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Anti-Aging & Beauty Plastic Surgery For Men . . . . . . . . . . . . . . . . .

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Truths, Myths, The Whole Story about Laser Hair Removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Anti-Aging in Men . . . . . . . . . . . . . . . . . . . . . . .

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With or Without Makeup . . . . . . . . . . . . . . . . . .

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Ultrapulse C02 Laser Facial Resurfacing . . .

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Rhinoplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Makeup Meltdown Gets the Boot! . . . . . . . . .

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Don’t Sweat It. . . . . . . . . . . . . . . . . . . . . . . . . . .

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Hair Loss. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Summer Hair Care at Ohair . . . . . . . . . . . . . . .

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Invisalign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Save Money - Look Great . . . . . . . . . . . . . . . . 112

Health & Wellness The Origins & History of Hair Transplantation

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A True Smile Story . . . . . . . . . . . . . . . . . . . . . . .

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Optimizing Knee Health . . . . . . . . . . . . . . . . . .

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Laser Gummy Smile repair..It’s Easier Than You Think! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Three Million Canadians May Have Diabetes By 2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 Moles and Other Benign Growths . . . . . . . . .

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Testing Yourself at 40 . . . . . . . . . . . . . . . . . . . .

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Women’s Health-Effective Hormonal Testing and Bio-Identical Harmone Replacement Therapy 96 How To Eat To Lose Weight

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The #1 Law of Fat Loss From Sir Isaac Newton . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111

Fashion Vintage Shopping - Yes, You Can! . . . . . . . . .

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The Revive Top Five . . . . . . . . . . . . . . . . . . . . .

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Features Smartlifting . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Stratusphere . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Syneron . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Fit at Forty and Forever . . . . . . . . . . . . . . . . . .

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Bruce Krahn - He’s Doing something Right! .

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The Review Makeover . . . . . . . . . . . . . . . . . . .

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Cosmetic Dentistry at Elements . . . . . . . . . . . 108

Spotlight

Does Your Company Need SOAP? . . . . . . . .

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Rules To Live By . . . . . . . . . . . . . . . . . . . . . . .

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Brandon R. Dwyer . . . . . . . . . . . . . . . . . . . . . . .

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What Are The 7 Most Dangerous Words Said in a Doctors Office?. . . . . . . . . . . . . . . . . . . . . . . . 68

M.R. Wardrobe . . . . . . . . . . . . . . . . . . . . . . . . . .

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Smartlifting - P. 22

Stratusphere - P. 34

Syneron - P. 58


Ask An Expert Dr. Charles Botbol: Invisalign & Cosmetic Dentist . . . . . . . . . . . . .

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Bruce Krahn: Certified Personal Trainer & Author of The Fat Fighter Diet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Dr. Ali Adibfar: Board Certified Plastic Surgeon, Oral & Maxillofacial Surgeon . . . . . . . . . . . . . . . . . . .

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Dr. Fred Weksberg: General & Cosmetic Dermatologist . . . . . . . .

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Dr. Kevin O’Grady: Board Certified Plastic & Reconstructive Surgeon . . 49 Dr. Richard Liem: Chiropractor & Director of Low Back Clinic . . . . . 50 Shawn Solomon: Medical Esthetician . . . . . . . . . . . . . . . . . . . . . .

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Dr. Mark Korman: Hair Restoration Surgeon . . . . . . . . . . . . . . . .

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Tanya Wylde: Naturopathic Doctor, Certified Personal Trainer & Fitness Instructor . . . . . . . . . . . . . . . . . . . . . . 101 Dr. Sol Weiss: Cosmetic Dentist . . . . . . . . . . . . . . . . . . . . . . . . 102 Dr. David Ellis: Board Certified Facial Plastic Surgeon, Author & Teacher . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107

Fit at Forty - P. 65

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Cover Credits Photographer: Steve Apost - Studio Six Photography Wardrobe Provided by : M.R. Wardrobe Model: Bruce Krahn

The Review Makeover - P. 85

Cosmetic Dentistry At Elements - P. 108

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W

ow! It has been a fantastic year so far! Here at Revive we are very excited and proud of what we have accomplished so far and all the exciting features and spotlights to come. Revive is quickly becoming the trusted and reputable information resource for men and women interested in health, beauty, fitness and fashion. We owe that to you, our dedicated readers, and will continue to be the trend setters of today! If this is the first time for you to pick up a copy of Revive you are in for a real treat! We have a fantastic article "Fit at Forty" and a spotlight on Bruce Krahn. This sexy 41 year old is as hot on the outside as the inside, Bruce is one of the most passionate, genuine and down to earth men I have met in a very long time. This long time personal trainer, fitness expert, author and professional speaker has a great story along with fantastic tips for you to stay healthy. In this issue you will see the introduction to the Revive Makeover as we transform three women with the help of our talented team of experts. Follow their life changing experience in the pages of Revive and online. We would also like to welcome Dr. Sol Weiss, Dr. Philip Solomon and Dr. Mark Korman to the expert panel along with talent-

ed contributing writers Dr. Dan Hagi, Luigi Di Tacchio and Dr. Ihab Matta. Our Revive website is now completed at www.revivemagazine.ca. On the website you can view past issues of Revive as well as participate in surveys, contests, read about our expert & contributing writers, and find links to our recommended reputable resources and so much more. We have also partnered with Modiface and pleased to unveil the new Instant Revive Imaging Tool! The Instant Revive Imaging Tool will enable users to see what they would look like with various anti-aging and body contouring procedures, all within seconds from the comfort of their own home computer. Enjoy the summer issue of Revive and thank you for your interest, loyalty and support. We sincerely hope that we have been able to answer your questions and educate you! Keep your letters, stories and inquires coming. We love hearing from you.

Sincerely,

Tracee Sheldrake

REVIVE magazine assumes no responsibility for unsolicited material. Opinions expressed herein are those of contributors, sources quoted and advertisers and do not necessarily reflect those of the publisher. Contents of REVIVEmagazine are copyright 2008; all rights are reserved and may not be reproduced in whole or part by any means without written permission of the publisher. REVIVE magazine is published 4 times a year.

President: Craig Charity Editor: Tracee Sheldrake Publisher: Hi-Octane Publishing Sales/Marketing: Craig Charity

Fashion Contributor: Lauren Ching Account Manager: Laura Greenspan Art Director: Gary Charity Copy Editor: Susan Charity

Live with Revive Videographer: Tom Marasovic - Longfield Films Revive Photographers: Steve Apost - Studio Six Photography / Marcia Leeder - Marcia Leeder Photography For all advertising and editorial inquires contact Craig Charity at 905.591.1996, Cell: 416-898-4479 or email at craig@revivemagazine.ca

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The Origins and History of Hair Transplantation By Lawrence E. Fremont B.Sc. M.D

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r. Masao Sasakawa a professor of dermatology at Nagasaki University, Japan summarized in his 1916 research that hair implant experimentations were attempted as early as 1875. Dr. Sasakawa inserted hair shafts into tissues and determined they became bound by connective tissue and were firmly held in place for up to 10 months. Since the inserted hairs where not living hair follicles the hairs were eventually expelled. Dr. Shojui Okuda also of Japan published a single issue on a clinical and experimental study of living hair transplantation in 1939 which is the for runner for modern day hair transplant surgery. In his research notes he claimed to have successfully transplanted hair grafts in 200 patients with non genetic hair loss over a period of 10 years. Dr. Okuda's publications were written in a language called Kanji (Japanese pictographs) which was used prior to the 2nd World War. With the advent of the war these papers were put aside and forgotten about. In 2003 Dr. Yosihiro Imagawa, a retired gynaecologist familiar with this outdated language was given the rediscovered papers to translate thus making the writer, Dr. Okuda, "The Man" from whom hair transplantation originated. In 1945 a New York dermatologist, Dr. Norman Orentreich, independently developed a technique of hair transplantation using the method of punch graft harvesting - thus the term grafts. A punch graft was a cylindrical piece of hair bearing skin containing several hair follicles. These pieces usually measuring 4 mm in diameter were inserted into recipient holes in the baldrevivemagazine.ca

ing area in a design and angle which simulated the original scalp hair. The instrument used was similar to that with which you would core an apple. The resultant growth appeared like rows of trees with the possibility of future procedures to fill in the spaces. However, the frontal hair line always remained unnatural due to the straight and solid line that was created by the thick hair. In 1947 Dr. Keiichi Fujita a dermatologist and graduate of Tokyo University used single hair follicle grafts taken from the scalp and inserted for reconstruction into the eyebrows of leprosy patients. These hairs eventually grew like eyebrow hairs. Hair transplantation continued to evolve by independent physicians experimenting with newly designed instruments and techniques which they themselves devised. Hair restoration was discussed briefly as part of dermatological medical meetings. As the internet matured and emails and photographs could be exchanged instantaneously hair restoration and patient awareness grew exponentially. In the early 1980's, I took on the task of devoting my practice solely to hair transplantation and have personally trained many physicians, globally, my own techniques, developed over the years. In 1992 The International Society of Hair Restoration Surgery was formed. Their meetings are held annually for the exchange of ideas and information to its members. The membership continues to grow as more novices take up the practice. Modern day surgical hair restoration with the most natural looking results utilize follicular unit grafting called FUT's. The follicular units are cut from a donor surface whether it is a strip of donor skin harvested or by extraction with a small diamcontinued on next page REVIVE Magazine -

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eter punch's similarly used by Dr. Orentreich. Single hair follicular unit grafts can create a natural looking hair line while 2, 3 & 4 haired follicular units are used behind the hair line to create density. Current instrumentation allows for densities up to 50 follicular units per square centimetre during a single procedure. I have had patients who received up to 4500 follicular units per procedure to achieve coverage of a large bald surface. This usually requires in addition to the physician 5-6 medical technicians to cut the follicular units with the use of microscopes while the recipient openings are being created. This procedure can take upwards to 10 hours to complete for that amount of grafts. During this time the patient is entertained with movies and is mobile for bathroom breaks or lunch. Single hair replacement has come a long way since the first known cases. In the future hair enhancement will depend on hair multiplication for transplantation, gene therapy and drug intervention. For now, surgical hair transplantation and some drug treatment to stabilize the progression remains the only defence against genetic hair loss. I have been practising hair transplantation since 1982. Some years ago I retired my Israeli medical licence and now retain only my Ontario and B.C. licences. At present I provide the service of surgical hair restoration for other well known hair restoration agencies but I continue to see patients privately at my own clinics in Richmond Hill, Ontario and in Vancouver, British Columbia. Since opening clinics and having taught many doctors in numerous countries around the world I continue to receive e-mail letters from hair loss patients internationally providing them with suggestions and treatments which would benefit those with realistic expectations. Some people benefit from medical treatments alone or in combination with a surgical procedure to achieve the best results. The advances in surgical techniques continue to lead to improved cosmetic outcomes. I look forward to participating in the future of hair transplantation, answering your questions and always providing the latest in techniques to my patients. 8 - REVIVE Magazine

A set of photos, Before and After, show the old style punch graft technique that leaves an unnatural frontal hairline. Other photos below show a hair restoration using single hair follicular units. Note the close up photo and the natural effect achieved on Dr. Fremont by his students. What better way to learn than to have the master offer himself up as a patient and to guide the process. Knowing what it is like to be a patient was a learning experience in reverse.

Dr. L.E. Fremont B.Sc. M.D. has concentrated his medical practise completely to the art and skill of hair transplantation since 1982. A member of ISHRS since first founded in 1992. Over the years he has taught in and had clinics in various European and Middle Eastern countries. He continues to teach his skills and to train other doctors from around the globe. Dr. Fremont has numerous satellite locations, the main clinic being in Richmond Hill, Ontario. www.hairclinics.ca e-mail: info@hairclinics.ca 416-439-4247 or 1-877-667-4247

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Plastic Surgery for Men By Dr. Kevin O'Grady, BASc, MHSc, MD, FRCSC Despite what you might think, Plastic Surgery is not just for women. As time passes, an increasing number of men are electing to undergo Cosmetic Plastic Surgery. While Plastic Surgery ranges from hand, burn, reconstructive, breast and craniofacial surgery, what I will be discussing in this article is Cosmetic Plastic Surgery. In our fast-paced world, looking and feeling young is increasingly important to both women and men. In addition, there is great pressure to limit downtime and time away from the workplace. The ability to obtain and maintain one's employment is also important especially when there is a global economic downturn. In addition, patients are looking for procedures that are less invasive, with faster recovery times and that are more cost-effective. Only a very small minority of patients are electing to undergo major invasive procedures that require overnight hospitalization as well as significant recovery periods post-operatively. Men are especially cognizant of this because of the stigma attached with cosmetic surgery as being "un-manly" and "just for women". Thus, minimally invasive, cost-effective procedures with short recovery times are becoming the hallmarks of Cosmetic Plastic Surgery for Men. In my practice, up to thirty percent of cosmetic surgical procedures are on men. They range from minimally invasive procedures such as Restylane and Botox injections to more invasive procedures that include male breast reduction, neck liposuction as well as body sculpting procedures. I will speak to each of these in turn. Minimally invasive procedures such as Botox and Restylane injection are still the top two cosmetic procedures people undergo in North America. Although mainly predominated by women, men are starting to utilize these procedures. The main difference is that men tend to require higher doses. For Botox, an injectable medicine used to temporarily relax muscles, 10 - REVIVE Magazine

higher doses are needed in men because their facial muscles tend to be bigger than women's facial muscles. Restylane, an injectable filler used to restore volume, is also used in the male face, usually in higher volumes than women's faces because a man's skin tends to be thicker and volume loss is greater when they come into the office (men need more time to work up their nerve to come in). The most common area for men to have volume restoration is the nasolabial fold, or the line starting at the side of their nose that curves to the sides of their mouths. Gynaecomastia is the medical name for excessive male breasts. This problem is much more common than you think. About ten percent of all breast surgery patients I see are men concerned about the appearance of their chests. Although there are many causes for gynaecomastia, such as steroid use or use of certain medications, by far the most common cause is physiologic, meaning that patients genetically are predisposed to have what is considered more than the normal amount of breast tissue. They will develop gynaecomastia regardless of how much they diet and exercise. Gynaecomastia is problematic because frankly it is embarrassing for patients. Men of all ages become reluctant to remove their shirts, both in public and in private. This may inhibit social activity and in some cases can be quite crippling. Solutions for gynaecomastia are many. I offer patients a choice of four options, and depending on the severity of size and shape of their excess, certain options may be right for them. These four options include: 1. Surgical removal through a small incision around the lower half of the nipple 2. Surgical removal plus traditional liposuction 3. Traditional liposuction alone 4. Laser-assisted liposuction or Smartlipo Each option has its own advantages and disadvantages. While the first three options require general anaesthesia in a hospital setting, Smartlipo can be performed in my office under local anaesthesia.

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As men age and gain weight, the appearance of their neck changes as well. The skin tends to stretch slightly and the fat pad behind the chin increases in size. As well, the Platysma muscle or shaving muscle (the muscle we contract to get a better shave on the lower portion of the neck) stretches and in some cases its fibres separate at the midline of the neck. This leads to a "turkey gobbler" and double chin appearance of the neck. In severe cases, the entire appearance of the neck contour disappears. Nature, however, is not always cruel. The neck is perhaps the best area in the body to have liposuction. Despite being stretched, the neck skin has a remarkable ability to rebound back to its original shape. The fat pad on top of the Platysma muscle is easily accessed through a small incision hidden underneath the chin. Liposuction or laser-assisted liposuction (Smartlipo) can then be performed through this incision. Necks requiring a lot of work may also need two small incisions behind the jawbone, again in areas that are easily camouflaged. In necks where the Platysma muscle has separated in the middle, more invasive surgery may be required. Whereas women complain about excess fat on their hips and thighs, men complain about it on their abdomen and flanks, better known as their bellies and love handles. As we age, we all tend to put on weight. As I have mentioned in previous articles, liposuction and body sculpting procedures are not to be used as a substitute for weight loss. Having said this, there are those areas of the body that are resistant to diet and exercise, and the most common areas for men are their abdomen and love handles. These areas can be easily improved with minimally invasive surgical procedures such as liposuction and laserassisted liposuction or Smartlipo. Both types of liposuction can be safely done under local anaesthetic right in the office provided the areas are small. Patients seeking large areas with large volumes of liposuction are better suited to general anaesthetic or being put completely to sleep. Each procedure involves several small incisions in the underwear line and one around the belly button. Procedures last from about 45 minutes to about 3 hours, again depending on the area and how much fat is removed. Note that once the fat is removed, it is gone forever. This doesn't mean to say that you can eat revivemagazine.ca

poorly and not gain weight - the fat cells left behind can still get fatter! Recovery typically lasts a few days for laserassisted liposuction to a few weeks. You will be required to wear a compression garment or girdle for about 6 weeks afterward to maximize your chances of a great result. As mentioned previously, Cosmetic Plastic Surgery is no longer just for women. Men are starting to catch up to their female counterparts and undergo many different types of body enhancements. Advances in surgical techniques have resulted in procedures with greater safety, less risk, less downtime and excellent value for their cost. If you think you may be a good candidate for any of these procedures, please feel free to contact a certified Plastic Surgeon of your choice. Good sources of information on Cosmetic Plastic Surgery include the Canadian Society of Plastic Surgeons as well as the American Society of Plastic Surgeons.

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Designer spotlight By Lauren Ching Brandon R. Dwyer Brandon R. Dwyer's not so secret obsession? "If I could dress anyone ‌ it would be Britney Spears. I think Britney is AWESOME."

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ven though the media has been particularly hard on Brit-brit, Brandon's love for her has never wavered. It just goes to show that he goes with what he loves and marches to the beat of this own drum. This up-andcoming Canadian designer has the fashion world talking with his unique creative vision. During our interview, I leaf through his 2009 Fall/Winter Collection look-book and am stunned to see clean, simple lines exuding glamour and modern sophistication that seems to be beyond the years of a young 23-year-old. It's sex on a stick; provocative without being raunchy, and tantalizing without being over-the-top. I can see just from the photos that he's invested passion and time in each and every piece of this gorgeous collection. Makes me want to wear it ALL.

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Let's back up. I'll tell you my first impressions. As soon as I walk through the door of Starbucks, I lock eyes with two tall young men and all of a sudden I'm nervous. (Which, I might add, is rare.) I recognize Brandon and his business partner Andrew Digigaramo from my everso-slight obsession with Project Runway, a wellknown design show in which Brandon was a contestant. It's not as if these men are particularly intimidating looking - couple years post-university, lithe builds with a hint of scruff. I think more than anything I'm intimidated to know that men at such a young age can achieve such success in such a competitive industry. (I shouldn't let my mother meet them incase she starts comparing me to them!) Offering me a caramel frappachino, they instantly put me at ease and we get straight down to business, launching into Brandon's history in the fashion world. Brandon actually found fashion when he was at the ripe old age of 18. "Before 18 I wanted to be a plastic surgeon. Then I took a fashion course in school and thought ‌ well, this is fun! I could do this everyday!" After his time at Fanshaw College in London, Ontario, his natural talent and passion for fashion got him a spot in the L'Oreal Fashion Week in Toronto, drawing him into the scope of the media and into the minds of the fashion and design world. It was this same talent and passion that got Andrew, recent graduate of the Schulich school of Business in Toronto, to leave his day job and take on Brandon R. Dwyer full time. Team DWYER has become a well-oiled machine. As we speak I see that they've worked very closely together for some time. They finish each other's sentences and are insync with each other's moods. When I ask them how they met, they both pause and Brandon laughs unabashed. "Andrew and I really work well together - but we

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actually went on a few dates first before we realized that we're better suited as friends. When I was ready to launch my business, he was the person I thought to go to first. He's much more apt to handling the business side of things than me, and I'm better with the creative vision - so that's what works for the both of us." A few dates gone bad could be a match made in haute couture heaven. Their hard work is starting to pay off with the launch of this 2009 Fall/Winter Collection lookbook, which has gotten rave reviews from critics. "This book was something different for me, a look that I had never done before. My first collection was very organic; a lot of hand-beading and beautifully detailed eveningwear. This collection that we just launched was more separates based slim fitting pants with slouchy knits and billowing blouses." Clearly, Brandon is a man with a no holds barred approach to fashion and who finds an intrinsic pleasure in giving women the confidence to be bold. "I think the female form is beautiful. There's nothing more sexy than seeing the inner diva of a woman come out when she puts on a piece of clothing that makes her feel fabulous."

