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Description: In This Issue: The Eyes Have It, Healthy Aging, Men's Health, and Natural Energy
IN www.naturalpractitionermag.com June July 2016 Vis SA it U LT s LA At K A E CI TY NP U T A A VRM Media Publication Go to www.naturalpractitionermag.com davinci for info about this advertiser Go to www.naturalpractitionermag.com americasfinest for info about this advertiser TABLE OF CONTENTS June July 2016 VOLUME 5 NO. 4 16 22 36 FEATURES 16 The Eyes Have It Modern living has created new vision challenges here s how to help. COLUMNS 4 Editor s Note 36 Supplement Science 8 Practitioner Corner 32 Product Focus Natural Energy 22 Enjoying the Golden Years People reaching their senior years are aiming to stay healthy and active are looking to natural practitioners to aid them in their journey. DEPARTMENTS 10 Health Industry News 34 Practitioner Chat 38 Natural Health Studies 42 Natural Marketplace 43 Conferences & Events 44 Media Corner 44 Advertiser Index 26 Made for Men Until science can predict the future of individual health supplementation for men as they age is key. 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 4 June July 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 JUNE JULY 2016 Go to www.naturalpractitionermag.com carlson for info about this advertiser EDITOR S NOTE Seeing the Blue Light wear glasses but my eyesight isn t terrible. My father and brother on the other hand can barely see without glasses or contacts. Their vision is so bad--if you approached them when they aren t wearing some type of corrective lens they wouldn t know who you were until you spoke. It is said that vision is the most dominant of the five senses. According to Newjerseyeyesight.com approximately 80 percent of what we learn from the world around us is due to perception learning cognition and activities that are mediated through vision. Further the vision health article on page 16 noted that when asked which of the five senses college students would give up--not one gave sight or vision as their response. But with the constant use of technology including smartphones computers e-readers and tablets our eyes rarely get a break. And while just about all of us used (and carried) thick heavy textbooks throughout our school days now schools are often issuing students digital tablets with e-books instead. Add the fact that many of these same children often go home after school to play video games watch Netflix on their laptops and walk around with their smartphones practically glued to their hands. This puts them (as well as the rest of us) in serious danger of suffering from digital eye strain. According to the Vision Council s 2016 Digital Eye Strain Report I Overexposed The Digital Device Dilemmas nearly eight out of every 10 American who suffers from digital eye strain use two or more devices simultaneously. The report which was based on a VisionWatch survey of more than 10 000 adults found that 65 percent of Americans experience digital eye strain symptoms such as dry irritated eyes blurred vision eye fatigue neck and back pain and headaches. There is a newly minted eye condition computer vision syndrome which occurs from continually viewing video monitors whether these are computers TVs smartphones and or pads. This is characterized by two conditions dry eye and physical upper body strain said Jacob Teitelbaum MD in this month s cover story. People tend not to blink as frequently when looking at a computer screen or video monitor. In addition back shoulder and neck strain and headaches will exacerbate this condition. Spending too much time on digital devices can also have an effect on a person s sleep because the blue light that these devices emit can alter melatonin production in the body. To help combat this problem Harvard Medical School publications suggests avoiding looking at bright screens two to three hours before bedtime. As for me I am incorporating some of these suggestions into my nightly routine by shutting off the television and getting into bed with an actual book. And I have to say I ve been sleeping better because of it. PUBLISHER DANIEL MCSWEENEY EDITORIAL DIRECTOR DanM VRMmedia.com ASSOCIATE PUBLISHER RUSS FIELDS RussF VRMmedia.com ADVERTISING GARY PFAFF SALES MANAGER 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 JUNE JULY 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 Vitale BA LMT CN Amber Lynn Vitale BA LMT CN majored in economics with postgraduate work in medical sciences and additional certifications in bodywork ayurveda and holistic nutrition. Her journey in the healing arts developed richly as she worked for years in practices with integrative physicians acupuncturists chiropractors and nurses. Ultimately she developed an integrated modality of ayurvedic medicine yoga advanced bodywork and integrative nutrition. Vitale uses her 19 years of experience in integrative medical practices to educate on the consumer mindset and to distill these wisdoms into digestible information bytes. In 2014 she joined the Garden of Life team as their Northeast Regional 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 JUNE JULY 2016 Go to www.naturalpractitionermag.com albion for info about this advertiser PRACTITIONER CORNER By Holly Lucille ND e are directly and passively exposed to thousands of toxins every day. Scientific organizations such as the Environmental Working Group (EWG) estimate that babies born today already carry as many as 200 different chemicals I live in Los Angeles CA a noticeably polluted and smoggy city but toxins are everywhere. They are in the air we breathe the water we drink the food we eat soaps emulsifiers house hold cleaning products health and beauty aids makeup the paint on the walls in our homes even on the furniture we have in our offices. There are literally thousands of chemicals our patients are exposed to on a daily basis and scientist and clinicians like me are just beginning to understand how deeply they affect the body and its ability to function optimally. Every year I have more and more patients coming into my practice strug- W gling with unexplained issues such as hormonal imbalances allergies depression anxiety eczema and a variety of autoimmune diseases. I am also finding that it is increasingly difficult to use the least invasive methods of support like dietary interventions and lifestyle modifications and get the results I used to. The esteemed environmental medicine specialist Walter Crinnion ND recently told me that if today s practitioners are not considering the environmental burden on their patient s clinical presentation they will undoubtedly miss the true cause of the problems. Environmental toxins from a clinical perspective aren t something any of us can ignore anymore. I am a huge proponent of reducing exposure wherever it s possible however we don t always have the control to eliminate all contact with environmental toxins. Education on how to reduce exposure is crucial and there are preventive and treatment strategies we can use to help our patients lighten the toxic burden. I know this is a category of it s own but sleep is crucial for optimizing natural detoxifying processes Encouraging patients to create an evening routine that allows them to get seven to nine hours of sleep a night does more than just set the tone for the next day. I also always suggest my patients Eat as organic as possible Switch from conventional to eco- and people-friendly household cleaning products Change to natural or non-toxic health and beauty aids Consider filtering all household water sources Take Epsom salt baths three to four times a week Dry skin brush daily five minutes 8 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2016 brushing toward the heart Drink 2.5 to three liters of water daily All these little tips add up and help even the playing field of overall body burden. But wait there is more I have discovered a powerful legitimate and innovative modality that is easy relaxing and affordable and helps people overcome environmental exposure infrared saunas What is Infrared Therapy and How is it Different Than a Traditional Sauna Ever get in a car on a sunny day in winter to be surprised and relieved by the warmth That s the infrared light from the sun. Traditional saunas emit direct heat an infrared sauna is a type of sauna that uses light to create heat. Infrared saunas also run at a much milder temperature. However unlike conventional saunas the heat of infrared saunas travels much deeper into the body. This deep heat causes a more vigorous sweat at a lower more comfortable temperature. Sweating is the body s safe and natural way to heal and detoxify. Sweat carries toxins out of the body and pushes them through the pores which play an unexpected role in the cleansing process. Researchers have identified many toxic substances including heavy metals which are secreted from the body through the sweat. The more we can safely sweat (while maintaining adequate hydration) the more toxins can be released. Some studies also show sweat from infrared saunas containing high levels or arsenic cadmium lead and mercury. Neurologist Dr. Deitrich Klinghardt found that sweat of people using a conventional sauna was about 97 percent water and 3 percent toxins. Infrared saunas produced a sweat that was only 80 to 85 percent water. The remaining 15 to 20 percent was made up of heavy metals sulfuric acid sodium ammonia uric acid and fat-soluble toxins. The benefits of infrared saunas go way beyond detoxification. Infrared saunas help our bodies release a number of toxins and other environmental chemicals. They also can help with cell health pain relief high blood pressure circulation anti-aging and even weight loss. I should mention not all infrared saunas are created equal. Most infrared saunas only offer far infrared heat. I actually bought a Sunlighten sauna that offers near mid and far wavelengths. I found that the different wavelengths can also be used for more comprehensive and specific treatments in my office. For instance Near is the shortest infrared wavelength and it penetrates the skin s surface more effectively than the other two. Scientific research shows that when delivered at the vital wavelength of 880 nm near infrared levels promote skin renewal cell health pain relief and wound healing. would be offering 40-minute session for 40. You can book up to eight sessions in an eight-hour workday. (Or 16 if you offer 30-minute sessions.) Over a few weeks the sauna pays for itself and you have just brought in a modality that can help your patients and your community detoxify passively and truly heal from the inside out. References Environmental Working Group November 23 2009 Pollution in Minority Newborns BPA and Other Cord Blood Pollutants ewg.org. J Environ Public Health Sears ME1 Kerr KJ Bray RI Arsenic cadmium lead and mercury in sweat a systematic review 2012 2012 184745. doi 10.1155 2012 184745. Epub 2012 Feb 22. Harry T. Whelan Ellen V. Buchmann Noel T. Whelan Scott G. Turner Vita Cevenini Helen Stinson Ron Ignatius Todd Martin Joan Cwiklinski Glenn A. Meyer Brian Hodgson Lisa Gould Mary Kane Gina Chen James Caviness. NASA Light Emitting Diode Medical Applications From Deep Space to Deep Sea. CP552 Space Technology and Applications International Forum-2001 edited by M. S. El-Genk. Copyright 2001 American Institute of Physics 1-56396-980-7 01. Margaret T.T.Wong-Riley Huan Ling Liang Janis T. Eells Britton Chance Michele M. Henry Ellen Buchmann Mary Kane and Harry T. Whelan. Photobiomodulation Directly Benefits Primary Neurons Functionally Inactivated by Toxins Role of Cytochrome C Oxidase. JBC Papers in Press. Published on November 22 2004 as Manuscript M409650200. Copyright 2004 by The American Society for Biochemistry and Molecular Biology Inc. B.A. Russell N. Kellett & L.R. Reilly. Study to Determine the Efficacy of Combination LED Light Therapy (633nm and 830 nm) in Facial Skin Rejuvenation. Journal of Cosmetic and Laser Therapy 2005 7 pp 196-200. The mid infrared level is a wavelength that can penetrate deeper into the body s soft tissue where inflammation occurs. Mid infrared levels help with pain relief improved circulation and weight loss. Far is the longest wavelength. The far infrared levels reach the deepest into the body where toxins are stored. This level helps with weight loss detoxification blood pressure reduction and relaxation. Infrared saunas with three independent heating mechanisms can be programmed to generate any combination of infrared wavelengths to achieve specific results. You can create specific plans for patients looking for support with detoxification relaxation anti-aging cardiovascular weight loss pain relief or completely customize for their current condition. The clinical evidence surrounding infrared sauna technology makes this a smart modality to incorporate for clinical effectiveness in your own practice and you could also use it as a revenue generator. An example of a cost effective treatment plan 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. JUNE JULY 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 9 HEALTH INDUSTRY NEWS Nutrition Leaders Council Forms to Advance Nutrition Profession hile nutritional supplements have recently been faced with many threats health care professionals are also encountering obstacles as well. For example exclusionary regulatory regimes for nutrition counseling in several states make it illegal for many qualified highly credentialed nutrition practitioners to provide supplement and nutrition advice to their patients. But a new group called the Nutrition Leaders Council has formed to help find more inclusive ways to advance and grow the nutrition profession so health care practitioners are empowered to use nutrition as a primary tool in their practice. In an effort to help advance nutrition to the core of America s health care the Nutrition Leaders Council will partner with a consortium of important nutrition organizations including the Board for Certification of Nutrition Specialists (BCNS) and their Certified Nutrition Specialists (CNS) the Center for Nutrition Advocacy (CNA) which advocates for practice and insurance rights for practitioners and the American Nutrition Association (ANA) which educates professionals and the public. It was important for us to first put the infrastructure in place to support a highly respected and recognized nutrition profession said Michael Stroka executive director of BCNS. The Nutrition Leaders Council is going to help us usher in the second phase of moving nutrition to the core of health care. Consumers trust in the use of dietary supplements stems in great part from the advice of their health care practitioner such as a credentialed nutritionist medical doctor naturopathic physician chiropractor acupuncturist or pharmacist. JAMA indicates that 23 percent of supplement sales are based on health care practitioner recommendations alone translating to approximately 9 billion in annual supplement sales based on data from Nutrition Business Journal. Nutrition is the single most powerful determinant of a person s health said Stroka. The leaders who make up the Nutrition Leaders Council have aligned efforts with BCNS and other highly W respected nutrition organizations which will help us ensure that trained health care practitioners have the capability to provide quality nutrition and supplement recommendations to patients for improved health. Stroka says that currently in 16 states many highly credentialed nutrition practitioners who often have more advanced training than registered dietitians (RDs) are not currently allowed to give nutritional and supplement advice due to state licensing laws that make it illegal. However in the past five years BCNS CNA and ANA have made significant process toward a more inclusive regulatory environment by spearheading opposition to anti-competitive bills laws regulations and promoting more inclusive ones in order to allow a variety of health care practitioners to legally provide nutrition and supplement advice. These exclusionary laws and regulations have a huge cost to the health of Americans said Stroka. Just as practitioners need