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Description: In This Issue: Coping with Pain, Women's Health, Healthy Blood Sugar, and CAM Innovations

Don t miss a single issue of NP in 2017...go online to renew your free subscription today NaturalPractitionerMag.com May17 www.naturalpractitionermag.com May 2017 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 May 2017 VOLUME 6 NO. 3 22 FEATURES 22 The Balancing Act Today s women--from late teens through 70s--are active engaged involved and determined to not be temporarily derailed by age-related female issues. Here s how to help them achieve and maintain balance. 26 32 COLUMNS 4 Editor s Note 32 Supplement Science 8 Practitioner Corner 30 Product Focus Healthy Blood Sugar 26 Coping with Pain Dealing with pain is never easy but learning new ways to help patients combat it can make it treatable. This special section of Natural Practitioner comes in response to the desire for a greater understanding of the research and history behind the products available to practitioners and their patients and manufacturers wanting to offer the science that backs the effectiveness of their products. 41 CAM Innovations DEPARTMENTS 12 Health Industry News 18 INM Update 36 Practitioner Chat 38 Natural Health Studies 47 Natural Marketplace 47 Media Corner 48 Conferences & Events 48 Advertiser Index Visit NaturalPractitionerMag.com FreeProductInfo for FREE Product Information or Samples from All Natural Practitioner Advertisers FREE Subscription (Print Digital or BOTH) FREE E-newsletter Visit NaturalPractitionerMag.com Copyright 2017. Natural Practitioner (ISSN 2331-2580) Volume 6 Number 3 May 2017. 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 MAY 2017 Go to www.naturalpractitionermag.com livon for info about this advertiser EDITOR S NOTE Living With Pain t one point or another in our lives everyone has experienced some sort of pain it is inevitable. But for those with chronic pain it may be hard to picture a time when they weren t in pain. In fact in this issue s article on pain management (see page 26) Jacob Teitelbaum MD Natural Practitioner Advisory Board member and author of Pain Free 1-2-3 A Proven Program for Eliminating Chronic Pain Now noted that a third of Americans are currently suffering with pain. I ve seen firsthand what chronic pain can do to a person because my father and my brother both suffer from it. My dad began experiencing pain in his lower back years ago. He travels a lot for work and those long flights began to take their toll. He tried every type of cushion that he could find to save his back during those 19-hour (and sometimes longer) flights but as he got older he wasn t able to bounce back like he used to. His physician recommended an antiinflammatory diet and sent him to a chiropractor who has helped my father s chronic pain immensely. His health care professional taught him a stretching routine which he has done every morning for years that help loosen his body and lessen the pain. A Unlike my father my brother has been a bit reckless with his body. In fact before the age of 30 he had surgery on both of his knees to repair damage he caused in his teens and early 20s. Over the last few months he began complaining that his back was bothering him. Recently he was asking me for TV show recommendations to binge watch and he was finishing them at record pace. When I asked him how he found the time to plow through TV series so fast he admitted that his back hurt so much that it made it hard to sleep so he watched television to pass the time. After reprimanding him for not telling anyone the pain was so severe and consistent he made an appointment with my father s doctor who recommended a change in diet daily stretching and a visit to the chiropractor just like he did for my father. The doctor also suggested that my brother may find acupuncture beneficial. My brother ended up trying acupuncture and loves it. I am happy to report that his pain has lessened and he is now able to sleep through the night instead of watching Netflix. I am thankful that the practitioners my father and brother worked with offered a number of options that were able to give them treatments that helped get to the root of the problem instead of just prescribing something to mask the pain. I am sure your patients are grateful that you do the same for them. 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 ASSOCIATE EDITOR NICHOLAS SARACENO NicoS 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 PHONE FAX E-MAIL WEBSITE PRESIDENT VRM MEDIA 431 Cranbury Road Ste. C East Brunswick NJ 08816 (732) 432-9600 (732) 432-9288 info VRMmedia.com www.naturalpractitionermag.com 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 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 Back Issues See the Table of Contents page for price and order information. 4 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 Go to www.naturalpractitionermag.com fairhaven for info about this advertiser Meet Natural Practitioner s Editorial Advisory Board 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. 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. 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 (McGraw-Hill). 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 Dr. Isaac Eliaz is 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. Serena Goldstein ND Serena Goldstein ND is a naturopathic doctor in New York NY specializing in hormonal health concerns such as menses menopause libido and inability to lose weight. She graduated cum laude double majored in psychology and biology from Barrett Honors College at Arizona State University and received her Naturopathic Doctorate from National University of Natural Medicine in Portland OR. She has been published in numerous health and wellness resources such as MindBodyGreen GreenMedInfo and Better Nutrition and appeared on multiple radio shows. Dr. Goldstein also gives talks as in most recently the American Cancer Society. Dr. Goldstein is in her own practice and volunteers at the NYUHospital Poison Control Center. 6 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 Go to www.naturalpractitionermag.com daiwa for info about this advertiser PRACTITIONER CORNER By Dr. Shailinder Sodhi Beginning According to The Centers for Disease Control and Prevention (CDC) heart disease is the leading cause of death for people in the United States today. It is estimated that 610 000 Americans (one in four) die of heart disease every year. Coronary heart disease (CAD) the most common type of heart disease leads to 735 000 heart attacks and kills more than 370 000 men and women annually (CDC). Atherosclerosis is considered to be a preventable disease in the United States since it s largely attributed to less-than-ideal lifestyle habits like poor diet lack of regular exercise drug or alcohol abuse and high stress. Studies show that ancient peoples also suffered from atherosclerosis and heart disease and there have been treatments for this illness dating back thousands of years as proved by the arteries of Egyptian mummies who were 3 500 years old. They too had clear evidence of heart disease and approximately half of the scanned mummies had signs of atherosclerosis similar to rates found today (Hanke et al 2001 Columbia University 2016). Pathophysiology Atherosclerosis is a slow and progressive disease and is the major underlying cause of cardiovascular diseases. While we aren t definitively sure which risk factors are to blame for the Egyptian mummies atherosclerosis we do know that current primary risk factors include hypercholesterolemia hypertension and cigarette smoking likely the same factors that led to the mummies blocked arteries. These risk factors coupled with the oxidation and inflammation in the artery wall often because of collagen-induced platelet aggregation give rise to characteristic fatty-fibrous lesions over time. Rupture of these lesions whether due to trauma or inflammation leads to heart attack stroke or increased plaque growth. As low density lipoprotein (LDL) and other macromolecules are transported through endothelial cells into the vascular intima LDL is retained in the sub-endothelium by a charged interaction with matrix proteoglycans. This embedded LDL is attacked and oxidized by reactive oxygen species (ROS). High oxidative stress due to hypertension from abnormal renal function and the increased production of angiotensin II and reduced glutathione peroxidase due to cigarette smoking can cause adhesion of platelets following any endothelial injury and is the event usually associated with uncontrolled platelet activation resulting in intravascular thrombosis (Surin et al 2008). These factors demonstrate that heart disease isn t just one factor but a compiled effect of the major risk factors for atherosclerosis. Over time fatty-fibrous lesions characteristic of atherosclerosis develop. While stable plaque has a preponderance of smooth muscle cells embedded in a dense matrix of collagen unstable plaque usually has a large core of inflammatory cells and debris from dead cells. The cap of these plaques is often fragile and lacking endothelial cells. These unstable lesions are subject to excessive inflammation and particularly prone to physical disruption. Although plaque rupture is the cause of clinical events in many cases it is silent as the thrombus is absorbed into the existing plaque. Plaque growth is then stimulated by the release from platelets which again stimulates smooth muscle cell recruitment proliferation 8 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 and production of dense collagen matrix. New micro-vessels in the plaque tend to be very fragile and prone to rupture (intra-plaque hemorrhage). Fortunately diagnostic markers exist and disease progression is indicated by C-reactive protein (CRP). Other early indicators of heart attack are inflammatory marker CD40 and the cardiac myofilament protein troponin. When we see these markers we can take action to support our patients through diet and lifestyle changes coupled with medication. Ayurvedic medicine sees the human as being fully connected and a part of nature. We are believed to possess an inherent tendency to love heal and harmonize. Tradition has long held that Anahat Chakra (the heart chakra) lies at the center of the seven chakras and it governs the physical mental experiential and emotional activities. Specifically the heart chakra contains the emotional functions of love confidence trust and connections to others and environment. The highest functions of Anahat Chakra are unconditional love and love for the self. It is the root of prana the life-force. When out of balance we experience vulnerability loss of confidence anxiety emotional distress and dependency. Treatments of yesterday are not dissimilar to treatments today. Historical recommendations were to reduce salt improve diet and increase exercise just like today. While they didn t have statins they did have herbal formulas which were so effective that we utilize them and their extracted constituents in the modern age. Common herbs used for ancient problems of hypertension include Rauwolfia serpentine rose Boerhaavia Tribulus terrestris and shells. We use many of these same herbs to this day but with the caveat of having scientific studies to now back up their use. One of the most used herbs for heart and cardiovascular problems is Rauwolfia serpentina which has been used traditionally to maintain blood pressure and support heart function. Rauwolfia s. has been documented for use since 600 B.C.E. in the Sushruta Samhita for controlling hypertensive symptoms. Rauwolfia s. contains reserpine an alkaloid which activates the parasympathetic nervous system. In 1949 Rustom Jal Vakil published his study in the BMJ about 50 patients he treated for high blood pressure with Rauwolfia s. (Vakil 1949). It became so popular amongst Indian doctors that it is reported Mahatma Gandhi used Rauwolfia s. tea at the end of the day. Rauwolfia s. doesn t contain only reserpine but notably also yohimbine another alkaloid which balances the effects of reserpine. When used in whole herb form Rauwolfia s. is known to drop systolic numbers by 20-30 mm Hg and diastolic 10-15 mm Hg. However high doses of extracted reserpine are known to cause side effects like nausea dyspnea and fainting as well as withdrawal symptoms (Lobay 2015). When used in formula reserpine is found in very small doses compared to the extracts which rely on larger amounts to get the same effect. Rose has long since been connected to the heart both poetically and physiologically. In studies rose has been shown to reduce systolic and diastolic blood pressure reduce total plasma cholesterol and total cholesterol HDL cholesterol ratio improve glucose tolerance and reduce fat mass body weight and insulin levels. However the researchers noticed one finding that stood out-- decreased atherosclerotic plaque formation at the level of the aortic tree (Cavalera et al 2016). Fortunately diagnostic markers exist and disease progression is indicated by C-reactive protein (CRP). Other early indicators of heart attack are inflammatory marker CD40 and the cardiac myofilament protein troponin. Boerhaavia diffusa aids the body by attenuating angiotensin II induced hypertension and hypertrophy in cardiac cells by modulating oxidative stress (Prathapan et al 2013). Boerhaavia d. reduces the constriction of the vasculature and is a known diuretic. Convolvulus pleuricaulis is typically used as a nootropic due to its relaxing and calming effects on the body. Studies of the herb have shown varying degree of its hypotensive and tranquilizing effects including patients with anxiety neurosis. Convolvulus p. induces feelings of calm supports restful sleep and relieves anxiety stress and mental fatigue through modulation of neurochemistry of the brain (Agarwa et al 2015). Tribulus terrestris well known for its beneficial effects on men s health and testosterone levels has shown to be protective against ischemia and reperfusion induced cardiac damage (Reshmi et al 2015). Tribulus t. increases the free radical scavenging activities of super oxide dismutase (SOD) and protein kinase C epsilon (PKC-) an enzyme which protects cardiac cell damage due to hypoxia (Zhang et al 2010). One study found that when taken post myocardial infarct Tribulus t. improved cardiac functions and ejection fraction while preventing remodeling and even improved lipid profiles (Guo et al 2007). It has also been shown to relieve angina with 82.3 percent efficacy through coronary artery dilation and improved cardiac circulation and without side effects like liver or kidney damage (Wang et al 1990). Maybe even more promising is that when taken prophylactically Tribulus t. inhibits platelet aggregation when platelets are exposed to collagen by inhibiting peroxidation of arachidonic acid (Olas et al 2015). Tribulus also decreases ACE levels (Sharifi et al 2003) which results in lower blood pressure and has a significant diuretic effect (Al-Ali et al 2003). Terminalia arjuna an ancient ayurvedic herb is used primarily as a support for healthy heart functions has been shown to have flavone arjnonlone tannins arjunic acid and glycosides the effects of which may be correlated to the observed benefits of arjuna like regulating heart rate and strength of heart muscle contraction (Dwivedi 2007). Summary Whole herbs and herbal formulas more than single extracted key constituents are one of our most powerful allies in the fight against cardiovascular diseases. Many of the herbs described above not only help with cardiac function due to one constituent but contain many other constituents which aid in supporting the desired effect from the first component. When we extract these key components of an herb we lose these broad-spectrum functions of the plant something that traditional herbalists consider when building a formula. Our formulas are planned out to balance the effects of the herbs against one another while providing effective treatment for not just lowering inflammation but also activating the parasympathetic nervous system decreasing ACE levels and regulating heart functions. The key to cardiovascular health is in the regular smooth functioning of the entire system so that platelet aggregation and thrombus formation is minimized. Whole herbs whether used alone or in formula are our best bet for safe and effective treatment to restore the body. References Agarwa P Sharma B Fatima A Jain SK. An update on Ayurvedic herb Convolvulus pluricaulis Choisy. Asian Pacific Journal of Tropical Biomedicine. 2014 4(3) 245-252. doi 10.1016 S2221-1691(14)60240-9. Al-Ali M Wahbi S Twaij H Al-Badr A. Tribulus terrestris preliminary study of its diuretic and contractile effects and comparison with Zea mays. J Ethnopharmacol. 2003 85(2) 257-260. doi 10.1016 S0378-8741(03)00014-X. C. (n.d.). Pathologies of Black Bile. Retrieved MAY 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 9 PRACTITIONER CORNER April 06 2017 from www.greekmedicine.net pathology Pathologies_of_Black_Bile.html. Cardiac Surgery Program. (2016). Retrieved April 06 2017 from http columbiasurgery.org news 2016 02 18 heart-disease-was-commonancient-egypt-too-0. Dwivedi S. (2007). Terminalia arjuna Wight & Arn.--A useful drug for cardiovascular disorders. Journal of Ethnopharmacology 114(2) 114-129. doi 10.1016 j.jep.2007.08.003. Hanke H. Lenz C. & Finking G. (2001). The discovery of the pathophysiological aspects of atherosclerosis--a review. Acta Chir Belg. 2001 101(4) 62-9. Retrieved April 13 2017. http oneearthherbs.squarespace.com importantherbs rauwolfia-root-rauwolfia-serpentina.html. www.cdc.gov nchs fastats heart-disease.htm www.heart.org idc groups ahamah-public wcm sop smd documents downloadable ucm_480086.pdf. Lobay D. Rauwolfia in the Treatment of Hypertension. Integrative Medicine A Clinician s Journal. 2015 14(3) 40-46. Olas B. Hamed A. I. Oleszek W. & Stochmal A. (2014). Extracts from Tribulus species may modulate platelet adhesion by interfering with arachidonic acid metabolism. Platelets 26(1) 87-92. doi 10.3109 09537104.2013.867426. Reshma PL Lekshmi VS Sankar V and Raghu KG (2015) Tribulus terrestris (Linn.) Attenuates Cellular Alterations Induced by Ischemia in H9c2 Cells Via Antioxidant Potential. Phytother. Res. 29 933 943. doi 10.1002 ptr.5336. Sandison A. (1967). The Last Illness of Herod the Great King of Judaea. Medical History 11(4) 381-388. doi 10.1017 S0025727300012527. Sharifi AM Darabi R Akbarloo N. Study of antihypertensive mechanism of Tribulus terrestris in 2K1C hypertensive rats Role of tissue ACE activity. Life Sci. 2003 73(23) 2963-2971. doi 10.1016 j.lfs.2003.04.002. Si-si W. Ying-shi J.I. Hong L.I. Shi-jie Y. (2009). Mechanisms of gross saponins of tribulus terrestris via activating PKC against myocardial apoptosis induced by oxidative stress. Yaoxue Xuebao 44 2 (134-139). Article in Chinese. Surin W. R. Barthwal M. K. & Dikshit M. (2008). Platelet collagen receptors signaling and antagonism Emerging approaches for the prevention of intravascular thrombosis. Thrombosis Research 122(6) 786-803. doi 10.1016 j.thromres.2007.10.005. Tabassum N Ahmad F. Role of natural herbs in the treatment of hypertension. Pharmacognosy Reviews. 2011 5(9) 30-40. doi 10.4103 09737847.79097. Vakil RJ. A Clinical Trial of Rauwolfia Serpentina in Essential Hypertension. British Heart Journal. 1949 11(4) 350-355. Wang B Ma L Liu T. 406 cases of angina pectoris in coronary heart disease treated with saponin of Tribulus terrestris. Zhong Xi Yi Jie He Za Zhi. 1990 Feb 10(2) 85-7 68. Article in Chinese. Yan Guo Da-Zhuo Shi Hui-Jun Yin and Ke-Ji Chen. Effects of Tribuli Saponins on Ventricular Remodeling after Myocardial Infarction in Hyperlipidemic Rats. The American Journal of Chinese Medicine 2007 35 02 309-316. Zhang S. Li H. Xu H. Yang S.-J. (2010). Effect of gross saponins of Tribulus terrestris on cardiocytes impaired by Adriamycin. Yaoxue Xuebao 45 (1) pp. 31-36. Growing up near the Himalayas Dr. Shailinder Sodhi developed an early interest in ayurvedic plants and herbs and received his BAMS (bachelor in ayurvedic medicine and surgery) degree from Dayanand Ayurvedic College in Jalandhar India in 1985. In 1993 he received a naturopathic medicine degree from Bastyr University as well as a degree in diagnostic ultrasound from Bellevue College. Dr. Sodhi practices naturopathic medicine along with his wife Dr. Anju Sodhi and his brother Dr. Virender Sodhi at the Ayurvedic and Naturopathic Medical Clinic in Bellevue WA which he established in 1989. In addition Dr. Sodhi serves as president of Ayush Herbs Inc. a manufacturer of high-quality ayurvedic herbal formulas is an adjunct faculty member at Bastyr and has been published in several natural health magazines. 