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Description: In This Issue: Children's Health in the Modern Age, Detox & Cleansing, Bone & Joint Health, Probiotics & Enzymes September October 2016 V Na tur SO ISI T alP U ra RC OU cti EB R tio ne OO ON rM ag K T LIN .co O E m DA So Y ur ce bo ok A VRM Media Publication Go to davinci for info about this advertiser Go to americasfinest for info about this advertiser TABLE OF CONTENTS September October 2016 VOLUME 5 NO. 6 11 FEATURES 11 Out With the Old Internal cleansing and detoxifying supplements can greatly assist everyone to achieve optimal wellness and better health. 20 30 COLUMNS 4 Editor s Note 30 Supplement Science 24 Product Focus Probiotics & Enzymes 16 Natural Approaches to Bone and Joint Care for All Ages Natural and integrative practitioners are educating more patients about treatment supplementation and lifestyle choices for bone and joint health. 20 Children s Health in the Modern Age Keeping children healthy can be difficult but a variety of holistic tools can help make the challenge easier to tackle. DEPARTMENTS 8 Health Industry News 27 Practitioner Chat 32 Natural Health Studies 34 Natural Marketplace 36 Conferences & Events 36 Advertiser Index Visit FreeProductInfo for FREE Product Information or Samples from All Natural Practitioner Advertisers FREE Subscription (Print Digital or BOTH) FREE E-newsletter Visit Copyright 2016. Natural Practitioner (ISSN 2331-2580) Volume 5 Number 6 September October 2016. Natural Practitioner is published monthly (except for bimonthly January February March April June July and September October) by VRM Media 431 Cranbury Road Suite C East Brunswick NJ 08816 USA Phone (732) 432-9600 Fax (732) 432-9288. All rights reserved including the right to reproduce in whole or in part. Not responsible for unsolicited material. Opinions expressed in by-lined articles or advertisements are not necessarily those of Natural Practitioner or its owners. Publisher is not liable for advertiser product claims or representations. Advertisers assume total responsibility for the contents of their advertisements. No portion of this magazine is intended to diagnose treat cure or prevent any disease. Printed in U.S.A. Basic annual subscription rate is 50.00. POSTMASTER Send address changes to Natural Practitioner P.O. Box 15246 North Hollywood CA 91615-5246. Subscription Customer Service Natural Practitioner P.O. Box 15246 North Hollywood CA 91615-5246 USA Phone (818) 286-3169 Fax (800) 869-0040 nprcs Back Issues & Single Copies For order information contact (732) 432-9600 or info December issue is 25.00. All other issues are 10.00 each. 2 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2016 Go to livon for info about this advertiser EDITOR S NOTE Going for the Gold he Summer Olympics have always been one of my favorite sporting events to watch and this year was no exception. Personally it was not only exciting because Laurie Hernandez (who earned gold and silver medals in women s gymnastics) trains at the same gym where I used to take classes and celebrated many childhood birthday parties but it is probably the one time every four years that the world pays attention to my favorite sport--swimming. At the 2016 Summer Olympic games in Rio de Janeiro Brazil the U.S. Olympic Swim Team won 33 of Team USA s 121 medals. Further Michael Phelps competed in his last Olympic games after accumulating 28 medals throughout his four Olympic appearances--23 of them gold. But what possibly attracted the most attention at the beginning of the games swimming events were the purple marks seen on Phelps back and arms when he walked onto the pool deck. In the days after his first qualification swim there were countless TV news segments and articles about the mysterious circles that were visible on his as well as other athletes bodies. The marks the media explained were a result of a technique called cupping. A form of ancient Chinese medicine cupping consists of placing warm round glass suction cups onto sore parts of the body. The placement of the glass cup creates a partial vacuum T which is believed to stimulate muscles and blood flow while relieving pain. This wasn t the first mainstream coverage that cupping has received. A few years ago articles popped up online and in magazines after both Gwyneth Paltrow and Jennifer Aniston were spotted with visible cupping marks when walking red carpets. But while there was some talk about the therapy it didn t get nearly as much attention as the firestorm that came after the most decorated Olympian of all time appeared with the telltale dots. Cupping isn t the only alternative therapy that elite athletes use. Massage acupuncture hot tubs ice recovery and cold therapy are among the treatments that these high-level athletes coaches and trainers rely on while training and during competition. These methods are utilized to help the athletes bodies recover safely. And these methods can be used by anyone--oftentimes in lieu of taking an over-the-counter (OTC) or prescription pain reliever. In fact when I swam competitively in high school my coach and the school s athletic director created a recovery plan utilizing a number of the integrative therapies listed above to ensure that the entire team stayed healthy and injury-free throughout the season. So maybe the cupping marks highlighted on the Olympic stage will inspire others to put down the pain pills and seek different and safer options. PUBLISHER DANIEL MCSWEENEY EDITORIAL DIRECTOR DanM ASSOCIATE PUBLISHER RUSS FIELDS RussF ADVERTISING GARY PFAFF SALES MANAGER GaryP EDITOR-IN-CHIEF SHARI BARBANEL ShariB ASSOCIATE EDITOR NICHOLAS SARACENO NicoS CONTRIBUTING EDITOR JANET POVEROMO JanetP ART DIRECTOR ROBERT CERTO PRODUCTION MANAGER RobertC PRODUCTION ASSISTANT BRYAN ZAK GRAPHIC ARTIST BryanZ CIRCULATION MANAGER ROSIE BRODSKY Rosie PHONE FAX E-MAIL WEBSITE PRESIDENT VRM MEDIA 431 Cranbury Road Ste. C East Brunswick NJ 08816 (732) 432-9600 (732) 432-9288 info DANIEL MCSWEENEY DanM 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 Back Issues See the Table of Contents page for price and order information. Connect With Us vitaminretailer vitaminretailermagazine company vrm-media vitaminretailermagazine vrm_media 4 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2016 Go to advancednaturals for info about this advertiser Meet Natural Practitioner s Editorial Advisory Board In its search to provide readers with insight and perspective that will help them build and better their practices Natural Practitioner has culled together an Editorial Advisory Board of authoritative practitioners willing to do just that. You will see our Board members present in key editorial as well as each authoring their own column Practitioner Corner throughout the year that highlights their expertise and professional experiences. They will also lend us their perspective on trends and topics that Natural Practitioner will be covering in issues to come. Natural Practitioner s Editorial Advisory Board is comprised of Holly Lucille ND Dr. Holly Lucille is a nationally recognized licensed naturopathic physician lecturer educator and author of Creating and Maintaining Balance A Women s Guide to Safe Natural Hormone Health. Her private practice Healing From Within Healthcare focuses on comprehensive naturopathic medicine and individualized care. Outside of her practice Dr. Lucille holds a position on the American Association of Naturopathic Physicians board of directors and is on the faculty of the Global Medicine Education Foundation. She is the past president of the California Naturopathic Doctors Association where she spearheaded a lobbying effort to have naturopathic doctors licensed in the state of California. A graduate from the Southwest College of Naturopathic Medicine Dr. Lucilles commitment to naturopathic medicine has been recognized with the Daphne Blayden Award and more recently the SCNM Legacy Award. Shailinder Sodhi ND Growing up near the Himalayas Dr. Shailinder Sodhi developed an early interest in ayurvedic plants and herbs and received his BAMS (bachelor in ayurvedic medicine and surgery) degree from Dayanand Ayurvedic College in Jalandhar India in 1985. In 1993 he received a naturopathic medicine degree from Bastyr University as well as a degree in diagnostic ultrasound from Bellevue College. Dr. Sodhi practices naturopathic medicine along with his wife Dr. Anju Sodhi and his brother Dr. Virender Sodhi at the Ayurvedic and Naturopathic Medical Clinic in Bellevue WA which he established in 1989. In addition Dr. Sodhi serves as president of Ayush Herbs Inc. a manufacturer of high-quality ayurvedic herbal formulas is an adjunct faculty member at Bastyr and has been published in several natural health magazines. Amber Lynn Vitale BA LMT CN Amber Lynn Vitale BA LMT CN majored in economics with postgraduate work in medical sciences and additional certifications in bodywork ayurveda and holistic nutrition. Her journey in the healing arts developed richly as she worked for years in practices with integrative physicians acupuncturists chiropractors and nurses. Ultimately she developed an integrated modality of ayurvedic medicine yoga advanced bodywork and integrative nutrition. Vitale uses her 19 years of experience in integrative medical practices to educate on the consumer mindset and to distill these wisdoms into digestible information bytes. In 2014 she joined the Garden of Life team as their Northeast regional educator. Adam Killpartrick DC Dr. Adam Killpartrick earned his degree from Palmer College of Chiropractic in Davenport IA. His primary practice focus has been a synergistic blend of NUCCA (upper cervical chiropractic) with Cranial Release Technique for which he has attained lead instructor status. Dr. Killpartrick furthered his education in clinical nutrition functional diagnostics and lifestyle medicine and has since successfully integrated this blend of specialized chiropractic care and functional medicine into his New Hampshire private practice. This practical experience led him to clinical consulting for numerous nutritional supplement companies. He is currently the chief scientific officer for DaVinci Laboratories. Jared M. Skowron ND Dr. Jared M. Skowron is a national expert in natural medicine for children. Author of the best-selling 100 Natural Remedies For Your Child his lifes work is dedicated to the optimal health of children. A faculty member at University of Bridgeport and founder of their Pediatric & Autism Clinic Dr. Skowron has helped thousands of children fulfill their optimal potential. He is vice president of the Pediatric Association of Naturopathic Physicians and his expertise is in pediatrics autism ADHD and acute and chronic EENT conditions. Jacob Teitelbaum MD A recognized authority on chronic fatigue syndrome (CFS) and fibromyalgia Dr. Jacob Teitelbaum is medical director of the Fibromyalgia and Fatigue Centers nationally and does phone consultations with CFS fibromyalgia patients worldwide. He is the author of the popular iPhone application Cures A-Z and author of the best-selling book From Fatigued to Fantastic (3rd revised edition Avery Penguin Group) and Pain Free 1-2-3--A Proven Program for Eliminating Chronic Pain Now (McGrawHill). His newest book is Beat Sugar Addiction NOW (Fairwinds Press 2010). Dr. Teitelbaum does frequent media appearances including Good Morning America CNN Fox News Channel the Dr. Oz Show and Oprah & Friends. Isaac Eliaz MD MS LAc 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. 6 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2016 Go to albion for info about this advertiser HEALTH INDUSTRY NEWS NIH Awards 7 Million to UA College of Medicine pproximately 25 million people in the United States--seven million of them children--suffer from asthma. A fiveyear 7 million National Institutes of Health (NIH) grant awarded recently to Monica Kraft MD an internationally renowned physician-scientist who specializes in translational asthma research at the University of Arizona (UA) College of Medicine Tucson and the UA Health Sciences Asthma and Airways Diseases Research Center will seek a better understanding of mediators that help control lung inflammation and improved therapies to reduce severe attacks in those with asthma. Funded through the National Institute of Allergy and Infectious Diseases (NIAID) the grant will support a research study Dysfunction of Innate Immunity in Asthma with three projects including analysis of human samples of people with asthma and investigation of genetic markers related to dysfunctional immune response mechanisms in asthma. The goal is to develop a better understanding of those mechanisms and refine novel therapies to moderate or eliminate asthma attacks and enable asthma sufferers to breathe easier. Analysis will focus on dysfunctional single nucleotide polymorphisms (SNPs or snips ) of surfactant protein A (SP-A) a lipid constituent of surfactant known as POPG (palmitoyl-oleoyl-phosphatidylglycerol) and Toll-like receptor interacting protein (Tollip). Surfactant helps to open up aveolar sacs in the lungs and change surface tension so lungs can expand. SP-A POPG and Tollip act as mediators signaling synergistically which foreign irritants or conditions in the lungs to attack or not. Each performs critical negative regulatory functions interacting cooperatively to offer protection from allergic inflammation and viral exacerbations of asthma--but when impaired cause more acute reactions in asthma sufferers. We ll look at how certain airway cells handle infectious agents in the setting of allergic inflammation in asthma Dr. Kraft said. We ve found in humans not all SP-A is created equal. The same holds true for Tollip. Depending on the genetics of your SPA or Tollip their function can be impaired. So if you have these impaired or dysfunctional aspects of host defense and suffer from asthma the combination can be very detrimental--leading to more allergic inflammation and asthma attacks. UAHS has some of the best minds in the world working to treat and cure asthma and A this grant from NIH further strengthens the research under way at the UAHS Asthma and Airway Diseases Research Center said UA President Ann Weaver Hart. We are incredibly proud of this work and the good outcomes it will help create for patients. This research also dovetails well into the mission of the recently funded NIH Precision Medicine Initiative Cohort Program which includes UAHS to improve prevention and treatment of disease based on individual needs and diverse populations said Joe G.N. Skip Garcia MD UA senior vice president for health sciences the Dr. Merlin K. DuVal professor of medicine and an elected member of the National Academy of Medicine. The study is part of NIAID s U19 Cooperative Research Program which involves about a dozen Asthma and Allergic Diseases Cooperative Research Centers across the country--of which the UA is the newest. This research is supported by the NIH under award number 1 