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Description: In This Issue: Stress & Anxiety, Digestion, Testing/Lab Methods, and Detox & Cleanses

www.naturalpractitionermag.com November 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 November17 Go to www.naturalpractitionermag.com davinci for info about this advertiser Go to www.naturalpractitionermag.com americasfinest for info about this advertiser TABLE OF CONTENTS November 2017 VOLUME 6 NO. 7 22 30 36 FEATURES 22 Stress and Anxiety Breaking Up the Dysfunctional Duo Stress and its constant companion anxiety remain troublesome for many American adults today--here s how to help provide relief and that all-important balance. COLUMNS 4 Editor s Note 36 Supplement Science 8 Practitioner Corner 33 Product Focus Detox & Cleanse 26 Digestive Distress Call Practitioners can help patients tackle their digestive issues by getting to the root of the problem. DEPARTMENTS 14 Health Industry News 19 INM Update 35 Practitioner Chat 39 Natural Health Studies 42 Natural Marketplace 43 Media Corner 44 Conferences & Events 44 Advertiser Index 30 Advances in Testing Methods Improve the health and well-being of your patients by using data from innovative testing methods to develop personalized treatment plans. 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 7 November 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 NOVEMBER 2017 Go to www.naturalpractitionermag.com livon for info about this advertiser EDITOR S NOTE Social Media Stress s a member of the micro generation--now called Xennials (born between 1977 and 1983 because we don t necessarily fit in with Generation X or Millenials)--I am a part of the last generation who grew up mostly without computers but learned how to use the technology early enough that we were able to catch on with little to no problem. It was a particularly unique experience. You had a childhood youth and adolescence free of having to worry about social media posts and mobile phones said Dan Woodman associate professor of sociology at The University of Melbourne in an interview with Australian lifestyle site Mamamia. We learned to consume media and came of age before there was Facebook and Twitter and Snapchat and all these things where you still watch the evening news or read the newspaper. Because of this many of my generation have social media accounts but may not feel the amount of stress that Millenials often do from constant posting and checking their feeds to see what their friends are doing. Even so the 24-hour news cycle and being chained to our email accounts can cause all of us to stress out. I don t think you can be barraged with headlines (almost universally negative) and emerge unscathed said Cheryl Myers chief of education and scientific affairs at EuroMedica. After all a big part of the click-through culture demands a certain level of anxiety--they have to push emotional buttons or nobody will read the articles and see the sponsors ads. A So we set ourselves up for anxiety with excessive media exposure. In this month s feature on stress and anxiety (see page 22) we learn that according to the Stress in America 2017 Technology and Social Media report nearly one-fifth of Americans identify their technology use as a source of stress. Jason Edwards president and CEO of Rebel Herbs said he strongly believes that the greatest cause of stress and nervousness today is the constant connectivity to personal technology. He pointed to smart phones laptops and desktop computers that continually tie us to social media. The incessant clicks and beeps telling us that the comments and postings of our peers are leaving us behind if we don t check in and respond in a witty or inspired fashion he described. Email is accessible 24 hours a day seven days a week enticing many to work for hours after the close of the work day and creating an environment where people expect a response within minutes of their request. Additionally a 2012 Swedish study found that young people who used technology heavily had a pronounced risk for mental health problems such as depression stress and sleep disorders while another study found that after a short period of cell phone use people were less likely to partake in pro-social behavior--actions that are intended to help another person or society--compared with a control group. While I am just as guilty of having my phone glued to my hand at times recently I have been making a strong effort to unplug at night and on weekends. And I have to admit that it is relaxing. So join me and try to unplug each day I have a feeling that you won t regret it. PUBLISHER DANIEL MCSWEENEY EDITORIAL DIRECTOR DanM VRMmedia.com ASSOCIATE PUBLISHER RUSS FIELDS RussF VRMmedia.com ADVERTISING GARY PFAFF SALES MANAGER GaryP VRMmedia.com EDITOR-IN-CHIEF SHARI BARBANEL ShariB VRMmedia.com 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 NOVEMBER 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 concerns such as weight mood stress PMS peri menopause and andropause. Dr. Goldstein creates customized plans utilizing nutrition botanical medicine and homeopathy while educating her patients around conventional care and supplements to address symptoms and then discover how and when they feel their best. She believes in instilling a proper foundation of health through diet sleep stress and lifestyle as any form of medicine should supplement not replace an unhealthy lifestyle. Dr. Goldstein has been published in wellknown health and wellness resources such as MindBodyGreen Better Nutrition and Bustle and spoken at places like Lehman College and the American Cancer Society. Dr. Goldstein also lends her expertise to fellow doctors at NYU-Hospital Poison Control Center. 6 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2017 Go to www.naturalpractitionermag.com nutri-spec for info about this advertiser PRACTITIONER CORNER The for Everything A New Paradigm in Healing Cure By Jacob Teitelbaum MD lthough we may not yet have the cure for everything it is amazing how many untreatable conditions can be effectively treated using the comprehensive medicine approach described below. Most of us know numerous bits and pieces of treatments not familiar to standard medicine but don t yet really have a paradigm that integrates them all. That is what I would like to offer you today. This will make it easier for you to organize and effectively use the information. When approaching an illness I invite you to look at it in four domains 1. Biochemistry. This includes nutrition herbals and pharmaceuticals. This has been the key focus of Western medicine for a century along with surgery. 2. Biophysics. This includes a wide array of energy medicine and techniques including those using the acupuncture and chakra systems. These have largely been developed in Eastern medicine which often cannot afford expensive medications. Newer tech- A niques such as Frequency Specific Microcurrent are applying technology to further biophysics. In addition a wide array of tapping techniques such as NAET and EFT have evolved biophysics dramatically. For example a study funded by our foundations showed that NAET (an allergy elimination technique see www.naet.com) resulted in marked improvement in autism with 23 of 30 children being able to return to regular schools as opposed to zero of 30 children in the control group (these were then offered free treatment for being in the study). 3. Structural Therapies. These include chiropractic manipulation myofascial release surgery ergonomics and a host of other treatments. 4. Mind Body Spirit. I find that most illnesses are a metaphor for what is going on in the deep psyche. If one eliminates the illness without addressing these then I find that another illness will often pop up to take its place. The person being treated will be appreciative but still be ill. Conversely I also find that by addressing this aspect it is much easier to clear the physical component of the illness. So let s take a look at how this may apply to two common conditions. Fibromyalgia and Muscle Pain (Myofascial Pain Syndrome) These represent an energy crisis that causes the muscles to get stuck in the shortened position. Hypothalamic dysfunction from the low energy is also common with secondary insomnia hormonal dysfunctions immune dysfunctions and autonomic dysfunction. Our published placebo-controlled research has shown that the SHINE protocol addressing sleep hormones and hypotension infections nutrition and exercise as able resulted in 91 percent of people improving with an average 90 percent increase in quality of life. To make this simpler to address we offer a free Energy Analysis Program that both practitioners and people with the illness can use at www.vitality1.com. This 10-minute 8 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2017 Go to www.naturalpractitionermag.com carlson for info about this advertiser PRACTITIONER CORNER quiz can assess symptoms and even pertinent lab tests and creates a comprehensive treatment protocol tailored to that individual. It also determines the underlying contributing factors causing the illness. We also are happy to make free tools (questionnaires and treatment protocols) available to practitioners which dramatically simplify care of people with fibromyalgia. If you would like these simply email me at fatiguedoc gmail.com. So let s look at how to use these four domains to organize treatment. A- Biochemistry. Optimize sleep using a mix of natural and prescription therapies. Two outstanding herbal mixes are the Revitalizing Sleep Formula (Integrative Therapeutics) and Terrific ZZZZ (EuroPharma). Hormonal support can be given with bioidentical hormones. An excellent mix for adrenal support is Adrenaplex (EuroMedica). Hypotension (orthostatic intolerance) can be addressed with increasing salt water medications and adrenal support. Infections can be treated with antibiotics and antivirals along with immune support as well as probiotics and a host of herbs and nutrients. Nutritional support can be simplified by giving the Daily Energy Enfusion nutritional powder (Integrative Therapeutics--replaces more than 35 pills with one drink) and ribose powder 5 g two times per day. In two studies the ribose itself increased energy an average of 61 percent. Also add 200 mg of coenzyme Q10 plus omega-3 support. For the latter I use EurOmega 3 (EuroPharma) as one pill replaces seven large fish oil pills. For pain relief I begin people with Curaphen (a mix of four herbals nutrients which has been a pain relief miracle--give it six weeks to see the full effect) or Fibroxia and topical Comfrey (all three by EuroMedica). There are also more than a dozen medications that can be very helpful without using narcotics. Low-dose naltrexone can also help rebalance immune function and decrease pain after two months. As you notice I do focus on decreasing the pill count to make it easier for people and improve compliance. I will note as an aside that I do not take money from any natural products or pharmaceutical companies. B- Biophysics. Acupuncture and chakra work can be helpful but I find that they are not strong enough by themselves in this illness. They work best when combined with biochemistry. A wonderful modality is called Frequency Specific Microcurrent (www.frequencyspecific.com). This can determine both the type of pain (there are seven different types of pain and fibromyalgia) and directly eliminate the pain. There are many other modalities for pain including laser trigger point therapy and numerous others. But don t forget how powerful simply using a heating pad on tight muscles is for pain relief. In addition wearing wool long underwear (upper and lower body) during the winter has been shown to be as effective for fibromyalgia pain as expensive and toxic medications. C- Structural Therapies. Attempting to release muscles before treating the underlying energy deficiency (addressed by the biochemistry above) will result in transient improvement with the pain quickly coming back as the muscles once again shorten. This is because muscles are like a spring Go to www.naturalpractitionermag.com womensinternational for info about this advertiser 10 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2017 Go to www.naturalpractitionermag.com kyowa for info about this advertiser PRACTITIONER CORNER requiring more energy to stretch relax than to contract. Because of this until the energy crisis is addressed the muscles will continue to get stuck in the shortened painful position. Once the energy crisis is addressed however the structural therapies to stretch the muscles will begin to hold much longer and offer dramatic benefit. Those of you who do structural therapies will find that addressing the biochemistry at the same time will dramatically improve people s improvement. D- Mind Body Spirit. Most illnesses have an underlying psychodynamic. In fibromyalgia people tend to have had low self-esteem as a child sought approval from somebody who just wasn t going to give it and were afraid of saying no to avoid creating conflict and losing approval. This results in them agreeing to do things that drain their energy and are unhealthy. The game breaker for them is to learn to ignore their mind and to see how things feel. If things feel bad they need to simply say no. No is a wonderfully versatile word. It is a complete sentence. And it can be done gently or forcefully as needed. It also has the A- Biochemistry. Heart disease whether it is congestive heart failure arrhythmia or coronary artery disease can be helped by improving energy production in the heart muscle. Optimizing heart muscle energy production can be done simply and very effectively with the following recipe. 1. Daily Energy Enfusion Vitamin Powder for Magnesium B Vitamins and other nutrients 2. Coenzyme Q10 or ubiquinol 200 to 400 mg day 3. Ribose powder 5 g three times a day 4. Acetyl l-carnitine 1 000 mg twice a day for three months and then 500 mg daily 5. Hawthorne 6. Magnesium orotate 6 000 mg a day for one month and then 3 000 mg a day I live in Hawaii and still remember meeting an engineer and his wife. He had been given two months to live because of his congestive heart failure his doctor saying that there was no more that he could do. His wife brought him from Alaska to Hawaii so he could die in warm weather instead of wonderful property of making energy vampires disappear from people s lives. There are literally hundreds of other potentially helpful treatments but you can start to see how each of them will fit into one of these four categories so that you can organize them. Heart Disease Let s look at how to use the four domains to organize treatment for this common problem. (Continued on page 42) Go to www.naturalpractitionermag.com nutri-spec for info about this advertiser 12 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2017 Go to www.naturalpractitionermag.com balchem for info about this advertiser HEALTH INDUSTRY NEWS Dietary Supplement Usage Increases Says New Survey T he latest results from an annual survey on dietary supplements reveals an alltime high for supplement usage among U.S. adults with 76 percent reporting they consume dietary supplements up five percentage points from last year s results. The new survey 2017 CRN Consumer Survey on Dietary Supplements was commissioned by the Council for Responsible Nutrition (CRN) and conducted by Ipsos Public Affairs. The survey also found that nearly nine in 10 (87 percent) U.S. adults have confidence in the safety quality and effectiveness of dietary supplements overall. Additionally 76 percent of U.S. adults perceive the dietary supplement industry as trustworthy up three percentage points from last year. These findings reinforce the upward trend in usage and confidence seen last year said Nancy Weindruch vice president communications CRN. Seeing more than three quarters of Americans taking supplements is an indicator of our industry s success in bringing products to the marketplace that are valued by the majority of Americans for their role in health and wellness. In terms of the types of supplements being taken the survey found that vitamins minerals are the most commonly consumed supplement category consistent with the previous surveys with 75 percent of U.S. adults saying they have taken these in the past 12 months. The second most popular category is specialty supplements (38 percent) followed by herbals botanicals (29 percent) sports nutrition supplements (22 percent) and weight management supplements (15 percent). Overall health wellness benefits is the main reason cited by supplement users for taking dietary supplements (46 percent). Three in 10 (30 percent) consume supplements to fill nutrient gaps in their diet and similar proportions (28 percent) use them for energy. Of those who do not take dietary supplements nearly half (45 percent) say they might consider taking supplements in the future if a doctor recommended it to them. In its 18th consecutive year the CRN Consumer Survey on Dietary Supplements serves as the leading resource for statistics on usage of and confidence in dietary supplements. The survey was conducted August 24 to 28 by Ipsos Public Affairs and was funded by CRN. The survey was conducted online in English and included a national sample of 2 001 adults aged 18 and older living in the United States including 1 528 among those who are considered supplement users. The survey has been conducted annually since 2000. The precision of Ipsos online polls are measured using a credibility interval. In this case the poll has a credibility interval of plus or minus 2.5 percentage points for all respondents and plus or minus 2.9 percentage points for supplement users (see Ipsos online polling methodology for more info). For more information visit www.crnusa.org. GWI Launches Wellness Moonshot Destination--A World Free of Preventable Disease ifestyle-related diseases and the continuously skyrocketing cost of health care are creating