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Description: In This Issue: Empowerment Through Education, Cardiovascular Health, Weight Management, and Multivitamins

HE www.naturalpractitionermag.com January February 2016 AL THE VIS TH IN IT C T U BO AR EG S A OT E S RA T H YM TIV 5 P E 09 OS IU M 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 January February 2016 VOLUME 5 NO. 1 16 FEATURES 16 Empowerment Through Education Embracing your inner lifelong student will help keep you and your practice on point and foster a healthier community. 20 24 COLUMNS 4 Editor s Note 30 Supplement Science 8 Practitioner Corner 29 Product Focus Multivitamins 20 Breaking Down the Numbers of Heart Disease Practicing a prevention strategy earlier on is significant in derailing heart-related problems. DEPARTMENTS 11 Health News 27 Practitioner Chat 32 Natural Marketplace 33 Natural Health Studies 35 Media Corner 36 Conferences & Events 36 Advertiser Index 24 Battling the Bulge Practitioners must consider all factors when developing a protocol to help patients lose weight. 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 2016. Natural Practitioner (ISSN 2331-2580) Volume 5 Number 1 January February 2016. 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 JANUARY FEBRUARY 2016 Go to www.naturalpractitionermag.com probioticsinternational for info about this advertiser EDITOR S NOTE Resolution Willpower eople often view the beginning of each year as a fresh start and a way to accomplish new goals (or goals they are still working on from previous year(s)). Because of this crafting and keeping New Year s resolutions are usually on everyone s mind from December to January. As for me I haven t technically made a New Year s resolution since I was a kid but for the last couple of years I have been creating challenges for myself--and I always seem to do it right before or after the New Year. Deep down I think I do this so I don t have to repeatedly answer the so what is you New Year s resolution question. For example a few years ago a friend told me that she was going to give up soda before she went on vacation over spring break. I thought that if she could do it so could I. Now those who know me are aware that a certain diet cola was my drug of choice so when I gave it up no one thought I d last a week. But I made it a personal challenge to see how long I could go without it. After about a month I didn t miss it anymore and four years later I still haven t had a sip. My friend on the other hand never followed through and still indulges in the carbonated sweet stuff. Also last year I walked into the gym that I had sporadically been attending for years and asked if I could have the complementary training session that I never used. The gym matched me with a trainer and after an assessment and a conversation about what my fitness goals were we set up a schedule. A P year later I m still training and going to the gym has become part of my weekly routine. Approximately 40 percent of Americans make New Year s resolutions each year--all of the top 10 resolutions have to do with bettering oneself and several of them are health related including lose weight (No. 1) stay fit and healthy (No. 5) and quit smoking (No. 8). And while 75 percent of people stick to their goals for at least a week less than half (46 percent) are still at it six months later and a mere 8 percent actually keep their resolution for the entire year. So what is the secret of those who make it all the way Research shows that making goals simple and tangible plus having willpower are the major players in sticking with it. In one study researchers found that people performed better or worse [on tests] depending on their belief in the durability of willpower. This may be a major aspect in regard to compliance. Getting patients to follow healthy lifestyle changes can be difficult. Practitioners can put in a lot of effort to help their patients get healthy but some patients don t hold up their end of the bargain for one reason or another. Maybe by discussing the ultimate goal and celebrating the small health achievements along the way practitioners can help extend and expand a patient s willpower. By making my goals simple steps to better my health I was able to achieve them. Here s to hoping you and your patients are among the 8 percent. PUBLISHER DANIEL MCSWEENEY EDITORIAL DIRECTOR DanM VRMmedia.com ASSOCIATE PUBLISHER RUSS FIELDS RussF 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 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 www.facebook.com www.linkedin.com www.instagram.com www.pinterest.com vitaminretailer vitaminretailermagazine company vrm-media vitaminretailermagazine vrm_media 4 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JANUARY FEBRUARY 2016 Go to www.naturalpractitionermag.com kyowa 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 JANUARY FEBRUARY 2016 Go to www.naturalpractitionermag.com seroyal for info about this advertiser PRACTITIONER CORNER s a chiropractor I see a great deal of people present with osteoarthritis (OA). It is a condition that until now has been associated with a fairly straightforward etiology. Two primary causes have been identified and have served as the driving forces behind therapeutic strategies. The following represent those two categories Primary This cause is attributed to wear and tear and typically presents around 55-60 years of age. It is claimed by many that this type of OA is unavoidable. If you use a joint for long enough a breakdown of joint tissue will occur and OA will develop. Secondary This type of OA results from another condition such as an injury obesity genetics inactivity or inflammatory conditions. Sidenote Rheumatoid arthritis serves as an accurate predictor of OA later in life. Today a relatively new theory has emerged as another possible underlying cause of OA. According to 2012 Nature Reviews Rheumatology Metabolic osteoarthritis (OA) has now been characterized as a subtype of OA and links have been discovered between this phenotype and metabolic syndrome (MetS). This distinction is significant for everyone dealing with either MetS patients or OA patients from a functional perspective. A A New Perspective Typically in practice when you re managing a patient suffering with osteroarthritic symptoms the goal is to recommend strategies to increase mobility and decrease pain. This can include therapies such as chiropractic physical therapy or other manual therapies to achieve these goals. With many of my patients that have been diagnosed with osteoarthritis they ve often been told that it is something they simply have to live with (my personal favorite phrase told to patients is You re just getting old. ). While that may be true for some people who have irreversible osteoarthritic damage when you dig a bit deeper there can be significant physiologic connections to another prevalent disorder metabolic syndrome. Since about 2012 researchers have been discussing a dynamic and interactive relationship between an altered metabolism and subsequent joint dysfunction. Recommending glucosamine and chondroitin for the joint pain simply doesn t address that relationship--helping bring balance and relief to both systems involved. And for roughly half the patients I see (a similar figure heard from fellow practitioners) glu- cosamine simply isn t effective. If the underlying cause is continually driving joint destruction glucosamine or any other straight joint support formula doesn t stand a chance. The Physiology Behind Metabolic OA As we saw with Secondary OA obesity can be implicated in joint dysfunction and discomfort as a result of the undue pressure excess weight places on the joints. Recently however researchers have discovered that leptin a peptide hormone and adipokine associated with obesity may actually play an important role in the degradation of cartilage.1 In fact several links between adipokines like leptin and bone and joint health have been described.1 Given that we know leptin levels are high in the obese body and we know that fat tissue is complicit in joint health we can look at whether or not leptin impacts cartilage degradation--and if so how.1 First it s important to understand that the link between leptin levels and metabolism has been shown in various contexts for example researchers have found that synovial fluid (SF) leptin levels correlate significantly with both BMI (body mass index) and waist circumference.2 8 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JANUARY FEBRUARY 2016 Go to www.naturalpractitionermag.com ajinomoto for info about this advertiser PRACTITIONER CORNER That correlation matters because we know that metabolic health can be affected by inflammation that leptin correlates with metabolic parameters like waist circumference and that leptin resistance is present with obesity. It stands to reason that a connection between leptin and inflammation may exist. In fact studies have shown that leptin actually acts as a pro-inflammatory adipokine that upregulates proteolytic enzymes working in synergy with other proinflammatory stimuli.3 provide support specific to the mechanisms inherent to metabolic OA. OralVisc acts using HA-Leptin (a hyaluronic acid preparation). The combination of glycosaminoglycans (GAGs) in HALeptin has demonstrated both anti-adipogenic and pro-chondrogenic effects in in vitro studies. In animal studies obese rats treated with Oralvisc showed a higher fat loss reduction in leptin levels and greater insulin sensitivity. Further this preparation has been studied in humans for its relationship to pain experienced by obese knee osteoarthritis patients. The results showed that Oralvisc supports normal leptin levels in the synovial fluid as well as normal joint function.5 The study outlined the application of Oralvisc in a patient base with concurrent obesity and structural changes in the knee joints. This was a double-blind randomized placebo-controlled study of 40 subjects over a period of three months. Visual analog scale Western Ontario McMaster pain and WOMAC function scores were recorded. Serum and synovial fluid were measured by enzyme-linked immunosorbent assays for cytokines bradykinin and leptin. Both serum and synovial fluid samples showed significant decreases for a majority of cytokines leptin and bradykinin in the oral hyaluronic acid preparation group. Heavy water analyses revealed a significant decrease in hyaluronic acid turnover in the synovial fluid of the treatment group.5 In 2013 51 symptomatic knee OA patients were recruited sequentially at the time of an outpatient visit for OA documented by either MRI or radiograph. Subjects were between the ages of 50-75 years had knee effusion and marked their own pain visual analog scores (VAS) 50mm on a 10 cm line. There was a significant decrease between the initial and final serum and synovial fluid leptin levels in the Oralvisc group (p 0.05) as measured by immunoassay. There was also a significance decrease in the Oralvisc serum and synovial final leptin levels as compared to placebo. There was no significance in the relationship of BMI or metabolic syndrome scores to initial or 12 week Oralvisc usage to leptin levels. However the Oralvisc group lost an average of 0.55 kilograms compared to a 0.75 kilogram weight gain in the placebo group over the 12 wks. These data were as yet unpublished but were presented to attendees at the ORS (Orthopedic Research Society) 2013 Annual Meeting. Hops extract is another compound that can support metabolic OA through a dual action mechanism. Hops extract has long been associated with supporting healthy insulin signaling and metabolic processes. One specific extract Perluxan has also demonstrated its impact on joint health. Perluxan includes a proprietary hops resin extract standardized to contain high concentrations of alpha acids that have been clinically demonstrated to offer rapid support. Extensive research on the properties and abilities of Perluxan has shown that it supports normal expression of the COX-2 enzyme and only moderate inhibition of the COX-1 enzyme indicating it may be ideal for patients concerned about GI (gastrointestinal) distress.6 7 One study that demonstrates the impact that Perluxan can have on joint health was a double blind placebo-controlled randomized trial that evaluated the effects of 14 days of Perluxan oral supplementation. Thirty-six subjects completed a questionnaire to evaluate joint comfort levels at baseline. The time to perform a 20-meter walk on a flat surface was also recorded. Study participants were then assigned to take either Perluxan or a placebo. On day 15 the time to perform a 20-meter walk on a flat surface was again measured and improvements in joint function were assessed. Results indicated Perluxan intake provided fast-acting relief significant improvement over placebo could be measured only two hours after ingestion of the first dose. Perluxan significantly improved parameters of joint comfort including relief while in bed sitting lying and walking on a flat surface all of which are hugely impacted in patients in need of joint support. 8 Armed with the research concerning leptin CRP joint health and metabolic health and this new approach to supporting both systems involved has the capability to change the way every practice type manages joint pain patients. For a full list of references visit www.naturalpractitionermag.com. 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. The CRP Connection C-Reactive protein (CRP) is also involved in this cascade of events. While many studies have shed light on leptin s role how does CRP fit into this process specifically CRP is increases in response to secretion of IL-6 by macrophages and T cells. It is also synthesized in the liver in response to secretory factors released by macrophages and adipocytes such as leptin. The connection to joint health and elevated CRP levels is nothing novel at this point. However it correlates with adiposity and leptin levels. This connection is more firmly established due to the circulating CRP impairing leptin signaling and contributing to leptin resistance. Knowing this relationship between CRP and leptin we can examine the impact of this interplay on the process of cartilage degradation. Researchers have found that leptin stimulates some of the key-mediating agents in cartilage degradation such as the aforementioned interleukins. Further the primary proteinases involved in the process of cartilage turnover include metalloproteinases--of which leptin is a known modulator.4 In fact in Leptin produced by joint white adipose tissue induces cartilage degradation via upregulation and activation of matrix metalloproteinases researchers have clearly displayed the connection between leptin and cartilage degradation concluding that Leptin acts as a(n)...adipokine with a catabolic role on cartilage metabolism via the upregulation of proteolytic enzymes and acts synergistically with other...stimuli. This suggests that the infrapatellar fat pad and other WAT in arthritic joints are local producers of leptin which may contribute to the inflammatory and degenerative processes in cartilage catabolism providing a mechanistic link between obesity and osteoarthritis. 