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Health&Wellness January Special Section


Health Wellness NorthFulton.com

January 2014

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What’s your hearing fingerprint? By DR. DEBORAH WOODWARD Johns Creek Audiology & Hearing Center No two fingerprints are alike. No two snowflakes are alike. Everyone’s DNA is unique and personal. And believe it or not, the same goes for your hearing. The way you hear is shaped by many things, starting with the unique physiology of your ear. But it does not end there. Hearing is also shaped by life experiences, lifestyle, and your individual physical and mental makeup. A musician listening for harmonies and rhythms; a football player listening for signals over the roar of a stadium; or a parent identifying their child’s voice in the school play – all have different hearing preferences, even if their hearing, as measured by a medical

audiogram, “looks” identical. This uniqueness becomes especially important to people coping with a hearing loss. While they all need amplification, they need to apply it in different ways based on the unique way they live and hear. Why basic hearing instruments fall short The reason that mail order hearing “devices” are so unsatisfying is that the “one-soundfits-all” design actually fits NO ONE! Some may offer a few adjustments that can change the amplification but they can only go so far. Speech may sound “tinny” or mechanical at times with these devices and you will have trouble distinguishing speech from background noise or locating the source of sound in a room. Think of eyeglasses with the wrong prescription.

The frames may fit your face well but your vision is blurry. The right hearing instrument is as unique as you are Think of it as a micro-brain that works in harmony with your own brain to differentiate sounds based on your unique hearing profile. An advanced wireless signal processing system supports features that guard speech, help you focus your hearing, orient you in a room, and more. “Unique” begins with you Advanced new technology is still only part of the story. Through a new, more individualized hearing evaluation process, a Doctor of Audiology can actually program your unique hearing ability with lifestyle and speech preferenc-

es down to an incredible level of detail. This information tells the instrument how to react automatically to the different hearing situations you encounter in the course of a day. Whether it’s a conversation in a car, lunch with friends, a business meeting, sporting event, concert, TV show, or just quiet time at home. And, settings can always be adjusted at the same high level of detail by your hearing care professional as your needs change.

Unlock the power of personal Your hearing profile is part of what makes your life as personal as your fingerprint. With the correct hearing instrument, you can now experience a level of hearing performance that is tuned to YOUR life at a richer level of detail – anytime and anywhere. –Dr. Deborah Woodward has been a hearing care specialist for 24 years and is in private practice at the Johns Creek Audiology & Hearing Center. 770-814-1260

ADHD – not just in children anymore Adult ADHD is associated with multiple comorbidities such as anxiety, depression, bipolar disorder and other personality disorders. Adult ADHD is a valid psychiatric disorder of adulthood distinct from these other conditions. Adult attention deficit disorder differs from the childhood variant because the hyperactivity in adults may be replaced by other symptoms such as anxiety, impulsivity and inattentiveness. In fact, prior to 2002 there were no diagnostic guidelines, but there have been great advances since. Some of the symptoms that characterize Adult ADHD are:

ADHD is a relatively common psychiatric disorder among adults. The prevalence is thought to be 3.5%-5.3%, which accounts for more than 11 million cases in the United States alone. With increased public awareness, adult ADHD became a topic of great interest so clinicians should be able to diagnose, treat, and manage patients with this disorder. Etiology is still uncertain. Genetics however is believed to play a prominent role, followed in importance by acquired injuries to the brain. ADHD was widely thought to be strictly a disorder of childhood. Now there are numerous scientific papers and clinical trials that acknowledge the existence of an adult version of this disorder, which can be traced back to the younger years. Before this time ADHD in adults was known as Minimal Brain Damage or Dysfunction (MBD).