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Creative mind, featured designer, fashion prodigy ‌ what's next on the agenda for this young Canadian fashionisto? "This summer is all about further establishing our brand and making it available to select stores. After that I would love to get into designing women's shoes and handbags. I want to stay in Canada and build my success here. Most designers and clothing companies move out of Canada to do that, but we're determined to do the opposite. We want to build up a Canadian name within Canada." Dwyer hints that his next collection may go back to evening wear and promises to feature the same hand sewn-details, fine textiles and signature style from his first collection. There's no doubt with his decadent style and flare for all things fabulous, Brandon R. Dwyer is making his mark on the Canadian fashion world. To view collections, press releases and contact information, please visit: http://www.brandonrdwyer.com

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The truths, the myths, the whole story about Laser Hair Removal By Shawn Solomon, Thornhill Skin Clinic For many generations woman and men alike have struggled with the issue of unwanted hair. From waxing to depilatories, tweezers and bleaches‌.no one that has concern with hair hasn't suffered through a method or two on a monthly basis. Like many cosmetic procedures available today we are extremely lucky that there is an answer to this problem. Is it the answer for you? Is laser hair removal permanent? Is it safe? In the article we will answer these questions and more, and possibly dispel a few myths about the positives and negatives of Laser Hair Removal. One can easily eliminate unwanted hair by laser hair removal. The process is gentle, fast and highly effective. However, not everyone can benefit from laser hair removal. For instance, people with tanned skin who have very light body hair are not appropriate candidates. This is because darkened skin absorbs too much light, and a laser is nothing but highly concentrated light. A major prerequisite for successful laser hair removal is that the patient's hair is darker than the surrounding skin. There are certainly other modes of hair removal available, but the introduction of laser hair removal has rendered most of them outdated as preferred treatments. Electrolysis is an option that is still popular, since it does not require repeated treatments of the same area. However, laser hair removal has the advantage of being safer. Though a complete treatment often requires multiple sessions, the total cost per body area will probably not exceed $1000 in most cases. The effects are long-term, which means that repeated visits are not called for after the suggested course of treatments is completed. Hair removal techniques such as waxing, shaving and plucking, on the other hand, produce only short-term results. Intense pulsed light is often effective in removing excess body hair, too. 14 - REVIVE Magazine

Devices employing intense pulsed light are supposed to act as so-called laser equivalents, but this is a misleading term. Producing comparable results with these devices requires a great deal of instrument adjustment and far more proficiency than true laser hair removal. Laser hair removal can remove body hair in almost all anatomical areas. One exception is the area immediately around the eyes, where the danger of ocular complications renders it an unsafe procedure in this particular area. Other than this, the procedure is effective when applied to the face, the upper lip, the neck and chest, the armpits, the back, the abdomen, legs and buttocks. Women often benefit from laser hair removal to make their bikini line more attractive, too. Despite its advantages, laser hair removal produces uniform results in all patients. Many variables can affect the outcome, and some patients often require more sessions than others to produce the same results. Though the technique is highly advanced and effective, there are no absolute 'guarantees' in laser hair removal. One should therefore be suspicious of any advertisements that guarantee reduction or elimination of hair by this method. High-profile clinics practicing laser hair removal do not make such dishonest and deceptive claims. It is advisable to choose to have treatments at such clinics, rather than at those that use flamboyant advertising to draw clients. Trusting in clinics that offer 'discount' laser hair removal is another mistake. The strict scientific parameters applicable in this technology and its use are not open to compromise. Look for clinics that use FDA-approved instruments and practices and do not expect magical, instant results. The general mantra for laser hair removal is that more session brings better and longer-lasting results. The exact cost of laser hair removal depends on the size of the body area to undergo treatment, as well as on the general and specific physical characteristics of the patient. To obtain an estimate of how much it will cost, you should get an initial evaluation at a reputable clinic.

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How does it work? The laser is used to quickly and gently get rid of unwanted hairs. Laser hair removal uses a light wavelength that targets dark colored materials on your skin. This is usually the pigment of the hair. A hand held device is then used to target these areas and remove hair from them. This procedure works best for those with fair hair that is darker than the skin. With darker skin, it can sometimes be more difficult to target these areas. People with darker skin can be treated, but results are slower and more sessions are required. Also, you'll want to find a clinic with greater know-how if you do have darker skin. Laser Hair Removal is individualized for each patient. Different types of hair respond in a different way to the laser procedure. Coarse dark hair seems to respond the best to laser treatment. Light hair can be more difficult to treat. Blonde or red hair becomes difficult. With lighter hair, results are variable and you will require multiple treatment sessions above and beyond darker haired patients to achieve reasonable results. Actually, almost everyone requires multiple treatment sessions for optimal results. This is because hair grows in cycles. Not all of the hairs are in the growth phase at any given time. Additional sessions insure that you catch all of the hairs when they are in the growth phase. Side Effects of Laser Hair Removal For the most part patients do experience some very minor side effects subsequent to each session. This is usually in the form of a mild sunburn-type sensation that goes away in 2-3 hours as well as moderate hive like bumps in the treatment areas that will resolve within 1-2 hours. Moisturizers and cool compresses can help to relieve any discomfort during this time. Because you have been exposed to this particular form of light ray, sun block should be used for up to 6 weeks after treatment if you expect to be exposed to the sun. Any further directions should be given to you by your technician after each session. What Are The Different Types of Laser Hair Removal Machines? There are many types of laser hair removal equipment available today. However, knowing about the different types of laser hair removal apparatus will better equip you to make a decision on which type of treatment is best for you. As always, one should seek professional consultation before embarking on any procedure. revivemagazine.ca

Here is a list of the different types of lasers that you may find in a local clinic. Intense Pulse Light (IPL) This type of technology gives 515 nm to 1200 nm delivering the widest range of light which include red, green, yellow and even infrared light. The quality of the light delivered can vary significantly from very short (1millisecond) to very long (1200 milliseconds) total durations and from 1 to 4 pulses or segments of light. This method requires far more sessions for efficacy and more accuracy and experience on the side of the technician to be effective. Diode Laser Another type of laser hair removal is the Diode Laser. Most experts agree that this is the next most useful hair removal light source and that it works with a great degree of efficacy. This type of hair removal machine delivers a longer wavelength. This longer wavelength enables the light to penetrate deeper and is theoretically safer than shorter wavelength lasers because it can better avoid the melanin pigment in the skin's epidermis layer. The Diode lasers longer wavelength of light thereby penetrates into the hair follicle without causing as much epidermal injury as some other sources. Diode is typically known as the gold standard in laser hair removal for skin types 1 through 3. Nd: Yag Laser This type of laser hair removal allows the technician to treat all skin types including skin that is tanned. The technology is infrared and therefore colorblind to the melanin in the skin. For darker ethnicities this option is effective and safe. Ruby Laser This laser frequently produces side effects such as pigmentary changes which include lightening or darkening of the skin. The experts generally do not recommend using this type of laser hair removal machine for treating unwanted hair in any skin type other than very white skin. Alexandrite Laser The last laser is very similar to the Ruby Laser in that is often produces side effects. Most would agree that it is outdated, and one should seek out other types of laser hair removal machines if available. With all the information available the choice should be fairly simple and safe. The ability to eliminate the issue of unwanted hair is a freedom that can now be realized by most. So say goodbye razor, hello laser!!!!

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Dr. Charles Botbol is a highly sought after Toronto dentist who has trained with some of the world's most prominent cosmetic and reconstructive dental specialists. Dr. Botbol has been featured on CTV’S Canada AM, CH Morning Live and 680 News. Email your questions to askanexpert@revivemagazine.ca

Q: I've recently heard about Lasers in dentistry....Are lasers safe?

Q: Will I experience any pain with laser dentistry?

A: Yes. In the hands of a qualified laser dentist, lasers are very safe. As with any device used in the dental practice, the dentist must undertake the appropriate training. The primary safety measure required during laser surgery is protective eyewear. There are many research papers that substantiate the safety of dental lasers. The FDA has approved hard and soft laser dentistry applications, including use on adults and children to treat anything from gummy smiles or cold sores to gum disease and decay !

A: In most cases, pain is either eliminated entirely or significantly reduced as a result of the lasers selective, precise control. The laser eliminates harmful bacteria, significantly reduces or eliminates bleeding, and reduces discomfort, in many procedures to the degree that no anesthetic is required. Lasers also promote faster healing which minimizes the discomfort associated with the healing process.

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Anti-Aging in Men By Dr. Ihab Matta

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ost articles about anti aging are directed to women, but nowadays men are just as interested as their female counterparts in fighting the clock. There are two main aspects to consider, the health side and the cosmetic side and I hope to discuss them both in this article. In terms of staying healthy, hundreds of books have been written about it in the past and new ones are coming out every day, so I won't be able to cover it comprehensively in a few pages. We all want to enjoy a good quality of life as we age, not just a longer lifespan. To do this, the most important thing is still lifestyle… diet, exercise, don't smoke and minimal booze. It's common to find patients who want a magic pill to fix all the things that they have done to themselves, but unfortunately, it's not possible. Diet is the cornerstone of a healthy lifestyle. You are what you eat and food is medicine…it raises blood pressure, lowers blood pressure; affects blood sugar levels; contributes to depression; increases or decreases your risk of dying of a heart attack… the list goes on. The most important part of a healthy diet is to keep it as natural and close to the earth as possible. Man usually ruins everything he touches; the same is true for the processing of food. You can't eat burgers and fries all day and expect to be operating at peak function, just like you can't put poor quality fuel into a Ferrari and expect it to perform to its optimum ability. The food industry, fast food outlets and the departure from a natural diet are all contributing to an unhealthier generation and we are now seeing a massive epidemic of childhood obesity which will result in our children's generation not living as long as our generation. We simply eat too much as a society. Your mother is gonna kill me for saying this but skinniness is healthier. The one thing that we have found to prolong life without question is calorie restriction. The lowest revivemagazine.ca

body weight short of being anorexic is also healthiest, it reduces your risk of developing diabetes three fold compared to being a "normal" weight. Without writing a diet book, let's review the basic principles…Eat fruits, veggies, lean protein (ie fish, seafood, chicken, lean pork, veal, lean beef and eggs), nuts and seeds. Avoid anything man has touched (breads, pasta, obvious junk food, such as sweets, chips, fast food, anything in a "box" at the supermarket). You might not want to hear it but there is no such thing as a healthy bread, nor have I ever seen a study showing that one exists. All refined foods cause a rapid rise in sugar in the bloodstream, followed by an increase in insulin to lower the blood sugar. This can contribute to insulin resistance and metabolic syndrome…a fancy way to say big belly, high blood pressure, high cholesterol and diabetes. All of which reduce lifespan and quality of life. It's terrible to say but sometimes the "health benefits" of a lifestyle change aren't enough to motivate a patient to make the changes, but other "fringe" benefits such as cosmetic improvement might do the trick. This happens frequently when I try to encourage women to quit smoking…it's not unusual that they are more motivated by the improvement in their skin than they are the lower risk of heart and lung disease. In this case, metabolic syndrome is associated with a reduced effect of nitric oxide, which in turn can affect a man's ability to get and maintain an adequate erection. In fact Viagra and other such drugs work directly on nitric oxide and that's how they can help men. This can be improved with a low glycemic index diet by itself. A few other stats to convince you that diet is the most important aspect of anti-aging: 30 % of cancer is diet related 90% of diabetes can be improved by diet and exercise The majority of high blood pressure and high cholesterol can be improved by dietary changes Fish oil and fish consumption can reduce sudden cardiac death by 50% Vitamin D deficiency likely occurs in more continued on next page REVIVE Magazine -

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than 50% of Canadians (officially 30%, but my experience is more) and is associated with multiple chronic diseases and can be corrected by a simple supplement. For the significant women in your life: iodine deficiency is common in North America and leads to thyroid and breast disease…seaweed is a great source of iodine and Japanese women don't have the same thyroid and breast problems that North Americans do. Alzheimer's disease is linked to low levels of DHA in the brain. Once again, the list goes on. Suffice it to say that if you are serious about improving the quality of your life, you wont' get it from a pill. You need to make a healthy diet your number one priority. Exercise: I hate to admit it but I'm incredibly lazy. I find diet much easier to do than exercise. Saying that, exercise is the second most important part of your anti aging plan. For those of you that are like me, even a small amount of exercise will help. Walking, running, stairs, biking…it doesn't really matter. Any exercise will improve bone mass, mental function, cardiac health, and raise testosterone levels… all good things for a man. One shouldn't fall into the trap of "perfection paralysis", meaning that if you can't do it perfectly, you don't' bother doing it at all. Cosmetic: As you can see, diet and exercise have tremendous effects on health, but they also provide cosmetic benefits as well. If diet and exercise aren't enough, there are other treatment options that we have to assist patients wanting to look "younger". I must admit that I don't try to make patients look "younger", instead I like to make you look good for your age. If you try too hard to look younger then often you can end up looking silly; you can see many examples of that in the media. The most common cosmetic concerns that men come to see me for are: • Wrinkles and Folds • Hair Removal • Skin Texture, • Fat For wrinkles and folds, nothing works as well as Botox Cosmetic and Restylane. Botox Cosmetic works to relax muscle action that causes a wrin18 - REVIVE Magazine

kle, so it works best on "dynamic wrinkles", while Restylane is a filler and is used to fill in a deep wrinkle, fold or lift up falling cheeks. On men, the most common area treated with Botox are the frown lines that make one look angry, the crows feet and the horizontal lines on the forehead. In women I don't usually like to treat the horizontal forehead lines because it can reduce the amount of eyebrow lift they can get. Men tend to have a lower set brow so it's not a problem, although I still tend to treat that area conservatively. It lasts 3-4 months at the beginning, but lasts longer the longer you've been treating with Botox. Side effects are minimal; a small bruise is possible in the crows feet area. With too much treatment in the forehead lines, one can develop a bit of a "brow ptosis", which means the eyebrows drop. Again, in men it's not as troubling as in a woman, but it can still be bothersome and last 3 months or more. There is also a less than 1% chance of dropping the eyebrow a bit, but that usually resolves in 2 weeks or so, and can be improved with eyedrops. The chance of side effects is almost eliminated when you go to an experienced injector. You always want to know how long the doctor has been performing the procedure that you are interested in; this applies to all cosmetic procedures, not just Botox. You want to make sure the doctor attends continuing medical education and an added bonus would be if the physician teaches or trains other physicians. Some men don't want to do Botox because they like the rugged "lines" or wrinkles that make them look masculine. In that case, one can simply lower the dose to reduce the lines rather than eliminate them. The most common area for Restylane is to lift and fill the cheeks and improve the smile lines (from the nose to the corner of the mouth), although it can be used all over the face and your doctor can advise you best of all of your options. Restylane is non animal stabilized hyaluronic acid…the same stuff that's in your own body which holds water and plumps up the skin. Restylane works exceptionally well in men to raise the dropped cheeks that happen as we age, as well as provide a chiseled jaw line or raise and fill a dropping chin. The possibilities are endless since with Restylane, you are "sculpting" and you can achieve great results. I find it tremendously helpful for the patient to bring in a picture of 10 or 20 years ago and see how their face has revivemagazine.ca


changed, to provide a framework of what they want to achieve. My philosophy is not to "change" the face, but to restore it to a more youthful appearance in a natural way. My patients don't want to look "done" they want to look rested or relaxed. One wants to look good for their age, so it keeps your friends guessing. Restylane usually lasts between 8-12 months, although I've had patients in which it has lasted over two years, and others who break it down within 4 months. It all depends on your body. You guessed it…smokers and sun worshippers break it down faster. Hair removal: Men are most bothered by hair on their shoulders, backs, ears and a "unibrow". Laser hair removal is now a common treatment and I think the best. Men have terminal hairs in those areas and they respond very well to laser. The best candidates have lighter skin with darker hair. Most areas need between 6-8 sessions. It is important to start early before the hair goes grey, because nothing really works well on grey hair. It is very important to stay out of the sun during your laser treatments to reduce any chance of burning and hyperpigmentation. Skin texture: Again, diet is going to come into play. Your skin is the largest organ of the body so if you are unhealthy, it will show up in the skin. Over and above quitting smoking, reducing excessive sun exposure and a healthy diet, you should use good quality skin products to nourish and hydrate your skin. I'm a big fan of Vitamin C and E topically. Fraxel is a fractional non ablative laser that works to improve general skin texture, reduce pores, and improve scars, stretch marks and acne pitting. It's easiest (although not accurate) to think of it as an "aerator" for the skin…it creates microthermal heat zones directly into the dermal layer to stimulate collagen production. It works well on both men and women and starts to provide results within 1 month, with continued improvement over 6-12 months. Fat: You guessed it…diet. The leaner you are, the less fat you will have. Over and above that, one can consider liposuction or some of the new machines (ultrasound and radiofrequency) that can improve localized areas of fat. I do not have a lot of experevivemagazine.ca

rience with the machines so it would be best to consult a reputable, experienced physician to see if you are a good candidate. Hopefully this article shed some light on the principle of “anti-aging.”

Before Restylane Injection

Immediately after Restylane Injection

2 Weeks after Restylane Injection

For more information or to contact Dr. Matta, please visit www.drmatta.com or call: 905.790.6644

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Vintage Shopping - yes, YOU CAN! By Lauren Ching Scared of vintage? Don't be. Think of vintage shopping like treasure hunting. I love walking into a vintage store in Kensington Market in Toronto and sifting through handbags and clutches only to find a vintage Prada or a sweet pair of Jimmy Choos that happen to be JUST my size. It gives me such pleasure to know that my quirky, retro ring was only $50 opposed to the original $400. Here are some tips for vintage shopping: Go with a plan: • Make a list of items that you've been looking for and try to focus on those pieces. It will make it easier to keep on track when sifting through numerous stores of treasure. Throw out your qualms: • Many people think that thrift stores and used clothing shops are dirty places. A few of them are, but these days the majority are clean, high-quality stores where you can find some great deals. Find your favourite stores and shop happily! Check your stocks: • When you find your favourite stores, inquire as to when they rotate their stock. Stores get new shipments of clothing on a regular basis, so if you're on the ball with arrival times, you can get first dibs at the new inventory instead of picking through things that people have already been through. A little can change your look: • If you're unsure about whether or not vintage clothing will work for your style, stick with handbags, scarves, brooches (and other jewrevivemagazine.ca

elry) and glasses. You can still save a ton by buying vintage accessories, and they add character to your closet. Wash wash wash before you wear - need I say more? Try a gentle cleaner that will treat your classic clothes with care. Be an impulse shopper: • This is the only time that I'll actually TELL you wholeheartedly that impulse shopping is okay. If you decide that you want to "think about it" and leave that one-of-a-kind piece to walk around - chances are it will be gone by the time you get back. Ignore sizes and bring a tape measure: • Try on the clothes if you can. Sizes have changed throughout the decades so its hard to tell exactly what the fit is based on the numeric size. Also, better to buy items that are looser than tighter b/c everything can be tailored. Bring a tape measure and write down your body measurements before you head on your excursion so that you are able to crosscheck between the two. Choose fabrics in good condition: • Check the armpits, zippers and linings for stains and damages on a garment. Take the cost of repairs and cleaning into consideration to make sure that it's really a bargain. But the #1 rule: Don't be scared of vintage. Its easy to incorporate vintage into your modern wardrobe. Remember the rule: 50-50 mix of vintage and modern. Pair a vintage blouse with a pair of skinny jeans and a sexy heel, and top it off with retro sunglasses or a vintage handbag. A little less money with a little more character and flare - sounds like a good deal to me!

