health care practitioners often prefer to try a natural intervention first. Ajinmoto s dietary sleep aid Glysom has the active ingredient glycine an endogenous amino acid and the most prevalent amino acid in our food supply. The targeted dose of glycine in Glysom when taken right before bed can promote sounder and more restful sleep. Since Glysom is non-habit forming and does not cause morning drowsiness it does have advantages over some other types of sleep aids and medications. Webber explained that Glysom helps to induce sleep by resetting the body s internal clock. This happens thanks to a complex process of cellular activity that signals the body to relax and prepare for a more satisfying and restful sleep she said. Glysom contains glycine a specific amino acid which is produced in the body and can be found in many of the proteins we eat. According to Dr. Kendall-Reed melatonin is needed to restore rejuvenating delta wave sleep and reduce sleep latency. Stress and cortisol block the production of melatonin which is needed to shift the brain from alpha wave stage-3 sleep into deep healing delta wave stage-4 sleep the only place where the body and brain heal. Melatonin is an important sleep aid that pushes one into stage4 delta wave sleep the only version of sleep that is healing and rejuvenating she explained. Melatonin is also a brain antioxidant that may help delay the onset of dementia and Alzheimer s. Melatonin increases apoptosis and interferes with estrogen binding onto cancerous cells. It is important to note that melatonin is not a true sedative used to put one to sleep but rather restores the quality of sleep. Dr. Killpartrick also recommends GABA the adaptogen ashwagandha and ltheanine because they all have supportive effects on the sleep cycle calmness and relaxation. DaVinci Laboratories offers a number of products that support sleep including Sleep Benefits which provides botanical and nutrient support for optimal sleep with a clinically relevant dose of melatonin and direct support for the neurotransmitters associated with tranquility and relaxation. According to the company Sleep Benefits includes Bluenesse a branded form of lemon balm which has traditionally been used to not only support a healthy stress response but also to promote healthy sleep habits. In order to truly support long term balance to the sleep cycle it is essential to support the circadian rhythm which is accomplished effortlessly by the evidencebased Sensoril Ashwagandha. We also carry l-theanine which helps promote a restful state and improved quality of sleep and Liposomal Melatonin Spray which is a great choice for sleep support because it contains 3 mg of high quality melatonin in a liposomal form for optimized delivery Dr. Killpartrick said. Another popular choice is our Valer Amino to support muscle relaxation and normal sleep. It contains amino acids valerian root herbs and B vitamins to aid in relaxation. Gaia Herbs has three formulations to support specific sleep needs Sound Sleep to support a quick transition to sleep SleepThru to support sleeping through the night and Sleep & Relax to ready the body for sleep. One of our newest formulations is Turmeric Supreme Pain P.M. which supports restful sleep and a healthy response to occasional pain. And I would also consider Adrenal Health our best-selling synergistic blend of five adaptogenic herbs to be a part of this category. The single herb Liquid Phyto-Caps Kava Kava Root and Valerian Root are also on our best-sellers list. In our GaiaKids line we have Sleep & Relax Herbal Syrup to promote a sense of calm while supporting a restful night s sleep so children feel refreshed upon waking. Magnesium also plays a key role with sleep. According to WebMD research shows that magnesium even a marginal lack of can prevent the brain from settling down at night. Magnesium is a simple effective sleep remedy and should be a first line of treatment noted Andrea Rosanoff PhD director of research at the Center for Magnesium Education & Research. We need to replenish our supply of magnesium every day. Since magnesium is constantly in motion in our cells tissues circulating blood we lose a bit each day as skin cells slough off as we sweat as our hair and fingernails grow and in our urine as our kidneys clean our blood. Natural Vitality s Natural Calm features a proprietary formula that provides a highly absorbable water-soluble magnesium in ionic form (having molecular charge that allows the element to easily bond with water) so it is ready to go to work right away according to the company. Natural Vitality also offers Natural Calm Plus Calcium and Natural Calm Cream. Because sleep plays a such vital role in a person s health and well-being getting enough quality sleep can help protect not only an individual s mental and physical health but their quality of life and safety as well. Educate them [patients] that eight hours a night is optimal especially if fatigue pain or immune dysfunction are present and offer them the supplements and sleep hygiene tips that can help them Dr. Teitelbaum concluded. 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. References 1 Institute of Medicine. Sleep Disorders and Sleep Deprivation An Unmet Public Health Problem. Washington DC The National Academies Press 2006. According to the National Sleep Foundation nearly 30 percent of adults get less than six hours of sleep per night. An estimated 50-70 million adults in the United States experience some type of sleep and wakefulness disorder. According to the Centers for Disease Control and Prevention (CDC) nearly nine million adults in the U.S. take prescription sleep aids. GABA the adaptogen ashwagandha and l-theanine all have supportive effects on the sleep cycle calmness and relaxation. Healthy Take Aways FOR MORE INFORMATION Ajinomoto North America Inc. (201) 292-3200 www.ajinomoto-usa.com DaVinci Laboratories of Vermont (800) 325-1776 www.davincilabs.com Douglas Laboratories (800) 245-4440 www.douglaslabs.com Gaia Herbs Inc. (800) 831-7780 www.gaiaherbs.com Natural Vitality (800) 446-7462 www.naturalvitality.com NOVEMBER 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 19 Blood Sugar Battle Diet and exercise are the keys to metabolic wellness but when the lock is jammed practitioners can help support the metabolic system naturally. The By Corinne Anderson M etabolic syndrome also known as insulin resistance syndrome is the combination of risk factors that raise the likelihood of heart disease or other health problems like stroke or diabetes. There are five main conditions that are associated with metabolic syndrome abdominal obesity high triglycerides low HDL cholesterol levels (good cholesterol) high blood pressure and high fasting blood sugar. In order to be diagnosed with metabolic syndrome patients must have at least three of these risk factors. While these risk factors alone are cause for concern having a combination of these issues increases the chances for major health problems. The American Heart Association noted that metabolic syndrome affects approximately 34 percent of adults and places them at higher risk for cardiovascular disease diabetes stroke and other diseases related to fatty buildup in artery walls. Along with obesity both a lack of physical activity and genetic factors are underlying causes of metabolic syndrome. However diet and lifestyle remain the main causes for concern. Many factors of metabolic syndrome are associated with insulin resistance which is known to cause cells to lose their sensitivity to insulin. It is vital in converting sugar to fuel and is needed in every cell said Lou Paradise president and chief of research at New York-based Topical BioMedics Inc. Refined sugars crash into the mitochondrial ATP production pathways like a bull in a china shop with the result being the cell membranes insulin receptors being damaged said Jack Tips PhD CCN with Utahbased Systemic Formulas. As more insulin is generated to dispose of the excess sugar the side effects of that heroic effort are the unwanted aspects of insulin s activity storage of sugar as fat arterial inflammation brain inflammation high blood pressure and cellular damage. Managing Levels According to the Centers for Disease Control (CDC) in 2014 there were a total of 29.1 million people (approximately 9.3 percent of the population) with diabetes in America. Rick Simpson CEO of Ultra Laboratories (Carson CA) and Dr. Mark Stengler a licensed naturopathic medical doctor noted that approximately 50 percent of American adults have either diabetes or pre-diabetes. On top of those staggering numbers the American Diabetes Association said that approximately 8.1 million diabetics in the U.S. don t even know they have diabetes. While there are different types of diabetes type 1 type 2 and gestational dietary factors play an important role in each of them. The majority of diabetics get the condition because of poor diet and lifestyle. Poor diet includes large portion sizes high sugar and high fat meal choices said Greg Macpherson CEO of MitoQ Ltd. in New Zealand. MitoQ Blood Sugar is our primary product aimed at assisting people with poor blood sugar control and its sequelae. The formula helps the body naturally manage blood sugar levels supports mitochondrial function and oxidative stress (associated with diabetes) and evidence suggests that MitoQ is organ protective over the long term and may delay the onset of the ramifications of poor chronic blood sugar control according to the company. 20 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2015 MitoQ on it s own is a mitochondriatargeted antioxidant that supports mitochondrial function and reduces oxidative stress. There is a clear link between high blood sugar and mitochondrial dysfunction and increased intracellular oxidative stress Machpherson said. The outcome of chronic high blood sugar presents as an accelerated aging syndrome with diabetics having a much higher and earlier incidence of cardiovascular disease kidney disease neurodegenerative diseases and more. In addition to containing MitoQ MitoQ Blood Sugar includes cinnamon which has been shown to support the metabolism at the cell receptor site act as a powerful antioxidant to help protect against the damaging effects of glucose on the cardiovascular systems and support healthy cholesterol levels. The formula also contains zinc amino acid chelate (a good source of bioavailable zinc) which is involved in the production storage and release of insulin from the pancreas and chromium picolinate which is needed to regulate blood glucose and reduce sugar cravings. Studies support chromium supplement intervention to support healthy glucose metabolism supporting energy production and weight management as well as supporting cardiovascular health and healthy cholesterol. Chromium picolinate is the most effective form of chromium to support blood sugar levels and is absorbed better than other forms Macpherson said. Ultra Laboratories also offers chromium as a supplement for those with type 2 diabetes. According to Simpson there are a number of studies including double-blind placebo-controlled studies that demonstrate chromium supplementation in doses of 200 to 