thrive magazine by Robyn Mangrum

winter/spring 2014

inside this issue: refine & renew

latest in plastic surgery & aesthetics

Healthy & Happy

health & wellness for men & women

special section

genetics and your health

Healthy & Delicious Recipes ...and much more!

www.thrivemagazines.com

in this issue

thrive â&#x20AC;˘ table of contents

our thriving community

walter smith mike wolgin

elder abuse: signs and solutions

vanessa walker korey stickney

coffee vs. tea: which is better?

shar smith

refine & renew

golf courses in 36 the triangle

the latest in skin rejuvenation the latest in fat removal techniques rhinoplasty: what you need to know a holistic approach to skincare

special section: genetics & health preventing genetic disease how genetics can influence diabetes the big â&#x20AC;&#x153;câ&#x20AC;? and genetics why you should consider genetic counseling is obesity really genetic? genetics & fertility

healthy 72 community gmos: what you need to know defying diabetes spices for immunity & health meal planning cleaning out your pantry buying local

delicious 88 recipes health-related events in the 94 triangle

thrive magazine

tips for winterizing your skin

cutting edge of skin cancer: mohs surgery country club living in the triangle

robin lin

healthy & happy

thrive â&#x20AC;˘ our staff & credits

PUBLISHER/OWNERS Robyn Mangrum & Maureen Powell CREATIVE DIRECTOR Stephanie DuBois ACCOUNT MANAGER Michelle Mangrum Graphic design Katie Hatfield SENIOR WRITER Heather Green CONTRIBUTING WRITER Maria Magher copy editor Jessica Siciliano For advertising information visit or call: www.thrivemagazines.com 919-552-7655 Reproduction of copy or artwork is strictly prohibited. All rights reserved. APPLESEED PUBLICATIONS www.thrivemagazines.com COVER CREDITS Photography: www.hebasalama.com Shot on Location at The Oaks at Salem www.theoaksatsalem.com

thrive magazine

Printed in Canada

Ad content is not the responsibility of Appleseed Publications. Appleseed Publications prints articles and features for entertainment purposes only and does not seek to advise readers on medical problems or decisions. Under no circumstances will Appleseed Publicationsbe liable for any damages that result from reliance on or use of the information provided herein.

thrive â&#x20AC;˘ from the publishers

itâ&#x20AC;&#x2122;s our time to thrive! Welcome to the second issue of thrive magazine and the start of a new healthy year! Since our premier issue launched back in July 2013, it has been wonderfully received by Triangle area men and women.

This issue we cover a very important topic; Health and Genetics. As more and more information is revealed about the importance of knowing your family health history, we thought we would devote an entire section to it. We chose our beautiful cover family this year in part because of their similar physical features. But just as genes have us looking like our mothers, fathers, brothers

some of the best health care in the nation and we are proud to

and sisters, they can also be similar when

bring to our readers a forum for these health professionals to

it comes to your health. If your father is

share their knowledge.

predisposed to heart disease, chances are you may be too. This is true with cancer, diabetes, obesity, and many other diseases. It certainly does not mean that

And once again, we are excited to showcase the thriving community where local Triangle residents reveal their struggles and accomplishments with their personal health issues. If you or

you will have the same issues, but if

if you know someone who would like to be featured in our next

you are armed with your health his-

issue, please email us at info@thrivemagazines.com. We would

tory your chances of beating many

love to hear from you!

of these issues can be managed or eliminated if caught early.

Here is to a happy and health 2014 and look for the next issue in July 2014.

As you peruse these pages, be sure to note all of our wonderful experts who have contributed to articles specifically on

Robyn & Maureen

In our July 2013 edition of Thrive, it was regretfully mis-reported that Atlantic Reproductive was the only fertility program in the area freezing eggs. Additionally, it was stated that frozen eggs are just as viable as fresh eggs. Atlantic Reproductive has clarified that only when frozen eggs reach the blastocyst stageare the chances of success are comparable to fresh eggs.

thrive magazine

topics in their field. The Triangle boasts

All our best,

thrive • the big picture

the big picture

How to Get a Professional Look for Family Photos Great photos make wonderful memories for years to come. Bad photos remind you how much you hated your crooked teeth or how embarrassing that awkward phase was every time you look at them. While you may not be able to hide certain features, there are things you can do to get professional looking photos that you will love for years to come, by simply making different choices with your clothing and how you pose. What to Wear Though you don’t want to be too “mitchy-matchy” in your wardrobe selection, your family’s clothing should complement each other. Your clothing shouldn’t look like a uniform that you all put on for picture day, but it shouldn’t clash either. Choose a color family, such as pastels, to create a cohesive. Limit patterns, as these can compete with the background or what other people in your group are wearing. Avoid clothing with logos, characters and text on it. Also, avoid any obvious trend pieces. No one wants to remember acid-washed jeans or Hypercolor t-shirts.

WWW.VESIC.COM

How to Group Yourselves A good photographer will tell you where to stand for the best composition in the photo. However, knowing a few tricks of your own can help you to work with the photographer for the best possible shot. Standing close together is best for an intimate shot, and staggering your levels creates visual interest in the photo (by alternating who is sitting, standing, kneeling and so on). For large families, you should think about how you are arranged in groups of twos and threes. Think about how you look in each of these “mini-groups” and then think about those groups in terms of the overall composition. Posing It may be difficult not to strike a pose when you are sitting for a formal family photograph. However, learning how to relax and just be yourself in front of the camera can create some beautiful photographs that show off your real personality. Relax your face and

F AMIL Y & L IFES T Y LE thrive magazine

PHOTOGRAPHY

www.hebasalama.com

your body. Tell jokes to one another so that you will laugh and your smiles will be genuine. If you are taking pictures with several children, take some formal shots right away, but then let the children relax and play. You will find that you are likely to get better shots when you can capture their natural vibrancy and energy.

our

thriving

community

â&#x20AC;&#x153;Our thriving communityâ&#x20AC;? is a fantastic section of the magazine that focuses on local men and women who are thriving in the Triangle area and have overcome or are living with an issue that has in some way affected their health. This section focuses on the positive outcome for each individual as well as how they continue to live healthy active lives. Each story spotlights the coping skills each individual applied to their situation and what personally worked for them in healing.

Would you like to share your story? We would love to hear from you. Email us at info@thrivemagazines.com and tell us about yourself or a friend or family member who you would like to see in our next issue. Please also submit a low resolution picture with the email. Applicants must be a resident of the Triangle area. If selected, applicants must be available to have their photo taken at a location shoot.

all photos: www.vesic.com

www.gleeandbliss.com

our thriving community • walter smith

seeing is believing Walter Smith was one of the many Americans taken by surprise by his glaucoma.

second opinion! I exercise, try to avoid

He adds, “The old saying ‘Knowledge is

McDonald’s, keep my weight under con-

power’ is certainly true. I came home

trol and see my GP for a checkup twice a

from the initial consultation with Dr.

year. This can’t happen!”

Roach and immediately cranked up the Internet. I found that glaucoma is

One of the first signs of a problem was

a common condition. It can be success-

increased internal eye pressure, which

fully treated. It tends to be genetic –

Smith thanks his yearly eye exam for

my brother has it. Regular checkups

catching. He says he had considered the

are important.”

Glaucoma is a common eye disease. The

eye pressure test “a formality,” but it

Glaucoma Research Foundation reports

helped him get the diagnosis.

that over 2.2 million Americans have

by surprise, but his wife of 51 years,

glaucoma, and that more than 120,000

There is no cure for glaucoma and if left

Sharlene, “is by my side in every skir-

have become blind from it. However,

untreated it can lead to degenerative

mish of this fight, and I gain strength

the disease progresses very slowly,

vision problems, including blindness.

from her that I never knew I had.”

often without symptoms. Some may

Early diagnosis and ongoing treatment

not know that they have it until it is in

are essential for managing the disease

“This episode with glaucoma is another

an advanced stage. The foundation says

and slowing its progression.

bump in the road, one of many, and

that only about half of Americans who have glaucoma are aware of it.

there will continue to be more,” Smith Smith explains that he didn’t know

says. “But I have no fear of storms, for I

much about glaucoma when he got his

am learning how to sail my ship. I belief

Smith says that his reaction upon

diagnosis, but his doctor educated him

that life is a journey, not a destination,

hearing the news was, “Glaucoma! Doc,

throughout his treatment.

and as I continue my journey, putting

thrive magazine

you’ve got to be kidding! That’s an old

Smith says that his diagnosis took him

one foot ahead of the other, one day at

people’s problem, and I’m a very young

“He has guided me through the

a time, using each experience as a step-

and well-preserved 78. An old person is

experience thus far, and I have every

ping stone, not a stumbling block, and

anyone who is older than I am. A young

confidence that he has the expertise

serving others where I can, the journey

person obviously someone who got

to continue helping me safeguard my

continues to be a beautiful trip.”

his credentials from Amazon. I want a

sight,” Smith says.

our thriving community • walter smith

www.vesic.com

Smith’s ongoing treatment includes a nightly drop in each eye. He had to have laser surgery on his right eye, which was the most effected, to stimulate the drainage system necessary to maintain a healthy pressure level in the eye. Eventually, he may have to have the surgery on his left eye depending on what results are observed in his right eye.

“This episode with glaucoma is another

Smith advises others to get regular eye exams so that they can catch the signs of glaucoma early and get the treatment

bump in the road, one

they need to preserve their vision.

of many, and there will

“If you don’t already have one, find an

continue to be more,” Smith says.”

ophthalmologist you can be comfortable with and have regular checkups,” he says. “Glaucoma can be stopped in its tracks, and the sooner you find

path, I have found an inner peace that

out about it, the better the treatment

ma, while challenging, is like a cough

nothing can destroy. However, I am a

results will be. If left unchecked, it can

to a tornado,” Smith shares. “But, as

hard-headed small town guy who

be a thief in the night that robs you of

Jim Valvano said, ‘Disease may ravage

had to be dragged kicking and

your sight without pain or awareness.

my body, but it can’t touch my spirit.’

screaming every step of the way to

Have yearly eye exams, and follow your

I am a spiritual person, and along my

spiritual truth.”

doctor’s advice.”

thrive magazine

“For me, the physical part of glauco-

our thriving community • robin lin

the migraine

thrive magazine

mystery

Robin Lin’s migraines started over 20

headache -- which is what one of

vomiting, dizziness, and sensitivity to

years ago when she was nearing the

Lin’s doctors once told her -- but is “a

light and sounds.

end of high school. At the time, she

debilitating collection of neurological

says, there wasn’t much research

symptoms that usually includes a se-

Robin says that when she went to

about migraines, so her doctors called

vere recurring intense throbbing pain

college, her migraines worsened. The

them “cluster or tension headaches.”

on one side of the head.” Sometimes,

disabling migraines made it so that she

migraines can include both sides of

was unable to even get out of bed, let

Doctors know better now. The Mi-

the head, and attacks can last between

alone go to class or do the things she

graine Research Foundation stresses

four and 72 hours. Migraines can

needed to do.

that a migraine is not just a bad

include visual disturbances, nausea,

www.vesic.com

our thriving community • robin lin

“As I entered my 30s, despite everyone

tion calls migraines “a moving target,”

After her second pregnancy, Lin said

telling me my migraines would get bet-

since symptoms can change from one

that a family member told her about

ter, mine became much, much worse,”

attack to the next.

a plastic surgeon in Cleveland, Ohio,

Lin said. “I was averaging probably

who had had some success in treating

three to four significant migraines a

“I’ve seen many different doctors of

patients suffering from migraines, so

week -- almost every single day. I was

varying types and had all sorts of

she did some more research. Robin

taking medication continually, having

brain and neuro scans to make sure

said that the idea of reducing her mi-

rebound migraines – trying everything

everything was fine, and it always has

graines to only one a week was alluring

from steroids to nerve block injections,

been,” Lin said. “I’ve been on almost

enough, so she made an appointment

and absolutely NOTHING worked. I

every migraine medication that ex-

to meet with the doctor.

had two small children, was running a

ists, as well as most daily preventive

business and had (like everyone else)

medications. However, my body would

At first, Lin was given Botox injections

a very busy life. I would often put on

adapt and then we’d either have to in-

in her temples to see if they provided

a DVD for my girls on my laptop, be

crease the dose or change the medica-

some relief. After mixed results, Lin

in the bed and just hope they’d be ok

tion all together. I’ve had so many side

decided to have the surgery instead.

until my husband came home from

effects from medications – everything

work because I honestly couldn’t even

from numbness in extremities to some

“My life post-surgery is so very differ-

get out of bed. I would just lie in the

memory loss, to much more severe ef-

ent, and I’m very happy,” Robin said,

shower with the water as hot as I could

fects like panic attacks.”

almost four years after the procedure. “While I realize it is extremely con-

stand it just hoping for relief, knowing that it wouldn’t happen. I couldn’t handle any noise, any bright light, smells, food, anything. It really wasn’t living at all, and looking back, it makes me sad that I missed out on so much time with my family.” Though research on migraines has advanced since Robin first starting ex-

Robin said that learning the triggers for her migraines has been key to reducing their frequency. For example, she says that eating certain foods such as red wine, soft cheese and shellfish can trigger an attack, as can hormonal imbalances and changes in the weather.

troversial and there is a lot of mixed research, it was the best decision for me. I am no longer on any significant medication, and when the migraines happen, they are very tolerable. I get a handful of headaches a month but definitely not migraines and maybe (at most) one to two migraines a month, none of which keep me bedridden. I’m very mindful of what I eat

periencing them in high school, many people continue to suffer as no cause

Pregnancy offered Lin some relief. Yet,

and drink, try to manage my stress as

or treatment can be found, so they are

the migraines came back almost im-

best I can and try to get a reasonably

only given medication to deal with the

mediately after she gave birth to each

decent night’s sleep every day,

pain. The Migraine Research Founda-

of her children.

as well.” thrive magazine

our thriving community • mike wolgin

the truth about arthritis When most people think of arthritis, they think of a problem that only afflicts the elderly. They don’t think of a disease that can strike a 12-year-old, leaving him in crippling pain and robbing him of a promising future.

can cause persistent joint pain, swell-

was diagnosed.

ing and stiffness in children under 18. The Mayo Clinic says that some

His doctors at home were not sure

children experience symptoms for only

what to make of his pain, so Wolgin

a few months, while others like Wolgin

and his family sought help from the

may experience symptoms for the rest

Children’s Hospital of Philadelphia.

of their lives.

It was there that doctors eventually put a name to his pain and gave him a formal diagnosis.

Yet that is exactly what happened to Mike Wolgin. When Mike was 12, he was diagnosed with Juvenile Rheumatoid Arthritis. The Arthritis Foundation reports that about 294,000 children are affected by Juvenile Rheumatoid Arthritis, mak-

thrive magazine

ing it one of the most common child-

“I went through my teen years swollen and in

“I was put on several medications, and went through grueling weekly physical

pain. I saw several doc-

therapy and occupational therapy, in-

tors [one] who told me

in the pool,” Wolgin says. “Nothing

I’d be in a wheelchair by age 40.”

cluding work with physical therapists worked. I went through my teen years swollen and in pain. I saw several doctors across the country, one in New

hood diseases in the United States. The

York City who told me that I’d be in a

disease is triggered when the immune

wheel chair by age 40.”

system attacks and destroys its own

Wolgin said that when he was diag-

cells and tissues. The exact cause for

nosed, he had been experiencing seri-

Wolgin said that he continued to

the disease is unknown, but the Mayo

ous pain in his neck, hands and knees.

struggle with his pain until he was 16

Clinic states that heredity and envi-

At the time, he was a promising tennis

when a new drug called Enbrel was

ronment seem to play a role, as well as

star. He went from being ranked

released. His mother had to give him

certain viruses.

eighth in the Mid-Atlantic district in

shots twice a week, which he called “a

his age group to not being able to grip

harrowing experience for both of us.”

Also known as Juvenile Idiopathic Ar-

a racket. He had to give up his promis-

thritis, Juvenile Rheumatoid Arthritis

ing tennis career only a year after he

Though the medication helped Wolgin

www.vesic.com

our thriving community • mike wolgin

www.vesic.com

finally gain control over his pain, he says that the damage to his joints had

fast facts

about ARTHRITIS

already been done. MEDICAL HISTORY “I can’t turn my neck normally, I have limited ability in all my extremities,

n Is the pain in one or more joints? n When does the pain occur?

my elbow doesn’t straighten, I can’t

n How long does the pain last?

make a fist, and I’m still sore in the

n When did you first notice the pain?

morning,” he shares. “Overall, the

n What were you doing when you first noticed the pain?

disease is under control, and I can manage my pain.”

n Does movement make the pain better or worse?

Now an adult, Wolgin is married and

n Have you had an illness or accident that may account for the pain?

has three children. He says that he manages his disease, but he is still limited in the type of exercise he can do, and during flare-ups, it is hard for him to get on the floor and play with his children. “My family is a great source of

n Do you have any other symptoms besides pain? n Is there a family history of arthritis or other rheumatic diseases? n What drugs are you taking? n Have you had any recent infections?

common signs and symptoms

strength,” he says. “My wife and kids

n Swelling in one or more joints

are tremendous.”

n Stiffness around the joints that lasts for at least 1 hour in the early morning

Mike adds, “If it weren’t for my mother

n Constant or recurring pain or tenderness in a joint

diligently researching and taking me to doctors all over the country, I don’t know where I’d be.” With his experience, Wolgin has gained valuable insight into how to manage the debilitating disease. Wolgin’s advice for others who may be suffering from the disease is to listen to the advice of your doctor and to

n Warmth and redness in a joint.

It is important for people with joint pain to give the doctor a complete medical history. Answers to the following questions will help the doctor make a correct diagnosis. Source: NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases www.niams.nih.gov

thrive magazine

take good care of yourself.

n Difficulty using or moving a joint normally

our thriving community • vanessa walker

beating

breast cancer

One Friday night this past March, Vanesssa Walker was getting into her pajamas when her hand brushed against her left breast and she felt a lump the size of an almond.

chemotherapy, but are not responsive

harder than I imagined and that all

to receptor-targeted treatments.

my energy would need to be devoted

The Susan G. Komen Breast Cancer

to fighting the cancer. I decided then

Foundation estimates that about 15

that working was not an option.”

to 20 percent of breast cancers in

Though Vanessa says that she was

the United States are triple negative.

optimistic when she was diagnosed,

The Triple Negative Breast Cancer

she adds that she felt like she was

Foundation reports that this form of

“functioning in disbelief” because

“I couldn’t sleep. It was the longest

breast cancer is particularly aggres-

she didn’t feel anxious or nervous. It

weekend of my life,” Walker says.

sive, and is more likely to return than

wasn’t until she applied for her short-

She wasn’t able to get an appointment

other types of breast cancer.

term leave of absence from work that

until Wednesday, but the nurse she

she felt the gravity of her situation.

saw was very optimistic, saying the

Walker’s cancer was already Stage 3

“That is when the cancer became real

lump was likely a cyst. Nevertheless,

when she was diagnosed.

to me,” Walker says. “I had cancer. I

she had a mammogram and biopsy that same day.

couldn’t believe it. Breast cancer had Vanessa began treatment two weeks

always been something that wasn’t

later, after enduring a whirlwind of

mine. I couldn’t have cancer. There

The next day, she got the news: It was

appointments with oncologists and

was no history of breast cancer in my

Triple Negative Breast Cancer.

radiologists.

family, or so I thought. How could

thrive magazine

Some breast cancer tumors have

this be me?”

receptors that control their growth.

“My oncology team suggested that

The three possible receptors for breast

the best approach to treatment of my

After chemotherapy, she underwent

cancer tumors include estrogen

cancer was IV chemotherapy - eight

a mammogram before scheduling

receptors, progesterone receptors

treatments over 16 weeks, followed by

surgery, and no evidence of the mass

and human epidermal growth factor

surgery, then radiation,” Walker says.

was found. Surgery was performed to

receptor 2 (HER2). Triple negative

“My first treatment was challenging. I

remove residual tissue only. At anap-

breast cancer tumors do not have any

had severe headaches and developed a

pointment a week after the procedure,

of these receptors. This means that

fever. I was hospitalized for two days.

the pathology report confirmed there

the tumors are more responsive to

I knew then that this would be much

was no sign of the cancer.

www.gleeandbliss.com

our thriving community • vanessa walker

After six more weeks of radiation,

Throughout her treatment, Vanessa

she was done with treatment and

explains that her family, her friends,

cancer-free.

and her faith gave her strength. When she was first diagnosed, she says

“As I was getting into my car that last

that she relied on her daughter – her

day of radiation treatment, I realized

“rock” – to keep her on track, and help

that my life had been the cancer cen-

her process information and keep

ter for those months,” Walker shares.

appointments. She says she was also

“Going there and being there was part

blessed to have her son live with her

of my life, and now it would change

during some of her treatment, helping

again. In some very strange way, I

provide her support.

knew I would miss it. I just wanted She says time will tell what other

life, but I couldn’t. It has best been de-

changes bring. “How am I different?

scribed to me as finding a new center,

I’m not sure now. I’m one month out of

a new normal. I wasn’t in treatment;

treatment, and I am cancer free. I am

I wasn’t as I was before. What was I

back at work. I think it will take some

now? I’m still trying to sort it all out.”

time to know how I am different.”