high-quality sources of nutrition the industry needs an empowered nutrition profession. The Nutrition Leaders Council is comprised of nutrition business and community leaders including founding members Carilyn Anderson president Carlson Labs Aaron Bartz president Ortho Molecular Products and Aaron Bartz Family Jeffrey Brams general counsel and vice president of product development Garden of Life Atrium Innovations Jim Emme CEO NOW Foods Tammi Geiger director of marketing Standard Process Andy Greenawalt vice chairman Emerson Ecologics Dr. Michael Hartman vice president of scientific affairs AdvoCare Konstanze Hickey vice president Hickey Family Foundation Dr. Datis Kharrazian Kharrazian Family Mandy Kraynik vice president and general manager Integrative Therapeutics Patrick Sullivan president Jigsaw Health Dr. Sanni Raju CEO Natreon Fran Towey president and CEO Natural Partners Dr. John P. Troup executive vice president and chief science officer Metagenics and Ruth Westreich founder Westreich Foundation. Fort Announces the Launch of Mediceutical Products F ort Elements LLC (Provo UT) has announced the launch of its Mediceutical line of products a line of clinical use nutritional products that address the nutritional needs of recovery for a variety of clinical conditions. Founded in 2013 Fort spent more than two years researching and developing its products. After years of treating patients under intense physical demands especially athletes I began an intensive research effort to determine if and what nutritional supplements could improve recovery outcomes said Kirt Kimball MD an orthopedic surgeon and a founder of and chief medical officer for Fort . My research led to the creation of a line of products rooted in medical and nutritional science. Fort flagship products include Fort Pre-Op and Fort Post-Op. This combination of products pre-load the body with safe essential nutrients prior to surgery and essential vitamins minerals protein and amino acids that support recovery from the trauma of surgery. It is a common practice for a surgeon to have patients stop taking any nutritional supplements prior to surgery because there are real risks with blood thinning and other potential complications in a surgical setting Dr. Kimball explained. We created Fort Pre-Op so physicians can recommend a product developed by a surgeon that is safe and pre-loads the patient with key nutrients essential for optimal healing. For more information visit www.forteelements.com. 10 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2016 Go to www.naturalpractitionermag.com fairhaven for info about this advertiser HEALTH INDUSTRY NEWS House Approves Amendment for Veterans Access to Medical Cannabis T he U.S. House of Representatives recently voted to approve the Veterans Equal Access Amendment (VEAA) to the FY2017 Military Construction and Veterans Affairs (MilConVA) Appropriations bill which sets the budget for the Veterans Administration (VA). The amendment which creates a path to medical cannabis therapy for veterans receiving their health care through the VA was approved by a vote of 233-189 with 57 Republicans and 176 Democrats. The amendment was sponsored again by Representative Earl Blumenauer (D-OR) with bipartisan co-sponsorship from Representatives Heck (R-NV) Farr (DCA) Rohrabacher (R-CA) Reed (R-NY) Titus (D-CA) Lee (D-CA) Gallego (D-AZ) and Polis (D-CA). The Veterans Health Administration (VHA) Directive 2011-004 explicitly forbids VA physicians from filling out recommendation forms for state medical marijuana programs or discussing medical marijuana benefits with the veterans in their care. This directive was set to expire on January 31 2016 however the policy remains in effect leaving it up to Congress to take action. Under this policy veterans who are dependent on the VA for health care are denied equal access to state medical marijuana programs or honest conversations with their doctor. The VEAA would forbid the VA from using any funds to punish physicians who write recommendations or discuss benefits of medical marijuana therapy with their patients. If signed by the President it will have to be renewed again next year. The CARERS Act currently awaiting a hearing in both houses would make this provision permanent. Rep. Blumenauer described the current problems veterans seeking medical cannabis access face by saying They have to go ahead and hire a physician out of their own pocket not dealing with the medical professional of their choice their VA doctor who knows them the best. This problem hurts lowincome veterans the most as they are in the worst position to pay for out of pocket medical expenses. Opposition to the amendment seemed tepid at best. I rise somewhat reluctantly said Rep. Charlie Dent (R-PA) who added I understand that the country is evolving on this issue as many states including my own have moved forward on medical marijuana in speaking against the vote. With the passage of last year s VEAA many veterans in legal medical marijuana states have taken advantage of the opportunity to utilize medical cannabis therapy to treat a host of ailments often incurred through active duty such as chronic pain PTSD traumatic brain injury phantom limb syndrome cancer and depression. I can tell you for certain with every ounce of my integrity that without the benefits of medical cannabis I would not be standing here before you all today said former U.S. Army Captain Eric Gudz. ASA and Capt. Gutz met with House offices as part of the lobbying effort to pass the amendment. We are pleased that both the House and Senate have made it clear that the Veterans Administration should not punish doctors for recommending medical cannabis to their veteran patients said Michael Liszewski ASA government affairs director. We anticipate this amendment will reach the President and once signed it will give VA physicians another tool in their toolbox to treat the health care needs of America s veterans. Clinical Synergy Professional Formulas Introduces Line of Supplements C linical Synergy Professional Formulas (Santa Rosa CA) has announced the launch of its new line of professional supplements available exclusively to health care practitioners. Clinical Synergy offers doctor-formulated research-driven products and educational materials that make it easy for practitioners to incorporate targeted and scientifically substantiated solutions into their practice. The line of supplements was created by integrative medicine pioneer Isaac Eliaz MD MS LAc. From my clinic to yours Clinical Synergy delivers unparalleled results with a variety of multi-targeted formulations stated Dr. Eliaz. Our advanced integrative protocols are research-based easily incorporated into clinical practice and designed for patient compliance. Clinical Synergy products are based on a foundation of peer-reviewed research and time-honored botanical wisdom with ingredients that hold a history of traditional use supported by modern science. Over the last decades Dr. Eliaz has built partnerships with world-renowned research institutes including the National Institutes of Health (NIH) Harvard University Columbia University Tel Aviv University among others. These collaborations illuminate the value of specific nutraceutical compounds and guide the development of Dr. Eliaz s advanced clinical protocols. Dr. Eliaz and his colleagues have applied these formulations in their clinics and have gained a deep understanding of how they work in patients. I order cutting-edge lab work for patients before I use the products and after I use the products. In those lab results I see drastic differences. I trust these products and I use them every day in my practice with excellent results said Nafysa Parpia ND who works with Dr. Eliaz at the Amitabha Medical Clinic and Healing Center in Santa Rosa CA. Clinical Synergy s flagship product is PectaSol-C Professional--the most researched Modified Citrus Pectin supplement available. PectaSol-C Professional is backed by more than 20 years of clinical research and more than 30 clinical and preclinical peer-reviewed studies. I feel PectaSol-C Professional is very helpful for me. Taking PectaSol-C has made an incredible difference in how I feel and experience my everyday life. I have an entirely improved lifestyle after taking it noted Diana Syester a patient of Amitabha Medical Clinic. Clinical Synergy is committed to further supporting practitioners in their clinics by providing Advanced Integrative Protocols and unique educational materials. These protocols and tools can be downloaded from the Clinical Synergy website. For more information visit www.clinicalsynergyformulas.com. 12 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2016 Go to www.naturalpractitionermag.com progressivelabs for info about this advertiser HEALTH INDUSTRY NEWS Scientists Develop Approach to Determine Optimum Vitamin Mineral Intakes itamins and minerals--can they be too much of a good thing Or are some people suffering from deficiencies in these essential nutrients Thanks to the work of a group of Dutch scientists we may soon be able to know exactly what we need depending on our age stage of life gender and individual requirements. In recent years there has been considerable confusion over what levels are optimum for given population groups. Some research has warned about high doses of isolated vitamins particularly synthetic ones such as vitamin E betacarotene and folic acid. On the other hand various nutritional surveys have shown some groups to be deficient in vitamin D iron or magnesium. The new approach just accepted for publication in the peer-reviewed journal Critical Reviews in Nutrition and Food Science integrates all available scientific data on both risks from inadequacy and excess as well as on benefits to offer a range of doses of specific vitamin and mineral forms suitable for specific populations. Lisette Krul MSc from the Netherlands Organization for Applied Scientific Research (TNO) leading the research said Our approach involves integrating all available data taking into account risks of deficiency the higher requirements or benefits for particular populations while V also considering toxicity. The work has been published at a time when the European Commission is considering various options to impose E.U.wide limits on both maximum and minimum amounts of vitamins and minerals consumed as food supplements as part of its framework Food Supplements Directive. There is increasing recognition that various estimates of intake such as estimated average requirements (EARs) nutrient reference values (NRVs) or recommended daily allowances (RDAs) are either out-of-date with respect to the latest science or do not adequately reflect optimal levels of intake for particular nutritional benefits. Using such a novel approach to determine optimal levels of micronutrient intake could offer a significant advance for personalized nutrition. The research culminating in the paper has been on-going for two years and was commissioned by the Alliance for Natural Health International a non-profit alliance of consumer and stakeholder interests in natural and sustainable health care. Alliance Executive Director Robert Verkerk PhD said The methods the European Commission has considered for regulatory purposes have so far focused only on risk. They are based on making sure even the most sensitive person wouldn t suffer any kind of adverse effect however slight or temporary from the most toxic form of a given nutrient. We welcome the new approach proposed by TNO scientists continued Dr. Verkerk. If the other methods that have been under consideration by the European Commission were turned into law they would prevent a lot of people getting the amounts of nutrients they really need. If you applied the same thinking to conventional foods you d end up banning all foods containing wheat and dairy because people sensitive to gluten or lactose react adversely to these foods even though others may benefit from the consumption of these foods. The manuscript of the full paper Quantifiable Risk-benefit Assessment of Micronutrients From Theory to Practice is available for electronic download ahead of print at the following link www.tandfonline.com doi full 10.1080 1 0408398.2016.1162765. Wound Seq a Next-generation Care Test for Diabetic Wounds G ranger Diagnostics (Richmond VA) has announced immediate availability of the first commercially available next-generation sequencing test for wounds and infections. This test ensures discovery of all bacteria all fungi all parasites and select viruses. The test requires only a simple swab of the wound or infected area. David G. Bostwick MD chief medical officer described Granger Diagnostics advanced molecular testing to facilitate wound healing We are excited to make available for the first time our clinically significant test Wound Seq that utilizes next-generation sequencing of the skin microbiome. Wounds and infections afflict millions of Americans every year and are often perplexing to treat owing to the presence of unknown pathogens. Our new validated test provides significant actionable information that assists physicians in managing infections. Previous studies have shown that wound closure that relies on genetic-assisted testing is much more rapid decreases pain and suffering and results in cost savings. The promise of personalized medicine is now fulfilled. Bacterial bioburden is an important factor in wound healing added Dr. William Budd director of laboratories at Granger Diagnostics. Most chronic wounds are infected with several species of bacteria and often yeast. Culturing fails to identify a large proportion of organisms leading to ineffective wound healing. Wound Seq leverages cutting-edge molecular diagnostic techniques and high-performance computing to identify organisms in a wound. Wound Seq is the second NextGeneration Care Test in Granger Diagnostics pipeline following Gynecologene the first commercially available laboratory test for bacterial vaginosis that incorporates this novel technology. For more information visit www.grangerdiagnostics.com. 14 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2016 Branch Out and Join VRM Media s FAMILY OF PUBLICATIONS NaturalPractitionerMag.com VitaminRetailer.com NIEmagazine.com FitnessTrainerMag.com NP s Upcoming Issue Highlights August 7 12 16 ad closing Quality Company Profiles September 9 16 16 ad closing October Children s Health Our 2016 Media Planner Is 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 Modern living has created new vision challenges here s how to help. By Lisa Schofield T he idea of losing one s sight is one of the scariest prospects. One 2007 online forum queried college students about what one of the five senses would they give up--not one responded sight. It was a toss-up between taste and smell. Another interesting informal forum was what one sense would you keep Sight was number one. Sight is the dominant sense we consciously perceive as we are constantly seeing unless we re sleeping. Ophthalmologists generally diagnose the common disease states that occur typically in early stages of an annual eye exam and are generally considered eye diseases of aging. According to Robert Kachko ND LAc of InnerSource Health Manhattan and on the Board of Directors of the American Association of Naturopathic Physicians (AANP) they include macular degeneration signified by the loss of rods and cones in the part of the eye that specializes in central focus and visual acuity. Glaucoma occurs when there is increased pressure in the eye and cataracts which results from changes in the proteins in the lens. This condition may be exacerbated by UV damage. The most common eye conditions will vary by age group but overall the most common are nearsightedness farsightedness astigmatism and presbyopia (farsightedness caused by loss of elasticity of the lens of the eye occuring typically in middle and old age) he explained. These are often the result in changes in the shape of the cornea the eyeball or the lens with aging or for other reasons. Approximately 90 million Americans have two or more symptoms related to issues of the ocular surface noted Monique