1 000 mcg daily that show beneficial effects. The natural Medicines Comprehensive database summarized Some evidence shows that taking chromium picolinate orally can decrease fasting blood glucose insulin levels and glycosylated hemoglobin (HbA1C) as well as increase insulin sensitivity in people with type 2 diabetes. Alpha-lipoic acid (ALA) also offers benefits to those with metabolic syndrome. According to Natural Medicine Comprehensive database used orally or intravenously ALA seems to improve insulin sensitivity fasting blood glucose levels and glucose disposal in patients with type 2 diabetes. Ultra Laboratories offers other products that support metabolic health including gymnema sylvestre which improves blood sugar control when combined with oral hypoglycemic drugs cinnamon bark extract (Cinnulin) which is a water soluble form that reduces glucose levels and resveratrol which has shown to reduce fasting blood glucose significantly according to the Natural Medicines Comprehensive database. Dr. Tips explained that the Systemic Formulas offer much more than the key vitamins minerals fats and proteins that the body requires for healthy glucose metabolism. The company s products also contain scientifically-backed herbs and ingredients that the body can use to selfregulate its utilization of glucose receptors and citric acid cycle processes for cellular energy. Systemic Formulas Synulin contains chromium 4OH isoleucinate--a proprietary and patented nutrient that specifically addresses the normal cellular metabolic role that chromium plays in the induction and utilization of glucose through the cell membrane. That combined with other key nutrients and herbs provides a broad nutritional support for the cells myriad needs Dr. Tips said. Associated Risks High or low blood sugar levels aren t the only problems associated with metabolic syndrome. As mentioned above the likelihood of encountering heart disease and stroke are still there but what about damage to nerves loss of eyesight and other major health concerns After prolonged exposure to high blood sugar nerve damage occurs causing diabetic neuropathy. While the reasoning behind why this happens remains unclear the Mayo Clinic said that high blood sugar interferes with the ability of the nerves to transmit signals and weakens the walls of the capillaries that supply the nerves with oxygen and nutrients. The longer a patient has a combination of any of the following factors diabetes kidney disease poor blood sugar control unhealthy weight or is a smoker the odds of nerve damage particularly neuropathy drastically increases. We have found from our interaction with practitioners and their patients that joint pain and even more so nerve pain (peripheral neuropathy) lead to a less active more sedentary lifestyle as a precursor contributing factor that increases the risks of someone suffering from the effects of metabolic syndrome said Paradise. The more sedentary a patient becomes the less they exercise--defeating the purpose of good diet and exercise as a treatment. The support provided by Topical BioMedics Inc. for people suffering from metabolic syndrome is focused on resolving the pain issues so that patients can reengage in a more active lifestyle which is an important part of the treatment protocol to reduce both the risk factors and effects of metabolic syndrome Paradise said. With more than three decades of experience in addressing pain on a cellular level Topricin BioMedics Inc. offers Topricin Original Pain Relief and Healing Cream Topricin Foot Therapy Pain Relief Cream MyPainAway Fibro Cream as well as Topricin for Children. These products are complex combinations of natural biomedicines. They are formulated to treat the skin first then to help detox the pain site through the lymphatic system taking pressure off micro-circulation to restore oxygen to damaged cells Paradise continued. Weight & Sugar Control Getting to an optimal weight is a difficult but necessary task for those with metabolic syndrome. Dr. Charlotte ErlansonAlbertsson from the University of Lund Sweden was investigating natural inhibitors of pancreatic lipase--the enzyme that digests dietary fats which are not absorbable into absorbable fats since fats are the primary stimulus to releasing the body s satiety hormone cholecystokinin (CKK) said Jim Roufs scientific advisor for raw material supplier based in Sweden Greenleaf Medical. In her search to find a natural inhibitor of fat digestion she came across thylakoids the membranes that carry out photosynthesis in green plants. The primary focus she chose to study was appetite control. Anyone who has attempted to stick to a diet knows the difficulty in choosing the right foods over the wrong ones. Dr. Erlanson-Albertsson chose to study the thylakoids in spinach and started looking into creating a product that not only reduces hunger overall but reduces cravings for unhealthy foods even more. This would help individuals attempting to lose weight and in turn help reduce the negative effects of having excess bodyweight such as elevated glucose levels both in pre-diabetic and NOVEMBER 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 21 Blood Sugar Battle full-fledged diabetic individuals Roufs continued. Greenleaf Medical has utilized the ingredient in ProSpinach (a appethyl powder to control cravings) SatisFIVE (flavored appetite control) Appethyl by Green Polkadot Box and Dr. David Williams by Healthy Directions. A common question that is asked about Appethyl is how much spinach would you need to eat in order to reap the benefits of the extract It is impossible to determine since Appethyl is processed in a particular way so as to make the product bioactive the moment it is ingested allowing a person to reap the benefits of this product even after just one dose. Contrast this with fresh spinach that needs to be digested before releasing the active components that lie within each spinach cell which by the time this happens it is too late to reap the appetite suppressing effects Roufs said. When one does ingest one serving of Appethyl 5 grams it is equal to ingesting approximately three cups of fresh spinach Roufs continued. The difference between ingesting fresh spinach and the thylakoids extract is that Appethyl becomes active the moment it is ingested which allows the extract to temporarily inhibit fat digestion while the latter is not since the thylakoids in fresh spinach cells are inactive. This product is derived from a healthy food has shown to significantly reduce cravings for unhealthy foods and has two well-controlled clinical trials demonstrating significant weight loss and since excess body fat is the primary reason for having diabetes losing the excess body fat only helps to reduce the excess amount of sugar in the blood according to the company. The standard American diet often includes large amounts of fats sugars and carbs that affect the body s ability to process sugars from food into energy harming the metabolism and ability to convert the mass amount of sugars into fuel for the body. Without a properly functioning metabolism the glucose that the digestive track breaks The down is released into the blood stream and without enough insulin to help absorb the glucose and use it in the body blood glucose levels skyrocket. Again diet and lifestyle are key factors in reversing or limiting these damaging affects. However restrictive diets can be difficult particularly when there are cravings for sweets. Diabetics need to be careful when it comes to ingesting high sugar content and many turn to artificial sweeteners which surprisingly can lead to an increase in appetite. David Munk a writer at Utahbased Xlear maker of XyloSweet and Lite&Sweet natural sweeteners said that these two products are the closest tasting and baking experience to sugar out of all natural sugar replacements. Other natural sweeteners on the market are much sweeter than sugar making it more difficult to use as a true sugar replacement Munk continued. Many natural sweeteners claim no calories suggesting that the replacement is healthy. However according to studies zerocalorie sweeteners can lead to obesity Munk said. According to the Harvard School of Public Health the brain responds to sweetness with signals to eat more. By providing a sweet taste without any calories however artificial sweeteners cause us to crave more sweet foods and drinks which can add up to excess calories. Natural Approach Nutrition expert and co-founder of Hippocrates Health Institute Brian Clement said that diet and exercise is the entire ball of wax when it comes to blood sugar concerns. Diabetes in mainstream medicine is considered a chronic disease. The use of oral or injectable insulins are commonly employed often without guidance in changing lifestyles. We have observed a dramatic increase of people seeking personal responsibility in their conquest of blood sugar concerns Clement said. One of the most common medications is Glucophage which I believe is the safest of the diabetes medications. If treatments have fallen out of favor it s because they re not addressing the deeper cause like inflammation and microbiome abnormalities. It s not just obesity that causes diabetes and treatments need to be multi-layered Dr. Raphael Kellman director of the Kellman Center for Integrative and Functional Medicine and author of The Microbiome Diet said. In order to incorporate natural products and dietary supplements into a patient s program natural practitioners need to do so methodically Dr. Kellman said. Starting with the foundation and use targeting compounds to heal the gut and microbiome and reduce inflammation. After that you can add supplements and herbs that affect insulin resistance. Initially doctors gave insulin to patients with diabetes however while helpful to those with type 1 [diabetes] an insulin deficiency type 2 diabetics have insulin resistance. With this resistance and the addition of more insulin into the body the treatments normally result in massive weight gain causing even worsening insulin resistance Jacob Teitelbaum MD director of the Practitioner Alliance Network said. Sadly almost every diabetes treatment has resulted in actually increasing morbidity and mortality with the exception of the old medication metformin. As is usually the case the toxicities don t seem to become publicized until after the medication s patent wears off and generics become available. People have become appropriately aware of the limitations that standard medicines face treating diabetes and are turning to holistic alternatives Dr. Teitelbaum continued. Practitioners working with patients who have metabolic diseases should know about their history and lifestyle habits. Clement has found that education and emotional and practical support is crucial. The most critical treatment step for meta- XyloSweet and Lite&Sweet both have calories although fewer than sugar 40 percent and 75 percent less respectively. XyloSweet is 100 percent xylitol which is a natural sweetener found in fruits and vegetables. Xylitol doesn t trigger an insulin reaction according to Munk which makes it a perfect sweetener for diabetics. Lite&Sweet is also made with xylitol