Except for skin cancers, breast cancer is the most common cancer in women, but it can be successfully treated. Screening tests can find cancer early, when chances for survival are highest. 1. Know your risk n Talk to both sides of your family to learn about your family health history n Talk to your provider about your personal risk of breast cancer 2. Get screened n Talk with your doctor about which screening tests are right for you if you are at a higher risk n Have a mammogram every year starting at age 40 if you are at average risk n Have a clinical breast exam at least every 3 years starting at age 20, and every year starting at age 40 n Sign up for your screening reminder at www.komen.org/reminder

thrive magazine

to feel like I had always felt about my

from the susan b komen foundation:

www.vesic.com

our thriving community • korey stickney

keep on moving thrive magazine

Korey Stickney loves to stay active. He has two boys – Drew, 8, and Cole, 5 – to keep him on his toes, and he has another baby on the way. When he’s not playing with his sons, he’s gardening, hunting, golfing or slot car racing.

In addition to his personal hobbies,

self and put a temporary stop to all of

Stickney also spends a lot of time

his activities.

coaching his sons’ baseball teams. “Watching young kids learn a yard

“I completely tore my meniscus and

sport and how they develop through-

ACL, and it required surgery to re-

out a season is extremely gratifying

pair,” Stickney explains of the injury

and exciting to witness,” Korey says.

to his right knee. “It was difficult to

It was while he was enjoying one of

deal with at first, as I was coaching

his favorite active pastimes, floor

two baseball teams and was not able

hockey, that he seriously injured him-

to participate physically. But I was

our thriving community • korey stickney

very fortunate to have some reliable

surgery, he had “six long months” of

I couldn’t be there for them,” he said.

dads and moms to step in and help

physical therapy and extensive reha-

“They thought once you go to the doc-

with organizing and coaching.”

bilitation. Korey says that the physi-

tor’s and they fix you, then that’s it and

cal therapy and rehabilitation have

you’re better. But seeing how quickly

The meniscus includes cartilage that

allowed him to enjoy all the activities

they adjusted and the support I was

stabilizes the knee joint and offers

he once did, “Minus the floor hockey –

receiving, it was much easier to focus

cushioning and support. Tears to the

won’t be doing that ever again!”

on getting better and rehabbing

meniscus are common, but the type

Being sidelined by his injuries was

my knee.”

of tear determines the treatment

tough, but Stickney says that family

required and whether or not it can

and friends helped him through the

Korey is not fully rehabilitated, but he

be repaired. For example, tears that

recovery process.

is getting back to where he was before

are caused by years of wear generally

his injury.

cannot be repaired. Small tears at the outer edge of the meniscus may be able to heal on their own with rest. The ACL is the acute cruciate ligament, which connects the femur and the tibia, the bones in your legs. The

“I completely tore my

“I recently had a follow-up visit with

meniscus and ACL, and

with UNC Hospitals), who has just

it required surgery to repair.”

my surgeon (Dr. Ganesh Kamath been outstanding throughout this process, and he told me that I was ready to start all activities that I did

American Academy of Orthopaedic

before the injury - mainly golfing, as

Surgeons reports that the ACL is the

I have retired from floor hockey,” he

most commonly injured ligament in

“Both family and friends supported

said. “I feel almost as strong as I did

the knee, and that about 200,000 ACL

us by helping with childcare, car rides,

before the injury and look forward to

injuries occur annually. Those who

kid pick-up, dinners to be made for us

continue the healing process.”

participate in high-risk sports like

to give relief to the stress of my wife,

Korey did are more at risk of injury.

Julie, as she was biggest supporter,”

Korey says that it was the first major

Surgery is commonly used to repair

Korey says.

injury that he experienced, “It has

tears to both the meniscus and the

changed my life in that it has given

ACL, and most procedures involve

Besides his mobility issues, Stickney

me new appreciation for the ability

sewing the cartilage and the ligament

shares that the hardest part about his

to get around by myself, and not have

back together.

recovery was helping his sons under-

to rely on others to go somewhere.

stand what was happening.

Although it was awesome to see how

Stickney said that he decided to wait

people are so willing to help me and “Our boys had some difficulty in un-

surgery so that he wouldn’t have to

derstanding what I was going through,

miss out on time with the kids. After

which in turn made me very sad that

my family.” thrive magazine

until the season was over to have his

our thriving community • shar smith

the colon cancer

misconception

Many women know about the

hand how regular checkups and early

Smith shares, “I checked with the doc-

dangers of breast cancer and

screening can save a life when it comes

tor and he said he would give a liquid

skin cancer, and many now

to colon cancer.

to drink. I was able to drink it, but it

perform regular self-checks and have annual check-ups

was horrible. I was very sick - missed Smith, whose father died of colon

dinner which was lobster tail - so I

to get their skin checked for irregular

cancer when he was only 51, first dis-

decided to skip the next week and take

moles and other growths or discol-

covered signs that there was a problem

a chance.”

oration. Few women think about the

when she went to her doctor for her

dangers of colon cancer. There aren’t

annual checkup. A second test was or-

The chemo was hard on Smith. She

splashy awareness campaigns or

dered, confirming there was a problem

says that she was nauseous, and the

titillating advertisements warning

that needed further investigation. After

pill was hard to take and made her

about the dangers of colon cancer.

exploratory surgery, Smith said she

body smell. Her daughter, Robyn, says

Many women may also – mistakenly –

heard her doctor say “there it is” and

she also suffered extremely dry skin

believe it to be a disease that primarily

then told her that she had colon cancer.

and eyes that would water so much it

affects men.

seemed like she was crying. She ended After a surgery to remove the cancer,

her treatment just as her hair started

Though the risk of colon cancer is

Smith learned that the growth was

to fall out – though the odor stayed

slightly lower in women, according to

“the size of a fried egg,” she said. She

with her for many more months.

the America Cancer Society, it is still

spent a few days recovering in the

Smith had to return for checkups ev-

the third most common type of cancer,

hospital, then immediately began

ery three months for several years, but

and the lifetime risk of developing it is

chemotherapy, which included a drip

doctors never found any signs that the

about 1 in 20, or 5 percent. The ACS says

and a pill every week for a year. Though

cancer had returned. Now she just sees

that 102,480 new cases were diagnosed

doctors had removed all the cancer

her doctor for her annual checkup.

in 2013, and it is expected to cause

during surgery, the chemotherapy was

50,830 deaths by the end of 2013.

necessary to make sure the cancer

Because she knew that colon cancer

didn’t return.

and high blood pressure ran in her

thrive magazine

The death rate for colon cancer is

family, Smith was consistent about

dropping, in large part because of early

“We had a cruise ship to Alaska and I

getting her annual checkup, which she

screening. Shar Smith discovered first-

was in the middle of my treatment.”

attributes to getting the treatment she

our thriving community • shar smith

ing the cancer.

www.vesic.com

needed early and successfully eradicat-

“Regular medical checkups are a ‘must do’ for all of us,” Smith shares. Now Smith, who will turn 79 in February, says the she is focusing on enjoying her life. She has moved to a new home in a retirement community in Fuquay with her husband, with whom she has been happily married to for 50 years. Her daughter, Robyn, says they “do everything together … they are very cute!” She is looking forward to spending more time with her two teenage grandsons, one of whom is about to get his license next year. After that, Smith hopes that they will visit whenever they want. While Smith and her husband once traveled all over the country seeing the sights, they have settled down a bit in recent years in the Triangle, which they have called home for over 30 years. Occasionally, they make trips to the beach or other spots nearby, instead preferring to spend their time with family and friends. Smith says that her advice for others, and the lessons she learned from her experience with cancer, are “Enjoy your life every day – one day at a time! Friends are there when you need them thrive magazine

– always! I’m just enjoying life!”

refine & renew â&#x20AC;˘ hair loss in women

hair loss in women: what you need to know Most women donâ&#x20AC;&#x2122;t think about hair

diseases, and polycystic ovarian

Some women have found success with

loss as a problem that they will have to

syndrome. Physical stress such as a

holistic treatments, such as improving

face, and that thinning hair and bald-

trauma, surgery or intense illness may

their diets or taking vitamin supple-

ing are issues only relegated to men.

all contribute to hair loss as well.

ments. Vitamins that may be helpful

However, that is an assumption that

include zinc, Vitamin B, folate, iron,

may cost women dearly as hair loss can

Pregnancy and menopause have also

calcium, Vitamin D, and Vitamin

be as big a problem for some women as

been linked to short-term hair loss,

B12. Women experiencing hair loss

it is for men.

but the change can be permanent in

can either includes foods that are

some women.

rich in these vitamins or they can take supplements to increase their

Causes of Hair Loss in Women

Numerous factors could contribute to

Finally, just as with men, genetics are

hair loss in women, either in the short-

a leading contributing factor for hair

or the long-term.

loss or thinning. If your mother or her

Make an appointment with a

mother experienced hair loss or thin-

dermatologist to have your

Women are more likely to subject their

ning, there is a chance that you will

scalp and skin evaluated.

hair to chemical treatments and styl-

experience the same issues.

If no issues are found,

ing products, which can contribute to

daily intake.

meet with your gen-

breakdown of the hair follicles. Hair

Latest Treatments in Hair Loss

eral physician to

dyes, hard brushes, blow dryers, hot

Some doctors may prescribe hormone

be evaluated for

irons, and chemical treatments all put

replacement therapy to correct thyroid

any medical

stress on the hair and weaken it, lead-

issues or to counteract the effects of

conditions

ing to thinning.

menopause.

that may be

thrive magazine

contributing

Skin conditions like psoriasis and seb-

Prescription medication such as

to the hair loss

orrheic dermatitis of the scalp can also

Mioxidil (Rogaine) or Propecia may

or thinning. A

contribute to hair loss or thinning.

be prescribed to treat hair loss as

variety of tests

well. Propecia is only currently FDA-

could be neces-

Poor diet, anemia or taking too much

approved for treatment in men, but

sary before you

Vitamin A may contribute to hair loss

some doctors have prescribed it for

find the exact

and thinning, as can losing a sig-

women. The company Alergan is also

cause. Providing

nificant amount of weight in a short

seeking FDA approval for a topical

a complete health

period of time.

treatment that includes the ingredi-

history will help

ent bimatoprost, which has previously

your doctor pinpoint

Many health conditions could also

been used to promote eyelash growth.

the problem so you can

contribute to the problem, includ-

Treatments could be available as early

reduce the number of tests,

ing thyroid disorders, autoimmune

as 2014.

and find an answer sooner.

{ refine & renew }

the latest in plastic surgery & aesthetics

refine & renew • ultherapy

the latest in skin rejuvenation

Ultherapy

Our e x per t: c y n t hi a diehl , md, FACS, b oa r d - c er t if ied pl a s t ic surgeon, diehl pl a s t ic surgery

Time and tide wait for no man..or woman!

designed to lift and tighten the deeper

Ultherapy is noninvasive and does not

Unfortunately, some of the first visible signs

tissue in the face and neck”, explains

require incisions as with surgery, but

of time shows up where you least want it to:

Dr. Cynthia Diehl, M.D., F.A.C.S. of

Dr. Diehl cautions, “Patients have to

Your face.

Diehl Plastic Surgery. “The ultrasound

be realistic about what a nonsurgical

energy targets the layer that we pull up

technology can achieve. Although the

Many of the miracles of modern medi-

on during a facelift (the SMAS layer),

results in some patients may be dramat-

cine have made it possible to reverse

stimulating the structural support lay-

ic, there are others that will not achieve

some of the signs of aging. However,

ers of the skin to form new collagen.”

the outcome they desire without sur-

most of them involve invasive surgery,

gery. It is important to be evaluated by

like face lifts or implants, which can not

Dr. Diehl says that Ultherapy can be

a physician or a plastic surgery PA or NP

only be risky but can put a huge dent

used to lift the brow, tighten the jaw

so that they can give you a realistic idea

in your wallet. Some other cosmetic

line and the area under the chin, and

of surgical versus nonsurgical results.”

therapies have provided solutions with

lift and tighten the neck. A deep tight-

success, such as chemical peels, micro-

ening treatment can provide significant

Unlike surgery, there is no down time

dermabrasion, Botox, fillers and laser

results in only one treatment, but some

for Ultherapy, and healing does not re-

light therapy.

people may choose to repeat the proce-

quire the use of compression garments.

dure every few years.

Also, unlike surgery, the results are

thrive magazine

A relatively new procedure known as

gradual and natural, so no one has to

Ultherapy takes a different approach,

For superficial treatment of fine lines, it

know that you have received treatment.

using ultrasound therapy to tighten the

is optimal to have a series of treatments

You’ll just naturally look more youthful.

deeper tissues beneath the skin which,

spaced about four weeks apart. With

in turn, rejuvenates the skin.

each session, the body responds to the

“Patients can go about their usual day

directed ultrasound energy with contin-

after the procedure,” Dr. Diehl says of Ul-

“Ultherapy is an FDA approved non-

ued collagen growth, helping to tighten

therapy. “Some people have redness that

invasive ultrasound-based technology

and refresh the skin.

disappears shortly after the treatment. A

refine & renew • ultherapy

small percentage of patients have some swelling and bruising. Comfort levels vary from patient to patient during the treatment.” These may include overthe-counter pain relievers, prescription medications, and local anesthesia. This would be discussed during the consultation and a plan formulated specifically for you. “Ultherapy addresses mild to moderate laxity of the face and neck by stimulating collagen in the deeper tissue layer,” Dr. Diehl shares. “Some patients can expect a 20 to 40 percent face lift result, giving a gentle lift to the treated areas. Subtle and gradual changes over time keep the results natural. A healthy lifestyle and pharmaceutical-grade skin care work hand in hand with facial rejuvenation procedures to give the best long term results.” Ultherapy is appropriate for any skin type since it is not a laser therapy, so any patient may be eligible for the treatment. “Because the technology is treating the deeper tissue layers, there is no skin sensitivity, need to avoid the sun after the treatment, or increased risk for different ethnicities,” Dr. Diehl says. Patients with more complex skin issues may need to combine Ultherapy with other treatments, such as laser therapy or chemical peels. It is important for each person to consult with a doctor discuss therapeutic options that will achieve the best results.

thrive magazine

or qualified treatment professional to

refine & renew • the latest in fat removal

the latest techniques

in fat removal

Our e x per t: Jer em y W. P y le MD b oa r d c er t if ied pl a s t ic sur geon of Dav i s pl a s t ic sur ger y

Most of us have our trouble spots: That

tic Surgery. “There are many options

they are ever going to make. We may

muffin top that you can’t seem to get rid

that are available. There is always a bal-

get bigger because our fat cells grow in

of after pregnancy, the love handles that

ance, and the less invasive options are

size, but we typically don’t create new

seemed to grow after you turned 40, the

typically less expensive and require less

fat cells. When fat cells are surgically

hips and thighs that make you hesitant to

down time. The trade-off is that they

removed, they do not grow back.

put on a bathing suit.

tend to provide less dramatic results. From less dramatic to more dramatic

Choosing which fat removal technique

A healthy diet and a consistent exercise

results, the options offered include non-

is best for you depends on a number of

program are key to losing weight and

invasive techniques like CoolSculpting,

factors, such as the areas to be treated,

tightening up those problem areas.

techniques involving small incisions,

whether you want a less invasive pro-

However, some stubborn pockets of

such as liposuction, and techniques

cedure, whether you have the time for

fat may not respond to even the most

involving longer incisions like a tummy

recovery, and your budget.

faithful fitness regime, because of aging

tuck, arm lift or thigh lift.”

or sometimes just plain genetics. Fortunately, there are many options for removing stubborn fat and attaining the figure you want, including liposuction and fat sculpting.

CoolSculpting is the least invasive

“By the time we are 18 years old, our bodies have made most of the fat cells they are ever going to make.”

thrive magazine

“Much of the skill of a surgeon is in

procedure and requires minimal down time. Dr. Pyle shares that the treatment uses a process called cryolipolysis, which destroys fat cells with cold temperatures. The fat cells are then expelled through the body’s lymphatic system, which can take anywhere from

knowing what tools are available, what

Pyle explains why fat removal might be

three weeks to four months. Dr. Pyle

tools work for specific problems, and

the best option in some cases. He says

says the procedure can result in a 25

matching the tool to the problem,” ex-

that by the time we are 18 years old, our

percent to 40 percent fat reduction in

plains Dr. Jeremy W. Pyle of Davis Plas-

bodies have made most of the fat cells

the area treated.

refine & renew • the latest in fat removal

closed. Significant portions “Ideal candidates for CoolSculpting are

of fat can be removed, while

at or near their ideal weight, but with

also reshaping that area of the

noticeable pockets of fat in specific ar-

body.

eas,” Dr. Pyle explains. “It is not appropriate for patients who are obese (with

In some cases, more than one

a BMI greater than 30) or significantly

fat removal technique can be

overweight. It is the solution for getting

combined to get the best re-

rid of small pockets of unwanted fat

sults. For example, liposuction

without knives, sutures, lasers, needles

can be combined with a tummy

or even significant recovery time.”

tuck to shape the whole area and create a smoother outcome.

Dr. Pyle says that most patients are able to resume normal activity on the same

It is important to talk with a

day that they receive the treatment,

doctor about all your options

and the procedure lasts about an hour

for meeting your goals. Dr. Pyle

per treated area.

also stresses the importance of working only with a surgeon

Liposuction is one of the better-known

who is certified by the Ameri-

fat-removal techniques. It involves

can Board of Plastic Surgery.

making a small incision and then suctioning out fat cells from the target

“Because the promise of

area. The surgery is performed under

getting rid of fat without a

anesthesia in an operating room.

lot of downtime is alluring,

Though patients may notice significant

there will always be someone,

improvement immediately following

somewhere, willing to offer

surgery, Dr. Pyle says that it takes about

those treatments that promise

three months for skin to shrink down

huge results but either do not

and the end results to be seen. “The

deliver, or do so with a big

most powerful tool for getting fat out

risk of a bad outcome,” Dr.

and reshaping the body continues to be

Pyle says. “By working with

surgery,” Dr. Pyle shares.

a board-certified surgeon, you can avoid less reputable physicians or centers offering

cedures like the tummy tuck, arm lift

unbelievable results without

and thigh lift. These surgeries typically

formal training, in an accred-

involve cutting out an area of skin and

ited plastic surgery residency

fat and then pulling the remaining area

or fellowship.”

thrive magazine

Surgery for fat removal includes pro-

refine & renew • rhinoplasty

rhinoplast y:

what you need to know

Our e x per t: j. c h a r le s f inn, md, double BOARD CERTIFIED FACIAL PLASTIC SURGEON of f inn fac i a l pl a s t ic s

The American Society of Plastic Surgery

to create more balance with other

splint may be used to promote healing,

reports that rhinoplasty, otherwise known

features of the face.

and patients may experience some

as a nose job, is the most popular cosmetic surgery in patients under 30.

mild bruising (usually under the eyes), “The nose is the focal point of the face

as well as some mild pain. Any pain is

and, if it out of proportion to the other

usually controlled by medication and

The American Academy of Facial Plas-

facial features, it can be quite distract-

should subside within a day or two.

tic and Reconstructive Surgery says

ing,” says Dr. J. Charles Finn of Finn

that as people age, other procedures

Facial Plastics. “There is no cookie-

“Although there is usually dramatic

like the face lift become more popular,

cutter solution to these issues.”

improvement from the moment the

though rhinoplasty is still the third most common cosmetic procedure for women in their 40s and 50s. Rhinosplasty is also the most requested surgical procedure among men.

splint is removed, final results may

“Each rhinoplasty should be individually planned to best achieve the patient’s goals...”

The AAFPRS reports that around 73

take six months to a year or more to be seen,” Dr. Finn says. Patients who choose rhinoplasty for cosmetic reasons may choose it to correct aspects of their nose that make

percent of rhinoplasty procedures are

Dr. Finn explains that the surgery is

them unhappy, such as the size or the

cosmetic. However, some patients do

typically performed in the office under

shape. However, some patients may

undergo surgery to correct breathing

anesthesia. “Patients often describe

also undergo rhinoplasty to correct

problems. This procedure is known

the procedure as ‘the best nap they’ve

injuries to the nose caused by trauma,

as a septoplasty, which changes the

had in weeks!’”

such as from a car accident or a sports

internal structure of the nose.

related injury.

thrive magazine

Recovery depends on the specific sur-

Rhinoplasty performed for cosmetic

gery and the individual patient. How-

“Each rhinoplasty should be indi-

purposes reshapes the external nose

ever, Dr. Finn says that an external

vidually planned to best achieve the

refine & renew • rhinoplasty

Patients who choose rhinoplasty for cosmetic reasons may choose it to correct aspects of their nose that make them unhappy, such as the size and shape...others... may undergo rhinoplasty to correct injuries to the nose cause by trauma, such as from a car accident or a sports-related injury.

patient’s goals,” Dr. Finn explains.