a global crisis that is affecting us both physically and mentally. According to the Centers for Disease Control and Prevention the stark reality is that roughly 70 percent of all deaths each year are a result of preventable diseases while the global cost of largely preventable chronic disease could reach 47 trillion by 2030 according to the World Economic Forum. On the opening day of the 2017 Global Wellness Summit health and wellness leaders united behind the first global commitment to achieve a world free of preventable disease a moonshot that is arguably as urgent as it is massive in scope. The time has come to pool our resources--knowledge access funding-- and use our collective megaphone on the world stage to work toward achieving a world free of preventable disease said Susie Ellis chairman and CEO of the nonprofit Global Wellness Institute (GWI). Unlike President Kennedy s famous moon- L shot to send a man to the moon where it was clear when the mission was accomplished this moonshot will require not one but many incremental steps forward for humankind. Ellis was joined by Dr. Richard H. Carmona 17th Surgeon General of the United States and current chief of health innovation Canyon Ranch in announcing the Wellness Moonshot which received an enthusiastic response from the 600-plus delegates representing health and wellness across a sea of sectors including fitness mental wellness and mind-body nutrition workplace wellness technology complementary medicine integrative medicine architecture and real estate and spa and tourism. The world is increasingly plagued by largely preventable chronic diseases and the crippling economic burden that comes with them. This call to action is absolutely critical refocusing on humankind s most pressing need said Dr. Carmona. The Global Wellness Institute is the right organization to launch this moonshot as it can only be achieved with high-level collaboration in the many health and wellness sectors. As an umbrella organization that brings together often siloed forces and sectors all working to build a healthier world the GWI will bring the issue of preventable disease to the forefront in its research and education efforts and commitment to forge even more collaborations to create new paths for action. The organization s initial focus will be on information campaigns to bring global attention to the Wellness Moonshot from which prevention initiatives are most needed and where--to educating the world about high-impact global projects that are tackling preventable disease to drive new interest and resources to them. In addition Ellis noted that GWI would catalyze stakeholders from both the private and public sectors to coordinate collaborate and commit to the Wellness Moonshot. For more information visit www.globalwellnessinstitute.org. 14 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2017 Go to www.naturalpractitionermag.com advancednaturals for info about this advertiser HEALTH INDUSTRY NEWS Topical Analgesics Reduce Chronic Pain Lessens Need For Opioids C larity Science (Austin TX) a division of Safe Harbor Compliance and Clinical Services LLC has reported results of the Institutional Review Board (IRB)-approved Optimizing Patient Experience and Response to Topical Analgesics (OPERA) Study which evaluated patients with chronic pain who were treated with topical analgesics. Overall results published in the Journal of Pain Research suggest that topical treatments may provide an effective and safer treatment alternative to opioids and prescription NSAIDs for the management of chronic pain. Chronic pain is a leading cause of disability in the United States. It affects more than 100 million Americans and is one of the most frequent reasons people seek medical care. Despite a wealth of treatment options as many as 40 percent of patients treated for chronic pain do not attain adequate relief. Further compounding this problem patients who report chronic pain often suffer from multiple conditions and take multiple medications such as opioids and nonsteroidal anti-inflammatory drugs (NSAIDs) that are associated with adverse effects including abuse addiction and death. The FDA (U.S. Department of Agriculture) and CDC (Centers for Disease Control and Prevention) have recognized that opioid misuse and overdose have reached epidemic proportions. The number of prescriptions for opioids and other controlled substances increased dramatically in recent years and deaths associated with opioids continue to grow. Recent data from the National Center for Health Statistics reports more than 64 000 drug overdose deaths in 2016--a faster rate than the HIV epidemic car crashes and gun deaths at their respective peaks. According to Jeffrey Gudin the lead investigator of the study and the director of pain and palliative care at Englewood Hospital in New Jersey The results of this study show that topical analgesics were associated with reductions of up to 60 percent in the use of concurrent pain medications including oral opioid analgesics. Topical agents have the potential to provide analgesic effects without the risk of abuse misuse and addiction or systemic adverse events (AEs) associated with oral analgesics. Also they lower the risk of systemic AEs and drug-drug interactions have limited systemic absorption offer simple-dose determination provide direct access to the target site and are easy for patients to apply. Results of the study show that topical treatments are effective and safe for the relief of moderately severe chronic pain associated with arthritis neuropathic conditions and musculoskeletal disorders while not carrying the same risks of abuse misuse addiction or adverse effects associated with some oral treatments. Treated patients reported a preference for topical treatments both for their convenience and ease of use and 99.5 percent of patients reported no side effects while using the topical treatments. The study is important in that existing topical analgesics that have lost big Pharma interest have been found not only to have a profound therapeutic effect but also offer a safe and effective alternative to opioids said Dennis Harris MD Clarity s chief medical officer and an author of the study. The study demonstrates a measurable improvement in quality of life. New and experimental drugs are not always the answer to current issues even with generic combinations we can immediately address such monumental issues such as the current opioid epidemic. For more information visit www.clarityscience.com or www.shcacs.com. PCCR Expands Inter-Institutional Network for Chiropractic Research T he Palmer Center for Chiropractic Research (PCCR Davenport IA) has announced the Osher Center for Integrative Medicine jointly based at Brigham and Women s Hospital and Harvard Medical School has joined the Inter-Institutional Network for Chiropractic Research. The Network is a five-year multidisciplinary effort designed to facilitate chiropractic research across multiple institutions and disciplines. The network is a collaborative effort between PCCR Yale Center for Medical Informatics and the Osher Center for Integrative Medicine at Brigham and Women s Hospital and Harvard Medical School. The first action step will be to convene a steering committee of renowned experts to develop a chiropractic research agenda and establish teams of interdisciplinary researchers. These scientists will conduct projects aimed at improving the quality of chiropractic patient care. They also will collaborate on future grant applications to funding agencies such as the National Institutes of Health (NIH). The network will benefit from the unique strengths of the participating investigators and institutions creating a chiropractic research portfolio that s truly translational. Vice Chancellor for Research and Health Policy at Palmer College of Chiropractic Christine M. Goertz DC PhD (PCCR) will be the network director. Peter Wayne PhD (Osher Center for Integrative Medicine at Brigham and Women s Hospital and Harvard Medical School) will join Anthony J. Lisi DC (Yale Center for Medical Informatics and VA Connecticut Healthcare System) as a co-director. These investigators along with collaborating faculty at the respective institutions bring together complementary expertise in health services research clinical practice and health care policy. Together they will form a robust foundation to advance chiropractic science practice and policy. We are excited to include the Osher Center as a member of the InterInstitutional Network for Chiropractic Research said Dr. Goertz. Our collective efforts provide an unprecedented opportunity to conduct clinical and basic research that advances chiropractic research and evidence-based clinical practice ultimately benefiting the patients we serve. For more information visit www.palmer.edu. 16 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2017 Go to www.naturalpractitionermag.com quintron for info about this advertiser HEALTH INDUSTRY NEWS Harvey Health Provides Remote Access to Integrative Medicine Using Technology-enabled Platform fter a successful open beta Harvey Health officially launched providing convenient affordable access to integrative medicine. Named after William Harvey the physician who first discovered how blood circulates through the human body Harvey s new telehealth platform expands the reach of integrative medicine through video consultations with licensed naturopathic doctors advanced in-home laboratory testing and highly-customized natural treatment plans. Harvey s physicians combine conventional therapies with holistic medicine s focus on the whole body and root cause analysis not just a set of isolated symptoms. Harvey Health provides personalized solutions to individual health issues--emphasizing diet nutrition and a strong doctor-patient relationship. Every Harvey doctor graduated from an accredited four-year residential medical school passed a national board exam and received a state medical license. Harvey Founders Kyle Hill and Mike Townsend were inspired by the compelling personal story of co-executive Layne Thrasher who became passionate about integrative medicine after experiencing a series of failures by conventional practitioners and medical institutions. Together they created an innovative telehealth platform that combines integrative medicine s A philosophies of prevention and natural selfhealing with cutting-edge evidence-based lab testing. We noticed the explosive growth of telehealth coupled with the widespread adoption of complementary and alternative medicine and believe bringing them together can dramatically improve people s lives and the healthcare system as a whole said Hill Harvey CEO. Our goal is simply to bring integrative medicine to the general public in a truly accessible affordable and scientifically viable way. Our current health care system is the least efficient in the world added Townsend COO of Harvey. Many doctors lack the time education and financial incentives to talk to their patients in-depth about nutrition or their long-term health. Harvey offers a refreshing and effective alternative. To schedule an initial hour-long video consultation with one of Harvey s licensed naturopathic doctors new clients first create an account. They then discuss their health history and current concerns with one of Harvey s multi-disciplinary doctors during the first video chat on their computer or smartphone. If recommended during the initial consultation Harvey mails clients a customized lab kit to collect samples from the comfort of their home. If necessary Harvey schedules a mobile technician to perform a free inhome blood draw. After mailing back their completed lab kit clients can review their clinical lab results with their doctor during a second video call where the doctor addresses each client s unique diagnosis and shares a personalized treatment plan--consisting of dietary adjustments lifestyle changes and or natural supplement recommendations. Each initial hour consultation is 150 and follow-up appointments start at 75. Although Harvey s services are not covered by insurance clients may be able to use their FSA or HSA accounts for payment. By the end of October Harvey plans to serve clients in every state except Alaska Florida New York South Carolina and Tennessee. For more information visit www.goharvey.com. Don t miss a single issue of NP in 2017 ... go online to renew your free subscription today NaturalPractitionerMag.com November17 The Institute for Functional Medicine (IFM) has announced that Laurie Hofmann MPH IFM s current chief executive officer has accepted the additional role of chairman of the IFM Board of Directors. Frank Lampe vice president communications and industry relations for The United Natural Products Alliance (UNPA) has joined the Leadership Council for the Institute for Natural Medicine (INM). Rick L. Cox founder and president of Cave Creek AZ-based Specialty Process Labs has been appointed to the organization s board of directors. You re Hired 18 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2017 INM UPDATE Leading Industry Organization Speaks Directly to Natural Practitioner Readers How Naturopathic Doctors and Conventionally Trained Medical Doctors Work Together By Michelle Simon PhD ND President Institute for Natural Medicine (INM) aturopathic Medicine Week was held this year on the second week of October. We celebrate this week every year in recognition of resolution passed by the U.S. Senate declaring this observance. In doing so lawmakers recognized the ability of naturopathic doctors to provide safe effective and affordable health care. This year we have much to celebrate We added three states to the list of states that regulate naturopathic medical practice Massachusetts Pennsylvania and Rhode Island now all recognize the importance of licensing NDs which thereby ensures consistency of educational and licensing standards and supports public safety. States which benefit from licensure have the added bonus of potential inter-professional team approaches to health care delivery and optimization. In an article published by the INM and AANP (American Association of Naturopathic Physicians) in a series of Frequently Asked Question (FAQ) articles was FAQ 8 How Do Naturopathic Doctors and Conventionally Trained Medical Doctors Work Together 1 This article highlights the many examples of great collaborative opportunities between conventionally trained MDs and NDs such as People with one or more chronic diseases or lifestyle-related conditions such as heart disease diabetes or hypertension which require a high level of patient engagement in their own health as well as time to realize the full benefits of recommended treatments. People with cancer or other diseases where commonly used medical treatments can cause significant side effects that can undermine health. People seeking relief from chronic pain without using highly additive opioids. People who want to build and maintain a foundation of optimal health and well-being. People with symptoms such as fatigue insomnia and gastrointestinal distress who have exhausted options with conventionally trained medical doctors and still do not have an actionable diagnosis or are not improving with current treatments. Through utilizing the Therapeutic Order a philosophical underpinning of the naturopathic medical profession NDs are skilled in identifying the natural order in which thera- N pies should be applied to maximize benefit and minimize potential adverse potential. This framework for decision-making is especially useful in a team-based approach to care. In addition to the conventional tools of assessment NDs bring additional methodologies such as detailed dietary records lifestyle habits and choices exercise history and social emotional factors to assess patients needs. These approaches can open doors to new treatment pathways and options. This week coincides with National Breast Cancer Awareness month an annual occurrence with the objective of increasing awareness of the disease. One out of eight women in the United States will develop breast cancer and while rare breast cancer is also diagnosed in men. Battling breast cancer takes a tremendous mental and emotional toll on every patient as well as their families. Providing support for the patients and caregivers is important work that can be augmented by an integrative team of physicians. Additionally conventional medical treatments such as surgery radiation therapy chemotherapy and pharmaceutical drug therapy are often essential components of breast cancer treatment but they can cause significant side-effects and can increase the risk of other health conditions. Licensed naturopathic doctors develop personalized whole person treatment plans taking into consideration all aspects of the disease as well as their emotional constitu- tion lifestyle habits and conventional therapies being utilized. A more recently published FAQ article entitled How Does Naturopathic Medicine Support Breast Cancer Prevention and Treatment 2 provides some specific ideas on how naturopathic medicine emphasizes the holistic approach offering complimentary therapies to support and strengthen the body and mind before during and after conventional breast cancer treatment. Some specific strategies mentioned are Boost and sustain the immune system and minimize inflammation after biopsy lumpectomy or mastectomy surgery3 4 with the goal of shortening recovery times. Safely reduce side effects of radiotherapy chemotherapy and pharmaceutical drug therapies as well as provide natural synergists to these conventional treatments to enhance their efficacy.5 Support the patient through mental and emotional stresses that any cancer diagnosis and treatment brings.6-8 Emphasize prevention measures in healthy patients motivated to reduce their cancer risk.9 Develop post-treatment recommendations to reduce the risk of recurrence.10 11 While cancer is one of the most compelling topics and greatest opportunities for collaboration between conventional medical providers and naturopathic physicians truly most conditions provide an opportunity to strengthen treatment plans by utilizing collaborative team-based care that includes licensed naturopathic physicians. Significant research shows that lifestyle-change programs that focus on nutritional interventions resiliency exercise and emotional wellbeing can sometimes reverse the progression of chronic diseases such as heart disease diabetes hypertension obesity and high cholesterol. There is no lack of opportunity to partner up and improve the health of patients References 1 www.naturopathic.org natfaqs FAQ8. 