10 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 Go to www.naturalpractitionermag.com advancednaturals for info about this advertiser HEALTH INDUSTRY NEWS AAHP Recognized as Voice of Homeopathy on Capitol Hill he American Association of Homeopathic Pharmacists (AAHP) Legal & Regulatory Committee recently received the 2017 Henry N. Williams Professional Service Award from the National Center for Homeopathy (NCH). Presented on April 1 during the 2017 Joint American Homeopathic Conference the award honors the committee s efforts in working with the U.S. Food and Drug Administration (FDA) and Federal Trade Commission (FTC) on behalf of homeopathy and the homeopathic community. Formed in 1994 to spearhead the association s activities and initiatives involving the Federal government AAHP s Legal & Regulatory committee works to develop and coordinate strategies to improve the legal framework for the homeopathic industry. A Congressional advocacy component was added to the committee s mission in 2010. Most recently the committee coordinated the industry s response to both FDA and FTC calls for workshops on homeopathic drug products engaged a specialist to present information about the effect of California s Prop 65 on the marketing of homeopathic medicines in that state and submitted press releases to T industry trade publications to share the positive stories of homeopathic medicines. Committee members also spend significant time educating key legislators and influencers in Washington D.C. Recognizing the committee s contribution to homeopathy the Henry N. Williams Professional Service Award honors homeopathic professionals who have demonstrated service leadership and dedication to the homeopathic community. The award was established in 1999 by the National Center for Homeopathy a nonprofit organization dedicated to promoting health through homeopathy. Henry Hal Williams was one of the incorporators of the National Center for Homeopathy in 1974 as well as the Dean of the Center s educational program from 1980 until 1986. We would like to thank the National Center for Homeopathy and its Board for selecting our committee to receive the 2017 Henry N. Williams Professional Service Award said Mark Land AAHP president. Because we all share the common goal of ensuring that consumers have access to safe and effective homeopathic medicines we feel fortunate to be doing this important work in and for this community. The award was presented during the 2017 Joint American Homeopathic Conference hosted by NCH and in conjunction with the American Institute of Homeopathy. The largest gathering of the homeopathic community in the U.S. the conference also featured sessions on the modern scientific underpinnings of homeopathy public health as it relates to homeopathy marketing for homeopathic professionals as well as an exclusive screening of Just One Drop a much-awaited documentary that explores the controversy and dispels myths and misconceptions about homeopathy. For more information visit www.aahp.info. CSMS KHS Partner on Physician-led Health Information Network for Connecticut n support of its mission to improve the quality of care and safeguard the health of patients the Connecticut State Medical Society (CSMS) announced a new partnership with KaMMCO Health Solutions (KHS Topeka KS) to establish a statewide physician-led health information network. This new health information network also known as a health information exchange will allow connected physicians hospitals and other providers to share patient information employing powerful analytic tools designed to help improve clinical outcomes reduce inefficiencies and positively impact patient safety. A launch of the new CSMS-endorsed entity is anticipated late summer 2017. By providing interoperability and development of actionable intelligence through analytics the health information network will provide physicians with the tools to succeed in the new performancebased health care delivery and payment I models. Connecticut physicians have been waiting for some time to have a functioning interoperable system said CSMS President Jeffrey A. Gordon MD. We know that the electronic exchange of medical information improves health outcomes by giving physicians the right information at the right time. Care is better when we are connected. By partnering with KHS we benefit from a proven model developed by Kansas Health Information Network (KHIN) as well as the analytics tools developed based upon input and feedback from a pilot group of physicians and hospitals. Tools such as these benefit patients at the point of care and support physicians and other health care professionals transitioning to the MIPS era under the MACRA law said CSMS Executive Vice President and CEO Matthew Katz. KHS President and Chief Executive Officer Kurt Scott shared We are honored to partner with CSMS to develop this health information network and provide integral business intelligence tools to the health care community of Connecticut. Two organizations with health care provider advocacy at their very core will be collaborating to build a dynamic network of health care solutions. For more information visit www.kammcohealthsolutions.com. 12 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 Go to www.naturalpractitionermag.com natreon for info about this advertiser HEALTH INDUSTRY NEWS AMI s 2017 Physicians CME Conference for Relieving Physician Burnout distinguished faculty of The American Meditation Institution (AMI) will present a 30-credit CME training in yoga science as holistic mind body medicine to relieve and prevent physician burnout at AMI s 9th Annual CME Conference October 24-28 2017. Entitled The Heart and Science of Yoga this comprehensive physician training at the Cranwell Resort and Spa in Lenox MA is accredited through the Albany Medical College Office of Continuing Medical Education. This year s American Meditation Institute Heart and Science of Yoga CME conference is uniquely designed to offer a refreshingly new clearer and kinder perspective on every personal and professional responsibility facing physicians and other health care providers. Through engaging lectures by an accomplished faculty instructive practicums and ongoing Q&A the curriculum will provide easy-to-use practical tools to prevent and reverse the debilitating causes and effects of physician burnout. Lecture topics will include AMI Meditation diaphragmatic breathing easy-gentle yoga yoga psychology the most recent findings on neuroplasticity PTSD trauma resilience chakra system therapy mind function optimization epigenomics ayurveda nutrition functional medicine and lymph system detoxification. Each faculty member at this 2017 CME conference is committed to the advancement and training of yoga science as holistic mind body medicine. Presenters will include Program Director Leonard Perlmutter AMI founder meditational therapist and awardwinning author Mark Pettus MD director A of medical education and population health at Berkshire Health Systems Anthony Santilli MD board-certified in pulmonary and critical care medicine Prashant Kaushik MD board-certified rheumatologist Sara Lazar PhD instructor in the department of psychiatry at Harvard Medical School and an associate researcher in the psychiatry department at Massachusetts General Hospital Susan Lord MD a private practice holistic physician focusing on prevention and treatment and former course director for The Center for Mind-Body Medicine s Food As Medicine program in Washington D.C. Jesse Ritvo MD assistant medical director inpatient psychiatry University of Vermont Health Center Beth Netter MD MT holistic physician and acupuncturist Albany NY Jyothi Bhatt BAMS ayurvedic practitioner and faculty member of Kripalu School of Ayurveda and physician s assistant at New York Presbyterian Weill Cornell Medical Center Gustavo Grodnitzky PhD noted author consultant and psychologist and Chair of The American Meditation Institute s Psychological Education Department and Jenness Cortez Perlmutter faculty member of The American Meditation Institute. Researchers Tait D. Shanafelt MD Lotte N. Dyrbye MD MHPE Colin P West MD PhD from the Mayo Clinic recently conducted a study on the Potential Impact of Burnout on the US Physician Workforce. Findings were published in the Mayo Clinic Proceedings Vol. 91 Issue 11 Pages 16671668. In summary the study found that the increase in burnout observed in U. S. physicians between 2011 and 2014 likely translated into approximately a 1 percent reduction in the professional effort of the U.S. physician workforce. This loss is roughly equivalent to eliminating the graduating class of seven U.S. medical schools. To preserve adequate access to health care there is a societal imperative to provide physicians a better option than burning out working part-time or leaving the profession. Acknowledging the current challenge Conference Director Perlmutter stated The American Meditation Institute acknowledges the troubling reality of physician burnout and is committed to empowering our nation s caregivers with the practical and reliable tools they need to prevent and relieve their stress on a daily basis. This year s conference is dedicated to teaching techniques that help reduce physician burnout through quality comprehensive and evidence-based education. For more information visit www.americanmeditation.org. OBNM Announces New Executive Director fter more than 20 years of working with the naturopathic profession Anne Walsh has just retired from her role as executive director of the Oregon Board of Naturopathic Medicine (OBNM). Walsh s longevity with the licensing board provided stability and consistency at a time that the profession has seen unprecedented growth and change. She was known for her tremendous attention to detail and deep knowledge of the complexity of the regulatory process. Her long tenure also made her a go-to person for a historical perspective on the naturopathic profession not just in Oregon but nationally. Joining OBNM is Mary-Beth Baptista who joined the Board on February 13 had time A to train with Walsh and has now taken the helm. Baptista is an alumni of Syracuse University and earned her JD in 2001 from Northwestern School of Law at Lewis and Clark College. She is a career public servant dedicated to protecting and promoting public health and safety. She served as a Multnomah County District Attorney for more than eight years primarily working in the domestic violence unit serving vulnerable victims and survivors from underserved communities. She then spent five years as the director of the Portland City Auditor s Independent Police Review Division the division of city government responsible for the oversight of the discipline system of the Portland Police Bureau. Most recently as an independent consultant she conducted a comprehensive review of the Oregon Liquor Control Commission s administrative and enforcement policies and rewrote the Commission s policy manuals in those areas. Baptista also serves on the community-based Clackamas County Leadership for Equity Diversity and Inclusion Council and is a volunteer facilitator for Resolutions Northwest. For more information visit www.oregon.gov obnm pages index.aspx. 14 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 Go to www.naturalpractitionermag.com gnosis for info about this advertiser HEALTH INDUSTRY NEWS CSUN Athletics and CSUN s Magaram Center Launch Nutrition and Wellness Partnership alifornia State University Northridge (CSUN) Athletics and CSUN s Marilyn Magaram Center for Food Science Nutrition and Dietetics in the College of Health and Human Development have announced a unique new partnership that will help the two programs create and grow mutually beneficial nutrition and wellness programming. The Matadors existing wellness programming will be supplemented by the Magaram Center s cutting edge best of its kind services expertise and facilities. The partnership which will officially launch with the start of the Fall 2017 semester will include nutrition education mindfulness training an internship exchange research opportunities and community outreach to underserved Los Angeles communities. Over the past several years CSUN Athletics has been working hard to prioritize student-athlete well-being. This new partnership with the Magaram Center a campusand nation-wide leader in nutrition and wellness will help us raise the bar even more and augment individualized programming and education that will directly benefit our student-athletes said Dr. Brandon Martin CSUN director of athletics. I m so proud to help create groundbreaking programming C alongside my partners at the Magaram Center and that together we ll be able to help educate the broader community about the importance of nutrition and fitness. Starting in the fall the Magaram Center will offer CSUN student-athletes coaches and staff cooking classes led by Nutrition and Dietetics graduate students and Dietetic interns and wellness training that will include yoga and meditation. As part of a collaborative idea exchange program there will also be opportunities for CSUN student-athletes to intern with the Magaram Center and for College of Health and Human Development students to intern with the Matadors sports dietitian at the Matador Fueling Station. As the relationship grows CSUN Athletics and the College of Health and Human Development plan to partner on evidencebased research studies and data collection about fueling athletes and other nutritionbased topics that will directly benefit studentathletes and the growth of the College of Health and Human Development s programming. As a leader in the field of nutrition dietetics and food science The Marilyn Magaram Center is proud and excited to work with CSUN Athletics to grow our plethora of pro- grams to more directly benefit CSUN students and help Matadors rise in the global community said Dr. Annette Besnilian CSUN s executive director Marilyn Magaram Center. This partnership is a prime example of what s possible through the collaborative efforts of the CSUN community. It will help us meet many of our campus priorities including student and employee success research engagement sustainability fundraising viability and visibility. The partnership will also directly benefit the greater Los Angeles community through wellness programs that include nutrition and food preparation instruction and grocery shopping tips for underserved areas of Los Angeles. Matador student-athletes will join the Magaram Center s school-based wellness programs such as Taste of Good Health and Let s Grow Health in Schools to strengthen nutrition and physical education programs for Los Angeles Unified School District (LAUSD) children and their families and Magaram Center students and instructors will join CSUN Athletics and the Tree of Life Missionary Baptist Church in similar programming and outreach in Watts. For more information visit www.gomatadors.com. INM Adds New Board Members T trustee for the American Herbal Chasse whose background he Institute for Natural Medicine Products Association and is the includes clinical practice lab sci(INM) whose mission is to transform immediate past-president of the ences extensive teaching and health care in the U.S. by increasing New Hampshire Association of strategic leadership is currently public awareness of naturopathic medicine Naturopathic Doctors. vice president of scientific and and bring proven natural medicine to Ptak is the creator of the regulatory affairs with Emerson patients in need has appointed Jaclyn Practice Success Academy a Ecologics in Manchester NH. At Chasse ND president of the American comprehensive online business Emerson the largest distributor of Association of Naturopathic Physicians Jaclyn Chasse and marketing training course dietary supplements to health care (AANP) a sister organization to the INM for integrative and holistic professionals Chasse provides to a three-year term on the Institute s board health practitioners who want to have more oversight for the medical education and of directors. Together both the INM and time money and freedom in their practice. AANP strive to make naturopathic medicine quality teams. In her 23 years of experience in the health Chasse is also the owner of Perfect available to all Americans as well as increase industry Ptak has developed multiple inFertility a clinical and educational practice recognition of naturopathic physicians. The office and virtual programs. For the past partnership between both organizations also focused on integrative approaches to inferthree years Ptak has led The Mindshare tility. She is a sought-after writer for both helps increase funding and partnership Collaborative a business development and peer-reviewed journals and lay opportunities. networking group for New York Times bestpublications and speaker at Pattie Ptak owner of the selling authors and leaders in the health and national and international conSouthern California-based Practice wellness arena. She is also a well-known ferences presenting on topics in on Purpose a marketing and pracregulatory affairs and integrative speaker and leader in the health and welltice development firm for doctors ness industry as well as a leading practice clinical practice specifically in and a variety of other health development consultant. the specialty areas of women s entrepreneurs has also been For more information visit health infertility and pediatrics. appointed to a three-year term on Pattie Ptak www.naturemed.org. Additionally Chasse serves as a the INM board of directors. 16 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 Seven Pioneers in Medical Wellness to Keynote at the 2017 Global Wellness Summit T he Global Wellness Summit (GWS) recently announced that an all-star lineup of integrative medicine leaders will present at the 2017 conference Dr. Richard Carmona (former U.S. Surgeon General) Elissa Epel PhD (telomeres research pioneer UCSF) Dr. Paul Limburg (Professor of Medicine Mayo Clinic) Dr. Mehmet Oz (Professor of Surgery Columbia University and host The Dr. Oz Show ) Dr. Kenneth R. Pelletier (Professor of Medicine University of Arizona and UCSF) Dr. Michael Roizen (Chief Wellness Officer The Cleveland Clinic) and Dr. Andrew Weil (Founder University of Arizona Center for Integrative Medicine and renowned alternative medicine expert). Together this heavy-hitter roster of experts has transformed the way the world thinks about both wellness and medicine leading the charge for more holistic preventive approaches that--as chronic disease and health care costs soar--represent one of the most critical trends in the world today. They span celebrity doctors who have brought the wellness message to hundreds of millions of people worldwide to doctors who are spearheading a new focus on wellness and prevention at revered medical institutions like the Mayo and Cleveland Clinics. The 2017 Summit theme is Living a Well Life focusing on how new wellness concepts will impact every aspect of an individual s life. And these leaders who impact countless individuals lives will keynote on everything from the latest in mind-body medicine and sleep science to the coming wave of personal biomarker and DNA testing. The 11th-annual conference is being held at The Breakers Palm Beach FL October 9-11 2017. The annual Global Wellness Summit has proven to be the premier convener of health and wellness thought leaders from around the world said Richard Carmona MD MPH FACS and 17th Surgeon General of the United States. This year s unprecedented meeting in Florida will define the essential role of wellness in a world desperately in need of health innovation and disruption. This may be the most influential inspiring and diverse group of medical wellness pioneers ever assembled on a conference stage noted Susie Ellis GWS CEO and chairman. And delegates will have the opportunity to interact with them one-onone during the many networking sessions lunches and roundtables where casual discussions take place. It will be unprecedented access something the Summit is known for. For more information visit www.globalwellnesssummit.com 2017summit . Go to www.naturalpractitionermag.com womensinternational for info about this advertiser MAY 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 17 INM UPDATE Leading Industry Organization Speaks Directly to Natural Practitioner Readers Chronic Pain Strikes Women More By Michelle Simon PhD ND n the 2015 movie Cake Hollywood actress Jennifer Aniston plays a woman suffering from chronic debilitating pain. Her pain is both emotional and physical and her anger is so uncontrollable that she is asked to leave her chronic pain support group. Chances are you or the person next to you is currently experiencing some type of pain. According to a New York Times article chronic pain affects more people than cancer diabetes heart attack and stroke combined.1 The Institute of Medicine estimates there are more than 100 million sufferers in the U.S. costing the nation as much as 635 billion a year in medical treatment and lost productivity.2 Richard W. Rosenquist chairman of the Cleveland Clinic department of pain management said that multiple factors play a role in how we experience pain. This includes genetics social status exercise and information processing in the brain. And for women hormones puberty reproductive status and menstrual cycle also affect pain threshold and perception.3 While everybody experiences pain at some point in their lifetimes our initial introduction to pain often starts as children. We fall off a bicycle or injure ourselves while enjoying other forms of recreational pleasure such as skiing or participating in some form of sport that can contribute to a broken leg or arm. So often later in life these childhood injuries become areas of inflammation resulting in chronic pain. Pain can be an overwhelming condition sometimes so debilitating it can destroy our happiness and our quality of life. Research has found that women experience pain more often and more intensely than men and respond to pain management therapies and pain medications differently. Furthermore women are more likely to suffer from fibromyalgia than men according to a 2009 study in the journal Pain Research Management.4 There are significant differences between women and men when it comes to chronic pain. The statistics are startling in some conditions like fibromyalgia said Michael Moskowitz MD and assistant clinical pro- I fessor for the department of anesthesiology and pain medicine at the University of California Davis and board member of the American Pain Foundation. When you look at that