“Patients interested in rhinoplasty

emy of Facial Plastic and Reconstruc-

“In our office, we have 3-D imaging

need to find a surgeon experienced in

tive Surgery. Ask friends and family

techniques so that patients can see

both the aesthetic and the functional

for personal recommendations if they

their potential results before even

components of rhinoplasty,” Dr. Finn

have any experience with the proce-

having surgery. This imaging is used

says. “A surgeon’s experience and

dure. Then meet individually with each

as a communication tool to help the

training are vitally important to a

surgeon to make sure that it feels like

patient and the surgeon communicate

satisfactory outcome.”

a good fit and that the person can ad-

needs and realistic expectations.”

dress all of your questions. Plastic surgery is no time to bargain

Patients who want to correct breathing

shop. It is important to meet with a

If cost is still a concern, ask your

difficulties may need a septoplasty in

number of surgeons to find one who

surgeon about what financing options

combination with a rhinoplasty.

you feel comfortable with and who has

may be available. Many surgeons have

experience in the type of procedure

a plan available to make financing the

Though there are many advantages

you want to have done. You should

procedure more affordable for their

to rhinoplasty, including a more

then research the surgeon’s credentials

patients. If no such plan is available,

pleasing appearance and improved

to ensure that he or she is board-certi-

just take your time and save for the

breathing, there can also be draw-

fied and does not have a record of poor

procedure. It’s better to wait until you

backs if the procedure is not per-

results or patient complaints.

can afford the right surgeon than to

formed correctly. Problems usually

rush into surgery with someone who Start your search by researching the

is inexperienced and is more likely to

time to find a qualified plastic sur-

surgeon with the American Society of

botch the job, costing you much more

geon to perform the procedure.

Plastic Surgery or the American Acad-

in the long run.

thrive magazine

occur when patients don’t take the

refine & renew • holistic skin care

a holistic approach to

skin care Our e x per t: A ngel a Pa dge t t, a lic en sed e s t he t ic i a n a nd f ounder a nd pr e siden t of Sk in Sen se , a day spa

We all want to keep the clear, radiant skin

and regular spa visits,” Padgett says.

the signs of aging such as fine lines,

we have in our youth. However, as we age,

“Improving your skin begins with your

pigmentation and wrinkles around the

we start to experience fine lines, uneven

diet. Remember, ‘You are what you eat.’

eyes and lips.

skin tone and a loss of firmness.

Fruits and vegetables such as organic blueberries, strawberries, cranberries

Targeted skin care therapies can also

Unfortunately, there is no magic pill or

and green leafy vegetables are high in

keep the skin healthy and reverse any

procedure to reverse all of the signs of

antioxidants, which protect cells while

damage that has already been done,

aging and regain the complexion of our

aiding in a faster cell turnover. If you

and they should be included in a holis-

youth. There are, however, many things

do not like many greens or don’t have

tic approach to caring for your skin.

we can do to keep our skin healthy and

enough time to get these in your diet,

beautiful and to maintain that youthful

try juicing. It is an easy way to obtain

“Regular facial treatments are a vital

glow for as long as possible.

all of the wonderful nutrients quickly!

part of caring for your skin by helping

Eating foods high in Vitamin E, such

to improve cell turn over and aiding in

Angela Padgett, president of Skin

as almonds, helps to offset harmful

cleaning out the follicle, which results

Sense, a day spa and licensed estheti-

UV damage.”

in less stretching of the pore,” Padgett

cian, shares how a holistic approach is often the best method. “We recognize that the most powerful way to care for your skin and improve the signs of aging are through

shares. “Faster cell turnover is vital to

By taking (a) holistic approach to skin care, many people can slow or reverse the signs of aging...

thrive magazine

a healthy lifestyle—of caring for your

anti-aging in that it builds collagen, reduces the appearance of hyperpigmentation and smoothes fine lines. This process slows down exponentially as we age, but treatments such as enzyme and Glycolic peels, as well as

body in harmony with wellness ritu-

By taking this holistic approach to skin

Microdermabrasion, help in speeding

als such as a healthy diet, exercise,

care, many people can slow or reverse

cell turnover.”

refine & renew • holistic skin care

While those treatments are important

tion damage using organic products

of skin care products with Hyaluronic

for overall skin care, she also recom-

that are rich in anti-oxidant fruit

acid, which holds moisture 100 times

mends treatments to target specific

enzymes, as well as LHA and

its molecular weight, is wonderful in

areas of the face.

Glycolic acid.

maintaining supple skin.”

“Regular treatments hydrate the

Many of these spa treatments are af-

Taking care of your skin from an early

delicate skin around the eyes and

fordable, typically ranging from $75 to

age is the most important thing you

lips, which are prone to fine lines and

$130 per treatment.

can do to protect your skin. Not only

crow’s feet,” Padgett says. “Exfoliation

should you get regular facial treatRegular home care is also important.

ments and take care of your skin at

Microdermabrasion treatments buff

“Using products that contain ingre-

home, but you should also wear sun-

and exfoliate tissue to force natural

dients high in antioxidants such as

screen every day. The sun is one of the

healing, thereby softening small lines

cranberry, blueberry, strawberry, and

most damaging agents to your skin.

and wrinkles, acne scarring and pig-

Vitamin C helps to shield cells from

mentation damage.”

damage caused by free radicals while

“Whether you are in your twenties,

improving cell turnover,” Padgett

thirties, fifties, or beyond, it is never

Skin Sense recommends the Balance

stresses. “As skin loses Hyaluronic acid

too late to bring balance to life – start

and Replenish Facial, which targets

with age, it becomes more prone to

today! Your skin will thank you.”

hormonal acne, aging and pigmenta-

wrinkles and skin damage. Regular use

thrive magazine

of these areas is equally important;

refine & renew • winterizing your skin

tips for winterizing

your skin When the temperatures drop, you may be thinking about how to winterize your home by sealing up any drafty windows or doors and patching up any weak insulation spots in your attic or crawl space. You may be thinking about how to winterize your car by checking all your fluid levels and making sure your tires have a thick and healthy tread. You probably aren’t thinking of winterizing your skin. You may even be thinking “Is that a thing?” Not only is it a thing, but it’s just as important as protecting those other investments in your life – maybe even more so since it’s the only skin you’ll have throughout your life, and you need to protect it. Winterizing your skin can get you through the harsh winter months and slow the signs of aging for many years

thrive magazine

to come.

Don’t let the gloomy winter months also lead to sad, dull skin. Keep your skin healthy and radiant by following a modified cleansing and moisturizing routine that will keep it soft, supple and beautiful.

refine & renew • winterizing your skin

moisturizing Your Face

Your Body

The delicate skin on your face is prone

Taking lukewarm showers can prevent

to drying during the winter. The air is

the skin on your body from drying out,

not as humid, and winds can further

which can lead to flare-ups in eczema,

irritate and dry the skin. You can ex-

psoriasis or other skin conditions. Use

perience dry patches, flaking, itching

a light body lotion to moisturize, and

and even peeling. It is important to use

run a humidifier in your room while

a quality moisturizer every day with

you sleep.

a thick emollient. Avoid hot showers, which can further dry the skin, and

cleansing

use a humidifier while you sleep. Use

Your Face

a thick oil-based lip balm to avoid dry

Use a gentle cleanser that won’t strip

and chapped lips.

or dry the skin. Choose one that is designed to put moisture back into

Your Hands

the skin while also cleansing. Some

The hands can dry out and crack, as

makeup products also include SPF

well, during the dry winter months.

protection, such as foundation and

Use a daily moisturizer to prevent

powder.

against drying. For deep moisturizing, put a thick moisturizer or even a

Your Hands

petroleum jelly on your hands, paying

Like with your face, it is important to

special attention to your cuticles, wrap

use a gentle cleanser that won’t dry out

them in saran wrap and put on some

your hands. Use gloves when washing

mittens. Let them soak for 30 minutes

dishes, or use the dishwasher.

and then wipe them dry. They will feel soft and smooth.

Your Feet

For deep cleansing, it’s better to soak Your Feet

your feet in lukewarm water. Adding

Feet can become cracked

a natural oil can both moisturize and

and ashy during the winter, causing your feet to feel like sandpaper. Like with

sun protection Your Face

Though the sun may not be as bright during the winter months, UV rays can still penetrate and damage the skin. It is important to wear a quality sunscreen every day. Some moisturizers include SPF for double protection. Your Hands

Hands also need SPF protection. UV rays can lead to sun spots, which can age your hands. Your Feet

Fortunately, your feet aren’t at much risk of UV damage. Just keep them swaddled up in warm footwear, and you should be fine. Your Body

Apply sunscreen to any parts of your body that are exposed, such as your neck and décolletage.

cleanse. Scrubbing with a pumice stone or a harsh cleanser will only further dry out feet.

your hands, you should use a daily moistur-

Your Body

izer. Deep moisturize

A mild soap is preferred for all-over

and wrap with saran can sleep over night in them and lightly buff with a pumice stone if needed.

washing. Dry brushing can be used after showering for gentle exfoliation to keep skin smooth.

thrive magazine

wrap and socks. You

healthy & happy • buying a new mattress

how to buy a mattress for optimum health and better sleep A good night’s sleep can be the best medicine for improving your health. Getting enough sleep, and getting high quality sleep, can help to reduce your stress levels, increase your energy, balance your moods and lower your overall risk of poor health conditions and disease. Your mattress can have a big impact on how much you sleep and how well you sleep. Understanding the important qualities of a good

thrive magazine

mattress can help you choose the best mattress to give you a great night’s sleep.

Criteria to Look For

Health Benefits

Selection Process

Size

The more size you have, the more room you have to roam on the bed. If you are sharing a bed with a significant other, the size becomes even more important. If you are both crammed into a full, you may find you don’t have enough room to stretch out and relax. You may wake up with pinched muscles or cramps.

By having the room to stretch out as needed, you allow your muscles to relax, which can help you to relieve stress and to get a better night’s sleep. You’ll wake up feeling refreshed and with more energy.

Measure your room to find out how much space you have for your new mattress. If you can spare the space, a king size bed is the best choice for a couple, and a queen provides plenty of room for a single person. If you and your significant other are smaller people, you may find you have plenty of space in a queen.

Mattress Type

There are three primary types of mattresses: Polyurethane foam mattresses, innerspring mattresses and water beds. The first are the “memory foam” type mattresses that mold to the shape of your body. Innerspring mattresses are the most common type of mattress, and they include springs in the cushioning of the mattress to provide support. Water beds tend to provide the least support and may actually contribute to health problems.

Memory foam mattresses help evenly distribute your weight for maximum support to relieve pressure and encourage deep, restorative sleep. Innerspring mattresses come with a range of options, including different firmness and padding. Mattresses that offer even distribution and support are the best. Water beds offer few health benefits since they allow sleepers to roll around a lot and provide little support.

Try the “sleep test.” When choosing a new mattress, lay down on the mattress in your typical sleeping position. Choose a mattress that makes you feel comfortable and supported.

Firmness

A mattress should be neither too firm nor too soft. A firm mattress can give you support, but if it’s too firm, it can lead to more aches and pains, like a stiff back.

A firm mattress helps provide support for your spine, keeping it in alignment and relieving stress and pain. For example, firmer mattresses can relieve back pain. However, if a mattress is too firm, it can cause pain on pressure points, such as the hips and the shoulders.

Consider your health conditions when choosing your mattress. If you have an achy back, a firmer mattress may be best. If you suffer from hip or shoulder pain, you may need a mattress that is a bit softer.

Sleep Temperature

Maintaining a comfortable temperature in your sleeping environment can help you rest better. Memory foam mattresses and water beds may not allow the mattress to “breathe” as easily, which can make the bed hot and uncomfortable. Innerspring mattresses offer more breathability to keep the surface area of the mattress cool.

WebMD says that the best temperature for sleeping is between 65 and 72 degrees, and that when this temperature is maintained, people can sleep longer and more deeply. Better sleep equals better health.

When comparing mattresses, look for manufacturer information about the breathability of the materials. Conduct the sleep test and lay on the mattress long enough to get a feel for the temperature. If you start to feel warmer in your short test, you can feel fairly certain that the mattress will warm up a lot over a night’s worth of sleep.

Be sure to comparison shop when you are looking for a new mattress to help you get the best price. Always ask for a guarantee, and always shop for mattresses in person.

{ healthy & happy }

health &

well-being for men & women

healthy & happy • mohs surgery

on the cutting edge of skin cancer:

mohs surgery Our e x per t s : Gr egor y J. W ilmo t h, MD & Er ic D. C h a llgr en, MD of s ou t her n der m at ology

Skin cancer is the most common type

removal procedure that strives to pre-

Then the tissue is frozen and very thin

of cancer in the United States. Accord-

serve as much healthy tissue as possible

slices from the sides and undersurface

ing to the Skin Cancer Foundation,

while extracting all of the cancer cells,

are placed on a microscope slide. After

more than 3.5 million skin cancers are

including “roots” that may extend far

staining the thin slices and examin-

diagnosed each year, and more than 2

below the surface of the skin.

ing them under a microscope to look

million people are affected. The Skin

for cancer cells, additional tissue is

Cancer Foundation reports that there

Dr. Gregory Wilmoth and Dr. Eric

removed as needed if microscopic roots

are more new cases of skin cancer

Challgren of Southern Dermatology

and residual cancer cells are seen. This

each year than breast, prostate, lung

& Skin Cancer Center perform Mohs

technique generally yields a very high

and colon cancer combined, and 1 in

Micrographic Surgery. The procedure

cure rate while sparing healthy tissue.

5 Americans will get skin cancer in

can be used on any part of the body,

their lifetime. Skin cancer can appear

but it is most effective for cancers on

Depending on what doctors find when

anywhere on the body, but that it most

the face or extremities – areas where

the tissue is removed, another stage

often appears on areas that are ex-

saving as much healthy tissue as pos-

may be necessary. “Most cases we see

posed to the sun. Early diagnosis and

sible will preserve cosmetic appearance

involve one to three stages of surgery

treatment are key to beating

and practical function.

and generally patients are in the office

thrive magazine

skin cancer.

for three to five hours,” says Dr. Eric Most Mohs micrographic surgeries are

Challgren of Southern Dermatology.

The most common way skin cancer is

performed on an out-patient basis us-

“On some occasions, complex repairs

diagnosed is with regular skin exams.

ing local anesthesia, meaning patients

such as skin grafts or flaps may be

If any suspicious growths are noted,

are awake during the entire procedure

needed for areas where large amounts

these growths are cut out of the skin

and return home after the procedure

of tissue are removed.”

and analyzed for cancer cells.

is complete. Doctors remove the sus-

Mohs Micrographic Surgery is a cancer-

pected tumor and immediately process

Patients may experience bruising,

it by marking it on a Mohs diagram.

swelling or minor bleeding from the

healthy & happy • mohs surgery

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10/16/13 1:46 PM

procedure. “Other side effects may

particular circumstances. Under-

include numbness at the incision

standing the early signs of skin

site, tenderness, itching, and minor

cancer can also help patients get

scarring,” Dr. Gregory Wilmoth adds.

the treatment they need as early as

“Mohs micrographic surgery leaves

possible. Some signs of skin cancer

one of the smallest scars of any skin

may include a firm, red nodule; a flat

cancer treatment, and it also is the

lesion with a scaly or crusty surface;

skin cancer treatment with the highest

a pearly or waxy bump; a flat, brown

reported cure rate.”

lesion; a large, brownish spot with

To promote prevention and early detection of skin cancer, schedule an appointment to have a thorough skin examination if you have any of the following: n n n n n

speckles; a mole that changes in color or size; or lesions with irregu-

used for almost any type of skin

lar borders. Performing frequent

cancer. However, it is important for

self skin checks and getting regular

patients to discuss their treatment op-

physician check-ups is key to find-

tions with their doctors to determine

ing skin cancer early.

the most appropriate therapy for their

n n n n n

thrive magazine

Mohs Micrographic Surgery can be

New or changed growth Family history of skin cancer Personal history of skin cancer History of blistering sunburns History of exposure to ultraviolet rays from the sun, tanning beds or sun lamps Numerous moles Large, asymmetrical or unusual looking moles Fair skin The tendency to burn and freckle rather than tan Immunosuppressive medications

healthy & happy â&#x20AC;˘ golf courses in the triangle

golf courses

in the triangle

duke university golf club

brier creek country club

eagle ridge golf club

Location

Washington Duke Inn,

9400 Club Hill Drive, Raleigh

565 Competition Road,

13625 Camp Kanata Road,

Raleigh

Wake Forest

The Details

18 holes, driving range.

18 holes. Public.

3001 Cameron Boulevard, Durham

The Details

18 holes. Private. The Details

18 holes, driving range, 6

The Cost

putting and chipping greens.

Membership prices not

Public.

published.

Public. The Cost The Cost

$16 weekdays,

$40 weekday, $50 Fridays,

$20 Fridays, $25

The Cost

Other Offerings

$65 weekends and holidays,

weekends and

$55 weekday, $100 week-

Pro shop, professional

discounted rates available

holidays

end (including cart rental),

lessons.

for mid-day and late play and

discounts for mid-day and

seniors.

thrive magazine

Other Offerings

Coolers allowed,

late play.

brevofield golf links

Other Offerings

pro shop with

Other Offerings

On-course food service and

snacks and

On-course food service and

bar.

beverages.

bar, Callaway rental clubs

healthy & happy â&#x20AC;˘ golf courses in the triangle

If you love to hit the links, there are several top-notch golf courses in the Triangle to practice your drive. Whether youâ&#x20AC;&#x2122;re looking for a quick game or a full 18 holes, and whether you just want to practice your swing or your need hands-on lessons, you can find a golf course to meet your needs.

Though some require private membership to get in, the majority of courses are either open to the public or allow members to bring guests. If you have your eye on an exclusive club, either apply for membership or cozy up to one of the members for an invite.

crooked creek golf course

heritage golf club

north ridge country club

governors club Location

Location

4621 Shady Greens Drive,

1250 Heritage Club Avenue,

Fuquay-Varina

Wake Forest

The Details

18 holes, driving range. Public.

18 holes, driving range. Private.

11000 Governors Drive, Chapel Hill The Details

27-hole course, mountain, lakes, and foothills courses,

Location

6612 Falls of Neuse Road, Raleigh The Details

Two 18-hole championship courses. Private.

driving range, 6 practice The Cost

The Cost

facilities. Private. Guests

The Cost

$44 weekdays, $60 weekends

From March to November:

allowed with members.

Membership prices not

and holidays.

$55 weekdays and $75

published.

weekends and holidays; From

The Cost

Other Offerings

December to February: $44

On-course food service & bar.

$90 for 18 holes for guest

weekdays and $58 weekends and holidays. Other Offerings

Restaurant and bar.

U.S. Open Regional Qualifying Site for Durham

Offerings

Junior golf, lessons, clinics, golf fittings.

thrive magazine

* Each course has varying levels of difficulty. While all have options for beginners, some also include more challenging courses for those looking to improve their skills. Those looking for more advanced or more challenging courses should check the score card for each course, if available, to make sure it meets your needs.

Other Offerings

Other

healthy & happy • country club living

country club living in the triangle

Our e x per t: jennif er proul x , r e a l e s tat e br ok er at c oldw ell b a nk er a dva n tage

Those who enjoy the finer things in life will find the Triangle a wonderful place to live. Dozens of upscale communities, country clubs, gourmet restaurants, high fashion boutiques and much more can be found throughout Raleigh, Durham, Cary, Morrisville and the surrounding towns.

the “country club lifestyle” apart. “It

Country clubs are great hubs for ath-

is a private club, often with private

letes or those interested in staying fit.

membership, that offers different

Not only do they provide the facilities

recreational facilities and is located

for many types of sports, but many also

within a subdivision or a free stand-

offer lessons and classes. Instructional

ing facility. Activities usually include

classes for golf, swimming and tennis,

golf, tennis, swimming and sometimes

or fitness classes for yoga, spinning,

an athletic facility or gym. Also, a

Zumba, and aquatic aerobics may be

country club will provide a clubhouse

available.

for its members that features places for members to gather, such as a restaurant

However, country clubs are also about

(sometimes these restaurants can be

relaxation and luxury. Spa services at

Many of these neighborhoods and com-

some of the finest dining around town),

country clubs include massages, facials,

munities offer a host of amenities that

grill and bar, and may also provide ac-

manicures, pedicures and full-body

make them attractive to residents and

commodations for catered events, such

treatments. You can enjoy a treatment

visitors, including clubhouses, Olympic-

as weddings.”

after working up a sweat to soothe your tired muscles, or you can treat yourself

size swimming pools, volleyball courts, tennis clubs, walking trails, parks and

Proulx adds, “There is also usually a pro-

playgrounds, snack bars and grills,

shop golf center in the clubhouse, which

athletic centers, restaurants on site,

provides tee times, check-in counter

Proulx describes the typical day in

meeting rooms and banquet facilities,

and a place to change into golf shoes.

the life of a member family as “pretty

basketball courts and private schools.

Restroom facilities usually include lock-

amazing.”

after a stressful week at work.

thrive magazine

ers, showers, and changing areas with

Realtor Jennifer Proulx with Coldwell

dressing tables. Most will provide hair

“Dad wakes early to meet the guys out

Banker Advantage explains what sets

dryers and some toiletries.”

on the green and hit a few balls, and

healthy & happy • country club living

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JEN PROULX

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COLDWELL BANKER ADVANTAGE 56 Hunter Street, Apex, NC 27502

then has lunch and some beers,” Proulx

family needs on a size and design level,

says. “Mom is going to meet the girls for

but also the amenities within the sub-

a tennis date then a massage and lunch.

division itself will be a deciding factor.