2 www.naturopathic.org natfaqs FAQ9. 3 Dirican A. Andacoglu O. Johnson R. McGuire K. Mager L. Soran A. The short-term effects of lowlevel laser therapy in the management of breast-cancer-related lymphedema. Supportive Care in Cancer. 2011 19(5) 685-690. Available here https link.springer.com article 10.1007 s00520-0100888-8. NOVEMBER 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 19 INM UPDATE 4 National Cancer Institute. Lymphedema (PDQ)Health Professional Version. Available here cancer.gov about-cancer treatment side-effects lymphedema lymphedema-hp-pdq. 5 Vollbracht C. Schneider B. Leendert V. Weiss G. Auerbach L. Beuth J. Intravenous vitamin C administration improves quality of life in breast cancer patients during chemo- radiotherapy and aftercare results of a retrospective multicentre epidemiological cohort study in Germany. In Vivo. 2011 25(6) 983 990. 6 Mindfulness meditation for younger breast cancer survivors a randomized controlled trial. Cancer. 2015 121(8) 1231-40. Available here www.ncbi.nlm.nih.gov pubmed 25537522. 7 Garssen B Boomsma MF Meezenbroek Ede J et al. Stress management training for breast cancer surgery patients. Psychooncology. 2013 22 572-580. Available here http onlinelibrary.wiley.com doi 10.1002 pon.3034 full. 8 Phillips KM Antoni MH Lechner SC et al. Stress management intervention reduces serum cortisol and increases relaxation during treatment for nonmetastatic breast cancer. Psychosom Med. 2008 70 1044-1049. Available here www.ncbi.nlm.nih.gov pubmed 18842742. 9 Anand P. et. al. Cancer is a Preventable Disease that requires major lifestyle changes. Pharmaceutical Research 2008 25 9. 10 Greenlee Heather et al. Antioxidant Supplement Use after Breast Cancer Diagnosis and Mortality in the Life After Cancer Epidemiology (LACE) Cohort. Cancer. 2011 118(8) 2048 2058. 11 Pierce John P. et al. Greater Survival after Breast Cancer in Physically Active Women with High Vegetable-Fruit Intake Regardless of Obesity. Journal of Clinical Oncology. 2015. Available here https arizona.pure.elsevier.com en publications greater- survival-after-breast-cancer-in-physically-activewomen-w. 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. 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 20 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2017 FAMILY OF PRINT AND DIGITAL MEDIA Branch Out With VRM s ag.com tionerM lPracti Natura VitaminR etailer.com NIEma gazine .com FitnessTra inerMag.c om NP s Upcoming Issue Highlights January 12 21 17 February ad closing Healthy Sleep & Rest IHS Show Issue March 3 6 18 Bone Joint & Muscle Health ad closing April Healthy Aging 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 or e-Mail RussF VRMmedia.com Gary Pfaff at (732) 432-9600 ext. 103 or e-Mail GaryP VRMmedia.com Stress and its constant companion anxiety remain troublesome for many American adults today--here s how to help provide relief and that all-important balance. By Lisa Schofield A lthough some people drink or self-medicate to lower it--the statistics about stress and its impact are sobering according to The American Institute of Stress (AIS) an estimated one million workers are absent every day due to stress and job stress is responsible for a cost of more than 300 billion annually for U.S. industry. Further a major cause of stress and anxiety is use of social media according to a comprehensive report Stress in America 2017 Technology and Social Media. Adults who are constant checkers those who just cannot help engaging in their social media applications (including emails and texts) report significantly higher stress levels than those who are not constantly attached to their devices and nearly one-fifth of Americans identify their technology use as a source of stress. And no college kids don t have it easy because many of them still live safely with mom and dad and have their insurance cov- ered. An October 11 2017 New York Times Magazine feature Why Are More American Teenagers Than Ever Suffering From Severe Anxiety by Benoit Denizet-Lewis offers more alarming statistics garnered from research institutions. For example anxiety has beaten depression as the number-one reason students cite for seeing a counselor. The American College Health Association which annually surveys college students reported undergraduates overwhelming anxiety increased from 50 percent in 2011 to 62 percent in 2016. Further wrote Denizet-Lewis In 1985 the Higher Education Research Institute at UCLA (University of California Los Angeles) began asking incoming college freshmen if they felt overwhelmed by all I had to do during the previous year. In 1985 18 percent said they did. In 2017 this feeling was reported by 41 percent. One type of intense stress and anxiety condition is called burnout and it too is on the rise. Mitch Skop senior director of new product development Pharmachem Laboratories Inc. Kearny NJ described A condition gaining more understanding in the medical community is burnout intensified stress symptoms and attendant anxiety and sleep disorders. Initially he said the term was used to describe the results from hours of high-intensity and long hours worked in the medical community it has since expanded to include individuals in any profession enduring long hours or days of high-intensity work without sufficient rest or breaks. We all likely know a person close to us who complains of being stressed out or having anxiety. Prescription medications for anxiety such as Xanax have inclined steadily. There s no arguing that complaints of stress and feeling nervous (anxiety) continue to rise. As a practitioner it is likely that your records can attest to this fact. Marianne Clyde author of the new book Zentivity How to Eliminate Chaos Stress and 22 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2017 Discontent in Your Workplace and founder of the Marianne Clyde Center for Holistic Psychotherapy in Virginia asserted Acute stress can be debilitating. Chronic stress can lead to physical illness or mental illness. It can put a strain on relationships it can challenge your ability to think straight. It can make you just want to curl up in a corner and give up or keep you in such a state of panic that you feel paralyzed and unable to move forward. One person s stress can t really be measured against another person s stress. Each case is individual. Stress and anxiety expert Mary Wingo PhD said she was so drawn to the study of these conditions because of the increased incidence of stress-related diseases disability and early mortality in all modernized societies within the last half century and having exacerbated significantly in only the last 10 to 15 years. She warned We face a very bleak future with both declined life spans and birth rates as well as bankrupt public health systems if we do not get a handle on preventable stress in modernized society. The human and economic costs of stress caused by modern life is staggering and unsustainable. The pernicious duo of stress and anxiety are really increasing in adults under 40 observed Jacob Teitelbaum MD. He theorizes that there are several factors for this phenomenon nutritional deficiencies especially omega-3 EFAs hormonal deficiencies associated with the increased levels of endocrine disruptor chemicals in the environment increased speed of modern life and a 24-hour news media-induced fear sells environment. The increased stresses of modern life result in initially elevated adrenal cortisol levels which contribute to depression followed by adrenal fatigue which triggers anxiety he said. Anxiety (which exists in several forms) is the No. 1 mental health concern observed Cheryl Myers chief of education and scientific affairs at Wisconsin-based EuroMedica. One significant cause triggering higher anxiety cases she said could be the constant need to be plugged in and connected to the 24 7 media. I don t think you can be barraged with headlines (almost universally negative) and emerge unscathed she opined. After all a big part of the click-through culture demands a certain level of anxiety they have to push emotional buttons or nobody will read the articles and see the sponsor s ads. So we set ourselves up for anxiety with excessive media exposure. Jason Edwards president and CEO of Rebel Herbs in Indiana also strongly believes that the greatest cause of stress and nervousness today is the constant connectiv- ity to personal technology. He pointed to smart phones laptops and desktop computers that continually tie us to social media like Facebook Twitter Instagram etc. The incessant clicks and beeps telling us that the comments and postings of our peers are leaving us behind if we don t check in and respond in a witty or inspired fashion. he described. Email is accessible 24 hours a day seven days a week enticing many to work for hours after the close of the work day and creating an environment where people expect a response within minutes of their request. We face a very bleak future with both declined life spans and birth rates as well as bankrupt public health systems if we do not get a handle on preventable stress in modernized society. The human and economic costs of stress caused by modern life is staggering and unsustainable. -- Mary Wingo PhD Carolyn Dean MD ND medical advisory board member of the Nutritional Magnesium Association listed several current factors faced by Americans today that have exacerbated stress and anxiety recent political and international upheaval and uncertainty the opioid addiction epidemic and the increased use and prescription of psychiatric drugs with side-effects that include suicidal thoughts aggression and violence the media penchant for sensational news increases in the use of GMOs (genetically modified organisms) and toxic chemicals in foods and water supplies and the depletion of minerals and nutrients in soils and resulting foods that have left our bodies deficient and weaker in handling stress. In fact she noted magnesium deficiency has been shown to precipitate anxiety stress and depression. She explained how magnesium assists in supporting the body s ability to withstand the numerous stressors. The stress response these stressors stimulate include the increased secretion of the stress hormones adrenaline and adrenal cortisone. Stress hormones cause a sudden rise in magnesiumdependent reactions. Energy production nerve-impulse transmission increased muscle function and responses of heart and blood vessels all require magnesium. There is an immediate increase in the use of magnesium so our need for magnesium soars as we respond to stress. When high stress exists anxiety its BFF is often right there too. According to the Anxiety and Depression Association of America 40 million American adults are affected by some form of anxiety and generalized anxiety disorder (GAD) affects 6.8 million adults--women twice as much as men. Myers added that there are several types of anxiety--people can experience occasional episodes caused by deadline pressure uncomfortable family get-togethers or social fears. Anxiety also can start in childhood and worsen over time. Untreated anxiety can lead to panic attacks social and other phobias and feeling emotionally and mentally overwhelmed. For most people--aside from those dealing with general anxiety disorder--it is simply a feeling that something isn t right and a disproportionate sense of unease even over what would under other circumstances be considered trivial she described. Florida-based Rainbow Light has recently invested in psychographic research that showed its consumers commonly endure anxiety but they face unique stressors associated with lifestyle variances according to Marci Clow MS RDN educator. These factors include physiology daily activities physical activity levels environments and even personal values and aspirations. Therefore she stated stress management and mental wellbeing is a complex problem that onesize-fits-all solutions fail to account for. Additionally the market for stress and anxiety supplements is widening with the maturing of America s largest generation. There are quite a few natural solutions that can be a part of an anti-nervous stress support regimen that will help your clients patients to regain balance and better sense of well-being. For anxiety Dr. Teitelbaum likes to start with two tablets twice daily of a special component of echinacea which stimulates the cannabinoid system. In head-on studies he pointed out this has been equally effective as Librium after six weeks. He also recommends AnxioCalm a supplement that stimulates the endocannabinoid system. For those who feel depressed he recommends a special form of curcumin CuraPro NOVEMBER 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 23 750 mg twice a day in one study CuraPro was more effective than Zoloft after six weeks in head-on studies. Both of these options may be combined safely with the medications he noted. Dr. Teitelbaum also recommends checking your client s fasting morning cortisol level as this can be helpful in determining existence of depression or anxiety. Generally depression is associated with an elevated morning cortisol. If it is associated with a cortisol in the lowest 50th percentile of the normal range it is more likely adrenal fatigue from the stress rather than depression he distinguished. The key to understanding how to manage stress is that the deleterious effects of stress are additive Dr. Wingo emphasized. That is the more individual stressors a person has to contend with in life the greater the chance of developing a stress-related illness disability early death and even poverty. Effective stress management includes itemizing individual stressors then crafting a behavior modification plan to eliminate the stressors one at a time. This is really about assessing and controlling risk she commented. Dr. Wingo and her research team have developed a proprietary inventory and evaluation technology for adults that assesses risk--Comprehensive Life Stress Inventory and Risk Assessment (CLSIARA). This is a 250-item inventory spanning a wide array of common adult stressors as well as a reporting option for individual stress frequency. The results are weighted based on stress severity as well as frequency. The participant not only receives an itemized list of risky areas of stress but they also get a calculated stress-risk score which shows the individual risks of developing stress related diseases disability and early death she said. (CLSIARA is available at www.marywingo.com). In cases of burnout a supplement was found to be effective. In a study published in the Journal of International Medical Research Target 1 (a formula featuring lactium milk casein) helped significantly decrease symptoms of burnout according to Skop. The double-blind randomized placebo-controlled clinical trial looked at the effects of the formula on participants with burnout syndrome and followed study subjects symptoms of burnout using different evaluation instruments for the 12-week study period. In the placebo group 14 participants still presented with a high level of burnout at the end of the trial compared with 26 on the first day whereas in the supplement group only two participants had a high level of burnout at the end of the trial compared with 33 on the first day. Study participants came from a wide range of professional backgrounds across several economic sectors. Generally depression is associated with an elevated morning cortisol. If it is associated with a cortisol in the lowest 50th percentile of the normal range it is more likely adrenal fatigue from the stress rather than depression. -- Jacob Teitelbaum MD A good companion here would also be any supplement featuring magnesium as Dr. Dean explained that serotonin (the feel-good neurochemical) depends on magnesium for its production and function. Magnesium also regulates melatonin production which results in better quality sleep often robbed by high anxiety and stress. Numerous studies have shown magnesium s effectiveness in boosting mood lowering anxiety and depression and reducing stress levels as well as helping with deeper more restful sleep she said. Natural Calm from Texas-based Natural Vitality is formulated to restore healthy magnesium levels balancing calcium intake--the result of which is natural stress relief described Andreas Koch influencer of marketing and partnerships for parent company Wellnext (Florida). The proprietary formula provides a highly absorbable watersoluble magnesium in ionic form (having molecular charge that allows the element to easily bond with water) for quick absorption and utilization. Millions have experienced the stress relief and health benefits that Natural Calm The Anti-Stress Drink can provide he commented. It s nature s way of restoring balance to achieve a sense of inner calm. Rainbow Light provides several solutions for patients exhibiting anxiety and high stress new food-based Vibrance multivitamins are formulated to support energy vitality and stress management and include Men s Multivitamin plus Stress Support and Women s Multivitamin plus Stress Support. They feature full-spectrum highly bioavailable B vitamins to counteract stress and nervous system response magnesium to promote calm plus full spectrum digestive support and targeted gender-specific botanicals. Rainbow