it only makes sense that something biological is occurring here. 5 Chronic debilitating pain is its own breed of cat. And no doubt as humans we will do almost anything to eliminate it thus the rise of prescription pain medications and drugs that so often can lead to addiction. Whatever the cause chronic pain can interfere with many aspects of our lives. For example It can make it difficult to maintain a job or simply interact with co-workers friends and family You can feel depressed and miserable It can keep you from sleeping soundly Your appetite can be diminished You may lose interest in sex It can lessen your desire for physical activities It may lead to drug or alcohol dependency The first step in treating pain is obtaining a diagnosis. During your first initial visit your doctor will ask you questions about 6 When your pain started Location of your pain How does your pain feel (a sharp stabbing pain a steady burning or dull ache ) What makes your pain feel better or worse How does the pain affect your activities of daily living (bathing dressing eating) What types of medicines have been used to treat pain (both prescription and OTC) Any side effects resulting from those medicines Your doctor may also ask questions to learn if you are depressed. Being depressed is quite common among patients with chronic pain. But for some patients depression comes first. The chronic pain may be caused by or be part of the depression.7 In fact many people who are depressed complain about pain problems such as frequent headaches back pain or stomach pain rather than depression.8 Pain and depression are closely related. Depression can cause pain--and pain can cause depression. Sometimes pain and depression create a vicious cycle in which pain worsens symptoms of depression and then the resulting depression worsens feelings of pain.9 Additional research tells us about the four common areas of pain in women that include musculoskeletal abdominal headache and pelvic pain. The National Institutes of Health (NIH) cites numerous studies that examined the prevalence of musculoskeletal pain in men and women. One study that spanned 17 countries on six continents included more than 85 000 participants and it was shown that the occurrence of chronic pain is higher among females than males.10 Other studies from Europe and Australia also indicated that chronic musculoskeletal pain is more common in women than men.11 Other studies reported by NIH found there is a higher prevalence of abdominal pain in women. In fact several countrybased studies of abdominal pain generally support increased prevalence among females.12 NIH reports that there is approximately a three-to-one female-tomale ratio in the diagnosis of irritable bowel syndrome in the U.S. This condition is characterized by recurring symptoms of abdominal pain and problems with bowel habits.13 18 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 INM UPDATE Headache is one of the most common pain conditions. After reviewing more than 60 studies NIH concluded that the prevalence of headaches and migraines is higher for women than men. In the NIH Migraine Study II which included more than 29 000 adults it was estimated that the one-year prevalence of migraines in the U.S. is 18 percent in women and 7 percent in men.14 According to the Women s Health Office of the U.S. Department of Health and Human Services migraines are most common in women between the ages of 20 and 45.15 Furthermore women more than men reported more painful and longerlasting headaches with more associated symptoms including nausea and vomiting.16 Evaluation of the psychologic features of pain whether causal or resultant must be considered. Treatment considerations range from counseling to support of specific neurotransmitters such as serotonin through 5-Hydroxytryptophan (5-HTP) as an example. Patients often benefit most when the care provider casts a wide net with respect to evaluating all contributing factors to a chronic pain condition as well as the most applicable treatment options. Naturopathic medicine for example considers not only the physiologic pain mechanisms but also the unique terrain of the patient regarding their nutrient and psychologic status. Treatment of pain itself can be addressed with herbal approaches like white willow bark which includes salicylic acid the active ingredient in aspirin to prescription pain medications. And by addressing the terrain of the patient we ensure all contributing factors are evaluated and addressed as part of a comprehensive personalized treatment plan. There is evidence that nutrient deficiencies such as low vitamin D status can contribute to chronic pain.11 Vitamin D deficiency is quite prevalent among Americans.17 Evaluating the nutrient status including diet and digestive capacity must be considered. Protein status in the diet must also be evaluated to maximize healing capacity.18 A nutritionist referral may be referred for dietary guidance. Acupuncture is a proven treatment for many forms of pain.19 Physical therapy evaluation may be useful to restore balanced function and recondition a weakened musculoskeletal system. For women suffering from chronic pelvic pain absent a physical injury childbirth or identifiable procedural cause there is significant potential for a history of intimate partner violence. According to the Centers for Disease Control and Prevention three in 10 U.S. women have experienced intimate partner violence physical violence or rape versus one in 10 men.20 Data suggests that this can contribute to pain conditions. The causes of pain are multifaceted. A thorough evaluation should include all variables that may contribute to the onset or delay recovery. Women can have different experiences of pain and this should factor into treatment. After the evaluation identifies the key areas of therapeutic opportunity a personalized care plan can be created which may incorporate a variety of modalities and care providers to address that patient s unique physical and psychological aspects. data meta-analysis. Arch Intern Med. 2012 172(19) 1444-1453. doi 10.1001 archinternmed.2012.3654. 20 Forrest KY1 Stuhldreher WL Prevalence and correlates of vitamin D deficiency in US adults. Nutr Res. 2011 Jan 31(1) 48-54. doi 10.1016 j.nutres.2010.12.001. The Institute of Natural Medicine (INM) Just over 20 years ago a leadership core of naturopathic doctors established INM as a not-for-profit organization dedicated to advancing natural medicine. The purpose of the INM is to increase awareness broaden the public s access and encourage research of natural medicine and therapies. Among its milestones the INM counts the launch of the Association of Accredited Naturopathic Medical Colleges as an independent organization leading California s efforts to obtain licensure for naturopathic physicians and funding graduating naturopathic medical students in studies that advance the profession. The INM has joined forces with the American Association of Naturopathic Physicians serving as its charitable arm to deepen access to naturopathic care public education and research. Dr. Michelle Simon is a licensed naturopathic physician clinician educator and leader in many organizations dedicated to improving the quality and delivery of healthcare. In addition to holding a Naturopathic Doctorate from Bastyr University she also holds a PhD in Biomedical Engineering from the University of North Carolina at Chapel Hill. Dr. Simon serves as president of the Institute for Natural Medicine (INM) treasurer of the American Association of Naturopathic Physicians (AANP) and a director of the Naturopathic Physicians Research Institute (NPRI). Dr. Simon served nine years on the Washington State Health Technology Clinical Committee which is part of the Health Technology Assessment Program (HTA) that examines the scientific evidentiary basis for efficacy safety and cost effectiveness of health care technologies. Dr. Simon has served as an Ambassador to the Academy of Integrative Health and Medicine (AIHM) an international inter-professional organization that educates and trains clinicians in integrative health and medicine and as an invited participant for health care economics at Summit on Integrative Medicine and the Health of the Public at the Institute for Medicine (IOM) in 2009. Dr. Simon also serves on the Advisory Board for Natural Partners Inc. For more information email msimon naturemed.org. References 1 www.washingtonpost.com national health-science chronic-pain-not-only-hurts-it-also-causesisolation-and-depression-but-thereshope 2015 01 12 db576178-7fe7-11e4-81fd8c4814dfa9d7_story.html utm_term .54cb5967c9 ef. 2 www.washingtonpost.com national health-science chronic-pain-not-only-hurts-it-also-causesisolation-and-depression-but-thereshope 2015 01 12 db576178-7fe7-11e4-81fd8c4814dfa9d7_story.html utm_term .54cb5967c9 ef. 3https health.clevelandclinic.org 2015 12 wom en-likely-suffer-chronic-pain . 4 www.everydayhealth.com pain-management women-and-chronic-pain.aspx. 5 www.everydayhealth.com pain-management women-and-chronic-pain.aspx. 6 www.womenshealth.gov files assets docs thehealthy-woman pain.pdf page 352. 7 www.womenshealth.gov files assets docs thehealthy-woman pain.pdf page 352-53. 8 www.womenshealth.gov files assets docs thehealthy-woman pain.pdf page 353. 9 www.mayoclinic.org diseasesconditions depression expert-answers pain-anddepression faq-20057823. 10 https health.clevelandclinic.org 2015 12 womenlikely-suffer-chronic-pain . 11 Ibid. 12 Ibid. 13 Ibid. 14 Ibid. 15 Ibid. 16 Ibid. 17 Atherton K Berry DJ Parsons T et al. Vitamin D and chronic widespread pain in a white middle-aged British population evidence from a cross-sectional population survey. Ann Rheum Dis. 2009 Jun 68(6) 817 22. PubMed 18697776. 18 Russell L. The Importance of patients nutritional status in wound healing. Br J Nurs. 2001 Mar 10(6 Suppl) S42 S44-9. 19 Andrew J. Vickers DPhil Angel M. Cronin MS Alexandra C. Maschino BS et al Acupuncture for chronic pain. Individual patient 20 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 The Balancing Act Today s women--from late teens through 70s--are active engaged involved and determined to not be temporarily derailed by age-related female issues. Here s how to help them achieve and maintain balance. By Lisa Schofield Y ou probably do see more women than men in your practice. Women tend to immediately try to get to the root cause of any issue they encounter and tend to be acutely aware of how they feel. If they feel off they will conduct internet research and then make a visit. (And indeed when curiosity piques internet searching and reading ensues.) And although the current young 20-something generation of women is much much different than the Baby Boomer women the one thing they do have in common is the desire to address health issues immediately and as naturally as possible. Another factor in common Hormones. Just one that is off somehow can have impact. Hormone expert Sara Gottfried MD New York Times bestselling author of The Hormone Cure and The Hormone Reset Diet and her newest book Younger explained that 20-something women tend to feel the effects of poorly managed stress and weight gain which is often caused by high cortisol (released during stress). High cortisol can generate sugar cravings food addictions weight and fat gain and depression it can pull other hormones off line she said. In late 20s sex hormones estrogen progesterone and testosterone start to slowly decrease. Hormone issues become a bit more common and prominent in a woman s 30s when progesterone levels begin to decline. This may be felt in night sweats interrupted sleep and menstrual cycles that are not as regular progesterone resistance said Dr. Gottfried is a key cause of premenstrual syndrome (PMS). The 30-something decade is also fraught with other hormonal fluctuations she explained such as thyroid irregularity which can cause weight gain depression hair loss and GI (gastrointestinal) issues like constipation. Estrogen decline is felt also by low mood and lower libido and lower testosterone can also impact libido as well as cause fatigue poor sleep and weight gain. An increase in the hormone cortisol may make women feel tired but wired and prompts the body to store fuel in places it can be used easily as fat such as in the waist. During this time women do not generally consider their hormones as causing these annoyances. Michelle Violi PharmD dispensing pharmacists manager of the Wisconsin-based Women s International Pharmacy Inc. emphasized Some women may think they don t have to consider hormonal balance until they reach menopause however hormones also play an important role in a woman s health prior to menopause. When women enter their 40s the idea of hormonally induced discomforts emerges and they realize that sometime during this decade the first symptoms of perimenopause will strike. Dr. Gottfried noted that during this time progesterone declines as well as ripe eggs and the body becomes more resistant to estrogen inducing higher levels. These concurrent actions lead to irregular periods moodiness and irritability lower libido memory issues and weight-loss resistance. Further testosterone begins to decline leading to loss of muscle mass while fat mass increases. Throughout the 40s women often deal with PMS--disrupting quality of life and 22 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 those symptoms include tension moodiness irritability breast tenderness bloating cramping cravings fatigue. Violi noted that during this phase--the two weeks prior to start of menstruation progesterone declines and may be linked to mood due to changes in GABA (a calming neurotransmitter) activity. Additionally low thyroid function occurs with greater than expected frequency in women with PMS. Painful periods (primary dysmenorrhea or dysmenorrhea without a secondary underlying cause) is thought to be caused by excessive levels of prostaglandins hormones that make the uterus contract during menstruation and childbirth she explained. Dysmenorrhea is most often treated with drugs that decrease the level of prostaglandins in the body but hormones may still play a role. She pointed out the results of one study looked at hormone levels in women with dysmenorrhea and compared them to women without. The researchers found that women with dysmenorrhea had higher estradiol levels prior to ovulation higher oxytocin levels during menstruation and lower vasopressin levels during menstruation compared to women without dysmenorrhea. Christophe Merville D. Pharm director of education and pharmacy development for Pennsylvania-based Boiron USA said Menstrual pain is the most common gynecological complaint of women and the main cause of women missing work school and other activities approximately 140 million working hours are lost annually because of menstrual pain. Approximately 40 percent of adult females contend with menstrual pain and for 10 percent the pain is so intense they feel incapacitated for one to three days each month. Women are choosing to have children a little later in life and it is no longer uncommon for this to occur in the 40s. Of course during this decade fertility is not as powerful but fertility issues can also exist in one s 20s and 30s when the biological clock is ticking loudly. Infertility is an extremely complex issue but addressing hormonal health first (along with checking diet stress lifestyle and discussing the concept of counseling) would be a sound first step prior to referring to a fertility specialist. According to Violi low thyroid function can affect fertility due to menstrual cycles without ovulation insufficient progesterone levels (luteal phase defect) increased prolactin levels and sex hormone imbalances. Studies have shown progesterone can reduce the rate of pre-term birth in certain individuals she noted. Progesterone is used in patients who experience recurrent miscarriages due to luteal phase deficiency (LPD) a condition of insufficient progesterone exposure to maintain a normal secretory endometrium and allow for normal embryo implantation and growth. Prudence Hall MD founder and director of The Hall Center California stated that optimal fertility is obtained by balancing hormones. She recommends 5-10 mg DHEA and 10-12 mg iodine along with a healthy diet (limit grains gluten sugar) that includes organic protein sources. Other recommendations she said that practitioners can make to their clients patients who want to get pregnant include monitoring and limiting stress (with such tools as the WellBe Approximately 40 percent of adult females contend with menstrual pain and for 10 percent the pain is so intense they feel incapacitated for one to three days each month. bracelet) and getting lots of rest. I am not a fan of the birth control pill because it side effects for some time after use limit fertility. One may need at least three years after taking the pill to conceive which is very frustrating. I always recommend that my patients use alternatives such as an IUD diaphragm and condoms Dr. Hall related. In women in their 50s testosterone continues to decline and at this time too insulin levels rise by 10 points per decade starting around age 50 noted Dr. Gottfried. The average age for menopause is about age 51 and that can be an important initiation. Focus turns on how to prevent breast cancer and the other frightening conditions that come with age. At this point women notice that they are really aging--they see wrinkles on their face they struggle with vision they lose more muscle mass they ache and they get depressed. Note that half of people with depression have high cortisol and 20 percent have low thyroid function. Most women who come to see me are looking for improved energy (91 percent) weight loss (80 percent) help with sex drive (80 percent) and mood support (69 percent) and wonder if bioidentical hormones are a good choice for them she related. There are at least three hormonal changes in perimenopause according to Violi. The first is higher estrogen levels followed by lower progesterone levels with less time between periods and missed ovulation and the final change involves disruption of a hormonal feedback system in the body known as the hypothalamic-pituitary-ovarian feedback system. Follicle stimulating hormone (FSH) and luteinizing hormone (LH) levels are affected which further contributes to higher estradiol and lower progesterone levels. Many allopaths and gynecologists like to prescribe hormone-replacement pharmaceuticals such as the popular PremPro. However one look at the bevy of common side effects is often enough for many busy women to say Is there anything that can help without those potential quality of life killers Holly Lucille ND RN noted that Every woman enters this life phase differently but a few key things that will help in the beginning are to eat a whole foods diet high in fruits vegetables whole grains and legumes. Flaxseed and fermented phytoestrogen foods such as tempeh are very good. Also reduce intake of animal fats and dairy the latter should be clean organic low-fat and incorporating regular weight-bearing and aerobic exercise helps lessen symptoms. Dr. Hall asserted she does not like PremPro and has never recommended it. Instead she said she likes to recommend magnesium melatonin and her sleep-promotion formula Body Software Sweet Sleep because insomnia is one of the most prevalent complaints for which peri-menopausal women seek help. Another common complaint is depressed mood so she advises her Body Software Bliss formula and iodine (10 to 12 mg) which tends to deplete more easily during peri-menopause. I also tell women that it is important to keep stress at bay through meditation yoga and stress monitoring devices such as the WellBe she commented adding that her dietary advice includes no grains or sugar. Dr. Gottfried recommends paced deep breathing for 20 minutes twice a day may cut flashes by 44 percent Acupuncture has been shown to reduce hot flashes and night sweats. Supplements she said have been shown to reduce hot flashes in clinical trials include vitamin E rhubarb and pollen extract (Femal). She also likes maca an herb that helps with a variety of issues associated with hormonal imbalance such as menstrual irregularities enhancing fertility menopause MAY 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 23 then you get fat. Stress makes most women become hypervigilant and causes sleep troubles. Coffee excess cortisol and even cortisol resistance are the most common hormonal reasons for slow metabolism in women. The Balancing Act symptoms and impotence. It increases estradiol in menopausal women and helps with insomnia depression memory concentration energy hot flashes and vaginal dryness as well as improved body mass index and bone density. Dr. Lucille likes to recommend bioflavonoids such as rutin and quercetin vitamin B6 (for mood supporting serotonin) evening primrose oil gamma oryzanol and vitamin E for alleviating hot flashes Ginkgo biloba to support against brain fog licorice for adrenal support and dong quai for overall support. There are other complaints your women clients patients may present to you for solutions. Embarrassing problems may emerge due to hormonal imbalances as well. According to Natalie Lamb technical advisor Bio-Kult (Protexin) explained Estrogen is known to stimulate the proliferation of lactobacillus in the vagina so it is not surprising that hormonal variations can affect microflora balance in women throughout their lives. The predominance of lactobacilli in the vagina is known to create an acidic environment that protects women from infection and its absence is the specific feature in common women s conditions such as