The kids are going to hang by the pool

These people will be buying a lifestyle,

and enjoy the water slide and pool, then

not just a house.”

take a break and get some burgers and

Some of the more upscale neighborhoods and communities in the Triangle area include: Brier Creek

Stanton Place

Copperleaf

Wrenhurst at Cary Park

Joining a country club is not just about

Green Level Crossing

indulging in the finer things in life, it’s

Regency

Proulx says that country clubs and

about treating yourself to the things

Preston

luxury communities are becoming more

you work so hard to attain. It’s also

Five Points

popular with the increase in popular-

about showing the world that you are

Barrington Village

ity in golf and tennis, and the influx of

a person who drives for success and

more affluent professionals.

meets your goals. When people see you

ice cream from the pool side grill.”

at the country club, they know that you are a person at the top of your field

chase homes for themselves and their

and one who knows how to get what

families,” Proulx shares. “Many of them

they want.

will desire homes that fit not only their

The Registry at Bailey Farm Ethan’s Glen Weston Estates

Bedford Estates Cary Park Chatsworth Grey Hawk Landing Macgregor Downs Macgregor West

thrive magazine

“These people will be looking to pur-

Budleigh

The Hamptons at Umstead

healthy healthy community & happy •• elder local spotlight abuse

elder abuse: signs & solutions

Our e x per t: dav id hen son, At tor ne y, Hen s onF uer s t At tor ne ys

As your loved ones become older, they may

withholding the care needed for patient

However, HensonFuerst says some

require special care to protect their health

health and happiness. Neglect may

signs to look for include:

and their quality of life. You may choose

include denying food, water or medica-

Listlessness

to entrust their well-being to healthcare

tion, refusing to tend to personal

Depression

prfessionals in a facility designed for

hygiene, or allowing your loved one’s

Infantile, fearful, unusual behavior

elderly living, long-term nursing care, or

personal space such as the bed or room

hospice care.

to become filthy.

It is especially significant if these behaviors manifest in the presence of a

Unfortunately, you could come to find

HensonFuerst says that signs of physi-

that over time, the trust you have

cal abuse or neglect may include:

placed in these professionals has been

Abnormally pale complexion

Financial abuse includes taking your

violated and your loved one may have

Bruising

loved one’s money or belongings, which

experienced abuse or neglect.

Open sores or cuts

may include outright theft or acquiring

Burns

the items through coercion or intimida-

Recognizing Elder Abuse The law

Broken bones or dislocations

tion. Warnings that your loved one may

associates at HensonFuerst note that

Sudden weight loss

be the victim of financial abuse include:

elder abuse and neglect can take many

Changes in hygiene

The disappearance of personal items

forms, including physical, emotional

Skin infections

An increase in the number or fre-

and financial abuse.

Torn or bloody bed sheets or clothing

quency of financial transactions from

The presence of fleas, lice, mold, mil-

your loved one’s accounts

Physical abuse may include any un-

dew or excess dirt on the person or in

Additional checks to a caregiver

wanted physical contact that has the

the person’s room

Missing checks

Money missing from a bank account

Changes in the signature on a check,

thrive magazine

potential to cause pain or harm, includ-

particular caregiver.

ing hitting, pinching, slapping, kicking,

Emotional abuse may be more difficult

biting or even sexual assault. Physical

to pinpoint as it can include intimida-

restraint, unless authorized by a doc-

tion and manipulation.

tor for care, is also abuse. Neglect also constitutes as abuse, which involves

possibly indicating forgery n

The addition of other users on their bank accounts or credit cards

healthy & happy • elder abuse

Life Doesn’t Wait . . . …for your injuries to heal, for your bills to be paid, for justice to be served.

Motor Vehicle Accidents Traumatic Brain Injury

Our clients are people who need help due to motor vehicle wrecks, nursing home abuse, Social Security Disability claims, Workers’ Compensation cases, job wage and overtime shortages, and many other challenges.

Social Security Disability Workers’ Compensation

When life hands you a set-back, we’re here to put you first. Our experienced attorneys have been helping clients in North Carolina for 40 years.

Job Wage and Overtime Claims Nursing Home Abuse

1-800-4LAW-MED 1-800-452-9633

2501 Blue Ridge Road • Suite 390 • Raleigh, NC • 27607 • LawMed.com Contact an experienced elder abuse

HensonFuerst Attorneys say that an

you take your loved one to another fa-

important sign that any type of abuse

cility for the exam, HensonFuerst At-

attorney, who can advise you of the

may be happening is that a caregiver

torneys say that you need to contact

next steps to take and help you pro-

does not want to leave you alone with

an experienced nursing home abuse

tect your loved one’s rights.

your loved one – usually out of fear

attorney immediately.

Document any signs of suspected abuse.

How a Lawyer Can Help Experienced

Take pictures of any physical marks

elder abuse attorneys can advise you

such as bruises, cuts or burns. Keep a

of your legal rights. An attorney can

What to Do When You Suspect Abuse

journal of any changes in emotional

review the details that you already have

If you notice any of the warning signs of

or mental state, including when the

and can conduct a thorough investiga-

abuse or neglect, it is important that you

symptoms first appeared and how

tion to look for other signs of abuse or

take action right away to protect your

long they lasted. Take pictures of the

neglect at the facility. An attorney may

loved one from further harm. Henson-

room and get statements from wit-

also be able to pursue monetary dam-

nesses, if possible.

ages on your behalf, either to reimburse

that he will give you some indication of

what is happening.

Fuerst suggests taking these steps: n

Get medical attention. A doctor from a

you for the cost of medical care needed

a new care facility. Make sure you’ve

as a result of the abuse or to provide

in the area can provide an unbiased

documented all signs of abuse before

compensation for emotional pain and

you make the change.

suffering.

exam to look for any signs of abuse. If your current care facility won’t let

Report the abuse to authorities.

thrive magazine

If it’s possible, move your loved one to

local hospital or another care facility

healthy & happy • coffee vs. tea

coffee vs. tea: which is better? the afternoon can also be bad for your health, contributing to increased blood pressure. It is important to limit your overall intake of caffeine to protect

Many of us wouldn’t know how to make it through the day without a jolt of caffeine. Some reach for a strong Cup of Joe, while others prefer a fancy with sugary flavors and internationalsounding names. Others prefer to forgo the java all together and opt for a strong cup of tea instead – with or without the honey and milk.

your health. The Mayo Clinic recommends no more than 200 to 300 milthat can fight cellular damage, help

ligrams per day.

reduce your risk of disease, as well as fight the signs of aging. Black and

It is also important to watch what you

green tea have been linked to a reduced

add to your coffee or tea. Plain coffee

risk of ovarian cancer, and green tea

and tea are both healthy beverages.

has been shown to lower the risk for

However, sugar, cream, milk and hon-

breast cancer and heart disease. Coffee

ey can all add lots of calories, fat and

has proven to help lower the risk of

simple sugars to your drink, making

liver and colon cancer, Parkinson’s disease and Type 2 diabetes. Precautions for Coffee and Tea

Though you might have strong opin-

Coffee and most

ions about which tastes better, science

teas contain

doesn’t take a side when it comes to

caffeine.

which is healthier. Each have benefits,

(Herbal teas

as well as necessary precautions.

and de-caffeinated coffee

Benefits of Coffee and Tea

are available.) An

Both coffee and tea contain antioxi-

8-ounce cup of coffee

dants, which are powerful enzymes

has about 85 milligrams of caffeine, while the same size cup of black tea only has about 40 mil-

thrive magazine

brew plain, or add flavorings sparingly.

ligrams. The same properties

Consider healthier alternatives like

that make caffeine great for

Stevia or nut milk, as well.

waking you up in the morning

it as bad for you as a soda. Drink your

or recharging your energy in

generations

THRIVE SPECIAL SECTION: GENETICS & HEALTH

a thrive special section devoted to

GENETICS & HEALTH

THRIVE SPECIAL SECTION: GENETICS & HEALTH

spotlight: preventing genetic disease In the past century, scientists have

Positive Genetic Testing

made groundbreaking discoveries in

Genetic testing can only tell if you already

genetic research. They have mapped

possess the genes that are linked to the

Preventing Genetic Disease

the entire human genome, and they

development of certain health condi-

By making changes to your lifestyle, you

have discovered what genes are re-

tions. They cannot tell you with complete

may be able to prevent or significantly

sponsible for our behaviors, our bodyâ&#x20AC;&#x2122;s

certainty that you will acquire that disease

lower your risk of developing certain health

development, and even our emotions.

in the future.

conditions. For example, eating plenty of

such as diet and exercise.

broccoli and cauliflower can encourage the Scientists have also discovered some of the genes that are responsible for the development of diseases. A genetic disease can occur when a person has abnormal genes, more or fewer genes than they are supposed to, genes that are inactive, or overly

By making changes to your lifestyle, you may be able to prevent or significantly lower your risk of developing certain health conditions.

production of histones, which can block the expression of genes that cause cancer. Eating a healthy diet is one of the most important things you can do to prevent disease, whether or not you have tested positively for related genes. Eating a low fat, anti-inflam-

active genes. The reasons behind this fact are complex

matory diet can reduce your risk of disease

Genetic testing can help people learn what

because of the inherent behavior of genes.

and can boost your immunity, helping you to

genes they might have that could lead to

For example, if you have the mutated gene

fight off the early stages of disease.

the development of disease. Overall, there

that can lead to the development of cancer,

are genetic tests for more than 2,220 dis-

other processes in your body may suppress

Getting regular exercise and plenty of sleep

eases, according to the Centers for Disease

the expression of that gene and keep it from

can also help you to prevent or reduce your

Control and Prevention.

being activated.

risk of pathosis. Reducing stress and maintaining a positive attitude have been linked

http://www.cdc.gov/genomics/gtesting/

Epigenetics are markers that sit on genes,

to lowering the chances of disease as well.

thrive magazine

and they are responsible for turning a gene

on or off. If you possess elevated levels of

Some medications may also help to prevent

proteins called histones, your DNA may be

the development of disease. For example,

wound so tightly that these genes cannot

if you have tested positively for genes that

be activated, which can prevent the disease

are linked to heart disease, you may be

from ever developing. In some cases, this is

able to take blood thinners or cholesterol

a natural process. In other cases, you can

medication to improve the health of your

control it through positive lifestyle choices

heart and protect against blockages.

THRIVE SPECIAL SECTION: GENETICS & HEALTH

Genomics and Health The following information has been retrieved from CDC.gov for reproduction in this article. For more information please visit their website at: www.cdc.gov/ genomics /public

technique-to-prevent-certain-inheriteddiseases) allows women to transfer only

the nucleus of the cell for the womanâ&#x20AC;&#x2122;s egg and not the mitochondrial DNA that carries the genes for certain types of diseases.

What is Genomics? Genomics is the study of all the genes in a person, as well as the interactions of those genes with each other and a personâ&#x20AC;&#x2122;s environment. All people are 99.9% identical in genetic makeup, but differences in the remaining 0.1% hold important clues about health and disease.

However, women would have to agree to in-vitro fertilization to take advantage this method, as it cannot yet be used with natural conception. Women can also choose to become pregnant using donor eggs and IVF. By using someone elseâ&#x20AC;&#x2122;s eggs, a woman can bypass her own genetics and reduce the chances that her offspring would inherit a predisposition to a disease. In rare cases, you can take extreme measures such as removing tissues or organs

At this time, no such options are available

to reduce your risk of cancer. For example,

for men who might be genetic carriers of a

you may be able to have a mastectomy to

genetic disease or disorder.

reduce your chances of developing breast cancer. However, this approach of removing

Outside of these options for women wishing

organs or tissue would not be useful if you

to conceive, there are no guaranteed ways to

tested positively for genes that are linked to

prevent the onset of disease in your children

kidney cancer, for example.

if you are a genetic carrier. However, there

By studying the relationship between genes, environment, and behaviors, researchers and practitioners can learn why some people get sick, while others do not. Family health history information can also help to identify people who may have a higher risk for certain diseases. Better understanding of genetic and family history information can help researchers and practitioners identify, develop, and evaluate screening and other interventions that can improve health and prevent disease.

Genomics and Specific Diseases Here are some examples of diseases widely recognized as being genetically passed down from generation to generation: n n

are also no guarantees that the disease will

Women who are genetic carriers of certain

alone. Maintaining a healthy lifestyle and

diseases and plan to conceive have options

receiving regular healthcare will improve

for preventing the disorders in their offspring.

your odds tremendously, and your doctor can

One procedure (http://healthland.time.

make additional recommendations.

n n n n n n n n

Autism Breast and Ovarian Cancer Colorectal Cancer Fragile X Syndrome Heart Disease Hemochromatosis Mental Health Obesity Sickle Cell Disease Stroke

thrive magazine

Genetic Testing and Pregnancy

ever develop based on your genetic testing

com/2013/01/03/scientists-discover-new-

Genomics plays a role in nine of the ten leading causes of death in the United States, most notably cancer and heart disease.

THRIVE SPECIAL SECTION: GENETICS & HEALTH

spotlight: can you change your genetics? Some people believe that because their

Changing Your Genetics

Other lifestyle changes that people can

father or grandfather had a heart attack,

Researchers have found that environmental

make to alter their genetics include regular

that they are destined to have one them-

factors and lifestyle choices can encourage

exercise and plenty of restorative sleep.

selves. Others might think that because

epigenetic markers to turn on or off, which

Reducing stress, quitting smoking, and even

everyone in their family is obese, they

does not only alter your genetics, but can

maintaining positive attitudes can all posi-

will be as well, despite their hardest

influence what genetic code you pass on to

tively influence your genetic expression.

efforts to lose weight. You may be able

your children.

to alter your genetic predisposition

Traumatic events, such as natural disasters

through lifestyle choices such as diet,

The Telegraph* reported that a famine near

and being the victim of a crime, have also

exercise and stress management.

the end of the Second World War led to

been found to alter genetic expression.

what is known as the â&#x20AC;&#x153;Dutch Hongerwin-

Those who experience these circumstances

Epigenetics and Genetic Expression

terâ&#x20AC;? in the Netherlands. Over 22,000 people

can receive counseling to help them process

Genes contain the instructions for cells.

died during the famine, and many more

their feelings and limit the potential for

They can tell your cells to turn into a liver

were malnourished and suffered serious

negative gene expression.

or to turn into a skin cell. They can tell your

health consequences. Scientists found that

body to metabolize fats more efficiently, or

the children born to women pregnant during

Major changes in the body can also

to store fat cells in your hips.

the famine, as well as children born later

influence genetic expression. Puberty and

to those affected by the famine, suffered

pregnancy can both permanently alter your

Resting on top of genes are chemicals

many serious health consequences, such as

genetics, changing everything from the

called epigenetic markers that tells your

depression and being underweight.

shape of your body, to your metabolism or your predisposition for disease.

proteins called histones control how tightly

Lifestyle Changes and Genetics

your DNA is spooled. The more tightly DNA

Stressors do not have to be as severe as

Though you cannot control everything about

is wound, the more closed off it is, meaning

starvation or malnourishment to affect your

your genetic makeup, you are not helpless

that epigenetic markers are less effective

genetics. Researchers have found that even

to your genetic destiny. By living a healthy

on it. Histones are like the light switch for

moderate stressors, such as a diet that

lifestyle you can positively influence your

your genes. Epigenetic markers can sup-

causes inflammation or that is filled with

genetic expression, which can change your

press or activate certain genes, which can

toxins like pesticides, can cause changes.

genes and leave a more healthy legacy for

lead to the development of diseases and

Eating a well-rounded diet with healthy

your children.

health disorders such as cancer,

foods with few preservatives and chemi-

heart disease, autism, obesity, diabetes

cal additives, is the best way to prevent

and depression.

disease and poor health conditions.

*source

thrive magazine

genes to turn on or off. Furthermore,

The Telegraph http://www.telegraph.co.uk/ science/10369861/Epigenetics-How-toalter-your-genes.html

THRIVE SPECIAL SECTION: GENETICS & HEALTH

spotlight: how genetics can influence diabetes Diabetes is a growing epidemic – not

The risk is doubled for children whose

Diet is one of the triggers that can increase

only in the United States, but across the

parents developed diabetes before they

the risk of developing diabetes. Eating a

world. The National Institute of Health

turned 11. Children whose parents both have

healthy diet that is low in sugar and high in

reports that the number of cases of Type

diabetes have a risk as high as 1 in 4 for

lean protein and healthy fats can reduce the

I diabetes worldwide has increased 2 to 5

developing diabetes.

odds, even if the genetic risks are there. The

percent per year over the past 20 years.

risk may be higher in families that have Type The genetic link is stronger for Type 2 dia-

2 diabetes, as the parents may normalize

The NIH estimates that at least 10 to 20

betes. Children who have a parent younger

unhealthy eating habits that can increase the

people out of every 100,000 develop Type I

than 50 years old with Type 2 diabetes have

risk of both obesity and diabetes.

diabetes every year in the United States. The

a 1 in 7 chance of developing it. If the parent

NIH also says that one in 300 people develop

is over 50, the risk is 1 in 13. Some research

Regular exercise can also decrease the odds

Type I diabetes by the age of 18. However,

indicates that the risk may be greater for chil-

of development diabetes when there are

the NIH reports that Type I diabetes ac-

dren whose mothers have Type 2 diabetes.

genetic risk factors. You don’t have to be a fitness competitor to lower your risks. Mod-

counts for only 5 to 10 percent of all cases of diabetes worldwide, and most patients

The ADA says that if both parents have

erate exercise every day, such as walking or

actually have Type 2 diabetes. The American

Type 2 diabetes, the child’s risk is 1 in 2. The

doing housework, can battle the odds.

Diabetes Association says that 25.8 million

specific genes that have been identified as

adults and children in the United States

linked to Type I diabetes are the HLA-DQA1,

The ADA says that even viruses can be

have Type 2 diabetes. Another 79 million

HLA-DQB1, and HLA-DRB1 genes.

triggers for developing diabetes. Eating a healthy diet and exercising regularly can

are estimated to have pre-diabetes. At least part of the explanation for the prevalence of

Lifestyle Factors and Diabetes

boost your immune system and may help

cases is genetics.

As the ADA points out, you can only inherit a

lower your risk for contracting diabetes.

predisposition to the disease but something in your environment has to trigger its devel-

If you have a family history of diabetes, or

Genetics can make some people predisposed

opment. The ADA cites research conducted

even if you test positive for the genes that

to developing diabetes. The ADA says that

on identical twins, which shows that when

have been linked to diabetes, there is no

children born to a man with Type I diabetes

one twin has Type I diabetes, the other twin

guarantee that you will develop the disease.

have a 1 in 17 chance of developing diabetes.

only gets it about half the time. Though they

Creating a healthy lifestyle can significantly

The odds are 1 in 25 for children born to

have identical genes, both twins do not

lower your risks. By protecting your own

women under the age of 25 with Type I dia-

always acquire it. The genetic link is stronger

health, you also protect the health of your

betes, or 1 in 100 for children born to women

for Type 2 diabetes. When one twin had the

future children by passing on healthy DNA

over the age of 25 that has Type I diabetes.

disease, the other’s chance was about 3 in 4.

and teaching them healthy habits.

thrive magazine

Genetics and Diabetes

THRIVE SPECIAL SECTION: GENETICS & HEALTH

spotlight: the big “C”

Can Your Genetics Really Determine Your Risk? Early in 2013, Angelina Jolie announced

than inherited gene mutations and have a

that she had relinquished two of her

greater risk of leading to cancer, according

famous assets: She had a double mas-

to the ACS.

such as colon cancer in a young adult n

she carried the BRCA1 gene mutation,

The National Cancer Institute says that one

which has been strongly linked to the

in 800 to one in 1,400 women carry either

development of breast cancer.

the BRCA1 or BRCA2 gene, but that this

More than one type of cancer in a single person

gene only accounts for between five and

If any of these risk factors appear in a

Jolie’s stunning revelation in her New York

10 percent of all cases of breast cancer.

family, it could indicate that genetics are

Times Op-Ed got many people talking.

That NCI says that inherited mutations are

playing a strong role in the development of

Can genetics really determine your risk of

thought to play a role in only about five to

cancer. If a close relative such as a sibling

cancer? Can taking extreme actions, such as

10 percent of all cancers.

or parent develop cancer that is also higher cause for concern.

Jolie’s double mastectomy, really reduce or

What genetic testing can do is help people develop a preventative health plan that can reduce their risk of developing the cancer, and increase their changes of early diagnosis and treatment...

eliminate that risk? Though research shows that genetics can have an impact on your risk for cancer, health officials warn that it’s only part of the big picture. Genetics and Cancer Risk Gene mutations can lead to an increased risk of certain cancers, and these gene mu-

Genetic Testing for Cancer Genetic testing can identify known mutations that have been linked to cancer. Testing is available for: n

Breast cancer

Li-Fraumeni syndrome, linked to breast cancer, leukemia, brain tumors, adrenal cancer and others

Cowden syndrome, linked to breast, thyroid and endometrial cancer

tations can be passed from parent to child.