3 Natural Support for Metabolic OA Joint support aimed specifically at patients who also work to support healthy metabolic functions is a novel approach to musculoskeletal supplementation but given the above information one worth consideration. Two key ingredients that have been shown to 10 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JANUARY FEBRUARY 2016 HEALTH INDUSTRY NEWS DOJ Announces Supplement Sweep--CRN NPA AHPA Express Support O n November 17 Ben Mizer principal deputy assistant attorney general for the Civil Division of the Department of Justice (DOJ) revealed the government s plan for a sweep of actions targeting unlawful dietary supplement makers and marketers. We are here today to explain the critical steps the federal government is taking to stem the tide of unlawful dietary supplements being sold to consumers nationwide he stated. Mizer also announced the indictment of USPlabs related to widely popular workout and weight-loss supplements including JACK3D OxyElitePro and OxyElitePro New Formula. The company doctored packaging labeling and other paperwork to defraud others about what the product was Mizer said. (Note USPlabs is not associated with United States Pharmacopeia [USP]) As one defendant put it the stuff is completely 100 percent synthetic Mizer continued. The defendant falsified paperwork to avoid regulatory agencies made misrepresentations to convince well-known retailers who had concerns about untested synthetic materials to sell their products. The company falsified labeling and marketing materials to convince consumers who prized natural ingredients to buy the products. All of these people regulators retailers and consumers trusted that the defendants were telling the truth about their products Mizer said. We are here in part to hold USPlabs accountable for its actions. The indictment revealed today charges USPlabs in Texas four of its executives and one of its consultants with a criminal conspiracy to sell toxic substances. As noted this is just one step. Whatever the outcome I am confident that the dedicated men and women from the DOJ and special agents from the FDA (U.S. Food and Drug Administration) and IRS (Internal Revenue Service) criminal investigation who have worked so hard to bring us to this point will ensure that justice is served. The allegations against USPlabs should serve as a wake-up call to the supplement industry Mizer continued. The unmistakable message is that the DOJ and its federal partners will be vigilant when it comes to the health and safety of the American public. The FTC filed a complaint against Sunrise Nutraceuticals LLC which was also announced on November 17. The Floridabased company claimed that its dietary supplement Elimidrol a proprietary blend of herbs and other compounds alleviates opiate withdrawal symptoms and increases a user s likelihood of overcoming opiate addiction. The company alleged through advertising on its website that Elimidrol was the No. 1 opiate withdrawal supplement and it is the only opiate withdrawal product that is guaranteed to work. The FTC complaint alleges that the Sunrise ads for Elimidrol are unsubstantiated and is seeking a court order providing redress and preventing the company from making claims unless they can be supported by reliable scientific evidence. The FTC also announced two partial settlements against marketers accused of making unsupported claims for weight-loss supplements. The cases are part of the law enforcement sweep that are targeting illegal dietary supplement marketing by the FTC DOJ Department of Defense (DOD) FDA Postal Inspection Service (USPIS) and the U.S. Anti-Doping Agency (USADA). In May 2014 the FTC brought an action against Health Nutrition Products and related defendants. In its amended complaint FTC charged Crystal Ewing five other individuals and five companies with making false and misleading health and efficacy claims in direct mail ads and on a website owned by Ewing. In ads for W8-B-Gone CITRI-SLIM 4 and Quick & Easy diet pills the defendants featured bogus weight-loss experts. Citing fake scientific studies the defendants also deceptively claimed to have clinical proof that consumers would experience a RAPID FAT meltdown diet program that lets them shed five pounds in four days with one pill or up to 20 pounds in 16 days with four pills. According to the FTC s complaint in an action brought in May 2014 Florida-based NPB Advertising Inc. and others capitalized on the green coffee bean diet fad by using false weight-loss claims and fake news websites to market a dietary supplement called Pure Green Coffee. The stipulated court order announced settled the FTC s charges against several companies and individuals involved in the Pure Green Coffee scheme including Nationwide Ventures LLC NPB Advertising Inc. JMD Advertising Inc. Olympic Advertising Inc. Sermo Group LLC Signature Group LLC Paul Pascual Bryan Walsh and relief defendant CPW Funding LLC. The FTC also sent warning letters to 20 companies which have remained unnamed that advertise and sell dietary supplements online for weight loss warning them that Commission staff has reviewed their weightloss claims and that they could be misleading. The Natural Products Association (NPA) American Herbal Products Association (AHPA) and the Council of Responsible Nutrition (CRN) applauded the actions taken by the Justice Department s Civil Division and it s federal agency partners to protect consumers and punish criminals. We have long called on the government to prosecute illegal activity to the full extent of the law and today s action demonstrates the government s vast power to regulate this industry. We welcome the coordination and collaboration of the other agencies involved and offer to work with them and others to continue educating the public about the benefits of proper dietary supplement usage NPA stated. These actions should serve as a strong warning to any company selling products in the dietary supplement space that if you re going to engage in illegal activity you re going to pay the price said Steve Mister president and CEO of CRN. We pledge our support to help the government on this important initiative. Mizer accurately identified enforcement and education as the most effective steps that can be taken to mitigate the risk of criminals looking to defraud dietary supplement consumers by selling unlawful products said Michael McGuffin AHPA president. For more information visit www.justice.gov. JANUARY FEBRUARY 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 11 HEALTH INDUSTRY NEWS UA s Integrative Health Coaching Named Among Nation s Elite T he Integrative Health Coaching program at the University of Arizona (UA) Center for Integrative Medicine recently was accredited by the National Consortium for Credentialing Health & Wellness Coaches (NCCHWC) joining the ranks of only 11 other health coaching programs in the United States that have achieved this recognition. According to the NCCHWC an explosion of health and wellness coaching programs has occurred and it can be difficult to determine the expertise and quality of programs and those practicing as coaches. Therefore the NCCHWC has established benchmarking criteria for the training and practice of health and wellness coaches. The UA Center for Integrative Medicine boasts a strong foundation of faculty leaders and a long legacy of successfully training health professionals in practicing the absolute best patient care said Robert Crocker MD the Center s director of strategic clinical planning and implementation and assistant professor of medicine at the UA College of Medicine Tucson. As proud as we are of what we ve built this recognition underscores and validates the strength of our Integrative Health Coaching program by an unbiased national authority in the field. The Center s Integrative Health Coaching program established last year through the UA College of Medicine Tucson is an interprofessional six-month distance-learning program that trains licensed registered integrative health professionals to empower patients in making transformational lifestyle and behavioral changes for sustainable well being. It s great that the Center s Integrative Health Coaching program is being recognized as part of building a new industry standard said Andrew Weil MD center founder and director and a pioneer of integrative medicine. Integrative health coaching encourages practitioners to develop skills that will help them empower their patients or clients to make meaningful sustainable changes in their way of living. The National Consortium for Credentialing Health & Wellness Coaches is delighted to announce that the University of Arizona Center for Integrative Medicine has qualified to become an Approved Transition Program per the NCCHWC s standards NCCHWC said in a statement. As a result health and wellness coaches who have met NCCHWC s requirements and completed the Integrative Health Coaching program will qualify to sit for the national exam to be launched in 2016. Our program is unique in that it combines the convenience and flexibility of an online training program but our students also get to practice in small groups in real time from all over the country via Google Hangout getting instant feedback from peers and mentor-supervisors said Molly K. Burke MFA UA Center for Integrative Medicine director of online education. We also have very rigorous assessments in place to ensure our students graduate with the skills necessary to be powerful health coaches. For more information visit www.azcim.org coaching. Go to www.naturalpractitionermag.com hyalogic for info about this advertiser 12 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JANUARY FEBRUARY 2016 Go to www.naturalpractitionermag.com fairhaven for info about this advertiser HEALTH INDUSTRY NEWS Safety Expert Debunks Research Questioning the Safety of Supplements r. Richard Kingston told an audience of almost 50 congressional staffers industry executives and public affairs professionals that research purporting to raise significant questions regarding the safety of dietary supplements often lacks context and appropriate data to draw meaningful conclusions which contributes to the misinterpretations of the new science by the consumer media covering those studies. As a result consumers are misinformed about the safety of these products and misled to believe they are less safe than they actually are. Kingston PharmD spoke at the December 9 Dietary Supplement Caucus briefing and is cofounder and president regulatory and scientific affairs for SafetyCall International clinical professor University of Minnesota College of Pharmacy and adjunct professor National Center for Natural Product Research University of Mississippi. Dr. Kingston gave examples of studies that have been misrepresented by the consumer media including the October 2015 study in the New England Journal of Medicine that projected over 23 000 annual dietary supplement-related emergency room (ER) visits. The study had many shortfalls including the fact that not all emergency room visits are created equal in terms of level of severity or seriousness according to Dr. Kingston who observed that in almost 90 percent of the heart-related ER visits the patients were discharged from the ER and sent home. He also questioned the accuracy of the report because consumer health products that do not fall under the regulatory definition of dietary supplements were included in the researchers projections for dietary supplements and this was overlooked in the media coverage. If you re going to raise questions regarding the D safety of an entire class of products it s important to know what actually is a dietary supplement and what s not said Dr. Kingston. The article gave examples of products contained in the analysis which included various drugs dimethyl sulfoxide topical herbal products and snake oil all of which were listed as miscellaneous complementary health products but are products and substances clearly outside of the class of FDA (U.S. Food and Drug Administration) regulated dietary supplements. Dr. Kingston also pointed out that more than 20 percent of ER visits cited in the article involved unsupervised ingestion by children and although a concern supplement ingestions by children often requite no treatment and result in no adverse effects despite the child being evaluated in an emergency department. He further noted that among older adults pill-induced swallowing problems led to more than one-third of the ER visits which is something that the industry can help evaluate and address. Another 10 percent of the overall visits were from excessive doses. Even more important Dr. Kingston said these ER visits must be considered in the context noting that more than 166 million Americans use dietary supplements so that s a pretty large denominator to consider when evaluating these numbers. The educational event was sponsored by the bipartisan Congressional Dietary Supplement Caucus and co-hosted by the leading trade associations representing the dietary supplement industry--the American Herbal Products Association (AHPA) Consumer Healthcare Products Association (CHPA) Council for Responsible Nutrition (CRN) Natural Products Association (NPA) and the United Natural Products Alliance (UNPA). Consumer safety is of great importance to the dietary supplement industry and the industry stands in support of FDA taking enforcement action against misbranded and adulterated products. Although the Dietary Supplement Health and Education Act (DSHEA) gives FDA authority to take such action against illegal products and the companies that manufacture and distribute them the agency lacks the resources to fully enforce the law assessed Dr. Kingston. Thus he supports additional resources for FDA to enforce the existing laws and the industry s efforts to help educate the public to be vigilant about the supplement products they take saying Anything [the industry] can do to help educate people to follow the label instructions increases safety. For more information visit www.ahpa.org www.chpa.org www.crnusa.org www.npainfo.org or www.unpa.com. ACIM Launches Peer-reviewed Medical Journal he Academy of Comprehensive Integrative Medicine (ACIM) has announced the launch of the Journal of Comprehensive Integrative Medicine (JCIM) a new peer-reviewed medical journal. JCIM is dedicated to exploring the multifaceted and multidisciplined world of medicine. In addition JCIM will endeavor to bring new ideas while reassessing established practices and concepts from today s most innovative thought leaders. For years I ve wanted a peer-reviewed journal that emphasizes the diversity of integrative medicine and gives everyone involved in healing a voice to share their work and success. We now have that in JCIM said William Lee Cowden MD MD(H) chairman of ACIM s Scientific Advisory Board. C. Norman Shealy MD PhD JCIM s editor-inchief will lead the Editorial Board Additional Editorial Board Members include David Brownstein MD Alan R. Gaby MD Garry Gordon MD DO Martha Herbert MD PhD Quila Rider PhD Sherry Rogers MD Stephen Sinatra MD and Jonathan Wright MD. JCIM will be published quarterly and is currently accepting article submissions from health practitioners scientists and researchers. For information visit www.acimconnect.com. T New Website Matches Consumers to Fitness Health and Wellness Professionals F HMatch Fitness Health Match (Toronto ON Canada) is a new platform bringing consumers and professionals in fitness health and wellness together reducing the everyday frustration of finding each other. This is the first time there is a central place where consumers and professionals can search select and connect with one another to determine the right fit said Founder David Quenneville. When trying to locate and compare massage therapists for a reoccurring injury Quenneville found it difficult and a time consuming process to locate the right professional. Even with recommendations he wasn t sure if they would be the right fit for him. Without a central place to locate and compare professionals this became the genesis of the idea for FHMatch.com. Consumers use a sim- ple search to quickly and easily locate registered fitness health and wellness professionals in their area to find their perfect match. On FHMatch professionals can showcase themselves with pictures videos certifications ratings reviews and social links. Consumers use FHMatch to look through professional profiles to assess qualifications and message selected professionals. Booking requests and messages can be sent right from the profile to selected professionals--substantially reducing time to locate and connect. Consumers are notified when the request is accepted allowing professionals to focus on service while easily growing and managing their client base. For more information visit www.fhmatch.com. (Continued on page 28) 14 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JANUARY FEBRUARY 2016 Go to www.naturalpractitionermag.com quintron for info about this advertiser T he oft-quoted assertion from 16th century English philosopher Sir Francis Bacon Knowledge is power is and should be a lively undercurrent of any practice. Medical research in multifarious disciplines continues at a rapid clip and health care as well as disease care evolve just as swiftly. Stagnation is anathema to any health-centric practitioner. With the demands of a growing and thriving practice interwoven by the demands of home life it may be challenging to fit in hours of engaging in new learning modalities. Dorene Petersen president and founder of the American College of Healthcare Sciences (ACHS) in Oregon asserted Seeking out new knowledge and expertise to remain vital members of the evolving health care community is very important to staying current. She pointed out that many licensing and membership entities (such as the Oregon Board of Naturopathic Medicine) require professionals to regularly provide proof of continuing education credits in order to maintain their licenses or memberships. This helps ensure all health professionals including natural practitioners are staying informed of developing research trends policies and practices to best serve their communities. Although in many states ongoing professional development is often mandatory to maintain licenses and or certifications Beth Howlett MAcOM LAc director of communications Adjunct Faculty OCOM (Oregon College of Oriental Medicine) said she believes it is also essential for practitioners to renew their understanding of the complex field of patient-centered care evidence-based medicine and the evolving landscape of health care delivery. There is always something new to learn--from best practices to new technologies to new integrative and functional medicine approaches to disease any natural practitioner should expect to be a lifelong student. A common characteristic of natural prac- titioners observed Cheryl K. Burdette ND Progressive Medical Centers of Georgia and Texas is the compassion curiosity and constant seeking for new and better answers to heal and empower patients. Yet being educated about the latest progressive therapies while also keeping up with evidence-based research seems to be at odds with one another. In order to ensure patients are getting the best treatment but are not serving as guinea pigs it is imperative that natural practitioners keep their heads in the science she stated. The natural practitioner should attend a variety of events to keep a balanced perspective. Ryan Cliche executive director of the Washington D.C.