1. Often fails to give close attention to details or makes careless mistakes in school-work, work or other activities. 2. Often has difficulty sustaining attention in tasks or play activities. 3. Often does not seem to listen when spoke to directly. 4. Often does not follow through on instructions and fails to finish schoolwork, chores or duties in the workplace (not due to oppositional behavior or failure to understand directions) 5. Often has difficulty organizing tasks and activities. 6. Often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (such as schoolwork or homework)Often loses things necessary for tasks and activities (eg. School assignments, pencils, keys) 7. Is often easily distracted by extraneous stimuli. PAID ADVERTORIAL

8. Is often forgetful in daily activities.

Some children with ADHD continue to have it as adults. And many adults who have the disorder don’t know it. They may feel that it is impossible to get organized, keep a job, or remember and keep appointments. Daily tasks such as getting up in the morning, preparing to leave the house for work, arriving at work on time, and being productive on the job can be especially challenging for adults with ADHD. These adults may have a history of failure at school, problems at work, failed relationships and traffic accidents. Like teens, adults with ADHD may seem restless and may try to complete several tasks as once, most of them unsuccessfully. They also tend to prefer “quick fixes,” rather than taking the steps needed to achieve greater rewards. Treatment is very rewarding. The first medications to be approved by the FDA belonged to a non-stimulant group of medications: Atomoxetine. The FDA later approved stimulants such as methylphenidate and mixed amphetamine salts. Group delivered cognitive behavioral therapy is recommended in some cases as a supportive treatment. If you or someone you know may have Adult ADHD, call Johns Creek Family Medicine at 770-771-6591 and schedule an appointment with Dr. Zack Charkawi.


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New Year’s Resolutions »

The minimalist game plan from Gwinnett Medical Center-Duluth By TIM GUSTAVSON Health Education Specialist at Gwinnett Medical Center

Every year we set huge goals as our New Year’s resolutions, only to crash and quit a few days or weeks into the year. So, instead of these massive resolutions that only lead to frustration, why not try these five small steps each day? They’re easy to remember, take no special equipment, and will keep you on a steady path to good health. Sleep soundly Inadequate sleep has been linked to higher blood pressure, weight gain, risk for diabetes and heart disease, car accidents, irritability and depression. How to make it happen: Most adults need seven to nine hours of sleep a night. Stick to a bedtime routine. Make your bedroom conducive to good sleep by having a comfort-

able mattress and bedding, by keeping the room cool and dark, and by eliminating distractions, including TV.

Take a breather Stress can cause everything from headaches to insomnia to chest pain. How to make it happen: Take 10 to 15 minutes a day for yourself. Get some fresh air or take a coffee break with a friend. If you can’t spare a quarter hour, take a minute or two to practice deep breathing. Inhale slowly through your nose, inflating your belly, and exhale out your mouth. Repeat four times. Move your muscles Some say exercise is the closest thing we have to a fountain of youth. In study after study exercise has been shown to improve health. How to make it happen: According to the Centers for Disease Control and Prevention

adults should get at least 2.5 hours of moderate-intensity aerobic exercise per week. If you break it down into 20 to 25 minutes a day, it starts to feel more achievable. If you can’t spare that much time, try adding physical activity to your everyday chores. Bring groceries in one bag at a time from the car or carry an armful of laundry up the stairs and then go back for more. Eat your fruits and vegetables How to make it happen: To fit in the recommended two to four cups a day, take it one meal at a time. Add chopped onions and peppers to an omelet or slice strawberries into yogurt. Sub out those fries at lunch for a side salad or cup of tomato soup. At dinner, add diced carrots, zucchini or spinach to pasta. Laugh Studies have shown that

laughing can help reduce pain, treat depression and increase blood flow by relaxing blood vessels, according to AARP.

How to make it happen: Get your fill by watching a funny movie or YouTube video, listening to your favorite comedian or swapping humorous stories with friends. The body benefits whether laughter is planned or spontaneous. So, go ahead, laugh at yourself. It’s good for you! Gwinnett Medical CenterDuluth offers resources to help you become your best in 2014. If quality sleep is an issue, visit gwinnettmedicalcenter.org/ sleep. For fitness classes and more, visit gwinnettmedicalcenter.org/classes. Or let a dietitian at GMC’s Diabetes & Nutrition Education Center custom-design a nutrition plan for your goals. Visit gwinnettmedicalcenter.org/DNEC to learn more.

Treasures in life … Faith, Family, Friends, and Health! By Dr. LESLIE GASKILL As holidays come, and holidays go, I believe we all do a lot of soul searching.