Wellise manager of education and professional sales for California-based Nordic Naturals who believes that the most common eye vision concerns are dry eye syndrome blepharitis meibomian gland dysfunction and conjunctivitis (pinkeye). However she warned Meibomian gland and dry eye complaints are expected to dramatically increase in the near future due to three risk factors--age diabetes and use of digital devices. Peter Pham MD CEO of Texas-based Zocular related The eyes are one of the most used and indispensable organs in the human body and it s not uncommon for typical problems to occur with them. 16 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2016 Go to www.naturalpractitionermag.com quintron for info about this advertiser Among those he pointed out are dry eyes which affect tens of millions in the U.S. alone and five million of Americans 50 and older according to National Institutes of Health (NIH). Dr. Pham further explained that the most common symptoms associated with dry eyes are redness burning watering and grittiness. Despite the name dry eyes almost all cases of dry eyes are not due to a lack of tears he emphasized. It s the clogging of the eyelid oil gland (meibomian glands) along the eyelid margin that leads to the inflammation which causes the symptoms. The watering due to dry eyes is actually a protective mechanism to dilute the inflammation originating from the eyelid margins. Meanwhile less than 15 percent of dry eye cases are caused by aqueous deficiency often incurred by an underlying systemic disease such as Sjogren s syndrome lupus rheumatoid arthritis or from certain medication use. The disease mechanism for dry eyes is very similar to acne he added. However conventional treatment for acne cannot be used for dry eyes due to their toxicity. Some acne drugs such as isotretinoin can actually cause severe dry eyes by causing apoptosis of the meibomian glands along the eyelids. While apoptosis of facial oil glands can lead to improvements in acne it can precipitate severe secondary dry eyes as well he cautioned. Jacob Teitelbaum MD sees an emerging vision problem that ties in with dry eye. There is a newly minted eye condition computer vision syndrome which occurs from continually viewing video monitors whether these are computers TVs smart phones and or other tablets or pads. This is characterized by two conditions dry eye and physical upper body strain. People tend not to blink as frequently when looking at a computer screen or video monitor. In addi- tion back shoulder and neck strain and headaches will exacerbate this condition he explained. Dr. Kachko agreed noting that the increased number of devise usage (multiple devices) keeps us more connected than ever and always on. Therefore eyes rarely get a break. This is especially dangerous when device usage is right before bed or first thing in the morning when our eyes haven t yet adjusted to light. It s important for our eyes to take in just the right amount of light which is why our pupils constrict when entering a bright room. Having these devices around all of the time very close to our faces is a big risk. Especially because the main light emitted is blue on the wavelength spectrum which increases the activity of active beta brain waves and reduces our own production of melatonin the essential sleep hormone. Recommendations Answers to simple questions about how your patient or client may experience sleep disruptions gritty feel in the eyes eye fatigue can certainly help you recommend the most Go to www.naturalpractitionermag.com emerson for info about this advertiser 18 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2016 Go to www.naturalpractitionermag.com newhope for info about this advertiser appropriate supplements. However if you suspect a patient or client has any refraction issues Dr. Kachko advised recommending patients to someone trained in assessing eye movements. A behavioral optometrist is trained to do so and also prescribes eye exercises that may help. According to Wellise the human eye specifically the retina is highly dependent on sufficient amounts of essential fatty acids in order to maintain healthy function. Nordic Naturals specializes in omega-3 nutrition and offers ProOmega 2000 and ProDHA Eye specifically for eye and vision support. When healthy tear production is a key objective our practitioners tend to see results with 2 000 mg of combined triglyceride form EPA and DHA daily she com- mented. Nordic Naturals ProOmega 2000 provides 1 125 mg EPA and 875 mg DHA in two soft gels making compliance attainable. An EPA-dominant formula ProOmega 2000 is a daily supplement for correcting the fatty acid imbalance that may be at the root of many common eye complaints. When long-term macula health is a key objective ProDHA Eye is an ideal foundational daily supplement Wellise said. The omega-3 DHA is a key structural fat in eye tissue and a precursor to neuroprotectin D1 which plays a key role in the protection of retinal pigment epithelial cells. ProDHA Eye is a synergistic blend which features a high DHA EPA ratio along with research-backed levels of lutein and zeaxanthin. Two soft gels deliver 845 mg DHA 360 mg EPA 20 mg FloraGlo lutein and 4 mg zeaxanthin. Dr. Teitelbaum also highly recommends essential fatty acids (EFAs) for those with dry eyes and those who constantly viewing flat screen monitors he recommends taking optimal levels of omega-7 and omega-3 oils. Omega 7 EFAs are especially critical he noted and can be found in sea buckthorn oil. But unless the proper parts of the plant are used (most often they are not) they do not work he cautioned. Numerous studies show that using optimal levels of omega-7 oils improve body moisture in general. This includes dry eyes dry mouth dry skin intestinal linings and even vaginal dryness. The form that I use is called ProHydra-7 (by EuroMedica) . Dr. Teitelbaum noted that he gives two twice a day for two months to see the full effect and then the dose can often be lowered to one or two a day as needed. In addition an omega-3 called EurOmega 3 supplies the amount of omega-3s found in eight regular fish oil capsules in just one pill and is the one that I use. So this combination works brilliantly for dry eyes and mouth from any cause including computer vision syndrome. Zocular explained Dr. Pham was developed to address the source of dry eyes and by extension acne. By using a proprietary and patent-pending okra-based formulation that contains the essential vitamins antioxidants and polysaccharides that have been shown to target inflammation Zocular represents a revolutionary new approach for a wide variety of conditions that is associated with inflammation. Zocular products employ natural botanicals to produce effec- Go to www.naturalpractitionermag.com hyalogic for info about this advertiser 20 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2016 tive and dramatic results without resorting to conventional drugs like antibiotics benzoyl peroxide steroids or retinoid derivatives. This allows Zocular products to be used on almost any bodily surface including the eyes without producing the unwanted redness dryness burning or irritation associated with conventional treatments for acne and dry eyes. The company s ZocuWipe pads are specifically formulated for the eyes to produce immediate and long-lasting dry eye symptom relief with just one application per day according to Dr. Pham. The Zocular formulation in ZocuWipe he added is also effective against Demodex mites which can cause significant irritation and dry eye symptoms. Dr. Kachko recommended patients and clients need to eat an antioxidant-rich diet concentrate on a varied-color diet every day leafy greens in high amounts something red something orange or yellow something blue or purple. People who don t tend to get enough antioxidants from their food have a higher risk of developing cataracts while those who eat lots of green leafy vegetables high in carotenoids such as lutein and zeaxanthin tend to have lower risk he stated. He also recommended vitamins C and E which can help to prevent the type of damage that occurs in either the lens (cataracts) or the retina (macular degeneration). Those with low levels of beta carotene (vitamin A) also have higher risk of developing several eye diseases. Additionally zinc an essential mineral is involved in activity of enzymes essential for eye function and occurs in higher concentration in the eye than most other body tissues. In one study 151 patients with early stages of atrophic macular degeneration received zinc (sulfate) or placebo and after one and two years those who took zinc had less visual loss than those who took placebo he reported. Other activities that may help include purposefully breaking away from staring at a monitor for too long look at something three-dimensional. Read actual books or magazines instead of an iPad or Kindle type device. Take power naps--little 15-minute rests with eyes closed and deep breathing. Drink water throughout the day. These little tricks plus the nutrients mentioned will certainly help promote eye and vision health. Macular degeneration is signified by the loss of rods and cones in the part of the eye that specializes in central focus and visual acuity. Glaucoma occurs when there is increased pressure in the eye. Cataracts result from changes in the proteins in the lens. Most common eye conditions--all issues with refraction--are nearsightedness farsightedness astigmatism and presbyopia. Approximately 90 million Americans have two or more symptoms related to issues of the ocular surface. The human eye specifically the retina is highly dependent on sufficient amounts of essential fatty acids in order to maintain healthy function. Healthy Take Aways FOR MORE INFORMATION Nordic Naturals www.nordicnaturals.com Zocular www.zocular.com Go to www.naturalpractitionermag.com womensinternational for info about this advertiser JUNE JULY 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 21 People reaching their senior years are aiming to stay healthy and active and are looking to natural practitioners to aid them in their journey. By Shari Barbanel he aging process is normal and expected but the realization that someone is getting older actually comes when they can t do the things they used to be able to do with ease. Today Baby Boomers are the largest growing segment of the population and after watching their parents deal with health issues as they aged Boomers are attempting to be as healthy and active as they can--for as long as possible. There has never been a time in U.S. history where a category within supplements for healthy aging was more needed than right now said Vincent C. Giampapa MD FACS co-founder and chief medical office for New Jersey-based healthycell. The demographics now demand it due to the Baby Boomer population--the largest generation of Americans born in U.S. history between 1946 and 1964. Baby Boomers are estimated at 75 million people as of 2015 and projected to grow to over 86 million by 2050.1 Given their ages between 52 and 70 years they experience accelerated chronic cellular decline. But many members of the Baby Boomers generation are much more aware and proactive about their health than their parents T before them. According to William Stow medical content writer for MitoQ Ltd. in New Zealand today s aging population is more health conscious has a potentially higher disposable income and has better access to knowledge and information. Kristi Belohlavek RD director of product development and clinical education at Pennsylvania-based Douglas Laboratories added that people of all ages are starting to pay more attention to healthy aging. Those in their 30s--and sometimes even in their 20s-- aren t waiting until they see or feel the physical signs of aging to start healthy habits she explained. They are taking charge now by filling in nutrient gaps with supplements and a preventative care regime because they know that the smart decisions they make today will have a significant impact on their aging process in the long run. Today s aging population also seems much more proactive about incorporating healthy lifestyle habits--like eating healthily exercising and proper supplementation--to help them maintain a healthy and active lifestyle well into their later years Belohlavek continued. They read the research indicating the numerous health benefits nutritional supplements can support including healthy skin hair and nails. This population is also aware that supplements can play a major role in promoting optimal hormonal health mobility vision cognitive function energy and digestive health--all key age-related health concerns. Cellular Level According to Dr. Giampapa aging is the chronic condition of declining cellular function over time. All organs and tissues are made of cells so health truly starts at the cellular level. The best natural approach to healthy aging targets cellular health he explained. No matter the term used-- anti-aging healthy aging age management --we are referring to our ability to impact cell health. MitoQ s Stow agreed noting that the research going into anti-aging is accelerating and we now know that there are levers that can be activated at the cellular level that will impact directly on the aging process he said. This research will deliver significant interventions into the aging process over the next decade and beyond that will radically change our life expectancy and health span. 22 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2016 healthycell pro is a multi-nutrient system for cell health. It comes with a morning and evening formula for a 24-hour nutrition cycle that completely replaces the need for a multivitamin. It is a new category--Epigenetic supplements for cellular health Dr. Giampapa explained. The ingredients include 90-plus vitamins minerals and protective phytonutrients combined with probiotics and enzymes for advanced cellular nutrition. The company is also developing healthycell DNA repair and healthycell telomere health. MitoQ offers a number of formulas including MitoQ 5 mg Capsules MitoQ Liver Capsules MitoQ Heart Capsules MitoQ Blood Sugar Capsules as well as MitoQ Cellular Energizing Cr me Serum 50 ML. MitoQ contains a brand new type of antioxidant called a mitochondria-targeted antioxidant that is many hundred times more effective than other antioxidants at reducing oxidative stress within the mitochondria and supporting mitochondria function Stow explained. Over 50 million of research and over 200 published papers suggest that MitoQ is a uniquely active compound that supports mitochondrial health and in so doing directly impacts on the health and function of cells and organ systems and our overall health. Healthy Approach With so many seniors wanting to remain healthy as they age Amber Lynn Vitale BA CN noted that focusing on the diet is incredibly important. Food is information it determines our inner milieu and that determines our genetic expression she explained. Then we supplement to compensate for abuses to our bodies over the years and to make up for things we ve been missing in the food supply without even realizing it in the case of most of our currently aged population. And as for what dietary supplementation Vitale recommends vitamins K2 and D collagen probiotics (Bifidobacterium) omega-3 ratios CoQ10 resveratrol among others. When it comes to caring for people aged 50 and older Pamela Jeanne ND National College of Natural Medicine (NCNM) adjunct faculty member and author of Healing Matters said that she focuses on immune health and the digestive tract because both support the immune system. For physicians supporting digestive health in their patients betaine HCl may be indicated or a combination of digestive enzymes may [be] helpful depending on the person s medical history she explained. Supporting lower GI (gastrointestinal) health may require pre- or probiotic supplements. Studies are clearly showing that factors such as stress poor nutrient intake from highly processed foods antibiotic use and other prescription medications alter the balance of friendly colon bacteria. Eating more fermented foods like sauerkraut miso