-based American Association of Naturopathic Physicians (AANP) suggested that as the natural health field and available treatments continue to rapidly evolve it s the responsibility of practitioners to remain apprised of these developments and implement them when appropriate. By doing so they are better positioned 16 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JANUARY FEBRUARY 2016 to safeguard their patients and provide the best care possible. It also leads to increased public confidence in the practitioners as individual professionals and our profession as a whole. Rapidly Evolving Areas Within the ever-expanding realm of health care practice the natural approaches to wellness also contain several areas of increased invigoration. In Petersen s viewpoint aromatherapy is a modality that is accelerating in knowledge and practical application. Knowledge regarding the impact of engaged olfactory and limbic systems through the therapeutic value of essential oils is evolving quickly. As more of the public becomes aware of the benefits of aromatherapy for general wellness support the need for highquality organic essential oils as well as educated aromatherapists will continue to expand she predicted. Another area Petersen sees as a quickly evolving modality is holistic nutrition a response to what she called the three biggest killers in the U.S.--diabetes obesity and heart disease which are largely related to dietary habit. This is leading to more job opportunities in the holistic nutrition field for holistic nutritionists wellness coaches and community educators to name a few she noted. Gut health specifically how the individual microbiome environment impacts wellness and disease risk is gaining tremendous attention according to Dr. Burdette and this has amplified the notion of who we are treating. She explained our bodies are 90 percent bacterial DNA and only 10 percent human DNA. Bugs in the gut will be the first ones to metabolize any treatment we take in or food we consume. This explains why two people can eat the same thing but gain weight differently. Different flora in the gut will determine what is absorbed from the diet. Different flora can change medications and their metabolites. Our knowledge is rapidly evolving in this area making clinicians mindful that it is not just the patient you treat but their microbiome as well. Cliche said he views the evolving focus on the genome as tremendous opportunities for individualized whole care. One area is an evolving focus on the genome giving rise to nutritional genomics and personalized medicine and health. Health care professionals who have a focus on providing individualized care are well positioned to take advantage of this. The Affordable Care Act pointed out Howlett has impacted opportunities for natural interventions with many states and plans providing coverage for such modalities as acupuncture for example. Due to the prevalence of social media everyone and especially celebrity utilization is driving awareness and interest in trying acupuncture especially for things such as fertility stress management and pain. Meanwhile within the practice environment proper Howlett pointed to increased and rapid sophistication of health technology such as record keeping patient engagement and patient-centric care are evolving in a way that is both exciting and overwhelming she shared. Beyond this should also be the constant awareness of other specialists and practitioners said Jacob Teitelbaum MD author of the smart phone app Cures A-Z which means that practitioners from a wide array of backgrounds need to be able to know what the others are doing. For example he elucidated in standard medicine if an internal medicine physician was not aware of cardiology endocrinology hepatology and many other specialties the patient he or she is treating could suffer from complications or early fatality. In the same way to properly help the people they are serving natural practitioners need to know when other branches of the healing arts are needed to help their clients he said. Trends No doubt your client patient population is becoming a bit more savvy they want more than what their allopathic physicians can provide. Consumers en masse are seeking preventative approaches to remain in a decent state of health and to thwart lifestylerelated dire events and disease. They are desirous of staying out of hospitals and surgical units. This is evidenced by the continuously compounding growth of dietary supplement sales as well as the better-for-you foods and beverages that are more plentiful. Yoga and other forms of mind-body exercise and alignment are not just trendy but are adopted as part of healthier living. Here in Oregon specifically we are seeing a growing interest in natural local and sustainable products including foods body care products herbs and supplements Petersen attested. As with any demand there will be a need for health professionals who can provide the public with research-based information and safe and effective practices for using these products in a wellness routine. Acupuncture Howlett s specialty is trending due to media exposure and a growing evidence base. Case in point the November 28 2015 edition of the Asbury Park Press the Gannett-owned regional newspaper covering the New Jersey Shore carried a feature about a new acupuncture business the Zen Den. In Gannett feature fashion the reporter told the story of a patient who suffered from rheumatoid arthritis and that acupuncture gave me my life back. Howlett elaborated I think mindfulness interventions from breathing exercises to adult coloring books are trending because they are approachable portable and effective in promoting wellness. Nutrition has always been a core part of natural medicine and scientific advances in understanding of metabolic disease processes and impacts epigenetic factors and general public interest in healthy school lunches GMO (genetically modified organism)-free local food and sustainability also drive interest in nutrition topics. The concept of the microbiome as mentioned is what Dr. Burdette believes is also trending as more health media report about it. For instance she offered people who have psoriasis have different bacteria than those who don t. Conditions often thought to be genetic might actually be bacteria s influence on our genetics which is much easier to treat. It is likely that we will soon realize that vegetables like broccoli have benefit not only because of what they do to us but how they improve our microbiomes. The saying You are what you eat may soon be You are what your microbiome eats metabolizes and leaves for you. Thwarting Stagnation Life in and of itself for practitioners tends to fall into a routine much of that routine is characterized by appointments both in the office and in personal lives. Beyond the annual recertifications etc. it may be easy to become educationally stagnant as the daily grind repeats itself for many months. In other words you may find yourself feeling a bit behind in keeping up with what s new attractive and applicable for your practice. There are certain things you can do without the fear of having to overhaul your life. Petersen advised to continue exploring various modalities as the CAM industry is richly diverse. There are plenty of things to learn and get excited about she exclaimed. If a practitioner were to feel uninspired or stagnant research a new modality you have yet to explore--holistic nutrition aromatherapy acupuncture homeopathy massage and herbal medicine among others as they all truly are complementary. There s always new research and information coming to light and the best way to stay excited about your work as a holistic practitioner is to dive into something new. Numerous continuing education events Howlett said she attends bring together old friends and establishes new referral and JANUARY FEBRUARY 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 17 most powerful ways available to build your practice. Promoting Unity in the Community As Dr. Teitelbaum suggested the idea of professional yet informal get-togethers is a way of becoming educated about related practices challenges issues and successes. Yet it s also a way of building a stronger united face in your shared community. Of course you can add your local health food retailers to this as well. Work referral programs and allow for talks in their stores. Community also has a larger--but no less important than local--connotation and the larger can have positive influence on the local. Join your professional associations at the state and national level suggested Howlett. These memberships often come with reduced or even free continuing education opportunities. For working across disciplines join a local chamber of commerce and or community association and or support groups if you are looking to build locally. If the intent is to create referrals and advocacy networks join nonprofit groups such as a Pain Society of Oregon or the Rethinking Psychiatry group. It is often possible to subscribe to newsletters and Twitter or Facebook feeds for these groups to stay connected and engaged. Petersen said she encourages all ACHS graduates to explore the holistic health community by getting involved with other modalities and attending conferences and events. There are many professional organizations that provide excellent resources through their memberships and that host conferences and events. For example an aromatherapist could branch out by attending a nutrition herbal medicine a massage and or yoga conference. Building a network is important for individual practitioners and our holistic health community at large but it s up to all of us to build connections and community she opined. Dr. Burdette agreed adding that joining boards and physician discussion groups allows for comparing outcomes and sharing clinical pearls. These clinical observations when joined together are what eventually become studies to move the entire community and society to action. She added that without a collection of the group s work outcomes are considered to be anecdotal which doesn t carry serious weight and lack a certain authority. She noted that Progressive Medical hosts regular grand rounds in which its clinicians and others from the community gather to discuss what is working and areas where support is needed and this provides a strong team-based approach to individualized patient care. Overall summarized Dr. Teitelbaum scientific research in this area is growing rapidly as is the public s interest. Continuing education therefore is important to stay abreast of this information. The area of holistic nutrition is growing and seems to be a sound modality for those concerned about cardiovascular disease obesity and diabetes. Microbiome is experiencing robust growth in research and understanding by addressing an individual s unique microbiome care protocols may be more successful to achieve wellness. The mass media is also reporting more favorably about a number of complementary wellness approaches which many consumers are finding intriguing as they are fatiguing of the typical allopathic approach. The Affordable Care Act has and will continue to provide more opportunities for patients to receive natural CAM-based treatment. Understand your own learning style and select educational opportunities that suit. Subscribe to journals outside your specialty but may be linked or related to generate a stronger sense of patient care intuition based on the newfound knowledge. Create unity among the CAM and related wellness experts in your community--including working closely with health food store owners and staff. Join a professional services board and become active this helps generate much keener networking abilities and strengthens the relationships you have. peer-to-peer opportunities for both personal and professional growth. Also she suggested understand your own unique learning style--for example if you are a tactile learner choose hands-on classes. This is also a reason to join professional associations to stay abreast of trends and opportunities. Networking and building your own natural medicine network are terrific payoffs as well. When you have regular pockets of time Dr. Burdette advised to stay current about peer-reviewed medical literature by reading and embracing the research. There are thousands of evidence-based studies that deal with natural therapies. Natural practitioners she declared share a responsibility to read and understand the research and speak the language of standard care in order to exert influence for movement in a more wholesome direction. And be a part of the movement she stated. This means being active on boards that are supporting research and data collection. For example Dr. Burdette is active on the Brassica Scientific Advisory Board (SAB) the company that makes truebroc brand glucoraphanin from broccoli. Brassica supports research-based initiatives about broccoliderived compounds. Natural ingredients are often dismissed from study not because they are not useful for human wellness she emphasized but because they are not profitable. By aligning my passion with a group that is investigating compounds we can collect data and create evidence--even in the absence of pocketbooks that are like those of pharmaceutical companies. Being active on this board connects me to hundreds of doctors and subject matter experts who have extensive experience working with and studying broccoli compounds. Our collaboration helps to educate patients who want to use natural agents. And closer to home why not have regular dinner meetings with other natural practitioners in your area such as acupuncturists nutritionists energy workers physicians etc. Dr. Teitelbaum offered. Pick a topic for discussion of how each different specialty would approach it to help people so you can learn when to refer to each other. In addition to being excellent for getting the best results for the people you treat it is also one of the Healthy Take Aways FOR MORE INFORMATION American Association of Naturopathic Physicians (202) 237-8150 www.naturopathic.org American College of Healthcare Sciences (800) 487-8839 www.achs.edu Cheryl Burdette ND www.progressivemedicalcenter.com Oregon College of Oriental Medicine (503) 253-3443 www.ocom.edu Jacob Teitelbaum MD (410) 573-5389 18 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JANUARY FEBRUARY 2016 Go