The realization that yet another year has flown by is daunting. Where did it go? Oh how we often reflect back on

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wishing we could have spent more time with our loved ones that are now either deceased, or debilitated from some tragedy. Some we had a chance to say goodbye to and others not. So lets fast forward to a positive note. Tomorrow is another day, and next month is a new year. We all have the opportunity to work harder at strengthening our faith, our families, friendships, and of course our health. After all, we owe it to our loved ones to take care of ourselves. My practice and I are here to help meet your needs whether your needs are general primary care, gynecological care, hormone imbalance, ADD, asthma, allergies, etc. My real area of passion is the prevention of heart attacks, strokes, and diabetes. In a couple of recent media interviews, I was asked, “Why do many patients who have already suffered heart attacks and strokes seek your care, despite already having a cardiologist, neurologist, and or other primary care physician?” My response is simple. My area of expertise comes from a host of nationally and internationally recognized experts. Our track record for detection, assessment, reversal, and prevention of atherosclerosis (cardiovascular disease), is one we like to share. I have been a practicing physician for 19 years and have 7 years of experience in advanced prevention of cardiovascular disease. Of all of our patients who have participated and been compliant with our strategy, none have had a heart attack or stroke. Additionally, many of my patients choose to seek advice from me especially when their cardiologist begins talking about the need for more stents. Lets face it, no patient should ever have to suffer a heart attack, stroke, and or need stent placements.

Cardiovascular disease can be prevented and reversed. The thought that a compliant patient under cardiovascular care should ever need yet another stent is most disturbing. I can confidently look my patients in the eyes and tell them that if they are truly and aggressively compliant with our strategy, their chances of having a heart attack, stroke, or need for more stents are extremely minimal. For more information, contact 770495-9995 and see www.drlesliegaskill.com and www.plaquebusters.net. We accept most insurances, but no new medicare. Please ask about our concierge care as well.


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“Unique” Begins with You

Unlock the Power of Personal Your hearing profile is part of what makes your life as personal as your fingerprint. With the correct hearing instrument, you can now experience a level of hearing performance that is tuned to YOUR life and at a richer level of detail – anytime and anywhere.

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January 2014 4

A “traditional” philosophy Best wishes for the New Year! ily doctor, gynecologist, and dentist? Are you reactive, only seeing a medical professional when you think something is wrong? Or do you keep a regular maintenance schedule for yourself and your family? Hopefully, the latter. It is my philosophy that preventative care is absolutely the most essential way to take charge of your health. I focus on the overall wellbeing of my patients and, with the help of modern science, I can actually foresee dental issues and circumvent most of them before they become a bigger and more costly problem.

Today I want to talk to you about yearly traditions. As we begin the New Year, we offer you and your loved ones Dr. ushma our very best patel wishes. We hope that you had a wonderful holiday season. One of your New Year resolutions may be to stay healthy. A healthy mouth leads to a healthy body and overall well-being. I notice a lot of people go through their own “mini-makeovers” this time of year as well. They perform updates on their homes, make hair appointments to spruce themselves up for the New Year, and come in for teeth whitening procedures to erase coffee, tea, and wine stains and brighten up their smile. Yes, that onset of cold weather triggers a lot of activity for all of us. These reminders bring me to a question for you: What triggers your medical upkeep? Do you have certain times of the year that you plan your routine visits to your fam-

Why is this important? Three reasons: • Your comfort. • Your time. • Your money. That’s right. Preventative care is first and foremost, more comfortable for patients. Heading off problems before they begin saves patients from larger dental procedures such as crowns or root canals. While medical techniques allow me to perform these procedures with a higher level of comfort liked Sedation Dentist-

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ry for my patients, most people would still prefer to avoid them altogether if possible. Crowns and root canals are more costly than preventative care, and they take more time in the office to address and fix. With just two visits per year for a typical dental patient, I can keep you in preventative mode over the course of your lifetime. We can head off problems before they start and keep more money in your wallet, increase the overall health of your body and help you spend less time at the dentist. My philosophy is simple: See me on a regular basis to avoid seeing me even more often than you’d like! What system do you have in place for preventative care? Please remember to schedule those routine appointments for you and your family before your body triggers an issue for you that could have been entirely prevented! Call your Dr. Ushma Patel D.M.D with Center For Advanced Dentistry at 678-8947926 to make your appointment or visit us on the web at www.HiTechSmiles.com for more information. Mention this article and receive a $100 off your next dental visit (New Patients Only)!