and live culture yogurt can be beneficial to many people. Another area of concern as we age is cognitive health. According to the Alzheimer s Foundation it is estimated that as many as 5.1 million Americans may have Alzheimer s disease. And while Alzheimer s is not a normal part of aging the risk of developing the illness rises with advanced age. Current research from the National Institute on Aging indicates that the prevalence of Alzheimer s disease doubles every five years beyond age 65. One ingredient that is garnering attention is curcumin. Curcumin an anti-inflammatory component found in turmeric has antiinflammatory properties that have been correlated with lower rates of dementia said Ellerie Jean Nagy ND MSOM and NCNM Age Wise Institute Inspired Living Series instructor. Turmeric is a spice commonly found in India where rates of dementia have been much lower than those in the United States. Douglas Laboratories offers Optimized Curcumin which provides bioavailable brainpermeable curcumin that supports memory and cognitive function. This product contains Longvida curcumin clinically studied for cognitive function in healthy aging adults according to the company. The company also offers more than 500 products which are categorized into 10 key health functions that reflect aspects of healthy aging such as Bone and Joint Cognitive and Mood Hormone Health and Foundational Health. As we age the bones decrease in density which can make them more brittle and possibly lead to osteoporosis while developing some type of arthritis affects a large number of seniors. Practitioners often recommend glucosamine chondroitin MSM and collagen for these issues. Additionally to combat joint pain arnica is beneficial to help temporarily relieve pain stiffness and swelling of the muscles and joints. The importance of Arnica montana as a healing herb was first recognized in the 16th century said Dana Chadwick director of medical development for Boiron USA in Pennsylvania. St. Hildegard of Bingen (10991179) a nun well versed in medicine wrote extensively about Arnica montana. Additionally legend has it that mountain climbers would chew the fresh plant to relieve sore aching muscles and bruises from falls. Chadwick explained that helenalin the main active substance in arnica is known for its ability to reduce swelling and pain. Additionally polysaccharides present in the plant stimulate phagocytosis and reduce bruising. Boiron s Arnicare line of pain relievers offer an option for medicines with natural active ingredients. According to the company Boiron s Arnicare line of topicals contain the optimal amount of arnica. Both Arnicare Gel and Cream contain 7 percent arnica since more would increase the risk of allergies. Additionally Boiron offers a special arthritis formula Arnicare Arthritis tablets to help relieve joint pain and minor pain associated with arthritis. Education & Support The fact of the matter is that everyone gets older but it is how a person approaches the inevitable aging process that can aid them in remaining healthy and active well into their golden years. Practitioners can be large part of the journey by helping to educate their patients. NCNM has embraced this school of thought by forming the Age Wise Institute which is aimed at improving the lives of senior citizens through promoting healthy active Inside & Out hen it comes to aging the skin is often the first place signs appear. As we age our skin becomes thinner drier and it loses its elasticity and fine lines and wrinkles begin to appear. Traditionally people rely on topical products to help combat the signs of aging--but working internally (with dietary supplementation) in addition to topical products is much more beneficial. Missouri-based Z Skin Systems (ZSS) offers a better together skincare system that brings out natural skin radiance locks in moisture and reduces the appearance of fine lines wrinkles while protecting from damaging environmental aggressors according to the company. Formulated with the exclusive skin antioxidant zeaxanthin as well as naturally derived ingredients the Radiant Skin System is based on leading skin nutrition science. Designed to comple- W ment your current skincare routine it includes a ZSS daily nutricosmetic dietary supplement packet and a topical ZSS Nutri-Serum which have been specially-designed as a system to provide healthy skin inside and out. When taken regularly the system helps to promote skin radiance and evening of skin tone skin hydration and reduce redness and the appearance of wrinkles lines and spots rebuild collagen and supports and protects the structural integrity of skin the company stated. Further when used secondary to topical SPFs the system helps to provide additional protection against UV rays. JUNE JULY 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 23 living. Besides facing chronic or acute health conditions our seniors deal with a host of other challenges--debilitating aches and pains disruptive sleep fatigue memory problems falls depression and apathy decreased quality of life to name just a few said Amy Henderson MA lead gerontologist of the Oregon-based Age Wise Institute. The fact is aging isn t for the faint of heart. NCNM s Age Wise Institute embraces and promotes healthy vibrant living. We want to share wisdom of the collective generations through community-based programs education and research. It is our goal to begin to change the paradigm of expectations about aging and the aging process. According to Chadwick homeopathic medicines can be beneficial for seniors because of its low risk of side effects and recommended that practitioners become more educated on these medicines to better serve their patients. Training programs like the Center for Education and Development of Clinical Homeopathy (CEDH) offer physicians continuing education courses that teach practical ways to integrate homeopathy into their patients therapeutic plan. The organization also provides members with access to reliable and up-to-date information on homeopathy. Companies can also support their practitioner partners in a number of ways. For example Douglas Laboratories not only shares the research it conducts but the company also collaborates with leaders in integrative and complementary medicine to provide education on the benefits and science behind nutritional supplementation. Douglas Laboratories also holds in-person seminars webinars and has developed online tools including product selection guides clinical protocols and videos. As a naturopathic physician I use natural protocols that minimize risk and help my patients maintain and optimize their health by facilitating their body s inherent healing and restorative abilities. I engage with my patients young and old by treating the whole person-- examining their overall health and lifestyles-- and not just their presenting conditions concluded Dr. Nagy. I especially want to help my patients take responsibility for improving and maintaining their heath so education about a patient s health plays an important part of my treatment plan. These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose treat cure or prevent any disease. Reference 1 www.cnn.com 2013 11 06 us baby-boomer-generation-fast-facts . Baby Boomers are estimated at 75 million people as of 2015 and projected to grow to more than 86 million by 2050. Aging is the chronic condition of declining cellular function over time. The importance of Arnica montana as a healing herb was first recognized in the 16th century. Healthy Take Aways FOR MORE INFORMATION Boiron USA www.boironusa.com Douglas Laboratories www.douglaslabs.com healthycell www.healthycell.com MitoQ Ltd. www.mitoq.com Z Skin Systems www.zss-skincare.com Go to www.naturalpractitionermag.com healthycell for info about this advertiser 24 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2016 Go to www.naturalpractitionermag.com mitoq for info about this advertiser Made for Men resulted in longer life-spans women are still out pacing men in fact the gap is wider now than it was a century ago. Life expectancy in America in 2007 was approximately 80.4 years for women and 75.3 years for men--a 5.1-year difference. Harvard Health noted several factors for the difference including sex chromosomes hormones metabolism and reproductive anatomy. Until science can predict the future of individual health supplementation for men as they age is key. By Corinne Anderson A ccording to the Centers for Disease Control and Prevention (CDC) the leading causes of death for men in 2013 were heart disease cancer and accidents (unintentional injuries). While age plays a key factor in many illnesses and accidents there are measures that could be taken in order to aid in a healthy aging process. Supplementation is good to start early--we suggest men in their late teens or early 20s said Benjamin Baudu manager of California-based Accelerated Intelligence. We all know during these years most men generally consume some junk food drink alcohol etc. and may not get the nutrition they need. Aside from mortality there are other general health concerns that affect men including low testosterone and erectile dysfunction (ED) mental degeneration digestive problems and joint health. According to an article by the Harvard Health Publications Harvard Medical School entitled Mars vs. Venus The Gender Gap in Health even though the last 100 years has Common Causes Dr. Mark Menolascino a key opinion leader at Lycored in New Jersey noted that there are multiple factors that contribute to health issues concerning men. Hormone disruptors in both the diet and environment--Toxins in the environment processed foods and increased stress are negatively affecting testosterone levels. Inconsistent or inadequate exercise sedentary lifestyle--Sitting is proving more dangerous than smoking. Poor diet--Too much processed food simple carbs sugars and damaging fats and not enough vegetables. Lack of social support intimacy with partner or family--Increased social activity may be more powerful than cholesterol or blood sugar in predicting not just longevity of life but more importantly to most quality and vitality of life. Alcoholism substance abuse and smoking Excessive red meat and dairy consumption--Red meat and processed meats are now known to increase colon cancer based on recent World Health Organization (WHO) reports and likely related to increased risk of prostate cancer. Most men are interested in better energy and endurance today but are becoming more aware especially as they enter mid-life that ongoing prevention for circulatory cancer and brain aging diseases would be worth some additional effort said Jeff Baker MD with Arkansas-based Bio-Tech Pharmacal Inc. Sexual Health Generally speaking the main issues in men s health come after they are in their mid- to 26 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2016 late-30s and clearly noticeable for most men in their 40s Baudu said. Testosterone production gets reduced as men age and the result is multiple issues including lower sex drive. But supplementation could be beneficial even earlier. Men in their 20s often do not obtain optimum levels of zinc vitamin D and omega-3 fatty acids which are important for maintaining prostate health said Kelly Heim PhD senior director scientific affairs for Pennsylvania-based Douglas Laboratories. According to the National Association for Continence (NAFC) 50 percent of men by the age of 60 experience symptoms of prostate enlargement. Also known as benign prostate hyperplasia (BPH) is an enlargement of the prostate that blocks the flow of urine through the urethra. For many men the first sign of prostate enlargement are nightly trips to the bathroom which can eventually work its way into daytime routines too. Other symptoms include stream of urine leaking or dribbling frequent urination urgency to urinate and straining to urinate are all symptoms of an enlarged prostate according to WebMD. Serious problems can eventually arise including urinary tract infections blood in the urine bladder stones and in rare cases bladder and or kidney damage can develop. Natural remedies found to aid in prostate support testosterone levels and other sexual health issues facing men as they age include saw palmetto testosterone boosters and DIM (Di-indolylmethane). DIM DIM is a cruciferous extract found in small amounts in broccoli cabbage kale brussesl sprouts mustard greens etc. DIM alters the detoxification of estrogen to reduce the proliferative 16-hydroxy estrone (16-OH E1) component Dr. Baker explained. Andro-DIM is a prostate specific supplement by Bio-Tech that delivers estrogen-modifying power of DIM with a combination of prostate specific supplement components said Dr. Baker. Many products also have saw palmetto lycopene nettle extract and the zinc copper combination all known to inhibit inflammation and androgen induced proliferative effect on the prostate. Studies on these are too numerous to count he continued. While estrogen is a minor hormone in males it tends to rise as we age and is aggravated by while also promoting fat weight gain. And even in smaller amounts it is the ratio of the 16-OH E1 to the more prostate (and breast) protective 2-hydroxy estrone (2OH E1) that is the factor that drives thickening of benign tissue and the potential for driving a precancerous cell change toward its potential of becoming a successful tumor . As we age non-metabolized estrogen levels in the prostate increase and optimizing its clearance as DIM does reduces the odds that estrogen will have adverse affects (benign enlargement or pro-carcinogenic). DIM also reduces the amount of sex binding globulin middle age males produce allowing the body to use its testosterone more efficiently. Saw Palmetto According to the University of Maryand Medical Center saw palmetto is a palm-like plant with berries. In the early 1900s men used the berries to treat urinary tract problems and even to increase sperm production and boost libido. Today the primary use of saw palmett is to treat BPH the university said. In addition saw palmetto seems to have an anti-inflammatory effect on the prostate and may affect the level of testosterone in the body perhaps reducing the amount of an enzyme that promotes the growth of prostate cells. Saw palmetto extract is among the most familiar and thoroughly researched botanicals in the men s health category with over 90 clinical trials published to date and considerable consumer awareness of its favorable effects said Kelly Heim PhD senior director scientific affairs of California-based Douglas Laboratories. A JAMA metaanalysis involving 18 randomized controlled trials and almost 3 000 men demonstrated significant support for urinary flow which is one of the most common and challenging initial clinical objectives. As prostate enlargement problems mostly affects aging men we suggest male consumers start taking supplements for prostate starting at the age of 40 instead of when symptoms such as urinary retention started to occur said Bryant Shu president of New York-based Life Nutrition. Unique fatty acids found in the berry exhibit multiple mechanisms of action within the prostate most notably a salutary effect on androgen metabolism a pivotal regulator of prostate cell homeostasis. Douglas Laboratories Saw Palmetto Max-V offers 160 mg standardized to 30 percent fatty acids. This product is an easy way for practitioners to deploy a simple straightforward evidencebased approach with just two capsules per day Heim explained. Prostate Power by Life Nutrition is a natural and complete solution for prostate and hair problems. This product is formulated with five clinically studied herbal extracts for prostate health including saw palmetto lycopene nettle pumpkin seed oil and flower pollen. Different from some of the saw palmetto products in the market that encapsulate the ingredients Prostate Power uses soft gels and standardized extract of saw palmetto to maximize the health benefits absorption. High levels of dihydrotestosterone (DHT) is associated with prostate enlargement and male baldness. Studies have shown that saw palmetto and pumpkin seed oil are both rich in