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October 2016


Youth is a gift; age is an art.


3 0 5 . 6 9 7. 7 3 0 7 D R C A S T R E L L O N . C O M 6200 Sunset Drive, Suite #402 South Miami, FL 33143

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October 2016



October 2016



October 2016




Energy 20

New Findings on Migraines


Researchers recently found new genetic variants related to migraines, and it may lead to improved migraine care.


Rows For Workout Woes Winter weather making your workouts drab? Try the row machine.


Distracted Driving: It’s More Than Just Texting Smartphones put us on the brink of terrible car accidents, not just with texting, but with a multitude of addicting apps.



Dirty Dozen Learn about produce that has high levels of pesticide, and produce that is part of the “clean fifteen.”

Word Power The words you speak can prevent divorce, failure and pain.



Good Mood Food

Healthy Snack Solutions For Kids Recipe: Shepherd’s Pie

True happiness is just a fork away.


October 2016




ENERGY ENERGY IS SUCH AN INTERESTING CONCEPT. YOU HAVE IT; YOU DON’T. YOU NEED IT, YOU PAY FOR IT, YOU USE IT, YOU WASTE IT, YOU SAVE IT. EVEN THE COMPARISON OF ENERGY UTILIZATION VS. ENERGY CONSERVATION CAN INDUCE EMOTIONS RANGING FROM AN ELECTRICALLYCHARGED TOPIC OVER LUNCH TO AN ALL-OUT-WAR OVER SANDY DESERTS. I’m still trying to figure out the mystery of the light-switch. All I really understand about electricity is that I flip the switch and, viola, light magically appears. Unless, of course, the bulb has ‘burned out,’ depleting it’s energy usefulness, requiring a replacement, and the energy to get a ladder, find the new bulb, replace the spent bulb, and then put the ladder away. While I seriously digress, the point is, most of us take for granted the energy required to maintain our day-to-day activity. From lightswitches to remote controls, car ignitions to cell phones, and hard-drives to iClouds, our entire existence orbits a mysterious universe of energy, about which most of us haven’t a clue. (Ben Franklin, may he rest in peace.) When it comes to energizing our bodies, it’s a whole other world of information about keeping us active, moving, maintaining, and metabolizing. The science of human energy is fascinating, and constantly updating. That’s why we are focusing our issue this month on the theme—ENERGY. The article ‘Up & At ‘Em’ explores the power of a morning fitness routine and how it affects the rest of your day. ‘Workout Music’ looks at the science of sweating with tunes. We also look at ADHD in our ‘Hyper Helper’ piece. And then we present ‘Weary Wary—Diseases that make you tired.’



There are other quick-fix energy zappers, too. Like, lack of sunshine. Our body craves sunlight to release seratonin, vital to boosting mood and energy. Or, the amount of time we spend vegging TV-side. It’s estimated that for every hour spent on TV is about 144 fewer steps we don’t take. That applies to cell phones and computers, so frequently get up and walk at work if you find yourself glued to the keyboard. And, speaking of work, research suggests that the more our to-do list grows, and the more we obsess and stress over that never ending to-do list, the more we lag and drag. Worry is a definite brain-drain. Some quick solutions include stealing a powernap, or doing a mini-meditation. (No time for either? Try chilling at work by joining Pandora. com and listening to the George Winston playlist). You could eat a banana or sip some green tea. Bring a back of nuts and avoid sweets. You can stretch, do pushups, or take a quick walk.

THE BOTTOM LINE HERE IS TO KEEP IT SIMPLE. While we may not understand all that happened when lightening struck Ben Franklin’s kite, we do understand when we have or don’t have energy. And, if we’re willing to exercise a little more control and get up and do what we know we should do, we will find that we control a lot more energy that we ever thought possible. The day is yours. Don’t ask how, just flip the switch and go.

