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Description: In This Issue: The Kids Should Be Alright, Inflammation, Education & Associations, and Cold & Flu Remedies

www.naturalpractitionermag.com September October 2017 A VRM Media Publication Don t miss a single issue of NP in 2017...go online to renew your free subscription today NaturalPractitionerMag.com SeptOct17 Go to www.naturalpractitionermag.com davinci for info about this advertiser Go to www.naturalpractitionermag.com americasfinest for info about this advertiser TABLE OF CONTENTS September October 2017 VOLUME 6 NO. 6 22 FEATURES 22 Education and Support for Natural Practitioners Natural Practitioner highlights some of the institutions and associations providing education and support for practitioners and patients for the betterment of integrative health. 28 38 COLUMNS 4 Editor s Note 38 Supplement Science 8 Practitioner Corner 36 Product Focus Cold & Flu Remedies 28 The Kids Should Be Alright Today s world is tougher than ever to raise kids modern lifestyles have caused emergence of conditions that lower a child s quality of life--here s how to help them achieve higher states of wellness. DEPARTMENTS 10 Health Industry News 19 INM Update 41 Practitioner Chat 42 Natural Health Studies 46 Natural Marketplace 47 Conferences & Events 48 Media Corner 48 Advertiser Index 32 Fighting Inflammation Inflammation can have both acute and chronic effects but there are natural approaches to limiting its strength. 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 6 September October 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 SEPTEMBER OCTOBER 2017 Go to www.naturalpractitionermag.com livon for info about this advertiser EDITOR S NOTE Education & Support hen some people think of the fall they immediately think of the return of pumpkin spice [fill in the blank here] the leaves turning and Halloween. But for me it will always be backto-school time. I always loved getting new school supplies for the year--and if I m being completely honest I still peruse the back-to-school aisles of the store for said items as my chosen profession has allowed me to be an eternal student in some fashion. So it seemed only natural that in our fall issue of Natural Practitioner we highlight some of the educational institutions and associations that support students and practitioners of integrative health in one of our feature articles (see page 22). This issue s Health Industry News section which begins on page 10 is also full of new happenings and hirings at the educational institutions within the industry. For instance the National University of Natural Medicine (NUNM Oregon) has launched its newest accredited graduate-level program the Master of Science in Ayurveda (MScA). The program will be offered to concurrent dual-degree students in winter 2018 and as a standalone program to licensed clinicians in all medical disciplines in fall 2018. Savita Rajukar MD PhD ND accepted the position as program chair of the new ayurveda program. NUNM W has also appointed Shehab El-Hashemy ND as dean of the College of Naturopathic Medicine and named Glenn C. Smith EdD associate vice president of student affairs and dean of students. Logan University in Missouri reported that it has enrolled its largest incoming class in a decade as 142 students in the Doctor of Chiropractic (DC) program began first-trimester classes in September. An additional 210 students enrolled in the College of Health Sciences programs including Doctorate of Health Professions Education and Master of Science degrees in health informatics nutrition and human performance sports science and rehabilitation and bachelor degree programs. The school also announced that it would award a scholarship for the remaining nine trimesters of the DC program to the student with the highest grade point average at the end of the first trimester. Lastly the American College of Preventive Medicine (ACPM) recently released a new continuing medical education (CME) course on culinary medicine. The online course--now available for 1.5 CME as an elective of the Lifestyle Medicine Core Competencies Program for physicians and clinicians--provides a food is medicine perspective and examines what patients face day-to-day when trying to make substantive lifestyle changes. 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 SEPTEMBER OCTOBER 2017 Go to www.naturalpractitionermag.com emerson 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 SEPTEMBER OCTOBER 2017 Go to www.naturalpractitionermag.com nutri-spec for info about this advertiser PRACTITIONER CORNER Do You Know Your Patient s ACE Score By Holly Lucille ND O ver the past 17 years I have had a blessed and well busy career. I have a thriving practice had the chance to write a couple books been on the lecture circuit had my own talk show and been a consultant in the natural product industry just to name a few highlights. Well last year I had a little incident. It was the end of a fairly busy week that included two out of town and overnight trips to deliver a lecture. Flying home I was delayed into Detroit MI where I was connecting to Los Angeles CA. As the smaller commuter plane finally reached the gate my fellow passengers and I de-planed and congregated around the ramp door waiting patiently for our gate-checked pink tagged carry-ons while time ticked away and the fear of missing the last flight to LA increasingly became more intense. It was a Sunday afternoon and I wanted nothing more than to be home that night to hug my family. My bag was the last one to come off the ramp I grabbed it and took off running up the jet way and quickly asked the gate agent if the Los Angeles flight had taken off. The agent responded Honey you have a rock star s chance of making that flight Little did he know I play many musical instruments and fancied myself as a pseudo rock star so I took off-- sprinting from one terminal to another down a flight of stairs through a long tunnel up a flight of stairs--running harder and longer than I had run in a very long time. The good news was I made my flight...barely. The bad news was the plane took off and my physical body was not recovering. I felt a sensation in my head that I had never felt before and it was beyond scary. It wasn t like I was going to pass out it was like I couldn t regulate my blood sugar and everything became woozy. This lasted for a concerning four minutes and then.......IT started. IT is how I describe one of the most terrifying feelings I have ever experienced to this day. My heart began to beat very rapidly to the point where I felt I could literally almost see my chest fluttering and I felt like I was going into a very dark place physically. I was terrified and uncertain as to what was happening to my body so I unbuckled my seatbelt and started to make my way up to the galley for help. Having been on the giving end of airborne medical emergencies more than a few times that day I did a 180 and was suddenly on the receiving end. Well you know what they say--what doesn t kill you makes you a better practitioner It has been quite a journey to understand what fully happened and I m still in process but have learned so much from this experience so much about myself that I have thankfully been able to apply to my work with my patients. After many tests and doctor s opinions the definitive diagnosis advanced hypothalamuspituitary-adrenal adaptation with hypocortisolism. Please note I did not say adrenal fatigue --I know many practitioners would like to but I believe we need to start being consistent with the literature in our vocabulary and thoroughly examine the reasons why a situation like this would result in such a dramatic situation. After all the adrenals don t ever fatigue but the entire system can over adapt. Basically that run across the airport was the proverbial straw that broke my HPA axis back. I simply did not have enough cortisol to regulate my blood sugar after such an intense push--all I had left was compensatory epinephrine. I sought out a doctor a naturopathic doctor who specialized in this area. We did some initial and confirmatory testing (I was flat lined on my 4-point cortisol test) and had a very in-depth first visit. I shared a tremendous amount of information with her mostly because she asked Not only 8 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2017 did we review my recent medical history and attention getting experience we also went back into my history childhood my story and my upbringing. One of the questions she asked me knowing that I was a practitioner myself was do you know your ACE Score I felt a little embarrassed having to admit first that no I didn t but worse what the heck was an ACE Score Let me explain--now that I know An article was published in 1998 in the American Journal of Preventive Medicine.1 This article introduced the Adverse Childhood Events (ACE) study. This questionnaire examined the responses to seven types of adverse early life experiences and their effects on health later in life. This study and follow-up similar studies found that individuals who score higher on these surveys tend to have corresponding health issues that can include depression addiction smoking and attempted suicide. While there are many factors in the development of these concerns many of them trace back to patterns established in biochemistry and the compromised response of the hypothalamic-pituitary-adrenal (HPA) axis years before. While it seems almost instinctive that stressors in childhood could cause health risks later in life one of the studies codified the idea and brought it to general attention. Dr. Robert Anda one of the researchers on the 1998 study and a developer of the ACE questionnaire has noted the interaction between the development of the HPA axis and stress and that impaired memories of childhood also increase in conjunction with higher ACE scores. Additionally he reported a relationship between those scores and panic and anxiety among respondents. Because the hippocampus is a critical player in the way individuals store and recall memories the burden of stress--and already being inhibited in an ability to deal with stressors--can make its job even harder. For those who have experienced abuse or trauma in early life this translates into a reduced ability to cope with changes and stressors as an adult.2 You see my doctor was trying to understand just how I had gotten so over-adapted. She picked up on my bend toward persistent anxiety my addictive personality--even to good things and my constant drive that served as almost a numbing agent my entire adult life never really allowing me to rest restore nor repair. More recently a survey in Wisconsin found that higher ACE scores corresponded with selfreported frequent mental stress anxiety and overall poor general and physical health.3 Another even more recent article in Frontiers in Cellular Neuroscience reviews the evidence on how fetal exposure to corticosteroids in the perinatal period as the mother experiences stress can have a lasting effect. Even natural buffering by the 11-hydroxysteroid dehydrogenase type 2 enzyme (11-HSD2) can t completely protect a developing HPA axis from the effects of this heightened hormone activity setting up the potential for major depressive disorder anxiety and a heightened awareness of stressors. Other work has shown that the weight of negative experiences early in life essentially program the way that a person responds to challenges. By affecting the HPA axis and regions of the brain and establishing patterns associated associated with memory fear response and conflict strategies adverse childhood events create challenging conditions for practitioners to address in a concrete meaningful way.4-9 healing especially those who seem to have a more difficult time adhering to a plan and truly healing. You can find more about the ACE study at www.acestudy.org. Research indicates that for many people these responses have causes that originate very early in life and this was true for me--despite my years of therapy it took my body the being that was actually keeping the score to hit bottom so I could really begin to heal. Knowing this information helped her to understand better how to really help me. Yes there were a list of things that I needed to do to help get myself out of this including a prescriptions medication a morning happy lamp targeted and correctly dosed nutrients and botanicals and a drastically modified lifestyle all things to get my physical body on its way. However based on my ACE Score and the other various insights garnered she also recommended something very interesting. She mentioned to me the idea and modality of feeling and actually said If you are going to heal you have to feel. This led us down an utterly different path a path that peered into excavating the reasons behind the drive the busy the relentless going and doing and the almost constant adaptive response to stress. Research indicates that for many people these responses have causes that originate very early in life and this was true for me--despite my years of therapy it took my body the being that was actually keeping the score to hit bottom so I could really begin to heal. Since this experience I have looked at my chronically stressed and over adapted patients in a different light. I actually will use the ACE scoring in our intake--it offers me that clinical edge to help my patients increase awareness of themselves and the way they are living their lives and 1 Felitti VJ Anda RF Nordenberg D et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. Am J Prev Med. 1998 May 14(4) 245-58. 2 Anda RF Felitti VJ Bremner JD et al. The enduring effects of abuse and related adverse experiences in childhood A convergence of evidence from neurobiology and epidemiology. European archives of psychiatry and clinical neuroscience. 2006 256(3) 174-186. doi 10.1007 s00406-005-0624-4. 3 Iniguez KC Stankowski RV. Adverse Childhood Experiences and Health in Adulthood in a Rural Population-Based Sample. Clinical Medicine & Research. 2016 14(3-4) 126-137. doi 10.3121 cmr.2016.1306. 4 Van Bodegom M Homberg JR Henckens MJAG. Modulation of the Hypothalamic-Pituitary-Adrenal Axis by Early Life Stress Exposure. Front Cell Neurosci. 2017 Apr 19 11 87. 5 Faravelli C Lo Sauro C Godini L et al. Childhood stressful events HPA axis and anxiety disorders. World J Psychiatry. 2012 Feb 22 2(1) 13-25. 6 McEwen BS. Allostasis and Allostatic Load Implications for Neuropsychopharmacology. Neuropsychopharmacology. 2000 Feb 22(2) 108-24. 7 McEwen BS. Brain on stress how the social environment gets under the skin. Proc Natl Acad Sci U S A. 2012 Oct 16 109 Suppl 2 17180-5. 8 McEwen BS. The Brain on Stress Toward an Integrative Approach to Brain Body and Behavior. Perspect Psychol Sci. 2013 Nov 8(6) 673-5. 9 McEwen BS. Central effects of stress hormones in health and disease Understanding the protective and damaging effects of stress and stress mediators. Eur J Pharmacol. 2008 Apr 7 583(2-3) 174-85. References 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. Lucille s commitment to naturopathic medicine has been recognized with the Daphne Blayden Award and more recently the SCNM Legacy Award. SEPTEMBER OCTOBER 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 9 HEALTH INDUSTRY NEWS AAHP Highlights Expanded Homeopathic Drug Manufacturing Best Practices he American Association of Homeopathic Pharmacists (AAHP) recently hosted a webinar on 2017 improvements to the Homeopathic Pharmacopeia of the United States (HPUS). Highlighting new manufacturing best practices in the HPUS--which more than tripled to 175 from 40 in the prior version--the webinar underscored how this extensive resource can help manufacturers produce safe and effective homeopathic drug products. Recognized by the U.S. Federal Food Drug and Cosmetic (FD&C) Act the HPUS is the official compendium of homeopathic active ingredients and manufacturing guidelines. AAHP s webinar covered two major areas in the document good manufacturing practices (GMPs) and drug stability guidelines. Eric Foxman senior scientist with the Homeopathic Pharmacopoeia Convention of the United States (HCPUS) the organization that publishes and updates the HPUS facilitated the session. Foxman first covered manufacturing best T practices. The result of five years of deliberations the expansions are designed to be consistent with modern pharmaceutical manufacturing and drug GMP (good manufacturing practices). Additions include new facilities controls around temperature and humidity in manufacturing plants as well as documentation guidelines for supplier and vendor management. The HPUS also saw expanded rules for the sourcing handling purity testing and storage of both botanical and chemical raw materials. The product of about 2 225 hours of work between the more than 30 members of the HCPUS the new HPUS covers more than ever before said Foxman. It is a testament to the homeopathic industry s dedication to continual improvement. New drug stability guidelines in the HPUS aim to ensure that drug products will remain in their intended form over the entire period of their use. Foxman explained that manufacturers are now required to identify and document the individuals who are responsible for assessing stability. The expanded stability section also includes guidelines for material usage risk analysis expiration dating and retesting of product stability. The importance of the HPUS in guiding homeopathic manufacturing and marketing organizations cannot be overstated said Mark Land AAHP president. And that s why AAHP continues our educational programming around this and other topics that help our industry set a high bar in manufacturing excellence and product safety and effectiveness. The webinar is the first of AAHP s 2017 Compliance Thru Education series which aims to help AAHP members and nonmembers alike keep abreast of the latest in regulatory compliance and manufacturing trends affecting the homeopathic industry. Other webinars will cover key issues such as overthe-counter (OTC) labeling and product recall procedures. For more information visit www.aahp.info. Richard van Breemen Named Director of Linus Pauling Institute at OSU regon State University (OSU) has named Richard van Breemen as the director of the university s Linus Pauling Institute. Dr. van Breemen professor of pharmacy at the University of Illinois at Chicago will succeed Balz Frei as director and endowed chair of the institute which studies the role of vitamins and other micronutrients in enhancing health and preventing disease. Dr. van Breemen characterized his new role as director of the Linus Pauling Institute as a dream job. Richard brings the prestige and accomplishments we were looking for in a new director said Cynthia Sagers vice president for research at OSU. He runs a National Institutes of Health-funded center for botanical dietary supplement research and is someone who makes things happen. He is very collaborative and people here already know his work. Richard feels a real passion for the work we do here at OSU and at the Linus Pauling Institute in particular. Dr. van Breemen has a PhD in pharmacology from Johns Hopkins University and was a post-doctoral scholar at Johns Hopkins in mass spectrometry. His undergraduate degree in chemistry is from Oberlin College. His research includes clinical trials regarding prostate cancer prevention and the safety and efficacy of botanical dietary supplements used by women. O At the University of Illinois at Chicago where he has worked since 1994 Dr. van Breemen is the founding academic director of the Mass Spectrometry Metabolomics and Proteomics Facility for the university s Research Resources Center. He is also the director of the Botanical Center for Dietary Supplements Research which has NIH funding through 2020 and has been continually funded since 1999. From 1986 to 1993 Dr. van Breemen was a faculty member at North Carolina State where he founded and directed the Mass Spectrometry Laboratory for Biotechnology Research. Linus Pauling who died in 1994 at age 93 was an Oregon State alumnus and is the only person to win two unshared Nobel Prizes-- for