phytosterols that helps block 5-alphareductase an enzyme that converts testosterone to DHT and hence easing urinary and hair loss problems Shu explained. Eighty-two patients participated in an eight-week trial taking one capsule of 320 mg saw palmetto extract daily. At the end of the treatment the International Prostate Symptom Score was reduced from 14.4 to 6.9 sexual dysfunctions measured with the brief Sexual Function Inventory improved from 22.4 to 31.4.1 Ultra Uni-Pros-Trol from Douglas Laboratories provides 320 mg of standardized supercritical CO2-extracted saw palmetto berry extract along with other wellresearched bioactives including standardized nettle root and pygeum extracts highly bioavailable zinc and selenium vitamin E and lycopene. Shilajeet capsules also known as mineral pitch have at least 85 minerals in ionic form and have been used traditionally for genitourinary and immune support as well as for its aphrodisiac properties. Shilajeet Mymiyo from Washington-based Ayush Herbs contains a perfect array of bioavailable minerals from this ancient remedy for the endocrine system said Shailinder Sodhi BAMS ND president of the company. Sterols from the bark of Pygeum africanum support healthy prostaglandin and prolactin metabolism in prostate epithelial cells Dr. Heim explained. Nettle root which also contains sterols may help maintain hormone balance in the prostate. The clinical value of nettle root is backed by several clinical trials including a multicenter study of more than 5 000 men which showed significant support for prostate function. A diversified prostate health regimen is often preferred given the potential for synergy and cooperative effects on the multiplicity of signal transduction events and gene JUNE JULY 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 27 Made for Men expression that maintain normal prostate function. The most critical micronutrients are selenium vitamin E and zinc Heim said. Testosterone Support A testosterone booster could support an increase in not only sex drive but in muscle regeneration and overall sense of well-being. Accelerated Intelligence offers RedT Male Testosterone support which contains chrysin nettle extract L-arginine and Norway Spruce extract among other ingredients to help boost testosterone. Douglas Laboratories TestoGain is specifically designed to support testosterone production and function. A key ingredient in the formulation is tongkat ali an herb that has demonstrated remarkable effectiveness in maintaining testosterone levels in multiple studies. Maca root and icariin are other components of this formula that are backed by several clinical trials and centuries of use for libido and sexual performance. Male Balance by Siddha Flower Essences helps to release toxicity in the pelvic area and remove emotional blockages relating to sexuality said Jessica Hunter creative developer at Californiabased company. Male Balance sets the stage for optimal sexual function and restoration of youthful vigor. It helps men settle into the male form and be comfortable with being men especially during puberty and middle age. Mental Health According to Dr. Menolascino men and women with cognitive decline are being found to have very low levels of all hormones. We see great responses to hormone replacement and we are showing reversal of memory loss (called mild cognitive impairment) and there are clinical trials showing how replacing hormones as part of a complete protocol that is personalized based on genetics nutrient deficiencies and hormone imbalance can reverse memory loss. Macuna Plus by Ayush Herbs is based on an ancient ayurvedic recipe designed to support the nervous system. This product contains valerian root for promoting healthy sleep muscle function and brain support in addition to the Mucuna seeds and roots which are very nutritious and support male and female reproductive systems and kidney function Dr. Sodhi explained. Men in their 50s and above should definitely consider brain health supplements to help improve focus memory and the prevention or slowing down of brain degeneration Baudu said. Excelerol Brain Health & Memory Supplements contain clinically tested ingredients that have been proven to improve brain health and function. Ashwaganda capsules by Ayush Herbs include Indian Ginseng which acts as an adaptogen by helping to maintain levels of immune function that are already in the normal range in addition to providing brain support and thyroid function explained Dr. Sodhi. Additionally mental health is not just linked with memory loss but also with stress. Go to www.naturalpractitionermag.com diamond for info about this advertiser 28 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2016 Made for Men According to Hunter Stress Relief by Siddha Flower Essences is a product that helps people when they feel overwhelmed but have no specific complaint. Many times as we return to balance we forget how out of balance we were. It is often our friends family coworkers and those around us who notice we are not as stressed anxious or reactive as we used to be. Stress Relief utilizes ingredients like lotus white chestnut and beech. According to the American Psychological Association (APA) men are likely to report that their own stress has slight or no impact on their physical or mental health. Survey results (Stress and Gender 2011) suggested that the link between stress and physical health could be harder for men to recognize. Men are less likely than women to believe that it can have any impact upon their health APA reported. However the results also noted that men are more likely to report relying on playing sports as a stress management technique. Joint Health & Muscle Mass Sports nutrition staples such as whey protein and branched chain amino acids are applicable and beneficial at any age particularly over 40 when the age-related decline in muscle mass is estimated to be at least 0.5 percent per year. Maintaining muscle mass has profound protective effects on cardiometabolic health and wellness into a man s later years Heim said. Muscle aging is a systemic landscape involving an assortment of regulatory changes in signaling events that collectively dictate a progressive down-regulation of protein synthesis coupled with nonselective catabolism of functional proteins she explained. Depending on the level of physical activity 1-1.5 g kg body weight of total protein per day in conjunction with a consistent welldesigned resistance training program can noticeably moderate the functional and aesthetic impact of aging on muscle tissue Dr. Heim explained. Compared to vegetable and even some animal proteins the amino acid profile of whey protein is most conducive to maintaining positive nitrogen balance and supporting lean mass gains. Klean Isolate by Klean Athlete provides 20 grams of high quality whey protein isolate per serving. Branched chain amino acids (BCAA) which are rapidly depleted during exercise and turned over more rapidly with age also support lean mass gains recovery and athletic performance. The recently introduced Klean BCAA PEAK ATP supplies a 2 1 1 ratio of the branched chain amino acids leucine isoleucine and valine along with the clinically researched Peak ATP which has been effective in supporting strength power and muscle gains in studies. Muscles & Joints by Siddha Flower Essences was originally developed for martial artists to enhance athletic flow. Made from flower essences like comfrey rose of Sharon and scarlet fritillary Muscles & Joints wakes up the body s inner doctor and encour- ages movement Hunter said. [It s] great for sports dance walking hiking restless leg syndrome and travel when long periods of sitting creates stiffness. Sitting at the office and the tech-centered world has led to a lifestyle of sedentary people having negative effects on body weight which affects not only joint and muscle health but metabolic function as well. We are seeing more obesity and increased fat-- not just outside body fat but increased body fat leading to insulin resistance. We call this internal visceral fat the hot fat as this is what drives insulin resistance Dr. Menolascino said. In addition he noted that he has begun calling Alzheimer s disease type 3 diabetes. Metabolic dysfunction increased fatty liver and increased body fat and visceral fat can be seen in these patient populations. The CDC noted that as of 2015 the percent of men 20 years and older with hypertension (measure high blood pressure and or taking antihypertensive medication) was 32.6 percent (2011-2014). According to Dr. Heim studies suggest that diet and lifestyle in a man s younger years affect cardiovascular and metabolic health later in life. Therefore it is never too early to implement a basic regimen that includes a multivitamin essential fatty acids and vitamin D. Multis In light of the depletion of nutrients from soil a lot of conventionally farmed fruits and vegetables do not have adequate nutrition--this is one reason why a good daily multivitamin could support men s health and ensure that they are getting the vitamins they need. The Essential Male Pack from Douglas Laboratories is a multivitamin mineral complex combined with antioxidants omega-3 fatty acids prostate support nutrients and 2 000 IU of vitamin D3. Each once-daily packet provides all essential micronutrients for daily wellness along with functional ingredients for prostate health such as saw palmetto pygeum and lycopene. It also provides polyphenols from blueberry strawberry and spinach extract for cardiovascular support. SmartyPants Vitamins based in California now offers its first gummy vitamin formulated specifically for men called Men s Complete. It contains 15 essential nutrients omega-3 fish oil including nutrients for heart health and prostate support all-in-one. CoQ10 for heart health lycopene for arterial health and prostate support zinc and selenium for prostate support. The ingredients found in Men s Complete were chosen because they are nutrients that Go to www.naturalpractitionermag.com rainforest for info about this advertiser 30 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2016 are difficult for some men to get consistently from diet alone said Michael Cleary PhD director of Research & Development for SmartyPants. healthycell is a daily multi made with whole food ingredients is a multi-nutrient system for cell health. It includes 90-plus vitamins minerals and protective phytonutrients combined with probiotics and enzymes for advanced cellular nutrition. There is an AM and a PM formula for a 24-hour cycle of nutrition phytonutrients for different aspects of cell health and absorption boosting ingredients the company said. Natural Approaches Supplementation is just one part of the health maintenance makeup health comes from a healthy diet exercise yoga meditation breathing mental emotional health and supplements said Dr. Sodhi. As medical science learns more about defining genetic weak links earlier on we will be even better able to define who needs nutritional augmentation starting in their teens or twenties rather than waiting for the first major symptoms in mid-life as is typically the case for most of us Dr. Baker said. In the meantime Dr. Menolascino has a few natural approaches to recommend to men looking to obtain optimal health. Forty-minutes of moderate cardiovascular exercise (fast walking slow running cycling etc.) six days a week Reduce stress and increase family partner support changing jobs hobbies family schedules etc. Eat a lot of vegetables minimal carbohydrates small servings of high quality meats and no more than two alcoholic beverages a day Nutrient deficiency test and based on the results take high quality supplements to regain balance In addition spending more time with patients is the key to learning about them. The goal is to understand each patient s unique biochemistry and use the information to design precise treatments and empower them to make healthier decisions. Treatment is a team effort between practitioner and patient. Tell a man to take a zinc supplement and he will likely blow you off. Show him his testosterone levels are low and explain how zinc will help raise them and you ll likely have a model patent who does exactly what you tell him to do Dr. Menolsacino said. Studies suggest that diet and lifestyle in a man s younger years affect cardiovascular and metabolic health later in life. Life expectancy in America is higher for women than men. Men are likely to report that their own stress has slight or no impact on their physical or mental health. Saw palmetto extract is among the most familiar and thoroughly researched botanicals in the men s health category. Healthy Take Aways FOR MORE INFORMATION Accelerated Intelligence Inc. www.acceleratedintellifence.org Ayush Herbs www.ayush.com Bio-tech Pharmacal Inc. www.biotechparmacal.com Douglas Laboratories www.douglaslabs.com LifeNutrition www.lifenutrition.com Lycored www.lycored.com Siddha Flower Essences www.siddhaflowers.com SmartyPants www.smartypantsvitamins.com Resource 1 Suter A Saller R Riedi E Heinrich M. Improving BPH Symptoms and sexual dysfunctions with a saw palmetto preparation. Results from a pilot trial. Phytother Res. 2013 Feb 27(2) 218-26. JUNE JULY 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 31 PRODUCT FOCUS Energize H igh-endurance athletes are the first category of people that the general public thinks of when the topic of natural energy comes up but close on their heels are everyday athletes busy soccer moms and even the aging population. Energy is required for every activity humans participate in--from immune support blood pressure levels nutritional value--and of course overall athletic performance. According to Ace Fitness researchers at the University of Georgia found that sedentary otherwise healthy adults who engaged in as little as 20 minutes of low-tomoderate aerobic exercise three days a week for six consecutive weeks reported feeling less fatigued and more energized (Psychotherapy and Psychosomatic March 2008). Sometimes the best treatment for low energy is to get moving. By Corinne Anderson Energy can also come from healthy snacks like fruit yogurt and almonds said Kathi Kemper MD director of the Center for Integrative Health and Wellness at Ohio State University in an article entitled Ways to Improve Your Energy on WebMD. In addition she mentioned that occasionally people feel tired when they are actually thirsty. But if thirst and movement aren t the issue there are a few common supplements that people turn to. The first is vitamin B12 an important nutrient required for proper red blood cell formation neurological function and DNA synthesis according to the Office of Dietary Supplements (ODS). Supplementing with vitamin B12 is commonly known to be beneficial for vegans since vitamin B12 in a normal diet mostly comes from animal food sources (meat fish and dairy). Second is the everimportant antioxidant needed to make energy CoenzymeQ10 (CoQ10). In addition caffeine guarana and ginseng are also common products that consumers turn to for natural energy and those mid-day pick-me-ups. However Kemper warned that guarna which can help with mental strain and caffeine which is able to aid in metabolism function to increase physical and mental energy can disturb sleep when used in excess. Below is a selection of products that practitioners can offer their patients who are experiencing fatigue and are looking for natural remedies to boost overall health performance. Super Ubiquinol with CoQ10 Life Extension based in Florida develops potent mitochondria-boosting formulations. The new Super Ubiquinol CoQ10 with BioPQQ contains shilajit which studies have shown doubles CoQ10 levels in the mitochondria plus the compound PQQ (pyrroloquinoline quinone) shown to support the spontaneous generation of new mitochondria in aging cells. Life Extension offers this highly bioavailable ubiquinol form of patented CoQ10 in an advanced delivery system providing an unparalleed absorption level the company said. Offered with a private label option each 60ct. soft gel bottle has a suggested price of 54. For more information call (954) 790-5512 or visit