U19AI125357-01. For more information visit New Gallup-Palmer College of Chiropractic Survey Three in Four Patients Describe Chiropractic Care as Very Effective L ow-back pain is the single leading cause of physical disability worldwide according to the Global Burden of Disease Study 2013. A Gallup-Palmer College of Chiropractic (Davenport IA) study recently released about Americans perceptions of chiropractic found that nearly two-thirds of U.S. adults (65 percent) report having had neck or back pain significant enough that they saw a health care professional at some point in their lives demonstrating a significant need for backpain treatment in the U.S. The GallupPalmer College of Chiropractic Annual Report Americans Perceptions of Chiropractic comes from the second annual Gallup-Palmer survey of American attitudes about chiropractic care. Many Americans reported dealing with significant neck or back pain said Cynthia English Gallup research consultant in charge of the study. Among U.S. adults who sought professional care for neck or back pain seven in 10 (71 percent) tell us they have been to a doctor of chiropractic. This year s study also found that among the myriad of treatment options available for back and neck pain perceptions among U.S. adults vary regarding the effectiveness and risks associated with each. U.S. adults are more likely to describe chiropractic care as very safe and very effective than to say this about pain medications or back surgery. Low-back pain and neck pain place a tremendous burden on our society said Christine Goertz DC PhD vice chancellor for research and health policy at Palmer College of Chiropractic. The opioid-overuse epidemic in the United States demonstrates that Americans need safe effective conservative health care alternatives to prescription pain killers. The Gallup-Palmer report found that many Americans are choosing chiropractic and a large majority of those who do describe the care as very effective and a good value for the money they pay. Nearly 62 million U.S. adults (25 percent) went to a chiropractor in the last five years with more than half (35.5 million) saying they went in the last 12 months. Adults who ve seen a chiropractor in the last 12 months are generally very positive about their experience. About three in four of these adults (77 percent) describe the treatment they received as very effective. Eighty-eight percent of recent chiropractic patients agree the quality of care they received was a good value for the money. Results of the Gallup-Palmer report are based on a Gallup Panel study of 7 645 national adults aged 18 and older conducted February 8 to March 11 2016 via the Web and by mail. The maximum margin of sampling error for this study is 1.8 percentage points with a 95 percent confidence level. For more information visit gallup-report. 8 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2016 Go to kyowa for info about this advertiser HEALTH INDUSTRY NEWS Alcat Test Receives 2016 Frost & Sullivan Award F rost & Sullivan the Growth Partnership Company has awarded Cell Science Systems Corporation (CSS Deerfield Beach FL) the 2016 North American Company of the Year Award based on Frost & Sullivan s recent analysis of the food intolerance testing market. CSS has conducted ongoing research for more than 20 years to perfect its flagship Alcat Test a cellular test for foods chemicals molds functional foods additives and drugs said Frost & Sullivan Research Analyst Aishwarya Vivekanandan. The company s advanced testing solutions present valuable advice and quantitative data that aid customers in changing their food habits to lead healthier happier lives. The CSS Alcat Test is the only technology in the market to have been clinically validated after rigorous tests by independent bodies as well as the only diagnostics company to be a U.S. Food and Drug Administration (FDA)-registered medical device manufacturer that voluntarily maintains ISO EN 13485 certification. We are delighted to be recognized as a leader in the food sensitivity and intolerance testing market said Roger Deutsch president and CEO of CSS. Recent clinical testing continues to indicate the importance of understanding the relationship between food sensitivities inflammation and the innate immune system in our overall health and wellness. Each year Frost & Sullivan presents this award to the company that has demonstrated superiority in devising a strong growth strategy and implementing it. The recipient must demonstrate strength in terms of innovation in products and technologies leadership in customer value as well as speed in response to market needs. In short the award looks at the emerging market players in the industry and recognizes their best practices that position them for future growth. CSS enables in-vitro testing that identifies changes in blood cell sizes. After the mechanical removal of red blood cells white blood cells are incubated with purified food extracts or other test substances through the impedance method of particle sizing and counting. A proprietary algorithm facilitates statistical comparison of a patient s normal cell profile with post-incubation samples. No single immune factor antibody or cytokine has been--or is likely to be--identified as the standard biomarker of food sensitivity. Therefore the Alcat Test in-vitro method is unlikely to be supplanted by any existing or future assay said Vivekanandan. As the awareness of a validated methodology for assessing patient-specific triggers of inflammation rises many more mainstream health care providers will adopt the test. For more information visit Pure Encapsulations Expands PureGenomics Platform W ithin every patient s genome are opportunities to optimize health and wellness. Pure Encapsulations (Sudbury MA) has announced the addition of the Antioxidant & Cellular Defense Protocol to its PureGenomics platform enabling practitioners to evaluate patients genetic makeup and tailor nutritional supplement regimens that help bypass specific genetic variations leading to optimized antioxidant status detoxification and estrogen metabolism. PureGenomics combines educational tools protocols and core products with a dynamic practitioner-exclusive website application to help identify and address common genetic variations known as Single Nucleotide Polymorphisms (SNPs). The new Antioxidant & Cellular Defense Protocol developed by functional medicine practitioner Dr. Nathan Morris and Pure Encapsulations nutritional pharmacologist Dr. Kelly Heim identifies three specific SNPs that may negatively impact the body s ability to rid itself of toxins and provides specific protocols that can be used to enhance the metabolism of toxins in individuals with these common SNPs. Our bodies are designed to produce specialized enzymes that dispose of waste cre- ated during our normal energy production and metabolic process explained Dr. Morris. However common genetic variations can affect how well those enzymes work causing oxidative stress meaning our natural antioxidants are limited and our bodies are not able to detoxify properly. The PureGenomics website application imports and analyzes a patient s 23andMe genetic data empowering health professionals to test translate and target the most clinically relevant SNPs impacting detoxification with the right nutritional support. The field of nutritional genomics is quickly becoming a valuable tool for health care providers but it can be difficult for practitioners to translate pages of genetic results and to come up with the optimal solutions for each individual patient said Dr. Heim. We ve evaluated a number of studies to determine the most clinically relevant SNPs impacting detoxification and are pleased to offer this new resource to practitioners to enable them to expand the use of personalized nutrition in their practices. The new Antioxidant and Cellular Defense Protocol is the third in the PureGenomics platform and joins the existing Methylation and Vitamin A & D Protocols. The Methylation Protocol evaluates seven SNPs impacting the methylation pathway and is designed to support emotional wellness cardiovascular health and memory and neurocognitive health. The Vitamin A & D Protocol evaluates two SNPs and is designed to optimize vitamin A status to support immune function ocular and cellular health and vitamin D status to support bone breast prostate cardiometabolic colon and immune health. For more information visit or Dr. Morris has been retained as a medical consultant in advising Pure Encapsulations. He is compensated for this service. 23andMe is the registered trademark of 23andMe Inc. Pure Encapsulations is not affiliated with 23andMe. 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. 10 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2016 OUT OLD to achieve optimal wellness and better health. By Lisa Schofield WITH THE Internal cleansing and detoxifying supplements can greatly assist everyone I magine living every moment in your life--the special and the mundane--carrying around a full festering trashbag. Gross right Except this is exactly what millions of Americans are indeed doing carrying around chemical debris that piles up and festers inside. This internal offal isn t deadly but it is a catalyst to a host of symptoms and an exacerbator of numerous health conditions. Just about everyone may benefit by incorporating natural detox and cleansing products and routines into their lifestyles. However if you were to poll the average health-conscious consumer he or she may shy away from the concept erroneously believing that performing such a ritual requires being chained to the throne or enduring intense effects such as the appearance of a crop of zits. Not exactly so according to Jared Paulson MTCM sales and education manager for Washington-based Ayush Herbs. Although many of the detox kits widely available do have high levels of laxatives that can cause cramping and diarrhea the biggest misconception regarding detox and cleansing is that it needs to be uncomfortable he said. While you want to avoid constipation this is not a necessary part of the detoxification process. Another common misconception Paulson noted is that the most effective cleansing involves fasting a move that is actually counterproductive. During the cleansing and detoxification process the body requires the vitamins minerals antioxidants and fiber provided by a healthy organic diet that emphasizes consumption of fruits and vegetables. Today the need to detox and cleanse is more a necessity than ever--and is likely relevant for any and all of your clients patients. Michael C. Fessler vice president and director of research at Herbalix Restoratives Washington observed that practitioners and the general public are becoming more aware of the increasing contaminants found in air food water and everyday products. Some of these contaminants are heavy metals such as aluminum arsenic cadmium lead mercury and nickel and these can exceed the WHO (World Health Organization) standard for daily accumulation. There is growing awareness of the increasing accumulation leading the way for the need of heavy metal detoxification he said. Brendan Gaughran CEO Connecticutbased Liver Medic noted that in the past few decades there has been an exponential increase in the production of endocrine-disrupting toxins pesticides herbicides and in water contaminated by prescription drugs and industrial run-off. Add to this the typically daily use of personal care products heavy in man-made chemicals the U.S. produces 42 billion pounds of chemicals each day he cited. This daily bombardment disrupts every system in the body and can only be mediated by actively detoxifying on a regular basis he asserted. Those who aren t critically inspecting what they eat understanding and filtering all ingredients consumed SEPTEMBER OCTOBER 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 11 OUT any single carcinogenic chemical. OLD WITH THE Solutions to Consider Detoxification does not need to be a complex process Paulson emphasized. Each respondent pointed to different areas where their detox cleansing products work. Depending upon the condition of a client or patient natural practitioners may want to recommend all three avenues in a longerterm or more intensified restorative protocol if warranted. while also enthusiastically incorporating detoxifying foods must supplement to keep the body from falling into disrepair. This is no longer a choice for us and the evidence can be seen in society s increase in cancers and disease. Clients or patients may present with certain symptoms that may indicate a need for a cleansing and detox protocol. According to Paulson the symptoms can include chronic headaches head fatigue rashes and other skin issues and digestive issues. If your client or patient recently stopped smoking is taking long-term pharmaceuticals is eating a poor diet and is about to change to a healthier diet detoxification and cleansing will be most appropriate. Detoxification is becoming increasingly important due to the continued spread of synthetic chemicals in our daily lives said Paulson. Whether we are talking about the air we breathe the things we put on our bodies and in our homes or the food we eat these chemicals are everywhere. Many of these compounds mimic hormones and other molecules in our body and are readily absorbed. Even those clients who eat an organic diet and use natural products are absorbing toxins in their bodies. The process of boosting the body s natural detoxification system allows us to catch up periodically by increasing the removal of these chemicals. Consider some recent unnerving news. According to a report from the Environmental Working Group (released on September 21 2016) approximately 218 million Americans are consuming dangerous levels of chromium-6 that contaminate tap water. The report noted that chromium6 levels lie at or above 0.03 parts per billion in approximately 75 percent the researchers arrived at this percentage from samples tested by water utilities from 2013 to 2015. The report s co-author Bill Walker who serves as managing editor of the Environmental Working Group told that typical Americans are exposed to countless carcinogenic chemicals every day not only in water but in foods and other consumer products. He added that research has shown that the combination of chemicals is more dangerous than Paulson noted that his clinic has had success using a simple combination of liver and digestive support. The clinic uses Ayush Herbs Livit-2 formula which is based on a traditional ayurvedic formula and supports both phase 1 and 2 detoxification in the liver he said as well as elimination of toxins through the digestive system and urinary tract. We combine this with our Trifal a certified organic triphala formulation which supports normal intestinal motility and the detoxification of the intestines. Lastly we suggest a high fiber diet of fruits and vegetables to absorb the toxins that are