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A True Smile Story By Dr. Ron Goodlin It was Friday afternoon, and I had plans to go away for the weekend with my family. Candice our treatment coordinator came to me and told me about the lady who was on the phone, she was so distraught, and, so we agreed to stay late to see if we could help her. The tears were flowing down her face. Mrs. C was beside herself in despair, I walked into the room and sat down beside her. I put my hand on hers and asked her what was wrong. She lifted her arm and there in the palm of her hand was a small white shiny object...her front tooth....and she began to sob again.

is now hiring for area SALES REPRESENTATIVES Previous Print Advertising Sales Experience Preferred Email resume to: craig@revivemagazine.ca

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I explained that she was in the right place, we have seen this hundreds of times before and I assured her we would be able to get her fixed up.....she looked up at me and managed to gurgle...."you don't understand....it is my daughter's wedding tomorrow" and began sobbing uncontrollably as she pointed to her missing front tooth. "The tooth has been loose for a while now, and it just broke today at the bridal lunch. I wish I hadn't left it this long!" The tears were flowing down her face now, and a little tear drop collected on her chin before falling ever so gently onto her blouse. "I was so embarrassed" she said ever so softly. We were able to calm her down, clean and repair her tooth, even though only temporarily, to get her through the wedding. Later to be replaced with something more permanent. Mrs. C came to see me today. She had a bouquet of flowers for the office staff, and a box of chocolates for me, yes I know, a dentist shouldn't be eating chocolate, but it is my biggest vice! She showed us the wedding photographs and she looked as beautiful as the bride....she had a big beautiful smile, her face beaming with pride in every picture. I looked up from looking at the photos, and I saw the tears of happiness flowing down her face. I wiped away the little tear drop that had collected on her chin and we both smiled. I love being a Dentist. Ron Goodlin. Changing lives one smile at a time. Dr. Ron Goodlin President Toronto Academy of Cosmetic Dentistry, Accredited with the American Academy of Cosmetic Dentistry. Fellow of the Academy of General Dentistry Dr. Goodlin can be reached at (905) 727-6453 Or visit his website at www.smiledental.ca Aurora Ontario Canada

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With or Without Makeup? By Anne Gabriele

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hen I was in my 20's, I defined beauty as how you looked with makeup. Now I judge it based on how you look without makeup. My personal experience with facials and what seems to be still the conventional facial, sort of goes like this. You walk into a quiet room with music playing, water cascading somewhere in the room. You lie down and close your eyes. Then your esthetician advises you that you have either normal, dry or oily skin. There is a bowl ready to wash you face, a toner is then applied. A gammage mask is applied and when it is dried it is rubbed off with fingers. This is followed by a 20 minute hot steamer or microwaved hot towel on your face. Usually manual extraction is performed at this point - ouch. A massage oil is then applied. Your face, neck and shoulders are massaged for about 10 minutes. The oil on your face is then wiped off and an ampoule applied. A moisturizer, eye cream and hopefully sun screen, depending on the time of day, follows. You are woken up, not a word has usually been said about what has been done and you are walked to the front desk. A reminder that you need another session in a month is made. You might be suggested some creams and then you are presented with your bill for $65 (average) and wished a great day. Naturally, skin care is very individualistic. Each person has their own unique needs and requirements and therefore they need to be assessed in order to establish a pallet of treatments and procedures that focus on these issues. In general, this is what should happen on your first visit to a professional spa. It should start with a Consultation with an Esthetician that specializes in skin care. A determination is based on what you don't like about 28 - REVIVE Magazine

yourself and what the Esthetician feels you need to get done to bring your skin to its best. Therefore here are some key points. Facial treatment is NOT only cleansing, toning, application of gammage, steaming, extraction, eye cream moisturizer and out you go. This is nothing but the commercial fluff of facials. Might feel good, be reasonable in cost but does not do much. There are numerous types of skin conditions some of the most common are: Anti Aging (fine lines), Acne, Rosatia, Pore Size, Hyper pigmentation, Vascular Issues, Oily skin, Dry Skin, TZones ‌ If you want to be in public looking your best without makeup - I recommend you go a step beyond the conventional facial. The conventional facial does not sufficiently exfoliate and nourish the skin the way spa facial can. To best explain this let me replicate a scenario of a new client coming in for their first consultation. Assuming the initial consultation has resulted in your customized plan. Your timeline and costs are now known to you. Then your 5 step process of good skin care begins with the best quality, natural ingredients, developed with the best technology that science has to offer today. 5 Steps to beautiful skin: 1. Surface cleaning - with the most advanced cleansers - to remove surface impurities by emulsifying sebum, perspiration, airborne dust and makeup. 2. Exfoliation. This is the most important step in your facial regime. This removes dead skin cells allowing your skin to breathe and absorb products better. These procedures are: Microderm Abrasia A Progressive non-evasive procedure for skin resurfacing. This treats sun damaged skin, uneven and granular skin, fine line and wrinkles, enlarged pores, blackhead and comedones, superficial revivemagazine.ca


scars and some stretch marks while stimulating collagen. Clinical Peels A professional deep exfoliating treatment. This will reduce fine lines and wrinkles, exfoliates, stimulates natural collagens, speeds up cell rejuvenation, increases elasticity, evens out skin tone, reinforced barrier functions to prevent moisture loss. These high performance high-tech products offer benefits of AHAs (Alpha Hydroxy Acid) Lactic & Glycolic Acids, Salicylic Acid to name a few. So basically once the Microderm Abrasia is done to open up the skins pores, the peels can now go deeper and achieve better results. 3. Treating lotions. They restore the skins natural PH balance for optimal absorption and subsequently applied products. 4. Treatments. Treatment products targeted for your skin using clinically proven innovative active ingredients in a variety of adapted textures for all skin types. These include products and masks left on for 30 minutes or more for proper absorption. 5. Environmental protection. A product that is suited for your skin. Urban and sun protection products adapted to your needs. The most advanced moisturizers for skin preven tion, correction and protection. During these stages, you are advised of which procedure is to be performed and what products are to be applied. This is a full participation as the intended results are discussed during the procedures. At the end of your clinical treatments, a review of your current home care products and

procedures is discussed. New methods, products and procedures are suggested After one treatment you will have a refreshed sun kissed look. People will think you have been on vacation. A series of four or five treatments with higher levels of Micro and Peels at each session, over a period of 4 to 8 weeks, will take years off your face. Once these treatments have been completed, your skin is prepared for more enhanced targeted treatments. Example: Intermittent Pulse Light (IPL), Fraxel, Thermage, Injectables. Facials are not only for women. Men's faces age similarly as women. Children and teens should start at an early age so they will not have the problems we see in adults today. By tackling these issues early in life, children and teens will benefit from clean, blackhead, acne and scar free faces. If you start proper facial care at an early age, through clinical visits and home care, hands down you will ensure a youthful aging. To achieve this 70% should be clinical treatments and 30% home skin care treatments. Our motto at Lasair has always been: "Show all the beauty you possess if you only let yourself believe" We believe it so much that we wrote it on the wall. So if you are looking beautiful without makeup, just imagine what a little makeup might do. Anna Gabriele Certified Skin Care Esthetician Co-Owner Lasair Laser & Advanced Skin Care Medi Spa 905.727.6463

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We want to hear from you, send us your letters, comments and suggestions. You can mail us at Revive Magazine, 5-18 Ringwood Drive Suite #414, Stouffville Ontario L4A 0N2 or email us at letters@revivemagazine.ca. All submissions become the property of Revive Magazine and will not be returned; they may be edited and may be published or otherwise used in any medium. Fashion questions can also be submitted to fashion@revivemagazine.ca, have a question for a Revive expert email to: askanexpert@revivemagazine.ca

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Bruce Krahn is a professional speaker, personal trainer and author of The Fat Fighter Diet. He is also co-owner of Bodizone Personal Fitness Studios and eBodi.com. Learn more at www.brucekrahn.com. Email your questions to

askanexpert@revivemagazine.ca

Q: I have type 2 diabetes and would like to know what type of sweetener to use in my tea and coffee? Should I use Splenda?

be eating because although I have not changed my diet, I am beginning to gain fat.

A: Balancing your blood sugar levels is one of the 5 "secrets" to fat loss (you can read the other 4 by going to www.ebodi.com).Research has shown that Splenda (Sucralose) is basically chlorinated sugar. This sweetener is found in many diet drinks, puddings, baked and packaged goods. Sucralose is still not approved for use in many European countries and is under review. I recommend that you avoid these man-made sweeteners and choose natural alternatives such as honey, maple syrup, rice syrup, fruit juice or stevia instead.

A: The best foods are those with minimal processing and as close to their original and natural form as possible. That is why foods such as vegetables, whole fruits, meat, fish, nuts and seeds are best for our health and for fat loss. The key is to eat nutrient dense, calorie sparse meals frequently throughout the day. Doing so will ensure a life of good health and low body fat. The other key to fat loss success is to follow a resistance training program. Studies show that as people age they naturally lose muscle mass and the best way to prevent this is to lift weights.

Q: I want to know the kind of food I should

We are very pleased to announce a new partnership between Revive Magazine and Modiface and are very excited to unveil The Revive Imaging Tool at www.revivemagazine.ca. ModiFace Inc was founded in 2007 by University of Toronto Professor Parham Aarabi. ModiFace Inc. has developed a face detection and modification platform that can automatically and nearly instantaneously simulate makeup, anti-aging, weight-loss, cosmetic surgery and hair style changes. ModiFace's proprietary technology currently powers nearly 30 websites, social networking applications, branded makeover tools, as well as iPhone applications, and is used by nearly 500,000 unique users who generate nearly 4,000,000 photo modifications every month. On behalf of the entire team at ModiFace, we are excited about unveiling the Instant Revive Imaging Tool for Revive Magazine. As the world's largest and most advanced face-processing platform, ModiFace's technology revolutionizes the way people perceive cosmetic procedures. Our programs enable users to see what they would look like with various anti-aging and body contouring procedures, all from the comfort of their own home computer within seconds. Visit revivemagazine.ca today ! and try the new Revive Imaging Tool.

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Dr. Ali Adibfar, is a board Certified Plastic Surgeon as well as an Oral & Maxillofacial Surgeon. Dr. Adibfar is also the founder of Elements. Please visit www.elementstoronto.com or email your questions to askanexpert@revivemagazine.ca

Q: I am a 32 year old male and feel like I am in pretty good shape! I constantly eat well and work out but can never seem to get a bigger bicep. Is there such a procedure as bicep implants? Have you ever done this procedure? A : Although biceps augmentation can be performed with implants this procedure is very rare in Canada due to its potential complications such as extrusion, irregularities and displacement. This procedure may be slightly more popular in places such as Los Angeles with its Venice Beach neighbourhood. I do not have any experience in this specific procedure. Q: I have wanted breast implants for awhile now and have been researching via the internet. I have found that there is a round Implant and a tear drop implant. Could you tell me which one you would recommend and what is the difference? Is one better than the other?

approved by both the FDA and the Ministry of Health in Canada. The level of "cohesiveness" can vary from implant to implant and they are each offered in either a smooth or textured surface shell. In general a tear drop shaped implant can give one a more "natural" looking breast however cannot necessarily be inserted through all 3 types of incisions. I commonly use these in patients who have had post-partum involution of the upper pole of the breast and therefore a smoother, gradual augmentation of that area is achieved versus a round implant. These tear drop shaped implants are commonly used with a textured surface to prevent rotational forces. I commonly use a round gel implants in younger women without excessive droopiness of their breast. Your Plastic Surgeon would be able to give a more precise recommendation following thorough evaluation.

A: Currently Cohesive Gel implants are some of the most popular implants used and

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Studio Six Photography by Steve Apost www.studiosix.ca


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Ultrapulse C02 Laser Facial Resurfacing By Dr. Philip Solomon M.D., F.R.C.S. (C) There are so many laser products on the market it gets difficult to know which is best for you. Here we will give a brief summary of laser resurfacing technology in the hope of shedding light on the topic. C02 laser technology has been around for many years. The C02 refers to Carbon Dioxide the medium by which this laser operates. The original CO2 lasers were a surgical device. These lasers would burn or evaporate a layer of skin and allow the skin to repair itself resulting in less wrinkles and smoother more youthful appearance. There were a few problems with the original CO2 lasers as it required a significant healing time and the skin could scar or heal in with a lighter colour called hypopigmentation. Over the past decade there has been a move to develop lasers that have less downtime, excellent results and less risk. The next generation resurfacing technology was the Erbium laser which was developed to have less healing downtime, and less risk of hypopigmentation. Overall this laser had its applications but had a much more limited ability to treat significant signs of aging and sun damaged skin. A few years ago lasers changed dramatically in their delivery system. Laser would deliver their beam in a fractionated pattern. This meant that when the laser was delivered instead of treating the entire skin surface the laser could vaporize or heat cores or holes into the skin. It was as if a laser was shot through a filter and only parts of the beam hit the skin. This allowed bridges of normal skin to not be damaged by the laser beam. The bridge of unlasered skin would allow for quicker healing and less risk of hypopigmentation. The most common devices included the Fraxel laser and the Profractional laser. These worked similarly but the physical properties of each company's laser were different. The Profractional and the Fraxel are erbium based lasers with fractionated technology. Both of these technologies are good but require multiple treatments over months to obtain noticeable results. The newest technology on the block is the fractionated C02 laser. This technology takes the old C02 technology and applies the Fractionated delivery system. This Technology allows all the benefit of the old C02 power and lessens the risk of scarring and hypopigmentation. Most patients will notice often dramatic results from one treatment. The Downtime of this technology is about 7-10 days of red flaking skin. The skin will improve from one treatment for a number of months. The two lasers of this type on the market are the Fraxel C02 laser and the UltraPulse Fractionated C02 laser. Dr. Solomon has obtained the first Ultrapulse in the GTA. Both of the C02 Fractionated technologies are great and really offer the gold standard of skin resurfacing. I like the Ultrapulse as it offers flexible settings. The Ultrapulse C02 has an Active FX setting which is great for pore size, fine lines, 38 - REVIVE Magazine

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Before, above and after shown below

Before, above and after shown below

and overall skin tightening. The Deep FX setting allows treatment of acne scars, deep wrinkles and surgical scars. Many of the patients we treat obtain both Active FX and Deep FX treatment at the same time. We first do the Deep FX in the areas that revivemagazine.ca

require it and then go over the entire face with the active treatment. The results are like no other laser that I have seen. This laser is an advanced surgical tool/laser/computer and needs to be offered by a physician or surgeon. Patients must understand that this technology is different from other lasers currently on the market. It can achieve dramatic results in one to two treatments, far superior to other lasers on the market. However with the upside patients have to accept 7-10 days of redness and swelling as they go through the first phase of healing.

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The REVIVE Top Five By Lauren Ching WHOOO! Can you FEEL my excitement bouncing off these pages? Summer is HERE!

Here we go - REVIVE Top 5 Summer must-haves:

1)The one piece cutout or one shoulder monokini. It's easy to find a swimsuit that flatters this season. A cutout full piece is a perfect excuse to cover those trouble spots and to show off the assets you love. A full piece one shoulder brings the eyes away from the midline and focuses the eye on sun-kissed shoulders. Detailing such as beading and metal hardware make a monochrome swimsuit exciting. Dare to bare ‌ wherever you want! (See these hot swimsuits by Rachel Lym fashion. To purchase and view full collection, please visit www.rachellymswimwear.com

2)The easy-breezy cover up Nothing says sexy like a chic cover-up, and sheer anything is hot, hot, hot this season. Long, cool, delicate draping makes it easy to look haute by the pool this summer. Don't be afraid to take this trend away from the pool and out on the town either. Short knits can also take you from day to night with ease, and long dresses give a versatile, glamorous feel to your summer wardrobe. (Both pieces shown here are by Lubica. For purchase, please contact www.lubica.com, or visit lubicafashion@gmail.com)

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Just make sure your sheers or knits drape away from the body and don't fit too tightly - if ill-fitting, these fabrics have the tendency to pull in the most unflattering places and can take you from sultry New York chic to Red Light district in 3 seams flat. 3)White hot shades Keep it current by taking it back ‌ way back. Retro shades are all the rage these days, and nothing says summer like a pair of white shades. Pairing them with a scarf that does double duty as a head wrap evokes Grace Kelly and Jackie O. glamour and sophistication. If you opt for the head wrap option, try something fresh and fun by wrapping it over the head and around the neck. Finish with coral lips and classic studs and you're good to go!

Photograph courtesy of Franz Garcia

4)Monochrome it up. Take all your shades of blues, greens, or pinks and wear them layered, all at once. (Yup, you hear me right - all at once.) They'll have the same slimming effect as black, but the colours will give you a nice summer twist. If you aren't comfortable with going head-to-toe bright yellow, try an outfit in shades of nude and white. After all, nude is the new black this season. 5)Shoe forecast Beauty is found in the detail of this season's sexiest shoes. Suede fringe, leather and studs, jewelencrusted heels, ankle ties and animal prints give us so much life and variety in shoe choice that it's hard to buy just one pair. Don't feel like you have to blow the budget to look good either; if you opt for just one pair of stunners this summer, go for either a gladiator sandal or heel in nude or white. Can't decide between all the gorgeous trends? Just remember one thing - UP UP AND AWAY - as high as comfortably possible. You can be practical when there's snow on the ground again.

photo: Andy Jones 42 - REVIVE Magazine

Have a fashion question or idea email us at fashion@revivemagazine.ca

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OPTIMIZING KNEE HEALTH by Dr. Zoltan Rona, MD, MSc Dr. Zoltan P. Rona practices Complementary Medicine in Toronto and is the medical editor of "The Encyclopedia of Natural Healing." He has also published several Canadian best selling books including "Return to The Joy of Health". For more of his articles, see mydoctor.ca/drzoltanrona

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ver 5 million people in Canada and the U.S. seek medical attention each year for a knee problem. That's according to the American Academy of Orthopedic Surgeons, a group of specialists who often perform a variety of surgical procedures on knees or prescribe strong painkillers with unwanted side effects like stomach ulcers. Osteoarthritis, ligament tears and other types of joint trauma account for the vast majority of these cases. Some knee problems result from wear and tear of parts of the knee, such as occurs in osteoarthritis. Other problems result from injuries that force the knee beyond its normal range of movement. If you want to minimize your chances of visiting the knee surgeon for an experience under the knife, there are quite a few things you can do on your own or with the guidance of a natural health care provider.

exercising, work at least an hour to strengthen all the leg muscles by doing specific exercises such as leg lifts with weights, walking up stairs, walking on a treadmill with a high incline or riding a stationary bicycle. Working out with weights has been proven to benefit the knee, but this is best done with the supervision of a personal trainer or kinesthesiologist. Use properly fitting athletic shoes. Problems with flat feet and excessive pronation (feet turning inwards) are common knee stressors that can be prevented by getting fit for special shoe inserts called orthotics. This is a service that is provided by a sports medicine specialist, podiatrist or a chiropractor. If you are overweight, realize that this puts extra stress on your knees. Longer warm-ups, increased water intake as well as diet and special food supplements should be strongly considered both to lose weight and enhance knee health. Structures of the Knee

Common Sense Prevention When it comes to knee health, if you do not use them, you lose them. You must exercise. Warm up before strenuous exercise by walking on grass or other soft surfaces or riding a stationary bicycle. Then do stretches. Do not stretch without a warm up because stiff, cold muscles are more prone to injury. Stretching the quadriceps (front of the thigh) muscles and the hamstrings (back of the thigh) reduces tension on the tendons and relieves pressure on the knee during vigorous activity. On at least two days a week when you are not competing or vigorously continued on next page revivemagazine.ca

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Diet for Better Knees The following recommendations are general guidelines only and should be modified depending on individual food tolerances or allergies as well as health history, degree of knee dysfunction and individual goals. Nightshade foods (tomatoes, potatoes, peppers, eggplants, tobacco) might have to be eliminated by those who have joint pains associated with their consumption. There are certain foods (beef, pork and dairy, for example) that are proinflammatory: they increase the inflammatory response due to their content of certain types of fats (arachadonic acid and saturated fats) that increase the body's production of pro-inflammatory hormones called prostaglandins. Other foods, like fish (cod, trout, salmon, halibut and herring), flax and hempseed, are anti-inflammatory in that they have the reverse effect. Moreover, the foods in the prohibited category are the most allergenic and therefore the most likely to aggravate the inflammatory response. If you are not sure what foods or substances you might be allergic to, see a natural health care provider for an individualized diet. For more information on diet, menus and meal suggestions, see my book, "Osteoarthritis" (Alive Books Healthy Living Series, 2001). Allowed Foods and Beverages (provided you are not allergic to them; eat organic whenever possible) Carotene-containing foods like sweet potatoes, carrots, spinach, cantaloupe, kale, squash and pumpkin Rice cakes, rice cereals and rice crackers Vitamin C- and antioxidant-containing foods like citrus fruits, broccoli, strawberries, melons, Brussels sprouts and cabbages Popcorn (no butter or salt added) Buckwheat, quinoa, corn or rice pasta All fresh fruits and dried fruits Lamb, poultry, fish and seafood, preferably organic (they must be well cooked) Organic fruit juices (freshly juiced) but just one glass per day if you have a high triglyceride blood level Soy (although this ubiquitous legume's health benefits are controversial), rice or almond milk 44 - REVIVE Magazine

Small amounts of nuts (except peanuts and cashews which are high in mold content); best nuts are walnuts, pecans, macadamia, pine nuts and almonds Sunflower and pumpkin seeds Pure, filtered or ozonated spring water (It is important for adults to drink at least eight large glasses each day.) What to Avoid Wheat and other gluten-containing grains (barley, oats, rye, spelt, amaranth, millet and kamut) Milk and dairy products Eggs Sugar Artificial sweeteners (stevia is a good nonsugar sweetener) All alcoholic beverages including beer and wine Caffeine (coffee, regular tea, colas, chocolate) Soft drinks and tap water (unless filtered or ozonated); avoid distilled water because it is devoid of minerals and can lead to mineral deficiencies All foods containing artificial flavorings, additives and preservatives Beef, pork, cold cuts, fried foods and salty foods Coconuts Peanuts, cashews and their products Supplements Knee cartilage injuries or osteoarthritis can be repaired with the help of the following supplements (taken for at least 3 months): Glucosamine sulfate - 500 mg. 3 times daily Chondroitin sulfate - 500 mg. 3 times daily MSM (Methyl Sulfonyl Methane) - 3000 mgs. 3 or more times daily SAMe (S-Adenosyl-Methionine) - 200 mg. 3 times daily Vitamin C - 1000 mg. 3 times daily These nutrients take a minimum of 8 weeks to work. They reduce both pain and inflammation and may be taken safely for years, if needed. People with sensitive stomachs should make sure they take these supplements with food. The odd individual may need to use something like DGL revivemagazine.ca


lozenges (deglycyrrhizinated licorice) to prevent heartburn while using these natural anti-inflammatory nutrients. They may be used in one-third these dosages for people who have healthy knees but wish to prevent injuries. If inflammation is a big issue, the most effective natural anti-inflammatory supplement is pancreatin (pancreatic digestive enzymes). When taken during or after meals, pancreatin helps break down protein, carbohydrate and fat in meals. When taken on an empty stomach (1 hour before or 3 hours after meals), pancreatin works very much like a very strong anti-inflammatory drug. The usual effective dose is 5 tablets 3 times daily between meals. At the first sign of a knee injury, taking 10 such enzyme tablets several times daily helps speed healing. Brand name examples of pancreatin include Wobenzyme, Intenzyme Forte and Pancreatin 840. Acute injuries to the knee and even chronic knee pain caused by arthritis, meniscal tears and ligament damage can also be helped by hyperbaric oxygen, a treatment that speeds healing dramatically by exposing an individual to high oxygen levels at a very high pressure. This is a treatment modality that is growing in popularity amongst professional athletes and will soon be more commonly used by the general public. Strong muscles joints and ligaments require adequate amounts of minerals, especially copper (1 - 2 mg.), zinc (15 mg.), manganese (15 mg.),

calcium (1200 mg.), magnesium (400 mg.) and boron (3 mg.). In the diet, they are available by eating fresh nuts, seeds, greens and non-citrus fruits. Potassium (1000 mg. or more) is also essential and widely available by eating citrus and tropical fruits. Other natural food supplements or herbal remedies that have success in reducing knee pain, swelling and inflammation include: Bromelain (a pineapple enzyme) - 500 mg. 3 times daily between meals Curcumin (a turmeric extract) - 500 mg. 3 times daily Niacinamide - 500 mg. - 2 capsules up to 4 times daily Omega-3 fatty acids (fish or hempseed derived) - 3000 mgs. up to 3 times daily Vitamin E - 800 IU up to 5 times daily Boswellia - 500 mg 3 times daily Yucca - 500 mgs. 3 times daily Cat's Claw - 500 mg. 3 times daily Hyaluronic acid - 50 mg. 3 times daily Consult a natural health care practitioner for an individualized supplement program. Dr. Zoltan P. Rona practices Complementary Medicine in Toronto and is the medical editor of "The Encyclopedia of Natural Healing." He has also published several Canadian best selling books including "Return to The Joy of Health". For more of his articles, see http://www.mydoctor.ca/drzoltanrona