Light s non-drowsy Zen Therapy contains a nutrient profile to help promote a healthy nervous system response combined with a traditional blend of soothing botanicals to maintain calm and relaxation. Mental Calm combines nutrients and herbs to quiet the mind and deliver a natural state of calm during times of overload and exhaustion Clow described. This product provides co-enzymated forms of the B vitamins L-theanine and GABA which may provide tension relief while supporting focus and clarity she said. The botanical Calming Complex blend of bacopa skullcap and lavender assist in calming nerves and supporting mental clarity while eleuthero protects the body against the effect of stress. Adaptogens are also highly useful to combat the depleting effects of stress and anxiety according to Myers. EuroMedica s Adaptra combines two clinically studied adaptogens ashwagandha and rhodiola two longstanding botanicals that have been widely researched and found to maintain mental focus and physical energy during challenging times. She explained that the withanolides in ashwagandha (Withania somnifera) a primary adaptogen in ayurvedic medicine boost resistance to physical and psychological stressors. Studies have shown that ashwagandha can reduce corticosterone levels and increase antioxidant activity. In addition clinical and scientific studies have found that ashwagandha not only reduces stress by decreasing cortisol levels it also significantly reduces nervous tension one clinical trial (60-day double-blind placebo-controlled) showed reduction of nervous tension by more than 50 percent as measured by a standard rating scale. Rebel Herbs 89 Serenade herbal capsules (Continued on page 43) 24 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2017 Go to www.naturalpractitionermag.com natreon for info about this advertiser DIGESTIVE Distress Call Practitioners can help patients tackle their digestive issues by getting to the root of the problem. By Shari Barbanel T he eyes may be the windows to the soul but the gut is the key to overall health. According to NYU Langone Health s Division of Gastroenterology the gastrointestinal (GI) system serves essential roles in protecting and sustaining the overall health and wellness of the human body starting with the intake and absorption of nutrients. Our gut plays a major role not only in our gastrointestinal health but in the health and well-being of the entire body explained Dr. Lisa Ganjhu clinical assistant professor of medicine at NYU Langone Medical Center adding that it is this digestive process that provides the building blocks the body needs to live to function and to stay healthy. Often referred to as the body s second brain the gut is connected to the immune system (approximately 70 percent of the immune system resides in the digestive tract) and can even have an effect on our mood or state of mind. There is increasing awareness of the link between digestive health and mood via the gut-brain-axis said Hannah Braye nutritional therapist and technical advisor at Florida-based Bio-Kult (Protexin). Because the GI system is so involved with a number of the body s functions it is quite concerning that so many people today are having digestive issues. Ross Pelton RPh PhD CCN scientific director for Texasbased Essential Formulas noted that digestive issues are one of the most common reasons people visit doctors. A 2009 report from the National Institutes of Health (NIH) stated that 60 to 70 million Americans are affected each year by digestive diseases at a cost exceeding 100 billion and accounting for 105 million visits to doctor s offices 10 percent of hospitalizations and 15 percent of in-patient hospital procedures are related to treatment for digestive diseases he said. As for common digestive issues Serena Goldstein ND and Natural Practitioner advisory board member listed GERD irritable bowel syndrome (IBS) inflammatory bowel disease (IBD) such as Crohn s or ulcerative colitis (UC) diverticulosis celiac disease gallstones and hemorrhoids. Dr. Goldstein added that other common issues that may be a trigger include Candida H. Pylori (overgrowth is strongly linked to peptic ulcer disease) and small intestinal bacterial overgrowth (SIBO) usually associated with GERD. Ryan Sensenbrenner senior marketing manager for Enzyme Science Inc. in Florida added that occasional heartburn is also a major factor in the category. But what is causing so many digestive issues Dr. Pelton noted that driving forces within the digestive health category include unhealthy lifestyle trends such as a poor diet sedentary work and leisure habits and increased levels of stress in daily life are having a detrimental impact on digestive health. Dr. Goldstein agreed adding that stress is a driving force behind digestive distress because it will further alter gut bacteria and the ability to absorb food as well as the capacity for regular bowel movements. Stress management is a huge factor as when we re stressed out our body thinks we re running from a bear (primitive 26 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2017 brain)--so it won t prioritize resources to our digestion and reproduction organs. Without proper resources nourishing our gut it can lead to leaky gut (separation of tight junctions that hold food and other particles in that then get into our body she explained. Going Natural For years conventional OTC and prescriptions drugs such as proton pump inhibitors (PPIs) and antacids have been the go-to for digestive distress. The current OTC market for digestive issues is dominated by drugs that inhibits the production of stomach acids or neutralizes the acid in the stomach said Jason Edwards president and CEO of Indiana-based Rebel Herbs. This is a massive industry antacids alone are more than 10 billion annually. In addition these conventional methods often only treat the symptoms of the issue and aren t dealing with what is at the core of the symptoms. The best approaches involve uncovering the root cause of the condition noted Jessica Brandes ND with Nevadabased Klaire Labs SFI-USA. That often involves the removal of exacerbating agents i.e. allergens foods environmental contributors eradicating infectious agents and then improving the integrity of the gut lining and replenishing a healthy microbiome. However as Americans are taking more control of their health they are learning that many of the conventional remedies are not only just masking the problem but also may be doing more harm than good. Research is emerging that points to serious health issues for people that use these OTC or even prescription medications for digestive disorders (liver cancer and bone loss for example)-- this is pushing the public to consider herbal options Edwards said. Frequent heartburn medications have come under fire from numerous studies linking them to things like dementia and heart disease added Sensenbrenner. These medications are intended to be taken for a short amount of time for severe sufferers yet those with occasional mild indigestion often take them as well. Braye agreed that improving the diet is the first step to addressing digestive issues. Eating foods which are high in dietary fiber and resistant starches will not only keep our bowel movements regular helping to eliminate toxins from the body but will also help to feed beneficial bacteria within the gut she said. I encourage clients to aim to eat two portions of fruit and at least five portions of vegetables (a rainbow of different colors) a day and to switch to wholegrain varieties of bread pasta rice etc. in order to increase fiber intake. Braye also recommends prebiotic foods naturally fermented foods and good-quality protein. Research is emerging that points to serious health issues for people that use these OTC or even prescription medications for digestive disorders (liver cancer and bone loss for example)-- this is pushing the public to consider herbal options. --Jason Edwards President and CEO Rebel Herbs Sensenbrenner added that a food allergy or intolerance might be the reason for digestive distress. When faced with an occasional digestive challenge we encourage individuals to first look at their diet to determine if the problem could be caused by a specific food or food group he said. Many practitioners work with their patients on elimination diets to identify food intolerances. Once the challenge has been identified supplemental digestive enzymes when taken with a meal can support the digestion of many of these problem-foods. Among them nutritional supplements to help repair the gut lining followed by preand probiotics to help replenish the microbiome and digestive enzymes to assist individuals who may have reduced enzyme production. Dr. Goldstein added that the remedy might vary depending on the condition. She noted that magnesium is commonly given for constipation deglycyrrhizinated licorice (DGL) can be taken before meals to soothe reflux digestive enzymes are more of a go-to when there s indigestion gas bloating or constipation apple cider vinegar can help stimulate acid production to promote healthy digestion while herbs like chamomile peppermint and fennel help with improved blood flow to the digestive system by calming the system and absorbing gases. Probiotics & Digestive Enzymes On the supplement front probiotics may be one of the most well-known products for digestive health after gaining notoriety from Activia yogurt commercials that starred Jamie Lee Curtis. According to Dr. Pelton probiotics help regulate digestion absorption assimilation and elimination--essentially everything works better when the microbiome is healthy meaning a wide range of different strains of probiotic bacteria. Probiotics are a category of products that are commonly used to help treat and correct digestive issues he said. Scientists now understand that compounds created by probiotic bacteria in the GI tract are responsible for regulating many functions related to human health. We refer to these compounds as post-biotic metabolites. It s not the actual bacteria but rather the compounds they produce that regulate digestion absorption cell signaling detoxification gut-brain communication our immune system and much more. Diet & Lifestyle Changes In order to fix their digestive issues people often look to their health care practitioners to help the get back on track and often a lifestyle change is in order. Dietary and lifestyle changes are some of the most important changes one can make and often mean a reduction or discontinuation of conventional medications explained Jeremy Appleton ND with Klaire Labs SFI-USA. These changes alone can be incredibly effective. Supplementation While making improvements to their diet getting enough exercise and sleep are all major factors in improving gut health supplementation is often an option to not only help repair the gut but maintain its health once it is back in working order. A wide range of products exists to help manage digestive complaints said Dr. Brandes. Essential Formulas Dr. Ohhira s Probiotics delivers a complete microbiome system with each capsule containing probiotics prebiotics and post-biotic metabolites according to the company. Dr. Ohhira s Probiotics is revolutionary in that it is actually a fermented food product that contains probiotic bacteria ... as do all fermented foods explained Dr. Pelton. Braye added that multi-strain probiotics NOVEMBER 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 27 DIGESTIVE Distress Call have been shown to be more effective at inhibiting pathogens and exert their positive effects across more areas of the gastrointestinal tract therefore potentially helping a more diverse range of digestive disorders. Bio-Kult s probiotic range includes BioKult Advanced multi-strain formula a unique multi-strain probiotic with 14 strains of beneficial bacteria Bio-Kult Cand a which contains seven strains of probiotic bacteria to reinforce the gut microflora helping to prevent the yeast Candida albicans from finding binding sites in the gut to grow and Bio-Kult Pro-Cyan a scientifically developed triple action probiotic formula that works with the body to help maintain normal levels of bacteria in the gut and a healthy urinary tract. The company s newest addition Bio-Kult Infantis is a scientifically developed advanced probiotic formula for babies toddlers and young children. The main benefits of the Bio-Kult product range are that they are multi-strain probiotics providing a wide range of benefits do not need to be refrigerated have a guaranteed two-year shelf life are proven to survive the stomach acidity and reach the intestine intact and are backed with a growing portfolio of research Braye noted. According to Sensenbrenner probiotics and digestive enzymes are a perfect match working together to deal with digestion issues. So often we see individuals who immediately go to probiotics when faced with a digestive challenge he said. At Enzyme Science we re big believers in probiotics as a supplement with enzymes. Probiotics provide fantastic foundational support to set the GI tract up for efficient digestion but enzymes can be more efficient in that they actively work to break down food. Together they go hand-in-hand to create solutions for occasional digestive distress. Enzyme Science offers a number of natural digestive formulas. The company s flagship product Critical Digestion provides a combination of enzymes and probiotics to break down all of the most common building blocks of foods such as fats fiber proteins and carbohydrates. For food intolerances Intolerance Complex covers all of the major food intolerances in one including gluten casein lactose and phenols. In addition Acid Calm provides a natural alternative for those with occasional heartburn. Sensenbrenner explained that it provides not only digestive enzymes but also soothing herbs and zinc carnosine which has been shown to support the mucosal lining of the GI tract. Klaire Labs also offers a number of products that address digestive health. According to Dr. Appleton some of the company s most well-known products in the category include the Ther-Biotic line of probiotics (e.g. TherBiotic Complete capsules and powder Ther-Biotic Children s Chewable Ther-Biotic for Infants Ther-Biotic Women s Formula etc.) Vital-Zymes Complete and Vital-Zymes Chewable (digestive enzymes) Interfase and Interfase Plus (enzyme preparations designed to interrupt dysbiotic biofilms) LactoPrime Plus (probiotic) Sequest-AC (formerly Nuvexa featuring a fat-complexing functional fiber known as alpha-cyclodextrin) Saccharomyces boulardii ABx Support (a probiotic for people recovering from antibiotic therapy) among others. Ginger Many people remember their mothers giving them ginger ale when they were young to settle an upset stomach which it turns out isn t an old wives tale. According to Edwards ginger extract is well known to improve digestion and reduce nausea. We deliver it as a single herb powder that will dissolve in water or other beverage and can be used whenever the consumer has an upset stomach of irritated digestive tract he said. In addition to offering ginger as a single herb powder Rebel Herbs offers 76 Digestade a broad formula that stimulates the digestive processes to improve the entire operation of digestion. Ingredients in 76 Digestade include fennel see Embelia ribes Plumbato zeylanica Aegle marmelos (bael fruit) and Holarrhena antidysenterica. Having a healthy digestive system is vitally important for health in general and natural practitioners can help their patients implement the proper diet and lifestyle changes that get on a path to having a healthy gut. Braye noted that practitioners could better serve their patients with digestive issues by encouraging holistic changes which focus on all aspects of both physical and mental health. All too often people fall into the trap of taking a pill for an ill she said. However to see significant and lasting improvements in digestive health supplementation should be used to complement concurrent changes to diet and stress-reducing lifestyle modifications. Protocols should be tailored to meet the individual needs of the client. Digestive health is really at the core of overall health concluded Dr. Appleton. Hippocrates of Kos famously said that all disease begins in the gut. As our understanding of the human microbiome expands and inter-relations between that system and other body systems become increasingly evident the words of the father of modern medicine will ring even truer today than they did when they were spoken more than 2 000 years ago. Approximately 70 percent of the immune system resides in the digestive tract. According to NIH 60 to 70 million Americans are affected each year by digestive diseases. Food allergies or intolerances can be the reason behind digestive distress. Ginger extract is well known to improve digestion and reduce nausea. Healthy Take Aways FOR MORE INFORMATION Bio-Kult (Protexin) www.bio-kult.com Enzyme Science Inc. www.enzyscience.com Essential Formulas Inc. www.essentialformulas.com Klarie Labs SFI-USA www.klaire.com Rebel Herbs www.rebelherbs.com 28 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2017 Go to www.naturalpractitionermag.com probioticsinternational for info about this advertiser Advances in Testing Methods Improve the health and well-being of your patients by using data from innovative testing methods to develop personalized treatment plans. By Karen Morse MPH C hronic diseases are often complex and can be difficult to diagnose and therefore treat your patients. Fortunately there are a number of innovative test kits on the market to help practitioners determine if a genetic variation may be the root cause of a patient s problem or if hormones nutritional deficiencies toxins or an underlying immune system disorder is involved. Targeted Testing Currently Arizona-based Advanced Genomic Solutions (AGS) also headquartered in Hong Kong provides two kinds of genetic tests. The