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What is a cataract and what is cataract surgery? Cataracts are the most common cause of vision loss in people over 40 and today cataracts affect more than 22 million Americans age 40 and older. At some point in our life, we will all develop a cataract. The natural lens of the eye yellows and becomes cloudy with age as a result of biological changes of the proteins inside the lens. The function of the human lens is to focus incoming light onto the back of the eye. As your lens ages, light from the outside worlds becomes more and more distorted as it enters your eye. Difficulty reading, needing more light to read, experiencing glare and haloes at night and, even poor sleep patterns can be explained by cataract formation. The treatment for cataracts involves a painless, 10 minute surgery to remove the “clouded lens” or “cataract” and replace it with a man made intraocular lens implant. It is the most common surgical procedure in the US and around the world and is considered to be an extremely successful and safe procedure with a success rate approaching 99.5%. What is laser cataract surgery? With traditional cataract surgery, all the steps of the surgery are customarily performed “manually” by the surgeon using handheld tools.  Laser cataract surgerythe next evolution of cataract surgery with the Ziemer Z6 laser offers a greater amount of precision, predictability and safety to these steps leading improved visual outcomes and more precise targets. With the Ziemer Z6 Laser System, your surgeon can offer you unmatched accuracy and a more predictable and customized cataract procedure. Based on your medical history and pre-operative evaluation, you and your surgeon will discuss the options available for your desired visual result. Together you can discuss a treatment plan which may include using the LDV Z6 to create the precise laser incisions in the cornea along with an advanced lens implant that may allow for improved near, intermediate or distance vision. This tailored treatment may reduce your need for glasses or contact lenses after surgery.   How is laser cataract surgery different from traditional cataract surgery? In traditional cataract surgery, incisions in the cornea are made using handheld instruments including blades to access the cataract. Your surgeon will then use a surgical device to manually create a circular opening in the lens

laser systems, and femtosecond lasers have been used in eye procedures for decades. The most familiar use of femtosecond laser technology is LASIK. Femtosecond lasers represent an advanced standard in precision laser cataract surgery and the Ziemer Z6 platform was FDA cleared in 2013. What should I expect on the day of surgery? Your day in surgery should be no different than a routine cataract case. The Ziemer Z6 laser is positioned next to the surgeon and is utilized seam-

lessly during the cataract surgery process. You will be given mild IV sedation that will likely keep you pleasantly unaware of the goings on in surgery. There is no pain, needles or stitches as part of the procedure. What should I expect after surgery?  After surgery, you can generally expect your vision to be improved within 24 hours. Generally, patients experience no pain after surgery. Slight scratchiness of the eye is common and they prescribed eye drops will help with any

Am I a suitable candidate for laser cataract surgery? Your surgeon and you will decide whether you are a suitable candidate based on your eye anatomy, type of cataract and type of lens implant that you desire. Most patients are candidates for having some of the steps of cataract surgery performed with the Ziemer Z6 laser. How long has the procedure been performed? Thousands of cataract procedures have been successfully performed using femtosecond

How long does the procedure take?  You can expect to be at our center for2 hours. And you will be in the procedure room for 20-25 minutes. Call Milan Eye Center at 678-381-20w20 for more information.

See Clearer in 2014...

capsule of the eye that holds the cataract. The Ziemer Z6 laser can be used to make the corneal incisions precise and the opening in the lens capsule as circular as possible, in the right location, and sized to fit the replacement lens. Your surgeon can also use the laser to break up and soften the hard cataract. Softening the lens with the laser enables your surgeon to then remove the cataract more gently and with significantly less ultrasound energy than is used in traditional manual cataract surgery. What are the benefits of laser cataract surgery? • A highly customized treatment • A treatment with little or no discomfort • A more precise and predictable treatment   • A gentler and easier cataract removal Generally, a more rapid visual recovery due to reduced inflammation The opportunity to receive tailored treatment with advanced technology multi-focal lenses, which may reduce the need for glasses or contacts after surgery

of these symptoms. Many patients return to work or normal activities the next day and even drive themselves to their postop day one appointment!

and Have a Happy NEW Year!

The most common surgery in the United States is cataract surgery. Milan Eye Center is the first practice in the United States to offer Blade-Free cataract surgery of its type.