with the addition of erythitol a sugar substitute that looks and tastes like sugar. This blend of xylitol and erythitol doesn t give gastric issues either Munk said. These sweeteners while offering a truer taste to sugar than other artificial sweeteners are also known to have oral health benefits as well. 22 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2015 bolic syndrome and blood sugar issues is first and foremost avoid excess sugar intake and all of its forms. It is recommended that people begin by getting rid of soda and fruit juices Dr. Teitelbaum said. Everyone agrees this type of diet change is beneficial for health but additionally research shows these foods have an adverse effect on the microbiome which in turn causes insulin resistance and ultimately elevated glucose Dr. Kellman added. He stressed the importance to eat plant-based natural foods and to avoid processed and refined foods. Small fish vegetables (especially root vegetables) and foods that contain prebiotics like jicama radish and Jerusalem artichoke are beneficial choices. Supplementation is also important--particularly supplements that can help improve glucose control and insulin sensitivity. These supplements include things like chromium gymnema sylvestre and cinnamon (mentioned as previously) vanadium banaba leaf and even butyrate to help heal the intestine Dr. Kellman said. The herb berberine at 200 to 500 mg two to three times a day will also help lower blood sugar as well as brewers yeast at about 9 g daily Dr. Teitelbaum shared. In the last six decades at the Hippocrates Health Institute Clement said they have removed high saturated fats and sugars that cause blood sugar concerns. The institute also utilizes high protein plant-based diet and high protein plant-based supplements in the battle against blood sugar regulation. Protein figuratively acts as a magnet coagulating and collecting the sugar in the blood helping to remedy the insulin and pancreatic concerns that this disorder [metabolic syndrome] brings Clement said. Dr. Teitelbaum makes sure patients optimize their insulin sensitivity by getting some sun and vitamin D exercising and optimizing thyroid and testosterone levels making sure they are not too high in women and optimizing the levels in men. By understanding the deeper causes practitioners can better serve and help their patients when it comes to their blood sugar and metabolic health. By improving overall health the metabolic function will improve as well Dr. Kellman concluded. Diet exercise sleep and stress levels all play a part. Movement and a clean diet that nourishes the body and the needs of the microbiome can have a great impact. Approximately 8.1 million diabetics in the U.S. don t even know they have diabetes. Type 2 diabetics have insulin resistance when more insulin is added they experience weight gain. Protein acts as a magnet coagulating and collecting sugar in the blood. The more sedentary a patient becomes the less exercise they recieve--deafting the purpose of good diet and exercise as a treatment. Healthy Take Aways FOR MORE INFORMATION GreenLeaf Medical 46 70 869 27 06 www.gl-medical.com MitoQ Ltd. (888) 318-9464 www.mitoq.com Systemic Formulas (800) 445-4647 www.systemicformulas.com Topical BioMedics Inc. (845) 871-4900 www.topricin.com Ultra Laboratories (424) 293-3440 www.ultralaboratories.com Xlear (877) 599-5327 www.xlear.com THE GO TO RESOURCE FOR ALTERNATIVE & INTEGRATIVE HEALTHCARE PROFESSIONALS NP s Upcoming Issue Highlights Jan. Feb. March April 12 22 15 ad closing Weight Management & IHS Show Issue Immune Support May June July 4 15 16 ad closing CAM Innovations Healthy Aging & AANP Show Issue 3 4 16 ad closing 6 1 16 ad closing Our 2016 Media Planner Is Now Available At NaturalPractitionerMag.com 2016-Media-Planner 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 NOVEMBER 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 23 By Lisa Schofield Participants include Jacob Teitelbaum MD Kona HI www.endfatigue.com Cheryl Burdette ND Progressive Medical Atlanta GA www.progressivemedicalcenter.com Sara Gottfried MD Founder and Chief Medical Officer Gottfried Institute for Functional Medicine Berkeley CA www.saragottfriedmd.com Holly Lucille ND Healing from Within Healthcare Los Angeles CA www.drhollylucille.com Holly Lucille Cheryl Burdette F Jacob Teitelbaum Sara Gottfried or many patients and clients the concept of healthy practice is rather murky. Americans are now keenly aware of the role of healthy lifestyle diet and exercise as well as dietary supplements in promoting better health and well-being. Yet many still continue to visit their allopathic physicians when symptoms present and do not think to discuss or inquire about the impact of their diets and lifestyles much less request professional guidance in these areas. Typically the results of these doctor visits are pharmaceutical prescriptions or OTC (over-the-counter) recommendations and or further testing. Although many allopathic physicians will advise to exercise and give some basic diet advice to control weight blood sugar cholesterol and blood pressure for the most part that s about the extent of it. Several practitioners discuss what it means to have a healthy practice what you can do to create further community impact and how to weather any challenges. NP Please describe your mission philosophy and specialty with your practice. Dr. Teitelbaum Our mission is to empower people with the information they need to thrive. Dr. Burdette At Progressive Medical the clinic where I practice my mission is to help each person achieve optimal wellness. Optimal wellness allows people to maximize their potential and their contributions to community while on planet earth. Many forms of treatment in medicine are designed to blunt symptoms. Treating symptoms is important but it s not the only piece. If we can diagnose and treat symptoms we have started to improve whole-person health. But if we then ask the question--what is causing the symptom(s) we have a more complete response to patients needs. Often symptomatic treatment is merely a Band-Aid but as we search for the cause we can address what is at the heart of the issue and more successfully move signs symptoms and pathology into remission. Dr. Gottfried I came to my mission the hard way in my 30s I constantly felt tired overwhelmed cranky chunky and frumpy. I couldn t lose the baby weight after having two kids. I was a stress case in couple s therapy and suffered with premenstrual syndrome (PMS). I went to my doctor who offered Prozac and birth control pills--and even though I was trained to offer women 24 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2015 like myself the same cocktail--it no longer felt right. I decided to apply my medical training to myself and I discovered my cortisol level was two to three times the normal range and which my traditional doctors told me wasn t a big deal. Within one month I corrected my cortisol and felt enormously better. My PMS resolved and I started to lose stubborn weight. I took on my low thyroid next and then my estrogen dominance. I ate differently exercised less and took three supplements. I lost 25 pounds and graduated from couple s therapy. I was on to something I reclaimed my life. Using my own journey as a source of inspiration I have created several online programs to help other women reclaim their lives--whether she struggles with the number on the scale feels irritable or never wants to have sex again. I m a gynecologist but I don t treat problems. I don t even treat symptoms I specialize in root cause analysis because I know--and evidence shows-- that the greatest health transformations are triggered when the root cause is addressed. That s the basic tenet of functional medicine. I treat people. Mostly I treat women. I see women--and what I see every day is that each woman is a special snowflake. Sometimes I prescribe supplements that fill nutritional gaps that she might have. Sometimes I prescribe an iPhone app that helps her connect to her heart. Sometimes I prescribe botanical therapies with a very low risk profile. Sometimes I prescribe bioidentical hormones. Many times I prescribe all of the above. With every patient I see I consider her unique context physiology and preferences...and then invent a treatment plan to promote maximum health and happiness. It s not one method fits all. It s not fix- em-up-and-send- em-home. It s a mission. My mission is to help women feel sexy vital and balanced from their cells to their souls. That means getting your weight right where you want it getting your energy and sex drive maximized and doing it all naturally and safely. Dr. Lucille When thinking about the word healthy and trying to define it to my satisfaction I came across a word I love even better--Eudaimonia--which means human flourishing. That s my mission. I believe in the science art and mystery of healing and I have a heartfelt passion for the individual wellness of all people. In my private practice Healing from Within Healthcare I focus on comprehensive naturopathic medicine and individualized care. NP In your expert viewpoint what are the elements that constitute a healthy practice Dr. Teitelbaum I believe in two tenets. One is being authentic by being honest with yourself about with what feels best to you. This will take into account both the needs of the people you re treating and your own well-being. The second is empowering people by giving them the information needed to make informed choices. Dr. Burdette Healthy practice can seem wildly complicated. Every diet book tells you something different. If we follow the media one day something is good for you the next it s bad for you. There is a lot of conflict about what is healthy but there is also a lot of consistency. The consistency is there is no debate that improving nutrition by increasing vegetables in your diet is good for you. There is also no debate that high levels of free radicals and stress are bad. If we can lower free radicals reduce stress and improve nutrition many symptoms will improve and the root cause of disease can be calmed. These are pillars of health that ring true. Dr. Gottfried I believe that a healthy practice encompasses preventative proactive and lifestyle-based approaches with an emphasis on the role of the individual and his her responsibility when it comes to daily choices habits and long-term consequences. I believe that the alliance and collaborative relationship between doctor and patient is imperative to a healthy practice. Women need to feel empowered in order to heal. A healthy partnership can bring about repair healing harmony and hope. Dr. Lucille Transparency integrity and personal balance along with the willingness to fail and learn. You must be willing to continue to assess and grow. Healthy communication and boundaries are also important for a successful practice. Achieving and sustaining a personal balance with life and work helps exemplify what you espouse. NP How do dietary supplements fit in to a healthy practice Dr. Teitelbaum Dietary supplements are an important part of the toolkit to help people get well safely more effectively and at lower cost. In a healthy practice