Certain factors are more likely to indicate

However, the American Cancer Society

a higher risk of cancer development based

says that although some types of cancers

on genetic inheritance. The ACS says that

endometrial, ovarian, pancreatic and

run in some families, most cancers are not

these risk factors include:

other cancers

clearly linked to genetics. Acquired gene

mutations, or those that happen after birth as the result of environmental influences thrive magazine

Cancers that appear in a pair of organs, like both breasts or both eyes

tectomy because she discovered that

Cancer that appears earlier than usual,

or lifestyle choices, are more common

Cases of a rare type of cancer, such

Lynch syndrome, linked to colorectal,

Familial adenomatous polyposis, linked

as kidney cancer, in a family

to colorectal cancer, tumors in the small

Cancer that appears in two young

intestine, brain tumors and more

siblings

Retinoblastoma, linked to eye cancer,

THRIVE SPECIAL SECTION: GENETICS & HEALTH

Testing for Genetic Risk The following information has been retrieved from cancer.gov for reproduction in this article. For more information visit their website at: www.cancer.gov/cancertopics/factsheet/Risk/genetic-testing

What is Genetic Testing? Genetic testing looks for specific inherited changes (mutations) in a personâ&#x20AC;&#x2122;s chromosomes, genes, or proteins. Genetic mutations can have harmful, beneficial, neutral (no effect), or uncertain effects on health. Mutations that are harmful may increase a personâ&#x20AC;&#x2122;s chance, or risk, of developing a disease such as cancer. Overall, inherited mutations are thought to play a role in about 5 to 10 percent of all cancers.

What genetic tests are available for cancer risk? More than 50 hereditary cancer syndromes have been described. The majority of these are caused by highly penetrant mutations that are inherited in a dominant fashion. The list below includes some of the more common inherited cancer syndromes for which genetic testing is available, the gene(s) that are mutated in each syndrome, and the cancer types most often associated with these syndromes. n

n n

n n n

Hereditary breast cancer and ovarian cancer syndrome Li-Fraumeni syndrome Cowden syndrome (PTEN hamartoma tumor syndrome) Lynch syndrome (hereditary nonpolyposis colorectal cancer) Familial adenomatous polyposis Retinoblastoma Multiple endocrine neoplasia type 1 (Wermer syndrome) Von Hippel-Lindau syndrome

To learn more about these and other cancers, please visit www.cancer.gov/cancertopics/ factsheet/Risk/genetic-testing

melanoma, soft tissue sarcoma and more

can take breast cancer screening tests.

Multiple endocrine neoplasia type 1 and

These measures will help doctors diagnose

2, linked to pancreatic endocrine tumors,

breast cancer as early as possible if it does

gland tumors and more

develop, increasing the chances of recovery

Von Hippel-Lindau syndrome, linked to

through early treatment.

kidney cancer Though genetic testing can provide some The ACS says that if testing comes back

benefits, it is important for those consider-

positive, that person is at an increased risk

ing it to understand that the test requires

of developing these cancers. However, the

an expert who can properly interpret the

NCI notes that even if a gene mutation is

results, and that even a positive result is

present, it does not mean that the mutation

not a death sentence.

will lead to the development of cancer. Many factors contribute to the development of cancer, gene mutation is only one of them. What genetic testing can do is help people develop a preventive health plan that can reduce their risk of developing the cancer, and increase their chances of early diagnosis and treatment if cancer does develop. Eating a healthy diet, getting regular exercise, getting plenty of sleep each night and reducing stress can all help to reduce the risk of all types of cancers. If testing is positive for the gene mutation linked to breast cancer, for example, women can start getting mammograms thrive magazine

at an earlier age and more frequently, and

THRIVE SPECIAL SECTION: GENETICS & HEALTH

spotlight: insurance coverage & your genetic history If someone were to discover that they

Protecting Your Insurance

mation Nondiscrimination Act, or GINA. This

were predisposed to developing breast

Dr. Judith Reichman, a medical contributor

bill makes it illegal for insurance providers

cancer, that information would allow

on womenâ&#x20AC;&#x2122;s health for the TODAY show, says

to discriminate against patients based on

them to develop a healthcare plan that

that one way some people have protected

differences in their DNA. Parts of the law

could reduce their risk of developing the

their insurance coverage has been to pay

relating to health insurers went into effect

disease, or identify the disease at the

for genetic testing out of pocket. Instead of

in May 2009, and parts of the law relating

earliest possible stage.

billing their insurance for the test, they just

to employers went into effect in November

pay the costs themselves and then have the

2009. The law provides protection for health

results sent to their doctors.

insurance coverage, but it does not apply to

Genetic testing can tell you if you are at

life insurance, disability insurance or long-

increased risk of acquiring these and other diseases by determining the presence of

Though this may keep the information out of

genes that are associated with these condi-

the hands of insurers, there are some draw-

tions. While such genetic testing can provide

backs to this strategy. For example, if you are

Though it may be illegal for insurance compa-

valuable information necessary for people

positive for a gene that is linked to disease,

nies to cite the results of your genetic testing

to make important choices to protect their

your preventive health plan may include get-

as the cause for denying you coverage or for

health, it may also have ramifications for

ting more diagnostic testing to monitor for

raising your rates, they may make changes

insurance coverage.

the development of the disease, such as MRI

to your policy or cancel your coverage, and

scans or ultrasounds. Doctors have to include

just provide another reason for doing so.

Impact on Insurance Coverage

a reason for these extra tests when they

While you may never see an explanation that

Many insurance plans cover the cost of

bill the insurance company for them. Unless

cites your genetic test results, you may find

genetic testing if a doctor has recommended

you want to pay for your future diagnostic

yourself having a hard time finding affordable

it. However, a permanent record of your

expenses out of pocket as well, you will need

insurance coverage or any insurance cover-

results will be in your health file which can be

to include the original test results in your

age at all.

accessed by your current insurance provider or

insurance claims. You should talk with your doctor about your

any future insurance providers. If your genetic testing comes back positive for genes that

Failure to include your test results in your

individual needs and whether genetic testing

could lead to the development of disease, your

medical record can also cause an informa-

makes sense for you. If it does, you can

insurance provider may decide that you are

tion gap when you are treated by a different

weigh the benefits or risks to your insurance

too much of a risk and cancel your policy, or

physician or healthcare provider in the future,

coverage and how to handle paying for the

significantly raise your premiums. Future insur-

such as in case of an emergency.

test. Only you and your doctor can determine what the appropriate decision is for you and

thrive magazine

ance providers may refuse to cover you, or you

term care insurance.

may continue to pay higher rates for insurance

Legislation

throughout your life.

In 2008, Congress passed the Genetic Infor-

your family.

THRIVE SPECIAL SECTION: GENETICS & HEALTH

spotlight: why you should consider genetic counseling You got your freckles from your mother

your doctor to limit the risk of development.

and your red hair from your grandmoth-

What You Can Test Cancer screening is among the most com-

er. You got your sense of humor from

What You Can Expect

mon, with different tests that can reveal the

your father and your eye twitch from

Meeting with a genetic counselor involves

genes for breast cancer, endometrial cancer,

your grandfather.

more than just having your blood drawn. A

kidney cancer and a wide variety of other

genetic counselor will ask you to compile

cancers.

In addition to all of these wonderful traits

information about your family history, such as

that you may cherish, you may have inherited

what health conditions or diseases that your

Pregnant women can also have their babies

a few undesirable attributes, such as a pre-

relatives may have, as well as the incidence

tested in-utero for certain diseases and

disposition to breast cancer or an increased

of birth defects, miscarriage or early or

disorders, including Down syndrome and

risk of diabetes. Though these and other

unexplained death in your family.

other chromosomal disorders. The tests usually take place in the fourth or fifth month of

diseases are primarily influenced by lifestyle choices such as diet and exercise, certain

A professional will walk you through a

pregnancy. Women who fear that they carry

genes have been identified that can increase

detailed questionnaire related to the

the genes for these can have themselves

your risk of developing them.

diseases for which you want to be tested.

tested before they conceive.

For example, if you are there to be tested for Genetic testing can determine if you carry

a gene related to cancer, you will be asked

Testing and Accuracy

the gene for specific conditions, which will

different questions than if you are interested

Genetic testing is not fool proof. In some

allow you to develop a preventive treatment

in being tested for diabetes risk.

cases, the gene may be detected, but its influence on the development of a certain

plan and help reduce your chances of acquiring the disease.

The information you provide during your

disease may be misinterpreted, causing you

session will be used to determine your rela-

to think you have a greater risk than you do.

tive chances of developing certain diseases.

Genetic examination is recommended for

The results of your test can tell you if you

It is important that patients understand

those who have increased odds of acquiring

have the genes that increase your risk, and

that genetic examination is simply a useful

certain diseases because they run in their

the genetic counselor can tell you what that

screening tool. Even a positive result does

family. For example, if your mother died of

means for your wellness plan. The counselor

not mean that you will certainly develop

breast cancer â&#x20AC;&#x201C; and so did her aunt and so

will also provide you with information about

the disease â&#x20AC;&#x201C; it only means that you are at

did her mother â&#x20AC;&#x201C; you likely have a strong risk

the preventative measures you can take to

greater risk. A positive result can also help

of carrying the gene that can lead to the de-

reduce your risk of developing the disease

you to develop a strategy to catch the dis-

velopment of breast cancer. Genetic testing

and the steps you can take to get the earliest

ease early if you acquire it, so that you can

could confirm that you carry the gene, and

diagnosis, such as frequent and early health

get the right treatment as soon as possible to

you can then establish a healthcare plan with

screenings.

increase your chances of recovery.

thrive magazine

When to See a Genetic Counselor

THRIVE SPECIAL SECTION: GENETICS & HEALTH

spotlight: is obesity really genetic? It is one of lifeâ&#x20AC;&#x2122;s cruel jokes: Some

Time Magazine2 reported on two studies

moderate activities like walking the dog

people just seem to be able to eat

that linked genetics to weight gain. In one,

or working in the garden can help people

whatever they want without gaining

mice who ate less food gained twice as

to maintain an active lifestyle and combat

a pound. Then there is the other side

much weight as they normally would, which

obesity.

of the coin: The people who eat what

was linked to a specific defective gene. In

would be considered a totally reason-

the other study, British researchers divided

Of course, you also have a choice in the

able and healthy diet, yet still pile on

359 men of normal weight into groups by

type of diet you select. If your genes

the pounds. These people might have

their FTO gene status. Men who had a

predispose you to gaining excess fat when

to resort to extreme measures, such as

mutated form of the gene did not show

you consume a high-fat diet, then you need

severe calorie deprivation or zero-carb

reduced ghrelin levels after eating. Ghrelin

to switch to a low-fat diet. Working with

diets to lose any weight. The reason

is the hormone responsible for hunger, so

your doctor is the best way to determine

for this discrepancy may be, at least in

these men were more likely to continue

what kind of diet or exercise is best to meet

part, due to genetics.

eating and to gain weight.

your individual needs. A certain amount of trial and error may be necessary to find the

Genetics and Weight

Combating Genetics

Several studies have been conducted that

Though genetics can predispose people

reveal certain genes may predispose people

to overeating or to storing more fat and

The Centers for Disease Control and

to storing more fat. Other genes may cause

becoming overweight, people are not help-

Prevention also says that doctors can take

hunger hormones to go into overdrive or

less against their genetics. Lifestyle choices

a family health history or conduct tests

satiety hormones to under-perform.

such as diet and exercise can make a big

help to identify those who are at higher risk

impact on health and weight.

of obesity and other health conditions. By identifying those who are higher risk, doc-

The Huffington Post1 reported on a UCLA study that followed 100 mice eating a

Psychology Today reported that although

tors can help these patients develop strate-

normal diet for eight weeks, and then gave

the FTO gene increases the risk for obesity,

gies for preventing weight gain, instead of

them a high-fat, high-sugar diet for another

it does so in incremental amounts. People

trying to take the weight off later.

eight weeks. Weight gain among the mice

are likely to gain only a little over two

varied greatly, with some gaining no body

pounds at a time â&#x20AC;&#x201C; which the report says is

Though your genetics may make it harder

fat and others increasing their body fat by

less than most people might gain while on

for you to lose weight, they do not make

600 percent. The study identified 11 genetic

a cruise.

it impossible. Ultimately, your lifestyle

choices have a significant impact on your

thrive magazine

regions associated with fat gain and obe-

combination that gets the best results.

sity, which can account for the variation in

Daily physical activity is one of the most

weight gain despite the fact that the mice

effective ways to combat the effects of

were all eating the same diet.

genetics. The Telegraph says that even

health and your weight.

helping you make your family dream come true

A Blend of Art & Science

hand-in-hand with caring specialists & modern medicine You should contact Atlantic Reproductive Medicine Specialists if: •

You have decided that your life’s journey includes a child, and are having difficulty achieving your goals

•

You wish to preserve your ability to build a family in the future

•

You want the latest in world-class reproductive medicine techniques

•

You want to be treated with compassion, care and respect

•

You want options for care from renowned physicians with decades of experience

•

You want an exceptional outcome with the very best in personalized care!

Building Families Together™ www.AtlanticReproductive.com 919-248-8777 Toll-Free (855)248-8777 Dr. David Walmer

Dr. Susannah Copland

THRIVE SPECIAL SECTION: GENETICS & HEALTH

spotlight: genetics & fertility

Comprehensive Chromosomal Screening

Anyone who has suffered the pain of

an IVF cycle. “Unfortunately, human sperm,

agnosis because these tests are designed

infertility knows how frustrating and

eggs and early embryos make mistakes in

to identify embryos that have too much or

exhausting the process of trying to

cell division fairly frequently, which results

too little genetic information as a result of

conceive month after month and year

in a high percentage of embryos that have

mistakes in cell division,” Walmer says.

after year can be.

no potential to become children,” explains Dr. David Walmer of Atlantic Reproductive.

Selecting Chromosomal Screening

Often, in-vitro fertilization holds out the

“Being able to select embryos that have

Comprehensive chromosomal screening

last hope for many infertile couples of con-

a normal complement of chromosomes

can be useful for every infertile couple,

ceiving a biological child. Yet the success

reduces a couple’s risk of miscarriage and

but it may be particularly useful to some

rate is not a slam dunk: WebMD says that

increases their chance of successful con-

women, including:

pregnancy is achieved in about 29 percent

ception to about 60 percent when a single

Those who are over 35

of all cycles using IVF, and only about 22

embryo is transferred.”

Those who have experienced recurrent miscarriage

percent of IVF cycles result in a live birth. n

There are many reasons that an IVF cycle may not be successful, including the age of the woman and the quality of her eggs. Chromosomal defects in the embryos can also lead to miscarriage.

Comprehensive chromosomal screening, or CCS, is one effective tool to increase the odds of a successful IVF cycle and live birth.

However, Dr. Walmer notes that the procedure can help any couple have a more successful IVF cycle.

or CCS, is one effective tool to increase

CCS is used to evaluate the cells from

every infertile couple that is going through

the odds of a successful IVF cycle and a

embryos during the first six days of life to

IVF but is often bypassed because it is ex-

live birth.

determine if any chromosomal abnor-

pensive, and occasionally couples express

malities are present. CCS is often used in

concerns about ethical issues that could

What is CCS?

conjunction with pre-implantation genetic

arise from knowing the sex of an embryo

Aneuploidy is the term used to describe

screening to determine the health of the

before transfer,” Walmer says.

embryos that have developed either too

embryos. The testing ensures the viability of the

many or too few chromosomes. It is a leadthrive magazine

cycles

“CCS or PGS is potentially valuable to

Comprehensive chromosomal screening,

Those who have had multiple failed IVF

ing cause of miscarriage, and a reason that

“CCS and PGS are useful to many more

embryos before transfer, increasing the

many women do not get pregnant during

couples than pre-implantation genetic di-

success of the transfer and of the pregnan-

THRIVE SPECIAL SECTION: GENETICS & HEALTH

Our e x per t s : dr . dav id wa lmer & dr . sus a nn a h Copl a nd of at l a n t ic r epr oduc t i v e

cy. Though the testing may be expensive,

mosomal screening may be able

it can reduce costs overall to the couple by

to help you make that dream

eliminating the need for an additional cycle

come true.

of IVF. WebMD says that the average cost of a single cycle of IVF in the United States is $12,400. In addition to the financial cost of additional IVF cycles, there are emotional costs with the stress of hoping for the cycle to work and the disappointment and frustration when yet another cycle is not successful. By getting the chromosomal screening, couples can feel more assured that the embryos to be transferred are viable and healthy and will have a better chance of resulting in a successful pregnancy. It is important for couples to talk with their physicians or reproductive specialists to find out how the test may be able to help them in their unique set of circumstances, as well as what other tests might be useful in their situation. Some couples may benefit from additional genetic testing, especially if they have a family history of certain disorders. Couples no longer have to feel helpless in the face of infertility. Many medical interventions are possible to make your dreams of having a biological family a reality. Talk thrive magazine

with your doctor about how IVF and chro-

THRIVE SPECIAL SECTION: GENETICS & HEALTH

spotlight: menopause & genetics Our e x per t: Donn a H. Rober t s on, WHMP, blue r idge ob / gy n

Many women dread “The Change.”

helping to speed the onset of menopause.

woman’s age at menopause. The study

While menopause may free ladies from

Robertson says that smoking can bring on

isolated four genes that may be linked to

the hassles of their monthly cycle, it

menopause 1.5 to 2 years early. Estrogen

early menopause.

brings with it a whole new series of dis-

is also stored in body fat. Therefore, thin

comforts including hot flashes, mood

women may not have as many estrogen

For now, the only thing women can do to

swings, night sweats, sleep problems,

stores in their body, which can cause

deal with the symptoms of menopause –

thinning hair, dry skin and vaginal

menopause to begin earlier.

whether early or not – is to take care

dryness.

of themselves with proper diet and Genetics are also a key contributor to early

exercise, as well as hormonal treatment

Donna Robertson, WHNP of Blue Ridge OB-

menopause. Some ethnic groups, such as

prescribed by their doctors to meet their

GYN, says that the average age that women

Hispanic and Japanese women, experience

specific needs.

reach menopause is 51. However, a minority

menopause earlier than other groups.

(5 percent) will experience menopause after 55, and another 5 percent experience it be-

“Women with a family history of early

tween 45 and 50. Early menopause occurs

menopause are at higher risk for undergo-

before 40, and is considered abnormal.

ing an earlier than average menopause themselves,” Robertson says.

Exactly when you experience menopause, which is formally defined as the cessation

Anne Murray, a senior lecturer in human

of your menstrual cycle for at least one

genetics at the University of Exter in

year, depends on a number of lifestyle and

the United Kingdom, told Healthline that

genetic factors.

women are six times more likely to experience early menopause if their mothers did.

Common treatment for menopause includes

Lifestyle factors that can contribute to

Though your family history is no guarantee

hormone replacement therapy.

early menopause include smoking and hav-

that you will have early menopause, it can

ing a low weight. Menopause is brought

increase your chances.

thrive magazine

“Postmenopausal hormone therapy is the term used to describe the two hormones,

on when the ovaries stop producing the

Smoking has anti-estrogenic effects, which can lower the amount of hormone in the blood helping to speed the onset of menopause. Robertson says that smoking can bring on menopause 1.5-2 years early.

key sex hormone estrogen. Smoking has

A study published in the journal Human

estrogen and progestin, that are given

anti-estrogenic effects, which can lower

Molecular Genetics in 2010 found informa-

to relieve the bothersome symptoms of

the amount of the hormone in the blood,

tion that could lead to a test to predict a

menopause,” Robertson says. “Estrogen is

THRIVE SPECIAL SECTION: GENETICS & HEALTH

Caring for the women of the Triangle since 1952.

managing menopause symptoms through diet

Obstetrics Gynecology Infertility

It’s a simple matter of knowing which foods to add to your meals, and which to avoid.

By Elaine Magee, MPH, RD , WebMD Weight Loss Clinic (1) Eat More Tofu and Soy

Endometrial Ablation (NovaSure®)

(2) Eat More Fruits and Vegetables

Tubal Sterilization (Essure®)

(3) Eat Beans More Often

Advanced Laparoscopic & Robotic Surgery (da Vinci ®)

(4) Eat More of the Right Fats

In-Office Ultrasound

(5) Choose Your Beverages Wisely (6) Be a Grazer Not a Gorger (7) Eat Calcium-Rich Food Every Day (8) Avoid High-Fat, High-Sugar Foods (9) Add Flaxseed to Your Diet

North Raleigh Area | 11001 Durant Rd | 919.781.2500 Rex Hospital Area | 2605 Blue Ridge Rd | 919.782.9005

(10) Exercise, Exercise, Exercise

www.blueridgeobg.com

the hormone that relieves the symptoms.

use the lowest most effective dose at the

Hormone therapy is generally not recom-

Women with a uterus also take progestin

onset of symptoms. Discontinuing therapy is

mended for women who have a history of

to prevent uterine cancer. This is because

very individualized according to symptoms

breast cancer, coronary artery disease,

estrogen alone can cause the lining of

and quality of life, but the general recom-

clotting, heart attack or stroke. It is also

the uterus to overgrow. Women who

mendation is to taper the dosage and not to

not recommended for women at high risk of

have had a hysterectomy are treated with

abruptly discontinue therapy.”

these conditions.