Milan Eye Center provides industry leading patient care, cutting edge technology, a friendly staff and family atmosphere. We are focused on improving the quality of our patients’ lives through education, care and various treatment options. Look for our ad series in 2014 with information on specific services and ways to learn more. Also visit us at www.MilanEyeCenter.com

Milan R. Patel, M.D. Niraj Desai, M.D. Cataract & Refractive Cataract & Refractive Surgeon Surgeon

Gina Borgnini, O.D. Optometrist

Priyal Gadani, O.D. Optometrist

6300 Hospital Pkwy, Suite 325 | Johns Creek 970 Sanders Rd, Suite 100 | Cumming

Learn more: www.MilanEyeCenter.com | Call for a consultation: 678-688-4575


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January 2014 6

January is Cervical Cancer Awareness Month By PENNY DAUGHTERY, RN, MS, OCN Gynecology Oncology Nurse Navigator Cervical cancer strikes more than 12,000 women each year, but thanks to increased use of annual Pap screenings, the incidence and number of deaths from this slow-growing cancer have decreased steadily. Importance of Screening Most cervical cancer is caused by specific strains of the human papillomavirus, or HPV, which is spread through sexual contact with someone

else who has it. Someone can be infected with HPV and not know it, and it may be years after contracting the virus that cervical cancer develops. Not everyone who has HPV will get cancer. When caught early, cervical cancer is a highly treatable disease. That’s why it’s so important to have annual Pap screenings. In fact, among the women diagnosed with new cases of cervical cancer each year, approximately half never had a Pap screening. Pap tests detect changes in cervical cells before they turn into cancer and can

help prevent the disease altogether. Reduce Your Risk You can reduce your risk of developing cervical cancer by quitting tobacco use and practicing safer sex. Use condoms and limit the number of sexual partners. For women 26 and under, vaccines are available to protect against some types of HPV most likely to cause cervical cancer. However, vaccines cannot treat the disease or prevent it in women who already have cancer-causing HPV.

Pay attention to your body Abnormal cervical cells rarely cause symptoms until they become cancerous. Pay close attention to your body and see a gynecologist right away if you experience any of the following symptoms: Abnormal bleeding or a change in your menstrual cycle that you can’t explain. Bleeding or pain during sex or when you put in a diaphragm. Unusual vaginal discharge Georgia’s Leader in Cancer Care The Northside Hospital Cancer Institute is dedicated to the treatment and care of all cancer including cervical and other gynecologic (GYN) cancers. By offering innovative and less invasive cancer treatments, Northside is providing better outcomes for patients and offering renewed hope for a cure.

For more information about Northside Hospital’s Cancer Institute, visit www.northside. com/cancerinstitute

Dermatology and Family Medicine Family M F Medicine Geriatrics Diagnosis & Treatment Of Adult ADHD

We’re honored to serve you It’s an honor to be recognized as the nation’s leading hospital for maternity and newborn care. Look a little closer and you’ll discover that Northside performs more surgeries and diagnoses and treats more breast and gynecologic cancer than any other hospital in Georgia. While people choose Northside for our expertise, they also know us for our exceptional compassionate care. Visit us online at www.northside.com

Dr. Zack Charkawi

Johns Creek Family Medicine for the Extra Level of Care

• Comprehensive medical care for the entire family for pediatric adult and geriatric patients • Caring, thorough, and individualized philosophy • Well trained warm and efficient staff • Accepting new patients and sick walk in • Office welcomes most insurances including Medicare

Sign up for our new educational newsletter

6300 Hospital Parkway, Suite 100 Johns Creek, GA 30097 770.771.6591 www.johnscreekdermatology.com


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Doctor’s Hearing Center is now open in Johns Creek Doctor’s Hearing Center is now open in Johns Creek to provide hearing care for the general community, diagnostic hearing and balance services for physicians and industry or academic hearing screenings. We offer hearing consultations, audiologic testing, the latest technology in hearing aids, hearing aid repairs, wax removal, tinnitus or ringing in the ears treatment and advice on hearing health programs available. Dr. Robin Andrews is an expert on correcting hearing

problems. Physicians trust Dr. Andrews and for over 30 years have been referring patients to assist in patient diagnosis and management. He has been in private practice since 1984 and has helped many Georgians with their hearing health. Dr. Andrews specializes in the treatment of hearing loss due to nerve damage and diagnostics for balance and dizziness. He has worked with Neurologists, Primary Care Physicians, Ear, Nose and Throat Surgeons, Veterans Administration and many