to www.naturalpractitionermag.com albion for info about this advertiser Breaking Down of Heart the Numbers Disease Practicing a prevention strategy earlier on is significant in derailing heart-related problems. By Courtney Anaya CPT T he numbers for those who are affected by cardiovascular disease every year are daunting breaking it down 610 000 people according to the Centers for Disease Control and Prevention (CDC) die of heart disease every year-- that s one in every four deaths. Considered the leading cause of death in men and women cardiovascular disease is when blood vessels become extremely narrow or blocked which can lead to a heart attack chest pain or a stroke. Other conditions that fall under this umbrella can involve the heart s muscle valves and rhythm. And the most popular death-causing condition of the cardio parasol is coronary heart disease taking the lives of 370 000 people yearly. It is also understood that there s a link between C-reactive protein (CRP)--a compound that s created by the liver in response to inflammation--and atherosclerosis and heart disease triggering an increase in CRP levels. A simple blood test can be taken to analyze a person s CRP to determine their risk for heart disease. Even when prevention is possible by taking a simple blood test unfortunately the numbers don t stop there. With that said 47 percent of Americans have at least one modifiable risk factor. Dr. Shailinder Sodhi a Natural Practitioner advisory board member and president of Washington-based Ayush Herbs Inc. said those risk factors are High blood pressure (13 percent of global deaths yearly) high cholesterol smoking diabetes being overweight a poor diet and lack of physical activity (6 percent of global deaths per year). A modifiable risk factor is one that can be prevented whereas non-modifiable risk factors can t such as age gender and family history. With age brings physiological changes where the heart muscle can relax and miss beats allowing it to work less efficiently. Age-related deviations can make the problem and treatment more complex. As for gender men are at greater risk for cardiovascular disease than pre-menopausal women. However post-menopausal women are on an equal playing field with men in developing heart disease. The reason low estrogen levels are apparent in postmenopausal women. According to the American Heart Association it s thought that estrogen has a positive impact on the inner layer of the artery wall helping maintain the flexibility of blood vessels. With that said the idea of hormone replacement therapy (HRT) for post-menopausal women may come into play. The American Heart Association does not recommend the use of HRT because it does not show that it has the capability of reducing the risk of heart disease. Proving this the Journal of The American Medical Association analyzed the most commonly used HRTs among post- 20 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JANUARY FEBRUARY 2016 menopausal women in the Unites States it was found that total health risks were still equally present. Covering the last base having a family history of heart disease increases a person s risk even more so if a first blood relative has coronary heart disease or a stroke before the age of 55 for a male relative or before the age of 65 for a female relative. According to the American Heart Association s statistics other genetic risk factors include the fact that AfricanAmericans experience a higher risk for high blood pressure diabetes and stroke. In addition one in three Hispanics will battle high blood pressure and almost half will encounter high blood cholesterol. With that said it s crucial to develop a prevention strategy. Michael Ozner MD board certified cardiologist and author of The Great American Heart Hoax Heart Attack Proof and The Complete Mediterranean Diet advised Sit down with your personal doctor and develop a prevention strategy before you get sick. That prevention strategy has a lot to do with leading a healthy lifestyle along with proper checking of risk markers. A strategy shouldn t wait till a cardiac event. Dr. Ozner continued People have this idea that will wait till they have this problem to take care of it. And 50 percent of people with heart attacks make it to the hospital. There is no specific age for developing a heart-attack-proof strategy simply put the earlier the action the better. Of that strategy a healthy diet and physical activity are fundamental components. like salmon nuts and extra-virgin olive oil are prime sources for both. The mechanism of action of these healthy fats have been seen to prevent arrhythmias lower plasma triacylglycerols decrease blood pressure decrease platelet aggregation improve vascular reactivity and decrease inflammation according to The American Journal of Clinical Nutrition. Due to that the American Heart Association informs individuals to consume oily fish twice a week and for those who suffer from coronary heart disease to eat one gram a day of EPA including DHA from food sources or supplements. Feeding the Muscle The phrase you are what you eat holds true especially when there s a high consumption of nutrient empty foods. Foods that are high in saturated fat trans fat and cholesterol should be avoided. A diet that s rich in fresh fruits vegetables fiber oily fish and plant-based protein is recommended specifically the Mediterranean diet. The New England Journal of Medicine published a study in 2013 which involved a group of participants who were considered a high cardiovascular risk and they had to follow the diet as a primary prevention strategy. It was found that consuming a Mediterranean diet while supplementing with extra-virgin olive oil or nuts decreased the amount of negative cardiovascular events. Aside from eating healthier food options by which the diet provides it s thought that the diet is pro-heart due to the abundance of omega-3 fatty acids. There are two types of omega-3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) and oily fish And like most muscles the heart becomes stronger as it is exercised and those who are continuously active reap the benefits of that. The American College of Sports Medicine (ASCM) said Aerobic exercise training programs can result in modest decrease in body weight and fat stores blood pressure total blood cholesterol serum triglycerides and low-density lipoprotein cholesterol. Moreover the combined results from randomized clinical trials indicate that exercisebased cardiac rehabilitation in patients who have had a heart attack results in a 20 to 25 percent lower death rate. Ultimately exercise isn t just heart beneficial but for overall wellness. The ASCM advocated exercising three times a week for 30 continuous minutes per workout session at an intensity approximating 70 to 85 percent of an individual s measure maximal heart rate. Nevertheless the prescribed heart rate for exercise training should be 10 or more beats per minute below the intensity that evokes abnormal signs or symptoms. body is under stress adrenaline can raise a person s heart rate blood pressure and energy supply but when stress is constantly present the fight-or-flight switch remains on. It s obvious that the relationship of stress and heart health is well illustrated yet how it increases the risk of heart disease is still being comprehended. Indicated by the journal of Nature Review Cardiology shortterm emotional stress can act as a trigger of cardiac events among individuals with advanced atherosclerosis. Those who experience work-related stress and individuals who are socially isolated or lonely have an increase risk of a first coronary heart disease (CHD) event. Among patients CHD acute psychological stress has been shown to induce transient myocardial ischemia and long-term stress can increase the risk of recurrent CHD events and mortality. Also how stress is perceived low versus high can impact one s heart health. The American Journal of Cardiology analyzed 23 articles regarding perceived stress and heart function and it was concluded that the scale of a person s observed stress was associated with an increased risk of coronary heart disease. If an ample amount of stress is experienced on a day-to-day basis relaxation techniques should be practiced. Dr. Sodhi shared findings from Nutritional Epigenomics of Metabolic Syndrome Yoga and regulated breathing exercises help reduce stress promote weight loss improve insulin sensitivity and support healthy blood vessels. Other relaxation techniques should include listening to music guided imagery and deep breathing. Supplement Roundup Traditional treatments like blood pressure and cholesterol lowering medications that include beta-blockers ACE inhibitors calcium channel blockers angiotensin II receptor antagonists and statins have been on the fall out. The hype regarding statins lowering cholesterol to lower the risk of strokes and or heart attacks is slowly being proven to not be effective Dr. Sodhi said. It would be difficult to lower cholesterol in the long run without adverse effects. Natural approaches offer a lifestyle shift and one that is healthier--allowing for proper supplementation when warranted. So to further promote heart health once a proper nutrition and exercise plan is all said and done Florida-based Sancilio & Company offers three omega-3 fatty acid products Ocean Blue Oemga-3 2100 Ocean Blue MiniCaps and Ocean Blue MiniCaps D3. Frederick D. Sancillo PhD founded Fight or Flight As previously mentioned lifestyle factors can negatively impact a person s health-- more so when it s stress induced. When the JANUARY FEBRUARY 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 21 Breaking Down of Heart the Numbers Disease Sancillo & Company in 2005 with the focus of finding medicine in common natural materials and looking for uses of natural substances to prevent rather than cure diseases. Because of that the company has worked to bring advanced omega-3 fatty acid supplements to the market. For starters Ocean Blue Omega-3 2100 is a proprietary blend of omega-3 ethyl esters and it delivers a high concentration of EPA DHA and DPA per capsule. It s formulated to minimize fish odor and taste packed inside each capsule is natural orange oil and vitamin E. It also may assist in the maintenance of brain health eye health and joint health. And Ocean Blue MiniCaps and Ocean Blue MiniCaps D3 can meet a person s daily needs of omega-3s while the vitamin D3 option has a role in regulating blood pressure inflammation and glucose stabilization--all of which are important for cardiovascular health. Another pro omega-3 company is California-based Nordic Naturals where mission is to correct omega-3 deficiency with the right supplements which will help individuals become healthier and stronger. And to do just that the supplement company offers ProOmega2000 an omega-3 oil that s concentrated with EPA and DHA in an absorbable form. It s best suited for individuals who need quality omegas. Launched in 2013 ExcelVite Sdn. Bhd. (Malaysia) or better known as ExcelVite is the largest producer of tocotrienol and carotene mixtures that supply phytonutrients to dietary supplements. The company is also the only GMP (good manufacturing practice)-certified mixed carotene and tocotrienal creator offering EVNol SupraBio a complex of tocotrienol with a patented self-emulsifying delivery system. Tocotrienols are in the vitamin E family and are made up of four tocopherols and four tocotreinols. This product is one of the most clinically researched palm tocotrienol complexes that have more than 14 studies within the past 10 years and has the capability to benefit the brain heart liver and skin. According to a study published in 2012 in the Journal of Nutrition oral supplementation of tocotrienols from EVNol SupraBio is bioavailable to vital human organs and tissue. Currently EVNol SupraBio can be found at Life Extension as Super Absorbable Tocotrienols and Allergy Research Group as Tocomin SupraBio Tocotrienols. Going Herbal Sometimes forgotten herbs can offer numerous health benefits. Because of that Ayush Herbs has been capable of providing herbs in a dietary supplement format. The company based their herb formulation on traditional ayuverdic groupings where the herbs are grown in the Himalayan environment offering six heart-boosting products CoCurcumin Arjuna Hert Amla Plex Guggal Lip Trifal and Caritone. CoCurcumin contains curcumin and medium-chain triglycerides. The reason for the pairing is that not a significant amount of curcumin gets absorbed when taken with food it s been seen by clinical trials that adding fat to it helps enhance the absorption. Coenzyme Q10 is also within this mixture to help support cell signaling which is important for healthy heart function. Next in line is Arjuna Heart which is composed of Terminalia arjuna. Terminalia arjuna has an extensive phytochemical profile that can beneficial to the heart. Vitamin B6 and folic acid are also in this supplement. Another high antioxidant supplement is Amla Plex consisting of 38 ingredients to prevent blood lipid peroxidation. To alleviate cholesterol levels and inflammation Guggal Lip is made up of a standardized extract of Commiphora mukul. For an all-in-one supplement Trifal is a combination of three herbs that targets everything from heart health to digestive health. And last but not least is Carditone that has Rauwolfia--supporting blood pressure level within normal range. For a full list of references visit www.naturalpractitionermag.com. Individuals should exercise three times a week for 30 minutes each and at an intensity of 70 to 85 percent of their max heart rate. Cardiovascular disease is the leading cause of death in men and women killing 610 000 people yearly. Post-menopausal women are at greater risk for heart disease due to lower estrogen levels. Following the Mediterranean diet is said considered to be a primary prevention strategy. 47 percent of Americans have at lest one modifiable risk factor. Healthy Take Aways THE GO TO RESOURCE FOR ALTERNATIVE & INTEGRATIVE HEALTHCARE PROFESSIONALS NP s Upcoming Issue Highlights March April May 3 4 16 ad closing 4 15 16 ad closing Immune Support CAM Innovations FOR MORE INFORMATION Ayush Herbs Inc. (800) 925-1371 www.ayush.com ExcelVite Sdn. Bhd. 60 5 2014 192 www.excelvite.com Nordic Naturals (800) 662-2544 www.nordicnaturals.com Michael Ozner MD www.drozner.com Sancillo & Company (561) 847-2302 www.sancillo.com 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 22 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JANUARY FEBRUARY 2016 Go to www.naturalpractitionermag.com mitoq for info about this advertiser the Battling Bulge Unfortunately the demographic which is growing most rapidly and at highest risk for obesity related diseases is children. My thoughts are that by the time many kids reach the teen years they have developed either good or bad eating habits which can be challenging to change said Marci Clow MS RDN senior nutritionist for California-based Rainbow Light. But it isn t always as simple as eating less and better foods and exercising more. There are often a number of other factors that affect a person s ability or inability to lose excess weight. According to Beth Baldwin-Lien ND director of medical affairs and education for Connecticut-based Vital Nutrients the main causes of obesity are excessive caloric intake high glycemic index diet sedentary lifestyle high stress and therefore high cortisol leading to abdominal obesity and insulin resistance she said. Genetics and endocrine disruption due to environmental toxicity also play a role. Michael A. Smith MD senior health scientist for Life Extension in Florida added Most people ask about losing weight but knowing why you gained weight in the first place is a better place to start. Dr. Smith noted that Life Extension recognizes the following nine mechanisms of weight gain 1. Insulin resistance 2. Hormonal imbalances 3. Excessive carbohydrate absorption 4. Muscle loss 5. Low brain serotonin 6. Slow resting metabolism 7. Abnormal fat cell signals According to Sara Gottfried MD New York Times bestselling author of The Hormone Reset Diet and The Hormone Cure while obesity isn t a simple disease with a single cause nearly all paths of obesity and weight problems lead back to hormones. For some people food addiction is a driver of disordered eating and it s unclear if hormones are the cause or effect (or both) i.e. chicken or the egg she explained. For other people endocrine disruptors act as obesogens and dysregulate insulin leptin estrogen testosterone and or thyroid hormone. Hormones govern nearly all aspects of fat loss from where you store fat (and how much) to your cravings appetite gut bacteria and even your addictive patterns with food. When misfiring hormones are allowed to spiral downward you re left with hormone anarchy and ultimately a broken metabolism and you store fat no matter what Dr. Practitioners must consider all factors when developing a protocol to help patients lose weight. By Shari Barbanel N ow that the sun has set on 2015 people look at the New Year as a fresh start. Oftentimes they set their goals for the year in the form of a New Year s resolution. In fact a Nielson survey of the top 10 New Year s resolutions found that staying fit and healthy and losing weight were the top two responses for 2015 with 37 and 32 percent of the votes respectively. Unfortunately a study conducted by the University of Scranton found that just 8 percent of people achieve their New Year s goals. While New Year s resolutions are good starts the statistics of achieving their weightloss goals are not often in the favor of most Americans. Being overweight or obese can lead to a number of other health problems such as type 2 diabetes joint problems heart disease among others. According to the National Institutes of Health (NIH) more than two in three adults are considered to be overweight or obese in the U.S. while more than one in three adults are considered to be obese. The problem is also affecting children with approximately one-third of children and adolescents ages 2-19 considered to be overweight or obese and one in six considered to be obese. 