Some side effects are possible with hor-

“While nothing will replace a good healthy

Robertson explains that hormone replace-

mone replacement therapy, including mood

lifestyle, including a nutritious diet and

ment therapy can successfully treat symp-

swings, headache, breast tenderness, vagi-

daily physical activity, there are safe and

toms such as hot flashes, night sweats, and

nal discharge and bleeding, weight gain and

helpful options to help women as they

vaginal dryness.

gallstones. Robertson says that if women

transition thru the bothersome symptoms

experience side effects, they should work

of menopause,” Robertson shares. “One

“Most experts agree that hormone

with their doctors to change the dosage, the

size does not fit all, and a discussion with

therapy is safe for healthy women who

dosing schedule, or the method of delivery.

a knowledgeable health care provider to

have menopausal symptoms,” Robertson

Options include pills, patches, creams,

formulate an individualized plan of care can

says. “The current recommendation is to

sprays, rings and intra-uterine devices.

ease this transition.”

estrogen alone.”

thrive magazine

THRIVE SPECIAL SECTION: GENETICS & HEALTH

spotlight: genetics & your oral health Our e x per t: din a h v ic e , dds, pa , of sunr i se den ta l

From our eye color to bone structure,

amelogenesis imperfecta can lead to less

your saliva can also play a big role in pre-

and heart health to cancer risk, many

than normal enamel production or problems

venting cavities. Some people may inherit

of our aesthetic and wellness traits can

in the hardening of the enamel. Dentino-

salivary properties that fight cavities, such

be attributed to our genes. However,

genesis imperfecta leads to a problem with

as increased saliva production or additional

your genetic inheritance does not

the formation of dentin, which makes up

elements in the saliva that fight bacteria.

stop at your features or increased risk

the majority of the tooth structure. The

of disease â&#x20AC;&#x201C; even your smile can be

condition can also cause the enamel coating

Gum disease can also be inherited. Regard-

hereditary.

to flake off.

less of how straight or well spaced your

Inherited Dental Traits Some of the most commonly inherited dental traits are the size, spacing and alignment of your teeth. If your mother had a space between her two front teeth, known as a diastema, you are likely to have it, as well. If your dad has an over bite, you may develop one also.

Though dentists agree that cavities themselves are not inherited, several factors that may lead to an increased number of cavities can be passed down from your parents.

teeth are, if you have a genetic predisposition to gum disease you may experience bleeding gums, recession, pain and other symptoms because of gum disease. Cleft lip and cleft palate are other dental conditions that can be inherited. Proper Dental Care Regardless of your genetics, you have con-

Common oral problems that can be inher-

Tooth shape and size can also be inherited,

trol over the health of your teeth. Dr. Dinah

ited include:

which may lead to problems with spacing or

B. Vice, DDS, of Sunrise Dental in Raleigh,

alignment.

Chapel Hill and Durham, recommends brush-

Widely spaced teeth

Crowded teeth

Over bite

Gum Disease and Other Inherited

daily and going to see a dentist every six

Under bite

Problems

months for optimal dental health. Eating a

Cross bite

Though dentists agree that cavities them-

healthy diet can also help to improve your

Open bite

selves are not inherited, several factors that

oral health and to fight your genetic predis-

Missing teeth, known as anodontia

may lead to an increased number of cavities

positions. Reduce your sugar intake and cut

Extra teeth, or supernumerary teeth

can be passed down from your parents. For

out sodas and other highly acidic foods.

ing your teeth at least twice a day, flossing

thrive magazine

example, teeth with more ridges or grooves

You may also inherit defects in the forma-

trap food or tartar in those spaces, which

Unfortunately, there is not much that you

tion of your gum enamel. For example,

may lead to cavities. The composition of

can do to prevent the misalignment of teeth,

THRIVE SPECIAL SECTION: GENETICS & HEALTH

Foods for Healthier Teeth The following information has been retrieved from the Huffington Post for reproduction in this article. For more information visit their website at: http://www.huffingtonpost.com

Seven Things to Eat Right Now! Overall, look for items that stimulate saliva production, which has a neutralizing effect on acid. That’s because saliva naturally contains bicarbonate, which neutralizes acid, as well as calcium and phosphate which help to “re-mineralize” the tooth’s surface, according Mark S. Wolff DDS, Ph.D., professor and chair of the Department of Cariology and Comprehensive Care, also at the NYU College of Dentistry. Other acid neutralizers, like those found in dairy can also help prevent tooth decay and gum disease. Here are seven foods that have been shown to help in the research or clinical practice: (1) Cheese (2) Sugar-free Gum (3) Celery (4) Tap Water (5) Pears (6) Yogurt (7) Sesame Oil

and there are no home remedies to change the shape or spacing of your teeth. However, there are many dental treatments available to fix these issues. For example, Dr. Vice offers braces and Invisalign treatments, crowns and bridges, veneers, dental implants and toothcolored fillings. These treatments can correct your bite, the spacing of your teeth and even the shape of your teeth. Depending on the types of dental problems you may have inherited, you might need to use a combination of treatments. By visiting a dentist every six months, you can catch the signs of any oral health problems early, before they worsen. Ultimately, you are not helpless to your genetics. Take charge of your oral health every day, and work closely with a dentist or orthodontist to evaluate and correct

To find out why these seven items are so vital for your oral health, please visit: http://www.huffingtonpost.com/2012/02/17/foods-teeth_n_1282404.html

any of the dental issues you may be experiencing to create a healthy smile that lasts for many years to come.

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healthy & happy â&#x20AC;˘ 3D mammography

3D mammography

& breast cancer screening Breast cancer is the most common type of cancer in women, regardless of race or ethnicity. The Centers for Disease Control and Prevention reports that 40,996 women and 439 men died from breast cancer in the United States in 2010, the most recent year for which data is available. That same year, 206,966 women and 2,039 men in the United States were diagnosed with breast cancer.

Early detection is one of the most powerful tools in the fight against breast cancer. By detecting the symptoms of breast cancer as early as possible, doctors can begin providing treatments to eradicate the disease before it has a chance to spread to other parts of the body or to grow in size. Benign growths can also be detected before they become malignant. The American Cancer Society recommends that women begin getting mammograms at the age of 40 to begin screening for early signs of breast cancer. The ACS says that women should then get a mammogram every year. However, the National Cancer Institute says that screening can take place every

thrive magazine

one to two years.

Though the NCI says that mammograms can reduce the overall number

healthy & happy • 3D mammography

of deaths from breast cancer thanks to

Benefits and Risks

ers don’t cover it. The test only received

early detection and treatment, it notes

Because of the clearer image that a 3D

FDA approval in 2011, so many

that the screening can still miss up to

mammogram produces, the test has

insurers still think of it as a new or

20 percent of cancers.

been shown to improve breast cancer

experimental procedure. 3D mammog-

detection by 27 percent to 50 percent.

raphy is currently only performed in conjunction with 2D mammography,

3D Mammography

3D mammography, also known as

The exam experience is almost identi-

which is always covered by insurance.

tomosynthesis, is a relatively new

cal to that of a traditional mammo-

The additional images are usually, but

screening tool that may be able to de-

gram, so women can get the enhanced

not always, a limited out-of-pocket

tect more cases of cancer by providing

screening without any additional

expense.

a clearer picture of the breast tissue.

discomfort or time.

A traditional mammogram takes a 2D image of a woman’s breast tissue by flattening the breasts between two x-ray plates and taking a picture. A 3D mammogram takes additional photos of the breast tissue with an x-ray arm that moves in an arc over the breast.

Because of the clearer image that a 3D mammogram produces, the test has been shown to improve breast cancer detection by 27 percent to 50 percent.

The exam takes about 4 seconds longer

Some doctors have expressed concern about the levels of radiation used in 3D mammography. Though it is a low dose, the levels of radiation in a 3D mammogram can be twice as high as in a traditional mammogram. However, it is important to note that the overall level of radiation is very low, and still falls under the threshold identified as

than a traditional mammogram, and

3D mammograms also have a lower

in that time, an additional 15 pictures

incidence of “call backs.” As many as 10

are taken.

percent of women who receive a tradi-

Largely, doctors agree that 3D mam-

tional mammogram have to return for

mography has a number of benefits for

These images are combined with those

additional screening because the first

diagnosing breast cancer. The choice to

taken from the 2D mammogram, and

test was not clear. With a 3D mam-

get the test is still up to each indi-

a computer program creates a compre-

mogram, fewer women must undergo

vidual woman, but as the test is used

hensive 3D image of the breast. The

additional testing, which reduces

more frequently and continues to have

diagram includes layers within the

anxiety over the procedure and saves

success, it is likely to be recommended

image that allows the doctor to “flip”

both time and money.

for more patients. Eventually, it may

through them like a book and look for signs of cancer.

safe by the American Cancer Society.

become the standard screening tool for One of the primary disadvantages of

thrive magazine

3D mammography is that most insur-

breast cancer prevention.

healthy & happy • the vein game

photo courtesy of chapel hill magazine

the

vein game Our e x per t: a shle y b aquer o, m.d., f. a .c . s. of c a r olin a v ein in s t i t u t e

As we age, many of us start to experience

the population suffers from venous

More than Just a Cosmetic Issue

problems with our veins. They may appear

disease, though it most commonly oc-

Though spider veins and varicose veins

as minor spider veins – thin, red or pur-

curs in women.

can be unsightly, they are not always just a cosmetic concern.

plish veins that are visible just below the skin – or they may appear as larger, more

In healthy veins, blood is cycled

unsightly varicose veins, which can bulge

through the body and back to the

“Small spider veins and reticular veins

beneath the skin forming lumpy blue and

heart. Muscle contractions squeeze

are purely cosmetic, although they can

purple masses.

blood toward the direction of the

cause minor symptoms like itching

heart. Between contractions, a valve

and burning, as well as bleeding at

Spider veins and varicose veins can

inside the vein prevents blood from

times,” says Dr. Ashley Baquero of the

both be minor issues, appearing spo-

flowing backward. When veins become

Carolina Vein Institute. “However,

radically throughout the body, though

weak or damaged, or the valves be-

large varicose veins can cause deep-

most predominantly on the legs. How-

come stretched or injured, this system

vein thrombosis with the risk of hav-

ever, as the problem worsens, they can

can break down and allow blood to

ing a pulmonary embolism.”

cluster and grow in size, creating an

flow backward into the vein. The ad-

unsightly and embarrassing problem

ditional blood builds pressure in the

As venous disease progresses, it can

or even causing pain and other serious

vein, stretching and twisting it, result-

cause debilitating pain, impinging

health issues.

ing in disorders such as spider veins,

on your overall quality of life and

varicose veins, leg swelling, leg pain

increasing your risk of serious health

and even leg ulcers.

problems. “Venous insufficiency and

Venous Disease

thrive magazine

Venous disease is the cause for all

varicose veins, if left untreated, may

abnormal veins, including spider

Prolonged standing, pregnancy,

progress to swelling of the leg and end-

and varicose veins. Duke University

obesity, inactivity and genetics can all

ing in severe skin changes including

reports that as much as 15 percent of

contribute to venous disease.

pigmentation of the skin and venous

healthy & happy • the vein game

Though spider veins and varicose veins can be unsightly, they are not always just a cosmetic concern...many treatment options are available for [them], depending on what you are suffering from and the severity of the condition

ulcers,” Dr. Ashley Baquero adds,

the patient and

“which can be very uncomfortable.”

better results than the old

Treatment for Venous Disease

vein stripping

Many treatment options are available

treatment.”

for venous disease, depending on what

ASHLEY B AQUERO, M.D, F.A.C .S. Board Certified Surgeon wtih ov e r 2 0 ye a r s o f ex p e r i e n c e

Schedule your complimentar y consultation today! C OMMON SYPMTOMS OF VENOUS DISEA SE • Aching/Pain in legs • Heaviness • Swelling • Throbbing

• Itching/Burning • Tiredness/ Fatigue • Leg Cramping/ Restlessness

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Most insurance accepted

you are suffering from and the severity

Sclerotherapy

of the condition.

is a common treatment for

Compression stockings may be sug-

“In the past, the standard treatment

spider veins. It involves injecting a

gested to help support the health of

consisted of removal of the varicose

solution in the abnormal veins to help

other veins and to prevent weakening

veins or vein stripping, which required

them close and to direct healthy blood

over time. Regular exercise and move-

anesthesia and hospitalization,” Dr.

flow. Laser surgery can also be used to

ment throughout the day can also help

Baquero says. “It was painful, and

destroy small spider veins.

to prevent the development of new spider veins or varicose veins, or to slow

the end results were not as good as expected. Nowadays, we can offer the

Vein stripping is a surgical procedure

the progression of these veins that are

patient an in-office procedure done un-

that involves removing varicose veins

already present.

der local anesthesia and with minimal

through small incisions in the groin,

pain. Instead of removing the veins

knee or ankle.

In some cases, blood thinners may be prescribed to prevent clotting.

and leaving multiple scars, we can now Thermal ablation or coil embolization,

It is most important to work with a

nous laser ablation of the major vein

can be performed to help the veins

doctor or vein specialist to create a

followed by ultrasound-guided foam

close and die, forcing the blood flow

customized treatment plan to meet

sclerotherapy with no down time to

through other healthy veins.

your unique needs.

thrive magazine

get rid of those veins with an endove-

healthy & happy • alleviating allergies

alleviating

allergies Our e x per t: pa ige lindberg, md, b oa r d - c er t if ied o tol a ry ngologi s t, nor t h c a rolin a e y e , e a r , nose & t hroat

Anything in your environment can be

throat, and fatigue. Dr. Lindberg

continue to suffer. Many medications

a trigger for allergies. Dr. Paige Lind-

reports that lethargy from allergies

are available to help you manage your

berg of North Carolina Eye, Ear, Nose

is actually one of the leading medical

symptoms.

& Throat explains that common al-

causes of missed work. Because many

lergens include molds, pet and animal

of the symptoms of allergies involve

“Many patients see relief from over-

dander, and dust mites. Dr. Lindberg

the nasal passages, allergies can

the-counter antihistamines,” Dr.

adds that allergens are also more of a

contribute to or worsen sinusitis, ear

Lindberg says. “The second generation

problem in the South.

infections, laryngitis, and asthma.

of antihistamines (Claritin, Zyrtec,

thrive magazine

and Allegra) are less sedating than

“Warmth, light, and humidity provide

Allergy testing can help you to de-

their older predecessors, such as Bena-

a hospitable climate for a larger variety

termine what might be causing your

dryl. Many antihistamine pills are

of pollinating plants and molds,”

symptoms, as it is not always apparent.

also available in a form that contains

shares Dr. Lindberg. “In addition,

While sneezing during pollen season

an additional decongestant (pseudo-

areas with warmer, milder weather

may seem to be obviously linked to

ephedrine or phenylephrine). Products

have longer pollen production seasons.

allergies, if you are experiencing symp-

containing these will typically have a

Southern states see pollen production

toms when you are in your own home,

‘D’ at the end of their name.”

April through September. In general,

they could be linked to hidden mold.

Dr. Lindberg warns that you should

trees pollinate in the spring, grasses in

Allergy testing usually involves

always consult your physician before

the summer, and weeds in the fall.”

applying small amounts of known

taking any medications, even over-

Some people might not recognize that

allergens to the skin and waiting 15

the-counter treatments. Some decon-

they are suffering from allergies be-

to 20 minutes to see if any symptoms

gestants can cause problems in people

cause the symptoms can mimic that of

of allergy appear. Blood testing is also

who have heart conditions, high blood

the common cold. Common symptoms

available if the skin test is not possible.

pressure, glaucoma, bladder disease,

include a runny nose, congestion,

If tests confirm that you are allergic to

and hyperthyroidism. Your doctor may

sneezing, itchy watery eyes, a scratchy

certain substances, you don’t have to

also prescribe medications to treat

healthy & happy • alleviating allergies

A CENTURY OF EXPERIENCE, A LIFETIME OF CARING

North Carolina Eye, Ear, Nose & Throat has a 100 year tradition of providing advanced, friendly, caring treatment to every patient. Our staff and physicians deliver comprehensive, state-of-the-art care in a personal community-based setting. We do not charge a facility fee at any of our offices.

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5726 Fayetteville Rd. #102, Durham 27713 919-287-3443

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1110 SE Cary Parkway #100, Cary 27518 919-859-6771

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911 Ridge Road #A, Roxboro 27573 336-597-2829

WWW.NCEENT.COM

allergies, including nasal sprays and

is so important. However, avoidance

injections is decreased and eventually

antihistamines. Antihistamines can

is not always possible, even when you

the shots are discontinued. Drops may

be purchased over the counter, but

know all your allergies. After all, you

also be taken in place of the shots. “Im-

antihistamine nasal sprays are only

can’t hibernate inside all spring if you

munotherapy decreases the symptoms

available through a prescription. Nasal

are allergic to pollen.

of allergy and prevents development of new allergies,” Dr. Lindberg says.

antihistamine sprays applied directly Immunotherapy can also decrease your

“In children, immunotherapy has also

symptoms of nasal allergies with fewer

sensitivity to allergens. Dr. Lindberg

shown to halt the progression of nasal

systemic side effects, and steroid nasal

explains that this includes shots that

allergy to asthma.”

sprays can help reduce inflammation

inject a small amount of the allergenic

from an allergic response. Dr. Lindberg

substance to help your body develop

Home treatment can also be effective

says that Montelukast (Singulair) is a

immunity. The treatment may involve

in reducing allergy symptoms. Dr.

popular prescription pill that can treat

weekly shots when it begins, usu-

Lindberg recommends flushing nasal

allergy symptoms. In the long term,

ally given for 3-5 years, and each shot

passages with saline, which can help

avoidance of allergic triggers is one

includes increasingly larger amounts of

to moisturize dry nasal passages and

of the best ways to reduce symptoms,

the allergenic substance. As the patient

clear out mucous and traces of the

which is another reason why testing

develops immunity, the frequency of

allergens.

thrive magazine

to the nose can effectively block the

healthy & happy â&#x20AC;˘ macular degeneration

macular degeneration and glaucoma

As we age, our vision can worsen,

the numbers are expected to increase

are aware of their condition. About

resulting in the need for correc-

significantly by 2020. The condition is

120,000 people in the U.S. are blind

tive lenses. However, some vision

the leading cause of the loss of fine or

from glaucoma, and glaucoma is the

problems can be a sign of a more

close-up vision in people older than 65.

second cause of blindness in the world.

degeneration and glaucoma are

Glaucoma refers to a group of eye

Signs and Symptoms

two common eye disorders that

conditions. It involves mounting fluid

By recognizing the signs and symp-

commonly occur in older adults.

pressure behind the eyes that causes

toms of glaucoma and AMD, you can

serious health condition. Macular

damage to the optic nerve, leading to

receive early treatment to slow the

Macular degeneration, often called

vision loss or even blindness. Open

progression of the disease.

age-related macular degeneration or

angle glaucoma is a chronic condition

AMD, involves damage to the sharp

that progresses over time, while closed

Open angle glaucoma progresses

and central vision, which affects tasks

angle glaucoma can develop suddenly

slowly over time, so there are rarely

such as reading and driving. There

and be very painful.

any symptoms. However, closed angle

are two types of AMD: Wet and dry.

glaucoma can manifest very quickly.

Wet AMD occurs when a blood vessel

The Glaucoma Research Foundation

Symptoms can include blurred vision,

behind the retina grows under the

reports that over 2.2 million people

loss of peripheral vision, pain or red-

macula, causing leakage of blood and

have glaucoma, but only about half

ness in the eyes, and seeing colored

fluids that lead to vision loss. Dry

rings or lights.

AMD occurs when the macula becomes thinner over time, causing vision to

Blurred vision is also a common early

become blurry.

symptom for AMD. Brighter light may make it easier to focus. Other symp-

The Centers for Disease Control

toms can include seeing crooked or

and Prevention reported that

wavy lines, the development of a small

Dry AMD accounts for 70 to

black or grey blind spot in the

90 percent of macular

middle of the field of vision, de-

degeneration, but that it

creased night vision, dullness in

can progress to Wet AMD

colors, and an overall haziness

thrive magazine

over time. The CDC also

says that 1.8 million people over 40 have AMD, and

of vision. AMD may appear in one or both eyes.

healthy & happy â&#x20AC;˘ macular degeneration

Causes and Treatments

being at the highest risk. Other risk

disease. These exams are particularly

Research has shed some insight into

factors include age, smoking, high

important for those over 40 and those

the causes of these diseases. Glau-

blood pressure and obesity.

with a family history of either disease.

coma can be onset by an eye injury,

There is no cure for either disease.

It is also important to give your doc-

an eye infection or a blockage of eye

However, early diagnosis can lead to

tor a complete and thorough medical

blood vessels. However, both diseases

treatments that may help slow the

history during the exam. If you are

are more commonly linked to genetic

progression of the disease and per-

unsure of your family history, take the

factors. Glaucoma is more common

haps prevent permanent vision loss.

time to reach out to relatives to ask for

in older people and those who have

Some treatments include surgery,

the information. The more complete a

a family history of the disease. The

medication, dietary changes and vita-

medical picture you can provide your

causes of age-related macular degen-

min supplements.

doctor, the more conscientious he can

eration are still uncertain, but re-

be in his evaluation and in developing

searchers say that family history and

It is important to get a complete eye

a treatment plan for you should any

race can both significantly increase

exam every year, including dilation,

symptoms be found.

the risk of AMD, with Caucasians

so an optometrist can look for signs of

AMD Quick Facts & Questions to Ask your Eye Care Professional* what is amd? AMD is a common eye condition and a leading cause of vision loss among people age 50 and older. It causes damage to the macula, a small spot near the center of the retina and the part of the eye needed for sharp, central vision, which lets us see objects that are straight ahead.

who is at risk? Age is a major risk factor for AMD. The disease is most likely to occur after age 60, but it can occur earlier. Other risk factors for AMD include: n Smoking. Research shows that smoking doubles the risk of AMD. n Race. AMD is more common among Caucasians than among African-Americans or Hispanics/Latinos. n Family history. People with a family history of AMD are at higher risk.