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The Revive Advisory Board On behalf of the entire team at Revive, we are excited and honoured to announce the newest addition to the Revive Advisory Board, Dr. Sol Weiss. He will be joining our very elite and highly respected advisory board members which include: HD Bryce Wylde - Homeopathic Doctor, Clinical Nutritionist & Host of Wylde on Health Dr. David Ellis - Professor, Department Otolarynogolgy-Head + Neck Surgery Bruce Krahn - Certified Personal Trainer & Author of The Fat Fighter Diet Dr. Fred Weksberg - General & Cosmetic Dermatologist Dr. Zoltan Rona - Medical Doctor & Clinical Nutritionist Dr. Kevin O'Grady - Plastic & Reconstructive Surgeon Cara Smith - Aesthetic Consultant and Trainer Dr. Ron Goodlin - Cosmetic Dentist Dr. Sol Weiss - Cosmetic Dentist revivemagazine.ca

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Laser Gummy Smile Repair‌ It's easier than you think! By Dr. Charles Botbol BSC, DDS

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hen you smile, does your grin appear too "gummy"? Many people complain of smiles that look less than attractive because they show too much gum tissue, otherwise known as a "gummy smile". This can make the teeth look smaller and the gums prominent. To correct this problem, we use a laser to gently remove excess tissue. This instantly creates a more natural, attractive smile. The laser is extremely precise and the entire procedure only takes a few minutes. Most cosmetic dental patients who undergo this laser procedure report little to no discomfort. Lori's Smile Makover Journey After being very self conscious about her teeth and smile Lori finally decided to see what cosmetic dentistry could do for her. A beautiful young woman, Lori would often avoid smiling in photos. She became very aware that her less-than-great smile was affecting her socially. Lori was also in the business world and in sales. She was acutely aware that she didn't look her best in public because of the issues with her smile. When she came to our dental office, she posed several questions. Do I need orthodontics? Gum surgery? Bleaching? Crowns? What would it take to give me the smile of my dreams?

completed smile analysis of all the features of her smile. Of course, she was right. She did have a gummy smile. Not only was her smile "gummy", but it was also uneven. Also, her teeth were small, rounded, dull in color and unevenly worn. Lori said that for the time being, she would be happy with "showing less pink" and "whiter teeth". We agreed that the best place to start would be with whitening. Lori had Zoom 2 whitening done in just over 1 hour !! Lori was very pleased with the results as it was a huge improvement, but just not enough to give her a dazzling smile! A few months passed and Lori returned to discuss any other options available to her to make smile even more attractive. Lori was looking for a "Hollywood Smile" ! So, using a dental gum laser, we decided to do a "gum lift" and reshape her gums. Unlike traditional gum surgery with a scalpel, the procedure was very comfortable and healing was quick. We explained that the ideal way to take her smile to the next level would be with porcelain veneers. We could make her teeth all even, whiter in color, better shaped by placing porcelain veneers on her front teeth. After seeing numerous before and after photos of other patients that we had treated with porcelain veneers, Lori was excited about getting a sensational new smile and was anxious to start treatment immediately. See Lori's completed smile makeover with gum lift and porcelain veneers. Lori was absolutely ecstatic with the results achieved for her. She now has the smile of her dreams! Lynn's Laser Revolution

After carefully listening to Lori's concerns, we

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Lynn was very frustrated with her unattractive smile.She looked great except for that congenitally missing right lateral incisor. The canine moved forward into its spot followed by the first bicuspid. A "peg" lateral was on her left side. Add to that uneven gums and old discolored bonding. Her teeth were simply too short and discolored, and the appearance of her gums didn't help. In one area, her gums were swollen, infected and appeared red instead of the normal healthy pink color. She asked us, "Is there anything you can do to give me better looking teeth and gums?" Actually Lynns's problems were pretty simple to solve. We cleaned her teeth and taught her how to keep her gums healthy. Then we reshaped her gums with the dental laser, removing her excess gums which made her teeth look a little longer. Her smile looked much better, but the teeth were still too short and discolored for her. Could we do anything else to really give her a great smile? Lynn was looking for a beautiful "Natural Smile"! The answer to her concerns was to place

porcelain veneers on her upper front teeth. She could choose the color, shape and length of the teeth that she thought she look the best. Below is a photo of Lynn with her new smile created with Laser gummy smile correction and porcelain veneers. She just loves the Laser !! This lovely patient's smile was transformed with laser gummy smile correction and 5 porcelain veneers and a 3-unit all porcelain bridge. She now has an enviable smile! Dr. Charles Botbol has been creating both beau-

tiful and healthy smiles for his patients from as far back as 1996. He is a highly sought after Toronto area dentist who has trained at some of the world's most prestigious continuing education centers for dentistry. No stranger to the media, Dr. Botbol has been featured on CTV'S Canada AM, CH Morning Live and 680 News, among other media outlets. He has also acted as a national spokesperson for Johnson & Johnson and Listerine products. Dr. Botbol was also asked to sponsor 2 of the finalists of the "Miss Universe Canada Pageant" and recently completed a smile continued on next page

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Dr. Fred Weksberg is recognized as a leader in the field of Cosmetic Dermatology focusing his practice on Botox Cosmetic, Injectable Fillers, Fraxel, Thermage and Sclerotherapy. He is committed to excellent patient care and ongoing research and education. He teaches locally and abroad and is often quoted in the media. Please visit www.drweksberg.com or email your questions to askanexpert@revivemagazine.ca

Q: Is it possible to still have a "natural" and not overdone look if I try Botox for my frown lines between my eyes. A: Botox has been revolutionary in helping to improve the frown lines on the face. Some physicians in an attempt to maximize frown reduction have used higher doses of Botox, causing that frozen or plastic look we have seen all too often. Although not at all harmful to the patient, it does produce an "overdone" look". This does gradually disappear. This is completely avoidable by discussing this with your doctor, and adjusting the dosage of Botox that is best for you. Sometimes "less is more" and reducing the Botox dose allows for a more natural soft look. Q: Does diet affect acne? What should I avoid to reduce pimples? A: Don't eat that - you'll get acne! We've all heard it from parents, friends or even the

family doctor. But the fact is, even after extensive study, scientists have not found a connection between diet and acne. Not even chocolate, pizza, or french fries. According to the American Academy of Dermatology, "A healthy diet is important for improving raw materials for healthy skin." It has also been shown that greasy or sugary foods do not cause acne.1 Likewise, a study published in the Journal of the American Medical Association concurred, "Diet plays no role in acne treatment in most patients‌even large amounts of certain foods have not clinically exacerbated acne."1 Of course, that doesn't mean you should make a habit of eating foods high in sugar or fat. The skin is the body's largest organ, so what's good for the rest of you will be good for your skin, too. 1 Woods La-Voie P, "The ABCs of skincare for kids," Better Nutrition, No. 9, Vol. 63, p. 32.

makeover for finalist Yasmin Moavenian and is currently treating 4th runner up Isabelle Grastin. CTV's "So You Think You Can Dance" finalist Natalli Reznik trusted her smile to Dr. Botbol and recently had 10 porcelain veneers placed by Dr. Botbol. Please visit www.StudioBdental.com to learn more about Dr. Charles Botbol.

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Dr. Kevin O'Grady is a certified Plastic and Reconstructive Surgeon and a fellow at the Royal College of Physicians and Surgeons of Canada. He is fully licensed to practice medicine by the College of Physicians and Surgeons of Ontario. Please visit drkevinogrady.com or email your questions to askanexpert@revivemagazine.ca

Q: How do I get rid of the dark shadows underneath the eyes? A: Dark shadows underneath the eyes can be caused by three things, each to varying degrees depending on the person. First, there is pigment in the skin (think of this as a small suntan underneath the eyes). Pigment can be effectively treated with different types of laser treatments, most commonly IPL or Intense Pulsed Light, or gentle bleaching creams prescribed by your doctor. Second, there are many tiny blood vessels underneath the eye. In thin skinned people, these vessels are more easily seen. Venous blood has a greenish tinge, giving a dark colour underneath the eye. Very little can be done about this. Finally, shadows from volume loss add to the appearance of darkness. This can be effectively treated with volume restoration or facial fillers such as Restylane underneath the eyes. More permanent solutions also include fat placement in this area, which requires surgery.

Q: I've gained about 20 pounds in the last year or two and the cellulite on the back of my legs and thighs has worsened. Is there something that can be done to remove this? A: The best solution is weight loss through diet and exercise. Many people mistakenly think that liposuction can cure cellulite - it cannot. The reason for this is simple. There are attachments, call septa, that join the undersurface of the skin to deeper tissues. Within these septae are fat cells. Think of the septae as honeycombs filled with fat instead of honey. As one gains weight, the fat cells increase in size, causing the honeycombs to bulge, creating the uneven appearance of cellulite. The septae are small and numerous - too numerous and small for surgery to be significantly effective. The best way to treat this is to cause the fat cells to shrink back to normal size, reducing the honeycombs and eliminating the bulges and unevenness of the cellulite.

A Revive Makeover The Next Level in Beauty Therapy See the introduction feature on page 85 of this issue. You can also log on to www.revivemagazine.ca to track their progress and to utilize our tips to start your own Makeover today! Sponsored By

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Dr. Richard Liem is the founder of The Low Back Clinic (www.lowbackclinic.com) and is the leading authority of Non-Surgical Spinal Decompression therapy for the treatment of disc herniations, spinal arthritis and degenerative disc disease. The Low Back Clinic is one of the most profiled clinic in Ontario and has been profiled on Global news, City TV, OMNI TV, CHCH, CHEX TV, am640 and 1050 Chum. Email your questions to askanexpert@revivemagazine.ca

Q: "I have been told to use heat for when I have pain by some people, others say I should use cold. Could you please clarify when I should use heat and when I should use cold!" A: This is a very common question and a question that gets a lot of conflicting answers! But the actual answer is very straight forward. If you sustain an acute injury (i.e. you have just hurt yourself from a fall, sprained ankle, heavy lift, etc) apply ice. If you have a chronic injury (i.e. a pain that you have had for a long time - arthritis, a long time shoulder injury etc.) apply heat. ACUTE = ICE CHRONIC = HEAT So for instance, when you sprain your ankle it will immediately start to swell up. Initially, majority of the pain that is felt is from the inflammation that develops right after you injure yourself. Inflammation itself, is brought about by the increased blood flow that is directed to the injured area. So, applying ice to the inflamed site will decrease the blood flow, which will in turn, decrease the inflammation and thereby decrease the pain! Heat should typically be applied to chronic problems. Take for example arthritis. Those who suffer from arthritis will most often remark that they feel more pain in the morning, but as they start to move around a bit the pain starts to subside. Morning pain is felt because one typically does not move a lot when sleeping so there is less blood flow to the damaged area, thus the damaged joint gets tight and pain is felt. However, when the person moves around a bit , blood is moved into the area, the joint gets warm, becomes less tight and the pain starts to go away. Hence the reason why you should apply heat to areas that are chronically in pain. Heat warms up the joints, opens them up and reduces the pain. Q: "I have some lower back pain and I'm wanting to see a chiropractor, but I was told by a friend that I could become addicted to chiropractic. Is this true?" 50 - REVIVE Magazine

A: To answer your question in one word…. "NO". No one gets addicted to chiropractic adjustments. If a person has a chronic problem (i.e. a problem that they have had for a long time) the person can become "desensitized" to it. That is to say, the person doesn't feel it so much anymore… they get used to the pain. Wearing a watch is a prime example of "desensitization". When you first put on a watch, you feel it on your wrist. However over time, you no longer feel the watch on your wrist. It's still there, but your nerves get used to it ("desensitized") that you don't even notice it's still there. This can occur with chronic problems. The person still has the problem, it's just that they have had it for so long that they don't feel it as much… they develop a high "Pain Threshold". So in other words, the person adapts this chronic problem as their new "normal". So say for instance you have chronic lower back problems. Over time as your nerves get desensitized, your pain diminishes and you develop a higher pain threshold. Your problem is still there but because you adopt this pain/problem as your new normal, you don't feel it as much. However, when you get adjusted by your chiropractor, you will typically experience a big change in how you feel. You will feel lighter, feel looser, have greater range of motion and just over all feel great. This new great feeling of being pain free that you experience, will become your "new" normal. So, whenever your body starts to deviate from this new normal, you will immediately realize. So you go back and have another adjustment to nip any problems in the bud so as to maintain that new normal. Therefore, it is not that you get addicted to chiropractic adjustments, instead you just become more in tuned with your body when things don't feel right and your body will alert you when things go wrong so that you can take care of your problems immediately! Preventative care is the key to living healthy.

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Does Your Company Need SOAP?

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or the vast majority of Canadians, the time they spend at work makes up a very significant portion of their lives. Out of 168 hours in a week, the average Canadian spends more than 50% of their waking hours on the job. With work playing such a significant role in the lives of Canadians it is important that organizations take a vested interest in creating a corporate culture that values and emphasizes the importance of health, fitness and vitality. Ontario based company Health Solutions at Work (HSW) understands this and offers a wide array of employee health focused natural wellness solutions. Rooted in science and designed from a holistic perspective, the HSW program produces change and a positive return on investment. Employees are a company's greatest asset- and expense. As a matter of fact, the average employee costs a company $83,377.50 in salary and benefits. This breaks down to approximately $44.50 per hour. HSW helps offset this expense and guarantees to save a company a minimum of 20 minutes per day/ per employee in sick days and increased productivity. This will result in a savings in excess of $3,600 per employee/per year or an astonishing 1800% ROI! How can this be possible? HSW has studied the main causes of employee sick days and provides companies with a menu of service offerings based upon the three most common contributors to sickness in the workplace: 1. Colds & flu's 2. Back pain 3. Overall health, fitness & wellbeing To address these, HSW developed the S.O.A.P method which customizes the ideal wellness program based upon your company's unique employee population and requirements. Here is how S.O.A.P works: Subjective: Employees complete our anonymous online questionnaire which will identify those 52 - REVIVE Magazine

issues of greatest significance and relevance to them. Objective: HSW principals Dr. Bryce Wylde and Bruce Krahn will conduct a walk- thru of your working environment to identify those issues they believe to be of greatest importance. Assessment: HSW will assess the data collected from the employees and their own analysis. Plan: HSW will meet with key decision makers to report on their findings and deliver an action plan designed to remedy any deficiencies found. They will then present their findings to the company in a 2 hour information packed live seminar. This presentation is guaranteed to get your company excited about the program and will kick-start the entire process. The HSW S.O.A.P plan is fully customized and consists of one or more offerings including: • Mould Analysis & Air Quality Testing • Sanitizing Stations • Cold-FX • Ergonomics • Nutrition • Exercise room recommendations • Fitness Assessments • Stress management recommendations • Water Testing • Radon Detection All HSW programs are introduced to the company with a dynamic and entertaining seminar conducted by company founders Bryce Wylde and Bruce Krahn. Guaranteed to motivate, educate, entertain and inspire, this presentation is just what the doctor ordered! For more information please visit www.healthsolutionsatwork.com or contact Rob McEwan Argyle Communications: 416-968-7311 ext 242 revivemagazine.ca


went to M.R. Wardrobe to check out Mike's store and services. I walked into a clean and welcoming atmosphere definitely helps to relieve the stress that men usually associate with shopping. (Isn't it funny how it works in opposition for women?) Mike knows first hand about the stress that men encounter in their shopping experiences. He's been in the retail and men's fashion industry for over 25 years, starting his career at the distinguished Harry Rosen, and eventually deciding to open up his own store. He took a break from retail for 7 years when he was diagnosed with brain cancer, and according to Mike, almost became a vegetable with the proceeding treatment. His miraculous recovery from cancer has helped him to embrace his life and his passions helping people and fashion. He melds his lengthy experience, broad expertise, and easy going personality to give clients a fully customized and enjoyable retail therapy experience. "The repertoire that I build with my clients is the best part of my job. And it's a different job everyday - I meet different people and get to solve the different challenges lying within their closets." Customers are able to consult with Mike in hour and a half appointment slots, where he gives his undivided attention and expert opinion to customizing your closet and wardrobe. This maximizes your budget and minimizes your stress when it comes to organizing your

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clothes and finding what to wear for every occasion. He even makes house calls in order to evaluate the client's closet and personal style. Sounds like a dream to me! What's his secret? Mike concentrates on classic pieces to give your wardrobe the needed style without hurting the piggy bank. He tailors your wardrobe to your career and personal tastes, and tries to maximize each piece so that you have options for every occasion. His lives his own philosophy of versatility and practicality as his own style borders on the conservative side, keeping his suits with classic cuts and basic colours, only updating and revamping when needed. Mike lets me in on some style trends for the summer for men. "Look for strong patterns and contrasting colours, such as a navy polka dot tie, with a white and blue stripe shirt. Pair that with classic, fresh pressed khakis, a navy blazer and a polished pair of brown loafers and a brown belt, and you have a look that's modern and fresh, without looking over done." How about summer no's? "Linen is getting a bit outdated. It wrinkles like crazy and is impractical. It's better to get a blended fabric if this is the look you want to go for." Are you ready to take the headache out of your closet? Mike is expecting you! For more information, questions and inquiries, please visit www.mrwardrobe.ca.

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Rules To Live By By Jennifer Schramm

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ach one of us lives our life in a different way. Each one of us finds pleasure and joy in different ways. We are all unique. We have different passions, experiences, gifts, talents, challenges and obstacles. We all see, hear and view things through a different lens depending on our own set of life experiences. Even though we are all unique and different in many ways, the 5 principles that I am going to introduce to you in this article are universal and can be applied to each and every one of our lives. From my experience and from working with many different clients, I have found that these 5 simple life changing principles can increase your level of happiness instantaneously. By following these principles you will feel more freedom, attract more of what you want, appreciate what you have, increase your confidence, feel more alive, peaceful, abundant, energetic and connected. Look for What's Right Many of us automatically look for what is wrong in any given situation or relationship. Some of us tend to focus on our obstacles and problems rather than focusing on what is right in our lives. We are accustomed to finding fault with our bodies, our careers, our relationships, our government, our parents, our children, our friends.... Whatever you focus on you will find. If you focus on what is wrong, you will find more faults. If you focus on what is right, you will find more joy. Start looking at the blessings instead of the miseries and notice how the world around you changes right before your eyes. When 54 - REVIVE Magazine

you look at what is right, you will attract more of what you want. Take Risks To move forward, achieve our goals and feel our aliveness we need to take risks. This means stepping into the unknown, trying something different and doing things that scare you. You can't feel the deliciousness of life or bring about change if you continue to do the same things over and over again. Taking risks help us to propel forward, feel our vitality and recognize our abilities and our dreams. Move outside your comfort zone, TAKE A RISK and be all that you can be! Feel the fear and do it anyway. You will notice more energy, increased confidence and pure excitement to be alive. Express and Feel Gratitude How many times do you say the words "thank you," in a day? How often do you thank your mattress for allowing you to have a good night sleep, how about your refrigerator for keeping your food cold, or your car for getting you from place to place? How about your legs for all the thousands of miles they have carried you? How about your eyes for allowing you to see and read this article? We often take for granted the many gifts and miracles we are blessed with in each moment of our lives. Express gratitude and watch the world open up to you. You will notice increased joy, abundance, happiness and acceptance. Live With Integrity - Speak Your Truth Have you ever made a choice and then felt guilty or shameful about it afterwards? If you answered "yes", perhaps you need an integrity check. When we are aligned with our integrity, what we think, what we say and continued on page 56 revivemagazine.ca


what we do match. For example, if you have committed to spending more time with your family and you come home from the office at 11pm because you couldn't say no to your boss, or a friend asks you if you like her dress and you say "yes", even though you think it looks horrible, you are misaligned with your integrity. Each choice, thought and action has an effect on how we think, feel and view ourselves. When our behaviors, actions and choices are aligned with our commitments and our truth, we stand in our integrity. When your integrity is in alignment you will feel more positive and confident about yourself. You will have more freedom and energy and feel more happiness and peace. Trust Don't be afraid to ask for guidance. Trust in a power greater than yourself and believe that what ever is happening in your life is happening in perfect sequence and for your highest good. Trust your own inner guidance system and your intuition. Know that everything is available to you. Trust that everything is unfolding perfectly. We try so hard to control everything in our lives that we forget the profound power of having faith and letting go. When you begin to trust that things will work out for your best interest, you will experience a deeper sense of peace and well-being. This month, I invite you to take a risk and implement at least one these principles for a week and see how the world around you shifts and your level of happiness increases. By applying and living these 5 principles; looking for what's right, taking risks, being grateful, living in integrity and trusting the process you can be assured a life of full of happiness, joy and abundance!!! Jennifer is a Life Coach and Personal Development Facilitator. She assists people on their emotional, mental, physical and spiritual journey. Her company, "Real Wellness" offers services including individual coaching sessions, workshops and wellness groups. Jennifer specializes in working with people with eating disorders, weight related issues, body image and self-esteem. Please email your questions or commenst to askanexpert@revivemagazine.ca 56 - REVIVE Magazine

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Shawn Solomon is the founder and owner of Thornhill Skin Clinic. She is a highly trained medical esthetician with more than 15 years of practical experience. Please visit www.thornhillskinclinic.com or email your questions to askanexpert@revivemagazine.ca

Q: Why are repeated laser hair removal sessions necessary? A: Hair growth goes through cycles. 'Anagen' refers to the growth stage of hair. Laser hair removal treatment works best on hair that is in the anagen stage. While one laser hair removal treatment may have long lasting effects, repeated treatments are necessary for best results to catch all the hairs as they enter the anagen stage. Typically this is at 6-8 week intervals between sessions. Q: Is laser hair removal safe? A: Yes. The laser uses a wavelength of light which passes through the skin. Unlike xrays, there is no residual left in the body. Skin may appear pink or red after treatment. This disappears - in some cases after some minutes, in other cases after a few hours, or in still other cases, a few days. Use of cold packs will speed up the recovery time. Q: Is laser hair removal painful?

described the sensation of laser hair removal to a slight sting on the skin. Others say it feels like a pinch on the skin. Q: When can I expect to see results from laser hair removal? A: After the first treatment hair will gradually fall out over the next two months. Repeated laser hair removal treatments are necessary to catch all the hairs in their various stages of growth. Q: How much does laser hair removal cost? A: This depends on the size of the area needing laser hair removal treatment. A consumer guide on laser hair removal treatment gives $500 per treatment session as a reasonable average with 6-8 sessions often necessary. The whole area on the back or the legs can cost considerably more while smaller areas such as the upper lip can cost less. Individual consultations are necessary to establish accurate laser hair removal pricing.