EDITOR-IN-CHIEF John A. Anderson | PUBLISHER Kenneth J. Shepherd | MEDICAL DIRECTORS Steven N. Gange, M.D. and Lane C. Childs, M.D. OPERATIONS MANAGER Allyson Long | DESIGN EDITOR Phillip Chadwick | MANAGING EDITOR Michael Richardson | ONLINE EDITOR Chelsa Mackay | ASSISTANT EDITOR Bridget Edwards CIRCULATION MANAGER Ron Fennell | CONTRIBUTING & STAFF WRITERS Caitlin Schille, Angela Silva, Megan Moore, David Joachim, Mark Saunders CIRCULATION

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Lack of energy—or fatigue—is the number one expressed symptom when visiting a doctor. And, to be sure, there are myriad medical reasons for this which do, in fact, require a physician consultation. Still, much of our energy depletion comes from our most basic daily choices, and some have very quick fixes. For example, many that complain of fatigue are, in fact, simply dehydrated. Also, others with fatigue admit that they are skipping meals or not eating regularly, causing blood sugar spikes and dips. Similarly, much of fatigue is the body telling us it’s not getting enough nutrients.





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October 2016



October 2016


You Should Know Exercising On Your Period

PEOPLE EMBEZZLING MONEY FROM YOUTH SPORTS A report from The New York Times listed multiple instances across the nation where members of youth sports organizations stole hundreds of thousands of dollars. For example, the treasurer for a Pennsylvania soccer club stole $120,000. Someone in Washington stole $220,000. In Minnesota, $431,000. In New Jersey, $560,000. Law enforcement says they probably only see about half of the fraud cases, for reasons of preserving reputation and future fundraising. Youth sports organizations fall victim to fraud because there are few checks and balances, and often only one person is in charge of money.

The National Center for Charitable Statistics estimates there are 14,000 youth sports organizations in the US, which take in an annual revenue of about $9 billion.


When English long-distance runner Paula Radcliffe broke a world record for the fastest marathon in Chicago, she had menstrual cramps. She did tell BBC News, however, that her times can vary drastically based on what stage she is at in her cycle. In fact, it may be that in the beginning stages of a woman’s period, exercise is easier, research shows. Later in the period, it may be harder for women to make muscle, due to increased estrogen and progesterone levels. Metabolism may also be influenced by increased estrogen, which reduces the body’s ability to burn carbs, but increases fat burning. Higher levels of progesterone also elevate the body’s core temperature, which influences cool-down ability. That said, studies have found that the key physical performance indicators of max VO2 and lactate threshold (the point at which your muscles start to burn) remain constant throughout the menstrual cycle.

Artificial Sweeteners May Cause Us to Eat More Newly released research on animals shows that artificial sweeteners can actually increase the desire to eat more food. Researchers say the body’s natural reaction to a sweet taste is to expect calories, meaning the hunger sensation increases when those calories do not come. Source: Cell Metabolism

Why Do You Get Chills With Certain Music?

You’re a Speed Reader We learn to read by sounding out individual letters, but new research shows that is not how advanced readers function when looking at words. Researchers monitored neurons in the brain of participants and found that they recognized words as a whole on sight. This suggests that we all develop a visual dictionary of words to use for reading, rather than individual letters.

There’s a lot of music out there, but only a few tunes give a person chills. For some, it’s a seductive jazz piece; for others, a melodic rock song. According to, about half to two-thirds of people have a goose bump/chills reaction to music. Researchers at Harvard and Wesleyan University found that the brains of individuals who felt a chill when listening to music were wired differently than other’s, with a stronger connection between the area that processes sound and the area involved with processing feeling. Researchers hypothesize that those who engage the music more deeply, like trying to predict melody, are more likely to feel shivers when certain chords are played.

Source: Neuroimage

Milk Fat Not An Enemy A new study found that people who eat low-fat dairy are not healthier than people who eat whole-fat dairy. Specifically, the study found that people who consumed more full-fat dairy had lower risk of getting diabetes. Researchers hypothesize that those who skip fat from milk may replace it with sugar or carbohydrates, which have worse effects on insulin and diabetes risk. Previous research suggests that those who consume high-fat dairy may actually have a lower risk of obesity as well. Source: Circulation,

“There is no evidence that people who eat low-fat dairy do better than people who eat whole-fat dairy”

Good News For People With Parents Who Live A Long Time If you have at least one parent live past 70, you have a 16 percent increase in longevity yourself, according to a new study. Researchers found that those with parents who lived longer had fewer heart problems, and fewer events related to stroke and blood pressure. Source: Journal of the American College of Cardiology



After a systematic review of years’ worth of research, RAND found that 37 percent of emergency room visits were for nonurgent conditions. Those who visited the emergency room for nonurgent reasons were often younger, found the emergency room more convenient than other options, or had negative perceptions about other forms of care. This problem leads to unnecessary spending, tests and treatment.