Below are a few questions you may want to ask your eye care professional to help you understand your diagnosis and treatment. If you do not understand your eye care professionalâ&#x20AC;&#x2122;s responses, ask questions until you do understand. n What is my diagnosis and how do you spell the name of the condition? n Can my AMD be treated? n How will this condition affect my vision now and in the future? n What symptoms should I watch for and how should I notify you if they occur? n Should I make lifestyle changes?

thrive magazine

* http://www.nei.nih.gov/health/maculardegen/armd_facts.asp

questions to ask your eye care professional:

healthy & happy • knee replacement

knee replacement:

what to expect

Our e x per t: Br e t t J. Gilber t, M.D., b oa r d c er t if ied Or t hopa edic surgeon, T r i a ngle Or t hopa edic A s s oc i at e s

If you suffer from arthritis, your

knee,” explains Dr. Brett J. Gilbert of

“Partial knee replacements are a great

joints can be the first to suffer. Your

Triangle Orthopaedic Associates.

option for patients who have arthritis

thrive magazine

knee is one of the most important

that is localized to just one area in the

joints in your body, bearing a signifi-

“Cartilage on the ends of the bones in

knee, rather than having to replace the

cant amount of weight and pressure

the knee is like icing on a cake. When

entire knee,” Gilbert says. “Patients

anytime you walk or stand. Over time,

that icing is worn away, that is what

who have a partial knee replacement

patients with osteoarthritis can suffer

arthritis is. The loss of that cartilage

generally recover more quickly, and

unbearable pain in their knee as the

cushion in the knee means that the

their knee feels more natural to them

cartilage and other supporting tissue

bones grind together, creating pain

after surgery (more like a normal knee)

wears down over time, putting bone

and inflammation, stiffness and swell-

because they have kept most of their

against bone.

ing, making it difficult to get around.”

own knee.”

A knee replacement may be the right

While pain management may of-

On the other hand, Gilbert says, “For

solution to find pain relief and restore

fer some relief, a full or partial knee

patients who have arthritis through-

the full range of motion in the knee. A

replacement can provide a long-term

out the entire knee, a full knee replace-

knee replacement can also be helpful

solution. With a total knee replace-

ment using a minimally invasive tech-

for those who suffered an injury, such

ment, the damaged surfaces of the

nique is a great option for relieving

as in an accident or as the result of

joint are removed and are replaced by a

pain and restoring better function.”

repetitive stress from exercises such

metal and plastic joint that is attached

Surgery is usually recommended when

as running.

to the leg bones and kneecap with bone

patients experience severe knee pain

cement. With a partial knee replace-

or stiffness that limits their every-

“A knee replacement is indicated to

ment, only portions of the joint are

day activities, moderate or severe

relieve pain and restore function for a

replaced, which preserves the other

knee pain while resting, chronic knee

patient who has severe arthritis (loss

healthy areas of the knee.

inflammation or swelling, worsening

of the normal cartilage cushion) in the

knee deformity, or failure to respond

healthy & happy • knee replacement

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along with other medications that allow

go home. Some patients with a desk

medication.

patients to sleep comfortably during

job can go back to work after just a few

the procedure. During surgery, a special

weeks, while others may choose to wait

Though some pain is involved with

long-acting numbing medication is

four to six weeks.”

either a partial or a full knee replace-

placed into the knee, which provides

ment surgery, pain management

three days of ongoing pain relief after

Most people will not need additional

strategies are employed in order to

the procedure. After surgery, additional

surgery, but it depends on your per-

minimize discomfort throughout the

pain medications are given to minimize

sonal circumstances.

process, including recovery.

discomfort, and other medications are given to prevent nausea.”

“If you stay healthy and active and live a long life, you can outlive your knee

“Multimodal pain management along Recovery from the procedure is usually

replacement,” Gilbert says. “If the knee

niques help patients to recover more

very quick. “Patients get up out of bed

replacement wears out, additional

quickly and comfortably after knee

and start walking the same day that

surgery may be needed to repair it.

replacement surgery,” Gilbert says. “The

their surgery is performed,” Gilbert

On average, nine out of ten patients

surgery itself is done with spinal anes-

says. “Patients typically just stay in

will still have a well-functioning knee

thesia (rather than general anesthesia)

the hospital for a few days and then

replacement 20 years after surgery.”

thrive magazine

with minimally invasive surgical tech-

healthy & happy • what is bhrt

what is bhrt? and how can it help you Our e x per t: gr eg br a nnon, md, a ne w you medic a l w ellne s s s olu t ion s

As women age, they experience huge

Bioidentical hormone replacement

administer a series of blood or saliva

fluctuations in their hormone levels.

therapy has been touted as an alterna-

tests to determine initial hormone lev-

Important hormones such as estrogen

tive to synthetic hormones that can

els. The results of these tests provide in-

and progesterone may decrease or fall

treat the symptoms of hormonal imbal-

depth insights into what hormones may

out of proportion to one another. Al-

ance without increasing the risks of

be deficient, allowing doctors can create

though the fluctuations of testosterone

other health conditions. BHRT focuses

a hormone regimen that is tailored to

levels in women are not as significant as

instead on hormones that are biologi-

that patient’s particular needs.

those in men, they can still have a huge

cally identical to the hormones that

impact on how women feel. The result-

women’s’ bodies already make.

ing symptoms can range from mild to

developed at a compounding pharmacy,

debilitating, and include hot flashes,

“Bioidentical hormones have the

and they may include a combination

mood swings and depression.

same chemical structure as human

of hormones in a single pill, cream or

hormones. They are tailored to mimic

suppository. The hormone regimins are

Some doctors have prescribed hormone

the physical properties unique to each

created to the exact dosing instructions

replacement therapy to help treat these

patient’s body,” explains Dr. Brannon

of your doctor based on the results of

symptoms in women experiencing

of Brannon OB/GYN. “Unlike synthetic

your testing. A New You Medical Well-

menopause, perimenopause and post

hormones, bioidentical hormone pellet

ness Solutions prefers to administer

menopause. HRT has also been pre-

therapy is natural, easy to administer

hormone therapy through suppository

scribed to women who have undergone

and effective.”

pellet in order to avoid the inconve-

thrive magazine

a hysterectomy because of cancer or

Bioidentical hormones are usually

niences of daily pills or messy creams.

another health condition. However,

Women who begin to experience the

some experts have noted that there are

symptoms of hormonal imbalance can

Many bioidentical hormones are

risks associated with taking synthetic

meet with their doctors or a reproduc-

derived from naturally occurring ingre-

hormones, such as an increased risk of

tive endocrinologist for a series of pre-

dients such as wild yams and soybeans.

certain kinds of cancers.

liminary tests. These specialists usually

They are chemically processed to create

healthy & happy • what is bhrt

Are you experiencing… • Decreased energy • Depression • Sleeplessness

• Decreased libido • Hot flashes • High Stress

At A NEW YOU Medical Wellness Solutions, our trained medical professionals will help you achieve optimal hormone balance through Bio-Identical Hormone Therapy (BHRT) and get your life back on track. Available for Men and Women.

Is it Safe? Yes. We use custom compounded medications that mimic the hormone naturally produced by your body and the slow and steady release of medications helps eliminate the spikes and valleys seen in conventional treatment.

Greg Brannon, MD

Call 919.322.1931 or visit our web site at www.anewyouwellnessclinics.com

Cary Clinic

530 New Waverly Place • Suite 301 Cary, NC 27518

identical replicas of the hormones that

just provide relief from a persisting

may take longer to notice improvement.

are produced by our bodies.

health issue.

Some may need to work with their doctors to experiment with their dosages

“BHRT is useful for relieving symptoms

Brannon adds that bioidentical hor-

and with specific hormones before they

of low estrogen and low testosterone,

mone replacement therapy can even

find relief in the perfect treatment plan.

such as menopausal symptoms, PMS,

slow the signs of aging, which are often

mood swings, depression, decreased

triggered by a dip in important hor-

“There are both objective and subjective

libido, decreased energy, weight gain,

mones such as estrogen. Estrogen has

results,” Brannon explains. “Objec-

sleep disturbances and night sweats,”

been found to help keep the skin firm

tively, we can see where your lab results

explains Brannon. “It is important that

and supple.

should be, but what is most important

we treat the cause of these symptoms,

is that the patient is their own barom-

not the symptoms themselves, and

The results of bioidentical hormone

achieve hormonal balance.”

replacement therapy vary for each

eter and can tell us how they feel.” “We tailor a holistic approach for each

she needs, and symptoms that she is

patient, combining BHRT, supplements,

bioidentical hormone therapy can

experiencing. Patients may experience

and exercise to prevent symptoms from

eliminate the problem rather than

immediate alleviation, while others

re-occurring,” Brannon says.

thrive magazine

woman, the specific hormones that By treating the root of the symptoms,

healthy community â&#x20AC;˘ GMOs

gmos:

what you really need to know

Farmers have been selectively breeding

within the same variety, such as a

Other commonly genetically modified

crops for centuries. When they reap a har-

tomato with a tomato and corn with

foods include cotton, beets and canola.

vest of above-average-size tomatoes, they

corn. GMOs are often artificially bred

may breed them together in the hopes of

between species, using only the spe-

Purpose of GMOs

getting even bigger tomatoes. If they saw

cific genes of the desirable traits. For

Most commercial food operations

that a certain crop of corn had fewer prob-

example, the cells from bacteria can be

choose to grow genetically modified

lems with pests, they might have bred it

bred with corn to create a larger or a

foods to increase profits. The geneti-

with itself to create a more pest-resistant

more pest resistant crop.

cally modified foods are larger, more

strain. This kind of breeding has led to new

resilient to shelf life and transport,

species of crops that are larger or have

According to The Washington Post1 ,

and they require fewer pesticides and

unique characteristics, including taste.

some varieties of GMOs currently on

herbicides. All of these characteristics

the market include Roundup Ready

increase sales and bring down over-

As technology and scientific research

Soybeans by Monsanto, which are

head costs.

have advanced, so too has food produc-

cultivated to be resistant to herbicides,

tion. New techniques have led to the

and Bt corn, which is designed to se-

However, some genetically modi-

creation of genetically-modified foods,

crete a poison that is toxic to threaten-

fied foods have been created to feed

known as GMOs, and these new foods

ing pests and parasites.

populations in poverty or famine-

have sparked intense debate about their safety and effects on our health.

The Washington Post says that more

cheaper to grow or to sell, and they

Some groups have even called for a ban

than 88 percent of the corn and soy

can be grown in larger quantities or in

on GMO foods, or at least regulations

in the United States is genetically

harsh climates. Some foods can also

requiring clear labeling of foods with

modified, and that about 70 percent of

be genetically modified to boost their

GMO ingredients.

processed foods sold in grocery stores

vitamin or mineral content to address

contain genetically modified ingre-

malnourishment.

What are GMOs?

dients. Many GMOs also end up in

Though the farmers of the past may

livestock feed, which can create animal

Are GMOs dangerous?

have cultivated their plants for more

proteins that would be considered

No definitive research has shown

desirable traits, they usually did so

genetically modified.

that GMOs are harmful. Groups that

www.washingtonpost.com/blogs/wonkblog/wp/2013/11/04/everything-you-need-to-know-about-washingtons-fight-over-labeling-gmos www.nap.edu/openbook.php?record_id=10977&page=R1 3 jrs.sagepub.com/content/101/6/290.full) 1

thrive magazine

stricken areas. The foods are usually

healthy community â&#x20AC;˘ GMOs

fight for more transparency in GMO

Studies by the Institute of Medicine

Those who still have concerns about

labeling or for the banning of GMO

and National Research Council of the

the safety of GMO foods can avoid

products cite this lack of evidence

National Academies and St. Georgeâ&#x20AC;&#x2122;s

them. Since there is no mandate for

in their argument against the safety

University of London Cranmer Ter-

labeling GMO foods, consumers will

of these foods. Groups that stand by

race3 both concluded that genetically

have to do a significant amount of

the safety of GMO products cite the

modified foods pose no more of a risk

research on their own. Avoiding pro-

research as proof.

than foods grown using conventional

cessed foods is one easy way to elimi-

methods.

nate a major source of GMO foods.

The American Association for the

Consumers then have to research

Advancement of Science and the Eu-

While some researchers and advocacy

growers and brands that make a pledge

ropean Union have both said that the

groups are calling for more studies be-

not to use genetically modified foods,

use of genetic modification is safe for

fore drawing a conclusion, the current

or who label their foods as GMO-free.

foods. The American Medical Associa-

research shows that these foods are

Of course, growing your own food is

tion has advocated for more pre-mar-

safe for consumption, and no precau-

also an easy way to ensure the purity

ket safety testing of specific crops, but

tions need to be taken.

of your food supply.

supports the use of GMOs overall.

GMO quick facts: what, why, where* Genetically Modified Organism > GMO > Genetically Engineered

GMO WHAT

Organisms whose genetic make up (DNA) has been altered in a way that does not occur naturally.

In-home or at-the-gym personal traInIng WeIght loss bootcamps

GMO WHY

Crops are currently modified to survive herbicide treatment, produce their own pesticides and resist certain diseases.

runnIng classes

GMO WHERE

In North America, over 70% of our packaged foods contain GMOs.

Two Moms Chasing Their Babies and Their Fitness Goals call

919-924-8017 to make an appointment strongmom.net

thrive magazine

* www.wholefoodsmarket.com/gmo-quick-facts-what-why-where

healthy community • defying diabetes

defying

diabetes

Our e x per t: r i ta l a ngwor t h, pa- c , medic a l prov ider w i t h medi w eigh t los s c linic

The “obesity epidemic” in our country

dent” diabetes, Type 2 diabetes is a dis-

eyes, kidneys, nerves or heart. Possible

is no secret. The Centers for Disease

ease in which the body does not make

complications include heart and blood

Control and Prevention report that

enough insulin to process the sugar in

vessel disease, nerve damage, kidney

more than one-third of adults living in

the body, or the body does not properly

failure, blindness, infection, gum dis-

the US are considered obese. When you

recognize or respond to that insulin.

ease, osteoporosis, Alzheimer’s disease

combine the number of adults who are

Insulin is a hormone secreted by the

and even amputation.

either overweight or obese, the num-

pancreas and used to move sugar, or

ber rises to just over 69 percent.

glucose, from the blood into the cells

Though there is no cure for Type 2

of the body to convert it to energy.

diabetes, patients can learn to manage

Children are also at risk. The CDC says

it and to protect their overall quality of

that about 18 percent of children ages

Because Type 2 diabetes is influenced

life. The key to managing the disease is

12 to 19 are considered obese, as well

by lifestyle choices such as poor diet

the same key to preventing it or reduc-

as 18 percent of children ages 6 to 11.

and inactivity, it is most common in

ing your risk: Eating a healthy diet,

adults. However, as more children

exercising regularly, and maintain-

Those who are overweight or obese

become overweight and obese, the

ing a healthy weight. Some patients

are at an increased risk of a variety

disease is becoming more prevalent

may also need to take medications to

of health conditions, including heart

in children and young people. Certain

control their blood sugar and to keep it

disease, several types of cancer and

ethnic groups are also at a higher risk

at healthy levels.

Type 2 diabetes.

for Type 2 diabetes, including African-

As the problem with obesity has

Americans, Latinos, Native Americans

Some weight loss clinics, such as the

and Asian Americans/Pacific Islanders.

Medi Weightloss Clinic in Raleigh,

thrive magazine

grown, so have the cases of Type 2

have programs designed to help pa-

diabetes. Type 2 diabetes is the most

As the disease progresses, the in-

tients manage their Type 2 diabetes or

common type of diabetes. Also known

creased glucose levels in the blood

other chronic health conditions.

as “adult-onset” or “noninsulin-depen-

may lead to complications with the

Rita Langworth, PA-C, a medical

healthy community • defying diabetes

Choose Medi Weight Loss Clinics. It’s the one that works! NO HCG Custom Tailored to Work for You! Medically Supervised

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Start today and lose by Spring! Call today to schedule your appointment. Greg Brannon, MD

RALEIGH

919.636.3737 2014

provider with Medi Weightloss Clinic,

well as tailored weight-loss programs

and want to learn how to develop

says that even a 10-pound weight loss

that include “a real-food diet plan and

healthy eating habits long term, to the

can help patients lower blood glucose

lifestyle changes with no quick fixes.”

morbidly obese patients with diabetes, heart disease, high cholesterol and

levels and improve blood pressure and cholesterol levels. According to the

The focus is not on weight loss alone,

other co-morbid conditions, and every-

American Diabetes Association and

but on creating new habits to establish

thing in between,” Langworth shares.

the American Academy of Bariatric

a healthy lifestyle. “We also provide

Medicine, this can help them manage

appetite management, weekly sup-

Though losing weight can be more dif-

their Type 2 diabetes and reduce their

port, encouragement, nutritional

ficult when you have Type 2 diabetes,

risk of other serious health problems.

supplements, survival guides, grocery

working with a doctor and other

shopping lists, recipes, fitness advice,

qualified health professionals can help

At facilities like Medi Weightloss

educational handouts and more,”

you find the diet and exercise plan that

Clinic, physicians offer recommenda-

Langworth says.

works for you to get results. Even with gradual weight loss, you can make a

tions to help patients achieve healthy Anyone is a candidate for the program.

big impact on your health, which will

the clinic provides a comprehensive

“We have seen patients from young

help keep your Type 2 diabetes under

medical evaluation for each patient, as

adults who only need to lose 5 pounds

control.

thrive magazine

weight loss. Langworth explains that

healthy community • lifestyle & your health

how your lifestyle

affectsyour health Our e x per t s : t he prof e s sion a l s at t he a mer ic a n in s t i t u t e of he a lt hc a r e & f i t ne s s

No one wants to find out that they have

“’Lifestyle’ includes many other factors

recommends at least two or more days

cancer or that they’ve suffered a stroke.

such as exercise (which has been shown

of muscle strengthening activities for

Yet some people may feel helpless in

to have many health benefits), adequate

all major muscle groups.

preventing these conditions, thinking

sleep, relaxation techniques, and even

that they are genetic or a matter of bad

regular bowel habit, all of which can

Dr. Carol A. Trakimas of The Dermatol-

luck. Fortunately, that is not true. The

affect not only the body’s physiology,

ogy Center of Raleigh at the American

lifestyle choices you make can signifi-

but general well-being and even mood,”

Institute of Healthcare & Fitness

cantly reduce your chances of contract-

Patel says.

cautions that if you exercise outside or

ing a serious illness or disease.

spend a lot of time engaging in outdoor Exercise is also an essential component

activities, that you take the proper

“Lifestyle affects health in so many

of a healthy lifestyle. Regular exercise

precautions to protect your skin. “Sun-

ways,” explains Dr. Rig Patel, a Gastro-

can help you to maintain a healthy

light contains UV rays that are a clear

enterologist with Digestive Healthcare

weight, get more restful sleep, regulate

carcinogen,” Trakimas says. “Not only

at American Institute of Healthcare

your moods (even reducing the risk of

does exposure cause skin cancer, but it

and Fitness in Raleigh. “Diet is a very

depression), and reduce your risk of

also contributes very strongly to early

important aspect for the body in terms

developing serious diseases.

signs of aging. One form of UV ray,

thrive magazine

of function and disease. Putting the

UV-A, penetrates glass, so people who

wrong balance of foods, or food high in

You don’t have to spend hours in the

are driving a lot who might not think of

oxidants, into your body can be harm-

gym to get the benefits of exercise.

themselves as being outdoors are get-

ful and can accumulate. We believe

The Centers for Disease Control and

ting more exposure than they think.”

there are now many dietary factors that

Prevention says that most adults need

are associated with the development of

to get at least 150 minutes of moder-

Trakimas recommends using sunscreen

cancer.” However, diet is not the only

ate intensity exercise each week, such

regularly and wearing protective cloth-

important lifestyle choice that can

as brisk walking. That’s 30 minutes

ing, regardless of how active you are

affect health.

five times a week. In addition, the CDC

or how much time you spend outside.

healthy community • lifestyle & your health

“The rise in the rates of skin cancer is

Talk to your doctors to

alarming, particularly in adolescents,”

make sure you have had

she says.

all your preventative health screens.”

In addition to diet and exercise, other lifestyle choices that can affect your

Flo Moses, the president

health include how much sleep you get,

of Sports & More Physi-

whether you smoke, how much stress

cal Therapy a provider at

you experience, and your overall mental

the American Institute

health. It is important to develop

of Healthcare & Fitness,

Providers at AIHF are dedicated to improving the lives of patients in the

stress-reduction strategies and to es-

adds, “Developing a

We integrate state-of-the-art medical care, exercise, nutrition, wellness and

tablish a support network of family and

healthy attitude toward

lifelong health through prevention, education, diagnosis, treatment, and

friends. Other healthy practices include

fitness, nutrition, ad-

complimentary during your medical or wellness appointment.

getting yearly physical exams, an an-

equate sleep and

nual review of your prescription medi-

good emotional fitness

cation, a yearly eye exam, and regular

is essential to a success-

screenings. Your healthcare providers

ful life.”