A: This varies from person to person depending on their sensitivity. Some have

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What Are The 7 Most Dangerous Words Said In A Doctors Office??...? By Dr. Richard Liem

"I Thought That It Would Go Away". That's right. Probably one of the most common and most dangerous phrases ever mentioned in any doctors office is "I thought that it would go away"! Often people think that when one sustains an injury, when the pain is gone, so is the problem. But remember two things about injuries and pain… 1. Pain is the one of the worst indicators of health. 2. Most adulthood problems stem from problems that develop in childhood. As stated above, pain is probably one of the worst indicators of health… in fact, in my professional opinion, it is probably THE MOST deceptive indicators of health! To put my claim in perspective let me both ask and answer 3 questions… 1.

Q: What is the most common effect side of heart disease? A: Fatal Heart Attack. 2. Q: When do you feel pain from liver cancer? A: When liver cancer has been deemed terminal. 3. Q: When do you feel pain from arthritis? A: Pain can be felt years after initially developing arthritis. And so what do all the above have in common? Initially, all three conditions are virtually painless. However, only when enough damage has been developed, does one feel pain. There are of course many more examples than these but just 68 - REVIVE Magazine

from these few, are you convinced that pain/symptoms are very deceptive and that pain is a very poor indicator of health? Have you heard of the saying… "As The Twig Grows Bent, So Does The Tree"? What this means is that when problems develop early in life, those problems will continue to into adulthood! Have you ever had a fall on you back, felt a lot of pain afterwards, but as time went on it went away. Then as the years go by, suddenly (seemingly out of the blue) you feel back pain? Then after further investigation, it was then determined that you have moderate or advance arthritis? Or have you ever been told by someone who has severe back pain and whose legs are very weak, that prior to their fall they were active and pain free? Then instantly after their fall the pain became relentless, getting worse and has totally turned their lives upside down! Pain didn't just come about by the fall. Sure the fall did create pain, but the intense long lasting pain was brought about by the already damaged area being aggravated. The Straw That Broke The Camels Back! Damage to the body can develop by what's called "insidious onset". Insidious onset means that the problem slowly develops over time within your body without you really realizing it. Your condition or problem becomes a ticking time bomb! At any moment "BOOM" the damaged area presents with intense pain… seemingly out of no where! But believe it or not simply by coughing, lifting incorrectly, turning quickly or from just brushing your teeth is all that it may take to create this intense pain. So what can be done to avoid this problem from happening to you? The best course of action to take if you hurt yourrevivemagazine.ca


self is to get yourself checked out right away. Don't hesitate. Don't think that your problem will go away by itself‌ because more often than not, it doesn't! If you do have a fall or sustain some type of injury, go to your health care professional (i.e. chiropractor, massage therapist and/or medical doctor) and have your condition checked out right away. At my clinic, The Low Back Clinic, we specialized in severe neck and back pain. Most of the patients that we treat have been suffering for years and years (often decades) and so they have developed a lot of spinal damage. Thankfully, we successfully treat the great majority of our patients (in fact, our treatments have an almost 90% success rate). However, for those who let their problem go for a long time and let the damage worsen, they always run the risk of "Limitation of Matter". In other words, so much damage has been created that the patient has now developed permanent damage where their body is unable to recover. Consequently, these patients

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will always be in pain. So of course, the longer one ignores their problem, the higher the probability of limitation of matter. So what is the best way to avoid this from happening to you? It's easy! It's called "Preventative Care" - taking care of potential problems before they develop. In fact, the best time to see your health care professional is when you're feeling great! If you do hurt yourself - get checked right away and don't wait for the problem to go away on its own. Because chances are it won't and as said above, it may get worse in time. It for these reasons that more and more people are continuing on with a chiropractic or massage maintenance treatment on a once a month basis. These patients are feeling great and they want to continue to feel great, but they go for their treatments to nip problems in the bud if they have injured themselves or they go for preventative measures.

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Three Million Canadians May Have Diabetes by 2010: An Anti-Aging Perspective to Diabetes Prevention Dr. Ronald Klatz, M.D., D.O. President, American Academy of Anti-Aging Medicine (A4M)

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he Canadian Diabetes Association reports that a North American child born in 2000 stands a one in three chance of being diagnosed with diabetes in his or her lifetime. In Canada, over two million Canadians have diabetes and that number is expected to reach three million by 2010. Type 2 diabetes [also known as non-insulindependent diabetes mellitus (NIDDM) or adultonset diabetes] accounts for about 90 to 95% of all diagnosed cases of diabetes. The number of people with type 2 diabetes is increasing dramatically due to a number of factors, such as an aging national population, a marked rise in obesity rates, a pronounced trend toward sendentary lifestyles. Type 2 diabetes disproportionately affects approximately one-quarter of men and women ages 60+. Diabetes is costly on a very personal front. The condition can grossly reduce quality of life and raise the risks of heart disease, stroke, kidney disease, blindness, amputation and erectile dysfunction. In fact, according to The Canadian Diabetes Association, diabetes is a contributing factor in the deaths of approximately 41,500 Canadians each year. Canadian adults with diabetes are twice as likely to die prematurely, compared to people without diabetes. The life expectancy for people with type 2 diabetes may be shortened by 5 to 10 years. More people are developing Type 2 diabetes as it is closely tied to obesity and a sedentary lifestyle. The United States National Institute of 70 - REVIVE Magazine

Diabetes and Digestive and Kidney Diseases (NIDDK) reports that participants in the Diabetes Prevention Program, a large prevention study of people at high risk for diabetes, lifestyle intervention reduced the development of diabetes by 58 percent over 3 years. The reduction was even greater, 71 percent, among adults aged 60 years or older. In this article, we review recent research that suggests there are natural, drugless ways in which each of us can reduce our individual risk for the onset of diabetes. Several studies published recently propose that by making simple dietary choices, each of us may significantly reduce our risks of developing diabetes. Diabetes Risk Influenced by Diet Previous studies have shown that by maintaining a healthy weight through diet and exercise, people can reduce their risks of developing Type 2 diabetes. Additionally, some studies have shown that diet affects diabetes risk independent of causing weight concerns. Jennifer Nettleton, from the University of Texas Health Sciences Center (Houston Texas, USA), and colleagues studied a group of 5.011 US adults, including men ages 45 to 84 of multiple ethnicities. The researchers found that those men whose diets were highest in whole grains, fruits, nuts, low-fat diary, and vegetables (particularly leafy greens) were 15% less likely to develop Type 2 diabetes over a five-year period, as compared to those who ate the lowest amounts of these foods. Additionally, the team found an 18% increase in diabetes risk among study subjects whose diets were high in red meat, high-fat dairy, and refined grains. Mediterranean Diet Reduces Diabetes Risk The Mediterranean diet is rich in cereals, fruits, legumes and whole grains, fish and olive oil. Numerous previous studies have shown those revivemagazine.ca


who follow the Mediterranean diet live longer, have less heart disease, and a reduced risk of cancers. Dr. Martinez-Gonzalez, from the University of Navarra (Spain), and colleagues studied 11,380 University graduates with no history of diabetes, via food questionnaires administered periodically to follow dietary habits. During the study, it was generally observed that those subjects who adhered moreso to a Mediterranean diet were also found to be at the highest risk for type-2 diabetes (age, family history, previously smoked). Over the 4.4 years of follow-up 33 new cases of type-2 diabetes were documented. Those study participants who were found to have the highest adherence to the Mediterranean diet were 83% less likely to develop type-2 diabetes (as compared to those with the lowest adherence). The researchers suggest that the Mediterranean diet lowers plasma concentrations of inflammatory markets and markers of endothelial dysfunction, two biomarkers that predict the future likelihood of type-2 diabetes. Green Leafy Vegetables Reduce Risk of Diabetes in Women An increased intake of green leafy vegetables may reduce the risk of women developing type-2 diabetes. Specifically, Lydia A. Bazzano, from the Tulane University School of Public Health and Tropical Medicine (Louisiana USA), and colleagues, found that for every additional serving consumed, the risk was slashed by 10%. The team's study involved 71.346 female nurses (ages 38 to 63), followed for 18 years. The researchers also found that whole fruit consumption led to an 18% reduction in diabetes risk; interestingly, fruit juice consumption was correlated to an increased risk. Legumes Lower Diabetes Risk An increased consumption of legumes, such as peanuts and soybeans, has been shown to markedly reduce the risk of type-2 diabetes. Raquel Villegas, from Vanderbilt University (Tennessee, USA), and colleagues from the Shanghai Cancer Institute (China) followed 64,227 Chinese women for 4.6 years and used questionnaires to assess dietary intakes of the subjects. In those study subjects with a high intake of a variety of legumes, the researchers revivemagazine.ca

found a 38% reduction in diabetes risk. In particular, a high intake of soybeans was associated with a 47% risk reduction. Wine and Tea Compounds Beneficial for Type-2 Diabetes Dietary phenolic compounds, found in high concentrations in red wine and certain teas, may play a role in slowing the passage of carbohydrates into the bloodstream. Kalidas Shetty, from the University of Massachusetts (USA), and colleagues, have found that red wine inhibits the activity of alpha glucosidase, an enzyme responsible for triggering the absorption of glucose by the small intestine, by almost 100%; black tea extracts produce a 90% inhibitory effect. State the researchers: "It is clear that [red] wines and [some] teas have high antioxidant activity and good inhibitory profiles on carbohydrate ‌ absorption in the intestine." According to the Canadian Diabetes Association, the financial burden of diabetes and its complications is enormous. People with diabetes incur medical costs that are two to three times higher than those who do not have the disease. By 2010, experts estimate that diabetes will cost the Canadian healthcare system $15.6 billion a year and that number will rise to $19.2 billion by 2020. The societal costs of this disease are significant as well, as diabetes profoundly impacts individuals, families, and society at-large. People with diabetes can expect to live active, independent and vital lives if they make a lifelong commitment to careful diabetes management. Find out how you can uncover the secrets of a healthy, vital, productive lifespan by using the Physician Directory online at Worldhealth.net, the official educational website of the A4M. Log on today to www.worldhealth.net, the leading Internet portal sharing the very latest knowledge in aging intervention as embraced by the A4M's 22,000-plus physician, scientist, and health practitioner members from 105 nations worldwide. While at Worldhealth.net, be sure to sign up for the FREE Anti-Aging News Journal, delivered weekly to your computer desktop.

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Rhinoplasty By Dr. Ali Adibfar, MD, DDS, FRCS(C), FRCD(C)

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hinoplasty is sometimes performed in conjunction with a facelift or other rejuvenative surgery to correct aging changes of the nose such as a drooping tip. Sometimes certain breathing problems related to the internal nasal structures can be corrected at the same time as nose reshaping is performed. Some of the indications that you may be a good candidate for rhinoplasty are: • your nose appears too large for your face there is a bump on the nasal bridge when viewed in profile • your nose seems too wide when viewed from the front • the nasal tip droops or plunges • the tip is thickened or enlarged • your nostrils are excessively flared • your nose is off-center or crooked • previous injury has made your nose asymmetrical It is important that you have a clear idea of how you would like your nose to look and, at the same time, realize that there are limitations to the procedure. Patients with sufficient physical and emotional maturity who undergo rhinoplasty because they want to enhance their self-image are usually very satisfied with their decision. In evaluating you for rhinoplasty, your plastic surgeon will conduct a routine and painless examination of your internal nasal structures. Your skin quality as well as the size and shape of your nose and its relationship to your other facial features will be carefully studied. In some instances, your plastic surgeon may recommend surgery of your chin, making it either more or less prominent, to improve facial balance. This procedure can be done at the same time as your rhinoplasty. Because of individual factors, not everyone will achieve the same results from rhinoplasty. Your surgeon's goal is to obtain the best possible results for you. Alterations may be made to increase or decrease the nasal bridge, reduce the size or width of the nose, narrow the nostrils, change the angle between the nose and upper lip, revivemagazine.ca

or reshape the tip. In many instances, all of the incisions will be placed inside your nose, where they will not be visible. If the base of the nose is narrowed or the nostrils reduced, small wedges of skin at the base of the nostrils will be removed. Incisions are hidden in the natural crease where the nostril joins the cheek. Sometimes a very short incision is made across the vertical strip of tissue that separates the nostrils, called the columella. This technique is called an "open rhinoplasty." Whatever incisions are used to reshape your nose, they will ultimately be very inconspicuous. Fortunately, significant complications from rhinoplasty are infrequent. Some of the potential complications that may be discussed with you include hematoma (an accumulation of blood under the skin that may require removal), infection and reactions to anesthesia. Numbness of the skin following rhinoplasty may occur but is usually temporary. Occasionally, if the surgical outcome needs further improvement, additional surgery may be necessary. Frequently, local anesthesia and intravenous sedation are used for patients undergoing nose reshaping, although general anesthesia may be desirable in some instances. Generally, bruising around the eyes and cheeks is most apparent during the first three days following surgery. Most discoloration will disappear within a week. Noticeable swelling may last for several weeks. Minor residual swelling, most frequently affecting the nasal tip, may continue for many months, but generally this should not be apparent to others. Since the healing process is gradual, you should expect to wait up to one year to see the final results of your rhinoplasty. You are likely, however, to begin enjoying your new look within weeks of your surgery. Occasionally, a touchup may be desired to further improve the results. If this is the case, the additional procedure is usually less extensive than the original operation. In many instances, you may be able to return to work within a week or ten days after surgery. Most normal activities including exercise can usually be resumed within three weeks. If the bones of your nose were altered, it may be a number of weeks before you can wear glasses without special support such as tape. In most instances, the results of rhinoplasty are permanent, except for possible changes associated with the normal aging process.

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Dr. Korman has extensive experience in cosmetic and reconstructive surgery. Following board certification in Canada and the U.S., he completed advanced fellowship training in hair restoration. Dr. Korman is a member of the Canadian Academy of Facial Plastic and Reconstructive Surgery and the International Society of Hair Restoration Surgery and continues to travel internationally to enhance his approaches with cutting-edge techniques from around the world. Please visit www.kormanmedical.com or email your questions to askanexpert@revivemagazine.ca

Q: What are the available medical treatments for hair loss? A: Medical treatment can slow or stop pattern hair loss in a large proportion of patients. Some patients will even experience re-growth of hair. The mainstays of modern medical treatment include finasteride (Propecia) and minoxidil (Rogaine), and with the exception of patients who have underlying medical conditions such as iron deficiency, thyroid dysfunction, or other hormonal imbalances, these are the only medical treatments that I advocate for the vast majority of my patients. Propecia blocks the action of 5-a reductase, an enzyme that is responsible for the hormonal changes that lead to male pattern baldness. Propecia will stabilize hair loss in approximately 90% of men who take it, but is generally not prescribed for women. The mechanism by which Rogaine affects hair growth is unclear however it has been shown to be effective for both women and men. Propecia and Minoxidil appear to work synergistically for male patients, meaning that greater effect is achieved by using both medications at the same time. Both medications are thought to be more effective for the crown and mid-scalp areas than they are for the hairline and temples, There are numerous other products available that are marketed as hair loss cures. While some of these may have effect, many are unproven and some can even be harmful. You are encouraged to do your homework and realize that if a "miracle" lotion or potion seems too good to be true, it probably is. It is important to remember that if left untreated, pattern baldness will progress relentlessly. While some patients experience re-growth, the primary goal of medical treatment is to prevent additional hair loss. If there is no change in the appearance of your hair during the treatment period, this should be viewed as a success, not a failure. The key to medical prevention of hair loss is to start as soon as possible and preserve your existing hair. Although there are effective options to restore hair that has already been lost, my phirevivemagazine.ca

losophy is that problems are almost always easier to prevent than they are to treat. Q: Doesn't hair transplants look "pluggy" and fake? A: This is by far the biggest concern among those coming to see me for hair restoration. My patients almost invariably tell me that the only thing that they would find worse than baldness would be a bad hair transplant. The sight of unacceptable, obvious, pluggy, and frankly embarrassing results produced by older, outdated techniques would give anyone second thoughts. The field of transplantation has come a long way from the days of "corn-rows" of hair plugs. Grafts have gradually gotten smaller, hairline design more sophisticated, and technology more advanced. The advent of follicular unit transplantation with stereo-microscopic graft preparation is now generally regarded as the end refinement in surgical technique, able to yield results that are predictable and undetectable. When examined under a microscope, hair can be seen to grow in natural groupings that generally contain between one and four hairs. These natural groupings are called follicular units (FU's). When donor hair is divided into grafts for transplantation, preservation of the integrity of these FU's allows the hair to be transplanted in a way that maintains a completely natural appearance. In addition to preserving the natural follicular units, the transplanted hairs are transplanted in an artistic fashion that mimics and re-creates the way that hair normally grows on the scalp with all of it's natural angulations, swirls and patterns. This is in stark contrast to the unacceptable appearance of historical hair transplants that paid no attention to FU groupings and simply inserted coarse plugs which could contain more than 20 random hairs and often ended up looking like rows of doll's hair. Using the most modern techniques, my standard is total naturalness with balanced density and coverage. Often, patients' own hair stylists are not able to tell that a transplant has been performed. REVIVE Magazine -

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Moles and other benign growths what are they and how to treat them By Dr. Fred Weksberg, MD, FRCPC(C)

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atients are often concerned about the many different types of growths that develop on the face and body. This often drives the patient into the dermatologist's office requesting a diagnosis and suggestions for treatment. The large number of dermatologic conditions can make a correct diagnosis challenging. Initially, benign lesions must be differentiated from malignant lesions. This is best done by an experienced dermatologist. Fortunately, most skin lesions presented by patients are benign. Following the diagnosis, knowledge and experience in treating these conditions is crucial for a successful cosmetic outcome. This article reviews some of the most common benign skin conditions and acquaints the reader with the treatment options. SKIN TAGS Skin tags or acrochordons are common growths found in individuals from the thirties and older. They appear as soft fleshy 2-5 mm bumps of skin that protrude from the surface. They are commonly found on the neck, armpits, upper trunk, under the breasts, and eyelids. Many patients become frightened when these skin tags appear, but it is good to know these tags are harmless. The lesions are single or multiple. Multiple skin tags can appear during or after pregnancy. Treatment:

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No treatment is required; however, acrochordons may be removed to address bleeding, irritation, discomfort, or cosmetic improvement. Most commonly they are treated by electrocautery, but may also be removed by shave excision, or with liquid nitrogen spray. Surgical excision provides the most cosmetic result for the large skin tags. SEBORRHEIC KERATOSIS Seborrheic keratosis (SK) (Fig.2) is a benign, harmless growth that sits on the surface of the skin. The term seborrheic relates to their greasy appearance and prevalence in regions of the body with a high concentration of sebaceous (oil) glands (ie, face, shoulder, chest, back). These are the most common benign skin growths of the middle-aged and elderly populations. Seborrheic keratosis has various clinical appearances. In persons with light skin, most lesions present as small, flesh-colored, waxy papules that have a "stuck-on" appearance. They can also develop a stalklike growth. Seborrheic keratosis lesions can occur as solitary or multiple lesions. Multiple small SK's that occur of the top of hands and feet are another variant of seborrheic keratosis and termed stucco keratosis (because they look like little bits of stucco stuck to the skin surface). In persons with darker skin, multiple small black or dark brown waxy bumps can develop on the forehead, cheeks, and neck regions. This variant is called dermatosis papulosa nigra and may run in families. Older seborrheic keratosis lesions can progress to become dark brown or black, causing some confusion with melanoma. Their elevated position, distinct borders, and greasy appearance give clues to their benign nature.