24 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JANUARY FEBRUARY 2016 Gottfried continued. If you struggle to get and stay lean your hormones are to blame. Correcting hormonal misfires with changes to your diet can optimize hormones and reinstate a healthy weight. Calories are important but they re only part of the problem--hormones control how efficiently a calorie makes you fat. Healthy Protocol Science has yet to discover that magic bullet that can fix a person s weight issues and traditional weight loss avenues that have been promoted in the past may not always be the healthiest. For instance Adam Killpartrick DC Natural Practitioner Advisory Board member and chief science officer for DaVinci Laboratories in Vermont said these days people are now getting wiser about not relying on things such as microwavable meals. Microwaving Lean Cuisine or Weight Watcher dinners that are low calorie and even lower in nutrient value in a plastic container used to be the norm he said. I know in my practice that approach was never advocated however more and more people are veering away from those types of diets because of the quality (or lack thereof) of the food and even the fact that the food is being heated by microwave while in plastic (which can contain endocrine disruptors and further complicate the process of long term weight loss). According to Dr. Killpartrick addressing the causes is the most surefire way to impact long-term weight loss. He also noted that when he approaches a patient from a weight management standpoint he considers a number of factors including food intake food sensitivities supporting healthy levels of inflammation hormones and physical activity. Texas-based Progressive Laboratories Inc. s Kyl Smith DC added that there are three science-based core lifestyle improvements that induce healthy weight loss 1) Consumption of a low-glycemic antioxidant rich diet 2) Daily intense exercise (as in interval training ) and 3) Targeted nutrition to promote fat loss and appetite suppression Dr. Smith explained. These three sciencebased core lifestyle improvements can powerfully and rapidly improve lean muscle decrease body fat increase insulin sensitivity all while significantly improving healthy hormone status in both men and women. Rainbow Light s Clow noted that by planning out a week s worth of healthy meals prior to hitting the grocery store it will limit impulse purchases and allow people to avoid piling pre-packaged prepared convenience foods into your basket. Clow said that fresh fruits and vegetables are key and to look for whole grains when purchasing pastas rice and bread. And for those who aren t planners Clow advised that practitioners have patients keep a food diary which would allow them analyze the kind of and amounts of food patients are consuming. Lean sources of protein are another way to maintain satiety and keep cravings at bay and many consumers like protein shakes for this reason she said. They are easy to whip up when there isn t time to prepare a healthy meal and can help prevent binging on sweets and caffeine for energy. One thing to look out for some protein shakes are loaded with added sugar. It s a good idea to check labels and make sure there is little or no added sugar in your protein shake of choice or you ll be defeating the purpose. Rainbow Light s ThinBerry OptiCurb is a great tasting rice protein powder which pro- vides an easy-to-digest source of protein and fuel for the body. This product acts as a perfect vehicle for providing energy stamina and strong appetite control to support weight management normalized blood sugar and ultimate well-being said Clow. Each serving provides 15 grams of high quality protein with a complete amino acid profile. Opticurb is also low-carbohydrate low fat and provides 4 grams of fiber per serving to contribute to gut health and healthy elimination. Plantsource digestive enzymes including bromelain are added for additional digestive support ease of assimilation and noticeable energy release. Helpers for Getting Healthy P ractitioners want the best for their patients but they can t be with them 24 7. In addition to the protocol and supplementation they prescribe patients here are some products and services that practitioners can recommend to their patients Livliga Livliga offers elegantly intelligent tools which allow users to be mindful of their daily food intake. The products feature strategic designs colors and shapes to help guide individuals into practicing portion control eating. The company also features a line of dinnerware specifically designed for children called Kidliga. Prices range from 17.95 to 198.95. Available in a variety of styles sizes and colors Hydro Flask bottles are made with 18 8 pro-grade stainless steel which won t retain or transfer flavors ensuring the beverage s pure taste. In addition all bottles feature TempShield which ensures that Hydro Flask products always deliver refreshment by keeping temperature constant for hours. To further expand on its insulation expertise Hydro Flask will introduce its insulated Flex Cap. Available in Spring 2016 the Flex Cap features Honeycomb Insulation to lock in temperature longer and the flexible TPE strap and integrated stainless-steel pivots keep the bottle perfectly balanced and comfortable to transport no matter the terrain. For more information visit www.hydroflask.com. Livliga recently introduced the LivSpoon ( 49.95 for a set of four) which combines a serving spoon with a measuring cup to help users clearly determine right-sized portions. Available in polished stainless steel in four standard serving sizes (1 cup cup cup and cup) each spoon allows you to serve proper portions to help avoid overeating. The LivSpoon handle with its double bend design also allows you to hang it on a serving bowl right side up or upside down. For more information visit www.livligahome.com. Veestro Veestro provides organic plant-based meals for the overworked and overscheduled individual. Veestro delivers a complete solution to its customers healthy plant-based meals created from wholesome ingredients ready to heat and eat. Veestro meals are all-natural preservative-free food that s high in protein and fiber packed with nutrients and simply delicious--straight from your refrigerator or freezer. All meals are non-GMO (genetically modified organism) and there are glutenand dairy-free options as well as family-sized portions available. For more information visit www.veestro.com. Hydro Flask Drinking enough water and staying hydrated is a factor for healthy weight loss as well as overall health. And because disposable plastic bottles are wasteful and bad for the environment a reusable bottle is a great choice. JANUARY FEBRUARY 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 25 the Battling Bulge Supplementation In addition to diet and exercise practitioners often recommend supplementation to fill the nutrition gaps in their patients diets. Vital Nutrients Dr. Baldwin-Lien explained that there has been success with fish oil which may help overweight and hypertensive patients improve weight loss as well as decrease blood glucose serum cortisol and insulin concentrations. In addition people who added whey protein shakes to their regular routine also lost a small amount of weight body fat and reduced their waist circumference in a recent study. According to Dr. Baldwin-Lien they had significantly lower blood levels of the hunger hormone ghrelin than the other groups and unknowingly reduced their carbohydrate intake during the study. And Life Extension s Dr. Smith noted that because a slow resting metabolism is common for aging adults that green tea capsasin extract and 7-Keto DHEA are all great choices for safely boosting metabolic rates. Vital Nutrients offers a number of supplements that can aid weight loss. In addition to the company s ProWhey and UltraPure Fish Oil line the company s 7Keto DHEA 100 mg supports healthy resting metabolic rates and burning of fat for energy even during calorie-restriction. According to Dr. Baldwin-Lien 7-Keto DHEA is a naturally occurring metabolite of DHEA produced by adrenal glands (3-acetyl-7-keto DHEA). It cannot be converted back to DHEA in the body or to other sex hormones. 7-Keto declines with age (produce half as much by age 40 as at age 20) and can be supplemented to enhance activity of three thermogenic enzymes in the liver. The company also sees many practitioners utilizing Blood Sugar Support formula to address insulin resistance and Vital Clear protein powder to help manage body burden of environmental toxins with precursors to glutathione stabilize blood sugar with glucomannan fiber and cinnamon and decrease inflammation with curcumin she explained. D-Pinitol and Berberine 500 mg have also been studied in the past several years for their effects on body weight and the common complications of PCOS (polycystic ovarian syndrome) and metabolic syndrome. According to Dr. Gottfried berberine is able to activate an enzyme called Adenosine Monophosphate-Activated Protein Kinase (AMPK) while inhibiting Protein-Tyrosine Phosphatase 1B (PTP1B). Activating AMPK is important to health and appears to play a key role in reversing insulin resistance promoting glycolysis and reducing oxidative stress. One result of activating AMPK is suppression of hepatic glucose output so that insulin and IGF-1 levels are lower. Berberine reduces blood glucose in people with diabetes by several mechanisms including reducing production in the liver she explained. Berberine lowers fasting glucose fasting insulin post-prandial glucose and HbA1c by growing new insulin receptors. Berberine boosts insulin receptor expression four-fold. Dr. Gottfried noted that the best general dose of berberine is 500 mg three times per day and it shouldn t be taken for longer than eight weeks. Studies show that Garcinia cambogia can be beneficial for weight loss and even help make it easier for the body to use glucose. Progressive Laboratories Super CitriMax Garcinia cambogia fruit extract is the only Garcinia cambogia studied by Dr. Harry Preuss at Georgetown University Medical Center and has five published peerreviewed studies Dr. Smith said. Super CitriMax providing HCA is an exciting botanical ingredient clinically shown to support natural weight management without stimulating the central nervous system. This unique and natural fruit extract positively influences appetite and energy levels while inhibiting fatty acid biosynthesis. And while supplementation can be beneficial Dr. Killpartrick does warn that supplement companies should vet the ingredients that they use--and not be swayed by the new hot ingredient. The market does not need any other single isolated compounds that become a flash in the pan and further disintegrate the public s trust in supplement companies because they were promised the world with one product he said. The need lies in complete strategies with comprehensive expanded approaches that address the various aspects that lead to metabolic issues and weight gain. The peaks and valleys for weight management supplements are greater in scale than any other category in the industry Dr. Killpartrick continued. Something gets mentioned on TV and it s hot for two months then its gone just as quickly as it was here. That type of model can generate a great deal of money in that short period of time but doesn t fulfill the needs of our patients. Achieving Compliance Practitioners have only the best intentions when it comes to helping their patients but they can t be with them at all times to make sure that they are following protocol. Patients need to do their part to allow their practitioners to assist them. To aid their patients in being compliant practitioners can use a number of tools. For instance to support practitioners in making sure that their patients stay on track and hold themselves accountable Clow recommends utilizing technology. I think the most buzz worthy concept which could have a great impact on the weight management health category is the abundance of tech tools apps and even online resources that help people track progress and stay motived. Dr. Killpartrick also suggests that practitioners collaborate with others to help patients reach their goals. Very seldom does one office cover all the bases relative to weight management he concluded. As a chiropractor and nutritionist I can provide dietary guidelines supplement recommendations and keep them well adjusted for mobility and energy levels but my office is not set up as a personal training facility. That is exactly why I have collaborated with the CrossFit facilities and personal trainers in my area. And again I ve made it easy for my patients to take advantage of these relationships. A Nielson survey of the top 10 New Year s resolutions found that staying fit and healthy and losing weight were the top two responses for 2015. According to NIH more than two in three adults are considered to be overweight or obese in the U.S. while more than one in three adults are considered to be obese. According to Dr. Sara Gottfried hormones govern nearly all aspects of fat loss from where you store fat (and how much) to your cravings appetite gut bacteria and even your addictive patterns with food. Healthy Take Aways FOR MORE INFORMATION Life Extension (954) 202-7660 www.lifeextension.com Progressive Laboratories Inc. (800) 527-9512 www.progressivelabs.com Rainbow Light (800) 635-1233 www.rainbowlight.com Vital Nutrients (888) 328-9992 www.vitalnutrients.net 26 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JANUARY FEBRUARY 2016 PRACTITIONER CHAT WITH SHARI BARBANEL B Donna Hamilton MD Office (570) 234-0772 Email askme manifestexcellence.com Websites www.manifestexcellence.com www.donnahamiltonmd.com estselling author dynamic holistic wellness speaker and wellness luminary Donna Hamilton MD has a mission to help everyone live the healthy satisfying lives we re all meant to lead. Dr. Hamilton passionately teaches what being healthy really means and how to do it in a way that fits a person s unique needs. Her easy practical tips assist with assessing one s entire wellness landscape and appropriately planning their personal wellness journey. A wellness thought leader she champions a comprehensive approach to health by addressing mental emotional social spiritual and physical well-being with a simple and potent message. Her bestselling book Wellness Your Way offers a practical strategy to assist readers in creating a happier healthier life. Q What are some of the topics that you cover during your presentations and seminars Q Why did you shift from your career as a board-certified