passed into the digestive tract. Clinical Synergy Professional Formulas of California offers two products specifically for detoxification and for optimal benefit they are designed to be used together according to Isaac Eliaz MD MS Lac formulator. PectaSol Metal Detox is a blend of PectaSol-C Professional Modified Citrus Pectin which has been clinically proven in multiple published studies to safely remove heavy metals from the body he said without affecting essential minerals. PectaSol Metal Detox also contains sodium alginates which help remove heavy metals and environmen- tal toxins from the GI (gastrointestinal) tract thus preventing reabsorption into the circulation. Detox Complete contains a number of botanical extracts and nutrients that help remove toxins by stimulating the body s natural detox systems and supporting organs of elimination including the liver kidneys and skin. It also helps to support healthy methylation activity promotes free radical scavenging and helps maintain the body s vital energy levels during detox. These gentle yet highly effective products can be used for a period of three weeks to three months or longer depending on the patient s health goals and toxic body burden Dr. Eliaz said. Herbalix Restorative s products work by detoxing through the skin. According to Fessler the skin is known to accumulate and store sodium heavy metals and other impurities from environmental factors gene types and age. The imbalance of sodium storage in the skin s integumentary pathways may impede the ability of internal organs to excrete cellular waste and reduce organ function which can lead to metabolic syndrome. Although many people turn to methods of accelerating skin excretion such as infrared saunas or baths these are time limited and not always convenient. Further he explained cold climates or lack of healthy sun exposure (eg a brisk walk outdoors) can impede excretion of heavy metals which can lead to accumulation in the adipose tissue. Herbalix Restorative lymphatic skin purging products topically target organs such as liver thyroid breasts testes brain and lymph nodes and are proven clinically to disassociate metals via the skin s sodium channels Fessler described. Verification and traceability can be measured by utilizing mass spectrometry thermography optical spectrophotometry and palpation. He added that through the actions of cleansing the lymphatic system Herbalix topical skin purging products may also help reduce stiffness (congestion) in liver and edema increase lymph flow in breasts and blood flow in visceral fat and help demineralize the thyroid of aluminum. As its name implies LiverMedic believes in supporting healthy function of the liver through detoxification is central to overall health. Gaughran explained The main access for toxins entering the body is through a compromised intestinal wall referred to as leaky gut. This toxin-increase overloads the normal cleansing metabolic pathways of the liver. Our products combine the leading gut repairing and liver detoxifying ingredients in ways that enhance their natural synergies to more effectively remove harmful organisms while reducing future 12 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2016 Go to emerson for info about this advertiser OUT OLD WITH THE toxin transmission. We do this through a clean holistic approach without the use of questionable chemicals or excipients. Additionally we are GMO (genetically modified organism) and gluten free. For instance Hepatiben the company s main liver cleanse has four ingredients for gut repair and four dedicated to detoxifying the liver. Silybin MSM SAMe and NAC said Gaughran all work to enhance the phase II detoxification cycle in the liver. Ingredients such as phosphatidylcholine which helps repair the gut wall have also been shown to increase silybin s effectiveness by two to three times. Hepatiben s gut repair blend also includes berberine glutathione and alpha lipoic acid all of which aid in reducing soft tissue inflammation and also provide the building blocks for rebuild- ing of epithelial cells lining the gut. When clients or patients may present with symptoms of yeasts such as candida or parasites Hepatiben combined with LiverMedic s Candida Complex may reduce these organisms that often compromise gut health. A third product may also be considered to remove biofilm. Removing biofilm with our Serrapeptase further exposes the few hiding places these invaders utilize that the body can t access by enzymatically breaking double bonds and exposing them for removal Gaughran explained. Health practitioners he added may employ this three-part system most often when approaching gut dysbiosis IBS candida overgrowth or just providing a comprehensive gut and liver cleanse. A word of caution he added the use of Serrapeptase may expose the body to dormant organisms like Lyme borrelia so ensure there is no previous history of Lyme s before recommending this in the detox program. Chemicals and the results of poor lifestyles are not going to go the way of the dinosaur any time soon. And even the healthiest of health-oriented people are still vulnerable to toxin accumulation that can dampen well-being. Recommending some form of detox and cleansing should always be part of any health-promoting protocol. Many people still have misconceptions about the detoxification process and do not understand its value. Just about every single client patient can benefit from some sort of detoxification regimen--and therefore new client patient education of this topic is warranted. Many internalized heavy metals such as aluminum arsenic cadmium lead mercury and nickel can exceed the WHO standard for daily accumulation. Every day the United States produces approximately 42 billion pounds of chemicals. According to a new report approximately 218 million Americans are consuming dangerous levels of chromium-6 that contaminate tap water. Healthy Take Aways FOR MORE INFORMATION Ayush Herbs Clinical Synergy Professional Formulas Herbalix Restoratives Liver Medic Go to hyalogic for info about this advertiser 14 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2016 Go to natreon for info about this advertiser NATURAL APPROACHES TO BONE & JOINT CARE FOR ALL AGES Natural and integrative practitioners are educating more patients about treatment supplementation and lifestyle choices for bone and joint health. By Karen Morse MPH W ith an aging population choosing to stay young consumers are turning to natural therapies and supplements to help them as they grow older. Natural and integrative practitioners can educate these patients about treatment supplementation and lifestyle choices. According to The Burden of Musculoskeletal Conditions in the United States a publication from the U.S. Bone and Joint Initiative more than 50 percent of Americans over the age of 18 are affected by musculoskeletal conditions. Musculoskeletal conditions defined as conditions that affect the bones and joints include back and spine pain arthritis osteoporosis and traumatic injuries. The World Health Organization (WHO) reported that bone and joint disorders are the most common cause of severe longterm pain and physical disability in the world affecting hundreds of millions of people. Costs associated with bone and joint conditions escalated in 2011 when the Baby Boomer generation became Medicare beneficiaries and due to increased life expectancy this is expected to continue for decades. According to Dr. Evelyn Haworth Illinois-based chiropractor and inventor of the Tru-Align Body System by Kacelia The American Academy of Orthopedic Surgeons stated that one in two Americans have a musculoskeletal condition costing an estimated 213 billion each year in treatment and lost wages. Approximately two out of every three overweight Americans will develop joint problems. Arthritis the most common joint disorder is estimated to increase to 25 percent of the adult population by 2030. The causes of declining bone and joint health vary by condition but typically include symptoms associated with aging such as loss of bone mineral density lack of good nutrition and lifestyle factors such as obesity smoking excessive drinking and not getting enough exercise. According to the National Osteoporosis Foundation approximately 54 million Americans have osteoporosis and low bone mass. Studies suggest that approximately one in two women and up to one in four men age 50 and older will break a bone due to osteoporosis. Dr. Jacob Teitelbaum director of the Practitioners Alignment Network and member of the Natural Practitioner Advisory Board lists 16 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2016 the main causes of osteoporosis as vitamin D and magnesium deficiency decreased weight-bearing exercise estrogen and testosterone deficiency excessive alcohol intake and the increased use of acid blocker indigestion medication (PPIs) antidepressants prednisone and other medications. When treating bone and joint conditions in patients a multi-pronged approach is best according to Dr. Haworth which includes nutritional supplements herbal remedies as well as functional treatments to physically enhance joint movement and alignment. Being proactive about bone and health is also important. People under the age of 30 are interested in preventing bone weakness later in life said Dr. Haworth. Educating these consumers can help grow this market. To preserve bone and joint health experts recommend getting enough calcium and vitamin D at a young age to build strong healthy bones and keeping them strong as your-age. This can be accomplished by eating a well-balanced diet filled with a diversity of fruits and vegetables including dark leafy greens that are rich in calcium. Engaging in regular exercise to build muscular strength is also key to bone and joint health as well as maintaining a healthy weight avoiding smoking and limiting alcohol consumption. pack restricts blood vessels slows circulation reduces swelling and numbs nerve endings while dulling pain. The best advice Dr. Haworth stated is to get moving. Walking swimming biking ... anything getting the joints moving will encourage joint health she said. Stretching and yoga also help keep the tendons lubricated. There are physical therapy modalities that can help relieve joint inflammation and pain like electrical muscle stimulation or cold laser she continued [as well as] many forms of traction that are helpful in reducing joint pressure and compression. Other helpful natural approaches to treating bone and joint disorders shared by Dr. Haworth included massage therapy for its ability to help increase circulation relax muscle tension break up fibrotic scar tissue and disperse lactic acid and acupuncture to help reduce pain and inflammation and improve circulation. Good nutrition is also essential including a diet rich in fruits and vegetables as well as proper supplementation. For conditions such as arthritis Dr. Haworth advised avoiding foods that leave acid residues like red meat dairy refined sugar and acidic fruits and vegetables such as tomatoes citrus strawberries spinach and rhubarb. Bone and Joint Supplements Calcium and Vitamin D Probably the most well-known nutrients for bone health calcium and vitamin D are highly recommended in building and strengthening bones. Many Americans are reported to be deficient in both of these essential nutrients due to lifestyle factors such as poor diet and lack of exposure to sunlight. Vitamin D helps the body absorb calcium more readily so taking the supplements together is essential. I think something that gets lost in a lot of discussions about calcium is that the quantity of calcium is not as important as the quality said Cheryl Myers chief of education and scientific affairs at EuroMedica in Wisconsin. In fact you don t need to have extreme supplemental levels of calcium when a quality form is combined with many of the accessory nutrients that help provide better calcium absorption she continued. Myers advised that a moderate level of calcium in the 400 to 600 mg range per Therapeutic Approaches Once a musculoskeletal condition has been diagnosed there are a number of natural remedies that could be beneficial to manage symptoms. Warm water therapy is one natural remedy that research has shown helps with all kinds of bone and joint disorders including arthritis fibromyalgia and low back pain. According to the Arthritis Foundation a warm water soak reduces gravity that is putting pressure on the joint as well as have the effects of reducing inflammation and increasing circulation. To boost the benefits add magnesium-rich Epsom salts to the water. Research conducted by the National Academy of Sciences demonstrated most Americans don t get enough magnesium a mineral that is essential for bone health. A 20-minute soak can boost magnesium levels as much as 35 percent. In additional to heat therapy cold treatments can also be effective at relieving pain associated with bone and joint conditions. When acute pain arises a storebought gel cold pack or homemade ice day may be better than the larger 1 000 to 1 500 mg doses that are advised by some nutritionists noting that too much calcium can actually suppress the much-needed vitamin D in our blood. Vitamin D is crucial in maintaining healthy bones (and cellular health overall) so by overdoing it with too much calcium you may actually undermine the natural process of bone building in the body Myers warned. There are a number of quality formulas with both calcium and vitamin D on the market. Euromedica offers OsteoStrong a tablet containing calcium as well as vitamin D3 magnesium vitamins K1 and K2 and a host of other easily absorbed chelated minerals in the formula. Patient One MediNutritionals based in New York markets OsteoOne a complex designed to mimic healthy bone matrix that includes calcium and vitamin D3 as well as vitamin K2 (menaquinone) and other minerals that support bone health including zinc manganese and magnesium which supports healthy bone mineralization. The complex comes in glutenfree tablets and also includes PhytoBoron as well as natural silica derived from bamboo stems. Research from PatientOne stated that boron plays an important role in reducing urinary calcium and magnesium excretion while silica promotes synthesis of collagen to strengthen bones. The formulation is reported to be easy on the stomach to enhance patient compliance. From Illinois-based Redd Remedies Bone Health Original is a product made with easily digestible highly-bioavailable food-based Membrell Original ESC (eggshell calcium). The supplement also contains naturally occurring zinc phosphorus boron as well as strontium which is reported to be effective at reducing bone fracture risk. Bone Health Original also contains vitamin D3 in the form of cholecalciferol to promote calcium absorption as well as magnesium citrate. For those needing additional support Bone Health Advanced provides the same ESC along with magnesium and boron in their special