www.lifeextension.com. MitoQ MitoQ is a mitochondria-targeted antioxidant that supports heart liver and brain health. It is a ground breaking formula of CoQ10 which selectively targets and is actively taken up into mitochondria at levels hundreds of times greater than standard CoQ10 the New Zealand-based company said. Available in 60-ct. and 180-ct. vegetable capsules (suggested price 59.95 and 169.95 respectively) MitoQ helps prevent and repair oxidative damage to cells boosts natural energy levels and supports healthy aging. Each vegetable capsule contains mitoquinol mesylate (mitoquinol 5 mg) and the adult dosage is two capsules per day. For more information visit www.mitoq.com. Ayush Herbs Multi Washington-based Ayush Herbs Multi contains high quality nutrients that do not compete with one another allowing for optimal absorption. It is a synergistic blend that is fortified with antioxidants including CoQ10 lycopene and lutein. The addition of trikatu a blend of ayurvedic herbs along with a higher concetration of pure bioflavonoids the combination of which increase nutrient absorption sets Ayush s Multi apart from other multivitamins. The slow-release ingredients allow for gradual absorption of all nutrients throughout the day to provide natural energy to the system. In addition Ayush Multi also includes B vitamins for reducing occasional stress and maintaining healthy heart function vitamin D for proper calcium absorption improved immune function and maintaining normal blood pressure levels already within normal range vitamins E and K beta-carotene and selenium for their antioxidant activity as well as iodine for supporting immune function. The carotenoid lutein provides antioxidant support and the new formula includes methylated B-vitamins such as methylfolate. Each bottle contains 90-capsules for a suggested price of 34.60. For more information call (425) 637-1400 or visit www.ayush.com. 32 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2016 Lypo-Spheric Vitamin C Lypo-Spheric Vitamin C by Nevada-based LivOnLabs encapsulates the C molecules in liposomes made from essential phospholipids which protect the vitamin C from destruction in the digestive system. This lipsome encapsulated form of vitamin C is the first choice of people who really understand bioavailability and the importance of highdose vitamin C the company stated. Other forms of vitamin C succumb to absorption barriers that vastly limit the level of vitamin C that can enter the bloodstream. Lypo-Spheric Vitamin C crashes through these barriers to get high potency vitamin C where patients need it most the cells. Each carton of Lypo-Spheric Vitamin C contains 30 packets and has suggested price of 39.95 and a MAP of 29.95. Every serving of Lypo-Spheric Vitamin C contains 1 000 mg vitamin C and 1 000 mg essential phospholipids. For more information call (866) 682-6193 or visit www.livonlabs.com. RejuvenateOne New York-based Patient One s RejuvenateOne is a whole-body anti-aging supplement featuring a network of potent antioxidants hormone-optimizing compounds and inflammation modulators. RejuvenateOne promotes youthful performance across multiple body systems optimizing joint health metabolic markers energy production sexual function skin health bone health and more. This advanced formula also promotes fluid flexible cell membranes--supporting healthy aging at a cellular level--and may help mimic calorie restriction for additional healthy aging benefits the company stated. RejuvenateOne supplies DHEA trans-resveratrol grapeseed extracts MSM CoQ10 and Tru-Fulvic a standardized fulvic acid extract historically used for boosting energy libido and as an anti-aging remedy. Each 120-ct. bottle of vegetable capsules has a suggested retail price of 31.90 and a practitioner price of 15.95. For more information call (631) 390-9669 or visit www.patientoneformulas.com. Nordic CoQ10 Ubiquinol Nordic CoQ10 Ubiquinol by California-based Nordic Naturals provides 100 mg of CoQ10 ubiquinol to support cellular energy production and cardiovascular health. Ubiquinol is the active antioxidant form of CoQ10 a fat-soluble molecule found in nearly every cell tissue and organ in the body which helps transform food into energy. It is ideal for people who may be deficient in CoQ10 or for individuals with cardiovascular conditions those taking statin drugs or for anyone over the age of 40 looking for extra antioxidant support the company said. Each 60-ct. bottle has a suggested price of 59.95. For more information call (800) 662-2544 or visit www.nordicnaturals.com. B-12 Extreme B-12 Extreme by California-based ProHealth contains a potent dose of four forms of vitamin B12. One sublingual tablet contains the following methylcobalamin (12 500 mcg) dibencozide (12 500 mcg) cyanocobalamin (7 500 mcg) and hydroxocobalamin (2 500 mcg). Sublingual tablets dissolve under the tongue for maximum vitamin absorption. B-12 Extreme offers support for the liver mental acuity energy and detoxification. Tablets are free of gluten dairy soy and available for vegans and vegetarians. Serving size is one tablet and comes in a 30-ct. box for a suggested price of 46.95. As a dietary supplement suggested use is to take one tablet once or twice daily or as advised by a health care professional. Allow tablet to fully dissolve under tongue. For more information call (800) 366-6056 or visit www.prohealth.com. Vital Restore Natural plant-based antioxidant Vital Restore provides improved balanced energy supports healthy inflammation response cardiovascular health and can help boost metabolism according to the company California-based Nutrexin. Vital Restore is formulated in Switzerland and the synergistic blend of herbs and plant extracts contains more than 120 vital nutrients designed to naturally increase energy levels and provide whole body wellness. Key ingredients of Vital Restore (suggested price 32.99 120 capsules) include turmeric alma (Indian gooseberry) green tea dates and chlorella. It can provide additional benefits including improved stamina optimized digestion and intestinal flora detoxification better concentration deeper sleep and rejuvenation can aid in recovery from fatigue illness injury antibiotic use and other treatments of acute or chronic disease. For more information call (888) 245-7223 or visit www.nutrexinusa.com. Shroom Tech Sport Texas-based Onnit Labs LLC s Shroom Tech Sport (suggested price 24.95 30-ct. 59.88 90-ct.) was created for anyone including competitive athletes to take safely every day the company said. Onnit Labs utilizes clean energy ingredients with a history of use in high-levels of competition and general health benefits in its exclusive combination of cordyceps sinensis mushroom adaptogens antioxidants and methyl B12. Suggested use is three capsules 45 minutes prior to exercise competiton or for ocassional energy support. Shroom Tech Sport contains vitamin B12 chromium (picolinate) organic cordyceps (whole and extract) green tea (leaf) extract rhodiola (root) extract ashwaganda (root) extract and astragalus (root) extract. For more information call (855) 933-6246 or visit www.onnitwholesale.com. JUNE JULY 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 33 PRACTITIONER CHAT WITH SHARI BARBANEL A Arielle Levitan MD & Romy Block MD www.vousvitamin.com Facebook www.facebook.com vouspersonalizedvitamin Twitter vousvitamin rielle Miller Levitan MD is a board-certified internal medicine physician and the co-founder of Vous Vitamin LLC. She is the co-author of The Vitamin Solution Two Doctors Clear Confusion About Vitamins and Your Health. Dr. Miller Levitan attended Stanford University and Northwestern University s Feinberg School of Medicine and has served as chief medical resident for the Northwestern University McGraw Medical Center s Evanston Hospital Program and as a clinical instructor for its medical school. She has a special interest in women s health and preventive medicine and currently practices general internal medicine on the North Shore of Chicago where she teaches medical students on-site. Romy Block MD is a board-certified specialist in endocrine and metabolism medicine member of American Thyroid Association and the co-founder of Vous Vitamin LLC. She is the co-author of The Vitamin Solution Two Doctors Clear Confusion About Vitamins and Your Health. Dr. Block attended Tufts University and Tel Aviv University s Sackler School of Medicine. She completed residency training in internal medicine at North Shore University Hospital--North Shore-LIJ and did a fellowship at New York University. Dr. Block practices on the North Shore of Chicago where she specializes in thyroid disorders and pituitary diseases. ents even when eating a healthful diet. Supplementing helps ensure adequate levels of necessary nutrients. Also some people believe that they can take any supplement at any dose and not experience potential harm. They think their body will just absorb what it needs and the rest will not be absorbed (they ll pee it out ). Reality is almost any vitamin especially fat-soluble vitamins like vitamins D E A and K can be harmful in high doses. Getting enough but not too much is the goal. screening tests in preventive medicine. We believe strongly in screening and early detection as one of the most effective ways we can avoid or effectively address certain diseases is through aggressive screening for them. Depending upon age lifestyle and other health factors we recommend discussing with your physician the appropriate screening protocols for cancers specific genderrelated health issues osteoporosis and other conditions. For example for those 50 and older we recommend a colonoscopy as it is the gold standard screening for colon cancer and for women experiencing the onset of menopause we suggest a bone density test (DEXA) to assess risk for osteoporosis. We also strongly advocate for an annual mammography (and sometimes other modalities of breast cancer screening in certain cases) for women over 40. In The Vitamin Solution you dedicate chapters to nutrition and exercise. What protocol do you recommend to your patients in addition to adding dietary supplements to their daily routine We suggest people make nutrition a priority and we also recommend incorporating regular exercise solid sleep habits and mindfulness all of which can go a long way to achieving health goals. If you push or force someone into something you could be setting them up for failure so we suggest to our patients that they As physicians we found that people were generally confused about vitamins. They were hearing conflicting information from friends media and other sources and as a result did not know who or what to believe. Many just threw their hands up and stopped taking vitamins because of their uncertainty. This confusion convinced us there needed to be a trusted resource that would address a wide range of topics related to vitamins so we set out to provide that in our book. In the book you dedicate an entire chapter to Vitamin Myths. What are some of the most common myths that you have heard There are many common misperceptions about vitamins and it was important to us to set the record straight. For one people believe that there is no need to take vitamins if they eat a balanced diet however they do not realize that almost all of us fall short on certain nutri- Q A What was your motivation behind writing The Vitamin Solution Q The answer depends on who you are and how you live your life. Each person has unique vitamin needs based on age diet lifestyle and other factors. For example someone living in California may need less vitamin D (obtained mostly from sun exposure) than someone in the Midwest. Likewise someone who doesn t eat meat or dairy may need more iron and calcium respectively than the person who does eat these foods. We recommend people take a multivitamin tailored to their individual needs. Q A What dietary supplements should people take Q A In The Vitamin Solution we educate about disease prevention including the role of supplements and we d be remiss if we did not also address the role of Q A How important are screening tests Which tests do you recommend A 34 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2016 respect their own situation limitations and goals. In terms of exercise we advise trying a mix of activities such as brisk walking yoga and weight lifting. Sleep is often overlooked and sacrificed but it is critical to aspects of good health including weight loss immunity and heart health. And lastly we are advocates for mindfulness or stress-reduction activities such as meditation. What advice do you have for practitioners who are having trouble getting their patients to be compliant to the protocols they have given them Meet people where they are in their lives. Recommending to someone who is sedentary that he she goes to the gym every day is not likely to happen in any lasting way. Rather make small incremental and realistic changes. The same goes for eating well. Putting people on restrictive diets is not effective in the long term whereas teaching them how to make healthy and balanced choices is. Q The same can be said for vitamins. People need a reasonable simple and sustainable regimen otherwise they will not be compliant. Vous Vitamin our line of personalized multivitamins has been well received because people know they are getting a formulation tailored to their individual needs and also taking only two pills per day rather than a handful of pills is an easy habit to incorporate into a busy life. Talk about Vous Vitamin. What was your inspiration behind developing the line We noticed a trend among people we spoke with and patients we care for people were confused about vitamins. With baggies of supplements in hand our patients often asked should I be taking vitamins and if so which ones How much is useful Which are safe to mix with my prescriptions Should I be taking a multivitamin As physicians we know that we do not all have the same nutrient needs. One person A Q A does not need as much iron as the next. These needs depend largely on who you are your lifestyle and your symptoms. Our goals have always been to clear the confusion and provide quality pure products that meet individual needs. We created an online platform at Vousvitamin.com with an interactive survey to help guide people to the product that was right for them. In creating our products we questioned manufacturers and evaluated each ingredient typically found in multivitamins. We carefully researched ingredients and evaluated whether in fact they were helpful harmful or even necessary. After culling through medical literature and collaborating with biochemists we created high quality research-based products that were missing from the marketplace. Also securing GMP (good manufacturing practice)-certification that guarantees the quality and purity of our products was very important to us. Through Vous Vitamin we offer the products that we had always wanted to recommend to our own patients. JUNE JULY 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 35 SUPPLEMENTSCIENCE Green Super Foods By Gene Bruno MS MHS Huntington College of Health Sciences reen super foods are a dietary supplement category that sells fairly well in the marketplace. But what exactly are green super foods what contribution are they supposed to make to human health and do they have any real science to back them up These are the questions I will attempt to answer in this article. G vegetables. Powdered green super food drink mixes may also contain other nutraceuticals such as fruit powders herbs micronutrients enzymes and preand probiotics. While clearly not green super foods these other nutraceuticals may or may not provide benefits depending upon the forms and amounts of each present in the product. diet to help prevent disease And or promote some other aspect of human health. Compensating for a Lack of Vegetables The U.S. Department of Agriculture (USDA) has indicated that Americans are getting about 40 percent less of the recommended servings of vegetables 1 and specifically 60 percent less of the recommended servings as green vegetables.2 3 But is it realistic to expect that