pediatrician to speak nationally about holistically improving health and well-being While working as a community pediatrician it became frustrating and more challenging to offer the highquality comprehensive care I was trained to give. In addition to time constraints limiting the depth and breadth of each patient interaction it became increasingly difficult to offer the health education that most parents and children needed to maintain healthy lifestyles. I also became acutely aware that our society had an illness focus rather than a wellness focus. I quickly learned the key to achieving optimal health in children was to optimize the health of the adults in their lives. I frequently saw external factors like stress environment and relationships impact not only my patients health but also their caregivers health. Addressing these psychosocial issues often played a major role in the patients ability to become healthier. Prompted by my commitment to facilitate a paradigm shift toward wellness I eventually moved beyond the limitations of my clinical career hung up her white coat and stethoscope and began non-clinical wellness promotion. A I customize my presentations to my client s specific needs but I do have signature topics. Most organizations hire me because they want to help their employees or members become more engaged and productive. I start with teaching what being healthy really means and how to do it in a way that makes sense for you because you can t work well if you don t feel well. Many clients also frequently ask me to address stress management self-care or creating a more balanced life. For organizations who want to get a better return on their existing wellness program I also offer evaluations of those programs. How do you teach people what it really means to be healthy when every individual has unique health concerns A Q A What are the five key areas that impact health The five key areas impacting health are 1. The Physical arena--what you put in or on your body and the tangible objects in your environment 2. The Mental arena--your thoughts and beliefs 3. The Emotional arena--your feelings 4. The Social arena--this is a big arena that includes your relationships habits hobbies socioeconomics and employment 5. The Spiritual arena--your values life philosophy and what helps you feel grounded and helps you cope with life How long do you think it will take for our society to change from an illness focus to a wellness focus Q Q A I begin by teaching that being healthy is more than not being sick. The derivation of the word health is whole. Being healthy is functioning at your best in every area of your life mind body spirit and circumstance. Functioning at your best however is not about perfection. It s about achieving according to your potential. The key is recognizing what your needs are right now then identifying realistic strategies for meeting those needs. That is a big part of what I teach. It s also what inspired me to write my book Wellness Your Way. A It s taking a lot longer than many of us would like but fortunately the shift is happening. I ve noticed a big difference from when I started medical school almost 30 years ago. Many people are now recognizing that it s easier to stay healthy than it is to get healthy. Many people are also realizing it s usually less expensive to stay healthy than it is to recover from an illness or injury. This is prompting a lot more attention toward preventive health care which is a step in the right direction. Many health care practitioners like myself have moved beyond simply focusing on preventing illness. We ve raised the standard from not sick to being well. JANUARY FEBRUARY 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 27 PRACTITIONER CHAT Q What inspired you to write your book Wellness Your Way What do you want readers to take away I m on a mission to help everyone live the healthy satisfying lives we re all meant to live. I wrote this book to provide a resource that assists people with creating a personal wellness plan that makes sense for them right now. There s a lot of cookie cutter health advice available but one size doesn t fit all when it comes to health. Many people want to become healthier A but aren t sure what to do or where to begin. They feel overwhelmed. I created a simple process that helps the reader figure out a realistic starting point and a strategy to keep them motivated to move forward. I also wanted to help educate and inspire readers to focus on truly being healthy rather than simply not being sick. I want readers to take away from the book that being healthy is a lot more than simply the absence of illness. I hope they become more aware about all their health arenas making plans to take care of themselves holistically (i.e. mind body spirit and circumstance) rather than simply focusing on their body. Being healthy is about living your best life not simply having your best body. My hope is that we all aim higher when it comes to our health. As we do we ll make it easier for children to be healthier. We ll not only model healthy behavior for them but we ll eventually create a society where the healthy choice is the easy choice. Q A Is there anything else you would like to add HEALTH INDUSTRY NEWS (Continued from page 14) Emerson Ecologics Supports Federal Focus on Supplement Quality merson Ecologics (Manchester NH) said it supports the Joint Federal Agencies focus on improving quality and ensuring that irresponsible companies face penalties for putting consumers at risk. While the federal agencies took action against a few specific companies their press release stated We are not here to criticize the entire supplement marketplace. Not every supplement contains an undisclosed ingredient. Not every label lies about what is contained in the bottle. Not every claim about dietary supplements is unsupported by scientific evidence. Emerson Ecologics Vice President of Scientific and Regulatory Affairs Jaclyn Chasse ND reinforced that There are many diligent brands that are focused on providing the highest quality products and E Emerson Ecologics applauds the Joint Federal Agencies actions to address those companies that are not adhering to the standards of quality and transparency she said. We cannot stress too strongly how important the relationship is between health practitioners and their patients--and how essential it is for patients to have their questions about supplements answered by informed practitioners. Integrative health practitioners believe that high-quality supplements are elemental in patient care and the quality of the supplement is a key component of its efficacy and ability to support patient health. To help practitioners make the most informed recommendations to their patients Emerson Ecologics developed the Emerson Quality Program (EQP) in 2010. The EQP provides practitioners with reliable information about the quality standards of participating brands and helps them make informed decisions Dr. Chasse noted. Each of the brands that we represent is committed to current good manufacturing practices (cGMPs) adherence and our EQP Silver and Gold ratings indicate that our participating brands exceed those baseline FDA (U.S. Food and Drug Administration) standards. For more information visit www.emersonecologics.com. Burrell College Wins Marketing Award T he Burrell College of Osteopathic Medicine (BCOM) at New Mexico State University (NSMU) a new osteopathic medicine school scheduled to open in August 2016 won a gold award for its electronic newsletter series by the Higher Education Marketing Report the most widely read publication for education marketers. Twenty higher education institutions received awards ranging from Award of Merit to Bronze Silver and Gold. BCOM was honored to receive a gold award alongside an established institution in the University of Oklahoma. This is a huge honor for a brand new medical school said John L. Hummer BCOM president. We know the marketing we are doing is working because we have a waiting list for our inaugural class. It is the quality of BCOM s team members accepted students and the reality of our mission which is reflected in our communications. Receiving this honor from the leading educational marketing organization only validates we are on the right track. The newsletter series was created by The Lawlor Group one of the country s leading educational institution marketing firms. Assisting them in providing content was BCOM s Assistant Dean for Multi-Cultural Affairs Justin McHorse. The newsletter is being sent to 3 000 people with an open rate of 60 percent which far exceeds the national average of 15 to 20 percent. For more information visit www.bcomnm.org. Metagenics Inc. (Aliso Viejo CA) has named Brent Eck as its new president and CEO. Eck joins Metagenics with an entrepreneurial spirit combined with a legacy in launching new products and bringing new innovations to market through effective sales and marketing strategies. You re Hired 28 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JANUARY FEBRUARY 2016 PRODUCT FOCUS Multiple Multivitamins What s Your Multi ccording to the Harvard School of Public Health a healthy diet should provide most of the nutrients one needs however it should come as no surprise that today s diets aren t the healthiest. A multivitamin can be a good way to make up for the holes in daily nutrition but with so many different variations it is hard to decide which one may benefit the user best. In some cases supplementation could result in overcompensating for some vitamins or minerals which can cause the lack of absorption of others which is why it is best that doctors stay involved with the selection of vitamins a patient is taking. According to an analysis of data that the National Health and Nutrition Examination Survey (NHANES) collected in 2003-2006 33 percent of the U.S. population (aged 1 year and older) took a multivitamin in a given month. For practitioners it is best to consider the patient as a whole. Candidates that should consider taking a multivitamin include people over 60 years old women of childbearing ages pregnant or breastfeeding women strict vegetarians heavy smokers or people who are on a weight-loss diet according to the Wellness Blog of Berkley University California. Older people do not always get the A By Corinne Anderson nutrients they needed for a number of reasons. Berkley s Wellness blog noted that older people have a problem with vitamin D certain B vitamins and magnesium. The blog also said that women who are capable of becoming pregnant need at least 400 micrograms of folate daily. Strict vegetarians who do not eat animal products may not get enough vitamin B12 zinc iron or calcium--and could benefit from a multivitamin. In 2014 dietary supplement sales reached approximately 36.7 billion including 14.3 billion for all vitamin- and mineral-containing supplements with 5.7 billion for multivitamins the National Institutes of Health Office of Dietary Supplements said. The American Journal of Clinical Nutrition also stated that at least half of American adults take a dietary supplement the majority of which are multivitamin multi-mineral (MVM) supplements. It s hard to pinpoint what vitamins have what affect on people and in what doses. Studies often test different lengths of time different dosages and different groups of people like pregnant women which provide different results each time. Harvard School of Health stated that studies often differ in how they measure their outcomes. Its website used heart disease as an example Heart disease for example cover a wide range of conditions including heart attack stroke or peripheral vascular disease. If a study measures the effect of a vitamin supplement on heart disease overall it may miss a supplement s protective effect against stroke. Oregon State University s (OSU) News and Research Communications website agreed Vitamin or mineral supplements or an improved diet will primarily benefit people who are inadequate or deficient to begin with OSU researchers said. But most modern clinical studies do not do baseline analysis to identify nutritional inadequacies and do not assess whether supplements have remedied those inadequacies. As a result any clinical conclusion made with such methodology is pretty much useless they said. As practitioners evaluate their patients it is important to note baseline functions prior to beginning a regiment involving multivitamins. The dosages and affects of the multivitamins should also be tracked to see whether the supplement is providing the needed support. Below is a selection of multivitamins that practitioners can offer their patients. Men Over 40 Iron Free Men Over 40 Iron Free by INNATE Response as the name implies is a foundational multivitamin formula for men over age 40. It contains FoodState (whole food-based) vitamins and minerals and is an organic herbal blend to support optimal health. The product contains a protective array of antioxidants and can be taken at any time of day even on an empty stomach. Each bottle contains 120 tablets and has a suggested price of 60.96. 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. Nordic Berries Nordic Berries from Nordic Naturals provides essential nutrients including zinc and vitamins A B C D3 and E that growing kids need. These easy-tochew pectin-based multivitamins capture the sweet-and-sour citrus taste of Norwegian cloudberries. Nordic Berries is suitable for children 2 years and older and makes an ideal companion to any Nordic Naturals omega-3 product. They do not contain artificial coloring flavoring or preservatives. Nordic Berries come in two sizes--120- and 200-ct. bottles for a suggested price of 23.95 and 36.95 respectively. For more information call (800) 662-2544 or visit www.nordicnaturals.com. For more information call (800) 634-6342 or visit www.innateresponse.com. (Continued on page 35) NATURAL PRACTITIONER JANUARY FEBRUARY 2016 WWW.NATURALPRACTITIONERMAG.COM 29 SUPPLEMENTSCIENCE Nutraceuticals for High Blood Pressure By Gene Bruno MS MHS Chief Academic Officer Huntington College of Health Sciences igh blood pressure or hypertension is often referred to as the silent killer because you may not know that you have it until it s too late. In fact nearly one-third of people who have high blood pressure don t know it. If your blood pressure is extremely high however certain obvious symptoms may manifest themselves Severe headache Fatigue or confusion Vision problems Chest pain Difficulty breathing Irregular heartbeat Blood in the urine Pounding in your chest neck or ears In these situations you should see a doctor immediately since you could be having a hypertensive crisis that could lead to a heart attack or stroke.1 H Blood pressure may also be low but that is not the topic of this article. In any case here are the ranges for classifying your blood pressure Normal blood pressure--lower than 120 80 mmHg most of the time. High blood pressure (hypertension)-- 140 90 mmHg or above most of the time. Pre-hypertension--120 80 or higher but below 140 90 Treating High Blood Pressure The treatment of high blood pressure should start with eating a heart-healthy diet and getting regular exercise (at least 30 minutes of aerobic exercise a day). If you smoke you need to find a program to help you quit and if you drink alcohol you should limit it to one drink a day for women two a day for men. You should also limit the amount of sodium (salt) you eat (less than 1 500 mg per day) and try to avoid things that cause you stress. Staying at a healthy body weight can also make a big difference. When these measures are insufficient or unsuccessful physicians may also opt to prescribe medications to lower blood pressure. These may include diuretics (which reduce water weight) beta-blockers (which make the heart beat at a slower rate and with less force) angiotensin-converting enzyme or ACE inhibitors (which relax blood vessels) or calcium channel blockers (which also relax blood vessels). Unfortunately these medications are associated with a range of side effects. Another option for individuals with mild to moderate hypertension is to consider the use of certain nutraceuticals shown in human clinical research to be effective for lowering blood pressure. While there are many such nutraceuticals from which to choose the ones highlighted in this article are chocolate cocoa potassium nattokinase and coenzyme Q10. Chocolate Cocoa A number of clinical studies have demonstrated that both dark and milk chocolate 46105 grams day was effective in modestly lowering systolic blood pressure by 4.7 mmHg and diastolic blood pressure by 2.8 mmHg in normotensive and hypertensive people.2 3 This beneficial effect was seen when the chocolate provided 213-500 mg of cocoa polyphenols. Additional research has shown that as little as 6.3 grams day dark chocolate (providing 30 mg of polyphenols) also decreased systolic blood pressure by 2.9 mmHg and diastolic blood pressure by 1.9 mmHg in patients with prehypertension or mild hypertension.4 Another study5 found that that consuming Blood Pressure Ranges Blood pressure readings are usually given as two numbers systolic (the top number) and diastolic (the bottom number). An example is 120 over 80 (written as 120 80 mmHg). One or both of these numbers can be too high. Depending upon the measurement your blood pressure may be classified as normal high (hypertension) or pre-hypertension. 