chemistry in 1954 and for peace in 1962. A chemistry professor at California Institute of Technology he founded what would become the Linus Pauling Institute in 1973. Pauling bequeathed his vast scientific archives to OSU and in 1996 the institute moved from Palo Alto CA to Oregon State. The following year Frei became director and endowed chair a position he held until his retirement in June 2016. Dr. Van Breemen met Pauling shortly before his death when the Nobel laureate spoke at a symposium at North Carolina State. Of course I had followed his work with dietary supplements for years and I also got to know Balz upon visits to Oregon State Dr. van Breemen said. I have visited several times and gotten to know the investigators and other faculty and have always known it to be a wonderful place to live and work. OSU and the Linus Pauling Institute offer a wealth of infrastructure and support that is unparalleled. The institute can help the work I have been doing be even more productive and make a bigger imprint and footprint on society. Dr. van Breemen will start January 1 2018. Fred Stevens professor of medicinal chemistry in the Oregon State College of Pharmacy will continue as the interim director until then. Dr. Van Breemen s appointment at OSU will also be in the College of Pharmacy. For more information visit http lpi.oregonstate.edu. 10 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2017 Go to www.naturalpractitionermag.com procana for info about this advertiser HEALTH INDUSTRY NEWS Associations Respond to Findings of New Study on Cancer Risk Among Smokers Taking Vitamin B Supplements T he Natural Products Association (NPA) has rejected a study by researchers blaming vitamin B use by male smokers for an increased risk of cancer. Dan Fabricant PhD president and CEO of NPA pointed to environmental factors and tobacco use as the more likely cause for increased cancer risk. Dr. Fabricant is a former head of the Dietary Supplement Division at the U.S. Food and Drug Administration (FDA). Epidemiologists from the Ohio State University Comprehensive Cancer Center Arthur G. James Cancer Hospital and Richard J. Solove Research Institute (OSUCCC James) Fred Hutchinson Cancer Research Center and National Taiwan University reported their findings in the August 22 2017 issue of the Journal of Clinical Oncology. In the study Theodore Brasky PhD of the OSUCCC James and colleagues analyzed data from more than 77 000 patients participants in the VITamins And Lifestyle (VITAL) cohort study a long-term prospective observational study designed to evaluate vitamin and other mineral supplements in relation to cancer risk. All participants were aged between 50 and 76 and were recruited in the state of Washington between the years 2000 and 2002. Upon enrolling in the study participants reported information to researchers about B-vitamin usage over the past 10 years. This included dosage information--a critical but often missing detail needed for strong risk assessment and association research. For this new analysis researchers used statistical techniques to adjust for numerous factors including personal smoking history age race education body size alcohol consumption personal history of cancer or chronic lung disease family history of lung cancer and use of anti-inflammatory drugs. This sets all of these other influencing factors as equal so we are left with a less confounded effect of long-term B6 and B12 super-supplementation said Dr. Brasky. Our data shows that taking high doses of B6 and B12 over a very long period of time could contribute to lung cancer incidence rates in male smokers. This is certainly a concern worthy of further evaluation. People who want to avoid cancer should avoid using tobacco because smoking causes lung cancer not vitamin B said Dr. Fabricant. This study is flawed and ignores the potential for a host of other environmental factors and causes. Millions of healthy individuals use vitamins and supplements including vitamin B to support their lifestyles. Duffy MacKay ND senior vice president scientific and regulatory affairs for the Council of Responsible Nutrition (CRN) also released the following statement We urge consumers to resist the temptation to allow sensational headlines from this new study to alter their use of B vitamins especially without further understanding of the nature of this study and a conversation with their health care practitioners. The numerous benefits of B vitamins from food and dietary supplements including supporting cognition heart health and energy levels are well-established and this study in the Journal of Clinical Oncology doesn t change those facts. Additionally this observational study doesn t prove causality between B vitamins and lung cancer risk and in actuality has some significant limitations to consider. Those limitations include the depend- ence on the ability of the study population ages 50 76 years old to remember and accurately report what they consumed over a 10-year period prior to the start of the study. Further the results of this study conflict with the results of previous studies including a randomized control trial as well as two studies that measured vitamin B6 serum levels and demonstrated reduction in lung cancer risk. Due to the limitations and its misalignment with the greater body of scientific evidence the study should be interpreted with caution. For consumers the key takeaway from this study is that smokers have a higher risk of lung cancer than non-smokers. If you have concerns about lung cancer or B vitamins we recommend talking with your doctor or other health care practitioner. We remind consumers that dietary supplements are intended to supplement not replace a healthy diet. They cannot--and will not--reverse the potential harm from unhealthy behavior such as smoking. For more information visit www.npainfo.org www.crnusa.org or www.cancer.osu.edu. ACPM Releases New Medical Education Course on Culinary Medicine T he American College of Preventive Medicine (ACPM) has released a new continuing medical education (CME) course on culinary medicine the clinical practice of helping patients use nutrition and good cooking habits to restore and maintain health. The online course--now available for 1.5 CME as an elective of the Lifestyle Medicine Core Competencies Program for physicians and clinicians--provides a food is medicine perspective and examines what patients face day-to-day when trying to make substantive lifestyle changes. Featured are recipes and cooking techniques that follow a high fiber plant-based diet and are achievable with low income to moderate budgets and amid time constraints. Participants are instructed to practice the culinary methods themselves and use their experience to counsel and empower patients to make and sustain healthier choices when shopping and preparing meals. In addition to the course recipes and instructional videos have been made available for all medical professionals and their patients. These resources are helpful for patients who want to start cooking healthy meals at home and need clear examples and demonstrations. Made possible by a grant from the Ardmore Institute of Health the course was developed by Rani Polak MD Chef MBA founding director of the CHEF Coaching Program at the Institute of Lifestyle Medicine Spaulding Rehabilitation Hospital along with Liana Lianov MD MPH FACPM faculty director of the Lifestyle Medicine Core Competency Curriculum and former board member of ACPM and ACLM. For more information visit www.acpm.org. 12 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2017 Go to www.naturalpractitionermag.com daiwa for info about this advertiser HEALTH INDUSTRY NEWS AGS Test Now Offers More Comprehensive Report A rizona-based Advanced Genomic Solutions (AGS) has announced that its Health & Wellness Genetic Test is now offering an even more comprehensive and actionable report to its clients. The new report provides additional personalized recommendations in three areas Food nutrition Supplements and Exercise. The new reports follow AGS expanding its test to include additional genes SNPs (single nucleotide polymorphis) and variations. The three most popular highlights from the new report are the Overall Health Awareness and Effort Score the Grocery List and the recommended Exercise Workout. Overall Health Awareness and Effort Score AGS evaluates the most clinically validated biomarkers for obesity and BMI (body mass index) by using a scientific algorithm to determine a client s score. If the score is high it does not mean the individual is doomed to be obese. Instead it means that the client would find it more beneficial to adhere to the right diet and exercise recommendations according to their DNA. This will keep them on track and help the client to achieve optimal health and wellness. The Overall Health Awareness and Effort Score is a rating between 1 and 10 (1 means a low level of awareness and effort level is required to stay healthy 10 means a high level of effort and awareness is required to stay fit). It is calculated by examining SNPs in your DNA that have been associated with weight gain including BMI waist circumference and body fat percentage. These DNA base pairs represent various tendencies such as overeating lower metabolic rates cravings for sweet foods and other behaviors that can lead to weight management issues. Being aware of one s genetic tendencies will allow report recipients to understand the level of effort needed to support overall health and wellness. Grocery List The report provides extensive dietary recommendations based on what your body can properly metabolize and absorb. In addition to a recommended proportion of different foods (proteins carbs fats etc.) based on your unique body s needs AGS has added a grocery list section complete with recommended meals and snacks. The grocery list also includes foods that you should avoid. Recommended Workout Exercise The report provides specific recommendations as to what type of exercise a person s unique DNA needs most. For example it might advise that a higher percentage of endurance exercise might be more beneficial to weight training or sprint training. The new report shares sample workout recommendations to help an individual s body to maintain or improve fitness. The detailed recommendations can be particularly useful to professional trainers in designing a workout for a client elite athletes who have peaked and are trying to jump to the next level people trying to maintain their current fitness or those trying to lose weight helping them focus on exercise most likely to get them noticeable results. Taking in conjunction the reports serve as blueprint for overall health and weight related issues whether that desire be to lose gain or maintain weight. The new reports are in part a result of AGS expanding the number of genes SNPs and variations studied. AGS now reviews 58 different genes 61 different SNPs (up from 54) and more than 75 different variations. The additional data allowed for creation of an even more enhanced report. By expanding the genes and SNPs tested we are able to expand the report to include even more usable actionable information said Lance Bennett co-founder at AGS. We re getting fantastic response from those who take the test that love the new grocery do s and don t list and the expanded workout recommendations based on the individual s unique DNA. We decided to make these new reports our standard going forward while not raising the price for this only-takeonce-in-your-life test. For more information visit www.ags-health.com. Free TuneUpDocs Medical Program Introduces New Paradigm for Medical Checkups H aving a regular health checkup may be a good idea but it s tied to an outmoded approach to wellness. Looking to see if you have it yet-- it being some deadly disease. In reality checkups rarely offer anything that actually helps a person feel better. Research published over the last two years has even suggested that most health care screening tests with the exception of checking blood and eye pressure diabetes and colonoscopy may cause more harm than good. In this light it s the perfect time to evolve from doing check-ups to TuneUps. TuneUpDocs developed by board-certified internist Jacob Teitelbaum MD was launched in September at the opening of Natural Products Expo East in Baltimore MD. TuneUpDocs revolutionizes the standard approach to health care by expanding the medical toolkit and providing scientifically proven effective ways to optimize and maintain health improving quality of life and longevity said Dr. Teitelbaum author of seven books including the perennial bestsellers From Fatigued to Fantastic and the Beat Sugar Addiction NOW series. Comprehensive medicine is the cornerstone of our program--which means incorporating the best of conventional and alternative medicine to optimize health. So people can die very young--but very late in life. TuneUpDocs starts with a free simple five to 10 minute online health quiz which is used to create a personalized comprehensive roadmap for overall health. TuneUpDocs provides individualized recommendations and health tips that will leave people feeling young and healthy at any age. People can incorporate most of these recommendations on their own. The program will also provide the names of TuneUpDocs-trained health care practitioners nationwide. Although our modern world creates many health challenges--with new research showing a marked increase in the prevalence of fatigue pain arthritis and diabetes--it also offers new tools that can help people to thrive as never before said Dr. Teitelbaum. From a comprehensive medical point of view this is the best time ever to be alive. He added My car has 100 000 miles on it but feels like a new car simply because I give it regular tune-ups. Yet most people have never had a tune-up. Which is why they feel old. For more information visit www.tuneupdocs.com. 14 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2017 Go to www.naturalpractitionermag.com carlson for info about this advertiser HEALTH INDUSTRY NEWS The Chopra Center Launches Ayurvedic Breast Massage Treatment he Chopra Center has launched the ayurvedic breast massage treatment one of the most effective and nourishing ways to maintain healthy breast tissue and musculature before potential issues arise and a way to heal physically emotionally and spiritually after a life-changing disease such as breast cancer according to the center. Located at the Omni La Costa Resort and Spa in Carlsbad CA and founded in 1996 by Deepak Chopra MD and David Simon MD The Chopra Center is the only wellness center in the nation to offer this holistic treatment on a large scale and to provide extensive training for each female massage therapist. Utilizing the SpurgeonShulte Method combined with traditional ayurvedic technique and marma therapy the ayurvedic breast massage helps to flush toxins through the lymphatic system reduce pain improve range of motion and increase the flow of prana life energy. We are really excited to offer this innovative new treatment that we believe will change the conversation around breast health which is a vital component on the path to total well-being said Jennifer Johnson director of spa at The Chopra Center and the creator of this comprehensive ayurvedic breast massage. Our ayurvedic breast massage combines movement breath and manual manipulation to provide lymphatic circulation to this part of the female body that wouldn t otherwise receive the lymphatic benefits of exercise. Ayurveda a 5 000-year-old healing wisdom T tradition from India teaches that in order to maintain a state of balance the whole person must be addressed but in many healing practices the breast area is often overlooked. The ayurvedic breast massage is beneficial for all women healthy women women who have been diagnosed with or are survivors of breast cancer women who have fibrocystic breasts and women who are recovering from breast augmentation or reduction cardiac abnormalities or chest pain. In order to perform this specialized therapy the female massage therapists undergo additional extensive training of more than 125 hours in oncology and breast massage. Therapists provide a customized healing touch based on medical history personal preference and mind-body type as well as a level of coverage that feels comfortable for the client working with them through the massage. About 10 percent of the massage includes touching the actual breasts and the nipples are never touched. When healthy movement of the lymphatic fluid becomes restricted--whether from compromised health surgeries restrictive clothing like bras or even tense posture--toxins can accumulate and lead to disease. Exercise is effective at pumping lymph fluid around every part of the body except the breast where the flow is often restricted by workout clothing. Breast massage clears the lymphatic channels and ensures any toxins in the breast have a pathway to leave the body. In addition by clearing up the lymphatic channels pain is reduced in the breast as well as the entire body. Breast massage includes muscle release techniques to open up the shoulders and chest. In those who have had breast surgeries such as augmentation or reduction this can restore range of motion that has been often severely restricted. This is also extremely beneficial for anyone who regularly sits at a desk drives a vehicle or works at a computer. In ayurveda prana is the vital energy that gives life to all beings. When the flow of prana is restricted we may experience symptoms such as fatigue unhappiness or illness. Breast massage provides the vital function of opening up the flow of prana in the chest gently removing energetic blocks around the heart that might otherwise remain unaddressed. For more information visit www.chopra.com ayurvedic-spa treatments. NUNM Names New Dean Of College of Naturopathic Medicine and Associate Vice President of Student Affairs dent of finance and administration. students exceed professionally. ational University of Natural Medicine As NUNM s Title IX coordinator NUNM has also appointed Glenn (NUNM) has appointed Shehab El-Hashemy Dr. Smith will also be responsible to C. Smith EdD to the position of asso(pronounced Sheh-HAHB El-hah-SHEHensure that NUNM provides a ciate vice president of Student Affairs me) ND dean of the College of Naturopathic diverse and inclusive environment and dean of students. Dr. Smith is a Medicine. Dr. El-Hashemy is an experienced for all students faculty and staff a college administrator and educator naturopathic academic administrator associate priority for NUNM Bores said. with more than 30 years of experiprofessor and practicing physician as well as the Building a campus that reflects the author of two popular books on naturopathic and ence marked by progressively diversity of the world around us will increased responsibility in positions integrative primary care. Dean Melanie Glenn Smith be a measure of our success as we dedicated to student affairs and learnHenriksen ND LAc CNM who served at the continue to grow. ing. Most recently Dr. Smith served as vice presiuniversity for more than eight years in senior Dr. Smith received his doctor of education dent of student affairs and executive vice provost administrative capacities is leaving the position degree from Portland State University and a masat Concordia University in Portland. after accepting a position at Kaiser Permanente in ter of arts in social sciences from Azusa Pacific Dr. Smith will oversee all areas Portland. University in Azusa CA. In addition to his many related to student affairs student For the past seven years Dr. Elyears of service at Concordia he has worked at St. services events and operations Hashemy has been associate dean of Thomas University in Miami and Whitworth counseling health and safety proacademic delivery at Canadian College College in Spokane. He has held a number of grams academic success and the of Naturopathic Medicine (CCNM) in executive positions from the academic to the Office of the Registrar. Smith s Toronto ON Canada where he has administrative with oversight ranging from depth of experience in a growing