rice protein amino acid chelate forms for easy digestion and assimilation into bone tissue as well as vitamin K2 (MenaQ7) for healthy bone restructuring. Both formulations are available in vegetarian capsule form. SEPTEMBER OCTOBER 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 17 APPROACHES BONE & JOINT CARE FOR ALL AGES TO NATURAL Herbal Anti-Inflammatory Treatments Jason Edwards president and chief executive officer of NuAxon BioScience Inc. in Indiana stated that herbal anti-inflammatory treatments are simple longterm solutions to treating joint conditions. Ingredients such as turmeric ginger and boswellia are used in traditional medicine and have a wealth of research to support their efficacy. In a 2003 randomized double-blind placebo-controlled study patients who received boswellia serrata extract to treat osteoarthritis of the knee reported a decrease in knee pain decreased swelling in the knee joint improved knee flexion and were able to walk a greater distance than patients who received placebo. The Tru-Align Body System A number of factors including aging sitting for prolonged periods of time repetitive activities and trauma can cause our bodies to become misaligned limiting function and reducing quality of life. The Tru-Align Body System a self-care treatment system from Kacelia has been clinically proven to alleviate pain and stiffness of the neck and shoulders back pain sciatica disc problems and more. Daily treatments two to three times weekly are recommended to achieve the best posture and flexibility. Most people who use the system achieve their goals in four to 12 months. Anyone can benefit regardless of sex age or body type. For more information about the TruAlign system contact Kacelia at (855) 522-3542 or sales Under their brand Rebel Herbs NuAxon markets Jointade--an ayurvedic herbal blend containing boswellia ashwagandha root extract turmeric ginger among others which is used to help maintain normal levels of inflammation in the body. According to Rebel Herbs the herbs in this vegetarian capsule formulation are concentrated by an extremely powerful technology that combines CO2 extracts with hydrophilic extracts to create a powerful holistic extract delivered in a vegetarian-based capsule. Patient One also offers an herbal joint supplement CT Joint Care which supplies a blend of traditional herbs along with flavonoids and enzymes that support joint comfort. We literally cannot keep CT Joint Care in stock said Kathy McIntee of Patient One. In addition to boswellia the formula provides turmeric ginger devil s claw and yucca extracts along with quercetin and bromelain which has been used to treat inflammation for decades. CT Joint Care s combination of ingredients supports a healthy inflammatory response while reducing minor pain symptoms in a vegetarian capsule formulation. Another herbal supplement recommended by Dr. Teitelbaum is CuraPhen from Euromedica. For osteoarthritis he said double-blind studies have shown that a combination of the special form of highly-absorbed curcumin plus boswellia is more effective than Celebrex for both osteoarthritis and rheumatoid arthritis. While curcumin is typically poorlyabsorbed CuraPhen s additional essential oil turmerone increases curcumin s absorption by approximately 700 percent Dr. Teitelbaum stated. The curcumin we use in our formula is verified in 29 published clinical studies--13 of which are human studies for a variety of health concerns including joint pain Myers shared. Curaphen also provides DLPA which contains two forms of the amino acid phenylalanine--the l form to improve mood-elevating brain and the d to block a nervous system enzyme (carboxypeptidase A) that seems to intensify pain signals. According to Myers DLPA also helps prevent the breakdown of one of the brain s natural pain-killing substances enkephalins which are in the same family as endorphins. Omega-3s In addition to brain and heart health the ability of omega-3 fatty acids to reduce inflammation makes them an effective supplement to keep joints healthy. The eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) in omega-3 supplements protect the body against inflammation and are known to help reduce the pain associated with stress and injury to the joints. Omega-3 2100 from Florida-based Ocean Blue Professional provides 2 100 milligrams of EPA DHA and other omega-3 essential fatty acids. The easy-toswallow soft gels are formulated with natural orange oil and are free from the smelly fishy taste often associated with fish oil supplements. The product is GMO (genetically modified organism)-free gluten free and contains no mercury sugar lactose or dyes. Another omega-3 supplement is ProOmega Joint Xtra from Nordic Naturals in California. According to Nordic Naturals the latest human trials show that the combination of EPA DHA from fish oil and glucosamine sulfate work better together than glucosamine sulfate alone. So the company s ProOmega Joint Xtra combines concentrated omega-3 fish oil with glucosamine sulfate to promote joint health comfort and aid in mobility. ProOmega Joint Xtra also includes undenatured Type II 18 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2016 Collagen (UC-II) a type of collagen derived from chicken sternum to accelerate overall benefits. Subjects who received UC-II in a randomized double-blind placebo-controlled study of healthy volunteers who had recently experienced knee pain with physical activity had less knee pain and better knee extension than subjects who were given a placebo. Final Thoughts The market for natural approaches to bone and joint health is growing as people are looking for alternatives to traditional medicine approaches. There is huge potential in the practitioner market due to credibility and a relationship with the patient said Dr. Haworth. We are in a position to educate. We practitioners need to lead by example Dr. Haworth continued. Study and look for ways to be proactive in both prevention and treatment of bone and joint problems. Educate your patients on what they need to do physically and physiologically. Try to influence them to make healthy lifestyle choices for overall health--including diet exercise sleep water intake avoiding obesity and managing stress. Today practitioners have more opportunities than ever before to connect with patients and potential patients. Even though social media may seem like an afterthought to one group of patients it very well may be the primary source of information about keeping bones and joints healthy to another said Myers. It pays to explore those options no matter what kind of practice you have. Resources Chandran B. & Goel A. (2012). A randomized pilot study to assess the efficacy and safety of curcumin in patients with active rheumatoid arthritis. Phytotherapy Research 26(11) 1719-1725. Kimmatkar N. Thawani V. Hingorani L. & Khiyani R. (2003). Efficacy and tolerability of Boswellia serrata extract in treatment of osteoarthritis of knee a randomized double blind placebo controlled trial. Phytomedicine 10(1) 3-7. Reginster J. Y. Hiligsmann M. & Bruyere O. (2010). Strontium ranelate long-term efficacy against vertebral nonvertebral and hip fractures in patients with postmenopausal osteoporosis. Therapeutic Advances in Musculoskeletal Disease 2(3) 133-143. Woolf A. D. & Pfleger B. (2003). Burden of major musculoskeletal conditions. Bulletin of the World Health Organization 81(9) 646-656. The World Health Organization reported that bone and joint disorders are the most common cause of severe long-term pain and physical disability worldwide. More than 50 percent of Americans over the age of 18 are affected by musculoskeletal conditions. Arthritis is the most common joint disorder and is estimated to increase to 25 percent of the adult population by 2030. Studies suggest that about one in two women and one in four men age 50 and older will break a bone due to osteoporosis. Healthy Take Aways FOR MORE INFORMATION Euromedica Kacelia Nordic Naturals Ocean Blue Professional Patient One Rebel Herbs Redd Remedies Go to womensinternational for info about this advertiser SEPTEMBER OCTOBER 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 19 Keeping children healthy can be difficult but a variety of holistic tools can help make the challenge easier to tackle. By Nicholas Saraceno Y ounger children have weaker immune systems compared to that of teenagers and adults due to the fact that their bodies are continuously developing. Besides this they are exposed to a plethora of germs especially when going to school and various after school activities. However as Newton s Third Law states for every action there is an equal and opposite reaction. Holistic medicine a practice that considers the whole person including body mind spirit and emotions functions under the belief that one malfunctioning part will impact the entire being ( In other words besides solely prescribing medications intended for a specific problem holistic medicine practitioners consid- er other factors that could have caused the problem. Although one s traditional medication (prescription drugs antibiotics over-thecounter medications etc.) also have an impact doctors are beginning to embrace this practice as it presents its share of positives as a result of its beneficial ingredients and possibilities. Holistic Medicine Options As one might expect the choices surrounding holistic medicine practices are plentiful. For that reason a sense of direction may be necessary to steer patients down the proper path. According to Courtney Nichols-Gould co-founder and co-CEO of Calfornia-based vitamin company SmartyPants Vitamins following a healthy path starts with the essentials. At SmartyPants we believe the best natural way to stay well is to consistently follow a healthy lifestyle which includes getting nutrients from whole unprocessed foods adequate sleep and stress management said Nichols-Gould. However as parents ourselves we know that busy schedules picky eaters and other facts of modern life can sometimes get in the way of this ideal. We focus on creating products that include nutrients which seem to be hardest to get through diet alone and address the most chronic nutrient deficiencies we see in both the adult and child population such as vitamin D vitamin B12 fiber and omega-3 EPA and DHA. Additionally we believe both probiotics 20 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2016 and prebiotics are a key part of a preventative health regimen with a focus on high survivability and CFU amounts that can have a meaningful impact. We recommend one billion CFU or higher. As Nichols-Gould added vitamins D B12 and omega-3s are beneficial toward brain health heart health and immunity specifically for individuals who are not receiving a suffice amount through diet alone. Many of these vitamins can be found in various probiotic strains while others can be derived elsewhere. For those who wish to utilize homeopathy treatments are available and can be traced back centuries. Homeopathic medicines offer consumers a choice to conventional medications as well as the benefits and features that they strongly desire. This genre of medicine which was developed in Europe more than 200 years ago has an extraordinary record of safety for any class of drug said Christophe Merville DPharm director of education and pharmacy development at Boiron USA a homeopathic product manufacturer in Pennsylvania. Homeopathic medicines above 4C have a low risk of side effects and no contraindications. They can be safely taken with other conventional medications herbs etc. and are sometimes recommended to complement other treatments. The principle behind homeopathic medicines is that the active ingredients are highly diluted plants animals and or minerals that relieve the same symptoms they cause at full strength. For example chopping a red onion might cause burning tears a runny nose and sneezing--all of which would improve with fresh air. Conversely a micro-dose of a red onion (or Allium cepa in Latin) relieves itchy eyes watery nasal discharge and spasmodic sneezing--due to either colds or allergies. Depending on the illness multiple tactics are available as solutions--the same can even be said in regards to delivery methods. International) parents are concerned about infant digestive health such as when babies receive abdominal cramps from being unable to pass a bowel movement. As children meet other children in different environments the bacteria exposure continues. As children start to socialize with groups of other children in kindergarten and school settings they will become exposed to new germs viruses and bacteria that will interact with their immune systems added Barnes. This often results in respiratory tract infections such as colds and flu. While it is important for children to gain this exposure and build their natural immune defenses studies show many children experience less severe symptoms and reduced recovery time if they receive probiotics at these times. Homeopathic medicines offer consumers a choice to conventional medications as well as the benefits and features that they strongly desire. This genre of medicine which was developed in Europe more than 200 years ago has an extraordinary record of safety for any class of drug. --Christophe Merville DPharm Director of Education and Pharmacy Boiron USA Although the benefits that exist to combat children s abundance of illnesses are promising one challenge remains having them consume these medications. Over the years new innovations have come along with the hopes of making this task a more practical one. There is a trend in offering children a lot more options when it comes to vitamins supplements and nutrition said Dr. Suzanne Goh MD MBA medical director at MitoMedical LLC in New Jersey a company with items that support healthy mitochondrial function. There are also many more ways children can take nutritional supplements from gummies to powders liquids nutrient enriched foods and beverages and even topical applications. Likewise there is more overlap between supplements and foods that are enriched with specific beneficial nutrients. Overall efforts to make edible nutritional products more palatable are often most effective. Dr. Goh added that many more manufacturers of these products are looking for ways to make their products with all-natural ingredients--as a result products that have done otherwise have recently lost popularity. State of the Market Many consumers and medical professionals alike may argue that natural children s health medication is on the rise while traditional treatments are on the decline. As Merville illustrated this shift in thinking is becoming apparent in mainstream stores. There is a shift toward natural options as consumers strongly desire to minimize their usage of conventional OTC (over-thecounter) medications because of safety and purity concerns noted Merville. Retailers have fully recognized this and are now migrating toward providing natural