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Treatment: Most patients require no specific treatment. Close patient surveillance and annual clinical evaluations are recommended. For removal, liquid nitrogen is the most common treatment, followed by curettage(scraping off the lesion and cauterizing the base), and lastly by surgically excision.

raised. Colours vary from pink, to skin coloured, light brown to dark brown, and black.

DERMATOFIBROMA Dermatofibromas present as firm, raised, pigmented bumps (papules) that range in color from brown to red, purple, and pink. They are usually small lesions, frequently found on the lower extremities. Occasionally patients report that it began with a previous insect bite, however most dermatologists believe it is not related to insect bites. The true cause of a dermatofibroma is unclear, and some controversy remains over whether a dermatofibroma represents a true benign growth or a fibrous reaction to some minor trauma.

Treatment: Asymptomatic dermatofibromas do not require any treatment. They are often removed for cosmetic improvement. NEVI (Moles) The definition of a nevus (or mole) can be expanded to include any skin lesion that is made up collections of melanocytes or nevus cells. These are the cells in the skin that are responsible for producing brown pigment. Most nevi begin to appear during childhood and continue to appear during our lifetime. When individuals become older (60 years and higher) they start to diminish. They rarely undergo malignant change into melanoma. Nevi tend to be more common on the head, neck, and trunk. However, a great deal of variability exists with regard to size, shape, and even amount of hair present. Moles can appear anywhere on the body. They may be flat or revivemagazine.ca

Treatment: Some moles need to be removed for examination if they change their appearance. Any changes in shape, size, and colour should be evaluated by a dermatologist. Bleeding, itching, and pain should also signal the need for examination. Rarely moles can change into melanoma, a serious skin cancer. In the vast majority of cases moles are benign and can be removed for cosmetic improvement. Moles can be removed by shave excision or may need stitches. They usually heal very nicely, but may leave a small scar. EPIDERMAL CYST For many years, epidermal cysts have been misnamed and referred to incorrectly as sebaceous cysts. Historically, 2 main types have been identified. The most common type is known as the epidermal inclusion cyst. This represents approximately 90% of cysts. The second most common type is termed a pilar cyst. These lesions can be found in almost any location on the body. In contrast, the pilar cyst occurs almost exclusively on the scalp.

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Treatment: Removal of these cysts is indicated for 2 main reasons. The treatment of choice is excision. This is done if the cyst becomes inflamed, or infected. Incision and drainage is frequently the best approach. Following the resolution of the infection, the lesion is excised. The other main reason to remove these cysts is for cosmetic improvement. LIPOMA Lipomas are very common soft tissue growths with an annual incidence of nearly one in 1,000 persons. These are collections of benign slowly growing fat cells. These typically present as soft or rubbery nodules which appear to be under the skin, usually occuring on the trunk and extremities, but can occur anywhere on the body. Solitary lesions are the most common, but multiple lesions can occur. They are usually not painful or tender, unless they grow to compress an underlying nerve. Treatment: Small asymptomatic lipomas require no treatment. However, definitive treatment is surgical excision. Indications to excise lipomas vary but are largely performed for cosmetic reasons. On occasion it necessary to remove them for biopsy purposes and check for cancer. SEBACEOUS HYPERPLASIA Sebaceous hyperplasia is a benign enlargement of sebaceous glands (oil glands). They appear as small flesh-colored to yellow papules, often with a central dell, on the face of adults. Sebaceous hyperplasia lesions are often numerous, and more common in men. Individual papules can occasionally resemble basal cell carcinomas (common type of skin cancer). In these cases a biopsy is warranted to check for skin cancer. Treatment:

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In most cases treatment is primarily for cosmetic improvement. Most commonly curettage and/or electrocautery is the best treatment. Occasionally surgical excsision or laser therapy is used. EPHILIDES (freckles) Ephilides or freckles are small, discrete, pigmented macules (small patches) on the sun-exposed skin of fair-complexioned individuals, usually redheads and blonds. Ephilides are not growths per se; they represent areas of increased melanin pigment in the skin. They tend to darken in the summer with increased sun exposure and lighten in the winter. When present in large numbers, they indicate excessive sun damage and an increased risk of sun-induced skin cancer, including melanoma, basal cell carcinoma, and squamous cell carcinoma. Treatment: Ephilides are benign and harmless, and treatment is not necessary. Topical bleaching creams, chemical peels, or liquid nitrogen can lighten ephilides of cosmetic concern. LENTIGINES (liver spots) Lentigines appear as hyperpigmented macules or patches that can resemble nevi (moles). Usually pale tan to brown, they typically appear in white adults and increase in number with advancing age. They actually have nothing to do with the liver. Lentigines tend to occur on the sun-exposed skin of the face, neck, upper trunk, forearms, and hands. Unlike ephilides, lentigines are the result of an increase in number of melanocytes (cells responsible for making pigment). Lentigines are benign, and indicate excessive photodamage and increased risk of sun-induced skin cancer. They can rarely transform into lentigo maligna (a type of melanoma). If change occurs in a lentigo (e.g., rapid growth, change in color or surface contour), a dermatologic evaluation is warranted and a biopsy may be necessary. Fortunately the vast majority of lentigines are harmless. Treatment:

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Treatment for lentigines is primarily for cosmetic reasons. Options include liquid nitrogen, chemical peels, laser therapy, and bleaching creams containing hydroquinone. CHERRY ANGIOMA Cherry angiomas are benign vascular growths, usually small red papules or macules, that occur in adults and increase in number with age.

Angiomas can appear anywhere on the body but tend to be more common on the trunk and proximal extremities. They are invariably asymptomatic but can bleed with trauma. Treatment: Treatment is not necessary, but electrocautery or laser therapy is the most successful means of destruction for cosmetic purposes. MILIUM Milia are asymptomatic small white or yellow papules that occur primarily on the faces of women and newborns. These are small cystic collections of keratin(looks like white cheesy material) just under the skin surface. They often look like small white pimples. Treatment: Treatment is usually for cosmetic reasons. The milia can be opened with a small gentle poke with a sharp instrument, followed be some gentle pressure to express the cyst contents.

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Testing Yourself at 40 By Bryce Wylde B.Sc., RNC, D.H.M.H.S., H.D

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s soon as we turn forty, most of us immediately start feeling "over the hill". Once the realization has kicked in, we then start worrying about our health. After the 39th candle has been blown out but the 40th remains stubbornly lit, you realize that you're a little more out of breath than you should be. You proceed to make an appointment with your family doctor. He may suggest that above and beyond a typical annual health screen and cholesterol check, that you run a prostate exam if you're male and a breast mammography if you're female. Your doctor is doing due diligence to ensure that you're not experiencing a disease. But‌ what if you wanted a wellness check? Here's what I recommend at age forty. It's called getting "functionally" assessed and simply requires having various bodily samples analyzed to see how well you're doing. In the table below, I list four functional tests for biomarkers that point to some causes of free radical accumulation. Free radicals cause all known disease and for various reasons begin to rise at mid life. If your doctor dismisses these tests too quickly, he or she may simply not know about them or understand how to run them. If you need to find someone who does know how to run and interpret them for you, you can contact any large laboratory that processes these tests and ask them for access either by phone or online to their database of the doctors who offer them. (See list at the end of the article) Functional Test No. 1: Toxins A combination test to determine the levels of heavy metals (including arsenic, mercury, aluminum, cadmium and lead) from a toxin panel on hair, blood and urine. Reason for this test: Our bodies are bombarded with toxins and they can accumulate over time. They cause extreme free radical burden. Functional Test No. 2: Liver Function Get a comprehensive test for liver function that checks levels of liver enzymes known as 82 - REVIVE Magazine

AST, ALT, ALP and GGT. When enzymes are elevated, conventional understanding is that the liver is toxic, infected or degenerative. The best possible analysis is achieved when the tests above are combined with detoxification challenge tests and genetic tests that look at your genetic potential for detoxification. Reason for this test: All blood is purified through the liver. When the liver isn't functioning well, free radicals accumulate instead of being eliminated. Have you been good to your liver? Functional Test No. 3: Heart Health Test a series of cardiovascular markers: triglycerides, total cholesterol, HDL, LDL, VLDL, apolipoproteins [apo A, apo B, Lp(a)], homocysteine, hs-CRP, HbA1c, fibrinogen, LpPLA2 (PLAC test for ischemic stroke), NTProBNP, skin sterols (correlating to cholesterol deposition). Reason for this test: According to the American Heart Association, this year in the United States alone, 1.2 million people are expected to have a new or recurrent coronary attack. As many as 3 to 4 million North Americans may have ischemic episodes without knowing it. In Canada alone, about 70,000 people a year have heart attacks. Most alarming: about 50 per cent of heart attacks are silent or unexpected. Most doctors have access to all of these tests with the exception of the skin sterol test. You're forty and NOW is the time to get properly assessed! Functional Test No. 4: Full Nutritional Status Undergo a comprehensive nutritional test on blood, saliva and urine that evaluates overall nutritional status, provides insight into disease risk and assesses the functional needs of many vitamins and amino acids for body and brain. Reason for this test: to help you determine exactly what you need at 40 (and any age) to determine what's missing from your diet and what you need to do supplementally. Toxins The concern is that lead, mercury and arsenic exposure through common household products and children's toys as well as the fish we eat and the water we drink can increase our heavy metal revivemagazine.ca


(and directly our free radical) load. If this is found to be so in your case, it is correctible with the appropriate chelation and antioxidant treatment. Liver Function When you are exposed to more toxicity than your liver can handle, or are born with less of an ability to clear toxins than average, or have a medical history of liver infection or other affliction, this test will help you and your health provider better understand what antioxidants can do for you to help clean up the free radical debris resulting from a liver that is not functioning optimally. Heart Health New tests may be developed from scratch in laboratories, but it's quite common for new uses for existing tests to evolve through clinical practice. This is how a test called the high-sensitivity C-reactive protein (hs-CRP) test, which appears as part of Functional Test No. 3, has become increasingly used for predicting the risk of heart disease. Its original purpose was to assess infection or inflammation associated with disease. I believe that everyone should have this test as part of their regular screening. It's a good predictor of free radical damage and injury to the cardiovascular and artery lining. If this inflammation is found to be high, cholesterol is prone to deposit at the site of injury in order to get the healing process started. Next comes clogging of the arteries. You'll see that a group of biomarkers called apolipoproteins form part of my recommended Functional Test No. 3. Ask your doctor to run these tests when he or she is ordering up your cholesterol tests. Physicians rarely test the apolipoprotein biomarkers, but researchers who conducted a Mayo Clinic study have argued that these specific apolipoprotein components may be better markers for risk of heart disease than cholesterol itself, and researchers at Johns Hopkins have suggested that apo A-I and apo B are better indicators of premature coronary atherosclerosis than markers such as LDL cholesterol. If you have a personal or family history of heart disease, there is no question that you must actively learn about all of the ways in which you can stay on top of good heart health. Tests in Functional Test No. 3, when carried out together, provide a comprehensive look at the health of your heart and blood vessels. This is especially important as a first step in the use of antioxidants for preventing the progression of disease. If the results should be abnormal, they'll be compelling evidence that you must maintain a good diet and exercise routine. You'll also want to supplement revivemagazine.ca

with a high-dose omega-3 fatty acid (5 g twice daily on average), take extra ACES and supplement with high doses of B complex, including folic acid and B12. In some cases it may be very helpful to take an 81 mg aspirin tablet daily. Full Nutritional Status This test is a Cadillac of nutritional assessment, a tool that saves a clinician from having to guess about your current nutritional status and nutrient demands. It looks at your metabolism of thirty-nine key organic acids to evaluate gastrointestinal function, cellular energy production, neurotransmitter processing and functional need for vitamins, minerals and other cofactors. It also evaluates amino acids, measuring thirty-eight of them to evaluate dietary protein adequacy, digestion, absorption, amino acid transport, metabolic impairments and nutritional deficits, including essential vitamins and minerals. It assesses omega-3 fatty acids and levels of inflammation in the body. It will also identify short-term toxic metal exposure and evaluate intracellular nutrient mineral status. Best of luck! You're not "over the hump" yet. And although we are, as a society, living longer‌ it doesn't mean that we're living longer in health. Get tested. Laboratories Neurosciences Lab., Inc. www.neurorelief.com Genox Corporation www.genox.com Genova Diagnostics www.gdx.net/home Brunswick Laboratories www.brunswicklabs.com Gemoscan International, Inc. www.gemoscan.com OXIS International, Inc. www.oxis.com/biocheck.html

Bryce Wylde B.Sc., RNC, D.H.M.H.S., H.D. Homeopathic Doctor and Functional Medicine Nutritionist Vaughan Medical Centre - 9200 Weston Rd. at Rutherford Unit 26 Tel: 905-417-2273 (CARE) option: 3 Fax: 905-417-7088 www.drwylde.com

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Makeup meltdown gets the Boot! By Colette Cormier

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ummer may be a welcome season for its pleasant colours, aromas and the jingle of ice cream truck bells but it's rarely embraced by the makeup mavens in search of the ultimate secret to avoiding the midday melt. Before you throw in the beach towel and surrender entirely to a bare face all summer, know this: you don't have to baby-sit wandering mascara or dripping foundation. There are tricks to save face. Before you begin to colourize your face, give your moisturizer lots of time to soak into the skin. I always do eye makeup first, and foundation and face colour last; in that order, no moist residue is left on the skin's surface to act like a skating rink for the makeup I do apply. Always use an oil-free moisturizer in the summer. If you have seriously oily skin or are worried about overflow of facial sweat at a special event, you can put a thin layer of Milk of Magnesia on the face before foundation. It acts like a clay mask to absorb emollients, yet it's gentle on the skin. Stickin' it with Colour • I'm not a fan of silicone-based primers before foundation because I find that they don't allow the foundation to soak into the skin…it slips right back off. Instead you can put a light coating of loose powder before the foundation for extra absorption on a hot day. • use waterbased, water resistant foundations, not cream ones; then set with sheer blot powder. If you don't have fine lines, you might like powder foundation. • put a non-silicone primer on the eyelids and set it with a sheer blot powder. • use a wet or damp brush to apply your powder eyeshadow. • use a lengthening mascara, instead of a volumizing one; the thicker ones aren't as dry and are more likely to smear. Use waterproof or none at all on the lower lashes. • use waterproof eye pencils or longwear gel 84 - REVIVE Magazine

eyeliners; set both with eyeshadow in the same colour. • use cheek stain or powder blushes instead of cream blush. • instead of creamy lipsticks and slippery glosses, try some lip balm followed by lip pencils to fill in colour. Use pencils stored in the fridge. • to get lasting brow colour, comb brows with waterproof clear mascara. • finish your face with a quick face setting spray. The ones with alcohol in them will waterproof best…don't be scared if you spray your face with wayward hairspray while finishing your hairstyle…makeup artists love this as a final set for the skin. Each summer we are tested by the best the humidity can bring, but nipping at the sun's heals are the cosmetic companies who concoct products that will always take on the weather's strongest challengers. We just have to stay on top of the latest that defeat the rays, summer after hot summer. Colette Cormier is a professional freelance makeup artist serving Toronto and GTA. She has worked with known personalities for TV, photoshoots, events and more. You can see her portfolio at www.facemaker.ca

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DON'T SWEAT IT By Dr. David A.F. Ellis M.D. FRCSC

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here are treatments for hyperhidrosis (excessive sweating). Do you suffer from excessive sweating? Are you self conscious about hands, underarms, feet or face which perspires too much? You are not alone. Hyperhidrosis is a medical name for excessive sweating. This condition affects 3% of the Canadian population (950,000). Your normal daily activities can be affected by excessive sweating. Having sweating hands, underarms, feet or face can give the wrong impression in business and personal situations. Hyperhidrosis is not a dangerous condition but is very inconvenient and embarrassing. Excessive sweating can promote infection, unpleasant odors and affect your social activities. There are two types of hyperhidrosis: Focal and Generalized. Focal hyperhidrosis which is also known as primary hyperhidrosis has no known cause and is localized to one and or more areas such as: underarms (axillary hyperhidrosis), hands (palmar hyperhidrosis), feet (plantar hyperhidrosis), and face 92 - REVIVE Magazine

(facial hyperhidrosis). Generalized hyperhidrosis is also known as secondary hyperhidrosis and may be cause by underlying conditions such as endocrine disorders, menopause, obesity, nerve damage, and in rare cases, some type of drugs. It is important that you make an appointment with your physician to make an initial diagnosis in order to determine which type of hyperhidrosis you may have. Treatment for generalized hyperhidrosis will require treating the underlying problem first. There are several treatments available for Focal hyperhidrosis. Treatment for Focal hyperhidrosis include Topical, Iontophoresis, Botulinum toxin type A, and surgery. Topical

treatments include application of aluminum chloride hexahydrate (Drysol). This treatment has shown to reduce sweating by 50% for mild sufferrevivemagazine.ca


ers. Iontophoresis is a treatment for hands or feet suffering from hyperhidrosis. This treatment involves immersing the hands or feet in a tray containing a pad wetted with tap water. Low intensity electric current is then passed through the liquid to disrupt the function of the sweat glands. Several treatments may be required and results could last for several weeks. Botulinum toxin type A (Botox) injections are effective for moderate to severe sufferers. Botox works by blocking the signal from the nerve to the sweat glands to reduce the sweating in the area that is affected. The treatment involves injections with a very fine needle to the underarm, hands, feet, face and head. Clinical study shows an 83%-95% success in the reduction of sweating. Treatment results may be apparent immediately or can take up to a week. Results can last from 7 months up to a year. Surgery is the last resort for treatment of hyperhidrosis and only after all of the above treatments has failed and the condition has seriously affected one's lifestyle. Surgical treatment of hyperhidrosis for the hands includes endoscopic thoracic sympathectomy (ETS) where the nerves causing the abnormal sweating are cut (or clipped) to interrupt the signal. For hyperhidrosis of the underarms, the surgical option includes direct excision of the axillary glands. Results vary from immediate relief to reduced sweating for several years in many cases. There are risks associated for all treatments offered which range from skin irritations, severe scaring to infections which are associated with surgery. It is important for you to see a physician to weigh your treatment options with all the benefits and risks associated with them. revivemagazine.ca

Botox coverage for the treatment of hyperhidrosis may be covered by private insurance depending on your plan and treatment options. For more information, contact your plan provider or employer. Should you require assistance after seeing your hyperhidrosis specialist, your physician can also assist you with providing the appropriate documentation or letter to your plan provider. Treatments for hyperhidrosis are often covered by private insurance for Botox, topical treatments and iontophoresis. Should surgery be the option for treatment, the public health care in Ontario (OHIP) will cover all your appointments, surgery and the follow-up care. For more information on how to treatment hyperhidrosis call Dr. David Ellis' office at 416.229.1050.