been responsible for establishing and admissions to online education and instructional and dynamic learning environment maintaining academic quality standesign among other areas. is ideally suited to NUNM said dards meeting the stringent assessment For more information visit http nunm.edu. of accrediting agencies and helping its Shehab El-Hashemy Gerald Bores executive vice presi- N 16 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2017 Go to www.naturalpractitionermag.com balchem for info about this advertiser HEALTH INDUSTRY NEWS NUNM School of Graduate Studies to Launch Master of Science in Ayurveda he National University of Natural Medicine (NUNM) announced the launch of its newest accredited graduate-level program the master of science in ayurveda (MScA). The program will be offered to concurrent dual-degree students in winter 2018 and as a standalone program to licensed clinicians in all medical disciplines in fall 2018. Savita Rajukar MD PhD ND (India) has accepted the position as program chair of the new ayurveda program. She is an assistant professor at NUNM who currently teaches elective courses in ayurveda. Dr. Rajukar is a renowned physician educator researcher and author with more than 25 years of academic and clinical experience. Ayurveda is a system of medicine in India that dates back 5 000 years. Today it is used by nearly 42 million of India s rural population--70 percent of the overall population. Ayurveda has grown in popularity in the U.S. due to increased interest in Indian philosophy as well as physical and spiritual disciplines like yoga and meditation. The MScA is designed to provide training in the art and science of ayurveda to currently enrolled NUNM students and licensed medical professionals. It can be integrated within the practice of any medical system. The new program will include a strong foundation in ayurvedic philosophy classification pathophysiology and techniques of assessment as well as various ayurvedic treatment modalities including botanicals nutraceuticals detoxification rejuvenation therapeutics yoga diet lifestyle and counseling. All classes are taught in English and the ancient texts have been translated to accommodate English-speaking students. Graduates of the MScA program will be prepared to offer integrative medical care through rigorous academic and clinical training in ayurveda for the treatment and prevention of acute and chronic disease. While ayurveda is not a licensed degree within the United States students completing this program will be able to use an ayurvedic framework from which to diagnose and treat patients within their own medical license. Academic classes will be held at NUNM and required fieldwork and clinical intern- T ship training will take place at NUNM health centers and at accredited teaching hospitals in India. Interim Provost Sandra L. Snyder PhD said the new program is the perfect complement to the naturopathic and Chinese medicine doctoral programs the university presently offers. Our students have been asking us for a program in ayurveda. Dr. Rajukar is an ayurvedic scholar well known researcher and an expert clinician with the knowledge and resources to help us create a program for our students that will meet the rigorous quality standards for which NUNM is known. Heather Zwickey PhD dean of the School of Graduate Studies and director of the Helfgott Research Institute agreed. Savita is a gem and we re so excited to have her on our faculty she said. The timing for this program couldn t be better. Interest in Indian philosophy meditation and yoga as well as ayurvedic medicine is expanding in the U.S. and this program fits a special niche in our curricula. For more information visit http nunm.edu master-science-ayurveda-msca . Logan University Welcomes Largest Class in 10 Years M issouri-based Logan University has enrolled its largest incoming class in a decade as 142 students in the Doctor of Chiropractic (DC) program began first-trimester classes on September 6 2017. An additional 210 students enrolled in the College of Health Sciences programs including Doctorate of Health Professions Education and Master of Science degrees in Health Informatics Nutrition and Human Performance Sports Science and Rehabilitation and bachelor degree programs. Individuals from 25 states as well as Puerto Rico and Trinidad and Tobago constitute the incoming DC class and will call St. Louis home for much of the next four years or 10 trimesters. Logan s DC curriculum involves intense study of evidence-informed outcomebased chiropractic health care with many hours of hands-on clinical experience incorporated throughout. In addition the university announced that one student with the highest grade point average at the end of the first trimester will earn a scholarship for the remaining nine trimesters of the DC program. We are impressed with the academic and personal skills of these incoming students said Clay McDonald DC MBA JD Logan University president. We are excited to motivate them even further and reward exceptional progress. Logan s College of Health Sciences is growing rapidly offering online and oncampus curriculum for undergraduate degrees in biology and life sciences as well as online curriculum for the Doctorate of Health Professions Education and Master of Science degrees in Health Informatics Nutrition and Human Performance and Sports Science and Rehabilitation. Incoming enrollment in these degree pathways topped 210 and includes students in South Korea Puerto Rico and Armed Forces Pacific. The interest in these degrees confirms our belief that health science careers are in high demand said Kimberly Paddock-O Reilly DHEd MSW executive vice president of academic affairs. Logan is uniquely positioned to build on its heritage of chiropractic research and education and create health degrees that can both complement the Doctor of Chiropractic or stand-alone to support a meaningful career. For more information visit www.logan.edu. 18 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2017 INM UPDATE Leading Industry Organization Speaks Directly to Natural Practitioner Readers Chronic Inflammation Chronic Disease and the Naturopathic Doctors Approach By Michelle Simon PhD ND ny trained and licensed naturopathic doctor (ND) can talk about the body s remarkable ability to heal itself. It s a central principle we study for four years in naturopathic medical school. When explaining this to laypeople I often give a very straightforward example when you sprain your ankle innate processes kick into gear sending increased blood flow to the area and bumping up white blood cell production to stimulate the healing process. That swelling you see is natural inflammation and it s part of the healing process. The crucial point is that for every injury there is a bodily response. But what if the injury or insult your body is trying to fight isn t localized like a sprain What if it s ongoing instead of temporary Your immune system still kicks into gear flooding the body with powerful mediators but in this case the result is chronic inflammation. This constant state of bodily stress can result in major health problems. We now know that chronic inflammation is at the root of some of the most prevalent chronic diseases including coronary artery disease 1 2 which is linked with one in four deaths in the United States. The National Cancer Institute says cancer is linked with chronic inflammation too.3 Research has shown that psoriasis 4 rheumatoid arthritis Crohn s disease and ulcerative colitis5 are also linked. And of course inflammation is part of chronic back pain. Because of our extensive training and our holistic approach NDs are uniquely suited to help patients heal these inflammatory conditions. Part of our mission at the Institute for Natural Medicine is to educate consumers and other medical practitioners on how we work--and why it works. We begin by trying to determine why the body is in this constant state of immune-system overload. With each patient my goal is not merely to suppress the symptoms but to address these underlying causes. Diet can often be a big part of this and we ve known for a long time that many chronic diseases are entirely preventable through diet and other lifestyle changes. In one study published in The Lancet back in 1990 for example approximately 80 percent of coronary atherosclerosis patients were able to avoid surgery and reduce their arterial plaque A with these sorts of lifestyle changes alone.6 It is a remarkable fact to be able to recite to a patient. Even better is having the training in clinical nutrition to tell my patients exactly what that entails. After addressing the patient s obstacles to health such as poor diet or sleep disturbances we work on stimulating healing. An ND s medical training covers clinical nutrition botanical medicine physical medicine and stress management techniques giving us a wide variety of tools. These approaches are backed up by research. Omega-3 fatty acids for example have been shown to help reduce inflammation associated with rheumatoid arthritis 7 as well as cardiovascular disease.8 Willow bark has been shown to be effective in treating low back pain.9 The herb devil s claw can help patients with osteoarthritis.10 NDs have formularies that are robust with many more natural supplements and herbs allowing us to create a personalized approach for every patient. Our varied toolkit can be particularly helpful in working with patients who are trying to transition from the conventional medical approach that focuses on powerful drugs to treat symptoms. They might come to me on steroids to reduce inflammation statins to reduce cholesterol levels NSAIDs or opiates to reduce pain. We now know that these drugs can do more harm than good including dangerous side effects and even death. We also know that about one in 10 patients prescribed opiates develop an opiate use disorder.11 Often they arrive at my office wanting to wean themselves from prescription drugs but fearful about what that might entail. In my practice I often work with other medical practitioners including MDs DCs physical therapists and others to transition these patients from symptom-management-via-prescription to a state of true health improvement based around dietary changes botanical medicines and stress reduction techniques. A 2013 randomized controlled trial showed patients who added naturopathic treatments to their usual care saw their cardiovascular age decrease by 5.5 years.12 The bonus This multi-faceted approach doesn t just restore health. A 2010 review study showed that an integrative approach that focuses on lifestyle strategies can both improve health for chronic disease patients and can also save money.13 Another systematic review in 2015 came to a similar conclusion the whole-system naturopathic approach improves symptoms and health outcomes while also reducing costs.14 Considering the bulk of U.S. health care dollars are spent managing chronic health conditions it s time to use these proven strategies to treat not just the symptoms but the underlying causes of disease. References 1 Libby P Ridker P Maseri A. Inflammation and Atherosclerosis. Circulation. 2002 105 1135-1143. 2 Danesh J1 Whincup P Walker M Lennon L Thomson A Appleby P Gallimore JR Pepys MB. Low grade inflammation and coronary heart disease prospective study and updated meta-analyses. BMJ. 2000 Jul 22 321(7255) 199-204. 3 National Cancer Institute. Chronic Inflammation. www.cancer.gov about-cancer causesprevention risk chronic-inflammation. Retrieved Sept. 7 2017. 4 Sodano W. Integrative Medicine Approach to Psoriasis A Diagnostic Summary and Treatment Strategies. (Article adapted from CIM Module 27 Dermatology and Periodontal Disease). 5 PubMed Health What is an inflammation Retrieved Sept. 6 2017. 6 Ornish D Brown SE Scherwitz LW et al. Can lifestyle changes reverse coronary heart disease The Lifestyle Heart Trial. Lancet. 1990 336 129 133. 7 Miles EA Calder PC. Influence of marine n-3 polyunsaturated fatty acids on immune function and a systematic review of their effects on clinical outcomes in rheumatoid arthritis. British Journal of Nutrition. 2012 107(Suppl 2) S171 S184. 8 Balk EM Adam GP Langberg V Halladay C Chung M Lin L Robertson S Yip A Steele D Smith BT Lau J Lichtenstein AH Trikalinos TA. Omega-3 SEPTEMBER OCTOBER 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 19 INM UPDATE Fatty Acids and Cardiovascular Disease An Updated Systematic Review. Evidence Report Technology Assessment No. 223. (Prepared by the Brown Evidence-based Practice Center under Contract No. 290-2012-00012-I.) AHRQ Publication No. 16-E002-EF. Rockville MD Agency for Healthcare Research and Quality August 2016. www.effectivehealthcare.ahrq.gov reports final.cfm. 9 Shara M Stohs SJ. Efficacy and Safety of White Willow Bark (Salix alba) Extracts. Phytother Res. 2015 Aug 29(8) 1112-6. doi 10.1002 ptr.5377. Epub 2015 May 22. 10 Medline Plus. Devil s Claw. https medlineplus.gov druginfo natural 984.html. Retrieved Sept. 7 2017. 11 PAINS Project. Policy Brief Never Only Opiods. http painsproject.org wp wpcontent uploads 2014 09 pain-policy-issue-5.pdf Retrieved Sept. 7 2017. 12 Seely D Szczurko O Cooley K Fritz H Aberdour S et al. (2013) Naturopathic medicine for the prevention of cardiovascular disease a randomized clinical trial. CMAJ 185 E409-416. 13 Guarneri E Horrigan BJ Pechura CM. The efficacy and cost effectiveness of integrative medicine a review of the medical and corporate literature. Explore (NY). 2010 Sep-Oct 6(5) 308-12. doi 10.1016 j.explore.2010.06.012. 14 Oberg EB Bradley R Cooley K Fritz H Goldenberg JZ et al. (2015) Estimated Effects of Whole-system Naturopathic Medicine in Select Chronic Disease Conditions A Systematic Review. Altern Integr Med 4 192. doi 10.4172 2327-5162.1000192. The Institute of Natural Medicine (INM) In 1992 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 interprofessional 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 contact msimon naturemed.org. Go to www.naturalpractitionermag.com nutri-spec for info about this advertiser 20 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2017 Go to www.naturalpractitionermag.com advancednaturals for info about this advertiser Education & Support for Natural Practitioners Natural Practitioner highlights some of the institutions and associations providing education and support for practitioners and patients for the betterment of integrative health. By Karen Morse MPH National University of Natural Medicine Portland OR (503) 552-1555 www.nunm.edu In 2016 National University of Natural Medicine (NUNM) changed its status from a college to a university when it added the School of Undergraduate Studies and its two accredited Bachelor of Science degrees-- integrative health sciences and nutrition. NUNM is the oldest accredited naturopathic medical school in North America and one of the leaders in natural medicine education and training. Nicknamed The Mothership our graduates have established some of our sister schools in the U.S. well-known naturopathic universities and colleges in their own right said Marilynn Considine NUNM s director of public relations and communications. NUNM has consistently raised the bar for the education and training we provide our students she added. One example includes the opportunities for students in the School of Graduate Studies and NUNM s Helfgott Research Institute to assist investigators in research and development. NUNM also receives generous funding from National Institutes of Health (NIH) grants apart from and in collaboration with allopathic medical schools. Currently these include a mindfulnessbased stress reduction study for multiple sclerosis patients which our researchers are conducting through Oregon Health & Sciences University added Considine. Other research projects include studies on chronic disease conditions such as diabetes and cancer as well as nutrition pain among others. medicine research nutrition global health mental health sports medicine and most recently ayurveda. NUNM also now offers a Doctor of Science in oriental medicine. Student Resources NUNM is dedicated to helping their students succeed both academically and professionally. The university has a number of resources available to help students achieve that success including the NUMN Library which contains one of the most significant collections on natural medicine in the United States. The Rare Book Room contains more than 2 000 original volumes including books on herbal medicine from the 1600s to the personal library of Dr. Benedict Lust who is known as the father of naturopathic medicine. Other resources include Centers for Academic Success and Career Services as well as a professional counseling staff resources for families such as remote classrooms and a family room. Financial aid programs and work-study positions are also available. What s New NUNM is continuing to expand and further deepen its core programs like naturopathic and classical Chinese medicine while expanding program curricula in other areas that develop and enrich aspects of natural medicine modalities and principles. In the past few years NUNM has added Master of Science degrees in integrative 22 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2017 National University of Health Sciences Lombard IL (800) 826-6285 www.nuhs.edu Founded in 1906 National University of Health Sciences (NUHS) is a leader in the field of integrative medicine. With campuses in both Illinois and Florida university programs include chiropractic medicine naturopathic medicine acupuncture Oriental medicine massage therapy and biomedical science. The University s dual degree program allows students to earn multiple degrees in these disciplines. National University was the first to offer hospital experience to chiropractic students push for national accreditation of chiropractic colleges and publish medically-indexed and peer reviewed scientific journals. well as interactive classes for children in yoga and tai-chi. NUHS plans to hold the event again next year with many of the same activities. New Integrative Medicine Blog NUHS has also launched a new blog entitled The Future of Integrative Health that includes valuable resources for aspiring health care professionals in alternative medicine. The blog features the perspectives of current students as well as alumni faculty and other experts. What s New Programs National University has partnered with Ball State University (BSU) to allow students to complete both an undergraduate degree and doctor of chiropractic (DC) degree in seven academic years instead of eight shared Elizabeth Toth communications coordinator at NUHS. The program known as the Advanced Scholars Program is a joint recruitment and dual admission effort that creates a coordinated curriculum specifically for exceptional students who have earned a 3.5 GPA or higher at BSU she continued. NUHS has created similar programs at both Elmhurst College and South Dakota State University with other collaboration agreements underway. Grand Opening of New Hydrotherapy Suite Other new developments at NUHS included the grand opening of its new hydrotherapy suite in the Whole Health Center clinic on its Lombard IL campus earlier this year. The suite includes many rooms for multiple types of hydrotherapy modalities offering constitutional treatments Russian steams baths and peat immersion baths. These therapies are typically used with other natural treatments such as botanical medicine nutritional improvements or lifestyle changes said Toth. Students are able to begin working in the hydrotherapy suite in their seventh trimester before the normal clinical internship begins. Faculty NUHS has 78 full-time and 82 part-time faculty members many of whom are actively working in or operating a private practice. NUHS faculty members are also active in spreading awareness about their fields and specialties and are often featured in magazines and other publications. Faculty members are engaged in research including a shoe orthotics and back pain study published in Archives of Physical Medicine and Rehabilitation and a study on low back pain and spinal manipulation. Student Resources