30 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JANUARY FEBRUARY 2016 100 grams day of cocoa (containing 500 mg of polyphenols) modestly reduce systolic and diastolic blood pressure in elderly patients with isolated systolic hypertension. At the end of the 14-day study systolic BP had declined by 5.1 mmHg and diastolic BP declined by by 1.8 mmHg.6 Now if this isn t a good enough excuse for eating chocolate I don t know what is. increased intake of nattokinase may play an important role in preventing and treating hypertension. dilate resistance decreases. Conclusion Chocolate cocoa potassium nattokinase and coenzyme Q10 are not the only nutraceuticals with value for lowering blood pressure but supplementation with one or more of these is a good place to start for individuals with mild-to-moderate hypertension. However supplementation is only one spoke on the wheel of hypertension treatment with the other spokes including diet exercise and stress control. When each of these is incorporated into a comprehensive program the results will likely be significantly better. For a full list of references visit www.naturalpractitionermag.com. Gene Bruno MS MHS the dean of academics for Huntington College of Health Sciences is a nutritionist herbalist writer and educator. For more than 30 years he has educated and trained natural product retailers and health care professionals has researched and formulated natural products for dozens of dietary supplement companies and has written articles on nutrition herbal medicine nutraceuticals and integrative health issues for trade consumer magazines and peerreviewed publications. He can be reached at gbruno hchs.edu. Coenzyme Q10 Coenzyme Q10 is a nutraceutical which has been extensively studied for its role in cardiovascular health including blood pressure. In a published review 18 researchers examined the results of three double-blind randomized placebo-controlled human clinical trials suggesting that coenzyme Q10 supplementation can effectively lower blood pressure (BP) in hypertensive individuals. After careful examination of the data the researchers concluded that treatment with 100-120 mg coenzyme Q10 daily in subjects with systolic BP greater than 140 mmHg or diastolic BP (DBP) greater than 90 mmHg resulted in mean decreases of 11 mmHg and 7 mmHg respectively. Another study19 was undertaken to clarify the mechanism of the antihypertensive effect of 100 mg day coenzyme Q10 (CoQ10) in hypertensive patients. At the end of the treatment systolic blood pressure decreased from 164.5 to 146.7 mmHg and diastolic blood pressure decreased from 98.1 to 86.1 mmHg. Plasma CoQ10 values increased from 0.64 - 0.1 microgram ml to 1.61 - 0.3 micrograms ml. In addition serum total cholesterol decreased from 222.9 mg dl to 213.3 mg dl and serum HDL cholesterol (the good cholesterol ) increased from 41.1 to 43.1 1.5 mg dl. The researchers also found that the antihypertensive effect of CoQ10 is probably based on its ability to reduce peripheral resistance. Peripheral resistance is the resistance of the arteries to blood flow. As the arteries constrict the resistance increases and as they Potassium Potassium is a vital mineral that is necessary to help maintain normal osmotic pressure of body fluids and the acid-base balance of the body. It also functions in the transmission of nerve impulses and muscle contraction. Taking potassium orally seems to reduce systolic blood pressure by about 2-4 mmHg and diastolic blood pressure by about 0.5-3.5 mmHg.7 Potassium seems to be most effective for people with low potassium levels high daily sodium intake and for African Americans.8-10 Consuming potassium from dietary sources also seems to decrease the risk of developing hypertension. Foods that provide at least 350 mg of potassium per serving and that are low in sodium saturated fat and cholesterol might help reduce the risk of developing high blood pressure.11 12 Likewise consuming potassium from dietary sources seems to decrease the risk of stroke. There is some evidence that foods providing at least 350 mg of potassium per serving and that are low in sodium saturated fat and cholesterol might help reduce the risk of stroke.13 14 Nattokinase Nattokinase is a fibrinolytic (i.e. fibrin degrading) enzyme derived from a Japanese food called natto. Nattokinase is produced during the very fermentation process which creates natto involving boiled soybeans fermented with the bacteria Bacillus natto.15 16 In a randomized double-blind placebo-controlled trial 17 86 participants ranging from 20 to 80 years of age with an initial untreated systolic blood pressure of 130 to 159 mmHg received nattokinase (2 000 FU capsule) or a placebo capsule for eight weeks. The objective of this study was to examine the effects of nattokinase supplementation on blood pressure in subjects with pre-hypertension or stage one hypertension. Seventy-three subjects completed the protocol. Compared with the control group the statistically significant changes in SBP and diastolic blood pressure were -5.55 mmHg and -2.84 mmHg respectively after the eight-week intervention. The corresponding net change in renin activity was -1.17 ng mL h for the nattokinase group compared with the control group. In conclusion nattokinase supplementation resulted in a reduction in systolic and diastolic blood pressure. These findings suggest that JANUARY FEBRUARY 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 31 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 Cleansing Oil CARLSTADT NJ--The advanced formula of Caudalie s Make-up Removing Cleansing Oil combines natural ingredients--no silicones mineral oils or preservatives--to soothe and hydrate while removing dirt bacteria and even the most stubborn waterproof makeup. Infused with a sweet fragrance and a soft nongreasy texture this cleansing oil leaves the complexion perfectly clean soft and refreshed according to the company. Key ingredients in the cleansing oil include sweet almond oil which soothes by trapping moisture into the skin grape seed oil which hydrates with a high concentration of linoleic acid rich in fatty acid omega6 castor oil which detoxifies through an antibacterial quality that unclogs pores and sunflower seed oil which helps protect against aging via essential fatty acids and antioxidants promoting skin elasticity and blocking free-radical damage. The cleansing oil is certified organic and has a suggested price of 28. For more information call (866) 826-1615 or visit us.caudalie.com. Post-Natal Omega-3 WATSONVILLE CA--Nordic Naturals Postnatal Omega-3 is the official postnatal omega-3 of the American Pregnancy Association the company said. It utilizes the highest concentration triglyceride form omega-3 oil to provide the unique nutritional support women require after childbirth--both for themselves and for their babies. In addition to supplying 456 mg DHA to support neurological development in nursing infants Postnatal Omega-3 also contains a potent 586 mg of the omega-3 EPA. Research shows EPA supports positive mood after childbirth as well as optimal fat metabolism. Added vitamin D3 offers additional mood support as well as immune support for both mom and baby. The small lemon-flavored soft gels support compliance. Certified gluten free the 60-ct. soft gels have a suggested retail price of 34.95. For more information call (800) 662-2544 or visit www.nordicnaturals.com. Endocrine Complete PITTSBURGH PA--New from Douglas Labs Endocrine Complete is a combination of vitamins minerals nutrients and phytotherapeutic compounds specifically formulated to provide support of endogenous hormone production by the endocrine system which includes thyroid adrenal pituitary gonadal and insulin function the company said. As a Hormone Specific Multi-Nutrient the formulation can be used as a foundation of hormone health with any of the Hormone Specific Formulations manufactured by Douglas Labs. Each 120-ct. capsule bottle has a suggested price of 48. It is gluten- and dairy free and is ideal for vegetarians according to the company. There is also a private label option. For more information call (800) 245-4440 or visit www.douglaslabs.com. GI Response DERRY NH--Innate Response Formulas released a new powdered digestive blend to support gastrointestinal health the company said. GI Response features Sustamine a dipeptide containing pure L-glutamine and L-alanine to support gut health L-gutamine may also support optimal permeability of the intestinal barrier botanicals marshmallow root and slippery elm bark for their mucilaginous qualities. Each 237 g bottle has a suggested retail price of 59.96. It is free of magnesium stearate and wheat and does not contain artificial colors or preservatives. These statements have not been evaluated by the Food & Drug Administration. This product is not intended to diagnose treat cure or prevent any disease. For more information call (800) 634-6342 or visit www.innateresponse.com. Methylation Support PITTSBURGH PA--Genestra Brands Methylation Support provides a combination of betaine choline and B vitamins in a physiologically active form to help support homocysteine metabolism. Homocysteine is an amino acid that can be further metabolized into methionine or cysteine and normal homocysteine levels are necessary for the methylation of nucleic acids protein lipids as well as protein production. Methylation Support is gluten- and dairy free and is ideal for vegans. The 90-capsule bottle has a suggested retail price of 30.20. For more information call (888) 737-6925 or visit www.seroyal.com brands genestrabrands. D3-K2 FAYETTEVILLE AR--Specially formulated to contain both vitamin D3 and K2 D3-K2 by BioTech Pharmacal Inc. supports bone cardiovascular and immune health. It promotes calcium absorption and transport to bones and is certified kosher and halal. A one serving size capsule contains 10 000 IU of D2 as cholecalciferol and 100 mcg of vitamin K2 as menaquinone-7 accounting for 2 500 percent and 125 percent of the daily value respectively. D3-K2 comes in a bottle of 120 capsules with a suggested price of 22. These statements have not been evaluated by the Food & Drug Administration. This product is not intended to diagnose treat cure or prevent any disease. For more information call (800) 345-1199 or visit www.biotechpharmacal.com. 32 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JANUARY FEBRUARY 2016 NATURAL HEALTH STUDIES Trial Reveals Acupuncture s Benefits for Chronic Neck Pain large-scale investigation by researchers at the University of York found that the use of Alexander Technique or acupuncture could significantly relieve chronic neck pain. Chronic neck pain is a difficult condition to treat and previous research shows that single interventions generally do not provide long-term benefits. After evaluating the benefits of Alexander Technique or acupuncture the researchers from the Department of Health Sciences at York (U.K) concluded that both interventions reduced pain and associated disability over a 12 month period when compared with usual care alone. The study published in Annals of Internal Medicine recruited 517 patients from GP (general practitioner) practices in Leeds Manchester Sheffield and York (U.K.). Participants were randomly placed in three groups one group was offered up to 20 half-hour lessons with teachers from A the Society of Teachers of the Alexander Technique plus usual care another received up to 12 sessions of 50 minutes of acupuncture based on traditional Chinese medical theory with practitioners of the British Acupuncture Council plus usual care and the third and final group received usual care alone. The interventions were delivered within the first four to five months. In all three groups usual care over the 12 months included prescribed medications and visits to GPs physiotherapists and other health care professionals. The research showed that at 12 months pain was reduced by 32 percent for those receiving acupuncture and 31 percent for those undertaking Alexander Technique lessons where 25 percent is a clinically relevant reduction. When comparing Alexander lessons or acupuncture with usual care alone these reductions were found to be statistically significant. Moreover patients in these two groups were found to be better able to cope or reduce their pain levels without resorting to medication. Our key finding is that there are significant reductions in neck pain associated with Alexander Technique lessons and acupuncture at 12 months said Dr. Hugh MacPherson a senior research fellow in the Department of Health Sciences at York. This is an important finding because for the first time we now have clear evidence that these two interventions provide longerterm benefits for chronic neck pain. (Source Annals of Internal Medicine-- November 2015) Researchers Identify Liver Pathway Linked to Negative Impacts Of High-Fat High-Cholesterol Diet I T body s metabolism. t s no secret that a high-fat and he Nutritional Immunology high-cho- be verified in a randomized controlled In a series of experiments the lesterol junk food diet has been trial said Professor Kim L. Isaacs proMolecular Medicine Laboratory researchers worked to understand why linked to major health problems fessor of Gastro-enterology at the (NIMML) research team at removing BAF60a from the liver--though including high blood cholesterol and the Virginia Tech has discovered important as not fromNorth tissues--ledChapel lower buildup of plaques in the arteries known University of other Carolina at to the CLA affords those afflicted withon the Super new information on the efficacy of cholesterol levels in the mice mild atherosclerosis. conjugated linoleicthe University of Size Me-style diet. Research led by acid (CLA) in treat- to moderate IBD an effective treatment ing Crohn s disease (CD) a form of We needed to from nature s Michigan (U-M) Life Sciences Institute without thory diseasesfigure out why this was medicine cabinet. To achieve author inflammatory boweladisease (IBD). liver own happening said study senior this Jiandie (LSI) has identified pathway in the Lin uses advanced computational controlled by a protein known as CLA is a naturally occurring acid BAF60a NIMML a faculty member at LSI who is also an associate professor of cell and developmenthat contributes to dairy products effects byGastroenterology and Hepatholoration these negative found in meat and stimulating the production of immune bile--which with tal biology at of Gastroenterology the Division the U-M Medical School. known for its anti-cancer and Did BAF60a affect the Division helpscollaborationabsorb more cholesterol and Hepatholoration withliver s ability to make the body to with the Division of In its own cholesterol Did it affect the uptake and other fats from the foods we eat. Hepatholmodeling in additiatical modGastroenterology and Hepathology at Mice genetically engineered to have livers of cholesterol by the liver No both of these eling into the clinic said Dr. Josep University of North Carolina School of lacking BAF60a had cholesterol levels about factors were very similar in both the norMedicine and the than normal mice when Bassaganya-Riera professor of altered mice Wake Forest Medical mal mice and the genetically 40 percent lower Immunology principal investigator of Center researchers found that Crohn s both were fed a junk food diet according to the researchers found. patients