and organic options. Examples included Walmart s much highlighted interest in offering natural products. Target s Made to Matter items range from medicine to cleaning products. CVS is focusing more on the natural consumer. In general vitamins and supplements are both highly demanded by individuals of all ages resulting in an industry with enormous revenues. This has even resulted in children taking them via the various delivery methods. Nangle pointed out product activity on the macro level as it relates to the supplement industry as a whole and its pediatric supplement counterpart. The United States drove new-product activity in supplements in 2015 with North Common Illnesses and Delivery Methods As previously mentioned younger children find themselves becoming sick due to a weak compromised immune system that is not developed enough to fight various sicknesses. Of course this does improve as one approaches adulthood but in the stages prior to this germ-exposure is at a high. As noted by Claire Barnes technical advisor with Florida-based Protexin Inc. a probiotics manufacturer (Probiotics Such exposure is due to a child s diseasefighting antibodies being wiped out alongside the negative ones. Heather Nangle director of marketing at Hyperbiotics a probiotics company located in Nevada expanded on this idea stating that as most parents know kids can be especially susceptible to stubborn ear nose throat (ENT) and upper respiratory issues that often lead to a cycle of antibiotic use that can be hard to break. Once a child takes antibiotics for a common ENT issue the antibiotics indiscriminately wipe out both the bad and good bacteria--bacteria that are critical for optimal immune function. With a depleted microbiome kids are then even more susceptible to inhospitable microbes that can work their way in (where the good bacteria used to live) and make them feel under the weather. SEPTEMBER OCTOBER 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 21 America accounting for over 40 percent of global children s supplement launches recorded by Innova Market Insights in 2015 reflecting the highly developed nature of the market said Nangle. Europe came next with just under 30 percent of global launches trailing the United States despite Europe s large number of countries. The United States was responsible for over 34 percent of supplements targeted at children aged 5 to 12 years. (This 34 percent however equates to just 2.6 percent of total U.S. dietary supplement introductions over the same period.) Dietary supplements are a 26 billion industry that has grown by 27 percent just in the last five years. Pediatric supplements are a 573 million portion of that according to Euromonitor International a market research firm. The most popular supplement is the vitamin category. Researchers at UC (University of California) Davis Children s Hospital have estimated that one-third of U.S. children take some sort of daily vitamin. It leaves room to ponder how will the markets for traditional and natural children s health medication shape out moving forward Will natural medication s current momentum propel it forward or will it plateau Essentially the answers to these questions are dependent on the findings of current and future research. Research Surrounding Children s Health Being that scientific research is an ongoing process manufacturers each have particular objectives that they wish to accomplish through studies. Nonetheless they share a common ground regarding their overall goals for the industry. One example of this ideal is Probiotics International (which produces Bio-Kult) who has utilized multiple strains for human trials surrounding children of different ages. Bio-Kult has numerous studies on the bacterial strains used within its supplements and children s health. We have and continue to develop human trials into the digestive health of children including colic in infants H. pylori infection in children as well as diarrhea and constipation as childhood illnesses said Barnes. We have also conducted trials looking at more specific conditions outside of the digestive tract such as atopic dermatitis and neonatal pneumonia. We believe conducting human trials will provide better evidence for how multi-strain probiotics have an effect on overall health and continue to develop further studies in this area. Research also includes developing products to support healthy mitochondrial function. As Michelle Hasson CEO of MitoMedical noted the company s research and development focuses on the biological correlation between mitochondrial dysfunction and neurological disorders such as autism spectrum disorder ADHD (attention deficit hyperactivity disorder) and others. Indeed practitioners and medical professionals can agree that conducting excessive human trials does not exist--a greater Helping to Heal Helps Parents Cope with Children s Diagnoses amount of clinical studies could potentially result in scientists discovering a trend or new discovery. Current research provides promise while future steps though quite involved provide optimism. Knowledge of the microbiome continues to improve and evolve added Barnes. As our understanding of a balanced and diverse gut flora develops we are becoming increasingly aware of the benefits these bacteria can have on our overall health. As one takes a step back to contemplate next moves Dr. Goh provided a scene setter for what could be to come. Research into children s health is going in the direction of recognizing that there are a lot of holistic integrative and nutritional-based approaches that have profound impact mentioned Dr. Goh. Even in children with very specific disease states steps must also be taken to promote overall health and well being in order to maximize treatment results. This shift could very well be due to a lack of nutritional value in many people s diets in the U.S. and abroad. In research we are seeing a lot of studies adjusting multiple factors at a time rather than focusing on just one treatment option. So generally speaking this is very positive direction for both general public nutrition and medicine. T he Helping to Heal Foundation a nonprofit based in New York and its project manager Nancy Sirianni announced the publication of Patti Wood s Helping to Heal which is the third edition. The work was written with the goal of providing parents with advice to comfort and help their child overcome being diagnosed with a serious illness along with the process that comes afterwards. This is a time when a parent s instinct is to nurture and protect but many parents have feelings of helplessness and frustration while doctors and other health care professionals manage their child s illness said Wood. My goal with Helping to Heal is to give parents some ideas and tools that can help them truly make a difference. John Wargo PhD professor of environmental risk analysis at Yale University described Helping to Heal as a common sense guide that explains how to navigate among chemical dangers in food water and consumer products that may be present in everyday environments. This is a terrific resource for parents physicians and others responsible for managing the recovery of our youngest and most vulnerable. For more information call (516) 8830887 or visit Vitamins D B12 and omega-3s are beneficial for brain health heart health and immunity specifically for individuals who are not receiving a suffice amount through diet alone. The United States drove newproduct activity in supplements in 2015 with North America accounting for more than 40 percent of global children s supplement launches recorded by Innova Market Insights in 2015 reflecting the highly developed nature of the market. Researchers at UC Davis Children s Hospital have estimated that one-third of U.S. children take some sort of daily vitamin. Healthy Take Aways FOR MORE INFORMATION Boiron USA Hyperbiotics Inc. Probiotics International Ltd SmartyPants Inc. Spectrum Supplements (Master Distributor for MitoMedical LLC) 22 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2016 Go to probioticsinternational for info about this advertiser PRODUCT FOCUS Embracing the Benefits of Probiotics and Enzymes W hen one catches an illness there is often confusion as to which specific medication to lean on. Recently the importance of probiotics has come to light as these live bacteria are believed to have various benefits. Probiotics which come in different strains are believed to help treat numerous issues such as irritable bowel syndrome a disorder that affects an estimated 10-20 percent of adults hypertension (high blood By Nicholas Saraceno pressure) and high cholesterol to name a few according to the California Dairy Research Foundation. On the other hand there are enzymes. In broad terms these are active proteins that help combat various bodily processes whether it be at the metabolic level (producing energy removing unnecessary chemicals) or at the digestive level where improperly breaking down food can possibly result in gastrointestinal issues including bloating according to A combination of both probiotics and enzymes provide the body with the vitamins and minerals necessary for it to function in its normal state. Below is a selection of probiotic and enzymes products that practitioners can offer their patients. Intolerance Complex As an alternative to elimination enzyme supplementation may assist and enhance the digestion of foods therefore allowing greater availability of nutrients for the body. Floridabased Enzyme Science s Intolerance Complex contains lactase for digesting the dairy sugar lactose and DPP-IV activity for digesting gluten proteins found in wheat and other grains. Alpha Galactosidase is included for digesting gasforming complex starches found in beans grains and fibrous vegetables. Support for protein fat and carbohydrate digestion rounds out the formula in order to expand the body s capacity to liberate nutrients from foods eaten. By doing so the fuel available for metabolism repair and cellular health is increased. The suggested price is 20.50 for 30 capsules and 58.00 for 90 capsules. For more information call (855) 281-7246 or visit Dr. Ohhira s Probiotics Professional Formula Texas-based Essential Formula s Dr. Ohhira s Probiotics Professional Formula by BioBank uses 12 select probiotic strains of live lactic acid bacteria in a longer five-year fermentation process. The viable probiotics and prebiotics are then encapsulated with their own nutritious food supply of organic acids enzymes and bacteriocins which includes important micronutrient vitamin mineral and amino acid byproducts. This results in a highly concentrated formula optimized for individuals with complex digestive and immune health goals. The suggested price is 39.55 for 30 capsules. Sixty and 120 capsule options are also available. 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 (972) 255-3918 or visit Bio-Kult Probiotic Capsules U.K.-based Probiotics International Ltd. s (Protexin) Bio-Kult which has a location in Florida is a scientifically developed advanced multi-strain probiotic containing 14 live bacterial cultures which are proven to survive the high acidity of the stomach. Each batch is tested by an independent lab to ensure that the bacterial count meets the label claim. One of the key areas of investment for Protexin the manufacturers of Bio-Kult is research. Protexins work with clinical research organizations leading universities and hospitals to ensure they are always at the forefront of research. This includes invitro early stage development concept exploration and human clinical trials. Prices start at 25.50 for 60 capsules--120 and 180-ct. bottles are also available. For more information call (786) 310-7233 or visit Acidophilus Bifidobacter FOS Connecticut-based Vital Nutrients Acidophilus Bifidobacter FOS is a combination of two bacteria and FOS (fructooligosaccharides) a naturally occurring indigestible sugar that maintains the growth of normal gut flora. This product promotes healthy digestion breakdown of food a healthy environment in the intestines and may also maintain normal vaginal flora. This formula is dairy free and a 60-capsule bottle is available for 12.60. 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 (888) 328-9992 or visit 24 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2016 Go to carlson for info about this advertiser PRODUCT FOCUS PRO-Women PRO-Women created by Nevada-based Hyperbiotics is formulated with strains chosen for the targeted benefits they provide to women including promoting the balance of yeast aiding weight loss improving digestion and regularity and reducing bloating. PRO-Women contains 5 billion CFU of L. plantarum L. fermentum L. acidophilus L. reuteri L. rhamnosus and B. bifidum. With a superior patented delivery method the probiotic organisms in PRO-Women are released over eight to 10 hours so they bypass stomach acids and reach the intestinal tract alive making this formula 15 times more effective than standard plain capsules. This formula includes cranberry extract and naturally occurring D-mannose to promote healthy urinary function. The suggested price is 28 for 30 tablets. For more information call (800) 711-5958 or visit Sanjevani Complete Based in New Mexico House of Sanjevani s Sanjevani Complete Probiotic Formula Powder (100 billion CFU per 1 4 teaspoon) provides a synergistic blend of 12 clinically important probiotic species. Proprietary acid-stable technology protects against harsh gastric conditions ensuring delivery to the small and large intestine while proprietary vegetable-based growth is free of milk casein eggs fish shellfish tree nuts peanuts wheat gluten corn yeast and soybeans. With no artificial colors flavors or preservatives it contains inulin a prebiotic derived from chicory root. The Complete Probiotic Formula Powder is for use by children or adults as a daily supplement to provide probiotic support for intestinal dysbiosis leaky gut diarrhea constipation food allergies vaginal and urinary tract infections and post antibiotic replenishment. The suggested price for 60 grams which offers 60 servings and 100 billion CFU per serving is 69.95. For more information call (505) 821-6300 or visit Probiotic & FOS--High Potency California-based Rejuvenation Science s Probiotic FOS is a sophisticated formulation of three species and 10 strains of bacteria clinically shown to support healthy immune system function. Selected to provide greater diversity and potency than typical blends and be resistant to gastric acid these strains were developed to safely pass the stomach and deliver healthy organisms to the THE GO TO RESOURCE FOR ALTERNATIVE & intestines. It is INTEGRATIVE HEALTHCARE PROFESSIONALS produced with 110 billion CFU and formulated to deliver a minimum potency of 25 billion CFU through the 18month Best By date NP s Upcoming when stored under Issue Highlights refrigeration. Store well and use fresh for 11 3 16 December ad closing Natural Practitioner s enhanced value. Annual Sourcebook There are 50 vegetarian capsules January 12 22 16 Cardiovascular Health per bottle for a price February ad closing IHS Show Issue of 53.98 (retail) 32.39 (wholesale) to March 3 6 17 Immune Support ad closing April practitioners. Our 2017 Media Planner Is Available At 2017-Media-Planner 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. MegaSporeBiotic Illinois-based MegaSporeBiotic by NatureLab is dispensed by Physicians Exclusive which was born out of the desire to improve the tools that integrative physicians have to improve the health and well-being of their patients. Physicians Exclusive was founded by a practicing doctor and is dedicated to creating nutritional supplements with the highest quality potency and efficacy for health care professionals. Dr. Tom Bayne believes that most people should take supplements under the direction of a health care professional. Because of this he has designed therapeutic products that will be sold exclusively to physicians. The suggested price for 60 caps (one month s supply) is 51 to 56. For more information call (855) 729-5090 or visit Flora Maintenance New York-based Patient One Flora Maintenance is a multi-strain identity-confirmed probiotic with a potency of 25 billion bacteria per serving at the time of encapsulation for 15 billion CFU at expiration based on proper storage. Ten compatible well-researched strains (seven found in the small intestine and three found in the large intestine) are combined with a fructooligosaccharide (FOS a prebiotic). The combination of a prebiotic and a probiotic has been clinically proven to promote enhanced effectiveness. Flora Maintenance supplies HardiStrain standardized bacteria cultures produced with a proprietary system that promotes increased viability over an extended shelf life. Freeze-dried probiotic cultures are provided in an acid-resistant delayed release capsule to survive harsh stomach acids for effective delivery to the intestinal tract where the organisms can colonize and replicate. Sixty vegetable capsules are available for 15.95 (professional) 31.90 (patient). 