The graduate-level facilities at NUHS are state-of-the-art with a top of the line gross anatomy lab biochemistry lab well-stocked herbal dispensary and other clinics providing students the opportunity to collaborate in an integrative setting. Student support services include academic advising peer tutoring flexible tracks various student clubs and more with an engaged alumni network providing further support and mentoring opportunities. Additionally NUHS partners with numerous health facilities allowing for internship opportunities in chiropractic and naturopathic care oriental medicine and acupuncture both before and after graduation. graduate level are underway. Inaugural Healthy Kids Event This year NUHS welcomed families with children of all ages to the Lombard campus for the inaugural Healthy Kids Open House event which included lectures in child psychology brain health and healthy eating as Logan University Chesterfield MO (800) 782-3344 www.logan.edu Logan University has been grounded in chiropractic education since 1935 with the flagship Doctor of Chiropractic degree while continuing to enrich academic options offering other degrees in the health sciences. Logan students can take advantage of clinical opportunities earlier in the student experience than any other chiropractic program. Under expert guidance of faculty clinicians students are able to hone their skills in patient communication critical thinking and diagnosis. What s New Pediatric chiropractic care is on the rise and Logan is committed to being a leader in this area through patient care student education and family engagement. This November Logan University Health Centers will add pediatric chiropractic services under the supervision of Muriel Perillat DC MS a professor and long-time clinician with a specialization in chiropractic pediatrics. Logan is also advancing its partnership with the Institute of Sports Medicine in Havana Cuba. Student rotations in Havana are expected to start in the spring of 2018. New programs include the master of science in health informatics and the doctorate of health professions education. More new programs at both the graduate and under- Faculty Several members of the faculty are examiners for awards and credentialing organizations including The Council on Chiropractic Education The Higher Learning Commission States of Texas and Missouri Baldrige Award Ohio Board of Regents and others. Logan faculty members are published authors in a number of trade publications and peer-reviewed journals. Student Resources Logan s team of success coaches and transition coordinators help students succeed by providing counseling services mentoring and tutoring assistance. SEPTEMBER OCTOBER 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 23 What s New Education & Support for Natural Practitioners American College of Healthcare Sciences Portland OR (800) 487-8839 www.achs.edu American College of Healthcare Sciences (ACHS) has been educating holistic health professionals since it was founded in Auckland New Zealand in 1978. ACHS now has students and graduates in more than 80 countries around the world. ACHS is one of the few accredited holistic health colleges that offers fully online graduate and undergraduate degrees diplomas career-training certificates and continuing education courses in fields such aromatherapy wellness coaching herbal medicine and holistic nutrition. ACHS recently expanded financial aid opportunities as of the fall 2017 semester. Qualifying students in most programs can now use federal resources such as the Federal Pell Grant Federal Supplemental Opportunity Grant (FSEOG) Federal Direct Loans and Federal Direct PLUS Loans to support their educational goals. In August 2017 ACHS partnered with the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB) to introduce the first Spa Management Specialty Certificate Program. We developed ACHS s Holistic Spa Management program to fill an industry demand ACHS President and Founder Dorene Petersen said in a press release. The ACHS Holistic Spa Management Certificate Program provides participating massage therapists with a credential in just 15 weeks. ACHS launched another new program in August 2017--a new Certificate in Integrative Health and Fitness Training. The certificate program prepares students to work in the fitness industry--including athletic clubs and sports medicine facilities. Student Resources An extensive virtual library is available 24 7 through every online ACHS course and from within the ACHS Student Center. This library provides students with access to open access journals and subscription databases study tools and more. Supplemental writing support is available through the ACHS Student Center. Students are able to ask questions about a current assignment and or writing in general through the Ask an English Professor asynchronous discussion board in the Student Center or by directly emailing the writing faculty. ACHS provides international students with many resources to support their studies and success including 24 7 access to the online classroom dedicated admissions and student advisors and low-fee wire transfer payment options. ACHS is committed to its military students at home and abroad and participates in the U.S. Army s GoArmyEd program and other military tuition assistance programs. ACHS also accepts Veteran s Education Benefits for qualifying students enrolled in eligible programs. Faculty As an institution that specializes in online education students benefit from the expert guidance of faculty members from a variety of locations. From practicing educators physicians chiropractors acupuncturists holistic nutritionists and more the faculty comes from diverse backgrounds. Members of the faculty have extensive teaching experience and have years of practical experience in their fields. American Association of Homeopathic Pharmacists (AAHP) Milwaukie OR (513) 402-8847 www.aahp.info Founded in 1923 the American Association of Homeopathic Pharmacists (AAHP) is the trade organization of the American homeopathic industry. AAHP s not-for-profit alliance of homeopathic manufacturers marketers and pharmacists individuals represents the main body of manufacturing and distributing companies in the United States. Members are primarily homeopathic manufacturers and marketers and dues are based on the company s revenues. There is not a student-specific level of membership however individuals can join at the Associate Membership level for a 120 annual fee. This membership is open to people who possess an interest in homeopathy as it relates to manufacturing distribution marketing or selling homeopathic drug products. Since 2015 when the FDA (U.S. Food and Drug Administration) and FTC (Federal Trade Commission) reviewed the regulatory framework of the homeopathic industry to ensure the 25-year old policies were working the AAHP s focus has been and will remain to be on presenting a unified voice for the industry to regulators and legislators alike. Member Benefits Benefits include educational webinars expert speakers at the semiannual meetings and a monthly e-newsletter technical indepth information on regulatory and legislative changes manufacturing best practices in labeling and more. Additional information on member benefits can be found here www.aahp.info membership benefits. 24 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2017 Progressive Medical Center Atlanta GA www.progressivemedicalcenter.com Progressive Medical and Dunwoody Labs is one of the only joint clinics with laboratory affiliations to support the development of scientific studies as well as to provide hands-on patient care said Cheryl K. Burdette ND. Progressive Medical has been operational for the last 20 years and highlights some of the lead modalities in integrative care combining many disciplines under one roof including chiropractic acupuncture dietitians MDs DOs and NDs to deliver a fully integrated approach. What s New The educational endeavors of Progressive Medical Centers and Dunwoody Labs is experiencing tremendous growth Dr. Burdette stated. This growth is in a large part due to innovative testing that looks at a unique composition of immune reaction secondary to foods as well as developing profiles that look at direct markers of leaky gut that are done by no other labs in the country. By being able to look at foods that are an irritant to the gut as well as markers of gut permeability a specific assessment of gutbased inflammation can be made. This allows the clinician to monitor progress of gut based therapies and understand when a patient will be to the point of being less symptomatic secondary to inflammation that was started in the gut. Dr. Burdette added that in addition to having some unique biomarkers Dunwoody is acting in concert with Progressive Medical Centers to build clinician education programs that are rich in scientific design and an integrative approach. Faculty Dr. Burdette is intimately involved in education in integrative and naturopathic medicine. She has also taught for both allopathic and naturopathic medical programs and has an active role in educating clinicians both at Progressive Medical and through Dunwoody Labs. Gez Agolli MD PhD ND founded Progressive Medical the clinic where naturopathic physician residents practice. Progressive Medical is the largest integrative clinic in the Southeast and works in concert with Dunwoody Labs to develop research projects in the area of integrative medicine. Dr. Agolli s vision is to provide the highest level of integrative care and the strongest education to help shift the paradigm of medicine. Go to www.naturalpractitionermag.com womensinternational for info about this advertiser SEPTEMBER OCTOBER 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 25 Education & Support for The AANP offers webinars and continued education (CE) opportunities to help further NDs careers professional toolkits that save hours of research and time and cost savings on valuable programs and services for their practice. Natural Practitioners What s New The AANP and the Institute for Natural Medicine (INM) have partnered to launch a new service for NDs and their patients. Naturopathic Medicine 100 Frequently Asked Questions is a series of topic-specific facts and answers covering everything consumers need to know about naturopathic doctors and naturopathic medicine. This FAQ series will help educate and inform prospective patients ND students and consumers and build awareness and credibility for the profession. Recently the AANP has expanded its member benefits to include NDAccess Web Service a leading web hosting and website design solutions company. NDAccess provides naturopathic physicians with web hosting services as well as user-friendly content management systems (CMS) to create elegantly designed websites at an affordable price with significant discounts American Association of Naturopathic Physicians Washington DC (202) 237-8150 www.naturopathic.org Founded in 1985 the American Association of Naturopathic Physicians (AANP) is the national professional society representing licensed naturopathic doctors. It is a one-stop shop for helping NDs achieve success helping move along important advocacy issues along with helping states become licensed. AANP offers members cost-savings on valuable services and provides resources that help NDs in their practice. available to AANP Members. Another new service to AANP members is Medicine Talk Pro s Content Marketing Solutions. AANP members can save time and money while recruiting and retaining patients. Student Resources The AANP monthly webinar series is a popular benefit for students allowing them access to valuable information on topics ranging from practice development to the newest advancements in their field. AANP also offers both students and members an 80 percent discount at Office Depot stores. Go to www.naturalpractitionermag.com americannutraceuticals for info about this advertiser SEPTEMBER OCTOBER 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 27 The KIDS Should Be Alright Today s world is tougher than ever to raise kids modern lifestyles have caused emergence of conditions that lower a child s quality of life--here s how to help them achieve higher states of wellness. By Lisa Schofield Y ou may have parents or grandparents who had to take cod liver oil as their daily supplement. Yes it tastes as gross as it sounds. And boy have we indeed come a long way since then. But one thing remains the same--parents want to give their kids everything in their power to achieve outstanding health and remain healthy throughout their lives. Nutritional therapist Hannah Braye who also serves as technical advisor to Protexin Inc. Florida cited a 2012 study wherein researchers conducted a survey of 1 119 parents who were asked to rate perceived health problems for children in their communities and to name concerns for their own children. The children s health problems they perceived were as follows allergies (69 percent) lack of exercise (68 percent) asthma (65 percent) attention deficit hyperactivity disorder (ADHD 65 percent) internet safety (63 percent) obesity (59 percent) smoking (58 percent) and bullying (57 percent). The concerns they listed for their own children included healthy diets nutrition obesity lack of exercise healthy growth and development safety and injury prevention and mental health issues notably as children got older. Parents are becoming increasingly aware of the importance of nutrition and lifestyle factors to combat health issues associated with our modern lifestyles which tend to be high in processed junk foods sugary drinks lengthy computer use and stress and low in consumption of fruits and vegetables and outdoor physical activity Braye commented. In particular digestive health and the microbiome s ability to influence both physical and mental health in children is a quickly expanding area of interest. There is also increasing concern by parents to ensure that their children are receiving adequate amounts of certain key nutrients such as vitamin D and omega-3 the importance of which have been identified for healthy development in childhood. However there are some experts who see kids being active through extra-curricular sports and such things as dance classes and martial arts programs. Over the past two decades the number of hours children are playing sports has increased tremendously underscored Mark Rieger MD FAAOS founding partner and senior physician at Advocare The Orthopedic Center in New Jersey. In agreement is Ken Muller founder Phenom Nutrition Florida who developed sports nutrition supplements expressly for child and teen athletes. He observed that children today play more sports than ever before as recent studies show more than 45 million kids participate in organized sports. Parents always want to know what is healthy for their children to drink or eat right after a ballgame or tough practice. Children s bodies go through the same metabolic reactions as adults he explained advising that a balanced easily digestible protein carb meal or drink should be consumed one to two hours prior to the event (practice or game). During the event water with some electrolytes is best. Right after an event he recommended children consume a 28 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2017 two-to-one protein-to-carb ratio. The muscles are primed to absorb the main building blocks (protein water etc.) to build healthy muscle and speed recovery he added. Find a protein shake that is developed age-appropriate for kids. With kids sports being so competitive parents are looking for every advantage to help their children excel. The days of cupcakes juice boxes and salty snacks after practice are being replaced by real nutrition based upon sports science. There is a caution with active kids though. According to Dr. Rieger sportsrelated injuries abound among children and these activities add to the already high nutritional demands that children require for routine growth. The consequences of this increased activity combined with inadequate nutrition is causing an endemic of sportsrelated injuries he said. When sports-related injuries are minor parents often turn to OTC (over-the-counter) remedies in their local pharmacies. But many are now questioning the safety of typical OTC drugs. Christophe Merville DPharm. director of education and pharmacy development for Pennsylvania-based Boiron USA pointed to safety as a premiere concern parents have notably for self-medicating (OTC) conditions (colds mild allergies pain). The main criteria I foresee for the parent is finding something that is not harmful. lems caused by an increase in chemical substances that are in plastics in carpets etc. that have significantly increased in recent years. The younger generation is much more exposed to chemical substances unbeknownst to them he commented. Not only are they exposed--we have no idea of their long-term effects. The younger generation is much more exposed to chemical substances unbeknownst to them. Not only are they exposed--we have no idea of their long-term effects. --Christophe Merville Boiron USA Braye agreed noting that an increase in allergies and food intolerances are seen in today s children versus a generation ago. One study showed that more than one-third of parents reported adverse food reactions in their young children. As an example she offered the incidence of atopic dermatitis has increased by two- to threefold in industrialized countries during the past three decades. The exact causes remain obscure but there are contributing factors that have been posited she explained such as the increase in caesarean birth bottle feeding antibiotic use processed foods in the diet and reduced exposure to a diverse range of micro-organisms from outdoor activities are all likely to have an impact on the child s microbiome and corresponding immune system development. Processed foods said Muller have increased in number and are relatively inexpensive but they tend to lack nutritional value and many are still made with GMOs (genetically modified organisms). Along with the increased use of GMOs is the increase in certain types of food allergies he compared adding that there is a growing movement back to clean natural non-GMO ingredients. Another modern-era affliction among Different Issues Modern children are facing different impacts to their well-being than kids did only a few decades ago. Significant changes in our diet and lifestyle have occurred over the last 70 years following the end of the World War II all of which are likely to affect the balance of children s gut microbiomes said Braye. Emerging research indicates that the health and diversity of the gut microbiome is linked to a number of modern day health conditions she noted. For example she said childhood obesity is now a major public health crisis as overweight and obesity in childhood is known to have a significant impact on children s physical and psychological health. Further overweight and obese children are likely to stay obese into adulthood and more likely to develop conditions like diabetes and cardiovascular diseases at a younger age. This is largely due to an increase in calorie consumption with a correlated decrease in nutrients and as studies show cause many overweight children to exhibit concomitant vitamin and mineral deficiencies. Merville sees a rise in more allergies chemical sensitivities and digestive prob- children are rapidly growing cases of autism and ADHD. Jacob Teitelbaum MD author and natural health expert believes that food allergies which typically increase with gut dysfunction are playing a major role in autism development but restricting the diet he stated is often not feasible for families and also may not be that healthy for many children. He recommended the NAET (Nambudripad s Allergy Elimination Technique). Dr. Teitelbaum s foundation funded an autism and food allergy study on which he was senior author (2011 Integrative Medicine--A Clinician s Journal). According to Dr. Teitelbaum the results showed that after one year of NAET 23 of 30 children were back in regular school as opposed to 0 of 30 in