October 2016


























or a simple cardio workout, just hop on the row machine for 10-20 minutes. A good pace for someone who is relatively fit is 18-22 strokes per minute. That is a stroke every 3-4 seconds.

WHY ROWS? • Excellent for the back, which is often neglected. • Low impact cardio, which is great for the middle aged. • Works the whole body, which is always a good thing.

For a more intense rowing experience, try an interval workout, described below. *These workouts are for rowing machines with sliding seats.

INTERVAL WORKOUT FOR THE ROW MACHINE Row machines can be a little tricky for people who’ve never used them, because mastering the proper technique isn’t easy, and because many aren’t sure how to push themselves. First, about form: The proper order when extending in a row is to engage the legs, then the core, then the arms. After finishing the extension, recovery is the opposite: punch out the arms, then bring in the core, then bend the legs. Here’s a simple guide for good intermediate workouts that can be integrated into your weekly fitness plans.

#1 5 MINUTES: alternate between the following 30 SECONDS: at 24-26 strokes a minute (spm) 30 SECONDS: at 28-30 spm

#2 WARM UP: Do 5 minutes of rows at 15-20 spm SPRINT: 2 minutes at 25-28 spm REST: 2 minutes MEDIUM EXERTION: 4 minutes at 20-25 spm REST: 2 minutes SPRINT: 2 minutes at 25-28 spm REST: 2 minutes COOL DOWN: 3 minutes at 15 spm


Rowing is about rhythm, so find some up-tempo music that you can workout to.

TOTAL TIME: 22 minutes


Most of the power should come from the legs.


The extension phase should last half as long as the recovery phase (when you’re coming back into the bent-knee position).

WHAT IF I DON’T HAVE A ROW MACHINE? There are multiple alternatives that workout similar muscle groups, though the benefits are slightly different. Try the following:

• Bent-over barbell row • Seated cable rows • Single-arm dumbbell row October 2016





STRENGTH TRAINING TIPS FOR TENNIS PLAYERS Your strength training routine should be designed with one goal in mind: improve your performance. If your sport was power lifting, your workout would emphasize heavy weights. But your sport is tennis and that means your workout should include exercises that prevent injury, improve your agility and increase your power.Follow these strength training tips to ensure your program suits your needs and helps you develop your tennis game. WRITTEN BY PAUL GOLD / ACTIVE.COM / USED WITH PERMISSION PHOTOGRAPHY BY TIFFINEEDAWNPHOTOGRAPHY.COM



The majority of your training should take place on your feet because you spend most of your time playing in that position. While there are exceptions to this rule, we always lose something when we go from a standing position to seated or lying down.

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I still see programs out there that include leg extensions and leg curls. Machines limit your range of motion and controls the movement. Machines can have some limited benefits for beginners, but you need to learn to stabilize and control your body in all three planes of motion simultaneously.


Single joint strength (e.g. leg extension machine, bicep curls) develops strength in the wrong areas. If your strength doesn't transfer to the court, then what's the point of having it? Machines that isolate have a limited place in the preparation of a tennis player.

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Some people feel that explosive moves are dangerous. If you want quick racquet speed and to hit with power, then training explosively is a must, because it mimics what happens on court.


Isolated muscle group training (outside of rehabilitation) has no place in your routine. Focus on strengthening specific movements by using your body to work in an integrated fashion.

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If you can't stabilize, control and move efficiently with only your body weight, you have no business using heavy external loads. And yet, many tennis players, despite their inability to move their body weight, still are eager to power lift. Remember, some of the strongest athletes are gymnasts who spend most of their time manipulating their own bodies around the gym. Before you turn to the bench press, work on stabilizing your shoulder girdle and core by completing push-ups. A strength program in the beginning stages will likely involve no weights. Don't fret. A body weight-focused program will work better and faster than one that relies primarily on weights and machines because muscle recruitment and control are far more important than maximal strength.

Most strength training programs train you in one plane (sagittal) with bilateral, or two, movements. However, the majority of tennis takes place in all three planes simultaneously with many movements. Some 85 percent of the gait cycle (walking, running) is spent with one leg in the air. Most of the shots you play rely on the dominance of one leg. All your leg training should include exercises such as split


A well-balanced workout should include dynamic effort, max strength and repeated effort exercises. Traditional strength training programs have wrongly borrowed from outdated body building concepts and focused overwhelmingly on building max strength. However, you need to remember that the most important factor is the rate of force production. In the world of sport, speed is king. This method, known as dynamic effort, uses relatively lighter weights moved at max speed. Your workout routine should also employ max strength exercises, which involves lifting heavy loads, and the so-called repeated efforts method, exercises that use multiple sets and reps.