bacterial vaginosis candida and UTIs. Women of all ages are indeed experiencing more tumultuous times because of hormonal fluctuations today than their mothers and grandmothers experienced. Dr. Gottfried pointed to several reasons notably the modern fast-paced always-connected digital world being more on than off. Endocrine disruptors (toxins that affect hormones and their activities) have been shown to interfere with the production transportation and metabolism of most hormones. Slow metabolism (which leads to weight gain and stubborn stomach fat) is also caused by hormones notably cortisol--and more women are fighting the cortisol balance due to more stressful lives combined with endocrine disruptors. Cortisol is the key stress hormone that also has a primary role in creating cravings and disrupting sleep wake patterns. It s basically a downward spiral described Dr. Gottfried. When you get stressed cortisol rises you overeat you drink coffee cortisol rises higher and Supplement Options Several manufacturers have products you can confidently recommend to women who want hormonal balancing support. For your clients patients who feel their PMS symptoms are getting in the way Connecticut-based Vital Nutrients offers PMS Support and Vitex 750 to help support endogenous progesterone production in the second half of the menstrual cycle to balance high estrogen levels (estrogen dominance) help reduce PMS symptoms and support regular ovulation and menstrual cycles described Beth Baldwin-Lien ND director of medical affairs and education. Vitex appears to act on the hypothalamic-pituitary axis while vitamin B6 in PMS Support encourages healthy estrogen metabolism wild yam has anti-spasmodic properties and passionflower is a calming herb she said. For women who need ovarian support Vital Nutrients d-Pinitol or Inositol Powder have been shown to support regular menstrual cycles and ovulation by improving insulin sensitivity. Homeopathic solutions are available for women dealing with menstrual discomforts. Cyclease Cramp from Boiron said Dr. Merville provides targeted relief of symptoms associated with menstruation over the choice of general pain relievers. It combines three homeopathic medicines to target cramps improved by lying down bending over and by warmth. Cyclease Cramp is free of general allover pain ingredients such as aspirin ibuprofen naproxen sodium and acetaminophen which are commonly found in many medications for cramps and PMS and therefore lower the risk of an upset the stomach allergic reaction dependency or overdose. Boiron s Cyclease PMS combines three homeopathic medicines that work on a range of symptoms including aches lower back pain bloating as well as irritability. Because it works on a variety of symptoms without causing side effects Cyclease PMS makes it easier for women to find relief in one convenient product Dr. Merville said. It is free of stimulants such as caffeine (used as a diuretic to help with water retention) and sedatives. There is no reason to monitor caffeine consumption he asserted. Cyclease can be taken day or night with no risk of causing sleeplessness nervousness or drowsiness. Older women experiencing perimenopause symptoms and who want natural relief may find it in several supplements. Patient One MenoCool from Patient One MediNutritionals New York is a multi-function natural women s wellness formula designed to promote climateric comfort and healthy mood during menopause according to company Vice President Kathy McIntee. Science shows that phytoestrogens can help reduce the incidence and duration of hot flashes and night sweats and may help with the discomfort of other menopausal symptoms she emphasized. MenoCool s soy-free isofavones exert a mildly estrogenic effect helping to optimize estrogen pathways and receptors for ideal hormonal balance she added. Phytoestrogens adaptogens triterpene glycosides from black cohosh and gammalinolenic acid from evening primrose oil are included in the supplement to support healthy stable mood sustained mental clarity and whole-body comfort. Patient One recommends your clients patients start with a loading dose of MenoCool during the first week and then be consistent in taking MenoCool for optimal effects. Vital Nutrients Menopause Support formula and Black Cohosh Extract can provide adaptogenic support for women during perimenopause and help alleviate hot flashes and other common symptoms according to Dr. Baldwin-Lien. The Sage and Ginkgo biloba in Menopause Support help provide mood and cognitive support. According to Dr. Merville menopausal and premenopausal women who do not qualify for hormonal therapy or can t take phytoestrogens may find hot flash relief with Boiron s Acteane. The hormone-free soyfree homeopathic medicine reduces the (Continued on page 35) WWW.NATURALPRACTITIONERMAG.COM MAY 2017 24 NATURAL PRACTITIONER Go to www.naturalpractitionermag.com pharmachem for info about this advertiser Dealing with pain is never easy but learning new ways to help patients combat it can make it treatable. By Nicholas Saraceno P ain p-a-i-n. What appears to be such a simple word in the English language is far from it as it can impact men women and children of Common Types of Pain Pain can be classified on several different levels--on a broader scale it can be simply defined as one of two options acute or chronic. There are two types of pain--acute and chronic said Natasha Paroutis nutrition director with New Jersey-based CustomVite. Acute pain is normal pain that occurs when you ve been injured. Acute pain starts suddenly but doesn t last long. For example if you slam your finger in a car door your body sends a pain message to your brain motivating you to rest the injured area so that the damaged tissue can begin the healing process. Acute pain is caused by (but is not limited to) breaking a bone hitting your head burning yourself etc. Chronic pain on the other hand occurs continually or intermittently and lasts much longer than acute pain--typically for three to six months or more. This type of pain signals a more ongoing problem that often needs to be addressed by a health care practitioner. Chronic pain can be caused by (but all ages. The difference lies in how individuals choose to manage it. According to Jacob Teitelbaum MD Natural Practitioner Advisory Board member and author of Pain Free 1-2-3 A Proven Program for Eliminating Chronic Pain Now one third of Americans are currently suffering with pain. Prescribed narcotic drug overdoses result in 15 000 U.S. deaths per year. Statistics such as these can raise many different questions. Are there certain medications that function better with specific types of pain Could there be more natural ways in which to treat a condition Indeed effectively helping patients cope with pain can involve staying in the know of the most prevalent types of pain the role that ingredients play in being effective and the impact that one s lifestyle can have on the management process. is not limited to) arthritis endometriosis migraines fibromyalgia etc. Chronic pain can be cyclical in that the pain causes anxiety and the anxiety makes the pain more intense. This leads to the chronic pain cycle which can have serious psychological effects. As Paroutis referenced chronic pain can either be persistent or sporadic. To Cheryl Myers chief of education and scientific affairs at EuroMedica in Wisconsin there are various types of chronic pains that are quite prevalent in patients. Lower back pain is probably one of the most common and one that practitioners and chiropractors probably deal with daily she noted. Aside from that there is pain associated with activity--runners and athletes dealing with foot and knee injuries or wear and tear or people who do repetitive tasks for their job. So tendonitis carpal tunnel and joint pain are a big part of the picture too. In fact although these pains can impact multiple age groups some of the aforemen- 26 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 tioned conditions are more pertinent to certain demographics than others. The younger demographic from around 20 to 35 years of age is most likely to experience muscle pain associated with workouts or athletics--however this can extend through a person s entire life if they are active said Brandon Price president of Medicine Springs Inc. in Montana. As a person nears 40 years of age and for the rest of [his or her] life [he or she] begins to have pain associated with aging such as arthritis. Joint and back pain become more prevalent and proper nutrition and mineral supplements such as the ones found in hot springs or in Medicine Springs products seem to have a significant positive impact on treating both types of pain across all the age demographics. What is the right approach in treating these conditions Perhaps taking the natural route could be the solution. Natural Remedies Growing up one may have picked up on simple yet effective ways to treat every day issues such as colds bruises and the like especially from family and friends. When it comes to pain relief one can look no further than magnesium a component of the periodic table of elements a staple of high school chemistry. Magnesium discovered in the year 1755 is the eighth most abundant element found in the Earth s crust (Royal Society of Chemistry). The National Institutes of Health mentioned that an adult body contains about 25 g of magnesium with 50-60 percent of that being found in the bones and the bulk of the remaining percentage lying in the soft tissues. Carolyn Dean MD ND and Medical Advisory Board member with the Nutritional Magnesium Association cited it as being vital a tool for managing pain in humans especially when mixed with other elements to make different compounds. Magnesium is the most beneficial nutrient for pain relief noted Dr. Dean. Magnesium is a natural anti-inflammatory a muscle relaxant a natural detoxifier and a natural sleep aid that will allow the body to achieve deep restful restorative sleep. It s just a matter of using enough. Not all forms of magnesium are easily absorbed by the body. Oral magnesium citrate powder mixed in hot or cold water and sipped throughout the day is a highly absorbable form that is easy to take. To avoid the laxative effect take magnesium throughout the day and not in one large single dose. One company that utilizes magnesium while keeping these affects in mind is Texasbased Natural Vitality with its Natural Calm product. Natural Vitality uses a proprietary blend of ionic magnesium citrate in its Natural Calm product because it is the best form of magnesium for general application said Andreas Koch of Natural Vitality. Within the natural products industry magnesium citrate--specifically Natural Calm--is the most widely used magnesium supplement. It outsells other forms or combinations of forms by a significant margin and has done so for over 11 years. The issue with any magnesium supplement is bioavailability. Aside from Natural Calm users stating the benefits they received a recent independent bioavailability analysis was conducted by the International Center for Integrative Systems which rated Natural Calm as 100 percent absorbable. Besides magnesium practitioners also prefer other reputable ingredients which have an even greater effect if used in combination with other medicine. The most effective general pain relief natural therapy that I have found is a unique mix of a special highly absorbed curcumin boswellia DLPA and nattokinase. It is available from EuroMedica as a product called Curaphen mentioned Dr. Teitelbaum. This mix has been a pain relief miracle and has eliminated pain that even morphine was ineffective for. I will usually then add topical comfrey (Traumaplant by EuroMedica) and if needed the Pain Formula by Integrative Therapeutics. All of these can be taken together as well as being combined with any other pain medications. They begin to work quickly and increase in effectiveness over six weeks. After three months of pain being controlled the dose may often be decreased. If used correctly these substances can be quite beneficial in strengthening one s inflammatory response among other advantages. Many of them have been components of ayurveda which dates back thousands upon thousands of years. Boswellia supports a healthy inflammatory response and healthy blood circulation as well as proper joint and cartilage function noted Jared Paulson MTCM national sales and education manager with Washington-based Ayush Herbs Inc. Additional herbs in the formula include Zingiber officinale (ginger) Withania somnifera (ashwagandha) and Curcuma longa (curcumin turmeric)--all of which have long been used in ayurveda to provide support for good joint and cartilage function. Curcumin is also used to support the maintenance of healthy inflammatory response. Ashwagandha can help improve muscle and joint recovery after intense exercise. Boswelya Plus from Ayush Herbs also con- tains glucosamine and chondroitin (sourced from shellfish) for healthy joints through proper nutritional support and bromelain in order to support a healthy inflammatory response. Lifestyle & Diet It has often been said that there is a positive correlation between a healthy diet and one s mood. Similarly the proper foods are able to positively impact inflammation and other body responses. You can definitely affect levels of inflammation by what you choose to eat. The best whole foods fight inflammation and freeradical damage. They don t create blood sugar spikes weight gain or heart disease said Myers. Whole unprocessed foods including cold water fish healthy non-cured meats and whole fats like olive oil or butter (not hydrogenated fats like margarine) are more a much better choice and fairly easy to begin incorporating into a diet. Fresh vegetables green tea garlic blueberries apples almonds grapes even dark chocolate are good choices too. Different practitioners may have different ideas about the proper types and amounts of proteins and fats to include in a diet but I would guess that most would agree that the less processing the better. Additionally for anyone who has found themselves not being active and stuck in a sedentary pattern getting back to some form of exercise is a good way to keep pain at bay. This is something that patients can work on with their practitioners too. But even starting out taking a lunchtime walk around the block or an after work swim at the local health club can begin to build (or rebuild) muscles and help a person ultimately reduce SweetCheeks Massage Mat T his massage mat by Texas-based SweetCheeks Products Inc. builds an easy therapeutic 30minute massage into your day just by simply sitting on it. It leverages your body weight against the textured surface and its purposeful and natural movements enhance the massaging effect while you sit. According to the company its benefits include immediate increase of local circulation which in turn helps relieve minor aches and pains reduce the appearance of cellulite and more It has a suggested price of 119. For more information call (844) 793-3824 or visit www.sweetcheeksproducts.com. MAY 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 27 Consumers are interested in alternatives to harsh or difficult to digest pharmaceuticals and many look to herbal formulations for relief. Myers expanded upon the traditional medication controversy--consumers must be aware that there must ingest these items at their own risk. I think that just a glance their levels of pain. One way to test how much of an impact certain foods are truly having on one s body is to conduct a simple yet effective experiment that will allow one to isolate the items that could be causing the pain or inflammation issues. Gluten sugar alcohol and food allergies can all increase pain and inflammation in the body mentioned Dr. Dean. You can do your own experiment. Remove one food or food group at a time from your diet for two weeks and then have a big meal of that food and see if your pain first goes away and second returns. Keep the body moving is the advice of Dr. John Sarno (author of the book Healing Back Pain). When we injure ourselves and stop moving the scar tissue around the injury can shorten muscles and reinforce the injury and the pain. According to Paulson a major symptom that patients may experience is fatigue an issue stemming from digestive issues that can affect all aspects of pain management. Poor digestion resulting from inadequate diet he said leads to fatigue which lessens our ability to handle pain both physically and mentally. A lack of exercise leads to reduced capacity for quick healing of an injury due to a lack of good flow to all regions of the body. Both lead to chronic inflammation which enhances pain and increases likelihood to get injured. Increased stress increases neck and shoulder tension which in turn increases tension headaches and stomach upset. at the headlines about the dangers of prescription and over-the-counter pain killers shows that we need a dramatically different approach ... Reports in Europe have led authorities to considering restricting the sale of ibuprofen because it increases the risk of heart attacks up to 31 percent according to a Danish study. --Cheryl Myers Chief of Education and Scientific Affairs EuroMedica agement and relief companies including CustomVite are passionate about integrating new cutting-edge research about the benefits of specific supplements for pain management and incorporating that research into their formulations. We [CustomVite] are very interested in pain management relief as we feel that nutritional supplements can significantly reduce pain associated with various health conditions Paroutis said. Our mission is to enhance each individual s overall health and wellness. We help you reach your health goals by providing personalized nutritional supplements of the highest quality that are convenient and cost-effective. Our nutrition team is constantly reading the most up-todate peer reviewed journals related to the effectiveness of nutritional supplementation and how they can help with conditions associated with chronic pain. As studies continue to be published the stigma surrounding pain is beginning to change. People are starting to recognize that pain is not the enemy noted Dr. Teitelbaum. It is not an outside invader like an infection. Rather it is more like the oil light on our body s dashboard telling us that something needs attention. Each kind of pain is asking for something different. One third of Americans are currently suffering with pain. The National Institutes of Health mentioned that an adult body contains about 25 g of magnesium with 50-60 percent of that being found in the bones and the bulk of the remaining percentage lying in the soft tissues. One way to test how much of an impact certain foods are truly having on one s body is to conduct a simple yet effective experiment that will allow one to isolate the items that could be causing the pain or inflammation issues. State of the Market In general pain relief encompasses a plethora of products such as Texas-based Alchem USA Inc. s FlexiQule which is the first blend of concentrated Boswellia serrata extract and Zingiber officinale with enhanced bioavailability according to Taylor Cage the company s marketing and sales coordinator. The many options for patients to choose from helps pave the way for alternatives to traditional medication such as herbs and supplements due to issues that patients could potentially encounter from pharmaceutical drugs. The market for pain relief is a consistent if not [a] growing factor Paulson added. Well the state of the market seems to be in flux right now she stated. I think that just a glance at the headlines about the dangers of prescription and over-the-counter pain killers shows that we need a dramatically different approach ... Reports in Europe have led authorities to considering restricting the sale of ibuprofen because it increases the risk of heart attacks up to 31 percent according to a Danish study. Another painkiller diclofenac also raises the risk by 50 percent. These are big numbers and conventional drugs pose a big problem. On the other hand supplemental pain relief provides a completely different outlook. If you re talking about supplemental pain relief than I think the market is very strong especially for the very reasons that people are worried about--addiction damage to the stomach liver and brain and many other potentially chronic side effects Myers continued. So I think that what we re seeing on the natural health side is a surge of interest in finding effective and safe ingredients that provide the same level of relief (if not actually better) than the conventional options. Healthy Take Aways FOR MORE INFORMATION Research When it comes to understanding pain man- Alchem USA Inc. www.alcheminternational.com Ayush Herbs Inc. www.ayush.com CustomVite (NutriLab LLC) www.customvite.com. EuroMedica www.euromedicausa.com Medicine Springs Inc. www.medicinesprings.com Natural Vitality www.naturalvitality.com 28 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 THE GO TO RESOURCE FOR ALTERNATIVE & INTEGRATIVE HEALTHCARE PROFESSIONALS NP s Upcoming Issue Highlights June July August September October November 6 1 17 ad closing 7 12 17 ad closing 9 18 17 ad closing 10 18 17 ad closing Weight Management AANP Show Issue Quality Company Profiles Reproductive Health Inflammation Children s Health Digestion A4M Show Issue Our 2017 Media Planner Is Available At NaturalPractitionerMag.com 2017-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 PRODUCT FOCUS Maintaining Healthy Blood Sugar onitoring one s blood sugar or blood glucose is vital for diabetics and there are