Health & Wellness Test available in a Premium as well as a new budget-friendly Lite version profiles and analyzes genetic variations that make a patient unique in terms of their health and athletic abilities. The results can help optimize an exercise routine control weight identify nutrient deficiencies and advise on nutrition and supplementation. The Drug Sensitivity Test also known as the Pharmacogenomics or PGx test was the company s first marketed test kit. The Drug Sensitivity Test measures how well a person can metabolize hundreds of medications based on their genetic make-up. This can help practitioners make more personalized and safer choices for patients by avoiding possible adverse drug reactions. Sanesco International Inc. doing business as NeuroLab is headquartered in North Carolina. The company offers Neurotransmitter and Adrenal Hormone Testing. The HPA (hypothalamic pituitary adrenal) profile is our most popular testing profile said Laboratory Manager Lisa Samuelson MS. Health care practitioners gain insight into their patients neuroendocrine system and HPA axis function. She further explained that a wide array of symptoms and conditions may underlie imbalances in HPA axis function including anxiety fatigue depression insomnia pain irritable bowel syndrome (IBS) memory mood disorders and many more. Most commonly women between the ages of 25 to 65 years old seek medical help for these types of symptoms and look to integrative and functional medicine professionals for a more natural and or personalized treatment approach. The test is beneficial to men and women of all ages and also appeals to patients who may not have any specific health concerns but are focused on prevention and improving overall health and wellness. This take-home test is non-invasive painfree and easy for patient collection stated Samuelson. Patients simply collect one urine sample and four saliva samples in the comfort of their home and ship their samples to our lab for processing. The HPA profile measures six major neurotransmitters (dopamine epinephrine norepinephrine serotonin GABA glutamate) and 30 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2017 two adrenal hormones (cortisol and DHEAs). Labrix headquartered in Oregon is another company offering hormone and neurotransmitter testing. The Comprehensive Hormone Profile and the NeuroAdrenal Profile include the most sought-after tests offered by the company according to National Sales Manager Heather Cadwallader. Both profiles offer an excellent baseline tool for both men and women Cadwallader stated. The Comprehensive Hormone Profile brings to light imbalances in sex hormones as well as a diurnal cortisol pattern to evaluate HPA axis (adrenal) function. This profile identifies patterns and levels that inform treatment for chronic diseases as well as imbalances elicited by age transitions. The NeuroAdrenal Profile offered by Labrix evaluates neurotransmitter levels as well as HPA axis function. Both profiles are a consideration when evaluating patients who present with symptoms such as fatigue mood changes libido concerns foggy thinking chronic pain or the classic wired and tired symptom pattern Cadwallader explained. According to Labrix saliva testing is the most reliable medium for measuring hormone levels. Hormone levels in saliva accurately represent the amount of hormone delivered to receptors in the body unlike serum which represents hormone levels that may or may not be delivered to the body s receptors. California-based Proactive Health Labs (pH Labs) also offers a wide variety of test kits. The tests are priced to be affordable even for patients who don t have health insurance. One of the most popular tests marketed by pH Labs is their pH Nutrition test. This is a comprehensive nutrient test which identifies whether key nutrients that the body needs to perform efficiently are present in a balanced proportion Joy Stephenson-Laws president and founder pointed out. The nutrients tested include all of the essential vitamins and minerals as well as amino acids probiotics antioxidants and fats. The test further identifies harmful minerals like lead cadmium and mercury which may affect the ability of the body to efficiently absorb necessary nutrients from the food we eat she continued. Women between the ages of 25 and 45 who are trying to achieve or maintain a healthy weight are the biggest users of this product however Stephenson-Laws stated that both men and women over 40 who are interested in boosting energy and getting quality sleep are also interested in this product. The second most popular product from pH Labs is their pH Health Assessment test. It goes beyond the traditional physical examination and identifies various imbalances even before they develop into disease symptoms said Stephenson-Laws. Proactive Health Labs doctors measure key health indicators to gauge overall health including body composition blood pressure stress and weight management and provide customized recommendations. Based in Madrid Spain Life Length is the world leader in telomere measurement and is a U.S. Federal CLIA certified ISO 15189 internationally accredited clinical lab. Life Length s main product Telomere Analysis Technology (TAT) quantifies telomere length individually cell by cell in blood samples and from cell culture. The product which is available to physicians globally measures telomeres at the chromosomal level. The tool can assist natural practitioners in detecting diseases such as cancer and cardiovascular disease early on sometimes before patients become symptomatic. California-based uBiome offers the SmartGut test to practitioners to help patients understand more about their gut health. ing clear answers and solutions. Many patients have sought out functional testing when the conventional medical model has failed them. Labrix has researched and developed multiple treatment considerations for practitioners to accompany testing profiles which advance their success. Micarelli shared that there is increasing recognition of how our gut microbiome is intricately connected to health conditions. Recently research has shown that the composition of the gut microbiome is not only associated with gastrointestinal diseases such as Crohn s disease and IBS but also with diseases of other organs such as depression Alzheimer s disease multiple sclerosis and Parkinson s disease. In addition recent research has shown how the composition of our microbiome can determine the success rate of weight loss diets or the response or toxicity of certain chemotherapy drugs. Stephenson-Laws pointed out that organizations such as the Centers for Disease Control and Prevention and the World Health Organization have endorsed the value of screening and other preventative tests to reduce the incidence of the most prevalent chronic conditions such as cardiovascular disease diabetes cancer obesity and poor nutrition. Helping Patients Through Innovative Testing A healthy balanced diet is a key element to reducing disease risk. Nutrient imbalances can result in cardiovascular disease metabolic disorders cancer mood disorders and other diseases. The more educated natural practitioners are about what is going on in their clients bodies the better they can partner with their clients to determine the best steps to take to make them healthier affirmed StephensonLaws. Nutrients that are sometimes lacking in the body may be obtained from natural food sources rather than from supplements or processed foods. And in those cases where it is difficult for the patients to absorb nutrients from foods good quality supplements can be recommended. She also explained that losing weight in a healthy way can be difficult if a patient is nutritionally imbalanced. For example the patient may not have the energy to perform the physical activities necessary to keep the weight off if nutrients or hormones are imbalanced she said. Cadwallader believes that every patient who walks in the door can benefit from neuroendocrine testing and optimization. Hormone HPA axis adrenal function and neurotransmitter testing can bring to light a myriad of imbalances that match the symptom picture she explained. And with accurate test results The uBiome SmartGut test is the world s first sequencing-based clinical microbiome screening test said Lisa Micarelli the company s director of marketing. The test detects beneficial and pathogenic microorganisms associated with specific infections lifestyle choices and gut conditions including inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS). SmartGut measures the abundance of both beneficial and pathogenic microorganisms and will provide both practitioner and patient the information about expected ranges and their associations with health. Research and Support for Advanced Testing Methods The ACE studies and our new understanding that childhood adversity plays a crucial role in adult health and wellness has highlighted the need for HPA axis testing as more of a mandate than just a suggested guideline relayed Cadwallader. Many patients wander from practitioner to practitioner without find- NOVEMBER 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 31 Advances in Testing Methods the practitioner will be able to pinpoint exactly which imbalances to treat and create a targeted plan for each individual. The successful return or creation of optimal health is catapulted to a new level as compared to guessing without this testing. Holly Lucille ND RN agreed that many tests can be helpful to confirm clinical suspicions. The way I see it the patient visit and communication health history chief complaint and all that goes into it is the most important thing to guide a clinical hypothesis. Many of these tests provide more data to round out the clinical case and decision-making process for the optimal plan she continued. Serena Goldstein ND added that it is imperative to ensure that patients are educated in their own health and how they got to where they are. Tests may either confirm or provide new information but if their lifestyle is not healthy then there has to be ground work to not only help them feel better but double as preventative care. Take-home and point-of-care lab testing and advancements in technology such as wearable devices and data integration with phone apps will allow patients and their practitioners to gain a wealth of health care data that will continue to shape the future of health care she said. Dr. Goldstein expressed that there is a need for this level of testing because it provides practitioners with more information but was concerned that more information can sometimes be a double-edged sword. We re in a paradigm shift where two people can come in with the same concern and leave with completely different treatment plans she explained. These tests help us get to the root cause but once again it should also be part of the person s health trajectory and in their best interest. Merchandising Support for Practitioners Labrix offers complimentary brochures rack cards handouts flyers advertisements PowerPoint materials and more to support the busy practitioner. The company is also happy to brainstorm new ideas with the practitioner who wants to market their practice to patients. Labrix is poised to be your partner in science and health supporting busy practitioners with complimentary consultations live and recorded education research and above all else fast and accurate and reliable test results. Practitioners can contact marketing labrix.com to get started. Audhya T et al. Correlation of serotonin levels in CSF platelets plasma and urine. Biochim Biophys Acta. 2012 1820 1496-1501. Dvorakova M et al. Urinary catecholamines in children with attention deficit hyperactivity disorder (ADHD) modulation by a polyphenolic extract from pine bark (pycnogenol). Nutr Neurosci. 2007 10 15157. Kaluzna-Czaplinkska J et al. Determination of tryptophan in urine of autistic and healthy children by gas chromatography mass spectrometry. Med Sci Monit. 2010 16 488-92. Koo-Loeb JH et al. Women with eating disorder tendencies display altered cardiovascular neuroendocrine and psychosocial profiles. Psychosom Med. 2000 62 539-48. Kushnir MM et al. Analysis of catecholamines in urine by positive-ion electrospray tandem mass spectrometry. Clin Chem. 2002 48 323-31. Moriarty M et al. Development of an LC-MS MS method for the analysis of serotonin and related compounds in urine and the identification of a potential biomarker for attention deficit hyperactivity hyperkinetic disorder. Anal Bioanal Chem. 2011 401 2481-93. O leary Peter et al. Salivary but not serum or urinary levels of progesterone are elevated after topical application of progesterone cream to preand postmenopausal women. Clinical Endocrinology 2000 53.5 615-620. Results from genetic testing can help practitioners optimize an exercise routine control weight identify nutrient deficiencies and advise on their patients nutrition and supplementation. Imbalances in HPA axis function can result in a variety of symptoms including anxiety fatigue depression insomnia pain and irritable bowel syndrome. Telomere analysis can be helpful in detecting chronic disease conditions before patients become symptomatic. The U.S. Centers for Disease Control and Prevention and the World Health Organization have endorsed the value of screening and other preventative tests to reduce the incidence of common chronic diseases. Accurate test results can help a practitioner pinpoint exactly which imbalances to treat and create a targeted plan for each patient. Resources Healthy Take Aways The Future of Testing Test kit providers agreed that the future for advanced testing is bright. Patients are seeking out this market in droves especially with millions of women entering their menopausal years within the next decade. They need knowledgeable caring and seasoned practitioners to help them navigate the many treatment options available to them said Cadwallader. Stephenson-Laws believes this market will continue to grow exponentially as more people realize the benefits of becoming educated about their bodies and take steps to prevent disease and better manage their health. Lance Bennett co-founder of AGS also reported that the future for these products is extremely bright. More information is discovered on genes weekly and monthly he stated which translates in to more personal results for everyone. According to Samuelson integrative medicine is becoming more and more accepted by mainstream medical practitioners and health care providers who want to adopt a more patient-centered approach as opposed to a more disease-centered approach to care. Life Length provides personalized marketing material for customers--which includes brochures sample reports presentations rollups and more. Sanesco offers both practitioner and patient educational materials as well as resources to optimize patient adherence and compliance. Based on the practitioner s business model the company s tests may be incorporated into their services and bring the practice additional revenue. uBiome offers onboarding welcome packages to health care providers to ensure they understand how to prescribe its SmartGut test offers dedicated customer support through its clinical partnerships team and customer support service via support ubiome.com. FOR MORE INFORMATION Advanced Genomic Solutions www.ags-health.com Labrix LLC www.labrix.com Life Length www.lifelength.com Proactive Health Labs www.phlabs.com Sanesco International Inc. dba NeuroLab www.sanescohealth.com uBiome www.ubiome.com 32 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2017 PRODUCT FOCUS Detoxing & Cleansing I n an effort to live a healthier lifestyle detoxes and cleanses continue to remain popular among patients. According to Edward Group DC NP DACBN DCBCN DABFM who published an article on Global Healing Center s website (globalhealingcenter.com) titled Body Cleanse Six Ways to Do a Body Detox ways By Nicholas Saraceno to detox the body include Choosing the right foods Exercising and meditating Dieting Purifying the air you breathe Purifying your body with water A complete body detox The final way consists of a step-by-step process that focuses on each organ involved in ridding the body of toxins. Keeping these ideas in mind below are items practitioners can suggest to their patients that can help detox various parts of the body including the liver colon among others. Livit-2 Washington-based Ayush Herbs Livit-2 is an allnatural blend of Himalayan-grown herbs formulated to promote liver health. Andrographis paniculata has traditionally been used as a tonic for the liver. Berberis aristata is a bitter tonic for supporting liver and gastrointestinal function. Eclipta alba is known for its hepatoprotective and sleep promoting properties. Picrorhiza kurroa is known for its cholagogic and laxative properties and Tinospora cordifolia for its support of a healthy inflammatory response and immune supporting properties. The combination of ingredients supports both phase one and phase two detoxification while promoting hepatocyte health. A bottle of 90 tablets has a suggested price of 33. For more information call (425) 637-1400 or visit www.ayush.com. Detox Benefits Detox Benefits (suggested price 42 90 capsules) by DaVinci Laboratories of Vermont combines various minerals herbs antioxidants glutathione precursors amino acids DMG and three patented ingredients known to support bioavailability and liver health. It is recommended for people searching for support for normal toxin cleansing and individuals on a weight loss program as well as people exposed to chemical solvents (painters dry cleaners construction workers printers office workers auto mechanics manicurists and beauticians). 