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Hair Loss By Dr. Mark Korman I am delighted to have been invited to join the distinguished panel of expert contributors to Revive magazine, a publication fast on its way to becoming a definitive source for health and beauty information in Canada. As a hair restoration surgeon, I have come to appreciate that for both men and women, appearance is an important determinant of success in business and social spheres. Baldness or thinning hair influences others' perceptions of you and affects your own attitude and self confidence. Today's patients have numerous proven and effective options available to prevent and treat hair loss. Prescription treatments can stop or even reverse hair loss and unlike the sometimes unnatural results of the past, modern hair transplantation can now yield results that are truly undetectable. For my first Revive column, I have set out to answer some of the questions that I am most frequently asked about hair restoration. I look forward to responding to further questions from the readership in future editions. What causes hair loss? Numerous medical conditions can cause temporary or permanent hair loss however in the vast majority patients seeking hair restoration, the cause is what is known as male or female pattern hair loss. Predisposition to pattern baldness is thought to be largely inherited however the genetic process is complex and poorly understood. Can hair loss be prevented? Medical treatment can slow or stop pattern hair loss in a large proportion of patients. Some patients will even experience re-growth of hair. The key to medical prevention of hair loss is to start as soon as possible and preserve existing hair. The mainstays of modern medical treatment include Propecia (finasteride) and Rogaine (minoxidil). Propecia is a pill that is taken daily 94 - REVIVE Magazine

and will stabilize hair loss in approximately 90% of men who take it. It is generally not prescribed for women. Minoxidil must be applied to the scalp twice per day and has been shown to be effective in both men and women. It is important to remember that if left untreated, pattern baldness will progress relentlessly. While some patients experience re-growth, the primary goal of medical treatment is to prevent additional hair loss, not to restore hair. When should I consider treatment? Your hair is a non-renewable resource and treatment to stop ongoing hair loss should be considered at the soonest possible time even if surgical treatment is not currently an option for you. By the time an area has a thinned appearance, 50% of the hair in that area has already been lost. Halting your hair loss will conserve valuable donor hair and prevent progressive baldness, possibly reducing or even eliminating the need for future surgery. What is a hair transplant? A hair transplant is an operation in which hair follicles that are not susceptible to pattern hair loss (usually from the permanent fringe of hair at the back and sides of the head) are relocated to areas of the scalp that are bald, or thinning. Hair can also be transplanted to other areas including the eyebrows, moustache, beard and body. With modern techniques of follicular unit grafting, pluggy, unnatural "doll's hair" results are a thing of the past. In a modern hair transplant, an area of hair is removed from the back or sides of the scalp and microscopic surgical dissection is used to divide the donor tissue into its individual follicular units. Follicular units are naturally occurring groupings of one, two, three and sometimes four or five hairs. The donor area on the back or sides of the scalp is meticulously sutured using a cosmetic surgical technique known as "trichophytic closure" which usually renders the scar virtually undetectable. Precise instruments are then used to create tiny openings in the recipient areas of the scalp. The creation of the recipient sites requires surgirevivemagazine.ca


cal skill and artistry in order to achieve a result that will continue to look totally natural even as the patient ages. Once the recipient sites have been created, the grafts are individually inserted into place. The transplanted hair is your own and will continue to grow for the rest of your life, just as it did in its original location. It can be washed, brushed, cut and styled just like any naturally occurring hair. Modern techniques and instrumentation allow for the delivery of natural results with the hairline, density and coverage that are appropriate for each individual patient. Hair transplantation is performed as a day surgery procedure under local freezing with mild sedation in a comfortable office setting. Does it hurt to have a hair transplant? What are the side effects? Hair transplantation should be a comfortable and virtually pain-free experience. With the use of light sedation, local anesthetic and gentle and meticulous techniques, the vast majority of patients report that they experience little or no pain. Many actually enjoy the experience, asking questions, listening to music, or watching a movie as the procedure progresses. The side-effects of hair transplantation surgery are relatively minor and serious complications are extremely rare. Modern hair transplantation surgery is comfortable, predictable, and produces pleasing results. What if I don't want to look like I've had a hair transplant? Many potential patients state that the only thing worse than baldness would be a bad hair transplant. The sight of unacceptable, obvious, pluggy, and embarrassing results produced by older, outdated techniques would give anyone second thoughts. The field of transplantation has come a long way from the days of "corn-rows" of hair plugs. Grafts have gotten smaller, hairline design more sophisticated, and technology more advanced. The advent of follicular unit transplantation with microscopic single-hair graft preparation has enabled surgeons to deliver results that are predictable and undetectable. Often, patients' hair stylists are not able to tell that a transplant has been performed. How many procedures will I require? The number of procedures required depends on several factors including treatment goals, the degree of hair loss, and the availability of donor revivemagazine.ca

reserves. Some people are satisfied after only a single procedure, while others will desire further treatment in order to add density, refine the hairline, temples or crown, or to keep up with progressive hair loss over the years. Regardless of the number of transplant sessions that are ultimately carried out each operation is designed as a "stand-alone procedure." This means that each transplant is specifically designed to look natural throughout your entire lifetime regardless of the extent of future hair loss or future surgery. Can women with thinning hair undergo transplantation? Absolutely. Like men, women are subject to hair loss and while this can be particularly upsetting and can have a devastating impact on self-esteem, in most cases it can be effectively treated. As in men, the most common cause of hair loss in women is inherited pattern baldness however some basic tests may be needed to rule out an underlying medical problem such as thyroid dysfunction or low iron. Unlike what is generally seen in men, female pattern hair loss is more frequently associated with a diffuse thinning effect over the entire scalp sparing the frontal hairline. Many women complain that the part in their hair seems to get wider. While female pattern hair loss is extremely common, many women do not realize that treatment is available and effective and so continue to suffer with the embarrassment and anxiety that frequently accompany thinning hair. Fortunately, more and more women are availing themselves of the excellent treatment options that are available including hair transplantation. What can I expect after my hair transplant? Hair transplantation is done as a day surgery procedure with patients able to go home on the same day. In general, no bandages or dressings are required. Most patients have only mild discomfort following a hair transplant and hair can be gently washed on the first day following surgery. Most people choose to take a few days off work but some people resume their normal schedule within 1-2 days. Heavy lifting and vigorous exercise are discouraged for one to two weeks following surgery. Following a hair transplant, new growth will commence within about 3 months and the transplanted hair then grows at the normal rate of about 1cm per month and continues to thicken over time.

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Women's Health: Effective Hormonal Testing and Bio-Identical Hormone Replacement Therapy By Ahmad Nasri, MD (Dom.Rep.), HD, MFS

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he Women's Health Initiative (WHI) study was canceled because of a high risk of breast cancer, heart disease and stroke associated with using HRT (hormone replacement therapy). After five years, women using HRT (Premarin and Provera or PremPro) had a 29 percent higher risk of breast cancer, a 26 percent higher risk of heart disease, and a 41 percent higher risk of stroke. Another study in The Lancet (August 8, 2003) involving over a million women in the United Kingdom came up with the evidence that conventional HRT is associated with a substantially greater risk of breast cancer and a greater risk of dying from it. The study found that all types of HRT, including estrogen and progestin combinations, and estrogen alone, increased the risk of breast cancer. Women nowadays are in a big dilemma: They are scared to go on conventional HRT because of its side effects but at the same time are suffering from the following symptoms: hot flashes, night sweats, occasional sleeplessness, mild mood changes, weight gain, changes in libido, changes in hair and skin, vaginal dryness, etc. Both conventional and alternative medicine have the same goal: to relieve a woman's discomfort during the transitional years of menopause and help her to achieve optimal health into her later years of life. The difference though lies in their approaches. Conventional medicine often considers menopause as a hormone-deficiency disorder and attempts to correct the imbalances that develop within a woman's hormonal system during and after menopause. One of the disturbing aspects of the conventional approach was that any woman over 50 complaining about anything remotely related to menopause, is put on HRT. They are put on a one-dose-fits-all mindset that might have led to the side effects. The alternative medical approach focuses on 96 - REVIVE Magazine

strengthening the female body by encouraging it to balance, regulate, and normalize itself during the transition to menopause. Alternative treatments during menopause usually favor non-drug therapies‌ The internet, Susan Sommers' series of books and Oprah's programs and interviews have been increasingly educating women on these health issues. However I still see lots of women in my practice who can't get to the very few health professionals who are well trained to deal with Bioidentical Hormone Replacement. This results in self medication of online or health food products which can sometimes lead to major hormonal imbalances if not tested and monitored properly. So what is the ideal thing that women should do? An integrative approach combining the alternative therapies with some natural or bio- available hormones is the ideal way to go. There are various rules however to follow to ensure the best outcome:

1)Measuring and Monitoring body hormone levels: Saliva testing is far superior to serum or urine testing in measuring bio-available hormone levels. , The "free" active portion non-protein-bound hormones diffuses easily from blood capillaries into the saliva gland and then into saliva. Proteinbound, non-bioavailable hormones do not pass into or through the saliva gland. Another very important issue is to measure all the hormones that are involved in regulating revivemagazine.ca


women's health. Some practitioners deal only with estrogen and progesterone while obviating the great role of adrenal hormones like Cortisol and DHEAS, Thyroid hormones, and Insulin. This leads to a great level of frustration that we see daily with patients who have been receiving progesterone replacement only and are still suffering from severe symptoms. 2)Use of natural or bio-identical hormones: Only if the patient needs it and just to bring her to a normal physiological level that corresponds to her age. The natural or bio-identical estrogens or progesterone (Prepared from a plant extract or compounded at a pharmacy) are identical to the ones made in our body. The synthetic ones (made in the lab or obtained from horses) are different from the ones our bodies make and thus are associated with cancer and other side effects. 3)Addressing Xenoestrogens and Estrogen Dominance: Several symptoms that women refer are due to a relative progesterone deficiency compared to Estrogen. This is mainly caused by xenoestrogens, which we're exposed to through pesticides, plastics, industrial pollutants and beauty shop toxins. These estrogen-like compounds compete with its receptors in our bodies and thus produce this apparent estrogen dominance. The best way to detoxify our bodies from their effects is through antioxidants use, infra-red sauna, chelation therapy, etc. 4)Body healing and Balance: This is done through eating a healthy diet, nutritional herbs and supplements, and homeopathic remedies that have been shown to be effective. Examples would be phytoestrogens, flax seed, black cohosh, indole 3 carbinol, glucaric acid, essential fatty acids, CoQ10, etc.

Life Style changes including stress reduction techniques including yoga, meditation, etc. are very helpful. Quantum biofeedback therapy is an excellent tool to help the patient to achieve balance. revivemagazine.ca

In conclusion some general measures could be sufficient on their own to manage the patients symptoms, but by combining hormone balancing with correction of other environmental and lifestyle factors and appropriate clinical monitoring we hope to treat the real cause for a patient's symptoms and reduce her risk of developing breast cancer, stroke and heart attacks. The important message is that there is no one dose fits all therapy. Treating every patient on an individual basis is the key to success. The good news: So the ladies do not have to keep up with being told that there are no other options than synthetic HRT, or that all the symptoms that they are presenting with are merely psychological and they are only given anti-depressants to deal with them. They should be able to feel more energetic and enjoy their menopausal phase which is Nature's way of them reaching their spiritual peak after bringing their children to this world and take care of them till adult age. NOW IT IS THEIR TURN.

Ahmad Nasri, HD is a Medical Doctor and General Surgeon from the Dominican Republic. He is also a certified Homeopathic Doctor and Biofeedback Therapist in Ontario, Canada. He is an experienced professional and a renowned speaker in several national and international health conferences. He has a vast knowledge in mainly Integrative cancer therapy, Chelation therapy, Women's health, and Anti aging. He is the author of several articles in different Canadian health magazines and is the Director of Nasri Integrative Medicine Health Centers in Barrie (705)735-2354, and Woodbridge (905)266-0959. www.nasri-integrativemed.com.

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Summer hair care at Ohair By Luigi Di Tacchio

Did you know‌ in the sun. It's called Solar Sublime and is within Unlike skin, hair cannot repair itself. We all like the Serie Expert line. The Solar Sublime range of to do outdoor activities but does your hair get the products has the Mexoryl S.O. UV Protect techproper protection it needs? You're probably sitting nology. This technology ensures maximum prothere saying "What, your hair needs protection?" tection against sun exposure. It absorbs and The answer is YES. Sun damage is irreversible. blocks damaging UV rays and with its ultimate This means that the sun can change the physical protection with each application, it delivers a and chemical structure of the hair. Once the hair longer lasting effect. By using the Solar Sublime fiber is altered it becomes more vulnerable to hair care line, the hair fiber will be protected from natures elements, which could lead to color fade, the damaging UV rays. The vicious cycle of hair age, dry and brittle hair. fragilisation will be broken, resulting in hair that I don't want the article to sound too technical, is silky and shiny. The range of products are the but you must know After-S u n P r o t e c t the different zones of Shampoo, the After87% of your clients protect Sun Nourishing Balm, the hair and the effects that the UV the Protective Repairing their body, face and lips rays have on them. Cream and theAdvanced from the harmful effects Zone A- The P r o t e c t i o n of UV rays.* Surface. Oxidation Conditioning Spray. and free radicals The After-Sun sham*Source: Usage and Attitude Skincare Study accelerate surface poo will help repair 2005-06, Saine Marketing for L'Oreal Canada. deterioration. The the hair after sun hair becomes sensiexposure. It also tive to humidity, dry and loses it shine. cleans away any salt and chlorine in the hair shaft. Zone B- The Cuticle. UV rays attack the connecThe After-Sun Nourishing Balm is a treatment tive tissue between cuticles wearing down the that detangles and smoothes the hair surface. It hair shaft making it porous. Water then increases also repairs the hair shaft, leaving the hair soft the negative effects of the free radicals. This is and silky. These two products are great after a where the vicious cycle of fragilisation occurs. day in the sun! They also give greater protection Zone C- The Cortex. UV rays cause keratin and with each use. Now there are two products that melanin deterioration. When the keratin breaks will help during the day on the golf course or if down the hair becomes brittle. Also, when the your in and out of the pool/beach. They are the melanin is compromised, natural hair becomes Protective Repairing Cream. This is a cream lighter and more sensitive. With colored hair it leave-in conditioner that absorbs and blocks damstarts to fade and lose its shine. aging UV rays. It will condition the hair and give L'Oreal Professionnel have developed a hair you that protection that you need when you're getcare line to protect the hair fiber when you're out continued on page 100 98 - REVIVE Magazine

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INVISALIGN By Dr. Dan Hagi The emergence of cosmetic dentistry in the mainstream has resulted in an onslaught of information about new and exciting technologies, products and procedures designed to improve your smile and appearance. Challenges emerge when it comes to selecting a combination of the right technology, the right product and the right procedure for your specific needs. Every mouth is different, every smile is unique and every patient's goals are individual. One size definitely doesn't fit all! When it comes to braces today, there are several options available. The first option is the use of metallic braces, and a second option is the use of transparent plastic braces, commonly referred to as "Invisalign". In some cases, a combination of both can be used, depending on the individual needs of the patient. Lets be honest, physical first impression is probably the most important opinion we establish about any particular person. First impressions often are based on the appearance of a persons face, mouth and teeth. People with crooked, gapped or rotated teeth are often misjudged on appearance, and other characteristics such as intelligence and personality. Over the years, many become self-conscious and apprehensive about their smile and may even be uncomfortable smiling and laughing in public. The solution may be easier than we think. Invisalign is a new orthodontic treatment system that works to straighten teeth through the use of a series of clear plastic molds (aligners). Invisalign braces eliminate the metallic smile that is characteris-tic of traditional braces. In 1997 Align Technology was founded to provide a safe, effective technique that allows you to go through teeth-straightening treatment procedures without anyone noticing. The technology behind Invisalign has been revivemagazine.ca

available for decades. But in the beginning manual production methods and expensive fabrication of plastic aligners made it almost impractical for many. It wasn't until more recently, and with the introduction of sophisticated computer aided design and industrial automation processes that this amazing technology has become truly widely available. The main reason for that lies in the complex technologies that were needed to be developed and perfected over many years in order to achieve high degrees of accuracy, speed and reliability in the computer-aided production process of the intricate plastic aligners. Today, Invisalign works using a 3-Dimentional computer imaging system, which models a complete treatment plan for the patient starting with the initial position of the teeth to the final desired position. A series of custom-made aligners are milled out by a robotic a CNC (Computer Numerical Control) process using the 3-D modeling data. Each fabricated aligner moves the teeth incrementally over about a two week period. After approximately two weeks, the aligner is replaced with the next one in the series, and so on, until the final positioning of the teeth is achieved. The concept is simply applying incremental changes or movements by utilizing a series of custom made plastic aligners pressing directly on the teeth rather than a series of wires pressing against brackets to transfer pressure to the teeth over time. The biomechanical principals remain the same; the applied biomechanics are simply a little different. In other words, as far as the teeth are concerned, aligners work the same way braces do. The aligners are nearly invisible (hence the name Invisalign) and are made of strong, clear medical grade plastic. Invisalign patients also benefit because the aligners are removable. This means that you can eat or drink what you like during treatment. There aren't any difficulties biting into a hard apple for example, something that is definitely not recommended with traditional metal braces! You can continued on next page REVIVE Magazine -

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brush and floss your teeth as normal so oral hygiene is not as challenging as it is with typical braces. Invisalign is also comfortable for the gums and lips with no metal and wires. Another benefit is the patient can view their treatment process and how their teeth will look before treatment even begins.

Invisalign offers a number of benefits for orthodontic patients and is comparable in price to traditional braces. Expect an investment of as little as $3500 to as much as $6000 to achieve your desired smile, depending on the length of treatment and complexity. Talk to your dentist to see if Invisalign may be an appropriate treatment to elevate your smile.

The photos on left side are before and after on the right side of page

REVIVE ting out of the water. Apply a small amount to the hair and comb through for even distribution. Then there's a spray called Advanced Protection Conditioning Spray. This is more like a sun screen for the hair. The other products help with the repair and condition of the hair while this spray will form a protective barrier around the hair fiber. This is easy to use and carry with you. When you're going to be in the sun for a longer period of time, just spray. If you're looking for a product that will give you protection while keeping the integrity of the hair fiber, then this range will help. So after a day on the golf course, driving in the new convertible, or a day in the water, these products will help nourish and replenish the hair while protecting against the elements, giving the hair maximum strength, shine and softness.

www.ohair.ca 905-889-7724 REVIVE 100 - REVIVE Magazine

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Tanya Wylde is a Naturopathic Doctor (ND) with a special interest in Weight Loss, Fertility and Perinatal Health. She worked for many years as a certified personal trainer and fitness instructor while training to become an ND because she believes that physical activity is one of the fundamental requirements to a healthy body and soul. For the last 4 years Tanya has been working in a very busy eclectic practice in Vaughan Ontario with a team of health care experts including Bryce Wylde. Please visit www.homeopathicdoctor.ca or email your questions to askanexpert@revivemagazine.com.

Q: Which of these juices (Mangosteen, Noni, Goji, Xango, Thai-Go, G3) are better for me and will any of them help me lose weight? A: These juices are all equally high in antioxidants just like the ones found in the more local fruits/berries juices such as blueberry and cherry juice. They will not help you lose weight just like drinking local juices won't because they are high in sugar. You are better off eating berries like blueberries, strawberries, raspberries, cherries or blackberries or eating broccoli, swiss chard or rapini or other green leafy vegetables to get your antioxidants than drinking these juices. The reason that products such as Mangosteen, Xango, Goji and Noni seem more attractive than regular juices is because the ingredients are "exotic". The truth is that these exotic fruits/berries are all comparatively high in various antioxidants when compared to local fruits and berries. All juices are high in the glycemic index. The general rule of thumb to lose weight is to drink water and eat your fruits and vegetables rather than drinking them! Q: Is it healthy to drink a glass of wine and a cup of coffee daily? A: Pure black coffee can be good for you as long as you aren't adding cream or sugar/sweetener and you are not depending on it as a source of energy. Pure coffee is high in antioxidants and it's bitter properties can be helpful as a digestive aid. If you are using coffee for energy then you likely need to make some changes in your diet, sleep revivemagazine.ca

and exercise regime. In order to stop relying on coffee as a fake source of energy, eat healthy foods every 3 hours to keep your blood sugar levels stable and make sure you are getting adequate sleep. Wine, especially red wine is high in anti-oxidants. The anti-oxidants are found in the grape skins. The concentrations of anti-oxidants tend to be higher in red wines (when skins are included in fermentation) than white (when skins are culled). These antioxidants are less available in other alcoholic beverages. Among the best known, and most biologically active, are resveratrol, quercetin and the catechins. Although wine is high in antioxidants I like to encourage that patients limit their intake to a true glass of wine at each sitting which is actually 4oz vs. the usual 6-8oz and to make sure they are not using it as a coping mechanism for stress. In patients who are struggling to lose weight it is recommended that they avoid alcohol in general or reserve it to small portions on weekends rather than daily since alcohol has a high glycemic index and ½ a bottle of wine is equal to more than 250 calories. If you are drinking ½ a bottle of wine nightly and you discontinue this habit you will begin to lose ½ lb per week. It's important to have everything in moderation therefore a small cup of organic black coffee and a 4 ounce glass of organic red wine daily is considered to be healthy as long as you are not trying to lose weight. A good test to evaluate if you are using coffee and wine as a crutch is to see if you can live without them for 4 weeks.

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Dr. Sol Weiss is a past president of the Toronto Academy of Cosmetic Dentistry and a member of many cosmetic dentistry organizations and clubs, and a teacher to many dentists, enjoys going to work even more now after 26 years in practice! Each new client brings a whole new adventure and challenge with them and the ability to create and bring out their beauty is indeed gratifying yet humbling. Please visit www.artofdentistry.com or email your questions to askanexpert@revivemagazine.ca

Q: I have been without teeth for many years, as we didn't have money to get proper dental care when I was growing up and I admit that it wasn't my main concern. Over the years my dentures have become looser and it seems that I am forced to hold them in. I really don't have a lot of money but I am prepared to spend as much as needed so that when I eat I do not have to worry about my teeth falling out. What can I do? A: Up until a few years ago, I would have told you to save as much money as possible and wait until you could afford at least 2 implants. Those full sized implants would help to stabilize out. Unfortunately the cost per implant is in the $2,000.00 range and to do two of them with a special attachment on a new or existing denture would start to add up. You will be happy to know that there is another option for you now! Mini implants, around 50% of the width of the smallest normal sized implant and coming in similar lengths are available to secure your dentures to. The other nice thing, is that it is immediate. The mini implants are placed in the ridge and then a housing is secured in the denture that helps it snap on the newly placed mini-implants! You leave the office with your dentures that snap on to the multiple implants. The cost for the mini is at least half the cost per implant used. We can use any where from 2 to 6 implants per arch! Your wish is now reality!

Q: I really don't like my teeth and I want to do something about the shape and color, but honestly I see all these shows on television and I am scared because I don't want huge white teeth. I still want to look like me but I want my smile to look better, younger . Please help me! A: Thank you so much for this question. It will sure help to dispel many of the cosmetic dentistry rumors. No, most people are like you and they want to improve the way they look not necessarily change it! The television shows are there because they have to show dramatic, major differences because they must appeal to the masses. Honestly, those extreme makeovers are easy to do, make everything look big and white regardless of where the starting point was. More difficult is trying to make a difference while making it look natural, or making it look as if nothing was done. It does not have to be subtle but it does have to look real. That is a challenge and I suggest you interview your dentist and make sure that he or she listens and that you are not dealing with huge ego's. There are huge numbers of people that have some type of cosmetic dentistry and you don't know! Bring in pictures and try to get an idea what the dentist has in mind. If you are not sure………don't until you are ……about what you are doing and also who are you doing it with. Good Luck Dr.Weiss

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HOW TO EAT TO LOSE WEIGHT By Tanya Wylde B.Sc., CPT, FIS, ND.