supplementing with a green super food drink mix will truly compensate for a lack of sufficient vegetable intake The answer is not exactly but there is still a benefit to be had. While it is not a substitute for eating vegetables the green super food drink mix may be able to provide some of the antioxidant power of vegetables and provide the other contributions to health. For What are They There are a plethora of powdered green super food drink mixes available. Most of these drink mixes contain dozens of nutraceuticals including green super foods. For the purposes of this discussion green super foods will be defined as algae (chlorella spirulina etc.) grasses (alfalfa barley grass wheat grass etc.) common green vegetables (broccoli spinach etc.) and sprouted versions of grass and green What are They Supposed to do Generally people use powdered green super food drink mixes with the expectation that it is going to provide them with one or more of the following benefits Compensate for a lack of vegetables leafy green vegetables in their diet Support and or promote some aspect of the body s detoxification process Add an alkalizing component to their 36 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2016 example a study published in the Journal of Alternative and Complementary Medicine4 found that 1 g day of wheat grass powder significantly Reduced blood malondialdehyde (marker of oxidative stress) Increased total antioxidant status Increased vitamin C levels Increased superoxide dismutase (SOD) Likewise research published in other scientific journals5 6 demonstrated that 510 g day of broccoli sprouts significantly Reduced blood malondialdehyde Increased HDL cholesterol Reduced oxidized LDL cholesterol Reduced oxidative stress index Increased total antioxidant capacity Another study from the Journal of Medicinal Food7 found that 2 g day of spirulina significantly Reduced blood glucose levels Reduced triglyceride levels Reduced apolipoprotein B levels Supporting Detoxification Approximately 3.97 billion pounds of toxic chemicals are disposed of or otherwise released in to the environment annually 8 which supports a statement made by Rachel Carson in her 1962 groundbreaking book Silent Spring For the first time in the history of the world every human being is now subjected to contact with dangerous chemicals from the moment of conception until death. The good news is that the body was designed to process and excrete many toxins. The bad news is our bodies may not always be equipped to handle the volume of modern environFigure 1. mental pollutants and toxic substances. However there are quite a number of nutraceuticals that can help support and promote the detoxification process. With regard to green super foods unpublished research demonstrated that 3 g day of a proprietary blend of broccoli Daikon radish and red radish spouted seed concentrates significantly Increased paraoxonase 1 a detoxification enzyme 9 Increased quinone reductase a detoxification enzyme.10 Another study11 found that 100 ml day of wheat grass juice promoted the detoxification bisphenol A (BPA) in young women. Alkalizing the Diet The concept that eating a diet that produces a more acidic pH systemically (i.e. emphasis on meat and dairy) is conducive to promoting a disease state while eating a diet that produces a more alkaline or base pH (i.e. emphasis on vegetables and fruit) is more likely to help prevent disease is fairly well-known. This has led to attempts to alkalize the diet with the consumption of specific dietary supplement and even alkaline water. While the value of this supplemental approach to alkalizing the diet had probably been overstated not to mention lacking in research to support it there is a least one study I have seen showing a benefit. A small study12 was conducted on 3 g day of pH 7.5 a proprietary blend of vegetables vegetable sprouts grain sprouts and a few other nutraceuticals. The results were that all participants responded to treatment with an increase in alkaline pH in the morning after the first dose. Other Health Benefits In addition to those previously listed specific green super foods have been shown to have other health benefits in human research (See Figure 1). Conclusion and Words of Advice Green super food drink mixes may not always provide the expected benefits for which they are being used but research does suggest that they have distinct benefits to offer nonetheless. That assumes of course the product provides clinically relevant doses of the key green super foods. Unfortunately the formulation philosophy for many green super food drink mixes seems to be everything but the kitchen sink. While I have nothing against the inclusion of a broad spectrum of nutraceuticals the actual amount of each green super food is not identified in the supplement facts box of many super food drink mixes. Rather it is frequently included as part of a proprietary blend-- and it is the proprietary blend that is given a milligram gram amount. The problem with this is that it is impossible to know if there is a relevant dose of any of the green super foods in the product. One way around this is to use products that specifically identify the exact amount of each green super food it provides. 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. Green Super food Daily Dose 2g Benefit Improved subjective symptom scores and self-rated efficacy compared to placebo in adults with allergic rhinitis.13 Male recreational runners were able to sprint for longer before becoming exhausted.14 Reduced anxiety and depression in menopausal women aged 50-60 years compared with placebo.15 Reduced blood transfusion requirements in children with transfusion-dependent beta-thalassemia (a blood disorder that reduces the production of hemoglobin).16 Reduced overall active distal ulcerative colitis disease activity and the severity of rectal bleeding.17 Spirulina 6g 1.6 g 100 mL Wheat grass juice 100 mL Reduced overall active distal ulcerative colitis disease activity and the severity of rectal bleeding. JUNE JULY 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 37 NATURAL HEALTH STUDIES More Than Just Eyes and Skin Vitamin A Affects the Heart itamin A is involved in many bodily processes including vision and skin health but its role in the heart is unclear. While vitamin A is critical for heart development of embryos--vitamin A deficiency during pregnancy leads to an abnormal heart and prenatal death--studies on vitamin A s role in heart health have drawn opposite conclusions. A new study published in American Journal of Physiology--Heart and Circulatory Physiology finds that the heart is able to respond to vitamin A and the amount of vitamin A present has an effect. But whether the effects are beneficial or harmful is still a mystery. While it is abundantly clear that we cannot live without vitamin A it is intriguing that in certain circumstances the mammalian body may manipulate vitamin A in ways that are not beneficial said Mary Ann Asson-Batres PhD of Tennessee State University and lead author of the new study. The body gets vitamin A from food. In the body vitamin A is converted to Retinaldehyde used by the eyes to see Retinoic acid used by other physiological processes. Retinoic acid confers its effects by activating proteins on cells called retinoic acid receptors or Retinyl esters to be stored in the liver for later use. The multi-institutional research team V investigated the role of vitamin A in heart health by examining whether the heart has retinoic acid receptors and what happens to the heart when the body is deficient in vitamin A. They found that cells in the heart have retinoic acid receptor proteins indicating that the heart can respond to vitamin A. To induce vitamin A deficiency the researchers fed a vitamin A-deficient diet to genetically modified mice that cannot store vitamin A in their livers. These approaches are more physiologically relevant than others where animals were dosed with retinoic acid to see how this affects the heart Dr. Asson-Batres said. From an outside vantage point we cannot precisely tailor the timing amount or route for retinoic acid administration. By letting the animal s system regulate the production and release of retinoic acid from available dietary sources of vitamin A we can get a more accurate picture of how the body responds to vitamin A deficiency. The researchers found that reducing the stores of vitamin A altered how the heart maintained itself. The hearts of the genetically modified mice were similar in size and shape to normal mice but expressed different genes. Eating a vitamin A-deficient diet also changed the genes expressed. The genet- ically modified mice had more cells that could replace damaged heart cells and showed less heart damage after a surgically induced heart attack even when they were provided vitamin A in their diet. A previous study in rats reported an increase in delivery of vitamin A stored in the liver to the heart after a heart attack and concluded that the damaged heart benefited from the antioxidant properties of vitamin A Dr. Asson-Batres noted. Our study suggests a surprising alternative outcome for vitamin A mobilization she said. Instead of being beneficial the increased use of vitamin A after a heart attack may actually impair the heart s ability to generate new cells that could provide needed repair factors or cells that could prevent tissue damage. The study shows that vitamin A status affects the heart but we need to do much more work before we can provide a take-home message for maintaining a healthy heart Dr. Asson-Batres said. Clearly we need to learn more about how the body maintains an appropriate balance of vitamin A in health and disease. (Source American Journal of Physiology--Heart and Circulatory Physiology--April 2016) High Prevalence of Vitamin D Deficiency in Large Population of Kids With Type 1 Diabetes uring the past two decades vitamin D status defined as serum concentration of 25-hydroxyvitamin D has emerged as a predictor of key clinical outcomes including bone health glucose metabolism cardiovascular health immune health and survival. Now a University of Pennsylvania School of Nursing (Penn Nursing) team including senior author Terri Lipman PhD CRNP FAAN the Miriam Stirl Endowed Term Professor of Nutrition Professor of Nursing of Children and Assistant Dean for Community Engagement has examined the association between 25-hydroxyvitamin D and diabetes control in children and adolescents with type 1 diabetes. The results demonstrate the high prevalence of patients with low levels of 25- D hydroxyvitamin D specifically in healthy weight and Caucasian children and adolescents with type 1 diabetes--patients previously considered at no or low risk of having low levels of vitamin D. These data underscore the importance of vitamin D screening in all children and adolescents with type 1 diabetes. The team s findings have been published in Diabetes Research and Clinical Practice. To our knowledge this is the first study that has been adequately powered to examine the association between 25-hydroxyvitamin D and HbA1c (a measure of diabetes control) in children and adolescents with type 1 diabetes said Lipman and colleagues. These data suggest the need for monitoring of vitamin D in all youth with this disorder. The study included approximately 200 children and adolescents from the Diabetes Center for Children at the Children s Hospital of Philadelphia who were recruited during regular follow up visits. Non-fasting blood samples were collected from the participants to measure 25-hydroxyvitamin D and blood glucose levels. HbA1c and other key variables were abstracted from patients medical records. (Source Diabetes Research and Clinical Practice--May 2016) 38 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2016 Good Nutrition Positively Affects Social Development Research Shows P roper nutrition during childhood can positively affect a child s social behaviors and development. That s the main finding of a new study from two University of Pennsylvania researchers Jianghong Liu an associate professor in Penn s School of Nursing and Perelman School of Medicine and Adrian Raine the Richard Perry University Professor of Criminology Psychiatry and Psychology. They published their results in the journal Maternal & Child Nutrition. What people are not doing is looking at positive effects of good nutrition in particular on social behavior said Raine a Penn Integrates Knowledge professor with appointments in the School of Arts & Sciences and Medicine. We link nutrition to physical health but also social health and positive social behavior. For this study the scientists analyzed a sample of 1 795 3-year-old children from Mauritius an island off the eastern coast of Africa with a population of about 1.3 million people. They focused on four aspects of physical health related to nutrition and four indicators of social development. Physical health factors included anemia expressed by low hemoglobin levels reflecting iron deficiency angular stomatitis revealed by cracked lips and a lack of vitamin B2 and niacin and insufficient protein intake indicated by thin or sparse hair and hair discoloration. On Mauritius where the majority of children have black hair that fourth factor shows up as an orange or red tint to the hair. The researchers considered a child with just one of the quartet as suffering from nutritional deficits. However children with more malnutrition indicators showed more impaired social behavior. Social interactions studied included friendliness extent of verbalization active social play and exploratory behavior. A research assistant observed every child s success and rated these factors on a specified scale. The observer knew that the research concentrated on child development and behavior but was unaware of the nutrition-related hypothesis. Examining the relationship between these components after the fact Liu and Raine then teased out a neurocognitive link between nutrition and comprehensive social behavior. It s a connection undis- covered to this point. The bigger message is give children good nutrition early on Liu said. Not only will it enhance cognitive function but importantly promote good social behavior which is essential to brain development and intelligence. In the same study Raine said we ve shown that children with positive social behavior eight years later they have higher IQs. Despite the diversity of Mauritius which has Indian Creole and to a smaller extent Chinese French and English populations the researchers acknowledge a desire to replicate their findings in large cities in the United States. Another limitation is the study s cross-sectional nature meaning measurements occurred all at once rather than over a long period of time. Ideally Raine said you want a randomized control trial. You want to manipulate nutrition to see whether you can get improvements in social behavior and cognitive function. It s possible to reverse the effects of poor nutrition too according to the researchers. It s never too late to provide good nutrients Liu said. And it s never too early Raine added. (Source Maternal & Child Nutrition-- May 2016) Yoga Aquatic Exercise Can Help Combat MS Symptoms E xercise can have a positive influence on certain symptoms of multiple sclerosis (MS) Patients who do yoga and aquatic exercise suffer less from fatigue depression and paresthesia as reported by researchers from the University of Basel and the Psychiatric University Clinics Basel in a joint study with colleagues in Iran. MS is a chronic progressive autoimmune disease in which the body s own immune system attacks the nervous tissue potentially resulting in movement disorders. Other typical symptoms of MS include physical and mental fatigue as well as faintness depression and paresthesia such as pins and needles itchiness and numbness. In a random trial researchers from Basel and Kermanshah (Iran) have now shown that these symptoms significantly improved after an eightweek program of yoga and aquatic exercise. In comparison to the control group fatigue depression and paresthesia were significantly reduced in patients who took part in a