Conventional wisdom tells us a training routine should progressively increase. But many folks don't realize that a training program should also be progressively and periodically varied. If you spend too much time on one program you'll habituate to the positive aspects while accumulating the negative aspects. This creates performance plateaus and injury situations. Keep things varied to keep your body guessing.


Make sure the roles of strength and conditioning and skill training are separate. Overloading a technique affects the mechanics of the technique negatively. If there is any danger that the training you are doing forces you to change your technique then stop immediately. Remember, the role of conditioning training is not skill training.


Make sure you address pushing and pulling on both horizontal and vertical planes and attempt to balance the loading. If you're bench pressing 400 pounds, but can only do a chest-supported row with 50 pounds, your shoulder girdle is going to suffer. If you can't handle the same loads for two opposing movements, then increase the volume of the weaker movement by doing an extra exercise or an extra set or two.


Try some other forms of training such as sled dragging, uphill sprints or running stadium stairs. The more varied and interesting the workout, the better chance you'll stick with the program.


The speed of a serve or a forehand is determined largely by the ability of the antagonist (opposing muscle to main muscle) to eccentrically decelerate your joint action and prevent joint injury. If you can't safely and effectively slow down an action, then it will not allow you to achieve full acceleration. If you're not training the antagonists, you're not training deceleration. And if you are not training deceleration, you can't be training acceleration. Try catching and slowing down a medicine ball from your partner, just like you would you take it back into a forehand or backhand.

Remember, don't get caught up in the numbers game and don't confuse gym improvements with on-court improvements. The greatest players in the world don't have the greatest bench presses in the world. They do have an ability to produce impressive force on the court. October 2016








Have you ever found yourself reaching for the fridge during your down time? A survey by the Priory Group in the U.K. found that more people ate when bored than when stressed.

Water you talking about?

The human body is 50-75 percent water, depending on a person's age. Sure, you’ve probably heard something like that in grade school, but think about it. It goes a long way towards explaining why water is so important to us mostly liquid beings. In general, if we should lose more than 3 percent of our water content, we become dehydrated. If we lose 20 percent of our water content we won’t just dry up like a piece of toast, we’ll probably cease to exist. So how do you keep from depleting your body’s precious water supply? Drink at least 8 eight-ounce glasses of water each day.

IF YOU MUST BUY HEELS, try to buy short, chunky heels with plenty of room for your toes. Lower heels usually give you more stability, better shock absorption and greater comfort.





Boots made for walking

Researchers from the University of Wisconsin, La Crosse6 found that casual and comfortable clothing workdays promote increased physical activity. Specifically, study participants took an average of 491 (or 8%) more steps on Jeans Day than on those days in which they wore normal business attire. It is also estimated that study participants burned an average of 25 additional calories on Jeans Day with the extra steps and miles walked. Wearing casual clothing every day for 50 weeks of work translates into burning an additional 125 calories per week and 6,250 calories per year. So ditch your heels and grab some flats!


©Ryzhkov, Piotrek73 |


October 2016








veryday we are given 24 hours. Out loud it sounds like a lot, but for the majority of Americans 24 hours just doesn’t seem like enough. Many people hit the pillow at night feeling unaccomplished and dull, with a sense that life is merely speeding past them and they are barely hanging on. In reality, these people probably do accomplish a lot during their day, but are simply starting their days off wrong. A defective morning schedule can drastically affect the entire day, leading to that dreaded unproductive feeling. The moment your eyes open the clock starts ticking, and that it is why it is essential to start your day off right. Laura Vanderkam, a time management expert and author of the book What the Most Successful People Do Before Breakfast explains that people need to embrace the morning. Her study of morning rituals found that those who are successful set aside the first hours of their days to invest in their top-priorities before other people and their priorities get in the way. The following five tips are a guide to doing mornings right. Refer to these and your days will turn from bogged down to uplifting, from busy to engaging, and from empty to meaningful. WATCH YOUR THOUGHTS “You need to learn how to select your thoughts just the same way you select your clothes every day,” says Elizabeth Gilbert, author of best selling Eat, Pray, Love. “This is a power you can cultivate. If you want to control