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. Contact One of Our Ad Specialists Today Russ Fields at 732-432-9600 ext. 102 e-Mail RussF Gary Pfaff at 732-432-9600 ext. 103 e-Mail GaryP For more information call (888) 737-3588 or visit For more information visit 26 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2016 PRACTITIONER CHAT WITH SHARI BARBANEL D r. Shoba Sreenivasan earned a PhD in clinical psychology from the University of California Los Angeles (UCLA) in 1986 and completed a post-doctoral forensic fellowship at the University of Southern California (USC). She is a clinical professor of psychiatry at Keck School of Medicine of USC works as a VA (Veterans Affairs) psychologist and has a private forensic psychology practice. She s co-authored Totally American a motivational book and authored the Mattie Spyglass series. She also has written numerous scholarly publications and book chapters in the fields of forensic psychology violence risk assessment and veterans issues. Dr. Linda E. Weinberger earned a PhD in clinical psychology from the University of Houston in 1979 and subsequently completed a postdoctoral forensic fellowship at USC. She has been the chief psychologist at the USC Institute of Psychiatry Law and Behavioral Sciences and professor of clinical psychiatry at Keck School of Medicine of USC for more than three and a half decades. She is the author of numerous book chapters and scholarly publications in the fields of forensic psychology suicide risk and violence risk assessment. The two co-authored the book Psychological Nutrition which they discuss here. cept of psychological nutrition--not about food--but about how to assess and monitor the emotions that you consume. We saw women who strived to do everything and in the process risked losing themselves. We wrote Psychological Nutrition as a way to help others. And frankly our drive to write Psychological Nutrition came from our own desire to better our lives--to use all our psychological knowledge in a practical way that could lift us and our readers out of survival mode living and toward fulfilling the best in oneself. So in Psychological Nutrition we took a hard look at junk emotions. Just like junk food there are junk emotions. Junk emotions don t bring out your best. When you live on a diet of what we call high fat emotions (such as worry anger guilt) you leave yourself with no room left for positive low-fat emotions (such as joy and excitement). Another issue we considered was when women (but this could apply to men as well) just do and do for others at the risk of their own psychological health. We call these people Helpful Helens. We noticed that there were so many women out there who juggle work family childcare and eldercare to the point that they are pressured by all of these obligations and find themselves in psychological starvation. Why Because they ve neglected to take care of themselves--they re consuming almost exclusively a diet of junk emotions and not taking measures to improve their psychological nutritional state. Dr. Shoba Sreenivasan & Dr. Linda E. Weinberger E-mail shoba1213 leweinbe or sandy Website As psychologists at one level but as women with professional and familial demands on our own plates we observed how we as well as female colleagues and friends neglected our own psychological nutrition in order to please others and in doing so end up in psychological starvation mode. We wondered what would happen if people started to consider their emotions from the perspective that these are ingredients that you feed yourself. We developed the con- Q A What was your motivation behind writing Psychological Nutrition Q Please explain the Emotional Pyramid. We are all familiar with the food pyramid that gives you an understanding of what should be the base and subsequent levels of your nutritional intake. In the Emotional Pyramid here s how psychologists typically construct that pyramid most of our time is spent in fundamental survival mode--this is the base of the pyramid the largest part. The next level is the social functioning-- this really boils down to social niceties and behaving in a way so that others will accept you. Why Because at our core we want to belong we don t want to be rejected. Next a level smaller still is our emotional needs our sense of self. The last level which is at the tippy top is the drive that gets you to inner satisfaction. We ask Why do we assume that this inner satisfaction is a luxury item something that you save for and get (if ever) sometime in the far away future Why does it have to be dessert We disagree whole-heartedly with the construction of this pyramid. To understand the pyramid concept you have to recognize that it typically works by starting at the base which is the largest part of the pyramid. In this respect the levels we just talked about went from lowest to highest. We believe that when it comes to the emotional pyramid we have to flip the content levels over. This means that the base and largest part of the pyramid should be inner satisfaction the solid foundation of who you are and what drives you. We know that fulfillment is not a luxury item. We want the base to now be where you are focused at all times which is the drive to fulfill your creative self. Don t let yourself be talked into the lowest A SEPTEMBER OCTOBER 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 27 PRACTITIONER CHAT common denominator of living. This is why you want to be mindful of psychological nourishment. Just as food products have labels that describe their nutritional content there should be psychological nutritional labels for relationships and situations. In this way you will know (or at least have a good idea) whether a relationship or event is high fat or low fat before you enter it. When you don t monitor your emotions you can unthinkingly interact with people or engage in situations that produce high fat negative emotions for you like guilt anger stress resentment. If you continue to consume these emotions they will overtake you and squeeze out the opportunity for you to experience situations and people who stimulate low fat positive emotions like joy excitement feeling appreciated and contentment. And as we know too much Q A How should people construct their Psychological Nutrition Label high fat results in an unhealthy body just as too many high fat emotions produce an unhealthy psychological state. This is why the first step in assessing your psychological nutritional state is to do a seven-day snapshot. This means monitoring your emotional intake--just like you do in a food diary--to get a clear picture of the emotions you consume what caused them and whether they are high or low fat emotions (positive or negative). The seven-day snapshot can also help you construct a psychological nutritional label. That is do you see a pattern regarding people or situations you encounter that result in high or low fat emotions If so you should assign warning labels to them. This will help you recognize not only the types of emotions you are consuming but also who and what prompted them. Then it s up to you to decide if you want to change your diet. Do you want to continue interacting with a person or putting yourself in a situation that is high fat for you Do you want to be a more psychologically healthy person and therefore take control to consume many more low fat emotions than high fat ones Assigning psychological nutritional labels helps you gauge your consumption ratio of high to low fat emotions. It also helps you assign warning labels to people and events that are not good for you and shouldn t be consumed. In our book Psychological Nutrition we provide a step-by-step guide about how to do this using examples. emotional gut not in the lining of the gastrointestinal tract but consisting of the lining of your psychological attitudinal state. It can manifest itself in two ways as an emotional jelly-belly (carrying around emotional baggage that weighs you down causes psychological flab and keeps you from achieving your best) and as an actual physical belly. It comes about because of another kind of bacteria --negative emotions that de-energize you that do not allow for the expression of creativity joy peace alertness and engagement. Negative emotions are akin to bad bacteria they are constipating and produce pain. Recall how good and bad emotions can either energize you or deplete your psychological reserves. Empty emotional calories are those high-fat emotions that lodge in your subconscious spirit and clog your emotional life. They offer no healthy psychological nutritional value indeed they are harmful. It s also important to recognize that being in such an emotional state can lead to bad eating habits (that then lead to an actual belly that is the byproduct of distress). In the book you talk about toxic relationships. How do they affect a person s overall well-being Toxic relationships are spoiled products that we consume. Just think of this in terms of food what happens when you consume a product that has toxins or is way past the use-by date You get sick--or at minimum the food doesn t taste good. Luckily we have nutritional labels and warnings on products. Unfortunately people don t come with FDA (U.S. Food and Drug Administration) nutritional labels. There are certain individuals who do need an FDA label that is bright and clear WARNING DO NOT HAVE AN INTIMATE RELATIONSHIP WITH THIS PERSON Toxic relationships just like any toxins are poisonous to your health. There s no meaningful good that will come from them and in fact could be dangerous to you. Toxic relationships zap your psychological energy they are the pathway to a psychological disorder such as depression and anxiety they can erode your physical health e.g. cause high blood pressure cardiovascular problems or worsen pain to name a few. Q A Go to mykotroph The Distress Belly--our theory--is the product of the ingestion of bad emotions. It is an Q A What is Distress Belly Q How do people become success hoarders and what can they do to 28 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2016 rectify the situation Hoarding is now an official psychiatric diagnosis reflecting the anxiety-based disorder characterized by the inability to throw anything away even useless items despite negative consequences to the hoarder and those around them. But just as one can hoard material possessions you can also hoard opportunity. Success hoarders have a me-first psychology. They hoard ideas. They hoard credit. They hoard connections. They hoard opportunities. We call it constipated success because nothing goes out it all stays within the one person. Oddly enough if the person were to be honest about this they would acknowledge that it is as uncomfortable as it is unfulfilling it just bloats one s soul. So is this wrong Let s look at it this way the successful person worked hard to get where they are they now believe that they earned what they have and others can do the same. They may justify this by saying It helped me develop character endurance assertiveness and resilience and others need to experience this too. I m not here to do charity work. Is this belief wrong No but it is limiting. Consider the emblematic feature of a hoarder i.e. someone who has lost sense of being able to discriminate between what is valuable and what is trash so much so that they become prisoners of their stuff. Just as the hoarder is imprisoned by clutter so too is the success hoarder who is kept confined by a narrow closed-off accomplished or important person psychology. When you hang on tightly to success you become fearful that others will somehow steal your ideas guarded when others approach you because you fear that they want something or will try to take something from you. You become in this sense a prisoner of your success. We ve observed this phenomenon occurring in academic arenas (here the important person s cache is their grants and the number of their peerreviewed articles in prestigious journals) just as readily as it does in business and in all other workplaces in the public or private sector. A fueled by the feminine divine movement. What we mean by the feminine divine movement is for successful women to engage in our natural cooperative and nurturing impulse to nurture the creative potential in others. Feminine divinity can unleash a revolution not political but one that is spiritual and changes how we interact with one another. It means looking for ways to use our resources professional and personal to nurture and release another s creative potential. Doing so begins the dream-maker revolution where each of us is a revolutionary. Just imagine if we adopted this as a policy that of looking for ways to make others dreams (those inner secret petitions of the heart) come true. It means becoming dreamreleasers for others. Think of the