various ways to do so. According to the American Diabetes Association (ADA) patients who are taking insulin pregnant have low blood glucose levels and have ketones from high blood glucose levels should potentially check on this. Patients can visit diabetes.org for specific ways to keep track. For diabetics the ADA suggests that blood sugar be in the range of 80-130 mg dl before a meal while showing less than 180 mg dl one to two hours after a meal. This is compared to 70-99 mg dl before a meal and under 140 mg dl for those without diabetes M By Nicholas Saraceno (diabetesselfmanagment.com). According to the Centers for Disease Control and Prevention (CDC) s National Diabetes Report 2014 it is estimated that more than 29 million people in the United States have diabetes (9.3 percent of the population) which is three million people more than a 2010 estimate. Of that amount 25 percent (one in four) of Americans are unaware that they have it. Although 86 million adults older than the age of 20 have prediabetes it also impacts the youth. Although the amount may not appear as attention grabbing to some 208 000 people under 20 have already been diagnosed with either type 1 or type 2 diabetes. These numbers have resulted in various responses including from Ann Albright PhD RD director of the CDC s Division of Diabetes who mentioned that they [the statistics] are alarming and underscore the need for an increased focus on reducing the burden of diabetes in our country. These are valuable figures to be aware of--below are a few items that practitioners can recommend to their patients to help support healthy blood sugar levels. BioGymnema BioGymnema by Washington-based Ayush Herbs is rooted in ayurvedic tradition to maintain blood sugar levels already within range. Gymnema sylvestre or gurmar is referred to as the destroyer of sugar in Hindi when the leaves are chewed it inhibits ability to taste sweetness. Multiple research studies demonstrate G. sylvestre targets several of the factors connected with diabetes including chronic inflammation obesity enzymatic defects and pancreatic cell function (Leach 2007). gymnema s constituents decrease the absorption of sugar from the intestine and is believed to increase the amount of insulin in the body via cell permeability (Persaud 1999). The suggested price for 90 capsules is 35. For more information call (425) 637-1400 or visit www.ayush.com. Advanced Glucose Support Advanced Glucose Support by Clinical Synergy Professional Formulas (California) is a physicianformulated nutraceutical supplement that combines botanical extracts and medicinal mushrooms drawn from traditional Chinese ayurvedic and naturopathic health systems together with essential minerals and other bioactive compounds. Advanced Glucose Support works through multiple mechanisms to support healthy glycemic control and insulin function balanced blood lipids and healthy metabolic function. This product offers vital support for adults seeking natural solutions to long-term metabolic health. The suggested price for 90 vegetable capsules is 59.95. For more information call (877) 877-2362 or visit www.clinicalsynergyformulas.com. Sucontral D Maintaining healthy blood sugar levels already within the normal range is an important factor for an increasing number of Americans and their practitioners. Sucontral D by EuroMedica (Wisconsin) features a clinically studied extract of Hintonia latiflora with additional nutrients that help balance blood sugar levels throughout the day and support healthy insulin function. Validated by more than 60 years of German research clinical studies have shown that using Sucontral D alone-- or in combination with conventional approaches--manages carbohydrate metabolism and supports healthy A1C levels. A compound in the bark extract of Hintonia latiflora coutareagenin affects the alpha-glucosidase pathways and helps slow glucose absorption. Sixty capsules have a suggested price of 35.95. Supports healthy blood sugar levels already within normal range. 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. PrenuPhase PrenuPhase is an exclusive NuMedica (Oklahoma) formulation featuring three researched and patented ingredients clinically shown to provide comprehensive glycemic and metabolic management support. Prenulin a proprietary blend of L-arabinose and Chromax has been clinically proven to aid in reducing glucose and insulin impact by almost 30 percent. Phase 2 Carb Controller is a patented extract of white kidney bean clinically shown to help delay the digestion and absorption of dietary starches. InnoSlim is a patented all-natural ingredient derived from Panax notoginseng and Astragalus membranaceus shown to help decrease circulating glucose which may reduce glucose absorption in the intestine while reducing fat accumulation. A 90-count of PrenuPhase vegetable capsules has a suggested price of 45.90. 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. For more information call (866) 842-7256 or visit www.euromedicausa.com. For more information call (800) 869-8100 or visit www.numedica.com. 30 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 MitoQ Blood Sugar MitoQ Blood Sugar (manufactured by MitoQ Ltd. in New Zealand) is a ground-breaking formula based on the world s first mitochondria-targeted antioxidant MitoQ. MitoQ is an advanced form of CoQ10 which selectively targets and is actively taken up into energy-producing mitochondria at levels hundreds of times greater than standard CoQ10. It helps prevent and repair free radical damage to cells and significantly improves cellular function allowing for optimal organ health and blood sugar management. MitoQ Blood Sugar also contains cinnamon extract chromium picolinate and zinc all clinically proven to assist with the management of normal blood sugar levels. Sixty vegetable capsules (30 servings) have a suggested price of 69.95. For more information visit www.mitoq.com. Glucose Care Patient One s Glucose Care (by New York-based MediNutritionals) combines advanced clinically verified nutrients and botanicals with synergistic vitamins and minerals into a multi-function formula to help regulate and maintain blood sugar already within normal range. Cinnamon has been studied for its role in glucose uptake glycogen synthesis insulin action and support for healthy blood lipid metabolism. Restoring chromium levels that are often deficient in those with impaired glucose metabolism may help to stabilize blood sugar levels. Manganese can help restore pancreatic function and vanadium is believed to enhance effects of insulin and support balanced glucose metabolism. Glucose Care also supplies zinc which is often depleted in those with hyperglycemia and impaired glucose metabolism. Forty servings (120 capsules) are available for a suggested price of 24.50. For more information call (877) 723-0777 or visit www.patientoneformulas.com. SX-Fraction Based in New Jersey Mushroom Wisdom s SX-Fraction (from maitake mushroom) has exhibited tremendous promise for maintaining a balanced and healthy metabolism in laboratory and clinical research. SX-Fraction is a safe all natural supplement developed to support healthy blood sugar levels and healthy insulin functioning. SX-Fraction is available direct or through your distributor. The suggested price for 90 and 270 vegetable tablets are 44.95 and 119.95 respectively. These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose treat cure or prevent any disease. Blood Sugar Support Connecticut-based Vital Nutrients Blood Sugar Support contains a synergistic blend of eight ingredients to provide support for optimal pancreatic function. American ginseng an herb promotes healthy post-prandial glucose levels. Holy basil and Gymnema sylvestre have been used for centuries in ayurvedic practice for similar purposes. Chromium assists with the maintenance of lean muscle mass in healthy individuals and maintaining beneficial levels of HDL already in the normal range. Used in Asia for a variety of health issues cinnamon also has a beneficial effect in the maintenance of already normal-range blood sugar levels in healthy people. Sixty- and 120-ct. bottles have suggested prices of 28.90 and 52.30 respectively. For more information call (888) 328-9992 or visit www.vitalnutrients.net. For more information call (800) 747-7418 or visit www.mushroomwisdom.com. Ultra Glucose Control Ultra Glucose Control (UGC) by Metagenics Inc. (manufacturing location in Washington) is formulated for the nutritional management of glucose response. UGC delivers a ratio-balanced combination of carbohydrates protein and fat (40-30-30) consistent with recommendations from clinical centers. Formulated with MetaRelease--a proprietary blend of slowrelease complex carbohydrates (UCAN SuperStarch) and fiber--along with high quality proteins and branched chain amino acids UGC supports a balanced glucose response and sustained energy release. Seven servings have a suggested price of 39.95. Notice This medical food is to be used under the direct supervision of a physician or other licensed health care practitioner for patients with prediabetes or diabetes or those who need support for glucose response management. Do not engage in any diet supplying less than 800 calories per day without medical supervision. Don t miss a single issue of NP in 2017... go online to renew your free subscription today NaturalPractitionerMag.com May17 For more information call (800) 692-9400 or visit www.metagenics.com. MAY 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 31 SUPPLEMENTSCIENCE Lutein & Zeaxanthin Protection Against Blue Light Damage to Eyes By Gene Bruno MS MHS RH(AHG)-- Huntington College of Health Sciences utein and zeaxanthin isomers (rrand rs (meso)-zeaxanthin) are known as the macular carotenoids and well known for the role they play in supporting eye health. These carotenoid antioxidants are found in high concentrations in the part of the retina where age-related macular degeneration strikes 1 and research suggests that lutein and zeaxanthin may have value in reducing the both the risk of macular degeneration2 and cataracts.3-5 The role that lutein and zeaxanthin isomers play in mitigating the effects of blue light on other types of common retinal damage that occurs every day is not as widely known but is critical. L ula the blue wavelengths penetrate deeply into the eye and have the greatest potential to damage retinal tissue by inducing free radicals etc.6-9 It turns out that ongoing exposure to blue light (regardless of the source) is a major risk factor for various retinal pathologies.10-13 Some research has evaluated the blue-light hazards from many different light sources and reported that the exposure to some of them for even for less than a minute is hazardous to the retina.14 Furthermore blue light is relatively ubiquitous. Sources include sunlight digital devices (computers tablets smart phones etc.) and artificial light so it is hard to avoid.15-20 Blue Light Explained Blue light is the most energized component of visible light--and it surrounds us. Here s how it works. Upon passing through the lens of the human eye the visible wavelengths of light (e.g. UV blue) are focused upon the macular area of the retina. Of the wavelengths of visible light impinged upon the mac- Blue Light Exposure and its Impact on Visual Function So how much blue light exposure does it take to result in eye damage and what is the extent of that damage Research indicates that headache eye fatigue and other indications of eye strain are associated with the daily use of video display terminals on computers and other electronic devices and are common with three or more hours day of exposure and such exposure is common. In fact 30 percent of adults spend more than half their waking hours (more than nine hours) using a digital device 50 percent of Americans use digital devices more than five hours a day and 70 percent use two or more digital devices at the same time.21 This exposure to blue light is exacerbated by the fact that blue LED lighting is poised to increase by 800 percent in the next few years eleven and 72.5 percent of adults are unaware of the potential dangers of blue light to eyes.22 But the dangers are real and prevalent. In one study23 of 477 office workers the following values of symptom prevalence were found in women and men respectively eye strain 50.7 percent and 32.6 percent disturbed visual acuity 38.3 percent and 21.2 percent mucosal dryness and eye burning 46.5 percent and 24.2 percent. Such visual health related symptoms in adults and children resulting from blue light digital exposure are now referred to as com- 32 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 puter vision syndrome (CVS).24 Not only that but blue light exposure can also have negative effects on psychological stress and overall health as well as sleep quality. The Good News Lutein and Zeaxanthin Isomers Now that you ve heard the bad news about blue light and its damaging effects on the eyes it s time for the good news. In short supplementation with lutein and zeaxanthin isomers can provide substantial protection against blue light damage. In fact that is arguably the major role that these carotenoids naturally play in the human body. Of the more than 600 carotenoids found in nature only lutein and zeaxanthin isomers (RR-zeaxanthin and RS (meso)-zeaxanthin) are located in the eye--specifically the macula. These yellow carotenoids make up the macular pigment and the way in which they are deposited in the macula is highly specific lutein is preferentially deposited in the peripheral macula RR-zeaxanthin in the mid-peripheral macula and mesozeaxanthin at the center of the macula which is the region most susceptible to photo-oxidative damage. Because these carotenoids are yellow they selectively absorb high-energy blue light effectively protecting the retina from the region of the light spectrum that can cause tissue damage and limiting the ability of light to generate free-radical oxygen and inflammation. Essentially they act as primary filters of high-energy blue light. You might think of them as an internal pair of sunglasses for your eyes. It should also be noted that the average U.S. dietary intake of lutein daily is less than 2 mg and zeaxanthin is less than 0.5 mg. This is far below the 10-20 mg of lutein and 2-5 mg of zeaxanthin shown in research to be beneficial. Consequently supplementation is a viable approach to maintain optimal levels of all three macular carotenoids to support visual health. Now let s take a look at human supplementation research on these carotenoids. Macular pigment optical density and visual performance They found that supplementing with lutein and zeaxanthin isomers (as Lutemax 2020 from OmniActive Health Technologies) reduced headaches eye fatigue and eye strain. A double-blind placebo controlled 12-month trial25-27 was conducted to assess the effects of lutein and zeaxanthin meso-zeaxanthin (in a 5 1 ratio L Z as Lutemax 2020) versus placebo on macular pigment optical density (MPOD a measure of the amount of the macular pigments lutein zeaxanthin deposited in the macula) visual performance total antioxidant potential and brain-derived neurotrophic factor (BDNF) in 60 subjects. Two levels of daily lutein supplementation were used 10 mg (2 mg Z) and 20 mg (4 mg Z). The results were that Both doses of significantly improved contrast sensitivity (CS) compared to baseline and compared to placebo at 12 months. Both doses of significantly improved glare performance (i.e. excessive brightness as might be caused by oncoming headlights at night) compared baseline and compared to placebo at six and 12 months. Both doses of significantly improved photo stress recovery (i.e. a clinical procedure measuring the amount of time required for the macula to return to its normal level of function after being exposed to a bright light source) compared to baseline and 20 mgL 4 mg Z improved photo stress recover compared to placebo at six and 12 months. Both doses of significantly improved MPOD compared baseline and 20 mgL 4 mg Z improved photo stress recover compared to placebo at six and 12 months. In addition lutein zeaxanthin improved levels of BDNF (a neurotrophin that is particularly active in hippocampus cortex and basal forebrain--areas that are involved in learning memory and higher cognitive processes). In this study 28 the accumulation of lutein in the retina (MPOD) was assessed and compared to serum BDNF. Results showed that BDNF in lutein-supplemented subjects was found to significantly increase over the sixmonth study period (p 0.0243) whereas the placebo group did not change (p 0.874). This indicates that favorable response to lutein supplementation in the retina (and presumably the brain) leads to proportional increases in systemic levels of BDNF. Because neuro-inflammation has been shown to reduce BDNF levels the anti-inflammatory capability of lutein is a plausible mechanism for this effect. In addition lutein supplementation also enhanced antioxidant levels after six months compared to placebo. Psychological Stress and Overall Health The Nutritional Neuroscience Laboratory at the University of Georgia conducted a 12-week double-blind placebo-controlled trial29 in 28 healthy subjects to characterize the response dynamics in both blood and retina for three different daily levels of lutein and zeaxanthin meso-zeaxanthin (as Lutemax 2020) versus placebo. The three doses of lutein were 6 mg (1.5 mg Z) 10 mg (2 mg Z) and 20 mg (4 mg Z) versus placebo. Data regarding subjects psychological stress and overall health status were also obtained. The results were that macular pigment opti- Eye Strain Eye Fatigue and Headache A study presented at ARVO (The Association for the Research in Vision and Ophthalmology) and conducted at the University of Georgia showed a relationship of exposure to blue light from digital devices and visual performance. MAY 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 33 SUPPLEMENTSCIENCE cal density (MPOD) increased significantly in each of the lutein supplementation groups compared to placebo which exhibited little to no change throughout the trial. MPOD increased more as the lutein zeaxanthin isomers dose increased with greatest increases seen in those taking 20 mg of lutein. The increases in MPOD were also seen more quickly at higher doses with significant increases occurring at 12 weeks for the 6-mg group (p 0.046) but at eight weeks for the 10-mg and 20-mg group (p 0.001). Another interesting finding was that those subjects with higher levels of MPOD tended to maintain a lower psychological stress profile (p 0.0087). After 12 weeks of lutein supplementation psychological stress levels were found to be reduced significantly. The placebo group did not change in this regard. Furthermore those with higher MPOD tended to have fewer health-related problems (e.g. were sick less often suffered less from allergies p 0.002). After 12 weeks of lutein supplementation each group exhibited a significant reduction in health-related problems (6 mg p 0.041 10 mg p 0.029 20 mg p 0.047). Based on the results of this study it appears that ingestion of the lutein supplements at all three levels tested produces significant response in the retina after only 12 weeks of supplementation. This is also the first study to show a relationship between lutein and psychological stress and overall health. double-blind placebo-controlled trial with 45 healthy individuals. Those in the active supplement group ingested 20mg lutein and 4-mg zeaxanthin isomers daily (as Lutemax 2020). Sleep quality was evaluated with the Pittsburgh Sleep Quality Index (PSQI). Critical flicker fusion frequency (CFF) and contract sensitivity (CS) were also measured. Outdoor and indoor exposure to light (UV) and electronic devices before and after supplementation were recorded. Results were that the experimental group exhibited significant improvement in overall sleep quality (p 0.0063) and MPOD (p 0.001) as well damage to retinal tissue which in turn may increase the risk of macular degeneration cataracts eye strain eye fatigue headache visual impairment psychological stress and poor sleep quality. However clinical research has shown that daily supplementation with lutein (10-20 mg) and zeaxanthin isomers (2-4 mg) can mitigate these risks and support eye health even after they have manifested. References 1 Bone RA. Landrum JT. Distribution of macular pigment components zeaxanthin and lutein in human retina. Methods Enzymol 1992 213 360 6. 2 Age-Related Eye Disease Study 2 Research Group. Lutein zeaxanthin and omega-3 fatty acids for age-related macular degeneration the Age-Related Eye Disease Study 2 (AREDS2) randomized clinical trial. JAMA. 2013 May 15 309(19) 2005-15. 3 Lyle BJ Mares-Perlman JA Klein BE Klein R Greger JL. Antioxidant intake and risk of incident age-related nuclear cataracts in the Beaver Dam Eye Study. Am J Epidemiol. 1999 May 1 149(9) 801-9. 4 Brown L Rimm EB Seddon JM Giovannucci EL Chasan-Taber L Spiegelman D Willett WC Hankinson SE. A prospective study of carotenoid intake and risk of cataract extraction in U.S. men. Am J Clin Nutr. 1999 Oct 70(4) 517-24. 5 Chasan-Taber L Willett WC Seddon JM Stampfer MJ Rosner B Colditz GA Speizer FE Hankinson SE. A prospective study of carotenoid and vitamin A intakes and risk of cataract extraction in U.S. women. Am J Clin Nutr. 1999 Oct 70(4) 509-16. 6 Tosini G Ferguson I Tsubota K. Effects of blue light on the circadian system and eye physiology. Mol Vis. 2016 Jan 24 22 61-72. 7 Wu J Seregard S Algvere PV. Photochemical damage of the retina. Surv Ophthalmol. 2006 SepOct 51(5) 461-81. 8 Algvere PV Marshall J Seregard S. Age-related maculopathy and the impact of blue light hazard. Acta Ophthalmol Scand. 