things in your life so bad, work on the mind. That’s the only thing you should be trying to control.” When you wake up in the morning think of what you need to do and create positive thoughts towards those tasks. The mind is much more powerful than most of us give it credit for, so instead of fighting against it, work with it. Utilize your thoughts to create good vibes that will carry you through your day. EXERCISE Countless studies confirm that exercising in the morning is the best routine you can get yourself committed to. US News explained that morning exercise improves productivity, boosts metabolism, aids in a better diet and helps with greater sleep. Although it can be hard to jump out of bed and into your workout gear, the benefits of this habit are truly endless. So if you really want to have your days turn from dull to dynamite, take the challenge and get active early on. EAT A HEALTHY BREAKFAST So you want a calm, peaceful start to your day? You want a healthy body and ready-foraction brain? You want to be leaner, more energized and consume nutrients for your health? Well all that is what you are going to get with a healthy breakfast. According to the American Journal of Epidemiology, breakfast skippers are 4.5 times more likely to be obese than those who eat that morning meal. Additionally, the Journal of Adolescent Health found that high-energy breakfast foods help boost short-term memory. The key here?

Make sure your breakfast is a healthy one. High-calorie breakfast can actually reverse these positive effects. Try whole grain toast and fruit, oatmeal or a protein-packed smoothie, and be on your way to a not only happier, but healthier day. CREATE GOALS WITH VERBS We all do it. We create goals, yet no plan. We have dreams, yet no follow up. These empty promises to ourselves are a major cause of stress and letdown in our day-to-day lives. So where do we make a change? Productivity guru David Allen says that for each task or goal, start with a verb. For example, instead of simply stating “Friday presentation,” say “create powerpoint, search for images, and practice speech.” The more specific you are the greater success you will have with each task throughout the day. You better grasp what you’re accomplishing, and you don’t let yourself procrastinate until the last minute. MAKE SOMEONE ELSE HAPPY Isn’t it funny how we may feel bogged down, distressed and sad, yet the moment we help someone else we feel so much better. A recent study published in the Proceedings of the National Academy of Science suggests that doing good works for others stimulates the same part of the brain activated in response to monetary rewards, sex and other positive stimuli. These feel-good chemicals help push away negative emotions including stress. So there you have it—if you want to have a great day, make someone else’s. Think about how you might do that when you wake up, and your day could be that much different.

October 2016



October 2016




ome bars are marketed as granola bars, but really they are more like lightweight candy bars. Consider the Kudos Bar, by Mars, which contains a reasonable amount of calories, but that is because it is about half the size of a normal granola bar. Besides, they offer very little valuable nutrition, which should be part of the reason to eat a granola bar in the first place. More traditional granola bars don’t often fare much better. There are 12 grams of sugar in Nature Valley’s Oats 'N Honey bars, and 18 grams of sugar in their Sweet and Salty Peanut Bars. If you like a sugary snack bar, try a Larabar Pecan Pie, which has a high amount of sugar, but sugar that comes from natural dates, instead of additives. 


any grab granola bars for a quick snack, not really even counting them into the day’s calorie count. It’s oats and grain, so how could it hurt?


It turns out that granola bar makers take some measures to make their bars taste better. Take Nature Valley, for example, whose crunch Oats ‘N Honey bars have six grams of fat, and dish out 200 calories. Nature Valley’s much-loved Sweet and Salty Peanut bars are even worse, containing 13 grams of fat (a fifth of your daily intake) and 250 calories. Maybe it’s the frosting on the bottom half of the bar. But one bar is dry and crunchy, while the other is moist, you say. Chewy doesn’t have to mean fatty, it turns out. Take Kashi’s Chewy Granola Bar, for example, which has only 5 grams of fat. Cascadian Farms also makes some excellent bars with low fat content. Kind Plus Almond Cashew bars have a high amount of fat (10 g), but it comes from almonds and cashews, which is the kind of fat your body needs every day. 