incredible opportunities in business academia science and technology and artistic endeavors that could be unleashed One act of believing in another one act of doing is all it takes. We suggest the following Let go of the important or accom- plished person syndrome Open a door of opportunity for another Don t be a success hoarder share your secrets We want this to be a tsunami of sorts-- women engaging in the uplifting of others gathering together for entrepreneurial altruism conferences where it is not about net-working but net-doing. Whatever position you have you have the ability to do something for someone. Look for it. Do it None of us are perfect we are all going to have missteps. In our book we have a section on adopting a policy of kindness to one s self. Being judgmental harsh and unforgiving towards oneself are high fat negative emotions--junk emotions. All of us are works in progress our imperfections are opportunities to grow not to engage in negative self-talk. Q A Is there anything else you would like to add Q A Can you explain the Feminine Divine Movement This is the antidote to success hoarding entrepreneurial altruism Go to mitomedical for info about this advertiser SEPTEMBER OCTOBER 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 29 SUPPLEMENTSCIENCE Not the Usual Nutraceuticals for Prostate Health By Gene Bruno MS MHS Huntington College of Health Sciences f I asked you to list the most common nutraceuticals with human clinical research that are found in formulas for prostate health you might say saw palmetto pygeum pumpkin seed oil zinc lycopene and beta-sitosterol. But how would you respond if I asked you to list some of the less commonly used nutraceuticals also with human clinical research for prostate health This article will present three such nutraceuticals curcumin green and black tea extracts and reishi mushroom extract. I Curcumin Curcumin is certainly a popular nutraceutical for use as an anti-inflammatory agent. However it is not commonly found in prostate products--and when it is it is often not present at a clinically relevant dose. Nevertheless curcumin does have research supporting its use for this purpose. A pilot study1 with 61 benign prostatic hyperplasia (BPH) patients (age range 55-65) was conducted to evaluate the use of curcumin (administered as 1 000 mg day Meriva) as an adjunct to a currently validated standard treatment defined as the best standard management (BSM) versus BSM only. Effectiveness was assessed using the International Prostate Symptom Score (IPSS). Results showed that all IPSS scores with the exception of the stream weakness score in the BSM group were improved (p 0.05 vs. inclusion) in both groups. However the overall results in the Meriva group were significantly better than in the BSM-only group (p 0.05) and were without reported side effects. Specifically the IPSS score declined by 9.05 points in the Meriva group compared to a decline of only 3.45 points in the BSM only group. Likewise quality of life improvement was significantly better in the Meriva group (p 0.01) and there was also a significantly greater decrease in episodes of urinary infections and urinary block in the Meriva group (p 0.01). In addition the sexual activity score was significantly improved in the Meriva group compared to only slightly improved in the BSM only group (p 0.05). The researchers concluded In patients with BPH the addition of Meriva to the standard treatment contributed to the reduction of signs and symptoms of the disease without causing any significant additional side effect. Green and Black Tea Extracts Green tea and to a lesser extent black tea extracts are used as antioxidants and in diet weight-loss formulas. Two years ago a study published in Therapeutic Advances in Urology indicated that they might also have value in the treatment of lower urinary tract symptoms (LUTS) such as those found in BPH. A randomized double-blind placebocontrolled study2 was conducted with 40 men (age range 30-70) suffering from LUTS to examine the effects of a green and black tea extract blend (AssuriTEA). Subjects were randomized to 500 mg or 1 000 mg of the tea blend or placebo daily for 12 weeks. Assessment methods included the American Urologic Association symptom score (AUAss) simple uroflowmetry postvoid residual 30 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2016 volume (PVR) C-reactive protein (CRP) as a measure of inflammation Short-Form 36 Health Survey (SF-36) and International Index of Erectile Function (IIEF). These were all performed at baseline (BL) week 6 and week 12. The results were as follows the AUAss decreased 34.5 percent from by week 12 in the 1 000 mg group (p 0.008). By week 12 CRP had not increased in the 1 000 mg group but did increase in the other two groups. Average urine flow (Qmean) increased in the 500 mg (p 0.033) and 1 000 mg AMH (p 0.002) groups versus placebo. PVR decreased in the 1 000 mg AMH group (p 0.034) at week 6. Furthermore both tea blend groups had improvements in physical functioning (p 0.051) and sexual desire (p 0.005 respectively). mg or 60 mg) or placebo in 50 men ( 50 years) with lower urinary tract symptoms (LUTS). Assessment methods included the IPSS peak urine flow rate prostate volume and residual urine. The results were that reishi was well tolerated and doses of 6 mg and 60 mg significantly improved IPSS at four and eight weeks (p 0.0005 and p 0.026 respectively). Similar results were seen in another 12week randomized clinical trial4 using 6 mg of reishi mushroom extract daily in men with slight-to-moderate LUTS. Results also showed a significant reduction in IPSS (p 0.0001). 2 Katz A Efros M Kaminetsky J Herrlinger K Chirouzes D Ceddia M. A green and black tea extract benefits urological health in men with lower urinary tract symptoms. Ther Adv Urol. 2014 Jun 6(3) 89-96. 3 Noguchi M Kakuma T Tomiyasu K Kurita Y Kukihara H Konishi F Kumamoto S Shimizu K Kondo R Matsuoka K. Effect of an extract of Ganoderma lucidum in men with lower urinary tract symptoms a double-blind placebo-controlled randomized and dose-ranging study. Asian J Androl. 2008 Jul 10(4) 651-8. 4 Noguchi M Kakuma T Tomiyasu K Yamada A Itoh K Konishi F Kumamoto S Shimizu K Kondo R Matsuoka K. Randomized clinical trial of an ethanol extract of Ganoderma lucidum in men with lower urinary tract symptoms. Asian J Androl. 2008 Sep 10(5) 777-85. Conclusion While saw palmetto pygeum et al certainly have demonstrated value in the treatment of BPH LUTS they are not the only game in town. It may be useful to consider the use of curcumin green and black tea extracts and reishi mushroom extract as other possible nutraceuticals for prostate health. Reishi Mushroom Extract Reishi mushroom (Ganoderma lucidum) is frequently used to support various aspects of immune system function. In addition there have been studies demonstrating its efficacy for prostate health. An eight-week double-blind placebocontrolled randomized and dose-ranging study3 evaluated the safety and efficacy of the reishi mushroom extract (0.6 mg 6 References 1 Ledda A Belcaro G Dugall M Luzzi R Scoccianti M Togni S Appendino G Ciammaichella G. Meriva a lecithinized curcumin delivery system in the control of benign prostatic hyperplasia a pilot product evaluation registry study. Panminerva Med. 2012 Dec 54(1 Suppl 4) 17-22. Gene Bruno MS MHS the dean of academics for Huntington College of Health Sciences is a nutritionist herbalist writer and educator. For more than 30 years he has educated and trained natural product retailers and health care professionals has researched and formulated natural products for dozens of dietary supplement companies and has written articles on nutrition herbal medicine nutraceuticals and integrative health issues for trade consumer magazines and peerreviewed publications. He can be reached at gbruno SEPTEMBER OCTOBER 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 31 NATURAL HEALTH STUDIES Researchers Propose New Treatment to Prevent Kidney Stones esearchers have found evidence that a natural fruit extract is capable of dissolving calcium oxalate crystals the most common component of human kidney stones. This finding could lead to the first advance in the treatment of calcium oxalate stones in 30 years. Jeffrey Rimer associate professor of chemical engineering at the University of Houston was lead author of the study published in the online edition of Nature. The work offers the first evidence that the compound hydroxycitrate (HCA) is an effective inhibitor of calcium oxalate crystal growth that under certain conditions is actually able to dissolve these crystals. Researchers also explain how it works. The findings are the result of a combination of experimental studies computational studies and human studies Rimer said. Kidney stones are small hard mineral deposits that form inside the kidneys affecting up to 12 percent of men and 7 percent of women. High blood pressure diabetes and obesity can increase the risk and the reported incidence is on the rise. Preventive treatment has not changed much over the last three decades. Doctors tell patients who are at risk of developing stones to drink lots of water and avoid foods rich in oxalate such as rhubarb okra spinach and almonds. They often recommend taking citrate (CA) in the form R of potassium citrate a supplement that can slow crystal growth but some people are unable to tolerate the side effects. The project grew out of preliminary work done by collaborator John Asplin a nephrologist at Litholink Corporation who suggested HCA as a possible treatment. HCA is chemically similar to CA and is also available as a dietary supplement. HCA shows promise as a potential therapy to prevent kidney stones the researchers wrote. HCA may be preferred as a therapy over CA (potassium citrate). In addition to Rimer and Asplin authors on the paper include Giannis Mpourmpakis and his graduate student Michael G. Taylor of the University of Pittsburgh Ignacio Granja of Litholink Corporation and Jihae Chung a UH graduate student working in Rimer s lab. The head-to-head studies of CA and HCA determined that while both compounds inhibit the growth of calcium oxalate crystals HCA was more potent and displayed unique qualities that are advantageous for the development of new therapies. The team of researchers then used atomic force microscopy (AFM) to study interactions between the crystals CA and HCA under realistic growth conditions. According to Rimer the technique allowed them to record crystal growth in real time with near-molecular resolution. Chung noted that the AFM images recorded the crystal actually shrinking when exposed to specific concentrations of HCA. Rimer suspected the initial finding was an abnormality as it is rare to see a crystal actually dissolve in highly supersaturated growth solutions. The most effective inhibitors reported in the literature simply stopped the crystal from growing. It turned out that Chung s initial finding was correct. Once they confirmed it is possible to dissolve crystals in supersaturated solutions researchers then looked at reasons to explain why that happened. Mpourmpakis and Taylor applied density functional theory (DFT)--a highly accurate computational method used to study the structure and properties of materials--to address how HCA and CA bind to calcium and to calcium oxalate crystals. They discovered HCA formed a stronger bond with crystal surfaces inducing a strain that is seemingly relieved by the release of calcium and oxalate leading to crystal dissolution. HCA was also tested in human subjects as seven people took the supplement for three days allowing researchers to determine that HCA is excreted through urine a requirement for the supplement to work as a treatment. (Source Nature--August 2016) Music Demonstrated to Alleviate Cancer Patients Symptoms W e ve all heard of laughter being the best medicine but what about music A systematic review published by the Cochrane Library found that there is significant evidence that music interventions help alleviate symptoms of anxiety pain and fatigue in cancer patients while also boosting their quality of life. Led by Joke Bradt PhD associate professor in Drexel University s College of Nursing and Health Professions a team looked into studies that examined the impact of music therapy (a personalized music experience offered by trained music therapists) and music medicine (listening to pre-recorded music provided by a doctor or nurse) on psychological and physical outcomes in people with cancer. We found that music therapy interventions specifically help improve patients quality of life explained Dr. Bradt. These are important findings as these outcomes play an important role in patients overall wellbeing. A total of 52 trials were examined in the review constituting of 3 731 participants with cancer. Twenty-three of the trials were categorized as music therapy and the remaining 29 were classified as music medicine interventions. Overall one of the most impactful findings was that music interventions of all kinds resulted in a moderate-to-strong effect in reducing patients anxiety. When it came to pain reduction the researchers found a large treatment benefit for fatigue a small-to-moderate treatment effect was found. Small reductions in heart and respiratory rates as well as lowered blood pressure were also linked to music interventions. The results of single studies suggest that music listening may reduce the need for anesthetics and analgesics as well as decreased recovery time and duration of hospitalization but more research is needed for these outcomes according to Dr. Bradt and her co-authors. When comparing music therapy to music medicine the team saw a moderate increase in patients quality of life when music therapy was applied. There was not a similar effect in the case of music medicine interventions. Both music medicine and music therapy interventions play an important role in cancer care but we didn t quite know yet which interventions may be best suited for which type of outcome Dr. Bradt said. In light of the benefits to cancer patients quality of life and specifically their levels of anxiety pain and fatigue the researchers hope music interventions will become more widespread. We hope that the findings of this review will encourage health care providers in medical settings to seriously consider the use of music therapy in the psychosocial care of people with cancer Dr. Bradt concluded. (Source Cochrane Library--August 2016) 32 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2016 Increasing Nursing Mothers Vitamin D Levels May Benefit Babies N ew research from New Zealand s University of Otago has found that giving breastfeeding mothers monthly high-dose vitamin D supplements may be a possible way to improve their babies vitamin D status. Vitamin D is essential for calcium and bone metabolism and is mainly obtained from exposure to sunlight with only low levels found in food and breast milk. Risk factors for