who took supplementaryReports. this human clinical trial and the studies and When we did microarray findings published online in Cell CLA Director of the thousands of genes in these two showedmice were fed a specially formulated examined NIMML and the Center The noticeable improvement. In our recentin fat and sugar toof CLA asa badfor Modeling Immunity toone of the most strikdifferent sets of mice Enteric diet high open-label study simulate Western diet. study subjects with Pathogens. of genes that were affected a supplement inAbout 40 percent of calories ing set CLA is an example of an in the knockout mouse liver were came from fat and another was a anti-inflammatory mpound in athe genes relatmild to moderate CD there 40 percent from ed of naturally occurring and sugar. improvement in disease activipipelineto bile acid synthesis Lin said. marked Bile is made in the liver and BAF60a is onelife in 50 percentbiologicalsynthetic compounds (e.g. abscisic eventually cog in complex of ty and quality of released into the intestines where it helps machinery linking signals resulting from acid eleostearic acid terephthathe subjects. CLA was well tolerated by the body absorb fats. The researchers tested the intake of food and nutrients to genetic lanilides) with tremendous therapeutic all of the study subjects. These findings their hypothesis using cholesterol tagged programs directing the regulation of the (Source Clinical Nutrition -- April 2013) are very encouraging and will need to with a radioactive marker finding that the genetically altered mice absorbed dietary cholesterol at a much slower rate than their counterparts they also excreted more cholesterol in their feces. Another experiment showed that deactivating BAF60a in the livers of mice used to model atherosclerosis was able to partially protect them from the disease lowering cholesterol levels by 30 percent and significantly reducing the formation of lesions. As part of a research program investigating the underpinnings of obesity and metabolic disorders the Lin lab has also been examining how the family of BAF60 proteins operates in muscle and fat cells. The activity and the level of these factors are fine-tuned in response to different metabolic cues Lin said. So we feel that this is part of a broader sensing mechanism--cells sense the environment cells sense the metabolic state. Then by either increasing or dialing down the amount of these proteins available in the cells the body is able to adjust the metabolic activity and function of a particular tissue or organ. (Source Cell Reports--November 2015) JANUARY FEBRUARY 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 33 NATURAL HEALTH STUDIES Eating Sweets Forms Memories That May Control Eating Habits E ating sweet foods causes the brain to form a memory of a meal according to researchers at Georgia State University Georgia Regents University and Charlie Norwood VA Medical Center. The findings published online in the journal Hippocampus show that neurons in the dorsal hippocampus the part of the brain that is critical for episodic memory are activated by consuming sweets. Episodic memory is the memory of autobiographical events experienced at a particular time and place. In the study a meal consisting of a sweetened solution either sucrose or saccharin significantly increased the expression of the synaptic plasticity marker called activityregulated cytoskeleton-associated protein (Arc) in dorsal hippocampal neurons in rats. Synaptic plasticity is a process that is necessary for making memories. We think that episodic memory can be used to control eating behavior said Marise Parent professor in the Neuroscience Institute at Georgia State. We make decisions like I probably won t eat now. I had a big breakfast. We make decisions based on our memory of what and when we ate. That possibility is supported by the researchers previous work which showed that temporarily inactivating dorsal hippocampal neurons following a sucrose meal--the period during which the memory of a meal forms--accelerates the onset of the next meal and causes rats to eat more. Forming memories of meals is important to a healthy diet. A London U.K.-based study shows that disrupting the encoding of the memory of a meal in humans such as by watching television increases the amount of food they consume during the next meal. Researchers have found that people with amnesia will eat again if presented with food even if they ve already eaten because they have no memory of the meal. To understand energy regulation and the causes of obesity scientists must consider how the brain controls meal onset and frequency Parent said. Studies have found that increased snacking is correlated positively with obesity and obese individuals snack more frequently than people who aren t obese. Research also shows that over the past three decades children and adults are eating more snacks per day and deriving more of their daily calories from snacks mostly in the form of desserts and sweetened beverages. In the future the research team would like to determine if nutritionally balanced liquid or solid diets that typically contain protein fat and carbohydrates have a similar effect on Arc expression in dorsal hippocampal neurons and whether increases in Arc expression are necessary for the memory of sweet foods. (Source Hippocampus--November 2015) Obese People Need More Vitamin E But Get Less recent study suggests that obese people with metabolic syndrome face an unexpected quandary when it comes to vitamin E--they need more than normal levels of the vitamin because their weight and other problems are causing increased oxidative stress but those same problems actually cause their effective use of vitamin E to be reduced. As a result experts in the Linus Pauling Institute at Oregon State University (OSU) say that a huge number of Americans may be chronically deficient in vitamin E which could compound the wide range of diseases known to be associated with metabolic syndrome including heart disease diabetes Alzheimer s disease and cancer. Vitamin E is associated with lipids or the fats found in the blood but it s mostly just a micronutrient that s going along for the ride said Maret Traber a professor in the College of Public Health and Human Science at OSU and a principal investigator A in the Linus Pauling Institute. What we found was that tissues of obese people are rejecting intake of some of these lipids because they already have enough fat. In the process they also reject the associated vitamin E. So even though the tissues are facing serious oxidative stress the delivery of vitamin E to them is being impaired and they are not getting enough of this important micronutrient. Fat generates oxidants that increase metabolic stress Traber said. Vitamin E along with vitamin C and some other antioxidants are natural dietary defenses against this problem. However millions of Americans--more than 92 percent by some measures--eat a diet deficient in vitamin E often about half the desired amount. It s found at highest levels in some foods such as nuts seeds and olive oil. Another concern is that when people try to lose weight often the first thing they do is limit their fat intake Traber said. This may make sense if you are trying to reduce calories but fat is the most common source of vitamin E in our diets so that approach to weight loss can sometimes actually worsen a nutrient deficiency. A reasonable approach Traber said would be to try to eat a balanced and healthy diet even if attempting to lose weight while also taking a daily multivitamin that includes 100 percent of the recommended daily allowance of vitamin E which is 15 milligrams per day. It s also important to eat some food containing at least a little fat when taking a supplement because otherwise this fat-soluble vitamin--in the form found in most dietary supplements--will not be well-absorbed. In the study researchers made their findings with a double-blind study of adults some of whom were healthy and others with metabolic syndrome. The authors concluded that its findings support higher dietary requirements of vitamin E for adults with metabolic syndrome. (Source American Journal of Clinical Nutrition--November 2015) 34 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JANUARY FEBRUARY 2016 MEDIACORNER The Rhythmic Movement Method A Revolutionary Approach to Improved Health and Well-Being Author Harold Blomberg Pages 263 Price 20.00 Softcover Publisher Lulu Publishing Contact (317) 275-2057 According to the Centers for Disease Control and Prevention nearly 11 percent of children ages 11 to 17 are living with attention deficit hyperactivity disorder (ADHD). While medicine is the most widely accepted treatment method it is not the only option. Dr. Harald Blomberg a Swedish psychiatrist believes the best way to treat ADHD and other neurological disorders is through natural body movement therapy. His method Blomberg Rhythmic Movement Training supports individuals of all ages with health issues such as ADHD autism muscle and joint pain and a wide variety of other ailments. In his book he describes how simple healing exercises stimulate the ability of the brain and nervous system to renew itself and create new connections. With case studies included the book also explains how the rhythmic movement training works and why it is often more successful than traditional medicine. PRODUCT FOCUS (Continued from page 29) Women s and Men s Everyday Women s Everyday and Men s Everyday are whole food-sourced multivitamins with natural cofactors that the body recognizes as 100 percent food for optimal absorption the company stated. Women s Everyday food based formula contains 24 essential nutrients for prenatal and active women s nutritional balance. Three capsules daily provide high levels of vitamin B complex 1 000 IU vitamin D 9 mg iron and 600 mcg folic acid for energy boost metabolism and immune function. The Men s Everyday food based formula contains 23 essential nutrients for active men s nutritional balance. Three capsules daily provide high levels of vitamin B complex 1 000 IU vitamin D and 900 mcg lycopene for energy boost immune function and prostate health. Both Men s and Women s Everyday are free of GMOs (genetically modified organisms) gluten artificial colors and flavors. Each comes in a 90-capsule bottle with a suggested price of 30. For more information call (888) 865-9422 or visit www.lifenutrition.com. Maximum Minerals Reap the benefits of a balanced body with Maximum Living s new MineralRich Concentrate with B12 and Biotin. Not just your average trace mineral supplement MineralRich Concentrate delivers 70-plus essential pH-balancing macro and trace minerals along with 1000 mcg of vitamin B12 (as methylcobalamin) biotin and extra magnesium. There are no sugars or preservatives. Only a half teaspoon (2.5 ml) of MineralRich Concentrate in water juice or a smoothie is suitable for a wide range of consumers as a daily supplement addressing deficiencies supporting naturally sustained energy levels cardiovascular health bone health cognitive function skin hair nails and more. MineralRich is certified vegan and is available in a 4-oz. bottle made to last for six weeks for 38.95. For more information call (800) 445-4325 or visit at www.maximumliving.com. PureGenomics Pure Encapsulations offers PureGenomics Multivitamin a multivitamin and mineral complex targeting common genetic polymorphisms. It provides vitamins A B C D and E in highly bioavailable forms activated B vitamins including pyridoxal-5phosphate riboflavin-5-phosphate enhanced-retention thiamin derivative benfotiamine and 800 mcg of metafolin L-5methyltetrahydrofolate (L-5-MTHF) the naturally occurring universally metabolized form of folate. In addition the product offers vitamin B12 in a unique blend of adenosylcobalamin and hydroxycobalamin and 2 000 IU vitamin D to support healthy vitamin D receptor activity. The multi has a convenient one capsule per day dosing (suggested price 32.20 60-ct.). 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. PreNatal Vitamins Each serving of SmartyPants PreNatal includes premium L-methylfolate the most bioavailable and easily absorbed form of folic acid as well as vitamins A D C E B3 B6 B12 and iodine. SmartyPants PreNatal also includes a complete multivitamin with ecofriendly omega-3 DHA EPA fish oil from sustainable sources of small fish for healthy brain development and vitamin D3 and vitamin K for strong healthy bones. The company s gluten-free gummies contain no high fructose corn syrup artificial flavors colors or preservatives and are made in California with non-GMO ingredients. Every batch is third-party tested for purity potency and contamination. Each 180-ct. bottle has a suggested price of 34.95. For more information call (888) 751-2291 or visit www.smartypantsvitamins.com. For more information call (800) 753-2277 or visit www.pureencapsulations.com. JANUARY FEBRUARY 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 35 CONFERENCES AND EVENTS January 29-31 13th Annual Natural Supplements An Evidence Based Update San Diego CA This year the conference will take place at the Paradise Resort & Spa in San Diego CA. Keynote speakers David Perlmutter MD FACN ABIHM and Tieraona Low Dog MD will follow presentations with a book signing. Other speakers include Osama Hamdy MD PHD Michael D. Levin Mark Blumenthal Paula Gardiner MD MPH among others. Course highlights include three days of evidence-based educational courses presented by leading experts full day interactive workshops to fine tune clinical applications emphasis on disease states four newly designed pre-conference workshops and opportunities to interact with faculty and fellow attendees to establish a network of likeminded professionals. For more information visit www.scripps.org naturalsupplements. February 24-27 Integrative Healthcare Symposium New York NY This clinically relevant evidence-based medical conference program is designed to educate inspire and engage integrative practitioners and those interested in learning more about alternative and complimentary approaches to heath care. Speakers at this year s event include David Perlmutter MD FACN ABIHM on The Role of Microbiome Diversity in Health and Disease Nancy Carlson RN BSN NC-BC on Ayureda for Lifestyle Health and Self-care and Dorothy Larkin PhD RN on Innovative Hypnotherapy in Healthcare. For more information visit www.ihsymposium.com annual-conference. April 8-10 Southwest Conference in Botanical Medicine Tempe AZ This year s theme focuses on reproductive health and offers a wide variety of presentations from medicine making to desert herb walks. Lectures include environmental links to infertility adolescent angst the teenage brain on hormones neuroendocrine responses to stress and how to re-sensitize hormonal responsiveness with botanical agents and much more The conference includes a Friday Intensive on New Drugs in Cancer and Synergistic Natural Medicines with Donald Yance as well as field studies with Phyllis Hogan and JoAnn Sanchez. Other experts in attendance include Jill Stansbury Jason Miller Mimi Kamp David Winston and more. Early bird registration begins March 2. For more information visit www.botanicalmedicine.org conferences. April 15-17 60th Annual NorthWest Naturopathic Physicians Convention (NWNPC) Portland OR The NWNPC celebrates their 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. June 3-6 Medicines from the Earth Herb Symposium Black Mountain NC The Medicines from the Earth Herb Symposium begins with a pre-conference intensive on June 3 The Digestive System and Neurological Health Healing the Gut-Brain Axis with Botanical Medicine with Jason Miller and Ethnobotanical Field Study with David Winston. Other experts also include Christopher Hobbs Robin McGee Roy Upton among others. The topics covered at the symposium will range from chronic kidney disease botanical solutions to maintaining the microbiome in infants and children. As well as plant walks medicine-making demonstrations and panel discussions. Early bird registration opens April 14. For more information visit www.botanicalmedicine.org. ADVERTISER INDEX ADVERTISER Albion Laboratories Inc. Ajinomoto Co. Ltd. America s Finest Inc. DaVinci Laboratories of Vermont Fairhaven Health LLC Hyalogic Kyowa Hakko USA MITOQ Natural Partners Probiotics Intl. Ltd. 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