the sale of supplements just like doing procedures in a standard medical practice supports a practitioner so he or she can spend time with the person and keeps the number of hours one needs to work each week lower to prevent compassion burn out. I would note that 28 hours a week of direct patient care is a lot. Consider doing other work to make up the additional hours if needed. Dr. Burdette Dietary supplements can help to replace what we can no longer get from food. For instance the major pesticide used in the U.S. was originally designed as a chelater. A chelater is something that can grab nutrients and pull them out. We use pesticides that literally pull the nutrition out the soil and consequently the food that s being grown in the soil. Add to that increased pollution in the environment and higher levels of stress and you have the perfect recipe for broad nutritional deficiencies. However it is not entirely a story of doom and gloom as we can replenish what we have lost. Supplements build for us a level of protection or as I call it the light-weight bullet proof vest. Supplements can give us protection without weighing us down. For example we all know the profound impact of broccoli. It is a potent antioxidant decreases the risk of cancer and can help people detox in a challenged environment. By taking a capsule a day of the powerful compound found in broccoli glucoraphanin we can add the equivalent of a serving of broccoli to our body instantly. While you could get this from diet it would be difficult to maintain daily. Studies show there is a dose response to glucoraphanin meaning the higher the dose the better so this is a realistic way to achieve the positive outcomes seen in hundreds of studies. In addition to prevention we can use higher levels of nutrients to treat conditions such as hypertension fatigue and obesity. They are powerful tools that can positively affect parts of the wellness arsenal. Dr. Gottfried I believe in food first for healing but dietary supplements are important for filling micronutrient gaps and as tonics. Dietary supplements are a safe and effective approach to resolving many neuroendocrine problems from insomnia to anxiety and PMS and I believe they can be a positive addition to a healthy practice. In my first New York Times bestseller The Hormone Cure I offer evidence-based protocols for the top seven hormone imbalances that women face--the protocols include proven supplements. In a healthy practice the practitioner works closely with the patients to determine which dietary supplement they will benefit the best from and start with a single supplement at least initially. I m not a fan of spray and pray with a long list of supplements. It s confusing and probably unnecessarily alters feedback loops. Give the supplement the necessary time to take effect and return the patient to homeostasis. Dietary supplements should be taken in conjunction with lifestyle changes. NOVEMBER 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 25 NP How can healthy practitioners thrive in the modern health care environment Dr. Teitelbaum Work for the client instead of the insurance company. You ll be much happier. To do this you need to offer people help that is not readily available from standard practitioners who take insurance reimbursement. This is pretty easy as standard medicine is very poor at addressing fatigue pain fibromyalgia and health optimization as well as using anything besides surgery and pharmaceuticals. Dr. Burdette The health practitioner must operate in a challenging environment. Negotiating a different philosophy in a landscape of changing insurance and health care rules can be tricky. However even though the power of nutrition in medicine has not been fully recognized by the health care industry patients at increasing rates are demanding it. There is greater acceptance of the importance of diet and lifestyle change and some are beginning to realize this is the only way we will change our health care costs. More important than health care costs this is the only way we will truly change health While there are complications for the most part patients want to be helped and are looking for answers that treat them as a whole person. Sure there are obstacles in terms of access to natural therapies but when you can reach a patient there is generally a favorable outcome. The research and patient outcomes continue to support the use of natural therapies. Given the success of this approach it will continue to grow and when people get well like ripples in a pond their health affects their families health their communities health and ultimately a shift in the paradigm of medicine. Even something as simple as nutrients from broccoli and other vegetables can restore quality of life and when enough people feel good about themselves all change is possible. Dr. Gottfried I believe that the modern health care environment is heading towards more personalized lifestyle medicine and DNA-based functional medicine protocols that address genetic variations and the exposome or the aggregate non-genetic exposures from conception onward. Dr. Lucille Slowly but surely patients want more from conventional Western reductionistic care. And I think healthy practices can continue to thrive through educating and doing very good work. When you do good work you empower people who start feeling better. When they feel much better the word-of-mouth will spread like wildfire. NP What are the significant challenges imposed upon today s healthy practice-- and what do you feel can be or needs to be accomplished to overcome those challenges Dr. Teitelbaum You are competing with practitioners on a treadmill who are forced into seeing more and more people in less time. Again take the time to get a sense of what inspires and excites you in the healing arts and focus on that. And then let the public know what you have available. Dr. Gottfried As medical practices have become increasingly technical and specialized the time available to devote to more complex issues including women s health lifestyle choices and root cause analysis has become increasingly scarce. In fact the average appointment with a doctor in this country lasts seven minutes I strongly believe that longer appointments can allow for a dialogue between practitioner and patient and create a collaborative partnership with the patient playing an active role in his or her own health. Additionally conventional medical practices focus heavily on identifying and treating symptoms--doctors have been trained to fix what is broken in the body. Practitioners should be encouraged and trained to offer a lifestyle-based approach to their patients. Better lifestyle choices can prevent many diagnostic procedures and treatments and save an enormous amount of money which can be invested in other areas such as personalized lifestyle medicine. A more integrative and functional approach has been shown to be extremely effective when applied to hormones mood longevity stress related problems and disease prevention. NP What advice would you give to practitioners seeking to open and cultivate a successful healthy practice Dr. Teitelbaum Give health food store lectures on these topics as well as become an expert source for the local news media to market your practice by supplying helpful information. Dr. Gottfried First take care of yourself and heal your wounds--most practitioners have some degree of adrenal dysregulation hormone imbalance and gut problems. Deal with those first so that you come from a place of fullness and experience when helping patients. Second create your vision of what you want your practice to be. For me it took 18 months to build a bridge from my McMedicine job at the local health maintenance organization to my boutique practice of natural hormone balancing. Keep iterating until you have the right fit between your nature your vulnerabilities and your practice. Stay open and curious. When things become rote or you feel burned out that s a sure sign that some part of you is not integrated into your experience. It s your sacred duty to integrate. Dr. Lucille Adopt a willingness to fail again but fail better learn from mistakes and tolerate those that didn t work out too well. Additionally get good help with aspects that you are not skilled or adept at such as bookkeeping maintaining social media etc. This way you are allowed to do what you do best. 26 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2015 PRACTITIONER CHAT WITH SHARI BARBANEL C Christopher Hobbs PhD LAc Director of Herbal Science Rainbow Light Nutritional Systems Website www.rainbowlight.com hristopher Hobbs PhD LAc is an internationally renowned herbalist licensed acupuncturist and botanist and has been formulating market leading natural supplements exclusively for Rainbow Light since 1985. With more than 35 years of clinical experience in herbal medicine Dr. Hobbs has authored 25 books including Herbal Remedies for Dummies and Women s Herbs Women s Health. He shares his knowledge of herbal medicine with consumers and educators all over the world through lectures and utilized his expertise in this field to found the Institute for Natural Products Research. Dr. Hobbs also serves as a consultant to the herb industry. My top tips for reducing stress then as a clinician and research scientist are these (in the order of importance) 1. Gratitude and mindfulness--I tell my son (and frequently myself) gratitude not attitude. It s much harder to feel stressed when we remember to give thanks for all the positive things rather than focus on the negatives. Both are present no doubt but only we can choose what to focus on This moment-to-moment practice will work miracles. 