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 (800) 325-1776 or visit www.davincilabs.com. Lacto-Pectin Lacto-Pectin by Arkansas-based Bio-Tech Pharmacal Inc. is beneficial to overall digestive and immune health and supports a healthy balance of good intestinal bacteria when used daily. It may also help control digestive disruptions caused by diet travel or stress. Formulated with six Lactobacillus and Bifidobacterium probiotic strains these can help balance and support overall digestive health according to the company. A 100-ct. bottle has a suggested price of 19.70. 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. Hepatiben Formulated for those with fat infiltration within the liver Hepatiben by Florida-based Liver Medic is unique in addressing both leaky gut and liver detoxification. Eight ingredients work synergistically to support methylation acetylation sulphation and glutathione conjugation in the liver while supporting a reduction in intestinal wall inflammation and damage. Hepatiben is a very clean product manufactured for medical practitioners. Those looking for a maintenance cleanse should take half the clinical dose at night. Today the most common form of liver issue is NAFLD (non alcoholic fatty liver disease) that affects one-third of Americans and it begins with a compromised gut lining. Sixty vegetarian capsules retail for 37.99. For more information call (800) 877-2278 or visit www.livermedic.com. For more information call (800) 345-1199 or visit www.biotechpharmacal.com. Ther-Biotic Detoxification Support Klaire Labs Ther-Biotic Detoxification Support by Nevada-based SFI USA delivers large amounts of specific probiotics to the intestinal tract to complement detoxification protocols from agents that can compromise beneficial bacteria. It provides two colonizing Lactobacillus and one endogenous Bifidobacterium species that can support detoxification processes by metabolizing or reducing the uptake of toxins in the gut thereby facilitating the elimination of toxins and by-products from the intestinal tract. Formulated with 50 billion CFU per capsule Ther-Biotic Detoxification Support uses Klaire Labs proprietary InTactic technology to ensure maximum delivery of live microorganisms through the intestinal tract. Sixty vegetarian capsules have a suggested price of 54.15. These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose treat cure or prevent any disease. For more information call (888) 488-2488 or visit www.klaire.com. NOVEMBER 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 33 PRODUCT FOCUS Detox & Liver Health Reg Activ Detox & Liver Health by Texas-based Essential Formulas Incorporated contains the revolutionary probiotic strain Lactobacillus fermentum ME-3. Studied for more than 20 years ME-3 has been found to support healthy glutathione levels--a key to healthy liver function. Glutathione is the body s master antioxidant and is used by every cell in the human body and is vital for hepatic function. Reg Activ Detox & Liver Health pairs this powerhouse probiotic strain with additional hepatic health ingredients. Lmethionine and N-acetylcystine (NAC) are glutathione precursors while L-selenomethionine (selenium) promotes healthy levels of glutathione peroxidase which supports liver tissue health. Then there s milk thistle (silymarin) which produces super antioxidant enzymes for optimal detoxification and liver health. Sixty capsules have a suggested price of 49.95. 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. Clinical Glutathione Clinical Glutathione with Sublinthion manufactured by Wisconsin-based EuroMedica provides an effective oral glutathione supplement to defend critical cells and support neurological health. Using new patented French technology it delivers this essential nutrient in a slow melt tablet. Studies show that Clinical Glutathione increases the ratio of active to inactive glutathione 65 percent better than the precursor N-acetylcysteine (NAC). In a published human study Clinical Glutathione improved the blood ratio of reduced glutathione versus oxidized glutathione by 230 percent. It increased active glutathione in the bloodstream 38 points while unprotected glutathione reduced the active amount by 40 points. That represents a potentially life-changing difference for your patients as mentioned by the company. Sixty tablets have a suggested price of 65.95. These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose treat cure or prevent any disease. For more information call (866) 842-7256 or visit www.euromedicausa.com. For more information call (972) 255-3918 or visit www.essentialformulas.com. PectaSol-C Professional PectaSol-C Professional by California-based Clinical Synergy Professional Formulas is the only clinically studied Modified Citrus Pectin and has more than 25 published studies ranging from cardiovascular health to immune support to safe detoxification of heavy metals. PectaSolC Professional has been widely used in health care practices for more than 20 years it is so effective that it has patents for blocking Galectin-3 and immune support. PectaSol-C Professional is GRAS (generally recognized as safe) and has no known side effects. It has proven synergies with other supplements and is easily added to patient treatment plans. Depending on the size and quantity the product s suggested price ranges from 39.95 to 123.95. For more information call (877) 877-2362 or visit www.clinicalsynergyformulas.com. THE GO TO RESOURCE FOR ALTERNATIVE & INTEGRATIVE HEALTHCARE PROFESSIONALS NP s Upcoming Issue Highlights January 12 21 17 February ad closing Healthy Sleep & Rest IHS Show Issue March 3 6 18 Bone Joint & Muscle Health ad closing April Healthy Aging May June July 4 17 18 ad closing Liver SafeGuard The liver performs many essential functions related to digestion metabolism immune health nutrient storage and detoxification. Liver SafeGuard by Rainbow Light (Florida) features concentrated milk thistle to strengthen cellular integrity support the detoxification process and promote healthy liver function. Additional widely studied hepatoprotective ingredients include curcumin Lglutathione and N-acetyl L-cysteine. The digestive support blend in this product contains botanical ingredients that are known both traditionally clinically and in the research to be supportive of digestive and liver health ginger artichoke leaf burdock root and dandelion leaf. According to the company this product is made with natural purity-tested ingredients and contains no artificial preservatives colors flavors or sweeteners eggs fish gluten milk dairy peanuts shellfish tree nuts or wheat. A 50-ct. bottle of vegetarian capsules has a suggested price of 35.99. For more information call (800) 475-1890 or visit www.rainbowlight.com. CAM Innovations Women s Health 5 31 18 ad closing Digestion AANP Show Issue 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 or e-Mail RussF VRMmedia.com Gary Pfaff at 732-432-9600 ext. 103 or e-Mail GaryP VRMmedia.com 34 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2017 PRACTITIONER CHAT WITH SHARI BARBANEL A Q A ndrea Lieberstein MPH RDN RYT is the bestselling author of the new book Well Nourished and a contributing author to Resources for Teaching Mindfulness An International Handbook and the The Relaxation and Stress Reduction Workbook (5th edition). She is a mindfulness and mindful eating expert speaker mindfulness-based registered dietitian nutritionist mindfulness meditation teacher and a champion for leading a Well Nourished Life. She leads mindful eating and Well Nourished trainings and retreats internationally coaching and training professionals and the general public. In her private practice Lieberstein works with individuals to have more peace balance and joy in their relationship with food nutrition body-image and stress-related issues and health concerns or whom simply want to bring their lives back into balance and vibrancy through mindful eating and living. She spearheaded mind body programs at Kaiser Permanente Northern California centers for many years and has degrees from Stanford University and the University of California at Berkeley. What does being well nourished mean to you Andrea Lieberstein MPH RDN RYT (415) 497-3674 andrea mindfuleatingtraining.com www.yourwellnourishedlife.com In my work with individuals and groups over the past several decades it became clear that a balanced fulfilling joyful life is nourished not only by our healthy lifestyle habits but by how we nourish our own mind heart and soul and all the parts of ourselves that make us uniquely human. I wanted to create a clear easy to use guide to nourish the whole self based on my years of mindfulness practice and the latest mindfulness and mind body tools and practices to help empower women and men to no longer need to turn to food as a main source of comfort. To ease the suffering from limiting beliefs thoughts and habits that no longer serve and open the door to a freedom to living the life each dreams of living. Q A What was your inspiration behind writing Well Nourished Well nourished is about being nourished from the inside out as well as the outside in. It s about taking a clear honest look at the eight realms of our lives that need nourishment to thrive and having a plan and practices to support living a life that nourishes the whole self. This includes nourishing our physical emotional psychological social intellectual creative spiritual and worldly bodies. It s about being in touch with our purpose and passion to make the contributions we came here to do. It s about knowing how to nourish ourselves with qualities of mind and heart such as love gratitude beauty self-compassion and kindness and healthy lifestyle habits that include wholesome food nourishing sleep creative expression and revitalizing exercise and movement. It s about the deepest nourishment from knowing and resting in our true nature living from the clear unchanging space of loving awareness that help us navigate the buffeting waves from the changing currents of life. Why is mindfulness important in regard to eating And how can people use it as a tool Mindfulness helps us get out of automatic pilot with our eating. It helps us tune into our true hunger fullness and satiety levels and true taste of food. It brings awareness to our eating triggers and guides us to eat in a way that respects our bodies and is satisfying and enjoyable. A mindful check in helps us tune into our true hungers which may be for something else other than food. For example that urge to eat might be rooted in a need for social connection connection with oneself love or working on that project that you ve been procrastinating. The SPRIGS method draws upon the latest evidence based goal-setting techniques from behavioral science. It helps us move our greater intentions into reality through a systematic process of identification grounding our goals in real time and actions choosing small realistic steps self evaluation and reflection and getting the support we need to make our dreams become a reality. How would you advise practitioners to use the methods and practices mentioned in Well Nourished with their patients Well Nourished is a fabulous book to work through together with your clients. It is beautifully designed in an easy to use workbook format. To be the best guide possible I recommend getting a solid grounding in your own mindfulness and self-compassion practice and try all the practices and approach yourself first. I offer an international online Mindful Eating Training and Mentoring Program four times a year that will train you to be an embodied mindfulness and mindful eating practitioner. A Well Nourished Facilitator and Coaches Training is also in the works. Practitioners may contact me to get on the list for the first training coming soon in 2018. Q A Please explain the SPRIGS method. Q A Q A NOVEMBER 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 35 SUPPLEMENTSCIENCE Curcumin & Cardiovascular Health By Gene Bruno MS MHS RH(AHG)--Huntington College of Health Sciences urmeric and more specifically its primary active constituent known as curcumin has been used extensively in ancient and modern times for its medicinal qualities.1 2 It was used as a traditional remedy in Chinese and Indian ayurvedic medicine for more than 2 000 years 3 and the authors of a textbook on bioactive foods indicate that the use of turmeric in Indian folk medicine is one of a veritable panacea apparently efficacious for conditions that we would nowadays classify in the realm of infectious inflammatory metabolic and immunological diseases. 4 Furthermore research on the modern evidence-based uses of curcumin is extensive and includes studies demonstrating a wide spectrum of biological actions. These include anti-inflammatory antioxidant anti-carcinogenic anti-mutagenic anticoagulant anti-fertility antidiabetic antibacterial antifungal antiprotozoal antiviral anti-fibrotic anti-venom antiulcer hypotensive and cholesterollowering activities.5 The focus of this arti- T cle is on curcumin s benefits for cardiovascular health--and specifically for endothelial dysfunction. Endothelial Dysfunction The endothelium is the tissue that lines the interior surface of blood vessels (and lymphatic vessels). Normal functions of the endothelium include mediation of coagulation platelet adhesion immune function and control of volume and electrolyte content of the intravascular and extravascular spaces. In vascular diseases endothelial dysfunction is a disorder broadly defined as an imbalance between vasodilating and vasoconstricting substances produced by (or acting on) the endothelium.6 Endothelial dysfunction can result from and or contribute to several disease processes including hypertension (high blood pressure) hypercholesterolaemia diabetes septic shock and Behcet s disease (a rare autoimmune disorder causing blood vessel inflammation).7 Maintaining healthy endothelial func- tion is of vital importance for supporting cardiovascular health so measuring endothelial function is a good reflection of cardiovascular health. When blood flow increases through a vessel the vessel dilates. This phenomenon is referred to as flow-mediated dilatation (FMD). FMD is a sensitive measure of endothelial function and serves as a predictive marker of cardiovascular risk. Therefore improvements in endothelial function as measured by FMD are indicative of a reduced cardiovascular risk.8 Supplementation with curcumin is one way to help promote healthy endothelial function via FMD. Preliminary Research With Curcumin Excess fructose consumption is a risk factor for metabolic syndrome causing hyperuricemia (excess of uric acid) and endothelial dysfunction in the kidneys. In a study with fructose-fed rats curcumin lowered uric acid levels and appeared to 36 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2017 ameliorate endothelial dysfunction in the kidneys.9 Likewise in a randomized controlled crossover study 10 14 healthy male subjects were given a single serving of curry meal (a natural source of curcumin) or spicefree control meal to determine if it would improve endothelial function. Before and one hour after consumption fasting and postprandial FMD responses were measured. According to the results curry meal increased FMD from 5.2 2.5 percent to 6.6 2.0 percent (P 0.001) whereas the control meal decreased FMD from 5.8 2.4 percent to 5.1 2.3 percent (P 0.039). The postprandial FMD after the curry meal was significantly higher than after the control meal (P 0.002). The researchers concluded that consumption of curry ameliorates postprandial endothelial function in healthy male subjects and may be beneficial for improving cardiovascular health. Of course a study in rats and a study on a single serving of curry is not enough to definitively demonstrate that curcumin is effective for improving endothelial function. However a well-designed and executed human study on curcumin has shown just that. mal curcumin. Curcumin s Effect on Endothelial Dysfunction A double-blind randomized placebo controlled parallel study23 was conducted to examine the effect of differing doses of curcumin on FMD and consequently on endothelial dysfunction. Researchers from Texas Christian University (USA) Massey University (New Zealand) and Increnovo LLC (USA) recruited 59 moderately trained men and women to participate. Subjects were assigned to placebo 50 mg or 200 mg curcumin (from 250 and 1 000 mg CurcuWIN respectively) for eight weeks. The results of this study were originally presented at the Experimental Biology 2016 Meeting in San Diego and subsequently published in the Journal of Nutrition and Metabolism. Results showed that 200 mg of curcumin produced a dose-mediated improvement in endothelial function as measured by FMD. The outcome was a clinically significant 3.0 percent increase relative to placebo (p 0.020). Those in the placebo group had a decrease in FMD. Consequently the improvement in FMD with the 200 mg dose of curcumin represented a 37 percent increase over placebo. The researchers concluded that eight weeks of 200 mg oral curcumin supplementation resulted in a clinically significant improvement in endothelial function as measured by FMD in apparently healthy adults. Not only does this suggest that oral curcumin supplementation may present a simple lifestyle strategy for decreasing the risk of cardiovascular diseases but other research suggests that for every 1 percent increase in FMD there is a 9 to 17 percent decrease in cardiovascular disease.24 Therefore daily supplementation with 1 000 mg CurcuWIN (providing 200 mg of curcumin) had a clinically meaningful impact on potentially reducing cardiovascular risk by 15 to 50 percent in healthy individuals. Conclusion Curcumin has been used extensively in ancient and modern times for its medicinal qualities with research demonstrating a wide range of biological effects. A particular benefit of curcumin supplementation is protection against and improvement of endothelial dysfunction through an increase in FMD. CurcuWIN which has been shown to have 45.9-fold higher bioavailability vs. standard curcumin has also demonstrated a significant increase in FMD vs. placebo in clinical study. This increase in FMD could potentially reduce cardiovascular risk by 15 to 50 percent in healthy individuals. Curcumin Bioavailability Before proceeding to a discussion of the human study on curcumin and endothelial function it is important and relevant to first address the fact that curcumin has relatively poor biovailability--with 40 to 75 percent of curcumin passing through the digestive tract unchanged in animal research.11 Also blood concentrations of curcumin are low and tissue distribution is limited following oral dosing due to its fast metabolic turnover in the liver and intestinal wall.12-20 Even upon intake of doses as high as 10 or 12 g curcumin maximum plasma curcumin concentrations in humans remain in the low nanomolar range ( 160 nmol L).21 There are however a few different commercial curcumin extracts that are supported by research showing better bioavailability vs. regular curcumin. One such extract whose effects on endothelial dysfunction will be discussed below is CurcuWIN a novel curcumin formulation from OmniActive Health Technologies containing 20 percent curcuminoids. A recent human study22 showed that the absorption of total curcuminoids in the blood of this water-dispersible form of curcumin was 45.9-fold higher than nor- References 1 Chattopadhyay I Biswas K Bandyopadhyay U Banerjee RK. Turmeric and curcumin Biological actions and medicinal applications. Current Science. 