the untreated control group. Additionally the NAET group had a mean 68.4 percent decrease in the total Autism Research Institute Autism Treatment Evaluation Checklist (ARI-ATEC) Score 64 to 82 percent mean decreases on the four ARI-ATEC subtests 47.4 percent average increase in the Childhood Autism Rating Scale (CARS) and 85 percent decrease in the total Allergy Symptom Rating Scale (ASRS Score). New research evidences how the balance of our gut flora can have an effect over our brain health and studies have shown improvements to gut flora composition by giving probiotics to children with autistic symptoms with an associated significant improvement to behavior and wellbeing said Braye. However she added this is still a relatively new area of research and more studies are needed to identify and understand the mechanisms behind such positive results. Recommendations Dr. Rieger said he likes to recommend Previnex s Super Vites children s chewable multi for those under 12 and for teens Previnex s adult multis probiotic and omega supplements. It s almost impossible to get all the nutrition children need from diet alone he stated. These supplements provide the nutrition needed to help restore damaged tissue. Proper nutrition enables the body to maintain excellent musculoskeletal health and gives parents comfort that they can let their children enjoy their sports and minimize the risk from injury. Florida-based Rainbow Light Nutritional Systems offers several multivitamins for children according to Marci Clow MS RDN educator. All our children s vitamins are made with natural purity tested ingredients and no artificial preservatives colors flavors or sweeteners. They contain no eggs fish gluten milk dairy peanuts shellfish soy SEPTEMBER OCTOBER 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 29 The Should Be Alright KIDS tree nuts or wheat she said. Rainbow Light s children s multi line includes Bear Essentials Multivitamin & Mineral a gummy in single-serve packets Power Sours Multivitamin & Mineral for immune support with vitamins C A E D and zinc Kids One Multivitamin chewable combining optimal amounts of vitamins A C D3 folic acid plus a B complex and a food-based complex of kale spinach dandelion greens beets and spirulina NutriStart Multivitamin Powder for kids aged six months to four years containing two probiotic strains shown to be important in babies and toddlers Active Health Teen Multivitamin and a probiotic gummy Probiolicious shelf-stable Bacillus coagulans plus prebiotic support that nurtures probiotic growth Clow described. Bio-Kult Infantis (from Protexin) is a scientifically developed advanced formula for babies toddlers and young children. Each sachet contains seven strains of live bacteria plus DHA and EPA. Bio-Kult Infantis also includes Preplex prebiotics (FOS gum acacia) formulated said Bray to selectively stimulate the growth of microorganisms. Vitamin D3 is also in the formula to contribute to immune health as well as regulating a healthy inflammatory response. Over 70 percent of immune cells are located within the gut and their development in infants is profoundly influenced by the gut flora Braye explained. Protexin s Bio-Kult Infantis seven-strain formula includes two of the most predominant infant-specific species Bifidobacterium breve and Bifidobacterium infantis. Protexin conducted several clinical trials of these seven strains in children of all ages from birth study conclusions she noted found benefits in a range of conditions from atopic dermatitis acute gastroenteritis colic constipation and more. For general aches pains and other typical annoyances Boiron has two categories of homeopathic medicines according to Merville. We have our branded medicines that are combinations of medicines that cover the largest and most appropriate set of symptoms like colds allergies colic and teething pain. They are designed to be nobrainers as far as dosage when to start when to stop warnings and so on. Boiron also has a number of other medications that are not specifically designed for children but can be used for ages two or three and above for example its calendula products that can be used for irritated skin chafed skin diaper rash bug bites etc. Kids who participate in sports may gain nutritional and recovery value from Phenom Young Athlete protein shakes which Muller said can be consumed right after practices or games and can also be used as a meal replacement smoothie or prior to bedtime to promote healthy weight and muscle growth. A single scoop mixed with a favorite beverage provides 27 macronutrients (18 protein and 9 carbs). The protein is sourced from grass-fed cattle carbs are from non-GMO sweet potatoes and whole grain brown rice and the product is sweetened with stevia leaf and monk fruit. Along with all this of course is the gentle but firm counseling of proper diet and lifestyle habits. Kids who are not athletic still obviously need regular exercise. They need some unplugged time to do and learn things that do not require a screen. And of course they need lots of love--which doesn t need a prescription and is perhaps the most nourishing element on the planet. Digestive health and the microbiome s ability to influence both physical and mental health in children is a quickly expanding area of interest. Childhood obesity is now a major public health crisis as overweight and obesity in childhood is known to have a significant impact on children s physical and psychological health. Over the past two decades the number of hours children are playing sports has increased tremendously. Along with the increased use of GMOs (genetically modified organisms) is the increase in certain types of food allergies. Healthy Take Aways FOR MORE INFORMATION Boiron USA www.boironusa.com Phenom Nutrition www.phenomnutrition.com Protexin www.protexin.com www.bio-kult.com Rainbow Light Nutritional Systems www.rainbowlight.com Don t miss a single issue of NP in 2017 ... go online to renew your free subscription today NaturalPractitionerMag.com SeptOct17 30 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2017 Fighting Inflammation Inflammation can have both acute and chronic effects but there are natural approaches to limiting its strength. By Nicholas Saraceno I nflammation can make its presence felt in many different ways whether it be pain swelling redness among others but one can easily forget its prominence. The Arthritis Foundation reported that there are more than 100 different types of arthritis and related conditions citing it as the leading cause of disability in America. This can be supported by the fact that it affects several generations--more than 50 million adults and 300 000 children have some sort of arthritis. As a cause for concern the Centers for Disease Control and Prevention (CDC) noted that approximately 23.7 million U.S. adults that have doctor-diagnosed arthritis have it impacting their daily activities.1 Although combatting the ongoing threat known as inflammation may be intimidating to patients practitioners can utilize natural alternatives which are backed by scientific studies to help make that process a bit easier. Common Inflammatory Issues Inflammation is a reaction that does not limit itself to one demographic--rather it can impact an entire population. For men one of the most common inflammation-related issues is of course inflammation of prostate stated Sylvie Beljanski vice president of The Beljanski Foundation a 501 (c)(3) non-profit organization in New York. This leads to many uncomfortable side effects including problems urinating and if left untreated can develop into cancer. For women researchers believe that inflammation caused by hormonal imbalance as they approach menopause may be the reason why women suffer 75 percent of all autoimmune disease.2 Similarly in children chronic inflammation can lead to a number of autoimmune diseases as well as stunted growth. 3 When trying to diagnose the root of the inflammatory problem some companies also find it best to consider a common issue that occurs while engaging in physical activity overexerting oneself. This problem has gained popularity as more consumers are hopping aboard the fitness train. When it comes to dietary supplements mentioned Ryan Sensenbrenner senior marketing manager with Enzyme Science Inc. in Florida we look at products for inflammation specifically from things like overexertion or while exercising. This is a trend that has accelerated with Baby Boomers but also Millennials as well who are in very active stages of their lives. As practitioners know pain is one of the more common symptoms that can be linked to a plethora of conditions. Jacob Teitelbaum MD author of various books including From Fatigued to Fantastic and Pain Free 1-2-3 was in agreement noting that it can be connected to inflammation too. Unfortunately it can even be a contributor to other diseases and conditions. Inflammation is a major cause of pain said Dr. Teitelbaum. Anything that ends in itis is inflammation. This includes things such as arthritis. Inflammation is also being shown to be a major player in cardiovascular diseases such as heart attacks and strokes. It is also the key player in the rising epidemic of autoimmune disease. It [has] also been shown to play a major role in depression which is becoming increasingly problematic in both adults and children. It is also a major player in the rising epidemic of asthma in children. Luckily for patients there are multiple ways to help tackle the problem. 32 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2017 Natural Solutions & Delivery Methods One natural approach to combating inflammation is by bathing in hot spring water a process that is effective when mixed with minerals especially since humans could be lacking them in their diets. With the general population being deficient in minerals traditionally provided through food we do not always eat perfectly balanced meals and our agriculturally produced foods don t always have enough minerals in them as the ground has become depleted in many areas noted Brandon Price president of Montana-based Medicine Springs Inc. Soaking in hot spring water which is what Medicine Springs is surrounds a person s body with these essential and inflammationreducing minerals and promotes healing. This can be beneficial for both chronic and acute inflammation. How does this process work exactly This is where chemistry comes into play. Magnesium Price continued is found in large quantities in hot springs and is a powerful anti-inflammatory as is sodium chloride. When a person s body heats up while soaking in a bath or hot tub the capillaries open up and allow the blood to blow to the surface of the skin. With the skin being in direct contact with this mineral rich water the minerals can be absorbed directly into the body in the areas they are needed. This provides a very quick and effective relief from pain and inflammation. Magnesium s strength has not gone unnoticed. In fact according to Carolyn Dean MD ND Medical Advisory Board Member with the Nutritional Magnesium Association a magnesium deficiency can actually weaken the immune system making the body more vulnerable to not only inflammation but infection as well. If patients are in search of natural ingredients as potential solutions ayurvedic medicine could be a starting point. Two very well-known ingredients to fight inflammation include the herb curcuma which has a long history of use in ayurvedic medicine and alpha lipoic acid which has many potential benefits in addition to reducing inflammatory markers 4 said Beljanski. Another effective natural anti-inflammatory remedy is omega-3. Omega-3 fatty acids have been show[n] to [be] beneficial not only for heart health but also neurodegenerative diseases depression and arthritis. 5 However there have been endless debates in terms of active effect such as with curcumin and turmeric. With curcumin for example the assumption in recent years has been that because of its poor bioavailability it must require special delivery forms to cause any systemic antiinflammatory effects explained Jeremy Appleton ND vice president of scientific and regulatory affairs SFI USA (Klaire Labs) in Nevada. So we got into curcumin bioavailability wars with phytosomes and adjuvants and nanoparticles and the like. There have been some great innovations there I am not discounting them. I myself have written on that topic extensively. But we should also remember that turmeric has been around fighting inflammation effectively for thousands of years. Even turmeric that is not absorbed into the circulation directly can have a systemic anti-inflammatory effect because it acts locally at the intestinal epithelium the interface of our intestinal commensal microbiome and our gut-associated lymphoid tissue the largest organ of our immune system. Patient One s Enflamen is also an option-- items like these have helped mold the market into what it has become today. Market Status When practitioners seek products to help their patients there are always two approaches that they can take the traditional route which accounts for prescription drugs antibiotics and over-the-counter and the natural side. Of course there are differences between the two--drugs brings in billions of dollars but can come with consequences. 2016 U.S. retail sales for adult and pediatric systemic analgesics anti-inflammatory drugs has been estimated at 16.7 billion (Euromonitor) said Dr. Appleton. The most common pharmaceuticals used to combat inflammation are the non-steroidal antiinflammatory drugs (NSAIDs). NSAIDs function by inhibiting COX enzymes which in turn modulate prostaglandin production. Common NSAIDs both over-the-counter and prescription include ibuprofen aspirin naproxen dicolofenac etodolac fenoprofen etc. Use of these drugs particularly long-term use does not come without risk. Common concerns involve gastrointestinal discomfort and bleeding ulcers and reduced kidney function.6 7 Notably also a recent study published in the British Medical Journal associates NSAID use with a nearly 20 percent increased risk of heart failure. 8 Cheryl Myers chief of education and scientific affairs at EuroMedica (Wisconsin) also does not feel that the marker for over-thecounter and prescription drugs will be going away anytime soon because of the fact that consumers are becoming more aware of the health risks of over-the-counter drugs like ibuprofen as well as prescription opioids. She even mentioned that these topics have surfaced in the news which could result in individuals seeking out safe and effective alternatives. Interestingly enough one of the few similarities between the pharmaceutical and natural options is their upward growth. We ve seen many of the same growth trends in traditional medicine replicated within the natural industry noted Sensenbrenner. Of course with natural we are more limited in the exact indications we can target when it comes to inflammation. When it comes to overexertion from exercise or simply the occasional pains that can occur in the day-to-day functioning of our body there is a significant role that natural products can (and should) play in maintaining wellness. Thankfully consumers have many natural options at their disposal. With the upward trend in natural products comes one constant age. Although patients are able to access a wide range of technology here in 2017 aging is still an inevitable process. Curcumin effects locally at the intestinal epithelium could modify systemic inflammation even if it isn t absorbed. This is not to say there are not additional benefits from the delivery technologies there certainly are. But ordinary turmeric is probably good too. Regarding the curcumin absorption troubles Dr. Teitelbaum added that curcumin is the single most effective herb for combating inflammation its absorption is the issue. Turmeric is only 2 percent curcumin he said. This means it takes 50 turmeric pills to get one pill of curcumin. Curcumin has very poor absorption. Research is showing however that by adding in the essential oil of turmeric absorption is increased by approximately 700 percent. Because of this by using the CuraPro form of curcumin one pill replaces 350 turmeric pills or seven pills of pure curcumin. This is finally allowing us to get clinically effective levels in just two to four pills daily. If one is in search of a product that combines standardized botanicals antioxidants and omega-3 fatty acids New York-based SEPTEMBER OCTOBER 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 33 Fighting Inflammation peer-reviewed publications demonstrating their efficacy. The Pao pereira plant extract causes apoptosis (programmed death of destabilized cells)10 while the Rauwolfia vomitoria has a similar effect by preventing replication of destabilized cells.11 The two extracts combined have been discovered to have a synergistic effect both with each other and with conventional treatments. As a result inflammatory issues can sometimes follow. In the United States and elsewhere mentioned Dr. Appleton interest in natural options to combat chronic inflammation is growing steadily. Supportive clinical evidence of efficacy has been driving this growth. One key factor is an aging population. Western lifestyles and dietary habits have also been implicated in an increase of chronic inflammatory conditions which affects a younger demographic as well. I have seen projections that the dietary supplement segment focused on inflammatory conditions may grow at rate of 10 to 15 percent in the coming years. 9 In the United States and elsewhere interest in natural options to combat chronic inflammation is growing steadily. Supportive clinical evidence of efficacy has been driving this growth. --Jeremy Appleton ND SFI USA (Klaire Labs) Day to day research in this field continues to evolve--studies show that traditional medication is taking a toll on the population while natural medicine provides an alternative. With numerous studies now showing that anti-inflammatory medications cause 30 000 to 50 000 preventable deaths yearly and that inflammation is playing a large role in illnesses such as heart disease stroke pain the dramatic increase in autoimmune illness and even depression there is a dramatic scramble to find new treatments Dr. Teitelbaum explained. Unfortunately standard medication is focusing on medications that are very expensive usually over 25 000 per person per year. Sadly these are also extremely toxic. Complementary medicine on the other hand has been exploring safe ways to rebalance the inflammatory system instead of poisoning it. These treatments can be both far more effective and lower cost while also being much safer. Diet & Research Combatting inflammation levels can be gone about in several different ways but it is imperative for one s diet to be considered. According to Myers the best whole foods that are able fight inflammation and free-radical damage do not create blood sugar spikes weight gain or heart disease. Items that she recommends includes Cold water fish Healthy non-cured meats and whole fats like olive oil or butter (not hydrogenated fats like margarine) Fresh vegetables Apples grapes blueberries Green tea Garlic Almonds Dark chocolate In terms of research organizations such as The Beljanski Foundation work to spread information pertinent to inflammation that could help inflammation research down the road. Confronted with increased pollution and epidemics of cancer and other chronic diseases which are caused by chronic inflammation the overall mission of The Beljanski Foundation is to study and share knowledge of effective non-toxic natural answers that work both alone and in synergy with traditional Western medicine said Beljanski. The Beljanski Foundation has developed research programs with several high-profile institutions to rigorously assess the anticancer potential of two natural compounds discovered by Dr. Mirko Beljanski Pao pereira and Rauwolfia vomitoria. These studies have led to several States 2013--2015. Morb Mortal Wkly Rep 2017 March 7. [Epub ahead of print]. 2 www.aikenbellamagazine.com 2016 11 02 connection-hormone-imbalance-inflammation . 