2. Healthy habits--it s much easier to deal with stress when we feel healthy and have mental physical and spiritual vitality. The primary stress-relieving healthy habits Deep and refreshing sleep. Getting to bed early and good sleep hygiene can heal much. Aerobic exercise daily. Walk more sit less. Get a treadmill desk which is what I use daily. I walk up to six hours a day at the computer Eat simple whole food and some raw foods. As much as possible avoid refined sugar in any food or drink keep moderate stimulant use like tea and coffee to the morning hours only. Stretching walking meditation time in nature wild spots. Vacations. Just remember on vacations we don t work We do things that take us out of the daily routine we relax and stand down. We don t think about work conflicts troubles. Equanimity. A feeling that all is well all is ok all is as it should be. We are not in control anyway so it s best to just go with the flow. That doesn t mean we are helpless and take no part or responsibility in our lives. inflammation that is linked by modern research to many chronic diseases like diabetes obesity and heart disease as well as immune suppression accompanied by frequent infections. The holidays can be a joyful time to spend with family and friends. But it can also be very stressful. What are the dangers of stress Stress is a natural part of life and we wouldn t do well without some to keep us fit and on our toes. I often say that so many of us have become hot house plants today because we live such comfortable lives indoors adjusting the temperature with air conditioning and heaters while sitting in cushy chairs all day. The dangers of chronic unrelenting stress at work in a relationship from money problems are certain--the body starts breaking down and self-destructing. Some stress is just a part of life. What signs should we look for that indicate we ve gone over the tipping point into an unhealthy situation Stress can quickly become a problem if it results in feelings of anxiety disrupts our sleep or leads to other classic symptoms of an organism under stress. These include feelings of wanting to run away tight muscles and pain chronic headaches substance abuse heart palpitations teeth clenching and more. Most of us have experienced these to one degree or another. Other more hidden processes activated by harmful and chronic stress are chronic Q A Q A If you stop and think about it it s not so much being exposed to the stressful parts of life but it s how we handle the stress that counts. Stress happens. As for reducing exposure to chronic stress in our lives that depends on the nature of the stress. For environmental stresses like noise pollution difficult weather conditions dust allergens car exhaust or toxic chemicals the only answer sometimes is moving away. I knew a family that lived under high-tension power lines. They realized that it was affecting their health and eventually they got tired of it and left the area. Obviously it is difficult to move away from many of these modern stresses like air pollution or chemicals in the water. They are part of our modern world. In this case it is best to fortify our immune system and nervous system against them. As harmful as some of these stresses can be internally-generated stress or relationship stress what one might call personal stress can be the worst and most damaging because it can be unrelenting. We can feel powerless to do anything about it and that can lead to feelings of helplessness depression anxiety and anger compounding the injury to our body mind and spirit. With these kinds of stresses many people spend their entire careers trying to help us overcome the harmful effects of personal stress. Counselors therapists yoga teachers physical therapists meditation teachers are some obvious examples. If all else fails we often self-medicate ourselves with alcoholic drinks cannabis prescription antidepressants and many other drugs. Q A What are your top tips for reducing stress Q Are there practices (such as breathing exercises stretching etc.) you recommend to help combat stress (Continued on page 30) NATURAL PRACTITIONER NOVEMBER 2015 WWW.NATURALPRACTITIONERMAG.COM 27 PRODUCT FOCUS Detoxing to a Healthier You T he act of detoxing and cleansing the body is typically thought of as a period of fasting followed by a strict diet in an effort to empty the intestines according to the Mayo Clinic. During and after detoxes many people feel more focused and energetic but there are conflicting opinions about whether detox diets actually remove toxins from the body. The kidneys and liver are generally effective at performing their duties of filtering and eliminating toxins that are ingested. However according to Cheryl Kasdorf ND a naturaopathic physician licensed by the state of Arizona most of us were born with hundreds of environmental toxins and absorb more every day plus inherited compromised detoxification systems so very few have an inherent ability to detoxify efficiently. The National Kidney Foundation reported that approximately 26 million American adults have chronic kidney disease (CKD) which includes conditions that damage the kidneys and subsequently keep them from performing their healthy function. The kidneys and liver are essential in naturally detoxing the body and approximately one in 10 Americans have some form of liver disease. Dr. Kasdorf went on to discuss the unnatural foods in many American diets processed refined hydrogenated flavored and fat-sugar-salt layered plus lifestyle habits such as stress reactions and smoking cause our natural detoxification systems to function poorly. Like anything diet and exercise are essential to getting the body and keeping it at a healthy self-detoxing state. When the body has lost the ability to By Corinne Anderson detoxify efficiently toxins accumulate and are deposited resulting in compromised health and then degeneration and lingering disease she said This is when medical detoxification measures can be used to regain health the most deep-acting being Biotherapeutic Drainage. Biotherapeutic Drainage gets the body to do what it should do. The toxins are eliminated non-aggressively without forcing the natural capacities of elimination. The action is full spectrum detoxification on the cellular level on the level of the tissues and on the level of the organs of the body Dr. Kasdorf continued. The aim is to reverse the degeneration and disease and restore cellular function so that the cells can eliminate toxins on their own and continue to do so rather than allowing the toxins to accumulate and cause problems in the future. For patients interested in detoxing and cleansing the body Dr. Kasdorf listed a few things that they should look into reducing and eliminating outside toxins including emotional stress evaluate lifestyle habits that may be counterproductive such as smoking soda or toxic chemicals in hobbies evaluate the diet look to remove artificial sweeteners and chemical flavorings eliminate body care and household products that have chemicals add vitamin and mineral rich foods to your diet and consult with a physician. There are many different kinds of detoxes deep breathing exercises saunas green juice cleanses parasite purge colon cleanses enemas liver cleansing herbs and goods herbal kidney cleanses among others. Biotherapeuticdrainiage.com is a resource for discovering a deep way of affecting detoxification. Practitioners can read it to evaluate if this kind of work resonates with how they would like to practice and become familiar with the kinds of natural medications that are used. If it speaks to their therapeutic goals then it is recommended that they look at the practitioner certification page on that website and starting the classes in Seroyal s Biotherapeutic Drainage Certification program. Licensed health care practitioners can become Certified Biotherapeutic Drainage Practitioners after being thoroughly trained in this modality. Often the information can be incorporated in their practice at some level immediately. In a biotherpeutic drainage type of detoxification it may take time to get the cells to eliminate properly but then they will continue to do so and not accumulate their own products of elimination as well as get rid of xenobiotics. This translates to health reversing degeneration and disease because cell function restores to normal after eliminating toxins. The program may span months to get the end result but most patients feel some beneficial effects soon after they start. The gradual nature ensures complete elimination and no awful feelings. Below is a sampling of detox and cleansing products that can be utilized to aid in the restoration of the health of toxin-eliminating cells that practitioners can discuss and offer to their patients. MultiPhase Detox MutliPhase Detox by DaVinci Laboratories is a capsule formula designed to support normal phase-balanced detoxification processes. It provides glutathione precursors and antioxidants to support liver kidney colon and urinary tract health. With patented ingredients like Siliphos Silybin Phytosome LeucoSelect (grape seed) Phytosome and Curcumin C3 Complex MultiPhase offers multiple ways to support normal liver detoxification. Each of the ingredients offer proven enhanced bioavailability without the addition of soy. Amino acids fibers and 5 billion CFU of Bacillus coagulans provide additional support for whole-body wellness through supporting liver and gastrointestinal health. Each 90-ct. bottle has a suggested price of 42.00. For more information call (800) 325-1776 or visit www.davincilabs.com. Detox Deodorant Herbalix Restoratives Nighttime Cleansing Detox Deodorant (NCDD) is specifically formulated to topically purge and absorb cellular trash (odors toxic metals salts) from the underarm. NCDD comes in three different sizes .47-oz. (suggested price 12.50) 2.5-oz. (suggested price 24.95) and in 4-oz. (suggested price 43.00) and is certified organic. The NCDD dilates the underarm ducts flushing stagnated fluids descending from the upper circulatory region (brain thyroid jaw). Used with Sentinel Breast Cr me the NCDD can safely help flush out trapped aluminum salts found sitting from the lower portion of the axilla generated through breast tissue pathways. NCDD can be used as a pre and post self-treatment to clear pathways in the submandibular and subclavian regions for removal of toxic metal ions. For more information (360) 437-9084 or visit www.herbalix.com. (Continued on page 34) WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2015 28 NATURAL PRACTITIONER Go to www.naturalpractitionermag.com advancednaturals for info about this advertiser PRACTITIONER CHAT (Continued from page 27) A full belly breath can quickly relieve the anxiety or other unpleasant feelings that arise during difficult and stressful situations. It is a lifesaver for preventing anger from controlling your words and actions. For a moment or two sit and put your hands over your belly. Breathe into your hands and fill the lower abdomen. Then into your ribcage as it expands and finally the upper chest. Hold the breath for five to 10 seconds and slowly release. This is called a complete breath. We are drawn outside of ourselves so much by this fast-paced and demanding modern life. Take five minutes to sit and go inside. Check in and see how it feels in there. Does it feel unsettled and scary or calm and serene A ample high-quality protein fiber and essential nutrients we should get enough minerals like magnesium and B vitamins to help our nervous systems work well but a daily complete nutritional supplement with added natural food concentrates will be one of the best insurance policies we can have. We use up and have a greater need for these nutrients when we are under stress. What supplements do you recommend for digestive issues that may come about during the holidays or other times of stress It is said that the digestion is the foundation of our health and wellness because its function supply us with the nutrients and energy we need daily and hourly. For maintaining good digestion eat simple whole foods and eat real food as much as possible. Define real food as any food without a label. Herbal preparations have a long history of use for supporting and strengthening digestion as well as helping to ease common digestive problems like indigestion gas a feeling of uncomfortable fullness loose stools and constipation. These can all contribute to the harmful effects of stress. For indigestion bitter tonics are highly recommended. These are in liquid form and taken in a little water before meals or when feelings of indigestion happen at the time. The herbs in these products are ones that