2004 87(1) 44-53. 2 Curcuma longa (turmeric). Monograph. Altern Med Rev 2001 6 Suppl S62-6. 3 Curcuma longa (turmeric). Monograph. Altern Med Rev 2001 6 Suppl S62-6. 4 Togni S Appendino G. Curcumin and Joint Health From Traditional Knowledge to Clinical Validation. In Watson RR Preedy VR (eds.) Bioactive Food as Dietary Interventions for Arthritis and Related Inflammatory Diseases. San Diego Academic Press 2013 67-81. 5 Chattopadhyay I Biswas K Bandyopadhyay U Banerjee RK. Turmeric and curcumin Biological actions and medicinal applications. Curr Sci. 2004 28(1) 44-53. 6 Deanfield J Donald A Ferri C Giannattasio C Halcox J Halligan S Lerman A Mancia G Oliver JJ Pessina AC Rizzoni D Rossi GP Salvetti A Schiffrin EL Taddei S Webb DJ Donald Ferri Giannattasio Halcox Halligan Lerman Mancia Oliver Pessina Rizzoni Rossi Salvetti Schiffrin Taddei Webb Working Group on Endothelin Endothelial Factors of the European Society of Hypertension. NOVEMBER 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 37 SUPPLEMENTSCIENCE Endothelial function and dysfunction. Part I Methodological issues for assessment in the different vascular beds a statement by the Working Group on Endothelin and Endothelial Factors of the European Society of Hypertension. J Hypertens. 2005 23 (1) 7 17. 7 M nzel T Sinning C Post F Warnholtz A Schulz E Sinning Post Warnholtz Schulz. Pathophysiology diagnosis and prognostic implications of endothelial dysfunction . Ann Med. 2008 40 180 196. 8 Kelm M. Flow-mediated dilatation in human circulation diagnostic and therapeutic aspects. Am J Physiol Heart Circ Physiol. 2002 Jan 282(1) H1-5. 9 Zhang DM Li YC Xu D Ding XQ Kong LD. Protection of curcumin against fructose-induced hyperuricaemia and renal endothelial dysfunction involves NO-mediated JAKSTAT signalling in rats. Food Chem. 2012 Oct 15 134(4) 2184-93. 10 Nakayama H Tsuge N Sawada H Masamura N Yamada S Satomi S Higashi Y. A single consumption of curry improved postprandial endothelial function in healthy male subjects a randomized controlled crossover trial. Nutr J. 2014 Jun 28 13 67. 11 Luper S. A review of plants used in the treatment of liver disease part two. Altern Med Rev. 1999 4 178-188. 12 Shoba G Joy D Joseph T Majeed M et al. Influence of piperine on the pharmacokinetics of curcumin in animals and human volunteers. Planta Med. 1998 64 353 356. 13 Sharma RA McLelland HR Hill KA Ireson CR et al. Pharmacodynamic and pharmacokinetic study of oral Curcuma extract in patients with colorectal cancer. Clin. Cancer Res. 2001 7 1894 1900. 14 Vareed SK Kakarala M Ruffin MT Crowell JA et al. Pharmacokinetics of curcumin conjugate metabolites in healthy human subjects. Cancer Epidemiol. Biomarkers Prev. 2008 17 1411 1417. 15 Cheng AL Hsu CH Lin JK Hsu MM et al. Phase I clinical trial of curcumin a chemopreventive agent in patients with high-risk or pre-malignant lesions. Anticancer Res. 2001 21 2895 2900. 16 Lao CD Ruffin MT Normolle D Heath DD et al. Dose escalation of a curcuminoid formulation. BMC Complement. Alter. Med. 2006 6 10. 17 Garcea G Berry DP Jones DJ Singh R et al. Consumption of the putative chemopreventive agent curcumin by cancer patients assessment of curcumin levels in the colorectum and their pharmacodynamic consequences. Cancer Epidemiol. Biomarkers Prev. 2005 14 120 125. 18 Sharma RA Euden SA Platton SL Cooke DN et al. Phase I clinical trial of oral curcumin biomarkers of systemic activity and compliance. Clin Cancer Res. 2004 10 6847 6854. 19 Carroll RE Benya RV Turgeon DK Vareed S et al. Phase IIa clinical trial of curcumin for the prevention of colorectal neoplasia. Cancer Prev. Res. (Phila) 2011 4 354 364. 20 Ringman JM Frautschy S A Teng E Begum AN et al. Oral curcumin for Alzheimer s disease tolerability and efficacy in a 24-week randomized double blind placebocontrolled study. Alzheimers Res. Ther. 2012 4 43. 21 Vareed SK Kakarala M Ruffin MT Crowell JA et al. Pharmacokinetics of curcumin conjugate metabolites in healthy human subjects. Cancer Epidemiol. Biomarkers Prev. 2008 17 1411 1417. 22 J ger R Lowery RP Calvanese AV Joy JM Purpura M Wilson JM. Comparative absorption of curcumin formulations. Nutr J. 2014 Jan 24 13 11. 23 Oliver JM Stoner L Rowlands DS Caldwell AR Sanders E Kreutzer A Mitchell JB Purpura M J ger R. Novel Form of Curcumin Improves Endothelial Function in Young Healthy Individuals A Double-Blind Placebo Controlled Study. J Nutr Metab. 2016 2016 1089653. 24 Green DJ Jones H Thijssen D Cable NT Atkinson G. Flow-mediated dilation and cardiovascular event prediction does nitric oxide matter Hypertension. 2011 Mar 57(3) 363-9. 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. 38 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2017 NATURAL HEALTH STUDIES Middle Age Fattens You Up if You Do Not Increase Your Physical Activity Study Says he Faculty of Sport and Health Sciences at the University of Jyv skyl has examined how changes in the daily step count are related to changes in the body mass index (BMI). During the four-year follow-up period women especially increased their daily step count significantly. Approximately 25 percent of the research participants increased their step count with more than 2 000 steps whereas approximately 19 percent decreased their step count during the follow-up. The participants were grouped into increasers decreasers and maintainers according to the total of their steps. The changes in the groups BMI were compared to the changes in their step count and the comparison of the step counts was proportioned to the time the step counter had been kept on. During the research period there was growth in both the women s and the men s BMI. Almost half of the participants maintained the amount of their daily aerobic T steps at the same level and approximately one-fourth increased their daily step count with more than 1 000 steps during the research period. The test participants whose total step count grew by more than 2 000 steps during the follow-up period maintained their BMI at the same level throughout the years. In contrast BMI increased for those whose step count stayed at the same level or decreased. The trend in physical activity looks good. International studies have shown that physical activity generally decreases along with age but here it increased Professor Mirja Hirvensalo stated. Even though step counts in general look good it should be noted that the amount of passive people who take less than 5 000 steps per day did not change significantly during the research period. The researchers remind everyone about the significance of incidental activity. The steps accumulate on many instances during the day if you give it a chance. One does not necessarily need to go for a walk every day to increase the daily step count. Instead attention should be paid to choices in everyday life. Does every trip need to be made by car or could some of them be done by foot or could the stairs be taken instead of the elevator Postdoctoral Researcher Kasper Salin said. The Cardiovascular Risk in Young Finns Study has been monitoring more than 3 000 Finns regularly from 1980 onwards. One part of the study considers physical activity and during the last two measurings it was monitored with step counters. During the four-year follow-up period the step count data and the required background variables were gathered from a total of 1 033 participants. During the follow-up period the examinees were from 34 to 49 years of age. The recommended daily step count for adults is 10 000 steps. (Source International Journal of Environmental Research and Public Health--September 2017) Broccoli May Be Good For the Gut n a study when mice ate broccoli with their regular diet they were better able to tolerate digestive issues similar to symptoms of leaky gut and colitis than mice that were not placed on a broccolisupplemented diet according to Gary Perdew the John T. and Paige S. Smith professor in agricultural sciences Penn State. He added that other vegetables like Brussels sprouts and cauliflower may also have similar gut health properties. There are a lot of reasons we want to explore helping with gastrointestinal health and one reason is if you have problems like a leaky gut and start to suffer inflammation that may then lead to other conditions like arthritis and heart disease said Perdew. Keeping your gut healthy and making sure you have good barrier functions so you re not getting this leaky effect would be really big. Good intestinal barrier function means that the gastrointestinal tract is helping protect the intestines from toxins and harmful microorganisms while allowing nutrients to pass into the system he said. According to Perdew the key to the process may be a receptor in the gut called I Aryl hydrocarbon receptor (AHR). The receptor helps the body regulate its reaction to certain environmental contaminants as well as triggers other responses to toxin exposure. The researchers who released their findings in the current issue of the Journal of Functional Foods suggest that cruciferous vegetables--such as broccoli Brussels sprouts and cabbage--contain an organic chemical compound called indole glucosinolates which breaks down into other compounds including indolocarbazole (ICZ) in the stomach. When ICZ binds to and activates the AHR in the intestinal lining it aids in maintaining a healthy balance in the gut flora and immune surveillance and enhances host barrier function according to the researchers. This may help prevent diseases such as various cancers and Crohn s Disease caused by inflammation in the lining of the gut. For humans the amount in the experiment would be equivalent to eating about 3.5 cups of broccoli each day according to Perdew. Now three and a half cups is a lot but it s not a huge amount really said Perdew. We used a cultivar--or variety-- with about half the amount of this chemical in it and there are cultivars with twice as much. Also Brussels sprouts have three times as much which would mean a cup of Brussels sprouts could get us to the same level. Because people with certain digestive conditions such as colitis are often warned to avoid too much roughage in their diets future research may include determining the best ways for people to consume the broccoli--or other vegetables with similar effects--to receive the same health benefits without causing any other associated digestive problems from the fibrous vegetables. (Source Journal of Functional Foods-- October 2017) NOVEMBER 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 39 NATURAL HEALTH STUDIES Low Consumption of Vitamin K By Adolescents Associated With Unhealthy Enlargement of Heart s Major Pumping Chamber cientists have found another reason for children to eat their green leafy vegetables. A study of 766 otherwise healthy adolescents showed that those who consumed the least vitamin K1--found in spinach cabbage iceberg lettuce and olive oil--were at 3.3 times greater risk for an unhealthy enlargement of the major pumping chamber of their heart according to the study published in The Journal of Nutrition. Vitamin K1 or phylloquinone is the predominant form of vitamin K in the U.S. diet. Those who consumed less had more risk said Dr. Norman Pollock bone biologist at the Georgia Prevention Institute at the Medical College of Georgia at Augusta University and the study s corresponding author. Overall approximately 10 percent of the teens had some degree of this left ventricular hypertrophy Pollock and his colleagues reported. Left ventricular changes are more typically associated with adults whose hearts have been working too hard too long to get blood out to the body because of sustained elevated blood pressure. Unlike other muscles a larger heart can become inefficient and ineffective. The scientists believe theirs is the first study exploring associations between vitamin K and heart structure and function in young people. While more work is needed S their findings suggest that early interventions to ensure young people are getting adequate vitamin K1 could improve cardiovascular development and reduce future disease risk they write. In the 14-18 year olds who consumed the least vitamin K1 the study found the overall size and wall thickness of the left ventricle were already significantly greater and the amount of blood the heart pumped out significantly lower Dr. Pollock said. Changes were independent of other factors known to influence heart structure and function including sex race body composition physical activity and blood pressure says Mary Ellen MCG second-year student and the study s co-first author. Only 25 percent of the teens in the study met current adequate intake levels of the Food and Nutrition Board of the Institute of Medicine Dr. Pollock noted. They had higher levels relative to the other kids Fain said. But even at that age it seemed to make a difference in their hearts. Fain and Dr. Pollock noted that it was clear than none of the participants consumed large amounts of the vitamin. Vitamin K is known to be important to blood clotting and healthy bones. There is increasing evidence of its cardiovascular impact as well. For example one direct negative impact of low vitamin K intake on the heart may be reduced activity of matrix Gla protein which helps prevent calcium deposits on blood vessel walls. Pollock who is also leading a novel study of the cardiovascular impact of a vitamin K supplement on obese children already showing signs of diabetes risk has early evidence that the vitamin levels are lower in obese and overweight children. Like matrix Gla protein vitamin K is essential to increased production of osteocalcin a protein hormone important to bone metabolism and insulin sensitivity. Those parallels--and the fact that osteocalcin can t currently be given directly--led Pollock to pursue his ongoing clinical trial in obese children with higher-fasting glucose levels. Pollock s lab and other investigators in the United States and Europe are also looking at the impact of vitamin K supplements on adults with heart disease but adult findings to date have been inconclusive. Further study is needed to clarify the importance of vitamin K1 intake to cardiovascular development and to better understand how vitamin K dependent proteins like matrix Gla protein aid cardiovascular development and health the scientists note. Participants wore activity monitors for seven days and completed between three and seven 24-hour periods of self-reports about what they ate. About 70 percent had a least six days of food records which increases the accuracy of self-reports Pollock said. (Source The Journal of Nutrition-- October 2017) Zinc Can Halt the Growth of Cancer Cells Study Says inc supplements can significantly inhibit the proliferation of esophageal cancer cells according to a new study co-authored by a University of Texas (UTA) at Arlington researcher. In this study a team led by Zui Pan an associate professor of nursing at UTA s College of Nursing and Health Innovation and a noted esophageal cancer researcher discovered that zinc selectively halts the growth of cancer cells but not normal esophageal epithelial cells. The finding was published in The FASEB Journal. Esophageal cancer is the sixth leading cause of human cancer deaths around the world according to the National Cancer Institute. The institute estimates that there were almost 16 000 esophageal cancer deaths in the United States in 2016. The average five-year survival rate is less than 20 percent. Z Pan said this study could provide a pathway for better esophageal cancer prevention and treatment. Zinc deficiency has been found in many cancer patients said Pan whose study was funded in part by a research grant from the National Institutes of Health-- National Cancer Institute. Both clinical data and animal studies have shown that this mineral is very important for overall body health and for cancer prevention. Zinc is an important element in many proteins and many enzymes and the absence of zinc makes it impossible for cells to function she added. But previously we didn t know why the same physiological concentrations of zinc inhibit cancer cell growth but not normal cells. Our study for the first time to our knowledge reveals that zinc impedes overactive calcium signals in cancer cells which is absent in normal cells and thus zinc selectively inhibits cancer cell growth. said Pan. It now appears that zinc and calcium can have a cross talk meaning that they can be linked. An insufficient amount of zinc can lead to the development of cancers and other diseases Pan said. That s