Leading Providers

Innovative Approach

Personalized Care

community by providing best-in-class, easily accessed, cost effective care. counseling services, personalized to assist individuals achieve optimum research. Because families are important at AIHF, child care is

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www.aihf.net

can identify areas where you might be at risk and make recommendations for

But, Patel cautions, “Plan and expect

are active, and the other spouse chooses

you to enact healthy changes.

change to be slow. Choose a program

to make not the same food choices and

that you can do long term. Avoid the

chooses not to be active.”

Patel says that some of the most

‘crash’ diet plans. Make changes for

dangerous lifestyle factors include not

everyone at home so the whole family,

Providers at the American Institute of

getting enough sleep, eating a poor diet,

including children and grandchildren,

Healthcare & Fitness understand how

consuming excess sugar, not getting

can learn about healthy lifestyles.”

important lifestyle is to overall health

enough exercise and smoking. Poor

and collaborate regularly to provide

diet and a sedentary lifestyle can run in

Sometimes setting that example can

free medical and wellness seminars and

families, he says.

help encourage a healthy lifestyle in

complimentary medical and wellness

the whole family. However, Kim Iles, a

events, all aimed at helping the commu-

“Make a commitment to yourself, then

registered dietitian with Healthy Diets,

nity achieve optimal health. There are

plan well – such as plan the evening

a provider at the American Institute

multiple proven options when it comes

before what you will eat the following

of Healthcare & Fitness, says that life-

to restructuring your eating habits and

day at work, pack a healthy meal and

styles do not always run in families.

getting healthy the right way - and ev-

snacks so you have healthy food avail-

eryone is different. Although it will not “Sometimes we see one spouse that

happen over night, with the right plan

reasonable goals and plan good reward

has a very healthy lifestyle,” she said.

and a little commitment and determi-

mechanisms. Do all these for yourself.

“They tend to make food choices and

nation, it will happen.

thrive magazine

able to you,” Patel said. “Set yourself

healthy community • the digestive system

your digestive system and your health Paying close attention to your diges-

Taking Care of Your

like yogurt, raw dairy, and fermented

tive health is essential for your overall

Digestive System

foods like sauerkraut. You can also

wellness. You don’t have to talk about

The best thing you can do to ensure

take a probiotic supplement, which can

it with anyone other than your doctor,

a healthy digestive system is to eat a

typically be purchased from a health

but you do need to keep it at the fore-

healthy diet. Eating plenty of fresh

food store.

front of your total health and wellness

fruits, vegetables and whole grains can

plan, including your diet and exercise.

help you get the daily recommended

Signs of Good Digestive Health

amount of fiber you need, which is

One of the best signs that your diges-

How the Digestive System

25 to 30 grams. Fiber helps to create

tive system is healthy is how often you

Affects Health

“bulk” in your digestive system, which

are having bowel movements and what

Healthy digestion is responsible for

bind to fats and other toxins in your

those bowel movements look like .

the elimination of waste and toxins. It

body and move them through your

is also responsible for breaking down

intestines. Eating a healthy diet of

In general, you should have a bowel

the foods you eat into the nutrients

whole, natural foods can also decrease

movement at least once a day, if not

your body needs, including amino

inflammation in the body, which pro-

two to three times a day. Healthy

acids, glucose, proteins, vitamins and

motes a healthy digestive system.

stools should be medium brown and

minerals. Healthy digestion also en-

should be formed but soft. Stools that

sures that you have the energy and the

Eating foods that are high in sugar and

are white, grey or yellow in color may

nutrients your body needs to operate

fat can increase inflammation, which

indicate a problem with your pancreas

at peak levels.

could slow your digestive system and

or gallbladder, or could be a sign of in-

cause your body to store more fat. Ex-

fection. Stools that are too hard or too

When your digestive system does not

cess sugar in the diet may also lead to

soft are a sign of constipation or diar-

work the way it should, you can suffer

insulin resistance, slowing the process

rhea. Your stools also should not smell.

from malnutrition, mood swings,

of waste removal and the metabo-

Foul-smelling stools may mean that

depression, fatigue, eczema and break-

lism of nutrients. A healthy digestive

you aren’t absorbing fat in your diet

outs. An unhealthy digestive system

system is dependent on a balance of

very well, or that you are experiencing

can also increase your risk of infertil-

“good bacteria” in the intestines. When

other digestive issues. Stools that are

ity, diabetes, and chronic health condi-

you eat too much sugar, it increases

narrow or pencil thin could indicate a

tions such as cancer.

bad bacteria such as yeast, which can

blockage in your intestine.

thrive magazine

create an imbalanced digestive system.

A weak or compromised digestive sys-

Taking antibiotics during an illness

What you find in the toilet can reflect

tem can lead to a weakened immune

can also cause your levels of good

what is happening in your body. A

system, which could increase your risk

bacteria to drop. By eating a healthy

good rule of thumb is that if you notice

of all kinds of health conditions, from

diet that includes plenty of probiot-

anything unusual that persists for

the common cold to a wide range of

ics, you can replenish those good

more than a couple of days, you should

more serious diseases.

bacteria. Probiotics are found in foods

talk to your doctor.

healthy community • spices for health

spices for immunity and health Spices can take your cooking to a whole other level, adding a unique flavor to your favorite dishes or making a bland dish more flavorful and interesting. Yet spices bring more to the table than a little zest on your pasta or a savory hint to your sweet potatoes. The right spices can actually boost your immune system, lower your blood pressure, or lower your risk of diseases such as diabetes and cancer. Learn which spices can benefit you and then keep your pantry stocked so you can quickly and easily add them to all your dishes.

turmeric

marjoram

chili pepper

oregano

Benefit

This Indian spice has a long history of being used to improve health. It is known to be a detoxifying agent to naturally cleanse the liver. It also has antibacterial properties and is anti-inflammatory, which can reduce the risk of many diseases, such as cancer, Alzheimer’s and arthritis. It has also been linked to a lower risk of depression.

This fragrant herb stimulate digestion, which can lead to healthy elimination to detox the body and lower the risk of poor health conditions. Marjoram has been shown to help regulate mood, improve sleep and treat itchy skin.

They may be too hot for some to handle, but chilis have a number of health benefits. Chili powder has antioxidants that can fight pain, reduce inflammation and boost immunity. Chili powder can also increase your metabolism, so that chili dog might not go straight to your hips.

This savory herb is a favorite for Italian dishes. Oregano is loaded with antioxidants, which can fight inflammation and lower the risk of disease. Oregano is also an antibacterial agent to fight against infection and illness.

Suggested Uses

Sprinkle it on a stir fry or curry, roasted vegetables or risotto. You can also create a tea with lemon, turmeric and other spices, such as cinnamon.

Suggested Uses

Rub it into a roast or loin before broiling or grilling, sprinkle it on pasta or mix it in with soups and stews.

Suggested Uses

Add it to chili (obviously), stews, soups, meats, pasta or roasted veggies. If you don’t like the spicy stuff, just sprinkle a little bit for a little punch that won’t overwhelm your tastes but will still give you the health benefits.

Suggested Uses

Put it on salads, pizza, pasta, meat, vegetables and more. It has a savory flavor, so it can go with most dinner foods.

rosemary

cinnamon

ginger

garlic

Benefit

Rosemary has a strong, pleasing smell, which is often used in aromatherapy. When you add it to your food, rosemary has been shown to regulate mood, improve digestion, and fight colds. Rosemary is an antiseptic, so it can fight infections and alleviate aches and pains.

Cinnamon is a sweet “spice” that can help you regulate blood-sugar levels, improving your metabolism and lowering your risk of diabetes and metabolic disorders.

Ginger helps to settle an upset stomach, which is why so many pregnant ladies drink flat Ginger Ale. Ginger can also fight inflammation and improve digestion.

Suggested Uses

Sprinkle some on your morning oatmeal, or stir it into a cup of coffee. Cinnamon tastes great on just about any dessert – from ice cream to cakes – as well as some savory dishes, like a curry or sweet potatoes.

Add it to stir fry or drink it in a soothing tea. You can even eat pieces of candied ginger for a treat.

Garlic is the spice that everyone either loves or hates – though most love. Garlic has strong anti-inflammatory properties, has been shown to improve immunity, and has been linked to a lower risk of cancer and heart disease.

Suggested Uses

If you’re brave, you can roast garlic cloves and eat them whole. Otherwise, mince it or slice it and add it to meats, vegetables, potatoes, casseroles, pizza and pastas.

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Rosemary tastes great on everything from vegetables to meats to pastas. Sprinkle on top or use as a marinade or rub.

Suggested Uses

healthy community • effective meal planning

effective meal planning for families We all know that cooking meals at

but inexpensive, such as rice and beans.

in the oven or microwave and you will

home is the best way to keep your

You’ll get a more filling meal for less

have dinner ready in minutes. They are

family on track for a healthy diet

money. Also, choose meals that share

also great meals to reheat for lunch.

and to stay on a budget. Eating out

similar ingredients to save at the store.

can add up fast, and it can fill your

For example, a curry will likely use

Freezing Foods

diet with excess calories, fat and

ingredients that are only good for other

Try to plan some bulk meals that can be

sugar, leading to unhealthy weight

curries, such as saffron. However, cas-

frozen. By doubling or tripling a recipe

gain and poor health.

seroles and pasta dishes are going to use

and freezing it, you will have meals for

several of the same ingredients, such as

several weeks, or even months. This

cooking oils, veggies and seasonings.

allows you to truly maximize your

Planning meals and cooking in bulk can help you to fit more home-cooked

marathon cooking sessions.

meals into your busy schedule, making

Cook in Bulk

sure your family eats healthy foods and

One of the best time-saving strate-

Just about every food, including cooked

keeping your budget under control.

gies is to cook in bulk at the beginning

vegetables and fruits. Some good op-

of each week. Take a few hours on

tions for freezing include:

Weekly Meal Planning

Saturday or Sunday, whenever you have

Lasagna

Start your week by making a menu for

the free time, and cook several meals

Any casserole dish

the following week or two. Plan every

for the week. You can cook almost any

Chicken pot pie

breakfast, lunch, snack and dinner.

recipe, as most items will stay fresh the

Crockpot meals

Most people run into problems because

refrigerator for up to a week. However,

Soups and stews

they planned dinners but didn’t think

you may consider simply doing prep

Rice dishes

about breakfast or lunch. Therefore,

work for some items and then popping

Enchiladas

they grab toast or a bagel in the morn-

them in the oven when you’re ready to

ing and eat out at lunch. Neither is

eat, so they are at their freshest.

necessarily a healthy option.

re-frozen. Foods that are meant to be Excellent items to cook in bulk include:

thrive magazine

eaten fresh, such as raw fruits or raw

Make a plan for every meal for every

Soups and stews

vegetables, should not be frozen. How-

person in your family. Though this may

Stir fry

ever, you can freeze cooked fruits and

be time consuming at the beginning,

Rice dishes

vegetables if you plan to heat them or to

you will soon be able to draw from old

Pasta

use them in another recipe.

meal plans to get quick meal ideas. If

Casseroles

you use an app, you can also generate

Meats should not be thawed and

Meal planning can make it easier for

an automatic shopping list based on the

Each of these can become a complete

you to eat more of your meals at home

meals you enter.

meal with vegetables and meats. When

and to save you both time and money.

you come home from work, just put

Just follow these simple tips to get

the appropriate portion size you want

started.

Choose items that are nutrient dense

PROVIDING

TRAINING AND NUTRITIONAL CONSULTING

desig ned for you r spec i F ic g oa ls h e l p i n g y o u c r e a t e h e a lt y h a B i t s F o r you r s e l F a n d you r Fa m i ly. that become lifest yle habits and give you permanent results

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healthy community • superfoods & antioxidants

the benefits So-called “super foods” are those that are loaded with vitamins and nutrients that combat the signs of aging, lower your risk of disease and promote your overall health and well-being. Antioxidants, in particular, have been touted as super foods because they fight cellular damage that can lead to major diseases such as heart disease and cancer.

of superfoods & antioxidants Berries | Blueberries, strawberries, acai ber-

ries, raspberries, blackberries and goji berries are loaded with antioxidants and phytoflavanoids, which can reduce inflammation in the body, slowing the signs of aging and reducing the risk of cancers and other chronic diseases. Recommended Amounts

½ cup per day, fresh or frozen

Several foods continually make the list of the best super foods and antioxidants to add to your diet for optimal health. Each has its own benefits.

green tea | Green tea has ECGC, an espe-

cially powerful antioxidant that has been shown to lower cholesterol and inhibit the growth of cancer cells. Recommended Amounts

By eating a healthy diet with a variety of foods, you can increase your overall health. By including these superfoods in your diet, you can optimize your health and reduce your risk for many diseases.

1-2 cups per day

broccoli | Broccoli has phytonutrients

that can fight the growth of cancer cells and tumors. It also has a boost of Vitamin C to strengthen the immune system.

salmon | Salmon is an oily fish with plenty

of omega 3, which has been linked to a lower risk of heart disease, arthritis and Alzheimer’s disease. Some research suggests that omega 3s also help regulate mood and lower the risk for depression. thrive magazine

Recommended Amounts

2-3 servings per week

Recommended Amounts

1 cup per day

pumpkin | Pumpkin is rich in beta-carotene, which is converted into

Vitamin A in the body and helps boost the immune system. Pumpkin has been linked to lowering the risk of coronary heart disease, as well as improving eye health. Pumpkin is also rich in Vitamin K, which has been linked to a lower risk of cancer. Recommended Amounts

½ cup provides more than double the recommended daily serving of Vitamin A

beans | Beans are nutritional powerhouses. Soy beans

oats | Oats

have isoflavones that protect against breast cancer. Lentils

are packed

have high levels of folate and zinc. Black beans have anti-

with heart-

oxidants, fiber and iron. Beans can protect against heart

healthy fiber and a

disease, several types of cancers and other degenerative

variety of important nutri-

diseases. Red beans are said to have the highest concentra-

ents, such as magnesium, potassium and phytonutrients. These

tion of antioxidants per serving of any plant source.

nutrients can help to lower the risk of heart disease, cancer and

Recommended Amounts

diabetes. Recommended Amounts

3 cups per week

1 cup per day

yogurt | Some commercial yogurts can be as

bad as pudding for as much sugar as they include. However, plain yogurt or Greek yogurt is full of good bacteria that promotes a healthy digestive system, which can reduce the risk of cancer and promote overall good health. Yogurt is also full of Vitamin D and calcium, which encourages strong bone health. Recommended Amounts

1 cup milk or yogurt per day

kale | Kale and other dark, leafy greens have phytonutrients

that fight cancer by encouraging the liver to release enzymes that neutralize the cells. Recommended Amounts

1 cup is 1 serving. Can be included in the 4 to 5 recommended servings for vegetables per day

dark chocolate | Dark chocolate is loaded with heart-

healthy antioxidants. You can enjoy a sweet treat and help lower your blood pressure at the same time. Look for chocolate that has a cocoa content of 60 percent or more. Recommended Amounts

Enjoy a treat as you like

walnuts | Walnuts have the high-

est concentration of omega 3 fatty acids of any plant source. These are the same omega 3s in salmon and fatty fish that can protect against heart disease and other degenerative

tomatoes | Tomatoes contain the

antioxidant lycopene, which has been

conditions. Recommended Amounts

Âź cup or about a handful per day

shown to lower the risk of skin cancer and to help bring down cholesterol levels. Recommended Amounts thrive magazine

1 cup of raw, cooked or canned tomatoes is 1 serving. The USDA recommends 4 to 5 servings of vegetables per day

healthy community • cleaning out your pantry

cleaning out

your pantry Our e x per t: ta mm y k a r a n t, he a lt h y e at ing e x per t at w hole f oods m a r k e t

Processed food makes our lives easier.

percent of our calories come from

are most common in diet foods, but

We can come home after a long day

processed foods.

they can also be found in condiments,

at work and open up a box of pancake

salad dressings and crackers. Check

mix or a can of soup and have dinner

At the same time, our rates of obesity

the label for items like aspartame

ready within minutes. When we’re feel-

have risen, as have our mortality rates

or Nutra Sweet. High-fructose corn

ing snackish, it’s easier to reach for a

from diseases like heart disease, can-

syrup is most often found in baked

bag of chips or a box of crackers than it

cer and diabetes.

goods, but it can also show up in foods

is to get out our veggie slicers and food processors to make our own.

you wouldn’t expect, like soups and One thing you can do to improve your

ketchup. Again, check the labels.

health is to eat a whole-foods diet and However, we may be paying much

to eliminate processed foods. Cutting

Take a look at what’s left, and for each

more than we think for all that conve-

these foods out of your diet may not be

item, ask yourself “Can I make that

nience. Hari Sreenivasan, the author of

so easy. For starters, processed foods

item with bulk ingredients?” If you

“Pandora’s Lunchbox: How Processed

have become so ubiquitous in our

can, then it’s likely processed food.

Food Took Over the American Meal,”

diets that many of us have a hard time

Crackers, cookies, cereals, sauces, and

told PBS that Americans now consume

recognizing what is processed and

baking mixes are all processed foods

double the fat, 3.5 times more sodium

what’s not.

that should be eliminated. This can be

thrive magazine

and 60 percent more sugar than we did

tricky since some foods may seem like

100 years ago. Our diets are also very

Start by getting rid of anything that

“ingredients” but are really processed.

high in corn and soybeans, since these

has some of the most egregious ingre-

For example, pasta is a processed

are common ingredients to make the

dients, including trans fats, artificial

food. You can make it yourself with

oils, sugars and flavorings used in all

sweeteners and high-fructose corn

flour, water and a few other ingre-

our foods.

syrup. Trans fats are commonly found

dients. Pancake mix is a processed

in items like potato chips, crackers

food, though it may seem more like an

and baked goods. Artificial sweeteners

ingredient, like flour.

Sreenivasan says that about 70

healthy community • cleaning out your pantry

For a Health Starts Here® guide to stocking your pantry, check out the following website: wholefoodsmarket.com/healthy-eating/ healthy-pantry-makeover Learning to understand the whole-

clude rice, beans (dried,

food ingredients that make up your

not canned), flour,

food can help you. For example, we

sugar, whole oats, other

eat oatmeal like a cereal, but it is also

grains such as quinoa

a whole grain. If you have just whole

or millet, and plenty of

oats, that is not a processed food.

spices to season your

However, if you have instant oatmeal

food.

with extra flavorings and sugar, that is a processed food. Learn to read labels. Anything that

Don’t overlook foods

efficient. While you’re stocking your

that are older or show signs of some

pantry, make sure you do the same for

safety risk. Throw out any foods that:

your freezer! Part of creating a healthy diet is having the right food on hand.

has a chemical additive is a processed food. Anything that has more than one

Are in dented cans

Frozen fruits and vegetables provide

or two ingredients is a processed food.

Are in bags or boxes with rips

great flavor and nutrients to any dish.”

or tears

When you don’t have time to cook

Are expired (including spices that

from scratch, look for Whole Foods

are older than one year)

Market’s 365 Everyday Value® prod-

Have an unknown purchase date

ucts which are guaranteed to be free

Anything that has been altered from its original state – such as through

canning – is a processed food. Some foods, though technically “processed”

of any artificial flavoring, colorings,

to make them edible, are actually good Tammy Karant, Healthy Eating Expert

sweeteners, preservatives or hydroge-

rice is “processed” by stripping it from

at Whole Foods Market® Raleigh, sug-

nated fats. No label reading required!

its stalk, but it is considered a whole

gests that you “Stock your pantry with

food. (Of course, packaged rice with

dried grains, legumes, seeds, nuts and

By cleaning out your pantry, you can

seasons is a processed food.)

rice from our bulk section. Preparing

start the year right with a healthy diet

your staples might be a little more time

that will promote your overall wellness

Some whole-food ingredients you

consuming but it keeps you in control

and give you the energy you crave.

should stock up on for your pantry in-

of the ingredients and it’s very cost

thrive magazine

to have in your pantry. For example,

healthy community • local farms & markets

buying local farms & farmers markets in the triangle

thrive magazine

The “eat local” movement has been exploding in the Triangle, with more restaurants sourcing their foods locally and more consumers searching out sources of local foods, such as local farms and farmer’s markets. Fortunately, there are a great number of local farms and farmer’s markets to serve both.

healthy community • local farms & markets

some local area farms and farmer’s markets Durham Farmer’s Market

market runs on Saturdays in Pittsboro from

program. The farm does not claim to be

Located right in the heart of Downtown

about April to November.

organic but rather to use “responsible produc-

Durham, this farmer’s market is open year-

www.chathammillsfarmersmarket.com/

tion practices.” www.dutchbuffalofarm.com

round. During the summer, it’s open on Saturday mornings and Wednesday afternoons.

Western Wake Farmer’s Market

Ray Family Farms

The market features 70 vendors who are

A group of local moms started this market to

This farm in Louisburg promises that its

located within 70 miles of the market, allow-

provide fresh, quality foods for their families.

animals are “pasture raised from conception

ing you to meet and get to know your local

Open year-round, Sat and Tuesdays.

to consumption.” The farm’s products include

farmers and to purchase their goods.

www.westernwakefarmersmarket.org

beef, large black hogs, chicken and eggs, and

www.durhamfarmersmarket.com

fresh flowers. The farm is also committed to Vollmer Farm

conservation and green energy.

Raleigh Farmer’s Market

This family farm in Bunn features many

www.rayfamilyfarms.com