2006 Feb 84(1) 4-15. 9 Scientific Committee on Emerging and Newly Identified Health Risks (SCENIHR). 2012. Health Effects of Artificial Light. Accessed from http ec.europa.eu health scientific_committees emerging docs scenihr_o_035.pdf. 10 Cruickshanks KJ Klein R Klein BEK. Sunlight and age-related macular degeneration--the Beaver Dam Eye Study. Arch Ophthalmol. 1993 111 514 8. 11 Klein R Klein BEK Jensen SC Cruickshanks KJ. The relationship of ocular factors to the incidence and progression of age-related maculopathy. Arch Ophthalmol. 1998 116 506 13. 12 Algvere PV Marshall J Seregard S. Age-related maculopathy and the impact of blue light hazard. Acta Ophthalmol Scand. 2006 84 4 15. 13 Taylor HR Mu oz B West S Bressler NM Bressler SB Rosenthal FS. Visible light and risk of age-related macular degeneration. Trans Am Ophthalmol Soc. 1990 88 163 73. 14 Okuno T Saito H Ojima J. Evaluation of blue-light hazards from various light sources. Dev Ophthalmol. 2002 35 104 12. 15 Nakashima Y Ohta S1 Wolf AM2. Blue lightinduced oxidative stress in live skin. Free Radic Biol Med. 2017 Mar 15. pii S0891-5849(17)30134-X. 16 Tosini G Ferguson I Tsubota K. Effects of blue light on the circadian system and eye physiology. Mol Vis. 2016 Jan 24 22 61-72. 17 The Vision Council. Eyes Overexposed The Digital Sleep Quality So what s the connection between blue light lutein zeaxanthin and sleep It s related to melatonin a hormone secreted by the pineal gland 30 whose primary role is regulation of the body s circadian rhythm and sleep patterns.31 32 The way it works is that light including blue light inhibits melatonin secretion and darkness stimulates secretion.33 34 Therefore too much light exposure particularly at night can inhibit melatonin secretion and interfere with sleep. Research has shown that at night even blue light from smart phones can negatively impact sleep.35 That s where bluelight filtering lutein and zeaxanthin isomers can help. A two-part study36 was conducted to determine if increasing participants MPOD using lutein zeaxanthin isomers supplementation would affect sleep quality. The first part was a three-month as CS and CFF at three months. There were no changes in the placebo group. This trial found that increasing MPOD via lutein zeaxanthin isomers supplementation might serve to absorb more blue light from sources (such as computer screens tablets or smartphones) that can be used during nighttime hours and would otherwise provide a circadian signal to stay awake. The second part was also a sixmonth double-blind placebo-controlled trial in which 34 healthy individuals participated. The same supplementation regimen and assessment methods were used as with the three-month study. Results were that at six months MPOD CFF CS sleep quality improved with lutein zeaxanthin supplementation with no changes in the placebo group. Conclusion Blue light from sunlight digital devices and artificial light represent a heretofore unknown but serious risk for promoting 34 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 Device Dilemma. 2016 Digital Eye Strain Report. Thevisioncouncil.org. 18 The Vision Council. Hindsight is 20 20 20 Protect your eyes from digital devices. 2015 Digital Eye Strain Report. Thevisioncouncil.org. 19 Smick K et al. Blue Light Hazard New Knowledge New Approaches to Maintaining Ocular Health. Report of a Roundtable March 16 2013 New York NY USA. Essilor of America. 20 Kuse Y Ogawa K Tsruma K Shimazawa M Hara H. Damage of photoreceptor-derived cells in culture induced by light emitting diode-derived blue light. Sci Rep. 2014 Jun 9 4 5223. 21 Richer S. Lutein and zeaxanthin protect against bad blue light. Eye Health Insider. December 2016 4. 22 The Vision Council. Hindsight is 20 20 20 Protect your eyes from digital devices. 2015 Digital Eye Strain Report. Thevisioncouncil.org. 23 Kowalska M Zejda JE Bugajska J Braczkowska B Brozek G Maliska M. [Eye symptoms in office employees working at computer stations]. [Article in Polish] Med Pr. 2011 62(1) 1-8. 24 Akinbinu TR Mashalla YJ. Impact of computer technology on health Computer Vision Syndrome (CVS). Medical Practice and Review. 2014 5(3) 20-30. 25 Stringham JM O Brien KJ Stringham NT. Macular carotenoid supplementation improves disability glare performance and dynamics of photostress recovery. Eye Vis (Lond). 2016 Nov 11 3 30. 26 Stringham NT Holmes PV Stringham JM. Supplementation with macular carotenoids reduces psychological stress serum cortisol and sub-optimal symptoms of physical and emotional health in young adults. Nutr Neurosci. 2017 Feb 15 1-11. 27 Contrast sensitivity Accepted (IOVS) in press 28 Stringham NT et al. Macular Carotenoid Supplementation Increases Serum BDNF in Healthy Young Adults. EB Abstract 2016. 29 Stringham J. Effects of three levels of lutein supplementation on macular pigment optical density psychological stress levels and overall health. Nutritional Neuroscience Laboratory University of Georgia. Unpublished. 2016 17 pgs. 30 Nurnberger JI Jr Adkins S Lahiri DK et al. Melatonin suppression by light in euthymic bipolar and unipolar patients. Arch Gen Psychiatr 2000 57 572-9. 31 Brzezinski A. Melatonin in humans. N Engl J Med 1997 336 186-95. 32 Lissoni P Barni S Meregalli S et al. Modulation of cancer endocrine therapy by melatonin a phase II study of tamoxifen plus melatonin in metastatic breast cancer patients progressing under tamoxifen alone. Br J Cancer 1995 71 854-6. 33 Brzezinski A. Melatonin in humans. N Engl J Med 1997 336 186-95. 34 Daneault V Dumont M Mass Vandewalle G Carrier J. Light-sensitive brain pathways and aging. J Physiol Anthropol. 2016 Mar 15 35 9. 35 Yoshimura M Kitazawa M Maeda Y Mimura M Tsubota K Kishimoto T. Smartphone viewing distance and sleep an experimental study utilizing motion capture technology. Nat Sci Sleep. 2017 Mar 8 9 59-65. 36 Stringham JM et al. Short-term macular carotenois supplementation improves overall sleep quality. ARVO 2016 Annual Meeting Abstracts. 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. The Balancing Act (Continued from page 24) intensity and frequency of hot flashes as shown in a randomized double-blind placebo-controlled clinical study he stated. These quick-dissolving tablets temporarily relieve the profuse sweating throbbing headache occasional sleeplessness and flushed face associated with hot flashes. For best results we recommend daily use for a period of three months. Candida and UTIs are often issues women encounter which dramatically reduce comfort and quality of life during outbreaks. For the former said Lamb Bio-Kult Cand a is a multi-strain probiotic supplement with added garlic and grapefruit extract. Taken daily it could help strengthen the body s natural defenses against candida overgrowth and may help to prevent its alteration from its yeast-like form to the invasive filamentous fungus form. Bio-Kult Cand a contains seven strains of probiotics to reinforce the gut microflora helping to prevent Candida from finding sites in the gut to grow. They also lower the gut pH so that Candida which prefers a more alkaline environment cannot thrive. Garlic and grapefruit extract are both well-known natural antifungals. These are also shown to be compatible with the probiotic bacteria in Bio-Kult Cand a. For the latter Lamb noted Bio-Kult ProCyan works with the body to help maintain normal levels of bacteria in the gut for maintaining a healthy urinary tract. ProCyan contains cranberry extract standardized to for a minimum of 36 mg proanthocyanidins (A-type) known to restrict the adhesion ability of pathogenic bacteria she emphasized. Pro-Cyan also contains two specifically selected probiotic strains and vitamin A which contributes to the normal function of the immune system and the maintenance of mucous membranes. For women prone to urinary tract infections Vital Nutrients offers Mannose Powder which said Dr. Baldwin-Lien can be taken as either ongoing as a preventive measure or at the first sign of symptoms. DMannose is monosaccharide found in foods such as cranberries that can bind to pathogenic flora and prevent them from adhering to the epithelium of the urinary tract. Performing a high-wire act requires tremendous balance from years of training and natural talent not to mention no fear of heights--and this is why very few people in the world can do it. For women healthy hor- monal balance shouldn t be so tricky or difficult to achieve. Hormone issues become a bit more common and prominent in a woman s 30s when progesterone levels begin to decline. High cortisol can generate sugar cravings food addictions weight and fat gain and depression Menstrual pain is the most common gynecological complaint of women and the main cause of women missing work school and other activities In women in their 50s testosterone continues to decline and at this time too insulin levels rise by 10 points per decade starting around age 50. Endocrine disruptors (toxins that affect hormones and their activities) have been shown to interfere with the production transportation and metabolism of most hormones. Healthy Take Aways FOR MORE INFORMATION Bio-Kult www.bio-kult.com Boiron USA www.boironusa.com Patient One Formulas www.patientoneformulas.com Vital Nutrients www.vitalnutrients.net MAY 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 35 PRACTITIONER CHAT WITH JANET POVEROMO C Q Ross Pelton RPh PhD CCN Scientific Director Essential Formulas Incorporated Emails ross naturalpharmacist.net rpelton essentialformulas.com alled The Natural Pharmacist Ross Pelton RPh PhD CCN was named one of the Top 50 Most Influential Pharmacists in the United States by American Druggist magazine for educational work in natural medicine. Currently he is Texas-based Essential Formulas director of science and research and was recently chosen to present his poster abstract A Glutathione Producing Strain of Probiotic Bacteria Lactobacillus fermentum ME-3 at the Probiotic Congress USA held in San Diego CA in October. Here he discusses the poster abstract and concerns about supplements and prescription drug interactions. detoxification pathway that is also used by many prescription drugs. Hence there are more than 200 potential major drug interactions with St. John s wort. In general I advise caution. People should check with a qualified health care practitioner before mixing nutritional supplements with prescription drugs. You recently presented your poster abstract A Glutathione Producing Strain of Probiotic Bacteria Lactobacillus fermentum ME3 at the Probiotic Congress USA held in San Diego CA. What is the significance of this strain for their practices and when speaking with patients about them A A What concerns do you have regarding mixing supplements with prescription drugs Most supplements are safe with most meds. However there are numerous areas of concern. For example people taking a blood thinner medication like warfarin need to be cautious about taking supplements that also have a blood thinning effect such as omega-3 fish oils vitamin E vitamin K and Ginkgo biloba. Coenzyme Q10 (CoQ10) is very effective at lowering high blood pressure so people taking medications for hypertension need to be cautious if they begin taking CoQ10. People taking selective serotonin reuptake inhibitors (SSRIs) antidepressants need to use caution if when using supplements such as 5HTP and vitamin B6 which can also increase serotonin levels. St. John s wort is an herb that gets metabolized in a liver Q A Lactobacillus fermentum ME-3 (referred to as ME-3) is a remarkable strain of probiotic bacteria that has been found to synthesize glutathione. Glutathione is made in every cell of the body and I refer to it as the body s greatest AID to good health. The A stands for antioxidant. Glutathione is the most prevalent and most important antioxidant in the body. The I stands for immune system. Glutathione is required to produce white blood cells which are an important part of our immune system. The D stands for detoxification. Glutathione is a key regulator of detoxification throughout the body. Generally glutathione is not effective when taken orally because it gets destroyed before it gets absorbed. In a human clinical trial individuals taking ME-3 experienced a 49 percent increase in the ratio of active or reduced glutathione to oxidized or used up glutathione. The ability to increase glutathione levels daily by taking products containing Lactobacillus fermentum ME-3 represents a huge breakthrough in health and medicine. What should practitioners keep in mind when choosing probiotics Q Two main topics are diversity and balance. People with a healthier microbiome have a wider diversity of types of bacteria in their GI (gastrointestinal) tract. In terms of commercial probiotic products multi-strain probiotics will provide a greater range of benefits than single strain products. Balance refers to the relative number of bacteria present. There is a mistaken belief that higher and higher doses (CFUs) are better. I hear many people boast that their probiotic has 50 billion or 100 billion bacteria per dose. High doses can throw things out of balance. Too much of a good thing can have negative consequences. Even if it is a beneficial strain if taken in extremely high doses it can create an immune system alarm reaction. It is better to take products that contain lower doses with multiple strains. We are also learning that probiotic bacteria are important because of what they produce. Their metabolism produces what we refer to as postbiotic metabolites. Some probiotics are produced in a fermentation process that allows the probiotic bacteria to product these bioactive postbiotic metabolites. Thus when these probiotics are encapsulated they contain probiotic bacteria plus the all-important postbiotic metabolites. One other factor that is very important is the topic of prebiotics. Prebiotics refer to the indigestible carbohydrates that are the primary food for your probiotic bacteria. In addition to taking probiotics it is also critically important that people learn to feed their probiotics well. Highfiber multi-colored vegetables are the best type of foods to feed your probiotic bacteria and maintain a healthy microbiome. 36 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 Branch Out and Join VRM Media s FAMILY OF PUBLICATIONS NaturalPractitionerMag.com VitaminRetailer.com NIEmagazine.com FitnessTrainerMag.com 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 NATURAL HEALTH STUDIES College Students Perception of Dietary Terms Could Help Nutrition Education ollege students represent an important group for nutrition educators since the transition into adulthood brings increased independence and decision making which can affect diet and health-related behaviors. Promoting nutritional health among young adults is important. Poor decisions regarding eating may lead to decreased diet quality and increased weight which may result in long-term health issues. Therefore researchers from the University of Hawaii and Brigham Young University set out to determine college students perception of the terms real meal meal and snack and how those perceptions might enable more effective nutrition education. The results of this study are published in the Journal of Nutrition Education and Behavior. Students from two western U.S. universities in two states were recruited for the study. A pilot study consisting of 20 participants was conducted first and helped the researchers hone survey questions to ensure clarity. Then a survey was administered to 628 undergraduate students recruited via email featuring C 11 items measuring students familiarity with the term real meal perceived differences among the terms real meal meal and snack as well as demographic characteristics. Students perceived a difference between real meal and meal with real meal being described as nutritious or healthy and reflecting recommendations such as the Dietary Guidelines for Americans. Meals on the other hand were described as anything to eat and food for survival. Snacks were regarded as small portions of food eaten to hold off hunger and commonly described as foods eaten between meals. Students perceptions relating to the words real meal meal and snack might allow nutrition educators another way to frame and promote healthful eating said Jinan Banna PhD RDN lead author of the study. By using the phrase real meal educators may be able to promote eating in line with dietary guidelines. In education campaigns or clinical counseling the term real meal could be an effective tool to encourage healthy eating habits. Likewise the investigators suggest media-based intrapersonal approaches such as email and text messaging as useful ways to communicate. Because these media use short messages using the term real meal could be a concise way to promote healthy activities. More research is necessary to understand how differences in perception between the terms real meal and meal translate to food choice. However the survey used in this study could be used again to understand perceptions among different groups beyond college students of varying life stages and socioeconomic status. (Source Journal of Nutrition Education and Behavior--March 2017) Vitamin E May Decrease the Risk of Acute Kidney Injury After Coronary Catheterization cute kidney injury is quite a common adverse effect that associates with coronary angiography and percutaneous coronary interventions. Vitamin E may decrease the risk of acute kidney injury by up to 62 percent according to a meta-analysis of three randomized trials published in the American Journal of Kidney Diseases. Contrast mediuminduced acute kidney injury (CIAKI) is the third most frequent cause of hospitalacquired acute kidney injury. CIAKI compromises about 10 percent of all in-hospital nephropathies and contributes to increased hospital length of stay and cost of care. A A decrease in antioxidant activity and direct cytotoxic effect of reactive oxygen species in experimental models have been implicated in causing CIAKI. Previously evidence indicated that the antioxidants N-acetylcysteine and vitamin C may prevent CIAKI. Vitamin E is a fat-soluble antioxidant and it might similarly influence the risk of CIAKI. Yousef Rezaei from the Iran University of Medical Sciences and Harri Hemil from the University of Helsinki in Finland analyzed the findings of three randomized trials that investigated the effects of vitamin E supplementation against CIAKI. Two of the trials were carried out in Thailand and one was carried out in Iran. There was no heterogeneity found in the results of the three trials. The benefit of vitamin E ranged from 52 to 75 percent protection against CIAKI and the pooled effect indicated a 62 percent prevention against CIAKI. Since the three vitamin E trials were carried out in Thailand and Iran it is not evident whether vitamin E has similar effects in Western countries. According to Drs. Rezaei and Hemil There are no concerns about vitamin E safety in short treatments such as the administration before coronary catheterization and the vitamin is inexpensive. Therefore the effects of vitamin E should also be investigated in Western countries to find out whether similar benefits can be observed. (Source American Journal of Kidney Diseases--March 2017) 38 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 Fruits and Vegetables Latest Superpower Lowering Blood Pressure ating potassium-rich foods like sweet potatoes avocados spinach beans bananas and even coffee--could be key to lowering blood pressure according to Alicia McDonough PhD professor of cell and neurobiology at the Keck School of Medicine of the University of Southern California (USC). Decreasing sodium intake is a wellestablished way to lower blood pressure Dr. McDonough said but evidence suggests that increasing dietary potassium may have an equally important effect on hypertension. Hypertension is a global health issue that affects more than one billion people worldwide. The World Health Organization estimates that hypertension is responsible for at least 51 percent of deaths due to stroke and 45 percent of deaths due to heart disease. Dr. McDonough explored the link between blood pressure and dietary sodium potassium and the sodium-potassium ratio in a review article published in the American Journal of Physiology-- Endocrinology and Metabolism. The review looked at population interventional and molecular mechanism studies that investi- E gated the effects of dietary sodium and potassium on hypertension. Dr. McDonough s review found several population studies demonstrating that higher dietary potassium (estimated from urinary excretion or dietary recall) was associated with lower blood pressure regardless of sodium intake. Interventional studies with potassium supplementation also suggested that potassium provides a direct benefit. Dr. McDonough reviewed recent studies in rodent models from her own lab and others to illustrate the mechanisms for potassium benefit. These studies indicated that the body does a balancing act that uses sodium to maintain close control of potassium levels in the blood which is critical to normal heart nerve and muscle function. When dietary potassium is high kidneys excrete more salt and water which increases potassium excretion she said. Eating a high potassium diet is like taking a diuretic. Increasing dietary potassium will take a conscious effort however. McDonough explained that our early ancestors ate primitive diets that were high in fruits roots vegetables beans and grains (all higher in potassium) and very low in sodium. As a result humans evolved to crave sodium-- but not potassium. Modern diets however have changed drastically