why it is important to have a good diet she added. Zinc-enriched foods include spinach flax seeds beef pumpkin seeds and seafood like shrimp and oysters. Pan said that in the future they will study how these two signals link how they impact each other and how researchers can take advantage of what they know. Such a step will guide them in developing a better prevention and treatment strategy she said. (Source The FASEB Journal--October 2017) 40 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2017 Black Tea May Help With Weight Loss CLA researchers have demonstrated for the first time that black tea may promote weight loss and other health benefits by changing bacteria in the gut. In a study of mice the scientists showed that black tea alters energy metabolism in the liver by changing gut metabolites. The research is published in the European Journal of Nutrition. The study found that both black and green tea changed the ratio of intestinal bacteria in the animals--the percentage of bacteria associated with obesity decreased while bacteria associated with lean body mass increased. Previous studies indicated that chemicals in green tea called polyphenols are absorbed and alter the energy metabolism in the liver. The new findings show that black tea polyphenols which are too large to be absorbed in the small intestine stimulate the growth of gut bacterium and the formation of short-chain fatty acids a type of bacterial metabolites that has been shown to alter the energy metabolism in the U liver. It was known that green tea polyphenols are more effective and offer more health benefits than black tea polyphenols since green tea chemicals are absorbed into the blood and tissue said Susanne Henning the study s lead author and an adjunct professor at the UCLA Center for Human Nutrition which is part of the David Geffen School of Medicine at UCLA. Our new findings suggest that black tea through a specific mechanism through the gut microbiome may also contribute to good health and weight loss in humans. The results suggest that both green and black teas are prebiotics substances that induce the growth of good microorganisms that contribute to a person s well-being she said. After four weeks the weights of the mice that were given green or black tea extracts dropped to the same levels as those of the mice that received the low-fat diet throughout the study. The researchers also collected samples from the mice s large intestines (to measure bacteria content) and liver tissues (to measure fat deposits). In the mice that consumed either type of tea extract there was less of the type of bacteria associated with obesity and more of the bacteria associated with lean body mass. However only the mice that consumed black tea extract had an increase in a type of bacteria called Pseudobutyrivibrio which could help explain the difference between how black tea and green tea change energy metabolism. (Source European Journal of Nutrition-- September 2017) Tai Chi Holds Promise as Cardiac Rehab Exercise he slow and gentle movements of Tai Chi hold promise as an alternative exercise option for patients who decline traditional cardiac rehabilitation according to preliminary research in Journal of the American Heart Association. After a heart attack more than 60 percent of patients decline participation in cardiac rehabilitation. Although the reasons include financial concerns and distance to a rehab center many patients stay away because they perceive physical exercise as unpleasant painful or impossible given their current physical condition. This is the first study suggesting that Tai Chi may improve exercise behaviors in this high-risk population. We thought that Tai Chi might be a good option for these people because you can start very slowly and simply and as their confidence increases the pace and movements can be modified to increase intensity said Elena Salmoirago-Blotcher MD PhD lead author of the study and assistant professor of medicine at the Warren Alpert School of Medicine at Brown University. Tai Chi exercise can reach low-to-moderate intensity levels. The emphasis on breathing and relaxation can also help with stress reduction and psychological distress. T Researchers adapted a Tai Chi routine for use in heart disease patients from a protocol previously used in patients with lung disease and heart failure. They compared the safety and compliance of two regimes LITE a shorter program with 24 classes over 12 weeks and PLUS a longer program with 52 classes over 24 weeks. All participants received a DVD to use for home practice during and after receiving the classes. The study was conducted at The Miriam Hospital in Providence RI and included 29 physically inactive heart disease patients (eight women and 21 men average age 67.9 years) who expressed an interest in a Tai Chi program. Although the majority had experienced a previous heart attack (58.6 percent) or procedure to open a blocked artery (PCI 82.8 percent CABG 31 percent) all had declined cardiac rehabilitation and continued to have many high-risk characteristics including current smoker (27.6 percent) diabetes (48.3 percent) high cholesterol (75.9 percent) and overweight (35 percent) or obese (45 percent). All had received physician clearance to undergo Tai Chi training and none had orthopedic problems (such as recent joint replacement surgery) that would preclude doing Tai Chi. Researchers found Tai Chi Was safe with no adverse events related to the exercise program except for minor muscular pain at the beginning of training Was well liked by participants (100 percent would recommend it to a friend) Was feasible with patients attending about 66 percent of scheduled classes Did not raise aerobic fitness on standard tests after three months of either the programs and Did raise the weekly amount of moderate to vigorous physical activity (as measured by a wearable device) after three and six months in the group participating in the longer program but not in those who took part in the shorter program. On its own Tai Chi wouldn t obviously replace other components of traditional cardiac rehabilitation such as education on risk factors diet and adherence to needed medications said Salmoirago-Blotcher. If proven effective in larger studies it might be possible to offer it as an exercise option within a rehab center as a bridge to more strenuous exercise or in a community setting with the educational components of rehab delivered outside of a medical setting. (Source Journal of the American Heart Association--October 2017) NOVEMBER 2017 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 41 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. June Jacobs Neroli Hydrating Mist NEW YORK NY--Paraben- and preservative free this revitalizing mist toner by June Jacobs is enriched with neroli oil extracted from the blossoms of the bitter orange tree known for its ability to stimulate cell regeneration. Powerful patented antioxidant blend of white red and green tea extracts combined with goji berry pomegranate and grape seed extracts help to neutralize free radicals protect skin from environmental toxins and combat the visible signs of premature aging. The 6.7-oz. spray is available for a suggested price of 13. For more information call (866) JUNE-JAC or visit www.junejacobs.com. Magnesium Chelate FARMINGDALE NY--Patient One s Magnesium Chelate by MediNutritionals Research LLC supplies 200 mg of magnesium as TRAACS bisgylcinate chelate a mineral amino acid chelate in which magnesium is bound to two amino acids creating a complex that is more readily absorbed across the intestinal wall. This patented delivery system provides magnesium in a highly bioavailable gentle form. Magnesium deficiency is common due to a variety of causes including insufficient dietary intake or absorption depletion from certain drugs excessive losses through urine stool and perspiration excessive alcohol consumption and more. Sixty servings (120 vegetable capsules) are available for a suggested price of 19.90. For more information call (877) 723-0777 or visit www.patientoneformulas.com. Ready Set Drench & Mask-A-Holic Kits NEW YORK NY--Peter Thomas Roth recently introduced two new kits Ready Set Drench and Mask-A-Holic. The three-piece Ready Set Drench kit includes Cloud Cream Cleanser Cloud Cream Moisturizer and Cloud Cream Serum--perfect for all skin types. An invisible veil of hydration attracts up to 1 000 times its weight in water from moisture in the atmosphere. These products help replenish the appearance of aging and dehydrated skin with vital moisture imparting a look of youthful radiance. As for the Mask-A-Holic kit it includes five of Peter Thomas Roth s top products including the Cucumber Gel Mask Pumpkin Enzyme Mask Irish Moor Mud Mask 24K Gold Mask and 24K Gold Eye Patches. The kits retail for 52 and 75 respectively. For more information visit www.peterthomasroth.com. PRACTITIONER CORNER (Continued from page 12) freezing. I gave him the above recipe. Several years later I got an email from him with the subject header You Saved My Life. He was healthy exercising and doing well. B. Biophysics. External counterpulsation can be very helpful for treating the underlying coronary artery disease in inducing new vascularization. Kind of like a natural heart bypass. And it is even Medicare covered. C. Structural. Work by the late (and wonderful) Professor Janet Travell demonstrated that atrial fibrillation is often caused by trigger points in the chest wall muscles. She was a professor at George Washington University Medical School and had a skeptical cardiologist friend with refractory atrial fibrillation. He finally let her inject a trigger point in the chest wall which immediately abolished his atrial fibrillation. D. Mind Body Spirit. Numerous studies have explored the dramatic relationship between psychology and coronary artery disease. For example one study looked at three types of anger expression constructive anger (discussing anger to resolve the situation) destructive anger justification (blaming others for one s anger) and destructive anger rumination (brooding over an anger-inducing incident). Those who had constructive approaches to anger had a 73 percent lower risk of coronary artery disease. This makes the effect far greater than the benefits of any medication This four-domain approach can be extended to most illnesses dramatically improving outcomes. My phone app called Cures A-Z extends this approach to hundreds of conditions making it an excellent pocket resource. Using this new paradigm we are closer than we think to having the cure to everything Jacob Teitelbaum MD is one of the most frequently quoted integrative medical authorities in the world. He is the author of the bestselling From Fatigued to Fantastic Pain Free 1 2 3 the Complete Guide to Beating Sugar Addiction Real Cause Real Cure The Fatigue and Fibromyalgia Solution and the popular free Smart Phone app Cures A-Z. He is the lead author of four studies on effective treatment for fibromyalgia and chronic fatigue syndrome and a study on effective treatment of autism using NAET. Dr. Teitelbaum appears often as a guest on news and talk shows nationwide including Good Morning America The Dr. Oz Show Oprah & Friends CNN and FoxNewsHealth. For more information visit www.vitality101.com. 42 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM NOVEMBER 2017 MEDIACORNER Nutrition for Sport Fitness and Health Author Marie Spano MS RD CSCS CSSD Laura Kruskall PhD RDN CSSD LD FACSM FAND D. Travis Thomas PhD RDN CSSD LD FAND Pages 488 Price 99 (paperback) Publisher Human Kinetics Contact higher_ed_sales hkusa.com Nutrition for Sport Exercise and Health includes applied content and research-based guidelines to help students distinguish between nutrition recommendations backed by science and the plethora of misinformation available in the field. This comprehensive resource blends nutrition and exercise science with practical information to provide a clear understanding of how nutrition affects sports exercise and overall health. Nutrition for Sport Exercise and Health covers the basics of nutrition including the functions of and daily allowances for carbohydrate fat and protein as well as micronutrient recommendations the importance of hydration and electrolyte balance nutrition in health and disease prevention population-based nutrition considerations for training and sports and practical information on measuring and altering body composition. The accessible presentation of material keeps students from getting too bogged down in research and the text offers real-world applications. Students will also discover career opportunities available to them including qualifications and job responsibilities for each position. The full-color text includes more than 40 photos and more than 130 illustrations alongside digestible engaging writing. The content is organized in a logical sequence with each chapter building upon the information previously presented. In Part I the reader is provided with an overview of the role nutrition plays in overall well-being throughout a person s life. Part II focuses on each macronutrient and its role in health and disease as well as dietary recommendations that support health and an active lifestyle. The role of micronutrients in health and performance is covered in Part III. Part IV provides information on the application of nutrition to sport exercise and health. Instructors will find a full suite of ancillaries that will be helpful in their teaching. The instructor guide and presentation package plus image bank will help in preparing for class while the test package and chapter quizzes will help assess student learning. Students and professionals alike will benefit from the broad coverage found in Nutrition for Sport Exercise and Health. Armed with accessible research-based application readers will have the tools they need to improve athletic performance exercise outcomes and general well-being. (Continued from page 24) contain several herbs shown to help manage stress. Bacopa monnieri interacts with the dopamine and serotonergic systems and mainly promotes neuron communication by encouraging the growth of dendrites thereby improving a sense of calm and ability to process cognitive data according to Edwards. Cyperus rotundus is most known as a mild muscle relaxer. Gotu kola contains triterpenoids that reduce anxiety and increase mental function as shown in mouse studies. One human study found that individuals who took gotu kola were less likely to be startled by a new noise than those who took placebo the startle noise response is a way to discern anxiety. These three herbs supported with amla and wallichi are an effective way to mitigate stress and its effects on the brain and body he said. The company s companion 88 Serenade herbal vapors is a similar formula delivered in a vapor format for fast action he added. Of course other ways to help clients lessen the effects of stress (anxiety sleeplessness tension headaches and low mood) include exercise meditation yoga decreased consumption of caffeine and alcoholic beverages and unplugging stepping away from social media and 24 7 news cycles. Achieving balance also includes cognitive behavioral techniques to be mindful to be present and to temper reaction learning to increase patience is also a virtue that helps slay the stress dragon. One cannot escape stress during life it s a part of life. It s how we treat ourselves that makes the difference in how we cope. Through supplementation good diet and lifestyle habits as well as counseling one can learn to manage stress and bar its best friend anxiety from entering the haven of the self. Approximately one million workers are absent every day due to stress and job stress is responsible for a cost of more than 300 billion annually for U.S. industry. Approximately 40 million Americans adults are affected by some form of anxiety and generalized anxiety disorder (GAD) affects 6.8 million adults. A major cause of stress and anxiety is use of social media a big part of the click-through culture demands a certain level of anxiety. Magnesium deficiency has been shown to precipitate anxiety stress and depression. Healthy Take Aways FOR MORE INFORMATION EuroMedica www.euromedica.com Natural Vitality www.naturalvitality.com Pharmachem Laboratories www.lactium.com Rainbow Light www.rainbowlight.com Rebel Herbs www.rebelherbs.com NATURAL PRACTITIONER NOVEMBER 2017 WWW.NATURALPRACTITIONERMAG.COM 43 CONFERENCES AND EVENTS 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 8-10 Dr. Roizen s Preventive and Integrative Medicine Conference Las Vegas NV This year s focus for Dr. Roizen s Preventive and Integrative Medicine Conference is Longevity and Your Personal Environment. The conference will focus on discussing the most recent data analyzing its impact and assessing its best use in clinical practices for the entire family. Key topics include aging issues impact of the immune system preventing and treating chronic conditions the use of periodic and plant-based diets and more. For more information visit www.clevelandclinicmeded.com. 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. February 22-24 Integrative Healthcare Symposium New York NY This clinically relevant evidence-based medical conference program is designed to educate inspire and engage integrative practitioners and those interested in learning more about alternative and complimentary approaches to heath care. Speakers at this year s event include Woodson Merrell MD founding executive director of the Center for Health and Healing in New York and founding member of Bravenet a practiced-based ingregrative medicine research network of the Bravewell Collobrative Heba Elnazer MD founder of director of Revive Medical and many more. For more information visit www.ihsymposium.com annual-conference. ADVERTISER INDEX ADVERTISER Advanced Naturals America s Finest Inc. 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