Fuel up for fitness with healthy snacks and smart plates (NAPSI)—Sports nutrition isn’t just for professional athletes; for a good workout and quick recovery, everyday athletes need the right diet, too. To help, CanolaInfo’s “Fuel Up for Fitness” recipe collection delivers a starting lineup of delicious, nutritious dishes made with canola oil to help fitness fans prepare for exercise and repair their muscles afterward. “These quick and easy recipes are made-to-order meals for the everyday athlete,” says Michele Macedonio, R.D., C.S.S.D., L.D., a veteran sports nutritionist and team dietitian for Major League Baseball’s Cincinnati Reds. “A good workout is draining and can lead to fatigue and sore muscles. The right combination of foods helps restore energy and nutrients used during exercise and prepares your body for the next workout.” The recipes provide complex carbohydrates, fiber and protein with nutrition-packed ingredients such as whole grains, beans, nuts, fruits and plenty of vegetables. All the dishes are prepared with heart-smart canola oil to supply healthy unsaturated fats, including monounsaturated and omega-3 fats. “Fat is an important energy source for athletes because it has 9 calories per gram versus 4 per gram of protein and carbohydrate,” Macedonio notes. “But it’s important to choose the right kinds of fats. Unsaturated fats, such as those found in canola oil, in place of saturated and trans fats, are known to reduce ‘bad’ LDL cholesterol.”

The recipes, available at www.canolainfo.org, include: • Powerhouse Green Smoothie • Muesli Muffins with Almonds and Cranberries • Crispy Chickpeas and Pumpkin Seeds with Lime • Skillet Quinoa with Black Beans, Cilantro and Feta • Chunky Chicken, Vegetable and Rosemary Stew. Each energy-boosting recipe has less than 300 calories a serving. Brussels Sprout, Blueberry and Walnut Slaw Yield: 8 servings Serving Size: ¾ cup 1 pound fresh Brussels sprouts, ends trimmed, thinly sliced or shredded (not grated) ¼ cup chopped walnuts ½ cup finely chopped red onion ½ cup dried blueberries 2½ Tbsp canola oil 2½ Tbsp cider vinegar 2 Tbsp granulated sugar ½ tsp salt ¼ tsp crushed red pepper flakes In medium bowl, combine all ingredients. Refrigerate 30 minutes before serving. The nutrient-rich ingredients in the delicious slaw above make it a smart choice for athletes. Brussels sprouts and blueberries are an excellent source of antioxidants and phytonutrients, helping to support a strong immune system. Also, walnuts and canola oil are among the top 10 food sources of plant-based omega-3 fat and may help protect the heart.

industries. Hearing loss is the third most common chronic condition presented to the primary care physician. The first is heart disease and the second is low back pain. How do you know if you have hearing loss or diminished hearing? Do You: • Hear but don’t understand what people say? • Ask people to repeat what they say?

• Get complaints that your TV is too loud? • Have difficulty understanding women and children? • Ringing or noise in your ears? • Miss common sounds like telephones and doorbells ringing?

taking that next step to help yourself or someone you know or love. Call 770-676-7208 or stop in at 11180 State Bridge Road, Suite 207, to set up an appointment to get the expert hearing care you need and deserve. –Dr. Robin Andrews Audiologist Board Certified

Hearing loss can occur if you have a family history of hearing loss, noise exposure, diabetes or heart disease. Join us in our excitement to be here in Johns Creek by

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NEED

Advanced bariatric surgery.

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Support to keep the weight off for good. Rhonda lost 125 lbs! At the Center for Weight Management at Gwinnett Medical CenterDuluth, this isn’t just a surgery—this is a lifelong commitment to changing your health. And what makes our patients so successful in reaching their weight loss goals is how we pair the latest treatments in bariatric surgery with the area’s most expansive post-surgery program. To watch our FREE online seminar, visit gwinnettbariatrics.com/support.

Transforming Healthcare


January 2014 Health & Wellness