stimulate digestive enzymes and relax the organs enhancing assimilation and a feeling of ease. They include the herbs gentian angelica fennel and especially ginger. How should practitioners address stress with their customers How should they start that conversation Practitioners have an advantage of time over a short conversation in a supplement department. They also have a private space where people are more likely to open up about their stress level and what is bothering them so the product(s) can be tailored specifically for their needs. Practitioners can ask the same questions as above--how are you sleeping your stress level on a scale of one to 10 or do you ever feel anxious or worried Practitioners can also use the principles of traditional medicine and observe the tongue feel the pulse and different areas of the body like the abdoment to identify areas of stress and Q tension. I always worked on the belly of my patients. People would often indicate that it felt very sensitive tight and even painful under light pressure. Showing the patient how to press on the abdomen and relieve tension by having a partner help to relieve it with the fingers is very helpful. Stress hits us first in the abdomen and can affect digestion right away. Why do you think the pharmacies have long isles of products for indigestion constipation and gas What is your supplement regime How does your health and wellness routine change during the holidays I m more likely to feel a little sad during this time of year because of lost loved ones and my younger years celebrating Christmas with them. This is also a dark cold time of year for many so Yule time cheer and the holiday atmosphere and celebrations are a way of dispelling the dark and bringing families and friends together. I take winter wellness herbs almost daily like elderberry andrographis and respiratory formulas. I make a lot of herbal teas with wellness herbs like lemon balm cedar leaf tea garden sage thyme oregano teas or ginger and licorice or even American ginseng for strength and energy. These can be used in capsules or tablet forms as well. I take vitamin D because research shows that we are more likely to be deficient in this important immune nutrient in the winter months. I take omega-3s a daily organic men s multivitamin with B vitamins vitamin C and other nutrients. Finally I get out in the cold and walk and move my body as much as possible and really focus on getting regular sleep all for maintaining a strong immune system. So much has been said about how stress and lack of sleep depresses immune function and research backs up their importance for maintaining health throughout the winter months and especially during the holidays when travelling and celebrating. A lot has been said about the flu shot to prepare for the holidays and cold and flu season. Some years it works ok and others not so well as we all know. The viruses can adapt and mutate each season adaptable creatures that they are. What doesn t change and what we can count on without fail year after year is out host immunity our own innate immune response. This is what will make the biggest difference in the end. A Q A Q A How can botanicals and other supplements help Our nutritional status will make a difference in how we handle stress. With a good varied whole foods diet with Q A 30 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2015 NATURAL HEALTH STUDIES Tai Chi Linked to Improved Physical Capacity in Certain Common Long Term Conditions he ancient Chinese exercise tai chi is linked to improved physical capacity among older adults with certain common long term conditions indicates a pooled analysis of the available evidence published online in the British Journal of Sports Medicine. Among people with breast cancer heart failure osteoarthritis and chronic obstructive pulmonary disease (COPD) these improvements were not at the expense of worsening pain or breathlessness the findings show. The researchers wanted to learn how effective tai chi was in long-term conditions that are common among older adults. So they trawled electronic research databases for relevant studies published up to 2014 on the use of tai chi in people with cancer osteoarthritis heart failure and COPD. They wanted to find out if tai chi relieved symptoms and improved physical capacity and quality of life in all four long-term conditions. Out of 1 102 articles 33 involving 24 studies T and 1 584 participants were suitable for inclusion 21 studies were included in the pooled analysis. The average age of participants ranged from the mid 50s to the early 70s while the average length of the tai chi training program was 12 weeks with most sessions lasting an hour. Tai chi training was usually offered two to three times weekly. The results showed that tai chi was associated with trends or definite improvement in physical capacity and muscle strength in most or all four long-term conditions. This included improvements in the six minute walking test muscle strength as measured by bending and stretching the knees the time it takes to get up and move known as the TUG test and quality of life. Tai chi was also associated with an improvement in the symptoms of pain and stiffness in osteoarthritis and in breathlessness in COPD. And it was associated with improved sit to stand times among patients with osteoarthritis. Because this is an observational study no definitive conclusions can be drawn about cause and effect added to which the only cancer included in the analysis was breast cancer. But the findings back those of previous research and provide a reasonable starting point to look at the value of exercise programs such as tai chi for people with several co-existing long-term conditions say the researchers. Tai chi can improve some physical performance outcomes in four chronic conditions...but not at the expense of worsening pain or dyspnoea [breathlessness] the researchers wrote adding that it may provide a suitable exercise stimulus for people with several comorbidities and could be used as a complementary therapy in some long-term conditions. (Source British Journal of Sports Medicine--September 2015) People With Genetic Variant Increasing Vitamin D Metabolism Improve Blood Sugar Control With High Protein Weight Loss Diet N ew research published in Diabetologia shows that people carrying a certain genetic variant relating to vitamin D metabolism are more likely to benefit from a high-protein weight loss diet than those without it. Previous research has shown that low levels of circulating vitamin D are associated with obesity insulin resistance and an increased risk of type 2 diabetes. Other genetic studies have identified several genes involved in vitamin D metabolism. In this study the authors analyzed whether diets high in fat or protein--both good sources of vitamin D--interact with these genetic variants in a way that improves weight loss and metabolic outcomes such as blood sugar control. They analyzed interactions with three gene variants 1. DHCR7 Involved in the synthesis of cholesterol which is itself an essential component for making vitamin D 2. CYP2R1 This converts vitamin D into 25-hydroxyvitamin D which is the major circulatory form of vitamin D 3. GC Vital for vitamin D storage and transport The authors analyzed overweight obese participants from a two-year weight-loss trial conducted in the U.S. (POUNDS Lost study). They assessed genotype effects on changes in body weight fasting levels of glucose and insulin and insulin resistance at both six months (656 participants) and two years (596 participants) in response to low-protein versus high-protein diets and low fat versus high-fat diets. They found significant interactions between DHCR7 and diets varying in protein but not in fat which brought about changes in insulin and insulin resistance at both six months and two years. People with the DHCR7 variant which leads to increased vitamin D showed greater decreases in fasting insulin levels and insulin resistance in response to high-protein diets while there was no significant genotype effect on changes in these traits in the low-protein diet group. There was no significant interaction found between the other two genetic variants and dietary protein or any of the three variants with dietary fat. Regarding weight loss there was no sig- nificant interaction between vitamin D genetic variants and dietary protein or fat on weight loss. The amount of weight loss was similar between the low- and high-protein diet groups and between the low- and high-fat diet groups (meaning all the diets worked for weight loss but there were no differences between people with different genotypes). We speculate that vitamin D and or other nutrients from protein-rich foods may interact with DHCR7 to influence DHCR7 function thereby affecting blood vitamin D levels and eventually modifying the effects on changes in insulin resistance...Our findings provide new insight into the utility of using knowledge of vitamin-D-related genetic variation to improve personalized dietary interventions the authors said. Our findings of gene-protein dietary interaction are biologically plausible provide additional evidence for the roles of vitamin D in insulin resistance and suggest new insights into effective strategies for type 2 diabetes prevention and intervention. (Source Diabetologia--September 2015) NOVEMBER 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 31 NATURAL HEALTH STUDIES Lack of Folic Acid Enrichment in Europe Causes Mortality Among Fetuses A new international study shows that 5 000 fetuses in Europe annually are affected by spina bifida and other severe defects on the central nervous system. Seventy percent of these pregnancies are terminated while increased mortality and serious diseases affect the children who are born. At least half of the cases can be avoided by adding folic acid to staple foods as is already being done in 70 nonEuropean countries. A lack of folic acid enrichment in Europe is the cause of several thousand cases of fetal abnormalities e.g. spina bifida. These congenital diseases lead to an open spinal cord or brain malformation due to deformed vertebrae. Half of the 5 000 annual cases could be avoided by enriching foods with the vitamin folic acid which is known to play an important role in the formation of the vertebrae in prenatal life. In Europe it is currently recommended that all women who are planning a pregnancy should take a folic acid supplement. But the numbers which reveal the development over 11 years show that the voluntary scheme is ineffective and has serious consequences for the fetuses. The research results from Aarhus University have just been published in the scientific journal Birth Defects Research. Seventy non-European countries have already introduced folic acid enrichment including the U.S where it was introduced 17 years ago as well as Canada and Australia. The measure has reduced fetal defects related to folic acid such as spina bifida by 50 percent. European women have a blood level of folate that is only around half the level recently recommended by the WHO (World Health Organization) for the prevention of birth defects. There is no doubt that a