3 www.childrenshospital.org conditions-and-treatments conditions autoimmune-diseases symptomsand-causes. 4 www.healthline.com nutrition 6-anti-inflammatory-supplements section1. 5 www.ncbi.nlm.nih.gov pmc articles PMC3011108 . 6 Kovi SV Vujovi KS Srebro D Medi B IlicMostic T. Prevention of Renal Complications Induced by Non- Steroidal Anti-Inflammatory Drugs. Curr Med Chem. 2016 23(19) 1953-64. 7 Bideaut Russell M Gabriel SE. Adverse gastrointestinal effects of NSAIDs consequences and costs. Best Prac Res Clin Gastroenterol 2001 15(5) 739 53. 8 Arf A Scotti L Varas-Lorenzo C et al. Nonsteroidal anti-inflammatory drugs and risk of heart failure in four European countries nested case-control study. BMJ 2016 354 i4857. 9 Runestad T. Inflammation A new condition-driven market making waves. New Hope Network. Available at http www.newhope.com supplements inflammation-new-condition-driven-market-makingwaves. [Accessed 9 7 17]. 10 Bemis DL Capodice JL Desai M Katz AE Buttyan R. -Carboline Alkaloid Enriched Extract from the Amazonian Rain Forest Tree Pao Pereira Suppresses Prostate Cancer Cells. Journal of the Society for Integrative Oncology. 2009 7(2) 59-65. 11 Bemis DL Capodice JL Gorroochurn P Katz AE Buttyan R. Anti-prostate cancer activity of a carboline alkaloid enriched extract from Rauwolfia vomitoria. International Journal of Oncology. 2006 29 1065-1073. The Arthritis Foundation reported that there are more than 100 different types of arthritis and related conditions citing it as the leading cause of disability in America. Two very well-known ingredients to fight inflammation include the herb curcuma which has a long history of use in ayurvedic medicine and alpha lipoic acid which has many potential benefits in addition to reducing inflammatory markers. Numerous studies now show that anti-inflammatory medications cause 30 000 to 50 000 preventable deaths yearly. Healthy Take Aways FOR MORE INFORMATION The Beljanski Foundation www.beljanski.org Enzyme Science Inc. www.enzyscience.com EuroMedica www.euromedicausa.com Jacob Teitelbaum MD www.vitality101.com Medicine Springs Inc. www.medicinesprings.com Natural Vitality www.naturalvitality.com Patient One MediNutritionals www.patientoneformulas.com SFI USA (Klaire Labs) www.protherainc.com References 1 Barbour KE Helmick CG Boring MA Brady TJ. Prevalence of Doctor-Diagnosed Arthritis and Arthritis-Attributable Activity Limitation--United 34 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2017 THE GO TO RESOURCE FOR ALTERNATIVE & INTEGRATIVE HEALTHCARE PROFESSIONALS NP s Upcoming Issue Highlights December January February March April 11 2 17 ad closing 12 21 17 ad closing 3 6 18 ad closing 4 17 18 ad closing Natural Practitioner s Annual Sourcebook Healthy Sleep & Rest IHS Show Issue Healthy Aging Bone Joint & Muscle Health CAM Innovations Women s Health May Our 2018 Media Planner Is Available At NaturalPractitionerMag.com 2018-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 Prepping for Cold & Flu Season W ith the summer season officially over so begins the transition into fall. For many this signifies pumpkin spice flannels and unfortunately the start of cold and flu season. According to the Centers for Disease Control and Prevention (CDC) seasonal influenza viruses can be detected year-round By Nicholas Saraceno here in the U.S. but they are more popular during the fall and winter. In fact a CDC figure displaying peak flu activity by month for the 1982-1983 through the 2015-2016 flu seasons shows that February has been the most prominent for flu activity since that span. Patients may want to consider natural options to help fortify their defenses. Below are products that practitioners can recommend to their patients to help them breeze through the end of 2017 all the way into the New Year. Flucomune Washington-based Ayush Herbs Flucomune is a proprietary blend of seven immunesupporting herbs that assist in fighting common illnesses all year long. Amlaoxy is a natural source of bioflavonoids and ascorbinogen to aid in immune health. This adaptogen is also revered for its antioxidant activity while supporting sluggish and overstimulated immune systems. Adhatoda vasica encourages respiratory health. Ocimum sanctum increases general immune responses and adaptability. Glycyrrhiza glabra supports optimal bronchial function while Tinospora cordifolia reduces spasmodic activity. Terminalia belerica soothes the throat from cough and dryness. Lastly trikatu (black pepper Piper longum and Zingiber officinale) supports digestion enhancing bioavailability of nutrients in the gut. This combination of herbs is meant to relieve symptoms of common yearly illness in a natural intelligent and gentle yet powerful way according to the company. A bottle of 90 capsules has a suggested price of 29.50. For more information call (425) 637-1400 or visit www.ayush.com. Oscillococcinum Clinical studies show that Boiron USA s (Pennsylvania) Oscillococcinum shortens both the severity and duration of flu-like symptoms (body aches headache fever chills and fatigue ).1 2 The latest study published in a British scientific journal found that when patients took Oscillococcinum within 24 hours of the onset of symptoms nearly 63 percent showed clear improvement or complete resolution within 48 hours.1 This homeopathic over-the-counter drug does not cause drowsiness or interact with other medications. Its quick-dissolve pellets are best taken at the onset of symptoms. Recommended for everyone ages 2 and up Oscillo is the No. 1 flu medicine in France where it has been on the market for 70 years according to the company. Units of 6 12 and 30 doses range from retail values of 12.20 to 30.50. These Uses have not been evaluated by the Food and Drug Administration. 1 Papp R Schuback G Beck E et al. Oscillococcinum in patients with influenza-like syndromes a placebo-controlled double-blind evaluation. Br Homeopath J. 1998 87 69-76. 2 Ferley JP Zmirou D DAdhemar D Balducci F. A controlled evaluation of a homeopathic preparation in the treatment of influenza-like syndromes. Br J Clin Pharmacol. 1989 27 329-335. D3 K2 Spray D3 K2 Spray by DaVinci Laboratories of Vermont is a liquid combination formula featuring 1 000 IU of vitamin D and 100 mcg of vitamin K2 per spray. The amount per serving makes this formula a convenient and effective option to combine with a multivitamin or to increase or decrease the level as patients needs dictate. And while D3 and K2 are widely known as supportive nutrients for bone health in 2015 this form of soy-free vitamin K2 MenaQ7 demonstrated its ability to support cardiovascular health as well. Seventy-five servings (1 oz.) have a suggested price of 41.10. 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. For more information call (610) 325-7464 or visit www.boironusahcp.com. BRM4 BRM4 is a proprietary immune enhancing complex from California-based Daiwa Health Development shown in clinical studies to enhance the immune system by increasing the activity of the white blood cells. BRM4 can enhance natural killer (NK) cell function increase the count of T and B lymphocytes strengthen and increase the macrophages and cytokines. The active ingredient rice bran arabinoxylan compound (RBAC) is derived from rice bran modified by Shiitake enzyme an immune modulator proven safe. BRM4 can be taken in a therapeutic daily dose of 3 grams or in a maintenance dose of 1 gram. A 250-mg 60ct. bottle is available for 65.40 while the 500-mg 60-ct. bottle has a suggested price of 115. For more information call (877) 434-3633 or visit www.dhdmed.com. For more information call (800) 325-1776 or visit www.davincilabs.com. 36 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2017 Sinutol Extra Strength Sinutol Extra Strength (suggested price 24.95 30 enteric-coated soft gels) by Wisconsinbased EuroMedica provides the soothing power of eucalyptus myrtle and lemon to support sinus health and maintain clear bronchial passages. The concentrated ingredients in Sinutol Extra Strength support the cilia of the sinuses which brush mucus out of the sinus and nasal cavities. The result is effective respiratory support comfort without drowsiness or dry nasal passages. This unique enteric-coated soft gel is gentle for those with gastrointestinal sensitivities or those who need a high potency formula. 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. V Clear EPs 7630 Clear EPs 7630 (suggested price 16 30mL bottle) by Integrative Therapeutics in Wisconsin is an upper respiratory treatment containing a proprietary homeopathic preparation of Pelargonium sidoides (African geranium) extract. V Clear EPs 7630 addresses the underlying cause of symptoms to help speed recovery and shorten the duration of upper respiratory irritations. EPs 7630 is a proprietary extract which has been the subject of more than 20 clinical studies involving more than 9 000 patients. More than 3 800 patients have participated in controlled double-blind studies and more than 5 400 patients in open-label and non-interventional studies. It has been an effective welltolerated leading European medicine for more than a decade. For more information call (800) 931-1709 or visit www.integrativepro.com. For more information call (866) 842-7256 or visit www.euromedicausa.com. Black Elderberry Gaia Herbs (North Carolina) Black Elderberry helps maintain a healthy immune response. Black elderberry is unique in providing both antioxidant and immune support due to its natural concentration of anthocyanins and other flavonoids. This Black Elderberry product is just as concentrated as Gaia s best-selling Black Elderberry Syrup in the convenience of a capsule for immune support on the go. Suggested use Adults take one capsule two times daily between meals. For additional support take two capsules two times daily. A 30-ct. bottle has a suggested price of 14.99 while the 60-ct. bottle has a suggested price of 27.99. For more information call (800) 831-7780 or visit www.gaiaherbs.com. Imunade Rebel Herbs Imunade by Indiana-based NuAxon Bioscience Inc. is a botanical antioxidant blend that contains turmeric the fastest growing herbal ingredient in the U.S. both in terms of sales and research. Ashwagandha and Tinospora cordifolia have been studied together by the oncology world but ashwagandha alone was studied by Michigan State University a decade ago for its effect on tumors. Amla and neem are both currently the subject of studies around the world for their effects on the immune system and because they don t inhibit current chemotherapy treatments. The dual extraction process pulls both the lipophilic and hydrophilic compounds which improves the bioavailability and range of these extracts. Thirty- and 60-capsule bottles have a suggested price of 24.99 and 45.99 respectively. For more information call (812) 762-4400 or visit www.rebelherbs.com. Multi-Element Buffered C Multi-Element Buffered Vitamin C by Klaire Labs (Nevada) is a comprehensive high potency formula designed to provide broadspectrum antioxidant activity and immune function support. Bioavailable zinc manganese and copper in addition to quercetin (a potent bioflavonoid) and reduced L-glutathione are included to complement and potentiate the function of vitamin C. The formulation is additionally buffered with calcium magnesium and potassium to enhance GI (gastrointestinal) tolerance in more sensitive individuals. Multi-Element Buffered Vitamin C is available in capsules and powder form. Bottles of 100 and 250 vegetarian capsules along with an 8.8-oz. powder have a suggested price range of 23.65 to 49. For more information call (888) 488-2488 or visit www.klaire.com. SinuZyme Illinois-based Redd Remedies has developed a full suite of products to provide fastacting natural solutions for sinus and respiratory health. SinuZyme (suggested price 24.99 40 capsules) is a unique formula that offers powerful short-term support to open and clear the sinus passageways. It supports both the immune and lymphatic systems and promotes the body s natural detoxification process. Unlike over-the-counter products that can leave you feeling drowsy and disconnected SinuZyme is all natural non-drowsy gluten- and stimulant free. For more information call (888) 453-5058 or visit www.reddremedies.com. SEPTEMBER OCTOBER 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 37 SUPPLEMENTSCIENCE Sarcopenia & Amino Acids By Gene Bruno MS MHS RH(AHG)--Huntington College of Health Sciences B aby Boomers and even Generation Xers continue to look for supplements to help them maintain a more youthful level of health and fitness. Certainly supplements that help them modulate testosterone estrogen DHEA and growth hormone as well as agingrelated supplements that are condition specific (e.g. joint health prostate health etc.) are common in the anti-aging supplemental lexicon. However there is another vital consideration that is equally if not more important than these mainstays addressing sarcopenia. years old 2 and continues to decline 12 to 15 percent per decade until 80.3 Not surprisingly research in the area is expanding exponentially given that sarcopenia is both common and associated with serious health consequences in terms of frailty disability morbidity and mortality.4 5 Think about it--reduced skeletal muscle will have a profound impact on the ability to maintain a minimal level of physical strength and even just being able to comfortably get around and experience an active quality of life. Sarcopenia Defined Sarcopenia is an age-related loss of skeletal muscle mass and function. Moreover it is now recognized as a major clinical problem for the aging population. Data for the National Health and Nutrition Examination Survey III indicate that overall prevalence of sarcopenia in aging was 35.4 percent in women and 75.5 percent in men and that prevalence increased even more with continued aging.1 In fact skeletal muscle begins to decline around 45-55 Sarcopenia Causes Sarcopenia involves the loss of muscle fibers. Here s how it works. Skeletal muscle is primarily comprised of two main types of muscle fiber or myofibers. Type 1 myofibers have a slow contraction time ( slow twitch ) utilize aerobic metabolism (involving oxygen) for energy and resist fatigue. Type 2 myofibers have a quick contraction time ( fast twitch ) rely on anaerobic metabolism (without oxygen) for energy and fatigue more easily. The age-related loss of human skeletal muscle mass is due to a decrease in the size and number of both fast and slow twitch myofibers although the loss of fast twitch myofibers tends to start earlier.6 A significant contributor in the decrease of muscle mass is anabolic resistance of older skeletal muscle to protein nutrition7 as seen during immobilization.8 In part this can be ameliorated by resistance exercise.9 Other contributors include the loss of innervation10 (i.e. nerve supply and or nerve stimulation) and oxidative damage.11 So aside for resistance exercise what can be done to help stave off sarcopenia Essential Amino Acids Certainly assuring adequate quality protein intake is an important complement to resistance exercise as part of a strategic program to maintain muscle mass and fight sarcopenia.12 13 In addition there are a specific group of essential amino acids whose intake has been shown to have significant benefits in the fight against sarcopenia. When considering the plethora of 38 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2017 nutraceutical compounds available with claims to affect muscle protein anabolism it might seem mundane to talk about essential amino acids (EAA)--but the research is far from mundane. The specific blend of EAA to which I refer was originally developed at the University of Arkansas to assist burn victims maintain muscle mass and strength while inactive and was also used to help astronauts at NASA preserve muscle function and strength while on deep space missions. This EAAs (Reginator) is patented by the University of Arkansas (exclusively licensed to Zanda LLC). tional studies showed that nonessential amino acids were not necessary to stimulate net muscle protein synthesis in healthy volunteers 23 and that only EAA was primarily responsible for the amino acid stimulation of muscle protein anabolism in healthy elderly adults.24 That s not to say that use of a protein supplement containing both EAA and non-EAA won t stimulate muscle protein synthesis--it will. However EAA may provide a more energetically efficient way to achieve the desired result. A 2006 study25 quantified net muscle protein synthesis in healthy elderly individuals (65-79 years) following Conclusion A prevalent issue in aging is sarcopenia the decline of skeletal muscle mass and function. While resistance exercise plays a key role in helping to stave off sarcopenia research has demonstrated that the EAAs (Reginator Zanda LLC) are capable of significantly stimulating muscle protein synthesis as well as improving muscular performance. In addition the EAAs have been shown to be more effective than supplementation with a protein supplement in stimulating muscle protein synthesis. References 1 Batsis JA Mackenzie TA Barre LK Lopez-Jimenez F Bartels SJ. Sarcopenia sarcopenic obesity and mortality in older adults results from the National Health and Nutrition Examination Survey III. Eur J Clin Nutr. 2014 Sep 68(9) 1001-7. 2 Webb D. Losing Muscle is a part of aging but you can minimize the effects. Environmental Nutrition. November 2007 30 11. 3 Kamel H. Sarcopenia and Aging. Nutr Rev. May 2003 61(5) 157-67. 4 Sayer AA. Sarcopenia. BMJ. 2010 341 c4097. 5 Sayer AA Robinson SM Patel HP Shavlakadze T Cooper C Grounds MD. New Horizons in the Pathogenesis Diagnosis and Management of Sarcopenia. Age Ageing. 2013 42(2) 145-150. 6 Lexell J Henriksson-Larsen K Winblad B Sjostrom M. Distribution of different fiber types in human skeletal muscles effects of aging studied in whole muscle cross sections. Muscle Nerve 1983 6 588 95. 7 Farnfield MM Breen L Carey KA Garnham A Cameron-Smith D. Activation of mTOR signalling in young and old human skeletal muscle in response to combined resistance exercise and whey protein ingestion. Appl Physiol Nutr Metab 2012 37 21 30. 8 Murton AJ Greenhaff PL. Muscle atrophy in immobilization and senescence in humans. Curr Opin Neurol 2009 22 500 505. 9 Narici MV Maffulli N. Sarcopenia characteristics mechanisms and functional significance. Br Med Bull 2010 95 139 59. 10 Chai RJ Vukovic J Dunlop S Grounds MD Shavlakadze T. Striking denervation of neuromuscular junctions without lumbar motoneuron loss in geriatric mouse muscle. PLoS One 2011 6 e28090. 11 O Neill ED Wilding JP Kahn CR et al. Absence of insulin signalling in skeletal muscle is associated with reduced muscle mass and function evidence for decreased protein synthesis and not increased degradation. Age (Dordr) 2010 32 209 22. 12 Burd NA Yang Y Moore DR Tang JE Tarnopolsky MA Phillips SM. Greater stimulation of myofibrillar protein synthesis with ingestion of whey protein isolate v. micellar casein at rest and after resistance exercise in elderly men. Br J Nutr. 2012 Sep 28 108(6) 958-62. 