three-times weekly training program. In the non-exercising group the likelihood of moderate to severe depression was 35-fold higher than in the groups who had done yoga or aquatic exercise. Fifty-four women with MS and an aver- age age of 34 were assigned to one of three groups yoga aquatic exercise or no exercise. Before and after the trial patients were asked to complete a questionnaire about their symptoms. All patients continued with their existing treatment including any medication taken to regulate the immune system. Exercise training programs should be considered in the future as possible complements to standard MS treatments wrote the researchers. (Source Medicine & Science in Sports & Exercise--May 2016) JUNE JULY 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 39 NATURAL HEALTH STUDIES Chronic Drinking Interferes With Absorption of Critical Vitamins by Pancreas hronic exposure to alcohol interferes with the pancreas ability to absorb vitamin C potentially predisposing the body to pancreatitis and other pancreatic diseases a new study in the American Journal of Physiology--Cell Physiology reported. The pancreas produces the enzymes used to digest food and the hormones such as insulin that are needed to store energy from food. Pancreatic diseases and damage to the pancreas can lead to digestive problems malnutrition and diabetes. Alcohol-related pancreatitis takes an average of 10 years of daily alcohol abuse to develop and the risk of developing the condition increases with the amount of alcohol consumed says Fred Gorelick MD of Yale University and a collaborator of the study s authors. Earlier studies support that prolonged alcohol exposure weakens the pancreas defense system making it more vulnerable to injury. However less than 10 percent of alcoholics develop pancreatitis indicating that alcohol is a sensitizer but other genetic and environmental factors are also involved. While long-term continual alcohol C intake is a significant factor in developing pancreatitis little is known about how daily consumption patterns affect the likelihood of developing the disease Dr. Gorelick said. To function properly pancreatic cells require a number of vitamins which they take from the blood stream. The research team at the University of California Irvine led by Hamid Said PhD investigated whether the pancreas weakened defense from alcohol exposure could be attributed to poor absorption of vitamins. The researchers reported in earlier studies that chronic alcohol exposure prevented the pancreatic cells from absorbing biotin and thiamin. In this new study the team investi- gated whether alcohol exposure also interfered with the pancreas absorption of vitamin C. The research team first identified the protein called sodium-dependent vitamin C transporter 2 (SVCT-2) as the main protein responsible for transporting vitamin C into pancreatic cells. Next researchers exposed mouse pancreatic cells to alcohol levels similar to the blood alcohol concentration of chronic alcoholics. The researchers also fed mice a diet in which alcohol made up 25 percent of the total calories consumed. They found that both pancreatic cells directly exposed to alcohol and pancreatic cells from alcohol-fed mice had lower numbers of SVCT-2 blocking the cells absorption of vitamin C. Reducing the levels of vitamin C and other essential micronutrients will interfere with normal cellular activities in the pancreas Dr. Said explained. This may sensitize the pancreas to a secondary insult predisposing it to the development of pancreatitis and other pancreatic diseases. (Source American Journal of Physiology--Cell Physiology-- April 2016) Higher Muscle Mass Associated With Lower Mortality Risk in People With Heart Disease esearchers from the David Geffen School of Medicine at UCLA (University of California Los Angeles) found that cardiovascular disease patients who have high muscle mass and low fat mass have a lower mortality risk than those with other body compositions. The findings also suggest that regardless of a person s level of fat mass a higher level of muscle mass helps reduce the risk of death. The findings indicate the importance of assessing body composition as a way to help predict cardiovascular and total mortality in people with cardiovascular disease. In previous studies on the relationship between body composition and mortality the researchers used a simpler clinical measure of body composition called the bio electrical impedance scale. They noted a possible protective effect of muscle mass on both mortality and metabolism in healthy people. The new study extends the findings from the earlier research using dual X-ray R absorptiometry a more rigorous method of measuring body composition. The researchers examined data from the National Health and Nutrition Examination Survey 1999 to 2004 of 6 451 participants who had prevalent cardiovascular disease. Each subject was categorized into one of four groups Low muscle low fat mass Low muscle high fat mass High muscle low fat mass High muscle high fat mass Those with high muscle mass and low fat mass had the lowest risk of cardiovascular and total mortality. Because people with higher muscle mass were more likely to have a high body mass index the findings could explain the obesity paradox which holds that people with a higher BMI (body mass index) have lower mortality levels. The findings also highlight the importance of maintaining muscle mass rather than focusing on weight loss in order to prolong life even in people who have a higher cardiovascular risk. The authors suggest that clinicians encourage their patients to participate in resistance exercises as a part of healthy lifestyle changes rather than focusing primarily on and monitoring weight loss. (Source The American Journal of Cardiology--Heart and Circulatory Physiology-- April 2016) 40 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2016 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 CT Joint Care FARMINGDALE NY--Patient One CT Joint Care supplies a blend of traditional herbs along with flavonoids and enzymes that support connective tissue and joint comfort. This formula provides turmeric boswellia ginger devil s claw and yucca extracts along with quercetin and bromelain. Black pepper extract is included to support enhanced absorption of turmeric. CT Joint Care s combination of ingredients is formulated to reduce minor pain and maintain a healthy inflammatory response. Professional price is 18.25 for a 90-capsule bottle (30-day serving) and 36.50 to the patient. CT Joint Care is non-GMO (genetically modified organism) and available in a private label option. For more information call (877) 723-0777 or visit www.patientoneformulas.com. ZocuZap Cleanser & Mositurizer CYPRESS TX--Zocular Ophthalmologist Developed ZocuZap towelettes by Okra LLC is a unique okra-infused Zocusome micelles that gently lift and clear the oil debris and residue accumulation in acne and decrease inflammation using natural botanicals okra and other antioxidant organic-based plants to improve the appearance of facial blemishes without the use of any prescription or over-the-counter drug ingredients. The once-a-day formulation requires 20-30 seconds of application no rinsing. It is convenient for travel and safe for all ages as well as safe for use around the eyes the company said. Each 15-ct. box of ZocuZap has a suggested price of 37.98. For more information call (844) ZOCULAR or visit www.zocular.com. Orgono MIAMI FL--Orgono G5 Siliplant by Silicium Laboratories is a high absorbing physician grade silica that helps rebuild collagen fibers in ligaments tendons and joint cartilage diminished by injury or aging. Silica is a critical nutrient for bone health--both strength and thickness. Recommended for fortifying the elastic integrity of arterial walls. Silicium Laboratories silica is currently used in Alzheimer s disease research as a natural measre to ameliorate existing conditions or proactively diminish the onset the company said. Each 1 000-ml bottle contains 67 servings and has suggested price of 39.95. For more information call (877) 454-2486 or visit www.orgonosilica.com. InflaDox SUNNY ISLES BEACH FL--InflaDox by Arnet Pharmaceutical Corporation is a multi-herbal based supplement. This natural supplement may help in reducing pain and it promotes a healthy inflammation response that has a myriad of healthy benefits the company said. InflaDox is an excellent source for supporting joint health. It may also offer relief from inflammation of the joints and it contains a high-grade of active ingredients that may protect one against inflammation. InflaDox is offered in a 60-ct. bottle for a suggested price of 44.99 as well as in a 120-ct. bottle. For more information call (844) 343-4369 or visit www.doxsupplements.com. 42 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM JUNE JULY 2016 CONFERENCES AND EVENTS June 21-26 AANP 2016 National Conference San Antonio TX This year s American Association of Nurse Practitioners National Conference will feature nine tracks acute care dermatology emergent urgent care faculty development military uniformed services health care orthopedics pain management pharmacology and women s health. During the conference attendees can earn up to 35.75 contact hours of continuing education hours (CE) from Tuesday through Sunday of the conference. The conference also offers networking opportunities podium and poster presentations interest forums and an exhibit hall with more than 300 vendors present. Registration is open. For more information call (512) 442-4262 or visit www.aanp.org. June 25-26 5th International CEDH (Center for Education and Development of Homeopathy) Conference Chicago IL Homeopathy has been helping family physicians and specialists provide personalized care management to their patients. This event will focus on effective care pathways in clinical homeopathy to help physicians in specific pathologies where individualized care is essential. Program objectives include cardiovascular management ob gyn and women s health aging gracefully with homeopathy skin disorders autoimmune problems in children and adults and pain management in chronic and acute pathologies. For more information visit www.cedhusa.org 2016. July 1-3 3rd International Congress on Naturopathic Medicine Barcelona Spain The International Congress on Naturopathic Medicine (ICNM) is a not-for-profit international and professional organization began with the mission of providing high quality continuing education for health care professionals dedicated to patient care all over the world. This year s theme is Global Patient Care Preventing Chronicity Naturopathically. Speakers include Alex Vasquez DC ND DO FACN director International College of Human Nutrition and Functional medicine in Spain and U.S. and Ellen Wong BSc (Hons) ND associate professor clinic supervisor Canadian College of Naturopathic Medicine among others. Registration is now open. For more information call (800) 278-2462 or visit www.icnmnaturopathy.eu. July 27-30 AANP Annual Conference 2016 Salt Lake City UT The American Association of Naturopathic Physicians (AANP) Annual Convention and Exhibition will respond to the changing health care environment in America and help prepare practitioners for the increasingly diverse patient population. The meeting aims to foster discussion and encourage action to develop programs that promote diversity in health care. The pre-conference session begins Tuesday at the Pediatric Association of Naturopathic Physicians (PedANP) with a full day of pediatric-focused workshops and clinical pearls from experts in the field. Keynote speaker Paul Anderson ND will also lead IV Therapy Workshop. Other speakers and presenters include Ryan Bradley ND MPH Leah K. Hollon ND MPH Katie Lundberg ND LAc among others. Registration is now open. For more information visit www.naturopathic.org aanp2016. September 15-17 ACAM 2016 Fall Conference Tucson AZ The American College for Advancement in Medicine s (ACAM) Fall conference will include workshops CME lectures and case studies networking opportunities and featured events. Speakers include Mark Waldman Isaac Eliaz MD MS LAc Dana Cohen MD Laszlo Boros MD Stephen Sinatra MD FACC FACN among others. The conference will take place in conjunction with the American Academy of Physiological Medicine and Dentistry (AAPMD). The idea behind this collaboration is that the only solution to address the alarming rise of chronic disease is to do so with collaborative care designed for the individual. For more information call (800) 532-3688 or visit www.acam.site-ym.com. September 16-18 14th Annual International Restorative Medicine Conference Hilton Head Island SC The annual International Restorative Medicine Conference will focus on teaching specific protocols including dosing treatment plans indications contraindications lifestyle and dietary changes and use of supplements. Conference topics include advanced botanical medicine medicinal mushroom use in oncology botanical medicine protocols for treating infections and herb nutrient and drug interactions T3 and thyroid certification hormone monitoring and treatment protocols for women s health and GI detox and cardiovascular topics including IV Meyer s cocktail protocol inflammation and Parkinson s and Alzheimer s disease mold exposure protocols among others. For more information call (866) 962-2276 or visit www.restorativemedicine.org aarm2016 . September 29 - October 2 The 7th Annual Integrative Medicine for Mental Health Conference Washington D.C. Integrative Medicine for Mental Health (IMMH) supports a whole body approach utilizing multiple fields of medicine and nutritional sciences to help patients obtain mental wellness. Practical applications and effective protocols will be presented that can be easily applied in a clinical setting. The concepts and guidelines offered at this conference can dramatically improve the quality of life of your patients and increase your scope of practice. Speakers for 2016 include James Greenblatt MD Andrea Gruszecki ND Trudy Scott CN Jay Lombard DO William Shaw PhD among others. Attendance to this conference qualifies you to join the IMMH Clinician Registry making you accessible to potential patients. For more information visit www.immh2016.com. JUNE JULY 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 43 MEDIACORNER Yoga & Diabetes Your Guide to Safe and Effective Practice Author Annie B. Kay MS RDN RYT & Lisa B. Nelson MD Pages 130 Price 19.95 Publisher American Diabetes Association Contact (617) 504-6869 Yoga does more than manage stress. In addition to calming the nervous system it improves circulation throughout the body increases muscular tone improves balance allows improved balance and provides gentle physical activity that nearly anyone can do. Yoga & Diabetes is a tailored guidance to people with type 1 type 2 and gestational diabetes. It features 30 yoga postures and breathing exercises arranged into programs that suit every person s individual needs. Research has proven that yoga practice has a significant potential for addressing key lifestyle and behavioral issues with disorders such as type-2 diabetes. The book includes options for beginning practitioners weekly plan samples and tips for deepening practice. The Vitamin Solution Author Dr. Romy Block & Dr. Arielle Levitan Pages 289 Price 17.95 Publisher She Writes Press Contact bethrichman1 gmail.com To help educate consumers about safe and appropriate vitamin use and to arm consumers with effective strategies for better health Dr. Romy Block and Dr. Arielle Levitan wrote The Vitamin Solution. In the book the authors discuss how vitamins can address health issues like weight loss migraines energy and fatigue menopause and more. In addition they cut through all the conflicting data consumers can find in order to inform readers with everyday strategies to better their health. My Conscience My Choice App Created by Dory Kurowski the My Conscience My Choice app provides a simple resource to find and buy eco-friendly crueltyfree and natural alternatives to most consumer food products. 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