since then processed food companies add salt to satisfy our cravings and processed foods are usually low in potassium. If you eat a typical Western diet Dr. McDonough explained your sodium intake is high and your potassium intake is low. This significantly increases your chances of developing high blood pressure. When dietary potassium is low the balancing act uses sodium retention to hold onto the limited potassium which is like eating a higher sodium diet she said. But how much dietary potassium should we consume A 2004 Institute of Medicine report recommends that adults consume at least 4.7 grams of potassium per day to lower blood pressure blunt the effects of dietary sodium and reduce the risks of kidney stones and bone loss Dr. McDonough said. (Source American Journal of Physiology--Endocrinology and Metabolism--April 2017) As Kids Weight Climbs Power of Healthy Fat Supplements Drops ody weight plays a significant role in how much benefit children may get from consuming good fats new research suggests. The researchers compared fatty acid uptake after kids took a supplement to both overall body weight and body-mass index (BMI). The more a child weighed the smaller the measurement was of two key omega-3 fatty acids in their bloodstream. And the higher the BMI category the lower the levels of EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid). The study provides important information to parents trying to ensure their kids get an appropriate amount of omega-3 fatty acids and also highlights the need for weight-appropriate dosing of supplements and medications say researchers from The Ohio State University. Their study appears in the journal PLOS ONE. Most of the science behind omega-3 benefits has concentrated on adults infants and small children. But a growing body of research is looking at their role in the health of older children. In particular B omega-3 consumption has been shown to lower blood pressure and increase good cholesterol (HDL) in children 8 to 15 years old. Omega-3 fatty acids are found naturally in foods including salmon walnuts and soybeans. Parents looking to feed their children more of these foods should be mindful that as they gain weight they ll need more of them to make a difference said lead author Lisa Christian an associate professor of psychiatry in the Institute for Behavioral Medicine Research at Ohio State s Wexner Medical Center. While this study just looked at fatty acid supplements it s important to recognize that weight differences could factor into how children and adults respond to many types of medications Christian said. Weight rather than age may be more meaningful when determining recommended doses. The difference in size between a 7-year-old and a 10-year-old can be quite significant she said. The data comes from a trial conducted by Mary Fristad professor of psychiatry psychology and nutrition and Eugene Arnold professor emeritus of psychiatry and behavioral health. Their work looked at fatty-acid supplementation in 64 children with mood disorders. The 7- to 14-year-old children took either an omega-3 supplement or a placebo for 12 weeks. Those who took the supplement received 2 000 milligrams of omega-3 fatty acids in the form of four capsules daily. We have a growing body of evidence that omega-3 fatty acids are beneficial for physical and mental health. This paper gives us more information about an important question about taking omega-3 supplements--how much is a good amount Fristad said of the new study. Given fluctuations in BMI percentile measures as children grow it would seem to make the most sense to base dosing on weight alone Christian said. The study also points to a need to consider weight-related differences in all studies of omega-3 intake in adults and children the researchers wrote in their study. (Source PLOS ONE--April 2017) MAY 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 39 NATURAL HEALTH STUDIES Maternal Stress During Pregnancy Could Influence Biological Clock for Aging he stress that some mothers experience during their pregnancies could influence the genetic makeup their babies are born with and eventually lead to premature biological aging and associated age-related diseases. This is according to lead authors Tabea Send and Stephanie Witt of the Central Institute of Mental Health University of Heidelberg in Germany. The study is published in Springer Nature s Journal Neuropsychopharmacology and focuses on a person s DNA sequences called telomeres which are essential for cellular replication. Telomeres help to maintain the integrity of chromosomes and consist of repeated DNA-sequences that cap and protect eukaryotic chromosomes. They shorten with each cell division and eventually reach a critical length. This in turn leads to cellular death or so-called senescence or apoptosis. Because telomeres shorten substantially as people grow older researchers use telomere length (TL) as a biological indicator or biomarker of aging. TL at birth is therefore an indicator of biological aging and associated age-related diseases. Determining factors that could affect TL in newborns have become an important research endeavor. Environmental influ- T ences such as ultraviolet radiation and oxidative stress have already been shown to play a role in telomere length while people with somatic and psychiatric disorders including major depression and post-traumatic stress disorder have been found to have shorter TL. A few smaller studies have also established a possible link between TL and the amount and type of stress that mothers experience during pregnancy. The current study by Send and her colleagues measured TL in 319 newborns and 318 mothers most of whom were of Caucasian decent at three obstetric clinics in the Rhine-Neckar region of Germany. It included interviews and questionnaires involving the mothers on their lifestyle habits the amount of stress they believe they had to cope with whether they suffered from any psychological disorders and also on aspects of the father. Saliva samples were collected from the mothers and umbilical cord blood immediately after the babies delivery to do genetic analyses. The children of mothers who had experienced increased psychosocial stress during pregnancy were found to have shorter telomeres. However the TL in babies of mothers who had been suffering from psychological disorders over the course of their lifetime was not found to be affected. Interestingly experiencing stress during pregnancy had no influence on a mothers own TL but a lifetime psychological disorder did result in reduced TL in mothers. Girls were also found to have significantly longer telomeres than boys. This finding supports previous evidence that TL differs between genders at birth. Whether a mother smoked or not during pregnancy influenced her own TL but not that of her offspring. Although the meaning of the reported differences in TL for later health is so far unclear our findings underline the necessity to especially support women with increased risk of experiencing stress during pregnancy emphasized Send. (Source Neuropsychopharmacology-- April 2017) Hot Flashes Could Signal Increased Risk of Heart Disease ot flashes one of the most common symptoms of menopause have already been shown to interfere with a woman s overall quality of life. A new study shows that particularly for younger midlife women (age 40-53 years) frequent hot flashes may also signal emerging vascular dysfunction that can lead to heart disease. The study outcomes are published online in Menopause the journal of The North American Menopause Society (NAMS). The study involving 272 nonsmoking women aged 40 to 60 years is the first to test the relationship between physiologically assessed hot flashes and endothelial cell (the inner lining of the blood vessels) function. The effect of hot flashes on the ability of blood vessels to dilate was documented only in the younger fertile of women in the sam- H ple. There was no association observed in the older women (age 54-60 years) indicating that early occurring hot flashes may be those most relevant to heart disease risk. The associations were independent of other heart disease risk factors. Cardiovascular disease is the leading cause of death in women. The results from the study Physiologically assessed hot flashes and endothelial function among midlife women may offer valuable information for healthcare providers working to assess the risk of heart disease in their menopausal patients. Hot flashes are reported by 70 percent of women with approximately one-third of them describing them as frequent or severe. Newer data indicate that hot flashes often start earlier than previously thought--possibly during the late reproductive years--and persist for a decade or more. Hot flashes are not just a nuisance. They have been linked to cardiovascular bone and brain health said Dr. JoAnn Pinkerton executive director of NAMS. In this study physiologically measured hot flashes appear linked to cardiovascular changes occurring early during the menopause transition. (Source PLOS ONE--April 2017) 40 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 2017 CAMInnovations standing of the research and history behind the products available to practitioners and their patients and manufacturers wanting to offer the science that backs the effectiveness of their products. We have featured a similar section annually in Natural Practitioner s sister publication Nutrition Industry Executive magazine since 2002 which was designed to help manufacturers gain a better understanding of the ingredients and services available that can make their products stand out. Companies and associations have responded to this opportunity with background information about the health concerns their products are intended to address histories of the nutrients behind their products and details of research carried out. In order to bridge the gap between interested practitioners and these companies we ve also provided company addresses phone numbers and website addresses to make obtaining additional information easier. MAY 2017 WWW.NATURALPRACTITIONERMAG.COM T his special section of Natural Practitioner comes in response to the desire for a greater under- Following is an index of companies participating in the 2017 Natural Practitioner CAM Innovations section America s Finest Inc. ......................................................42 Daiwa Health Development Inc. ....................................43 Natreon Inc. ....................................................................44 Natural Partners Inc. ....................................................45 NuMedica ......................................................................46 NATURAL PRACTITIONER 41 2017 CAMInnovations America s Finest Inc. (AFI) 20 Lake Dr. East Windsor NJ 08520 Phone (800) 350-3305 Email info afisupplements.com Website www.afisupplements.com Super Curcumin C3 Complex With BioPerine ealthy joint function can be linked to overall quality of life from the ability to move around with relative comfort. The basis of mobility can be termed as joint flexibility which means having a healthy range of motion in the places where muscle connective tissue and bones meet. The pain and physical disability brought about by joint pain affects social functioning and mental agony diminishing the patient s quality of life. The pain is often worse with prolonged walking standing and sitting which restricts mobility as well as when travelling any distance in a vehicle. In addition it also affects sleep in some individuals. Joint problems are a diverse group of conditions which affect the musculoskeletal system and are associated with pain and impaired physical function. Some of these conditions include 1. Joint conditions--for example rheumatoid arthritis osteoarthritis 2. Back pain lower back pain 3. Musculoskeletal injuries 4. Inflammatory diseases which commonly have musculoskeletal manifestations Joint pain could be a reflection of the diverse joint diseases that could arise from inflammation cartilage degeneration crystal deposition infection and trauma. Inflammation is the major cause of joint health distortion. While inflammation is necessary as a biological response to tissue injury H or damage when not controlled appropriately it can lead to chronic conditions such as arthritis. It is thus important that inflammation is addressed at its initial levels and not allowed to reach levels that cause damage to tissues. AFI s Super Curcumin C3 Complex with BioPerine has been clinically substantiated to inhibit inflammation thus playing a key role in maintaining or supporting joint health. Curcumin C3 Complex a patented and clinically-evaluated Bioprotectant composition obtained from the dried rhizomes of Curcuma longa is standardized for a minimum of 95 percent curcuminoids--curcumin demethoxycurcumin and bisdemethoxycurcumin. Curcuminoids a versatile cascading and longlasting pronutrient is undoubtedly the most important and precious gifts to mankind from nature. Turmeric has been known in Asian traditional medicine as a remedy for joint pain and inflammation and thus curcuminoids can be useful in conditions like osteoarthritis (OA). Curcumin helps suppress NF-kB activation and hence inflammation and a host of its manifestations. Similarly curcuminoids reduce pain and inflammation by inhibiting NF-kB and have shown to possess anti-arthritic activity which is attributed to its anti-inflammatory antioxidant and anti-apoptotic activities. Curcumin C3 Complex is clinically proven to be helpful in the management of OA.1 In a six-week randomized double-blind placebocontrolled parallelgroup pilot study carried out at the University of Medical Sciences Tehran Iran 40 patients with knee OA were supplemented with Curcumin C3 Complex capsules (1 500 mg day in three divided doses n 19) or placebo (n 21). Each curcuminoid capsule contained 5 mg BioPerine (patented and clinically-vali- dated extract from black pepper standardized to 95 percent piperine) to enhance oral bioavailability of curcuminoids. Curcuminoids supplementation resulted in the reduction in the WOMAC scale (Fig. 1A) with a significant decrease in pain physical function and stiffness the Lequesne s pain functional index (LPFI) and VAS scores (Fig. 1B) also showed a significant reduction. Another important finding of the study was that there was an 84 percent decrease in the number of subjects taking naproxen in curcuminoids group (Fig. 2). Thus curcuminoids represent an effective and safe alternative treatment for OA.2 This sub-study was a part of the randomized trial and the results showed that in presence of curcuminoids the oxidative stress was reduced significantly with significant increase in serum levels of superoxide dismutase and glutathione and concurrently there was decrease in malondialdehyde concentration and thus validated the antioxidant effects of curcuminoids in OA.3 In another randomized clinical trial 40 subjects with mild-to-moderate degree knee OA were supplemented with Curcumin C3 Complex and BioPerine capsules (1 500 mg day and 5 mg per day respectively in three divided dose). Serum levels of inflammatory markers were analyzed and it was observed that curcumin significantly reduced interleukin-4 interleukin-6 and hs-CRP levels.4 Today AFI s Curcumin C3 Complex enjoys the special status of being the most extensively studied and clinically-documented curcuminoids brand available in the world. It has been evaluated through more than 50 human clinical studies published in peer-reviewed journals for its safety and efficacy till date and continues to emphasize on the relevance and importance of curcuminoids in general health and wellness. For a full list of references visit www.naturalpractitionermag.com. 42 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 2017 CAMInnovations Daiwa Health Development Inc. 1411 W. 190th St. Ste. 375 Gardena CA 90248 Phone (877) 434-3633 Fax (877) 434-3644 Email info dhdmed.com Website www.dhdmed.com Slowing the Progress of Immuno-senescence he term immune-senescence was coined by the late researcher of gerontology Dr. Roy Walford in the late 1960s. The expression succinctly defines the progression of a declining immune system over time which leads to the aging process and anticipated decline in health that is accepted as normal in both humans and animals.1 Because of immune-senescence the elderly are vulnerable to serious infectious diseases and a poor response to vaccinations. For example the 2012-2013 flu vaccination was reported to have only 9 percent effectiveness against influenza A in seniors over 65 years of age versus 52 percent in adults under 65.2 Numerous reasons account for this weakened immune response including a decline in hematopoietic stem cell activity and ability to produce B cells a shrinking thymus which results in lower T cell production and telomere shortening.3 If the deterioration of the immune system is largely responsible for the aging process then investing in immune supportive therapies could be fundamental to enhance longevity and health. Augmenting the immune system should start with improving one s lifestyle smoking drinking alcohol poor sleep habits and an unhealthy diet can all suppress immune cell function and must be minimized. But is there more that can be done to supercharge the immune system and delay the degeneration process One exceptionally effective immune enhancing nutrient is called BRM4. The active ingredient in BRM4 is rice bran Arabinoxylan compound (RBAC) which is a natural polysaccharide composed of hemi-cellulose extract from rice bran modified by an enzyme derived from shiitake mushroom. The resulting Arabinoxylan compound is a smaller molecule than the rice bran extract which it was derived from making it more bio-available and better absorbed. Extensive scientific research has been conducted on RBAC which confirm its impact on the immune system it consistently increases natural killer (NK) cell activity and T One exceptionally effective immune enhancing nutrient is called BRM4. The active ingredient in BRM4 is rice bran Arabinoxylan compound (RBAC) which is a natural polysaccharide composed of hemi-cellulose extract from rice bran modified by an enzyme derived from shiitake mushroom. significantly enhances B and T cell count in individuals with compromised immune systems.4 RBAC is particularly unique because it is a proven immune-modulator a term defined by one researcher as an agent possessing a broad range of activity dependent upon the existing state of health and immunity in the individual host. 5 In one published clinical trial the enzymatically-treated rice bran was shown to increase NK cell activity in a dose dependent manner. Twenty-four individuals took the compound at three different concentrations 15 30 45 mg kg day. The activity of NK cells was measured after taking the extract for one week one month and two months. The results of the study showed that all doses increased the activity of NK cells but the larger the dose the quicker the NK activity increased. After two months of treatment NK activity peaked to the same level regardless of the dosage. One month after discontinuing treatment NK activity levels declined to baseline levels. This study proved valuable in making dosage recommendations immune compromised persons should take a high initial dose of the supplement to boost NK activity quickly. After a few weeks a high level of NK activity could be maintained long term on a lower maintenance dose level.6 A more recent study at the University of Miami included 20 healthy individuals and determined that immune activity starts to increase within as little as two days and becomes significant after one week of taking RBAC. This study also demonstrated the bidirectional immune marker effects that are expected with a proper immune-modulator.7 Several clinical and reported case studies have demonstrated a significant positive clinical effect from RBAC. One specific clinical trial showed that RBAC helped improve the quality of life for people with stage III-IV cancer when taken in conjunction with standard cancer therapies. In this study the people in the control group used only standard cancer therapies and were found to have poor appetites with subsequent weight loss extreme fatigue and high mortality rates. The group taking RBAC in conjunction with standard treatment experienced improved appetites and significantly higher survival rates.8 RBAC has been the subject of 40 published studies to date and a multitude of case studies have been collected from physicians around the world. RBAC is found exclusively in a product called BRM4 manufactured by Daiwa Health Development and is available at top physician-grade distributors. References 1 Immunity & Ageing 2005 2 7. 2 www.cdc.gov flu about season flu-season-20122013.htm. 3 EMBO Reports (2007) 8 220 223. 4 Townsend Letter for Doctors and Patients January 2000 58-62. 5 Functional Foods in Health and Disease 2012 2(7) 265-279 6 Int J Immunotherapy 14(2) 89-99 1998. 7 Functional Foods in Health and Disease 2012 2(7) 265-279. 