13 Dideriksen KJ Reitelseder S Studies With the EAAs The first study in 199814 demonstrated that intravenous infusion of the EEAs in healthy elderly individuals (age 71 -2 yr) successfully stimulated muscle protein anabolism (P 0.05). A follow-up study in 199915 with oral administration of the EEA blend in healthy young (30 - 2 yr) and healthy elderly (71 - 2 yr) subjects found that muscle protein anabolism was likewise stimulated in the elderly as well as in the young (P 0.01). As research continued a 2003 study with young (34 - 4 yr) and elderly (67 - 2 yr) individuals also found that oral administration of the EAAs acutely stimulated muscle protein synthesis in both young and elderly individuals (P 0.05).16 Additionally research published in the American Journal of Physiology (Endocrinology and metabolism)17 and the Journal of Sports Sciences18 has demonstrated that younger human subjects given 6 grams of the EAAs before weight training increased their muscle protein synthesis by almost 600 percent and when taken one or two hours after training experienced up to 400 percent increase. This is significant because previous research19 clearly demonstrated that the timing of protein intake relative to exercise is critical for stimulating muscle protein synthesis. Tipton et al20 showed that pre-workout essential amino acid supplementation reversed the typically negative nitrogen balance seen in exercise to a positive nitrogen balance. In any case the research is solid showing that just 6 grams of the essential amino acids are needed to yield positive results compared to 20 30 or more grams of protein typically consumed to achieve similar results.21 Likewise a new unpublished study22 has now shown that a low dose of the EAAs (3.6 grams) promotes muscle anabolism without exercise. A related point of interest is that addi- ingestion of an intact whey protein supplement or the EAAs. The results showed that while both supplements stimulated muscle protein synthesis the synthesis was significantly greater in the EEA blend group (P 0.05). In addition to muscle protein synthesis the EAAs has also demonstrated effectiveness regarding muscle function. In a 2010 study26 with older individuals subjected to 10 days bed rest subjects were given a placebo or the EAAs three times daily. Results showed that increasing protein intake in the form of the EAAs above the RDA (recommended daily allowance) appeared to help preserve muscle function. Likewise in a new unpublished five-year study 27 the EAA blend was shown to increase strength by 800 percent versus standard care for hip and knee replacement. SEPTEMBER OCTOBER 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 39 SUPPLEMENTSCIENCE Petersen SG Hjort M Helmark IC Kjaer M Holm L. Stimulation of muscle protein synthesis by whey and caseinate ingestion after resistance exercise in elderly individuals. Scand J Med Sci Sports. 2011 Dec 21(6) e372-83. 14 Volpi E Ferrando AA Yeckel CW Tipton KD Wolfe RR. Exogenous amino acids stimulate net muscle protein synthesis in the elderly. J Clin Invest. 1998 May 1 101(9) 2000-7. 15 Volpi E Mittendorfer B Wolf SE Wolfe RR. Oral amino acids stimulate muscle protein anabolism in the elderly despite higher first-pass splanchnic extraction. Am J Physiol. 1999 Sep 277(3 Pt 1) E513-20. 16 Paddon-Jones D Sheffield-Moore M Zhang XJ Volpi E Wolf SE Aarsland A Ferrando AA Wolfe RR. Amino acid ingestion improves muscle protein synthesis in the young and elderly. Am J Physiol Endocrinol Metab. 2004 Mar 286(3) E3218. 17 B rsheim E Tipton KD Wolf SE Wolfe RR. Essential amino acids and muscle protein recovery from resistance exercise. Am J Physiol Endocrinol Metab 2002 283 E648 E657. 18 Tipton D Wolfe RR. Protein and amino acids for athletes. Journal of Sports Sciences 2004 22 65 79. 19 Tipton KD Rasmussen BB Miller SL Wolf SE Owens-Stovall SK Petrini BE Wolfe RR. Timing of amino acid-carbohydrate ingestion alters anabolic response of muscle to resistance exercise. Am J Physiol Endocrinol Metab 2001 281 E197E206. 20 Tipton KD Rasmussen BB Miller SL Wolf SE Owens-Stovall SK Petrini BE Wolfe RR. Timing of amino acid-carbohydrate ingestion alters anabolic response of muscle to resistance exercise. Am J Physiol Endocrinol Metab 2001 281 E197E206. 21 Wilson J Wilson GJ. Contemporary Issues in Protein Requirements and Consumption for Resistance Trained Athletes. Journal of the International Society of Sports Nutrition 2006 3 7-27. 22 Personal communication with John Alkire Zanda LLC. 23 Tipton KD Gurkin BE Matin S Wolfe RR. Nonessential amino acids are not necessary to stimulate net muscle protein synthesis in healthy volunteers. J Nutr Biochem. 1999 Feb 10(2) 89-95. 24 Volpi E Kobayashi H SheffieldMoore M Mittendorfer B Wolfe RR. Essential amino acids are primarily responsible for the amino acid stimulation of muscle protein anabolism in healthy elderly adults. Am J Clin Nutr. 2003 Aug 78(2) 2508. 25 Paddon-Jones D Sheffield-Moore M Katsanos CS Zhang XJ Wolfe RR. Differential stimulation of muscle protein synthesis in elderly humans following isocaloric ingestion of amino acids or whey protein. Exp Gerontol. 2006 Feb 41(2) 2159. 26 Ferrando AA Paddon-Jones D Hays NP Kortebein P Ronsen O Williams RH McComb A Symons TB Wolfe RR Evans W. EAA supplementation to increase nitrogen intake improves muscle function during bed rest in the elderly. Clin Nutr. 2010 Feb 29(1) 18-23. 27 Personal communication with John Alkire Zanda LLC. 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 peer-reviewed publications. He can be reached at gbruno hchs.edu. 40 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2017 PRACTITIONER CHAT WITH SHARI BARBANEL H Q A eidi E. Spear is an author writer editor workshop presenter and Kripalu yoga teacher who was a member of R&R Retreat faculty at Kripalu from 2008 to 2015. She was also the meditation and relaxation specialist at The UltraWellness Center founded by Dr. Mark Hyman from 2013 to 2015. The author of Ayurveda Made Easy 50 Exercises for Finding Health Mindfulness and Balance Spear currently writes for 1440 Multiversity near Santa Cruz CA and also guides businesses and individuals in meditation yoga breaks and ayurvedic lifestyle practices for stress management and mindful leadership. al constitution based on how our mind body symptoms and actions line up with the qualities of the natural elements air ether fire water. Once we identify which dosha(s) describe us best then we know which foods practices activities etc. will nourish us balance us and allow us to feel most alive. What is the importance of mindfulness and breath work the most powerful. These energy centers can go in and out of balance throughout the day and throughout our life based on how we manage our own energy and how the energy around us affects us. When we learn about the chakras one thing we discover is how our physical and mental symptoms correlate to specific chakras. These symptoms such as headaches and sleeplessness are the signs that energy in our body isn t flowing in a balanced way. This is natural--we are energetic beings and energy moves. In order to keep ourselves in balance we learn which practices will benefit our chakras and allow us to feel our best. Heidi E. Spear Heidi heidispear.com www.heidispear.com The wisdom of ayurveda is foundational to my life. Because of its principles and practices I know what I can do to feel healthy happy and connected to those who are important to me. Ayurveda is a deeply nourishing system of bodymind health and preventative care that has been around for more than 5 000 years and I m thrilled to share how it fits into our lifestyle today. I use the principles of ayurveda to help me choose foods and practices that will guide my body mind and heart back to equilibrium-- which is the state in which our body and mind will heal and thrive. The practices are not only simple to incorporate into our busy schedules but they also act as an antidote to the negative effects of the go-go-go mentality that many of us succumb to. What I loved about writing Ayurveda Made Easy is that it is an easy-to-read guide that explains the basic principles offers step-by-step instruction for several practices and contains recipes to support overall wellness. The book is a thorough introduction to a system of health that could take a lifetime to fully appreciate. Therefore after reading this book I recommend that people see a trained ayurvedic specialist to receive even more personalized recommendations for health and longevity. Q A What was your motivation for writing Ayurveda Made Easy Mindfulness and breath work are two of the most important tools we have today for our sanity and our physical health. Our world is so fast-paced the demands on us are so great in so many ways and most of us have lost the understanding of how important me-time really is. The time we take for self-care positively affects our health and how we impact those we love and those we spend time with. Mindfulness is the ability to be present aware and awake to this moment. It means we are fully experiencing what is happening right here and now. This ability to be present with cooking while we cook eating while we eat choosing how we speak to our beloveds when we are with them and noticing the sky and birds as we take walks--this mindfulness helps us connect to what truly matters in life and sustains us. Breath work has many benefits and is a way to train ourselves to be able to be present more often. Breathing exercises are designed to move energy through the body in different ways e.g. some breathing exercises increase heat and energy others cool off the body and mind and others are meant for balancing energy. While we practice breath work the intention is to watch the breath with our awareness and this brings us into the present moment creates a sense of being centered in our own body and allows us to cultivate the life-force energy that is the miracle of our existence. Q A How can practitioners apply the principles of ayurveda to help their patients This is such a great question. The principles of ayurveda are so natural that they complement and enhance other modalities. Once a practitioner understands how to classify their client s symptoms then there are very basic recommendations a practitioner can include in the wellness protocol. Whether it is a breathing exercise a few yoga postures recipes or a suggested new bedtime foundational ayurevdic recommendations support our body s natural rhythm for well-being. And if a practitioner wants to be able to go deeper into what ayurveda can offer (such as recommending certain herbs learning pulse diagnosis) I recommend further training. Is there anything else you would like to add Q A Q A Can you explain the doshas and how they are utilized in ayurveda The doshas--vata pitta and kapha--are categories that we use to classify our person- Each chakra is an energy center that acts as a wheel to help energy flow through the body. The seven major chakras located along the spine are the chakras we most often focus on for balancing our energy when we meditate or practice yoga because the energy channel that runs up and down the spine is the largest and considered Q A How do the chakras affect overall health In a world where there is so much pressure stress and the need to be available almost all the time I find it essential for my well-being happiness and relationships to have a system for understanding what my body and mind need in order to come back into balance. The most amazing thing about ayurveda is that it actually feels good to take care of myself. It feels good to choose the right foods and add delicious spices to receive oil massages to meditate and get into routines that work best for my constitution. For anyone looking for a natural time-tested system for self-care this is a beautiful system to get to know. SEPTEMBER OCTOBER 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 41 NATURAL HEALTH STUDIES Why Sugary Drinks and Protein-rich Meals Don t Go Well Together aving a sugar-sweetened drink with a high-protein meal may negatively affect energy balance alter food preferences and cause the body to store more fat according to a study published in the open access journal BMC Nutrition. We found that about a third of the additional calories provided by the sugarsweetened drinks were not expended fat metabolism was reduced and it took less energy to metabolize the meals said Dr. Shanon Casperson lead author of the study from USDA (U.S. Department of Agriculture) Agricultural Research Service Grand Forks Human Nutrition Research Center. This decreased metabolic efficiency may prime the body to store more fat. The researchers found that the inclusion of a sugar-sweetened drink decreased fat oxidation which kickstarts the breakdown of fat molecules after a meal by 8 percent. If a sugar-sweetened drink was consumed with a 15 percent protein meal fat oxidation decreased by 7.2 g on average. If a sugar-sweetened drink was consumed with a 30 percent protein meal fat oxidation decreased by 12.6 g on average. While having a sugar-sweetened drink increased the amount of energy used to H metabolize the meal the increased expenditure did not even out the consumption of additional calories from the drink. We were surprised by the impact that the sugar-sweetened drinks had on metabolism when they were paired with higher-protein meals said Dr. Casperson. This combination also increased study subjects desire to eat savory and salty foods for four hours after eating. The researchers recruited 27 healthyweight adults (13 male 14 female) who were on average 23 years old. Participants made two 24-hour study visits receiving two 15 percent protein meals (breakfast and lunch) after an overnight fast on one visit and two 30 percent protein meals after an overnight fast on the other visit. The increase in protein was counterbalanced by a decrease in carbohydrates. All meals were composed of the same foods and they provided 17 g of fat and 500 kcals. Participants consumed a sugarsweetened drink with one of the meals and a non-sugar sweetened drink with the other meal. The researchers used a room calorimeter a 25m3 furnished chamber that measures movement oxygen carbon dioxide temperature and pressure to assess how dietary changes affected energy expendi- ture and the way nutrients were processed by the body. By having study participants stay in a room calorimeter researchers can determine how many grams of carbohydrate protein and fat they are using and how many calories they are burning every minute. Study participants stayed inside the room for the duration of each study visit. Our findings suggest that having a sugar-sweetened drink with a meal impacts both sides of the energy balance equation said Dr. Casperson. On the intake side the additional energy from the drink did not make people feel more sated. On the expenditure side the additional calories were not expended and fat oxidation was reduced. The results provide further insight into the potential role of sugar-sweetened drinks--the largest single source of sugar in the American diet--in weight gain and obesity. Dietary changes were measured only for a short time and caution must be used when extrapolating the study data to dietary changes over longer periods of time. As this study was in healthy weight adults only the authors also caution that overweight individuals may respond differently to dietary changes. (Source BMC Nutrition--July 2017) Insufficient Levels of Vitamin D in Pregnancy Detrimental to Child Development itamin D deficiency in expectant mothers during pregnancy has a negative effect on the social development and motor skills of pre-school age children a new study in the British Journal of Nutrition reports. Examining data gathered from more than 7 000 mother-child pairs researchers from the University of Surrey and the University of Bristol discovered that pregnant women who were deficient in vitamin D (less than 50 nmol per liter in blood) were more likely to have children with low scores (bottom 25 percent) in pre-school development tests for gross and fine motor development at age 2.5 years than children of vitamin D sufficient mothers. Tests included assessments of their coordination such as kicking a ball balancing and jumping and their usage of fine muscles including holding V a pencil and building a tower with bricks. Vitamin D insufficiency in pregnancy was also found to affect a child s social development at age 3.5 years. However no associations were found between maternal vitamin D status and other outcomes at older ages (IQ and reading ability at 7 to 9 years old). Previous evidence from animal studies has shown that the neurocognitive development of fetuses is detrimentally affected when levels of vitamin D in the mothers are low. Researchers believe that interactions between vitamin D and dopamine in the brain of the fetus may play a crucial role in the neurological development of brain areas controlling motor and social development. The importance of vitamin D sufficiency should not be underestimated said Lead Author Dr. Andrea Darling from the University of Surrey. It is wellknown to be good for our musculoskeletal systems but our research shows that if levels are low in expectant mothers it can affect the development of their children in their early years of life. Many pregnant women especially those from minority groups with darker skin (e.g. African African-Caribbean or South Asian) will still need to take a 10 micrograms vitamin D supplement daily particularly in the autumn and winter when vitamin D cannot be made from the sun in the U.K. Dr. Darling added. However it is important to remember that more is not necessarily better and it is important not to take too much vitamin D from supplements as it can be toxic in very high doses. (Source British Journal of Nutrition-- July 2017) 42 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2017 Whey Protein Can Repair Rejuvenate Muscles in Older Adults hey protein supplements aren t just for gym buffs according to new research from McMaster University. When taken on a regular basis a combination of these and other ingredients in a ready-to-drink formula have been found to greatly improve the physical strength of a growing cohort senior citizens. The deterioration of muscle mass and strength that is a normal part of aging-- known as sarcopenia--can increase the risk for falls metabolic disorders and the need for assisted living say researchers. Older people who do little to prevent the progression of sarcopenia drift toward a state where they find activities of daily living like rising from a chair or ascending stairs very difficult or maybe impossible said Lead Scientist Stuart Phillips professor in the Department of Kinesiology and member of McMaster s Institute for Research on Aging. While a number of isolated nutritional ingredients have been shown to fight sarcopenia this is the first time such ingredients--which include whey protein creatine vitamin D calcium and fish oil-- have been combined and tested for this purpose. W For the study which was published in the journal PLOS ONE the research team recruited two groups of men aged 70 and older. One group took a protein-based multi-ingredient nutritional supplement for six weeks without an exercise regimen while the other group took a placebo. The objective was to evaluate whether daily consumption would result in gains in strength and lean body mass. Following those six weeks subjects continued to take the supplement (and placebo) while also undertaking a 12week progressive exercise training program consisting of resistance and highintensity interval training. We chose that combination of exercis- es to get a maximal benefit in terms of fitness and muscle strength said Gianni Parise scientific co-lead on the study. I know many think older persons can t do that type of exercise but that s simply untrue. The results were more impressive than we expected said Kirsten Bell a PhD student who worked on the study. Most notable the findings showed improvements in deteriorating muscle health and overall strength for participants both before and after the exercise regimen. In the first six weeks the supplement resulted in 700 grams of gains in lean body mass--the same amount of muscle these men would normally have lost in a year. And when combined with exercise twice weekly participants noticed greater strength gains--especially when compared with their placebo-taking counterparts. Clearly exercise is a key part of the greatly improved health profile of our subjects said Bell but we are very excited by the enhancements the supplement alone and in combination with exercise was able to give to our participants. (Source PLOS ONE--July 2017) Tai Chi May Help Prevent Falls in Older and At-risk Adults n analysis of published studies indicates that tai chi may help reduce the number of falls in both the older adult population and at-risk adults. The findings which are published in the Journal of the American Geriatrics Society offer a simple and holistic way to prevent injuries. Tai chi is an ancient Chinese practice focused on flexibility and whole body coordination that promotes harmonized motion in space. Previous research has shown that tai chi is an effective exercise to improve balance control and