Staff favorites include Larabar's Cashew Cookie and Coconut Cream Pie bars.





any Americans don’t get enough fiber in their diet, which should be at about 25 grams a day, according to the Academy of Nutrition and Dietetics. Fiber can help prevent heart disease, diabetes and digestive problems. The best sources of fiber are fruits, vegetables, whole grains and beans. Don’t rely on fiber bars to get your fiber. Also, if your excuse for eating a ton of granola bars is that you need the fiber, you might just try eating more fruit. Fruit gives you fiber and a bunch of other good nutrition at the same time. Furthermore, some report that eating multiple fiber-filled bars in one day leads to digestive issues. Another reason to not rely on bars for fiber. If you aren’t getting enough produce and whole grain, try a Kind Almond & Apricot, which combines a lot of natural ingredients with a good amount of fiber.



hether you’re in the office trying not to let your head fall and smash into your keyboard because you’re so tired, or at home with the kids feeling exhausted just thinking about making dinner and carpooling and homework, you can jumpstart your body with a little bit of the right food for fuel. Tara Harwood, a registered dietician recommends, “three meals and three snacks a day and to never go over three to four hours without eating something.” She warns that, “If you become too hungry, this can cause you to overeat.” The best quick energy foods are a combination of protein and complex carbohydrates. Stock up your shelves with a good selection of these options. They're not only quick to give you energy but they're also quick to prepare. Here are a list of favorites from doctors, dieticians, and even moms and dads:


When you’re ready to crash you may be thinking "candy bar!" but a sugar shock will just leave you lagging again in an hour. “For a nearly instant energy boost that lasts, eat a healthy snack containing protein and a complex carbohydrate,” says Christine Gerbstadt, MD, a spokesperson for the American Dietetic Association and a weight control researcher. "Try a whole-grain cracker with low-fat cheese," Gerbstadt says. Whole grain crackers and some delectable cheese will pump you up and keep you going.

2. PBJ: TRIED AND TRUE FOR THE TIRED YOU It’s not just for kids anymore. Peanut butter on whole grain bread is another easy carb + protein snack.

This combination will digest more slowly than simple carbs and will keep your blood glucose sustained so your energy level can keep up.


Keep a water bottle or two close by to avoid getting tired. “Some studies suggest even mild dehydration can slow your metabolism and sap your energy. The solution is simple—drink plenty of water or other unsweetened beverages throughout the day,” recommends Laura Martin, MD and medical educator.


Loaded with vitamin C, antioxidants, and fiber, fruit is great for times when you need a little energy boost. Tara Gidus, RD, a spokesperson for the American Dietetic Association promoted these fruits saying, "It's got vitamins, minerals, and good carbs, which give you quick energy." Take your pick of any fruit. They’re all packed with natural sugars to get you going. Bananas, apples, and oranges are easy to pack along because they don’t require refrigeration. Berries are a sweet treat with a lower sugar density. Christine Richmond, a green health expert, recommends citrus because it will kick in within 20 minutes of eating it.


A small portion, about 1 oz., will do the trick.


“This super grain is provides energy, heart healthy benefits and has powerful anti-oxidant properties. This is one of the most nutrient rich if not the most nutrient rich grains on earth,” wrote Robert Reames, personal trainer and dietician.


A great, quick energy booster because it’s a sugar, but it is more complex than the processed white sugar found in jams and jellies which means it will digest more slowly and you get to avoid the sugar crash.


Your mom was right: Veggies are where it’s at. They are rich in fiber and are complex carbohydrates so they digest slowly leaving you feeling full for longer.


If you don’t want to down a handful of nuts, make yourself a healthy mix of your personal favorites. Add some seeds, raisins, and even a little dark chocolate if you want and you’ll have an effective fix to your afternoon drag.


This energy booster has many of the same benefits as whole fruit, but it is often sugary, so dilute it with half a cup of water for every half cup of beverage unless it’s 100% juice.

October 2016


In a study done by the Children’s Hospital of Philadelphia, over 8,000 concussed children were evaluated. Of those 8,000, 82% were diagnosed in a doctor’s office, and only 12% were diagnosed in the ER.