Are you struggling to lose weight even though you eat very little and very infrequently? Are you the type of person who wakes up to a cup of coffee in the morning and then doesn't eat until lunch time and only eats two, maybe three times daily yet the weight keeps creeping up! Are you confused as to why the weight seems to stick even though you are hardly eating!? If this is you then read on to learn how frequent you should be eating and what type of foods you should be consuming to lose weight the healthy way. If you are struggling to lose weight despite eating infrequently then you are likely eating refined, nutrient deficient, high calorie and high glycemic index foods! Not all foods are created equal. In fact they behave quite differently in our bodies. The glycemic index or GI reflects this difference by ranking foods according to their effect on our blood glucose levels. Carbohydrates with high GI values breakdown quickly and contribute to glucose and insulin spikes that can cause us to gain weight quickly. Carbohydrates with lower GI values are digested slowly and thus more nutrition is extracted. Choosing low GI foods - ones that produce only small fluctuations in our blood glucose and insulin levels - is really the secret to long-term health benefits by reducing your risk of heart disease and diabetes. It is the key to sustainable weight loss. The following habits contribute to unhealthy spikes in blood sugar levels. Eating foods high on the glycemic index (pasta, breads, muffins, donuts, chocolate, chips etc.); skipping snacks or meals; or drinking lots of coffee. Refer to Table 1 for additional examples of high GI value foods. When your blood sugars increase rapidly your 104 - REVIVE Magazine

insulin levels follow suit to deal with this excess sugar which in turn causes two things to occur. Sugar is sent out of the blood and is stored as fat and insulin receptors become resistant! If this cycle repeats itself it becomes difficult to lose unhealthy weight and you may develop type II diabetes. When insulin spikes and sends sugars out of the blood, the associated drop in blood sugars may contribute to irritability, fatigue and shaky feelings. It is impossible to maximize productivity under these conditions. Refer to Picture 1 for an illustration of this unhealthy cycle in which you may be stuck. Picture 1 The downward spiral resulting from high Glycemic Index foods

Symptoms of irritability are often due to reactive hypoglycemia (low blood sugar) which may occur in response to consuming foods high on the glycemic index. These symptoms usually create more cravings for coffee and/or foods high on the glycemic index as your body attempts to replenish lost energy reserves and get you out of your fog. This downward spiral results in continued drops in energy, brain fog and weight gain, especially around your middle! Please refer to Table 1 to learn more about where foods rank on the glycemic index.

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Table 1, Glycemic Index of Common Foods *While all rice products have similar GI values, brown and basmati rice are superior to white rice in nutrient and fiber content Low-Glycemic Foods

Moderate-Glycemic foods

High-Glycemic Foods

Barley

Pumpernickle Bread (rye)

Pretzels, popcorn

Milk, whole and low fat

Buckwheat (Kasha)

Soda Pop, Sweetened sports

Yogurt, whole & Low Fat

Sweet Corn

drinks

Soy Yogurt, Soy Milk

Pasta, whole wheat and white

Hot Chocolate

Apricot, dried

Bulgur (cracked wheat)

Cookies, Cakes, Deserts

Apple, fresh and dried

Mango, Kiwi

White Bread, Rice Bread,

Berries

Orange and Orange Juice

Wheat Bread, Rye Crackers

Pear, Peach

Apple juice, unsweetened

Waffle, Pancakes, Donuts

Cherries

Grapefruit Juice

Bagel, Tortilla, Pita Bread

Grapefruit

Tomato Juice

*Rice: White, Brown, Basmati

Plum, Prunes

Green Peas

Rice Pasta, Rice Cakes

Black Beans, Kidney Beans

Sweet Potato, Yam

Most Breakfast Cereals

Lima Beans, Soybeans

Beets

Cream of Wheat, Oatmeal

Split peas, lentils

Pinto Beans

Banana

Chickpeas (garbanzo beans)

Custard

Honey, Table Sugar

Mung Bean Noodles

Carrots

Dates, Raisins

Peanuts

Potatoes

Fructose

In order to break the downward spiral of fatigue, cravings, and excess weight gain you need to eat more frequently. I recommend that you eat within 30 minutes after rising. Time yourself so that you are eating approximately 3 hours after starting your last meal. For example if you woke up at 6:30am and ate your first meal at 7am then schedule a snack at 10am, lunch at 1pm, an afternoon snack at 4pm, dinner at 7pm and with a snack at 8:30pm if you are still hungry. As a general rule, try not to "dine after nine" unless of course you are up late or working a night shift in which case you should continue to follow the rule of eating something every 3 hours to keep your blood sugars stable and avoid unnecessary, unhealthy binges. The purpose of eating frequently is to stabilize your blood sugars. This will contribute to higher energy levels and greater productivity. The more energy that you have, the more that you can expend on exercise. Thus, the easier it will be to achieve a healthy weight. It is often confusing for the average consumer to determine which foods to eat as there is an overabundance of unhealthy foods available! When you are evaluating a food for its health revivemagazine.ca

value simply ask yourself the following question: "Did this food exist during pre-industrial times?" If it didn't exist then it is likely high on the glycemic index, high in empty calories and low in nutrient density. In other words, this "food" is highly processed. There will of course be exceptions to this rule, but this will get you through most of the confusion! For example: You would certainly answer yes to "Did this fresh swiss chard and tuna steak exist before machines existed? You would answer no to "Did this package of cheese doodles exist before machines existed?" Some exceptions might be a snack bar made from nuts and seeds sweetened with fruits rather than sugar or a sugar free, flavour free whey protein powder. These are two examples of healthy snack ideas for people on the go. In general protein bars are healthy if they have more than 8-12 grams of protein, there are no added sugars or additives, preservatives and they are made up of nuts, whey protein and fruits. Avoid granola bars that have less than 8 grams of protein and have many teaspoons of sugar. Remember that 5 grams of sugar is the equivalent of 1 teaspoon of sugar. continued on next page REVIVE Magazine -

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When it comes to fluids, ideally you want to stick with water and herbal teas. You want to eat your fruits instead of drinking juices as each cup of juice has about 6 teaspoons of sugar. Although these sugars are natural and made from fruits there is no fibre in juice so blood sugars will still quickly rise after consumption. The following are some healthy tips to remember when trying to eat to lose weight! • Eat more often; every 3 hours • Choose foods that are low on the glycemic index • Choose foods that are high in fiber and protein since they stabilize your blood sugars and give you a sense of fullness. • Fill your plate at dinner and at lunch with vegetables • Fill ¾ of your lunch plate with salads (endive, spinach, radicchio, arugula, romaine etc.) • Fill ¾ of your dinner plate with steamed greens (Kale, Swiss Chard, Bok Choy, Rapini) • Chose root vegetables (carrots, turnips, parsnips, rutabagas, Swedes, beets) as your form of starch for dinner instead of rice or pasta • Chose legumes (lima beans, kidney beans, lentils, adzuki beans) as your form of starch for lunch instead of bread/pasta/rice since legumes are higher in protein and fiber • Shop for fresh fruits (strawberries, blackberries, raspberries, blueberries, apples, grape fruit etc.) and fresh vegetables every 2-3 days instead of once per week so that you can fill your lunch and dinner plate with veggies and have plenty of healthy snacks

• Bring a serving of nuts/seeds, yogurt, low fat cheese, fruit and veggie sticks with you when you go out • Use protein bars as a backup snack if you are the type who is always on the go (lara bars, organic food bar, elev-8-me bar, leans plus bar, ultrameal bar). Protein bars are healthy if they have at least 8-12 grams of protein, are made with nuts and fruits and whey and are free of additives and added sugars. • Consume protein with your snacks (nuts/seeds, whey/rice/soy protein powder, low fat yogurt or cheese) • Store nuts and seeds (unsalted walnuts, brazil nuts, macadiamia nuts, almonds, sesame seeds, sunflower seeds, pumpkin seeds) in your freezer in glass jars and nut/seed butters in your fridge (make sure they are sugar free and preservative free nut/seed butters) • Eat less: breads, pasta, noodles, white rice, juice, packaged foods, salt, coffee, muffins to reduce your insulin spikes and blood sugar drops When you are making healthy lifestyle changes I highly recommend that you keep a journal. Record what you are eating and when you are eating to ensure that you are eating frequently enough and making healthy choices. Check in for a self-evaluation at the week's end. Reward yourself for the healthy changes you have made and then chose two new goals for the following week. See a health professional such as a naturopathic doctor, dietician or nutritionist to help guide you through your nutritional changes as this will help you keep your goals and stay on track.

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• Keep frozen vegetables in your freezer as a last minute back up • Keep frozen berries in your freezer for protein shakes • Keep canned legume soups (the low salt version of "Amy's Organic canned beans soups" are tasty and convenient) as a back up • Eat concentrated protein (fish, chicken, turkey, meat, lower fat cheese, eggs) with both your lunch and dinner 106 - REVIVE Magazine

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Dr. David A. F. Ellis is a teacher, author, international lecturer, mentor and facial cosmetic surgeon with over 20 years of experience. Dr. Ellis' areas of expertise include facial rejuvenation, lip augmentation, facelift, rhinoplasty and Fraxel laser rejuvenation. For more information please visit www.artoffacialsurgery.com or email your questions to askanexpert@revivemagazine.ca

Q: I get brown spots with sun exposure. How can I protect and prevent it from getting worst over the summer months? A: The use of sunscreens that block both UVA and UVB are essential as these rays contribute to the aggravation of the brown spots. Try to avoid the sun during the midday when the UV rating is the highest. Wearing proper clothing that does block the suns rays is also important: Therefore no T-shirts! There is a special cream called Dermamelan that can help with correcting the pigmentation spots but prevention is the key. For balding men, application of sunscreen at the top of there head is also very important. Also wearing a hat that does not let the sun rays through is critical to keep the brown spots from growing big and getting more numerous. Using sunscreen that contain zinc dioxide or titanium dioxide are the best for UVA protection. Example of products that is effective: TiSilc, LaRoche Posay and Obagi SPF 30. Following the summer active treatment with lasers IPL and specialist creams can significantly decrease the brown spots.

Q: I had a rhinoplasty 3 years ago as a result of a hockey injury and my nose is still crocked and the tip is still wide. What can I do further about these concerns I have? A: The nose can be crocked at the top of the nose or in the middle. There are several surgical techniques to improve the straightness of the nose depending on where the deviation occurs. The techniques chosen to correct the deviation will depend on the examination of your nose. To get a nose perfectly straight is difficult but improvement in the deviation can be done safely and effectively. Wide nasal tips can be caused by skin thickness or wide nasal tip cartilages. Trimming the wide nasal tip cartilages and suturing them together can effectively narrow the nasal tip giving an improved cosmetic appearance. Skin thickness is more difficult to handle and a thorough examination in my clinic will best determine the most appropriate strategy. Revisional surgery can be done anytime after one year in most cases.

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Since the saying goes, "Your eyes are the windows to your soul," Dr. Sol Weiss, cosmetic dentist, believes that your smile exudes your personality! Dr. Sol Weiss has dedicated his entire career to being the best at his craft. Graduating dental school in 1982, he was one of the first dentists in Canada to develop skills in cosmetic dentistry. He continued to travel the world and learn from experienced professionals in order to bring back a broad range of knowledge and skills for his patients. He has worked tirelessly for over 25 years, perfecting the blending of art and science involved in restorative dentistry. Dr. Weiss strongly believes in cultivating and perfecting his skills in the artistic aspect of cosmetic dentistry, since it takes welltrained eye to match the perfect smile to each face. He recently opened his business, Elements, which is a coordinated effort between physicians and dentists, as well as other practitioners who are interested in all areas of cosmetics and appearance related services. Elements offers its clients a range of comprehensive services, all under one roof. For example, you can get a face-lift, a set of veneers, and a consultation with an image consultant, all in the same location. Keeping the numerous interruptions associated with a large practice in mind, Dr. Weiss has taken the time out to create an atmosphere of comfort, and cleanliness, while providing the client with individual attention and excellent service. He has dedicated a single room to his office, so that each patient receives the complete focus and attention to detail required in his practice. Each client is ensured no distractions, and no time issues, and therefore complete professional focus and consistency. His goal is to provide comprehensive care that is predictable and less time consuming. Dr. Weiss works with each patient individually to obtain the desired results. Each patient


can rest assured feeling that he or she is getting total focus, which in turn will translate into better and quicker results. And for maximum efficiency, he also has a list of specialists that will work out of the clinic so there is minimal movement for the patient. Some of the services that Dr. Weiss provides range from simple dental constructive services such as crowns, veneers, implant placement, implant supported crowns, invisalign clear braces, to more complex conrevivemagazine.ca

structive surgery such as mini implant supported dentures, and even full mouth reconstruction. Let your smile say a thousand words about you today! Elements Cosmetic Dentistry 195 Avenue Road, Suite #301 Toronto, Ontario • 416.929.7677 dr.weiss@dentistryatelements.com www.dentistryatelements.com REVIVE Magazine -

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The #1 Law of Fat Loss from Sir Isaac Newton By Bruce Krahn Sir Isaac Newton (16421727), physicist and mathematician, was arguably one of the most brilliant scientific intellects in recorded history. In addition to inventing a form of calculus, Mr. Newton defined the laws of gravity and motion. His work lives on today and remains the foundation of many scientific discoveries and inventions. But how can this help you with losing body fat? One of the biggest accomplishments of Isaac's career (and a major foundation to our underatanding of the universe) was his creation of three scientific laws of motion, in particular his third law which states: "Every action has an equal and opposite reaction" Like all laws of the universe, this law applies to everything- including your body composition! As a matter of fact, if you really want to lose pounds and inches of body fat so you can fit into those "skinny jeans" or look good at the beach you better pay careful attention this law and its impact on; How You Eat When you eat any food there is a hormonal response. This ACTION of eating food causes a REACTION of hormonal response inside your body. The hormonal response could be positive and cause an increase in fat burning hormones such as growth hormone, glucagon or testosterone, or it could be negative and lead to an increase in fat storing hormones such as cortisol and insulin. This is a major reason behind why many diets, while being low in calories, still don't cause major fat loss. Once you make the connection between the foods you are eating and their effect on your bodies hormonal balance you begin to understand why certain "health" foods are actually bad for your body composition. The best foods for a positive hormonal response will always be those foods that are as close to revivemagazine.ca

their natural state as possible with minimal to no processing or additives. How You Exercise The type of exercise that you do, the amount of time you spend exercising, and even the number of reps and sets in your program will either cause a good hormonal response (an increase in your bodies testosterone, and growth hormone) or a bad response (too much cortisol). The ACTION of exercise brings about the REACTION of hormonal response in your body. Many people have adopted poor exercise habits. Common mistakes include doing too much cardio, weight training workouts that take too long and lack sufficient intensity, not performing enough compound movements, performing the same routine month after month, and neglecting flexibility training. How You Think It is interesting to note that the most important step to getting into great shape and losing inches of body fat has nothing to do with exercise or nutrition. The first step involves only your mind. The ACTION of thinking and coping with stress imparts the REACTION of hormonal response. The way that you are thinking and how you cope with everyday situations has an immediate impact on the stress hormones cortisol and DHEA. Cortisol, a stress hormone produced by the adrenal glands, is a glucocorticoid. This means that it has the ability to raise blood sugar. There is nothing inherently "bad" about cortisol so long as it remains in homeostasis and in balance with its counter-hormone, DHEA. Problems arise when cortisol production becomes continuous and excessive leading to elevated blood sugar levels (great if you need a temporary burst of energy but not so good if your goal is fat loss) and muscle loss. High cortisol can also cause a reduction in DHEA, an important hormone for testosterone production and the building and preservation of lean muscle tissue. Two of the most effective cortisol management techniques are prayer and meditation. Begin spending just a few short minutes each day using either of these techniques and you continued on page114 REVIVE Magazine -

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Save Money - Look Great By Cara Smith

I

n today's economy everyone is looking for ways to cut down on costs of aesthetic procedures. Below are some tips that I found to keep money in your pocket while maintaining your youthful appearance. 1) Have a peel before undergoing IPL treatments Light treatments known as IPL (intense pulse light) procedures are extremely popular for erasing brown or red spots from sun exposure and aging. It makes sense then that this IPL energy delivers its best results when able to penetrate without obstructions or hindrance. Economical exfoliating peels such as glycolic, jessners, or TCA should be preformed initially to remove the outer tough layers of the skin before the more expensive light treatments commence, enabling the IPL treatment to penetrate deeper and deliver more even and noticeable results. With this in mind, having chemical peels first (approx. $100/each) can cut down on the number of IPL Treatments (usually range from $200$350/each) needed to deliver desired results. Visualize a flashlight with a facecloth draped over the beam of light. Now visualize a flashlight with that facecloth removed. Now think of the difference in the intensity of the light radiating from the flashlight. The facecloth represents the tough outer protective layer of your skin that the exfoliating peel will effectively remove; the beam of light represents the IPL light energy. With that in mind imagine how much more light will penetrate if you have a peel or series of peels before you undergo the more expensive IPL treatments. 2) Sleep on your back to prolong the life of dermal fillers The effects of sleeping on your side can be costly - vertical deep creases and vertical facial lines are 112 - REVIVE Magazine

usually a result of expensive sleep positions. In The Journal of Cosmetic Surgery, a study by Dr. Samuel J. Stegman's found that after a few nights without one's head pushed into the pillow, the sleep creases became dramatically less noticeable. Using dermal fillers to soften these lines will not offer long term relief because compression during sleep will re-establish the crease within hours of this treatment. Sleep lines will reappear since the underlying behaviour that created them continues unchanged. Try lying on your back and placing a pillow under your knees to stop you from turning onto your side during your slumber. There are also specialized pillows on the market designed to help you sleep on your back. It may take a while to fall asleep initially but soon you will become accustomed to this new position and see a reduction in facial lines in a relatively short amount of time. 3) Do nutritional cleansing while shrinking fat and cellulite Many people spend hundreds or even thousands of dollars on fat and cellulite reducing treatments at medical clinics. Once the fat cell is weakened by the treatment (eg. laser lipo, endermologie, ultrasound, vibration, etc) and the fat, oils and lipids are released into the body for excretion, get faster results by pairing your costly fat loss service with an economical nutritional cleanse. The cleanse will effectively flush the fat out of your body after the treatment has broken down the cell wall, resulting in less treatments needed, quick results and the shrinking of your bill, not just your belly. 4) Use a non-sulfate shampoo! Ever wonder why your new hair color tends to fade so soon? Look no further than the label of your favourite shampoo! Sulfates or Sodium lauryl sulfates (SLS) are common detergents in hair continued on page114 revivemagazine.ca


care products that strip color and leave hair looking dull. This is an important fact that every dyehard hair color devotee should know to keep their tresses gratifyingly glamorous and save money at the salon. Sulfate-based products do more than cleanse your locks-they wash your shade down the drain, however many shampoos that forego sulfates tend to be lacking in the lather department because sulfates are the detergent that creates the bubbles. There are many non-sulfate brands popping up these days due to consumer awareness so if one brand isn't thrilling you, try another. Sulfates not only strip color, they wash away natural oils, leaving hair lifeless and prone to breakage. A sulfate-free formula will maximize color retention, keep natural oils on your locks and therefore save you money by extending the life of your colour and cut remarkably. 5) Think ahead when it comes to BOTOX® I have seen remarkable longevity and money saved when BOTOX® Cosmetic (Botulinum Toxin Type A) treatments are initially administered 3-4 months apart. What I mean by this is as follows; Some patients receive their first BOTOX® treatment then wait for approximately 6 months, when their frown has returned in full force, for their next treatment. These patients will repeatedly need the same # of units or more to correct the wrinkles in that specific area because the treated muscle causing the expression line is given the time to rebuild its strength and mass. Then I see patients that space their BOTOX® treatments 3-4 months apart initially, causing the facial muscle to relax and trained to remain

relaxed. The treated muscle is never given the opportunity to work its strength back within the first year or two. After that, treatments can be spaced out as much as 6 months and retain the results. You will save a lot of money long-term using this pattern because the # of BOTOX® units needed to relax the muscle before the results have worn off will be less and you will train the muscle to remain relaxed, erasing both the wrinkle and high BOTOX® bills. Also to save money, have your first BOTOX® treatment when you begin to see the annoying aging wrinkle, even when you are expressionless. The moral of the story is… it is harder and substantially more expensive to correct the lines later. 6) "It's a crime not to prime" and other cosmetic savings Here are some suggestions to help keep your cosmetic costs reduced: • Using a make-up primer enables you to use 2/3's less of your expensive foundation. • Forgo costly make-up brush cleansers and use baby wipes. Not only do they clean the brush but also condition the hairs and stop breakage. • Using a lipstick brush will enable you to use less & get right to the bottom, doubling your lipstick's life. • Use a price comparison search engine online to find the best prices on name brand cosmetics.

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will see a noticeable reduction in your bodies stress levels and an increase in personal satisfaction and overall feelings of well-being. Legend has it that Isaac Newton was the first physicist to sport a great set of abs! He understood the action/reaction relationship and now you do to. Think about the hormonal response at your next meal or workout and make the changes necessary to achieve hormonal "happiness".

of the Fat Fighter Diet. He has consulted with many well known celebrities including Nelly Furtado, Criss Angel and Tom Cochrane. You can download his "Lose 5-50 inches Fat Loss Report" absolutely free by visiting ebodi.com today.

Bruce Krahn is a personal trainer and the author

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