flexibility in older individuals. This suggests that the practice might help protect against falls which are a primary cause of traumatic death for older adults. To investigate Rafael Lomas-Vega PhD of the University of Ja n in Spain and his colleagues searched the medical literature A for relevant studies. The team identified 10 randomized controlled trials analyzing the effect of tai chi versus other treatments (such as physical therapy and low intensity exercise) on risk of falls in atrisk and older adults. There was high-quality evidence that tai chi significantly reduced the rate of falls by 43 percent compared with other interventions at short-term follow-up (less than 12 months) and by 13 percent at long-term follow-up (more than 12 months). Regarding injurious falls there was some evidence that tai chi reduced risk by 50 percent over the short term and by 28 percent over the long term. Tai chi did not seem to influence when an older or at-risk adult was likely to experience their first injurious fall. Tai chi practice may be recommended to prevent falls in at-risk adults and older adults. The length of the interventions ranged from 12 to 26 weeks. The frequency of the one-hour sessions ranged from one to three times per week said Dr. Lomas-Vega. Due to the small number of published studies further research is needed to investigate the effect of tai chi on injurious falls and time to first fall. (Source Journal of the American Geriatrics Society--July 2017) SEPTEMBER OCTOBER 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 43 NATURAL HEALTH STUDIES Green Tea Ingredient May Ameliorate Memory Impairment Brain Insulin Resistance and Obesity A study published online in The FASEB Journal involving mice suggests that EGCG (epigallocatechin-3-gallate) the most abundant catechin and biologically active component in green tea could alleviate high-fat and high-fructose (HFFD)-induced insulin resistance and cognitive impairment. Previous research pointed to the potential of EGCG to treat a variety of human diseases yet until now EGCG s impact on insulin resistance and cognitive deficits triggered in the brain by a Western diet remained unclear. Green tea is the second most consumed beverage in the world after water and is grown in at least 30 countries said Xuebo Liu PhD a researcher at the College of Food Science and Engineering Northwest A&F University in Yangling China. The ancient habit of drinking green tea may be a more acceptable alternative to medicine when it comes to combatting obesity insulin resistance and memory impairment. Liu and colleagues divided threemonth-old male C57BL 6J mice into three groups based on diet 1. a control group fed with a standard diet 2. a group fed with an HFFD diet and 3. a group fed with an HFFD diet and 2 grams of EGCG per liter of drinking water. For 16 weeks researchers monitored the mice and found that those fed with HFFD had a higher final body weight than the control mice and a significantly higher final body weight than the HFFD EGCG mice. In performing a Morris water maze test researchers found that mice in the HFFD group took longer to find the platform compared to mice in the control group. The HFFD EGCG group had a significantly lower escape latency and escape distance than the HFFD group on each test day. When the hidden platform was removed to perform a probe trial HFFD-treated mice spent less time in the target quadrant when compared with control mice with fewer platform crossings. The HFFD EGCG group exhibited a significant increase in the average time spent in the target quadrant and had greater numbers of platform crossings showing that EGCG could improve HFFD-induced memory impairment. Many reports anecdotal and to some extent research-based are now greatly strengthened by this more penetrating study said Thoru Pederson PhD editorin-chief of The FASEB Journal. For more information visit www.faseb.org. (Source The FASEB Journal--July 2017) Global Warming May Cause Spike in Asthma Allergy Symptoms new study finds that exposure to a widespread outdoor fungus can increase cell damage (oxidative stress) in the airways. This spike weakens the airways barrier defense system that when functioning normally removes infection- and allergy-causing organisms (mucociliary clearance). The study was published in the American Journal of Physiology Cell Physiology. Alternaria alternata is a fungus that produces spores in the dry warm weather of late summer and early fall. Previous studies have found that alternaria produces up to three times more spores when atmospheric carbon dioxide (CO2) levels are high. Airway exposure to the fungal spores may induce allergy symptoms and asthma in some people. A research team from the University of Minnesota and the Mayo Clinic took cells from the lining (epithelium) of human airways and exposed them to alternaria. The researchers analyzed the exposed A cells to determine the effects of fungal exposure on permeability properties and barrier function of the epithelium. When permeability is compromised proteins and nutrients can leak out of the lining and into the airways. In addition reduced barrier function can let bacteria and other allergens enter the airways increasing the risk of inflammation and infection. The research team also measured oxidative stress or cell damage in the treated cells. Exposure to alternaria produced more cell damage in the cells of the airway s lining. Fungus-treated cells had higher concentrations of calcium which prompted the epithelial cells to secrete more salt and fluid than usual. Salt and fluid secretion is normally associated with improved mucociliary clearance--keeping the airways free of allergens. However prolonged exposure [to Alternaria] leads to disruption of epithelial barrier function that would ultimate- ly reduce mucociliary clearance the researchers wrote. Reduced mucociliary clearance typically makes allergy symptoms worse. Current climate-warming trends may intensify the problem the research team noted. These results suggest that continuing increases in atmospheric CO2 associated with global climate change will increase both the level of alternaria exposure and antigenicity [the ability to produce an immune response] of spores that come in contact with the airways. (Source American Journal of Physiology Cell Physiology--July 2017) 44 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2017 FAMILY OF PRINT AND DIGITAL MEDIA om rMag.c titione ralPrac Natu Branch Out With VRM s VitaminR etailer.com NIEma .com gazine FitnessTra inerMag.c om 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 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. Vegenzyme Plus REDMOND WA--Ayush Herbs Vegenzyme Plus is a fully vegetarian source of digestive enzymes combined with power of Piper longum and Ayush s Amlaoxy extract to support the digestive process. Vegenzyme Plus promotes healthy digestion by providing critical digestive support allowing for more healthy weight through enhanced metabolism of fats carbohydrates and proteins. Ninety capsules are available for a suggested price of 30. For more information call (425) 637-1400 or visit www.ayush.com. Biotin Vegetarian Capsules TUXEDO NY--Lifes Secret is a brand that addresses the needs of women who are looking for pure supplements that are vegan and 100 percent natural women who are conscious about what supplements they take and are keen to live a clean healthy life. Lifes Secret Biotin promotes more hydrated skin lustrous hair stronger nails and is available in 10 000 and 5 000 mcg in just one capsule. Biotin is a key B vitamin that helps strengthen hair and nails. Lifes Secret s products are manufactured in a GMP certified facility complying with the strictest cGMP standards to ensure quality safety and label accuracy. All of Lifes Secret products are gluten free non-GMO natural and vegan friendly. The suggested price for Biotin 10 000 mcg is 14.99 while the 5 000 mcg formula is available for 13.99. Each bottle includes 120 vegetarian capsules. For more information call (845) 295-8042 or visit www.lifes-secret.com. ReMIND FAYETTEVILLE AR--Formulated by Dr. Jonathan Wright ReMIND (Bio-Tech Pharmacal Inc.) is a combination of ingredients designed to support optimal memory and cognitive function. This includes lithium aspartate which regulates neurotransmitter activity and nerve cell health and may limit the harmful effects of toxins and oxidative stress on the brain and nervous system taurine which has demonstrated neuroprotective and neurogenic activities that may support cognitive function with aging quercetin a natural flavonoid with antioxidant effects that also supports tissue health by having anti-inflammatory effects and carnosine a dipeptide or combination of amino acids that supports muscle vitality and cognitive function. It also acts as an antioxidant by protecting cell membranes from free radicals. A bottle of 180 capsules are available for 34.99. 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. Therapeutic Cream COLLEYVILLE TX--TAKA USA Inc. s MD Matrix (suggested price 46 3-oz. tube) cream is a clinically tested pharmaceutical grade patentpending joint relief cream. It is formulated to help reduce pain and inflammation in muscles joints and skin while remaining free of steroids opioids NSAIDs or parabens. Broccoli curcumin resveratrol green tea therapeutic oils and other natural ingredients provide relief from pain and inflammation. For more information call (817) 996-0636 or visit https mdmatrixhealth.us. For more information call (800) 345-1199 or visit www.biotechpharmacal.com. Stabilyze BOTHELL WA--Stabilyze Vegan bars (by Innova Nutrition Corp.) are specifically formulated to support stable blood sugar levels. They contain healthy antioxidant levels help replenish dietary insufficiencies boost prebiotic fiber intake and have a full vitamin mineral-core. Each bar contains 12 grams of protein 5 grams of prebiotic fiber 3 grams of sugar and 22 essential vitamins and minerals among other ingredient highlights. The company s bars are formulated to work as a meal replacement snack or before or after a workout to help replenish nutrients and glycogen stores. The suggested prices for a box of 12 bars is 34.80. For more information call (425) 486-6771 or visit www.stabilyze.com. Super Vites SEVERNA PARK MD--With children s active lifestyles and growing bodies it s crucial for them to receive adequate vitamins minerals and antioxidants. Super Vites from Previnex LLC provide a full array of these nutrients in amounts clinically designed for children ages 24 months to 12 years. Super Vites include a vast array of nutrients as well as a blend of 28 organic super fruits and veggies all in a tasty berry flavor. Super Vites are low in sugar from natural sources and contain no preservatives or artificial additives. A 60-ct. bottle has a suggested price of 19.95. For more information call (888) 958-0397 or visit www.previnex.com. 46 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2017 Adrenal D-Stress FARMINGDALE NY--Patient One s Adrenal D-Stress by MediNutritionals Research LLC is a vegetarian formula that promotes a healthy stress response by optimizing hormonal balance modulating cortisol and restoring glandular performance diminished by overuse of stimulants and adrenal insufficiency. It provides herbal and nutritional support to assist with the signs and symptoms of occasional stress including mental fatigue tension and mood problems. Adrenal D-Stress supports the health and function of adrenal glands by supplying DHEA an important adrenal hormone that starts to decline around age 30. Sensoril a highly standardized botanical extract of the ayurvedic adaptogen ashwagandha (Withania somnifera) may ease stress-induced mental exhaustion. Relora a patented blend of traditional Chinese wellness herbs Magnolia officinalis and Phellodendron amurense optimizes stress hormones and rejuvenates healthy adrenal performance. Thirty servings (90 vegetarian capsules) are available for a suggested price of 42.25. For more information call (877) 723-0777 or visit www.patientoneformulas.com. CONFERENCES AND EVENTS October 21-22 The Nova Scotia Naturopathic Conference Nova Scotia Canada The Nova Scotia Naturopathic Conference is the premier annual naturopathic conference in Atlantic Canada taking place over two days. The conference is dedicated to improving patient care by providing a high caliber continuing education opportunity to naturopathic and medical doctors as well as offering a tradeshow for the conference s sponsors. In addition to the conference a cocktail hour is available for participants speakers and sponsors to mix and mingle. The 2017 conference will be held October 21 and 22 at the Best Western Plus Chocolate Lake Hotel. For more information visit www.nsnc.info. October 22-24 The Detox Advanced Practice Module Denver CO The program s expert faculty team will review the foundational biochemistry and genetics of biotransformation pathways connect organ system dysfunctions to potential toxic exposures and detail the available laboratory evaluations useful in working up a toxin-exposed patient. Once these important clinical connections are made the team will detail specific treatment approaches. This program also uses a case-based integrated approach to deliver effectively the tools necessary for clinicians to diagnose and treat the toxic component of their patients total health pictures. For more information call (800) 228-0622 or visit www.ifm.org. October 24-28 9th Annual Mind Body Medicine CME Conference Lenox MA AMI Meditation techniques that can relieve and prevent physician burnout will be taught at the 9th Annual Mind Body Medicine CME conference at the Cranwell Resort and Spa. Entitled The Heart and Science of Yoga the training is accredited through the Albany Medical College Office of Continuing Education. Upon completion of the conference participants will able to develop equanimity discrimination will power creativity and energy through daily practice of AMI meditation and diaphragmatic breathing incorporate long term strategies for healthy lifestyle choices using yoga psychology demonstrate knowledge of the principles of both ayurveda and epigenomics identify yogic practices to transform trauma and increase resilience recognize the physiological benefits of easy-gentle yoga help themselves and their patients reduce conditioned habits of negative thinking and other symptoms of burnout through the healing power of mantra science utilize food as medicine to maximize wellbeing use chakra psychology to diagnose and treat disease and recognize how meditation changes the neural pathways in the brain. Speakers include Mark Pettus MD director of medical education and population health at Berkshire Health Systems Prashant Kaushik MD board-certified rheumatologist and many more. For more information call (518) 674-8714 or visit www.americanmeditation.org. November 11-12 GPL University Practitioner Workshops West Palm Beach FL Learn how to better integrate specialty diagnostic testing into your practice for greater patient health outcomes. This workshop will review organic acids testing genetic testing and toxic chemical testing. For more information visit www.gpluniversity.com. December 2-3 OANP s 22nd Annual Conference Portland OR The Oregon Association of Naturopathic Physicians (OANP) will be hosting its 22nd Annual Conference (Annual Pharmacy and Ethics) at the Marriott Portland Downtown Waterfront Hotel. Events include a pre-dinner reception a living legends dinner and the OANP annual meeting. It is also worth up to 12 CE. For more information visit www.oanp.org. December 14-16 The American Academy of Anti-Aging Medicine (A4M) Las Vegas NV Anti-Aging Medicine is a personalized treatment model that inspires a partnership between patient and practitioner. The World Congress will offer unique clinical approaches that promote disease prevention and lifestyle management and will provide access to unparalleled content ground-breaking research knowledgeable speakers and valuable resources that enable today s health practitioners for sustained success and growth. Practitioners can earn a possible three full-days of CME credits will have exposure to more than 350 exhibitors network and attend workshops and lectures with leading expert speakers. Keynote speakers for the 2017 A4M are Peter Diamandis MD founder and executive chairman of the XPRIZE Foundation Michael S. Weiner DO MSM MSIST adjunct professor of Health Information Technology at George Washington University and Pablos Holman futurist and inventor. For more information call (561) 997-0112 or visit www.a4mwc.com. SEPTEMBER OCTOBER 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 47 MEDIACORNER Healing with Bach Flower Mandalas Coloring Book Author Gudrun Penselin M Ed M Phys Ed illustrations by Yana-Lee Kratschat Pages 112 Price 16.95 (paperback) Publisher Rainbow Healing Publishing Contact Gudrun Penselin gudrun rainbowhealing.ca Healing with Bach Flower Mandalas is a unique publication that is much more than just another coloring book. The system of healing developed by Dr. Edward Bach in the 1930s known today as the Bach Flowers is comprised of 38 flower essences plus the Rescue Remedy. The ultimate goal of this healing method is to assist us in freeing ourselves from limiting beliefs and emotions that hold us back from living our life to our full potential. Healing with Bach Flower Mandalas features all the Bach Flowers including the Rescue Remedy in the form of mandalas. This combination provides vast potential and opportunity for healing movement and transformation. The book is a fun tool for working with Bach Flowers. Designing and coloring the Bach Flower mandalas can be enjoyed by anyone. The coloring book includes Introduction to Edward Bach and the Bach Flowers general information about mandalas suggestions for how to work with Bach Flower mandalas quotes from Edward Bach interwoven throughout the book messages from each of the Bach Flowers and a mandala for each flower as well as a blank page for reflections. Ayurveda Made Easy 50 Exercises for Finding Health Mindfulness and Balance Author Heidi E. Spear Pages 160 Price 14.99 (paperback) Publisher Adams Media Contact Bethany Carland-Adams (508) 205-1607 Practicing ayurveda one of the world s oldest holistic healing systems doesn t need to be complicated. Ayurveda Made Easy contains simple strategies to guide you toward a healthier lifestyle perfectly suited to your needs. Ayurveda works to help you understand your body and achieve your personal ideal balance with a series of exercises activities and natural remedies. From dietary suggestions to yoga postures and breathing exercises each page offers practiced steps to improve your body and keep you calm and mindful every day. With more than 50 easy-to-follow exercises Ayurveda Made Easy takes you one step closer to achieving health peace and energy for a balanced life. The Power of Positive Energy Everything You Need to Awaken Your Soul Raise Your Vibration and Manifest an Inspired Life Author Tanaaz Chubb Pages 240 Price 15.99 (paperback) Publisher Adams Media Contact Bethany Carland-Adams (508) 205-1607 From the founder of ForeverConscious.com comes a guide to cultivating positive feelings and projecting positive energy. Buddha once said Peace comes from within and so should our outlook on life. Tanaaz Chubb founder of ForeverConscious.com shares a variety of activities and affirmations that can empower you to manifest gratitude and positivity. Through these exercises you can adjust your auras to emit calm peaceful and positive energy instead of unhappiness or stress. Whether you re seeking improved relationships professional success or a quest for personal fulfillment The Power of Positive Energy can help you rise above negative influences and begin your journey of spiritual well-being and healing. ADVERTISER INDEX ADVERTISER Advanced Naturals American Nutraceuticals LLC America s Finest Inc. Balchem Albion Carlson Laboratories Inc. Daiwa Health Development DaVinci Laboratories of Vermont Emerson Ecologics LivOn Laboratories Natural Partners Inc. 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