policy on folic acid enrichment would increase women s folate and prevent a significant percentage of the spina bifida cases in many European countries and thus prevent deaths and illnesses among children said Associate Professor Rima Obeid from Aarhus Institute of Advanced Studies at Aarhus University who together with an international team of researchers from Germany Switzerland and the U.S. is behind the study. The study is based on nine million registered births in Europe over a period of 11 years and it shows that there are on average 9.17 cases of abnormalities of the brain and the spinal cord per 10 000 births. The numbers are higher in North European countries e.g. Scandinavia the Netherlands and Germany than in southern countries. European policy makers have been hesitant because of the fear of side effects. However there is no evidence for damaging side effects even in the countries that introduced the measure over 15 years ago. Food enrichment with a minor amount of folic acid has been shown to be safe for the population--also without side effects for other age groups and men--and an effective way of lowering the level of birth defects. It is the most costeffective way to reach every woman before pregnancy and to reduce child mortality and the risk of disease. But introducing such a measure would require collaboration between policy makers stakeholders researchers and health care professionals and a country-specific preparation and monitoring processes explained Obeid. (Source Birth Defects Research--September 2015) Nutritional Needs for Skeletal Health Change as You Age W hether you re young or old the right nutrition can make a difference to your bone health and influence your ability to live an independent mobile fracturefree life into your more senior years. That s the key message of a new scientific review published in the journal Osteoporosis International. The review summarizes the latest evidence relating to the nutritional needs of mothers children and adolescents adults and seniors in relation to developing and maintaining a healthy skeleton. Placing particular emphasis on calcium vitamin D and protein it shows how adequate nutritional intake of these and other micronutrients can support the primary objectives for good bone health Achieving genetic potential for peak bone mass in children and adolescents Avoiding premature bone loss and maintaining a healthy skeleton in adults Preventing and treating osteoporosis in seniors Findings from international studies and trials are summarized as well as current dietary guidelines. Professor Cyrus Cooper co-author and chair of the International Osteoporosis Foundation (IOF) Committee of Scientific Advisors stated This new report shows just how important nutrition is for our bone health throughout life. In fact nutrition plays a key role in the development of a healthy skeleton even before birth. Healthy maternal diets as well as adequate vitamin D levels are associated with greater bone mass in the off-spring. The report also underlines how lifestyle trends which lead to poor diet and nutrient deficiencies are a growing cause of concern in people of all ages and particularly in children. Milk and dairy products comprise the main stay of calcium intake for most children yet a decline in milk consumption has been observed across the world during the last few decades. Furthermore vitamin D insufficiency is widespread among youth which has led to recommendations in several countries for vitamin D supplements to be given to infants and young children. In adults and seniors studies have shown that calcium intakes are often considerably below those recommended by national guidelines. Similarly alarmingly low levels of vitamin D have been found in populations around the world. Lifestyle factors such as excessive alcohol consumption smoking and a very high or low body mass index (BMI) also elevate fracture risk for a substantial number of people. The impact of nutrition on falls and fracture prevention in seniors who are a growing segment of the population and most affected by osteoporosis is discussed. The review shows how deficits in protein intake as well as malnutrition can negatively affect their bone and muscle health. It also highlights how together with appropriate exercise adequate nutritional intake in those at high risk of fracture plays an important complementary role to pharmacotherapy. Professor Bess Dawson Hughes co-author and professor at the Jean Mayer USDA (U.S. Department of Agriculture) Human Nutrition Research Center on Aging at Tufts University in Boston commented The baby boomer generation is aging and as a result age-related musculoskeletal diseases are imposing an increasingly costly burden on society and health care systems worldwide. This report shows how we can tap the potential of healthy nutrition within a systematic life-course approach to support osteoporosis and fracture prevention. (Source Osteoporosis International-- September 2015) 32 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2015 Acupuncture Reduces Hot Flashes In Breast Cancer Survivors A cupuncture may be a viable treatment for women experiencing hot flashes as a result of estrogen-targeting therapies to treat breast cancer according to a new study from researchers at the Perelman School of Medicine at the University of Pennsylvania. Hot flashes are particularly severe and frequent in breast cancer survivors but current FDA (U.S. Food and Drug Administration)-approved remedies for these unpleasant episodes such as hormone replacement therapies are off-limits to breast cancer survivors because they include estrogen. The results of the study are published in the Journal of Clinical Oncology. Though most people associate hot flashes with menopause the episodes also affect many breast cancer survivors who have low estrogen levels and often undergo premature menopause following treatment with chemotherapy or surgery said lead author Jun J. Mao MD MSCE associate professor of Family Medicine and Community Health. These latest results clearly show promise for managing hot flashes experienced by breast cancer survivors through the use of acupuncture which in previous studies has also been proven to be an effective treatment for joint pain in this patient population. In the trial the research team enrolled 120 breast cancer survivors all of whom reported experiencing multiple hot flashes per day. Participants were randomized into four different interventions that would ana- lyze how effectively an acupuncture technique known as electroacupuncture--in which embedded needles deliver weak electrical currents--reduces incidents of hot flashes as compared to the epilepsy drug gabapentin which was previously shown to be effective in reducing hot flashes for these patients. For an eight-week period participants received gabapentin (900 mg) daily gabapentin placebo daily electroacupuncture (twice per week for two weeks then once weekly) or sham electroacupuncture which involves no actual needle penetration or electrical current. After the eight-week treatment period the subjects in the electroacupuncture group showed the greatest improvement in a standard measure of hot flash frequency and severity known as the hot flash composite score (HFCS). They were followed by the group that had received the sham acupuncture treatment. The gabapentin pill group reported less improvement than the sham acupuncture group and the placebo pill group placed last. In addition to reporting the greatest reductions in hot flash frequency severity both acupuncture groups reported fewer side effects than either of the pill groups. The Penn researchers surveyed the subjects 16 weeks after treatment ended and found that the electroacupuncture and sham electroacupuncture groups had enjoyed a sustained--and even slightly increased--abatement of hot flashes. The pill-placebo patients also reported a slight improvement in symptoms whereas the gabapentin pill group reported a worsening. Compared to its sham version electroacupuncture produced a 25 percent greater reduction in HFCS suggesting that it really could work better--though the modest size of the study precluded a statistically definitive conclusion. However the study did show with confidence that the sham acupuncture procedure worked better than a placebo pill at relieving hot flashes presumably by creating a stronger expectation of benefit. Acupuncture is an exotic therapy elicits the patient s active participation and involves a greater patient-provider interaction compared with taking a pill Mao said. Importantly the results of this trial show that even sham acupuncture--which is effectively a placebo--is more effective than medications. The placebo effect is often dismissed as noise but these results suggest we should be taking a closer look at how we can best harness it. The sham acupuncture procedure also seemed to create a strikingly lower experience of adverse side effects which were virtually absent in this group. Only one woman reported an episode of drowsiness from the sham acupuncture whereas the placebo pill recipients reported eight adverse events such as headache fatigue dizziness and constipation. (Source Journal of Clinical Oncology-- August 2015) NOVEMBER 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 33 NATURAL HEALTH STUDIES Weight Loss Exercise Improve Fertility in Women With PCOS eight loss and exercise improve ovulation in women who have polycystic ovary syndrome (PCOS) a common hormone disorder that often causes infertility according to a new study published in the Journal of Clinical Endocrinology & Metabolism (JCEM). PCOS is the most common cause of female infertility. The condition occurs when a woman s body produces slightly higher than normal amounts of testosterone and other androgens sex hormones associated with male traits. The resulting hormone imbalance can cause irregular or absent menstrual periods weight gain acne excess hair on the face and body or thinning hair on the scalp. As many as five million women nationwide have PCOS according to the U.S. Department of Health and Human Services Office of Women s Health. The findings confirm what we have long suspected--that exercise and a healthy diet can improve fertility in women who have PCOS said one of the study s authors Richard S. Legro MD vice chair of research and professor of obstetrics and gynecology W and public health sciences at Penn State College of Medicine. Making preconception lifestyle changes is beneficial either alone or in combination with other pretreatment options. Women with PCOS often take birth control pills to regulate the menstrual cycle and reduce the level of androgens in the body. Past research has indicated that pretreatment with a short-term course of birth control pills can raise pregnancy rates among women with PCOS. The JCEM study was designed to compare preconception interventions and their impact on fertility. The randomized open label study examined the differences in pregnancy outcomes among 149 women with PCOS who either took birth control pills underwent lifestyle modification or a combination of the two interventions for a four-month period. The participants were between