8 Clinical Pharmacology and Therapy 2004 14(3). MAY 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 43 2017 CAMInnovations Natreon Inc. 2D Janine Pl. New Brunswick NJ 08901 Phone (732) 296-1080 Fax (732) 917-7634 Email info natreoninc.com Website www.natreoninc.com Purified Shilajit for Collagen Synthesis and Anti-Aging here are many theories on the aging process but a growing body of scientific evidence now suggests that mitochondrial DNA damage is a major factor in aging. Mitochondria also known as the powerhouse of all cells in the human body functions to produce adenosine triphosphate or ATP which in turn provides energy for most activities within the cell.1 The process of cellular metabolism leads to the production of reactive oxygen species (ROS) a set of highly active free radicals.1 The mitochondria are the sites of the highest ROS production in the cell which exposes the mitochondrial DNA to oxidative damage.1 Accumulation of oxidative damage caused by ROS and mutations of DNA lead to acceleration of the aging process.1 Shilajit an organic substance harvested from the Himalayas 2 is long known in ayurvedic medicine for its healing powers. In fact British archaeologists found evidence of its use by the Indus Valley Civilization (3000 B.C.). It acts as a powerful adaptogen providing broad systemic defense against stress and illness.2 PrimaVie a standardized extract of Shilajit manufactured by Natreon has proven to be useful in energy metabolism and believed to have rejuvenating activity in different debilitating states in humans. PrimaVie is comprised of mainly fulvic acids and DBPs (dibenzo--pyrones). Fulvic acid independently stimulates mitochondrial energy metabolism protects mitochondrial membranes from oxidative damage and helps channel electron-rich DBPs into the mitochondria to support the electron transfer chain.2 Several clinical studies have shown that PrimaVie can boost mitochondrial energy improve exercise performance and increase testosterone levels.3-6 It has shown to increase ATP synthesis and protects Coenzyme Q10 from degradation by oxidative free radicals in the mitochondria.3-6 One aspect of the aging process is the breakdown of collagen in the skin and bones. Collagen is a protein found in the fibrous tissues like the skin ligaments T PrimaVie a standardized extract of Shilajit manufactured by Natreon has proven to be useful in energy metabolism and believed to have rejuvenating activity in different debilitating states in humans. and tendons. It can also be found in the bones cornea of the eyes and the blood vessels. Collagen strengthens the blood vessels and gives skin its elasticity. Collagen destruction can result from exposure to free radicals. Therefore antioxidants such as PrimaVie Shilajit are necessary to prevent the destruction of collagen. One recent clinical study showed PrimaVie to up-regulate many of the genes responsible for the synthesis of collagen and related extracellular matrix proteins by several fold thus suggesting its role in the anti-aging process.7 With age there is a decrease in collagen production and an increase in collagen degradation. These changes result in the characteristic signs of aging such as loss of elasticity in the skin appearance of wrinkles and fine lines. This latest study now proves that PrimaVie Shilajit has a significant role in collagen and related extracellular matrix protein gene expression thus suggesting its role in the antiaging process. In addition since the genes studied were from the thigh skeletal muscle PrimaVie will be of immense value in sports nutrition. References 1 Kang HT Hwang ES. Aging Cell. 2009 8(4) 426-438. 2 Ghosal S. Shilajit in Perspective. Oxford U.K. Narosa Publishing House 2006. 3 Bhattacharyya S Pal D Banerjee D et al. Shilajit dibenzo--pyrones Mitochondria targeted antioxidants. Pharmacologyonline. 2009 2 690-8. 4 Pal D Bhattacharya S. Pilot Study on the Improvement of Human Performance with ReVitalET as Energy Booster Part-IV. 2006. Data on file. Natreon Inc. 5 Clinical study for evaluation of safe use in purified and standardized Shilajit in normal volunteers. J. B. Roy State Ayurvedic Medical College and Hospital Kolkata. 2007. Data on file. Natreon Inc. 6 Clinical study for evaluation of plasma antioxidant capacity and safe use of purified and standardized Shilajit (ReVitalET) in normal volunteers. J. B. Roy State Ayurvedic Medical College and Hospital Kolkata. 2007. Data on file. Natreon Inc. 7 Roy S. Human Skeletal Muscle Extracellular Matrix Fortification in Response to Oral Supplementation with PrimaVie Shilajit. Department of Surgery The Ohio State University Wexner Medical Center Columbus Ohio USA Journal of Medicinal Food 19 (7) 2016 701 709. 44 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 2017 CAMInnovations Natural Partners Inc. 8445 E. Hartford Dr. Scottsdale AZ 85255 Phone (888) 633-7620 Fax (800) 862-1261 Email info naturalpartners.com Website www.naturalpartners.com and www.npscript.com Natural Partners A Trusted Resource or the past 22 years Natural Partners has been a trusted resource for health care practitioners and their patients. By connecting practitioners and patients with trusted products services and education Natural Partners hopes to advance to evolution of wellness throughout the community. The Natural Partners portfolio includes more than 14 000 professional-grade products from hundreds of premium manufacturers including Thorne Research NeuroScience Pure Encapsulations Enzyme Science and many more. Plus new brands are always being added to fulfill the needs of practitioners so they can better help their patients. In addition to offering wholesale pricing to clients Natural Partners also provides an innovative technology platform that allows practitioners to extend their practice beyond the boundaries of their office. With NP Script health care practitioners can expand their inventory without additional overhead costs earn incremental revenue and increase patient compliance. The award-winning NP Script online patient dispensary can be a complement to practitioner s current physical supplement inventory or can allow practitioners to provide their patients with supplements and wellness products using zero shelf space. F The award-winning NP Script online patient dispensary can be a complement to practitioner s current physical supplement inventory or can allow practitioners to provide their patients with supplements and wellness products using zero shelf space. can monitor compliance to those treatment plans. Health care practitioners can also utilize NP Script to communicate directly to patients via customized communication tools. Through this service they can use e-scripting to send standardized practitioner-curated protocol recommendations or customized templates to send email blasts to their patient database making engagement with their patients even easier. With NP Script practitioners can expect the same exceptional concierge service that is quintessentially Natural Partners. The NP Script Concierge Team offers a range of services including demonstrations to highlight the benefits of the site. They can guide practitioners through the set-up process or have a member of the NP Script team create the site for them. Patients will appreciate the same high-level of service with the option to place phone orders directly with a friendly and knowledgeable member of the NP Script team. Natural Partners continues to incorporate innovative technology into their education products and services. With the development of the NP Media team Natural Partners is able to launch leading industry content using a variety of media and channels. NP Script is continually integrating technology into new features that make the dispensing platform even more helpful. Whether you have a practice that maintains a physical on-site supplement inventory or are new to nutritional supplement recommendations and prefer a virtual online patient dispensary via NP Script Natural Partners is there for all health care practitioners. For more information about getting started with your online patient dispensary with NP Script visit npscript.com. To learn more about Natural Partners visit naturalpartners.com. NP Script continues to use innovative technology to make the dispensing platform even more helpful for practitioners. Recently the NP Script team added a feature where practitioners can segment their patient database into groups and send them customized communications and discounts. For example one group could include all patients with thyroid conditions. This patient group can receive targeted email blasts with relevant information. Site customization The NP Script platform allows practitioners to incorporate their own branding into their dispensary to maintain continuity for their patients. Interactive banners logos and social media links can be added to their site. Under the connected care of a licensed health care practitioner patients can easily log in to their doctor s personalized storefront and order their recommended supplements or receive a personalized e-script with product recommendations and dosing instructions. A practitioner s NP Script site is available 24 hours a day seven days a week and can be accessed on any device. Patients are delivered their practitioner-recommended products directly to their doorstep. NP Script has revolutionized patient compliance for integrative medicine practitioners. Through their online dispensary practitioners they can ensure patients are supplied with professional-grade supplements that align exactly with their treatment protocols and MAY 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 45 2017 CAMInnovations NuMedica 9503 E. 55th Pl. Tulsa OK 74145 Phone (800) 869-8100 Fax (877) 270-2005 Email jose.rivas numedica.com Website www.numedica.com prenuphase Glycemic Support and Weight Management Through the Control of Carbohydrate Absorption s you may see more and more in your practice poor glucose control and insulin resistance are two of the most pervasive biomarkers associated with poor health conditions affecting more than 80 percent of Americans. Insulin resistance occurs for a variety of reasons but in most cases the key culprit is the diet that is laden with starchy foods with high sugar content. Researchers have suggested that an important factor of this growing issue is the increased intake of simple carbohydrates particularly sugars that are rapidly absorbed.1 Your recommendation of a sensible diet and exercise plan is the cornerstone of your patients healthier metabolic management. However if that plan included the supplementation of clinically researched nutritional ingredients that may help the patient begin to safely impact the absorption of glucose support insulin receptors work more efficiently and at the same time promote the amount of resistant starch that gets delivered to the large intestine it could lead to dramatic improvements in health and well-being. A L-Arabinose and Chromium Picolinate The modulating effects of these two ingredients on glycemic response has been researched and supported by multiple clinical studies with significant results.1-4 In two human clinical studies a patented proprietary blend of these two ingredients was tested against a 70-gram glucose challenge. In both studies as compared to the control groups the supplement groups had significantly lower glycemic responses for all testing times concluding that the consumption of the LA-Cr formula after a 70-gram glucose challenge was significantly effective in safely lowering both circulating glucose (-28.95 percent avg.) and insulin levels (-20.19 percent avg.). 1 salivary glands. The alpha-amylase inhibitor properties of white kidney bean extract have been heavily studied with positive results in delaying the digestion and absorption of carbohydrates thereby lowering their glycemic PrenuPhase is an exclusive NuMedica forimpact.5-7 Carbohydrates that are resistant to mulation researched and develdigestion in the small intestine are oped by James LaValle a nationdelivered to the large intestine ally recognized clinical pharmawhere they act more like dietary cist and founder of the fiber--feeding the microbiome and Metabolic Code (www.metabolupregulating GLP-1 which regulates iccode.com). This advanced forsatiety signaling. mula features three patented In a 12-week weight-loss and a ingredients offering comprehensubsequent 12-week weight-mainsive glycemic and metabolic tenance study subjects were ranmanagement support. domized to receive either a patentJames LaValle NuMedica is the leading maned proprietary extract of white kidufacturer of research-driven clinney bean or a placebo. All subjects adhered to ical nutrition. Its mission and passion drive a mildly hypocaloric diet and body weight the company to remain the benchmark of and other body composition parameters were excellence in nutritional quality purity and measured at baseline and every four weeks safety. NuMedica is an NSF GMP (good thereafter. At the end of the 12-week weightmanufacturing practice) and FDA (U.S. loss period the treatment group lost a mean Food and Drug Administration)-registered of 2.91 2.63 kg in body weight compared company. with 0.92 2.00 kg in the placebo group. These statements have not been evaluated by the During the weight-maintenance phase 36 out food and drug administration. These products are of 49 subjects were able to maintain their not intended to diagnose treat cure or prevent any weight even without dietary restrictions.7 disease. A Novel Approach to Glycemic Support and Metabolic Management Panax Notoginseng and Astragalus membranaceus Blend AMP-activated protein kinase (AMPK) has been shown to be a key regulator of glucose and lipid metabolism. Ginseng is well-known for its prominently hypoglycemic activity. In an effort to clarify the gluco-regulatory activity of ginsenosides the main active component of ginseng researchers studied its effects on human hepatoma HepG2 cells with positive results. Ginsenoside Rg1 was found to activate the PI3K and AMPK Pathways in HepG2 cells thereby increasing fatty acid oxidation and inhibiting glucogenesis hepatic lipogensis and glycogen biosynthesis.8-10 References 1 Kaats et al. Nutrition Journal 2011 10 42. 2 A Pilot Study of the Effects of L-A Cr A Novel Combination of L-Arabinose and a Patented Chromium Supplement on Serum Glucose Levels After Sucrose Challenges Kaats Preuss et al. 2009. 3 Seri et al. Metabolism 1996 45 1368-1374. 4 Cefalu et al. The Journal of Trace Elements in Experimental Medicine 1999 12 71-83. 5 Barrett Udani MD Nutrition Journal March 2011 6 Udani et al Nutrition Journal 2009 8 52. 7 Grube et al Obesity online 2013. 8 W.L. Chang et al. Adaptive Medicine. 2013 5(4) 181-188. 9 T.C. Chang et al J. Agric. Food Chem. 2007 55 1993-1995. 10 C.W. Wang et al Molecular Pharmacology. 2015 88 1072-1083. White Kidney Bean Extract Recently there has been a shift towards the reduction carbohydrate intake particularly simple carbohydrates as an approach to manage excess weight.5 The digestion of carbohydrates begins with amylase secreted by the 46 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 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. InvigoFlex GS FREEHOLD NJ--WynnPharm Inc. s InvigoFlex GS is the newest joint supplement product especially formulated to provide you with a premium-quality USP-grade vegetarian glucosamine sulfate. Along with the addition of Boswellia serrata InvigoFlex is a vegetarian safe shell-fish free GMO- and gluten-free product that contains little to no sodium content. The company s proprietary blend in InvigoFlex GS offers a unique formulation to support joint function and cartilage giving you the necessary support when you need it most. Get back to what you love doing and keep your life active A 60-caplet bottle (a one month supply) is available for a suggested price of 29.95. For more information call (800) 214-9600 or visit www.wynnpharm.com. Medicine Springs HELENA MT--According to the company it has taken the chemical analysis of some of the most famous healing hot springs from around the world. Medicine Springs Inc. separated the compounds and reactions and packaged it so you can turn your bath or hot tub into these world famous hot springs. There are three types available Joint Formula Ideal natural pain relief for arthritis fibromyalgia and joint conditions Sport Formula Natural relief for sore muscles and recovery and Skin Formula Natural relief for skin problems like eczema and psoriasis. The bath size (two baths) and the hot tub size have a suggested prices of 14.99 and 49 respectively. For more information call (406) 461-2066 or visit www.medicinesprings.com. C-Cleanse FARMINGDALE NY--Patient One C-Cleanse by MediNutritionals Research LLC is a powerful colon cleansing combination of both soluble and insoluble fiber shown to support colon health and promote regularity of bowel movements. Soluble fiber helps slow the rate of digestion promoting satiety nutrient absorption healthy glycemic control and digestive health. It enhances satiety by absorbing water and adding bulk in the digestive tract. Insoluble fiber does not absorb or dissolve in water and as such it passes through the GI (gastrointestinal) tract relatively intact moving along the passage of food and waste through the gut. This powder is unflavored and can be mixed with water or the beverage of your choice. It supplies 10 g of dietary fiber per serving. GI-regularity and function are critical to overall health. The colon is one of the body s primary organs involved in detoxification and elimination and a clean colon is the body s first line of defense against illness. Thirty servings are available for a suggested price of 21.90. For more information call (877) 723-0777 or visit www.patientoneformulas.com. MEDIACORNER The Reducetarian Solution How the Surprisingly Simple Act of Reducing the Amount of Meat in Your Diet Can Transform Your Health and the Planet Author Edited by Brian Kateman Foreword by Mark Bittman Pages 320 Price 16 (paperback) Publisher TarcherPerigee Contact Keely Platte (510) 910-1667 kplatte penguinrandomhouse.com Brian Kateman coined the term reducetarian --a person who is deliberately reducing his or her consumption of meat--and a global movement was born. In this book Kateman the founder of the Reducetarian Foundation presents more than 70 original essays from influential thinkers on how the simple act of cutting 10 percent or more of the meat from one s diet can transform the life of the reader animals and the planet. This book features contributions from such luminaries as Seth Godin Joel Fuhrman Victoria Moran Jeffrey Sachs Bill McKibben Naomi Oreskes Peter Singer among others. With more than 40 vegan vegetarian and less meat recipes from bestselling cookbook author Pat Crocker as well as tons of practical tips for reducing the meat in your diet (for example skip eating meat with dinner if you ate it with lunch replace your favorite egg omelet with a tofu scramble choose a veggie burrito instead of a beef burrito declare a meatless day of the week) The Reducetarian Solution is a life-- not to mention planet --saving book. MAY 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 47 CONFERENCES AND EVENTS June 2-5 Medicines from the Earth Herb Symposium Black Mountain NC The Medicines from the Earth Herb Symposium begins with an Ethnobotanical and Native Plant Field Study with David Winston and a preconference intensive on June 2 with Kenneth Proefrock titled Immuno-psychiatry--A New Paradigm for Mental Health ND. Other experts include Donald Yance and Kathleen Maier among others. The topics covered at the symposium will range from neuroinflammation to botanical medicine in oncology putting together the pieces and building a comprehensive protocol as well as plant walks medicine-making demonstrations and panel discussions. Registration is now open. For more information visit www.botanicalmedicine.org. June 30-July 2 4th International Congress on Naturopathic Medicine (ICNM) London England The International Congress on Naturopathic Medicine is a non-for-profit international and professional organization which 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 Restoring Health Naturally. Speakers include Ryan Bradley ND MPH assistant director at Helfgott Research Institute associate professor at National University of Natural Medicine s School of Research and Graduate Studies and Susan Arentz PhD BHSc(Hons) Adv Dip Naturopathy lecturer at Endeavour College of Natural Health among others. Registration is now open. For more information visit www.icnmnaturopathy.eu. July 14-16 GPL Master Practitioner Workshop Kansas City MO This special three-day workshop held at the Country Club Plaza in Kansas City will provide in-depth information about some of GPL University s most popular and clinically useful tests so you can better incorporate them into your practice. Tests covered in this workshop include the Organic Acids Test GPL-TOX (Toxic Non-Metal Chemical Profile) Glyphosate Test GPL-SNP1000 (DNA Sequencing Profile) GPL Mycotox and more. For more information visit www.gpluniversity.com. ADVERTISER INDEX ADVERTISER Advanced Naturals America s Finest Inc. 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Pharmachem Labs (Phase 2) Protocol for Life Balance Women s International Pharmacy PAGE 11 1 7 C2 5 15 3 13 C4 25 C3 17 PHONE (800) 690-9988 (800) 350-3305 (877) 434-3633 (800) 325-1776 (800) 367-2837 (215) 340-7960 (866) 790-2107 (732) 296-1080 (888) 633-7620 (519) 467-2071 (877) 776-8610 (800) 279-5708 WEB www.naturalpractitionermag.com advancednaturals www.naturalpractitionermag.com americasfinest www.naturalpractitionermag.com daiwa www.naturalpractitionermag.com davinci www.naturalpractitionermag.com fairhaven www.naturalpractitionermag.com gnosis www.naturalpractitionermag.com livon www.naturalpractitionermag.com natreon www.naturalpractitionermag.com naturalpartners www.naturalpractitionermag.com pharmachem www.naturalpractitionermag.com protocolforlife www.naturalpractitionermag.com womensinternational 48 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM MAY 2017 Go to www.naturalpractitionermag.com protocolforlife for info about this advertiser Go to www.naturalpractitionermag.com naturalpartners for info about this advertiser