infant vitamin D deficiency-- which can lead to the bone disorder rickets--include being exclusively breastfed. Study co-author Dr. Ben Wheeler said many countries recommend giving babies daily vitamin D supplements during breastfeeding but this advice was often not followed. We wanted to see if having mothers take a monthly high-dose supplement could offer another way to help infants get sufficient levels of the vitamin he explained. In a randomized controlled trial 90 pregnant women who indicated that they intended to exclusively breastfeed for six months were divided into two supplementation groups and a placebo group. Four weeks after birth mothers in one supplementation group were given a 1.25 mg dose each month for four months while women in the other group took a 2.5 mg dose. The babies vitamin D levels were measured from their cord blood or blood tests at the beginning of the trial and then assessed again at its end. The researchers then adjusted for which season the babies were born in their skin color and whether they had been fed supplemented infant formula. Compared to the placebo group they found a significant and clinically meaningful increase in vitamin D levels in the blood of infants whose mothers took the highest dose. At this dose the improvement in vitamin D status appears to offer some protection against moderate to severe deficiency in infants as only one of the babies in the 2.5 mg group showed serious deficiency compared to six in the placebo group Dr. Wheeler said adding that there is growing concern internationally that the number of children suffering from vitamin D deficiency is increasing. If further research confirms our study s findings then the next step would be to investigate how the monthly supplementation compares in effectiveness to mothers taking daily or weekly vitamin D doses he noted. (Source Journal of Nutrition--August 2016) Folic Acid Fortified Food Linked to Decline in Congenital Heart Defects F ood fortified with folic acid a B vitamin required in human diets for numerous biological functions was associated with reduced rates of congenital heart defects according to new research in the American Heart Association s journal Circulation. Our study examined the effect of folic acid food fortification on each specific subtype of congenital heart disease based on the Canadian experience before and after food fortification was made mandatory in 1998 said K.S. Joseph MD PhD the study s senior author and professor in the Department of Obstetrics and Gynecology and the School of Population and Public Health at the University of British Columbia in Vancouver Canada. Controlling for influences such as maternal age multiple births (twins triplets) pregnancy complications prenatal diagnosis and pregnancy terminations researchers analyzed data from nearly six million Canadian births from 1990 to 2011 and found that folic acid food fortification was associated with an 11 percent reduction in rates of congenital heart defects overall. They also found that the beneficial effects of folic acid were evident in some subtypes of congenital heart defects but not others such as a 27 percent reduction in conotruncal defects or severe heart outflow tract abnormalities 23 percent reduction in coarctation of the aorta--a narrowing of the major artery (the aorta) that carries blood to the body 15 percent reduction in atrial and ventricular septal defects-- holes in the wall separating heart chambers However no changes were seen with regard to chromosomally associated defects--abnormality in the number of an infant s chromosomes. Canada mandated adding folic acid to all types of flour enriched pasta and cornmeal primarily aimed at preventing neural tube defects in 1998. The study s findings are applicable to the U.S. population because food fortification with folic acid was implemented at approximately the same time and levels in the U.S. as Canada because of the North American Fair Trade Agreement of 1994 Joseph said. Folic acid is especially important for rapid cell division and growth for instance when blood is being formed and in pregnancy when the fetus is growing rapidly. Folate deficiency can result in several different complications--the most important of these are neural tube defects (such as spina bifida an abnormality of the spine and spinal cord) in babies and anemia (in which the number and function of red blood cells is affected leading to an inability of the blood to carry sufficient oxygen). Joseph added that women who are likely to get pregnant should start taking folic acid supplements before getting pregnant as they may not necessarily receive adequate folate from diet alone. (Source Circulation--August 2016) SEPTEMBER OCTOBER 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 33 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 Sleep Reset & Active B-Complex GREEN BAY WI--Integrative Theraputics introduced Sleep Reset and Active B-Complex to its line of products. Sleep Reset combines effective levels of Melatonin (3mg) and the amino acid Glycine (3 g) to promote sleep. The formula also contains additional supportive ingredients including Vitamin B6 Theracurmin a novel and bioavailable form of curcumin L-theanine and L-5Hydroxytryptophan (5-HTP). Sleep Reset supports the ability to fall asleep and stay asleep enhancing sleep quality without morning drowsiness. 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More than 40 peer-reviewed articles have been published describing hundreds of studies with FWGE in cell lines in animals and in human clinical trials showing safety and efficacy. Research shows that FWGE helps to provide remarkable health benefits in a wide range of serious health challenges such as enhancing mitochondrial rescue promoting cell metabolic regulation maintaining healthy oxidative glucose metabolism and curbing abnormal non-oxidative metabolism redirecting energy to healthy cells for renewed vitality and enhanced quality of life supporting optimal immune system function and regulating the balance of cellular and humoral immunity (Th1 Th2). Sixty capsules (a onemonth supply) are available for a suggested price of 199.95. For more information call (866) 466-7693 or visit MitoSpectra NEW YORK NY--MitoMedical s MitoSpectra is a high-potency dietary supplement formulated for children and adults to optimize the function of mitochondria. It is engineered to augment activity of the mitochondrial respiratory chain protecting mitochondria from reactive oxygen species through improved antioxidant capacity. MitoSpectra includes five key ingredients Lcarnitine (500 mg) coenzyme Q10 (100 mg) as well as vitamins C (300 mg) E (250 IU) and B5 (100 mg). MitoSpectra is manufactured under good manufacturing practices (GMPs) at an FDA (U.S. Food and Drug Administration)-inspected facility in the U.S. MitoSpectra offers concentrated dosing in a small amount of powder in an easy-to-take capsule. It is also tasteless and easy to hide in food improving compliance for young children. A container of 180 capsules is available for a suggested price of 104. For more information call (888) 607-5958 or visit 34 NATURAL PRACTITIONER WWW.NATURALPRACTITIONERMAG.COM SEPTEMBER OCTOBER 2016 Clarity Brightening Bar BALDWIN PARK CA--The 100 percent all-natural Clarity Brightening Bar by PurErb cleanses lifts impurities improves elasticity and brightens dull skin as well as reduces hyperpigmentation while boosting alertness and promoting clarity. It is meant for use on the face and neck. This formula was developed by a Korean Master Monk and features 38 plant extracts including korean red ginseng mulberry mitracarpe glasswort heartleaf and more than two dozen natural brightening extracts. PurErbis a new herbology-based skincare and aromatherapy line. Currently it is available in 1 oz. and 3.5 oz. in round disc shape while the leaf-shaped design of 3.5 oz. will be available late Fall. A 1-oz. travel size is valued at 10 while the 3.5oz. package is 35. For more information call (888) 328-8188 or visit Patient One Biotin & Iron Chelate FARMINGDALE NY--Patient One recently introduced two new products to its brand. Biotin supplies 8 mg of biotin an essential water-soluble B-vitamin that has a beneficial effect on a number of structures and functions in the body. It is best known for its positive effect on hair and nails but also plays a role in supporting glucose metabolism by stimulating glucose-induced insulin secretion in pancreatic beta cells and by accelerating glucose metabolism in the liver. Biotin deficiency has been linked to impaired glucose tolerance and decreased utilization of glucose. On the other hand the diabetic state appears to be ameliorated by pharmacological doses of biotin. Likewise pharmacological doses of biotin appear to decrease plasma lipid concentrations and modify lipid metabolism. Research has shown that biotin is supportive of nervous system function including nerve cell health. Clinical studies have also revealed that biotin may adjust the cellular arrangement of the nail bed helping to reinforce the keratin structure promote strength and thickness and reduce splitting. Sixty capsules which are equivalent to a 60-day supply are available for a suggested price of 5.75 (professional) and 11.50 (patient). Iron Chelate supplies 28 mg of iron an important component of hemoglobin a protein in red blood cells that delivers oxygen to tissues throughout the body. Conventional iron supplementation including forms such as ferrous sulfate can cause GI (gastrointestinal) side effects including nausea vomiting constipation diarrhea and dark-colored stools--because these conventional forms are poorly absorbed. Patient One s formula provides Ferrochel brand iron bis-glycinate which was developed using unique patented chemistry allowing it to be absorbed rapidly from the lumen of the intestines into mucosal cells and then released for transport throughout the body. The intestinal mucosal tissue tightly controls the release of Ferrochel supporting the safety profile of this iron amino acid chelate. Ninety capsules which are equivalent to 90 servings are available for a suggested price of 5.90 (professional) and 11.80 (patient). For more information call (877) 723-0777 or visit Phyto Corrective Masque NEW YORK NY--Fan of the cultfavorite Phyto Corrective Gel This new masque by SkinCeuticals packs twice the cooling calming and hydrating power of the original formula in a soothing new gel-masque formula. Optimal for sensitive or problematic skin this light masque contains botanical extracts with anti-inflammatory and antiseptic properties to soothe hyaluronic acid to hydrate and a new calming dipeptide to reduce the perception of heat sensitivity. It is ideal for treating skin post-laser or post-sunburn or for soothing reactivity after any other aggressors. Clinical studies showed an average four-degrees-Fahrenheit reduction in skin surface temperature after just 15 minutes of use immediately post-Fraxel. A 60-ml tub is valued for a suggested price of 55. For more information call (800) 771-9489 or visit Active Folate B12 Chewable ESSEX JUNCTION VT--DaVinci Laboratories Active Folate B12 Chewable by FoodScience Corporation combines the most active stable and highly bioavailable forms of folic acid (Quatrefolic brand) and vitamin B12 (methylcobalamin). Quatrefolic has proven itself time and again in terms of outperforming other 5-MTHF brands. The reasons behind its effectiveness lie in its increased stability bioavailability and the fact that it can be processed with other ingredients during processing without degrading its potency. This great-tasting chewable is recommended for methylation support homocysteine management heart health and nerve function. 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 SEPTEMBER OCTOBER 2016 WWW.NATURALPRACTITIONERMAG.COM NATURAL PRACTITIONER 35 CONFERENCES AND EVENTS October 25-29 8th Annual Mind Body Medicine CME Conference Lenox MA According to The American Meditation Institute (AMI) founder Leonard Perlmutter AMI Meditation techniques that can relieve and prevent physician burnout will be taught at the 8th Annual Mind Body Medicine CME conference at the Cranwell Resort and Spa. Entitled The Heart and Science of Yoga the training is accredited through the Albany Medical College Office of Continuing Education. Upon completion of the conference participants will able to develop equanimity discrimination will power creativity and energy through daily practice of AMI meditation and diaphragmatic breathing incorporate long term strategies for healthy lifestyle choices using yoga psychology demonstrate knowledge of the principles of both ayurveda and epigenomics identify yogic practices to transform trauma and increase resilience recognize the physiological benefits of easy-gentle yoga help themselves and their patients reduce conditioned habits of negative thinking and other symptoms of burnout through the healing power of mantra science utilize food as medicine to maximize well-being use chakra psychology to diagnose and treat disease and recognize how meditation changes the neural pathways in the brain. Presenters include Mark Pettus MD director of medical education and population health at Berkshire Health Systems Susan Lord MD faculty member and holistic health consultant for Kripalu Center for Yoga and Health Prashant Kaushik MD board-certified rheumatologist and many more. For more information call (518) 674-8714 or visit October 28-30 The Detox Advanced Practice Module Chicago IL The program s expert faculty team will review the foundational biochemistry and genetics of biotransformation pathways connect organ system dysfunctions to potential toxic exposures and detail the available laboratory evaluations useful in working up a toxin-exposed patient. Once these important clinical connections are made the team will detail specific treatment approaches. This program also uses a case-based integrated approach to effectively deliver the tools necessary for clinicians to diagnose and treat the toxic component of their patients total health pictures. For more information call (800) 228-0622 or visit December 9-11 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 2016 A4M are David Ludwig MD PhD leading nutrition and obesity research and physician David Agus MD pioneer in biomedical research and one of the world s leading cancer doctors and Michael Greger MD author and founder of In addition other speakers will cover topics like lifestyle factors immune health brain health functional neurology hormonal health and more during the conference. For more information call (561) 997-0112 or visit ADVERTISER INDEX ADVERTISER Advanced Naturals Albion Laboratories Inc. America s Finest Inc. Carlson Laboratories Inc. DaVinci Laboratories of Vermont Emerson Ecologics Hyalogic Kyowa Hakko USA LivOn Laboratories Mitomedical LLC MykoTroph AG Natreon Inc. Natural Partners Probiotics International Ltd. 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