the ages of 18 and 40. The women were either overweight or obese but had no other major medical conditions. After the intervention the participants underwent four cycles of ovulation induced by medication. Among the 49 women assigned to the birth control intervention five gave birth. Of the 50 women in the lifestyle intervention group 13 delivered babies. Twelve of the 50 women in the combination group gave birth. Women who participated in the lifestyle modification intervention and took birth control pills were more likely to ovulate than women who were assigned to take birth control pills. In addition women in the lifestyle and combination arms of the study had better insulin sensitivity and lower levels of triglycerides than women who took birth control pills. The research indicates preconception weight loss and exercise improve women s reproductive and metabolic health Dr. Legro said. In contrast using oral contraceptives alone may worsen the metabolic profile without improving ovulation. Lifestyle change is an important part of any fertility treatment approach for women with PCOS who are overweight or obese. (Source The Journal of Clinical Endocrinology & Metabolism--September 2015) PRODUCT FOCUS (Continued from page 28) Detox Formula Vital Nutrients Detox Formula is a combination of nutrients designed to promote healthy liver function (suggested price 26.20 60 capsules). The formula contains conditionally essential amino acids utilized in the body s detoxification pathways as well as herbs that help maintain liver health. The precursors of glutathione are included as well as natural sources of sulfur which support detoxification enzyme activity. The high antioxidant content enhances the body s natural defense systems. For more information call (888) 328-9992 or visit www.vitalnutrients.net. Liver Detox Support Perfect Liver Detox Support by Perfect Supplements is an all-natural doctor-formulated herbal formula designed to support and maintain healthy liver function. Formulated by Erica LePore ND the Perfect Liver Detox Support is a 100 percent natural detoxification supplement. Using a unique combination of herbs and superfoods--milk thistle artichoke schisandra berry broccoli sprouts turmeric cilantro and chlorella--this product enhances both Phase 1 and Phase 2 liver detoxification. Each 120ct. capsule bottle has a suggested price of 39.95. For more information call (866) 802-3860 or visit www.perfectsupplements.com. Detox & Cleanse Patient One MediNutritionals L-Detox 13 supplies a synergistic combination of standardized herbal extracts and potent antioxidants that promote healthy liver function and support the liver s cleansing and toxin-filtering activities. This blend protects liver cells supports liver cell regeneration increases glutathione synthesis maintains healthy bile production enhances fat metabolism and digestion reduces free radical damage and influences HMG-CoA reductase an enzyme for cholesterol production that is closely tied to liver health. It is recommended that the A.M. Formula be paired with the P.M. Formula Patient One C-Cleanse. Patient One C-Cleanse is a fiber-based cleansing and colon health formula. It is 5 000 mg of psyllium husk powder combined with Patient One s Proprietary Cleanse Blend including papaya peppermint buckthorn celery seed bayberry root rose hips and apple pectin powders to support the body in ridding itself of accumulated toxins. C-Cleanse is available in a 30 serving size for a suggested price of 16.90 and L-Detox 13 is also available in a 30 serving size for a suggested price of 26.90. For more information call (877) 723-0777 or visit www.patientformulas.com. 34 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2015 NATURAL MARKETPLACE NATURAL MARKETPLACE PROVIDES INFORMATION ABOUT NEW PRODUCTS AVAILABLE TO THE NATURAL HEALTH CARE INDUSTRY. ALL STATEMENTS CLAIMS AND PRODUCT INFORMATION ARE PROVIDED BY THE MANUFACTURER. NATURAL PRACTITIONER DOES NOT ENDORSE ANY PRODUCTS INCLUDED IN NATURAL MARKETPLACE OR ATTEMPT TO CORROBORATE ANY CLAIMS MADE BY THE MANUFACTURER. To have a new product included in Natural Marketplace please send a press release and photograph to Natural Practitioner by email to ShariB VRMmedia.com SkinCeuticals NEW YORK NY--This first of its kind kit combines the Tria Age-Defying Laser with SkinCeuticals C E Ferulic and Resveratrol B E for a nightly regiment that works in conjunction to diminish wrinkles and improve overall evenness and texture while minimizing the irritation and discomfort typically associated with laser treatments. After the application of SkinCeutiucals C E Ferulic and Resveratrol B E users immediately see a significant improvement over standard results the company said. SkinCeuticals Age-Defying Laser and Antioxidant System has a suggested price of 649. For more information call (800) 771-9489 or visit www.skinceuticals.com. Multi Strain PITTSBURGH PA--New from Pharmax HLC Multi Strain 50 capsules include 50 billion CFU from a combination of 15 probiotic strains. These strains were selected based on their ability to support both gastrointestinal and immune health the company said. The strains BL-04 and NCFM support yearround immune health and may enhance certain aspects of cellular immunity. HLC Multi Strain 50 is available in a capsule format ideal for vegetarians. It is gluten- and dairy free with a suggested price of 62.10 for a 30ct. bottle. For more information call (888) 737-6925 or visit www.seroyal.com brands pharmax. Adreno Calm PITTSBURGH PA--Genestra Brands recently released Adreno Calm (suggested price 65.46 120-ct. bottle) which provides a calming combination of herbal extracts l-theanine an amino acid found almost exclusively in tea and phosphatidylserine. It helps to temporarily promote relaxation and maintain healthy cortisol levels during stressful conditions. Adreno Calm also includes standardized extracts from magnolia and ashwagandha. It is available in capsule form and is dairy- and gluten free. For more information call (888) 737-6925 or visit www.seroyal.com brands genestrabrands. SmartyPants Prenatal MARINA DEL REY CA--SmartyPants PreNatal gummy vitamins are jam packed with premium ingredients proven to promote brain bone and joint health in developing babies. Each serving contains vitamins A D C E B3 B6 B12 iodine and folic acid as well as L-methylfolate the most bioavailable and easily absorbed form of folic acid. SmartyPants PreNatal (suggested price 34.95 180-ct. bottle) also includes a complete multivitamin with eco-friendly omega-3 DHA EPA fish oil from sustainable sources of small fish and vitamin D3 and vitamin K. Additionally the company s gluten-free gummies contain no high fructose corn syrup artificial flavors colors or preservatives. For more information call (888) 751-2291 or visit www.smartypantsvitamins.com. Mask Trio CARLSTADT NJ--Caudalie released two new skin treatments to the Caudalie family. The Caudalie Mask Trio purifies treats and moisturizes skin with three indulgent and quick-acting facemasks. The trio includes the new full-size Instant Detox Mask which eliminates toxins and impurities as well as travelsize versions of the Glycolic Peel Mask which tightens pores and treats blemishes and the Hydrating Mask. The Mask Trio is available for a suggested retail price of 39. The company also introduced its Premier Cru Anti-Aging Set which contains two travel size versions of the brand s flagship products Premier Cru La Cr me (0.5-oz.) and Premier Cry Eye (0.67-oz.) which are formulated with three patented ingredients that work together to yield firm smooth dense and radiant skin. Resveratrol-Oleyl prevents glycation Vinefrine prevents dark spots and polyphenols are the most powerful antioxidant in the plant world. The Premier Cru Anti-Aging Set retails for 99. For more information call (866) 826-1615 or visit http us.caudalie.com. ProOmega 2000 WATSONVILLE CA--With nearly double the omega-3s of Nordic Naturals product ProOmega ProOmega 2000 features an omega-3 oil with ultra-concentrated EPA DHA in the highly absorbable triglyceride molecular form. In a slightly larger soft gel this concentrate is ideal for patients requiring the highest levels of EPA DHA. There are 2 000 mg EPA DHA per serving is the highest concentration triglyceride-form omega oil and aids in the support for heart brain immune health and more the company stated. The certified gluten-free soft gels come in a 60-ct. bottle for a suggested price of 49.95. For more information call (800) 662-2544 or visit www.nordicnaturals.com. NOVEMBER 2015 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 35 NATURAL MARKETPLACE Femmenessence SAN FRANCISCO CA--FemmenessencePRO PRO PERI and PRO HARMONY are concentrated and highly bioavailable but each uses different maca phenotype combinations. Maca has 13 different phenotypes each is a different color DNA analytical profile and most important elicit different physiological effects in the body. Each 180-ct. bottle has a suggested retail price of 49.99 and is certified organic. For more information call (415) 243-9991 or visit www.femmenessence.com. CONFERENCES AND EVENTS December 4-6 Dr. Roizen s Preventive and Integrative Medicine Conference Las Vegas NV This year s focus for Dr. Roizen s Preventive and Integrative Medicine Conference is Optimizing Aging by Altering Inflammation. The conference will focus on discussing the most recent data analyzing its impact and assessing its best use in clinical practices. Key topics include the role of nutrition in the inflammatory process gut microbes plant-based diets and use of shared medical appointments. For more information visit www.clevelandclinicmeded.com. December 5-6 OANP 20th Annual Conference Prescribing Pearls & Pitfalls Portland OR Oregon Association of Naturopathic Physicians (OANP) will offer up to 11 hours of pharmacy CE four hours of ethics and two hours of general CE depending on the breakout session tracks attendees select. Any CE obtained in December but not needed for license renewal in that year may be carried over to the next year s renewal (for NDs only). The schedule features multiple speakers including keynote Paul Anderson ND along with a vendor fair and evening receptions. Registration is open until December 4. For more information visit www.oanp.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. April 15-17 60th Annual NorthWest Naturopathic Physicians Convention (NWNPC) Portland OR The NWNPC celebrates its 60th annual convention with their Diamond Jubilee. The theme this year focuses on Food as Medicine a tenet of naturopathic philosophy with keynote speakers Tieraona Low Dog MD and Satya Ambrose LAc ND. Along with social events and entertainment students will be able to participate in the annual speaking competition in the scholarship series for 5 000 in scholarship money. For more information visit www.nwnpc.com. ADVERTISER INDEX ADVERTISER Advanced Naturals Ajinomoto Co. Ltd. America s Finest Inc. Carlson Laboratories Inc. DaVinci Laboratories of Vermont Emerson Ecologics Kyowa Hakko USA Natural Partners Probiotics Intl. Ltd. (Bio-Kult) Protocol for Life Seroyal (Genestra) Vital Nutrients Inc. 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