ecent analyses have shown that the amount of reported concussions in US children may be lower than the amount that’s actually occurring. According to statistics, about half a million cases of child concussions come through the emergency room each year; however, a new study from the journal Pediatrics states that there are an estimated 1.1 to 1.9 million concussions that occur annually. These reports show that not all concussions get reported to the emergency room, and it brings up a concern that a majority of concussions may go unnoticed. Some worry that perhaps we aren’t placing enough emphasis on diagnosing and treating these brain-damaging injuries. National databases show that athletic trainers and doctors diagnose millions of concussions. In a study done by the Children’s Hospital of Philadelphia, over 8,000 concussed children were evaluated. Of those 8,000, 82% were diagnosed in a doctor’s office, and only 12% were diagnosed in the ER. So using ER visits as an indicator of trends in traumatic head injury among children is a flawed approach. President Obama has requested to establish a 2017 budget that will oversee and track concussions throughout the national household. More concussions tend to occur in high school athletes, but the Center for Injury Research and Prevention in Philadelphia states that concussions in children younger than 12 is also a high concern. Even though concussion reports in the emergency room have been decreasing, pediatricians are being used more and more for concussion diagnosis and care for children, a route that is considered the best by Kristy Arbogast, scientific director at the Center for Injury and Research. Pediatricians are better equipped because of their specialization in children and their knowledge of the differences in concussions according to age. Quite often the child will not need an imaging study done by the ER, which would end up being an expensive visit. A primary care provider can typically perform what is needed: a medical evaluation, education on brain rest and how to return to activity, and a follow-up. Although a primary pediatrician is preferred, there are some instances when a child may need to be taken to the ER. These include:



Concussions are a serious injury, and it’s important to treat concussed children as soon as possible, whether that’s in the emergency room or by their pediatrician. Be mindful of head injuries, and don’t let them go untreated. Visiting a doctor can help keep your kids healthy and help them get back to playing. Sources:, Pediatrics

October 2016



Migraines are the third most prevalent illness in the world and affect an average of at least someone in every one of four US households. Often perceived as “bad headaches,” migraines are much more than that, and if you have had one before, you know it! Migraines cause intense throbbing throughout the head and may be accompanied with nausea, vomiting, sensitivity to sound and vision problems. There’s a reason that migraines can be one of the most painful and day-paralyzing experiences. Several studies have been done trying to pinpoint why migraines occur and how to prevent them. Research has produced a variety of potential factors, placing blame on things such as diet, genetics and deficiencies. Although these factors may play a role, a recent study dives in a little deeper and makes an unexpected discovery. A team of researchers at the International Headache Genetics Consortium (IHGC) took thousands of adults who suffer from migraines and studied their genetics; they then compared their findings to those who don’t suffer from migraines. Their results: 28 new genetic variants associated with migraines. Not only that, but researchers also found that the majority of these genetic variants overlapped with genes that regulate the vascular system, or that have been linked to vascular disease. This indicates that migraines can occur due to impaired blood vessel function.


Members of the IHGC are hopeful that this new information will be used to inspire additional studies and lead the way to finding personalized, evidencebased treatment for those who suffer from migraines. This discovery could be a substantial step towards really helping individuals with this illness.






Anxiety, By the Numbers

40,000,000 ANXIETY DISORDERS are the most common mental illness in the United States, affecting 40 million adults in the United States age 18 and older.


Those with anxiety disorders are 3-5 times more likely to go to the doctor, and 6 times more likely to be hospitalized for psychiatric disorders, compared to those who don’t have anxiety disorders. Anxiety disorders are very treatable, but only about one third of those suffering from anxiety seek treatment.

By Healthy Magazine



Brain chemistry, personality, life events and genetics can all factor in.

ANXIETY AND DEPRESSION: Half of people diagnosed with depression are also diagnosed with an anxiety disorder.

$42 billion

THE FINANCIAL BURDEN OF ANXIETY DISORDERS One study found that anxiety disorders cost the country about $42 billion a year. The study was a decade old, so costs are probably much higher now.

TYPES OF ANXIETY DISORDERS: Generalized Anxiety Disorder: Affects about 7 million Americans, and is much more prevalent in women. Obesssive-Compulsive Disorder: Affects about 2.2 million Panic Disorder: Affects about 6 million Americans, and is much more prevalent in women Posttraumatic Stress Disorder (PTSD): Affects 7.7 million Social Anxiety Disorder: Affects about 15 million people Source: Anxiety and Depression Association of America

October 2016


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October 2016




3 reasons to exercise

Increases energy

Reduces stress


Boosts brainpower

If you’re looking for motivation to start exercising, look no further. STUDIES HAVE SHOWN that aerobic fitness

may reduce the loss of brain tissue common in

aging. Want to clear your mind? Exercise. Working out also increases energy levels and serotonin in the brain, which helps to improve mental clarity.

IF YOU’RE STRESSING over your 401K plan and the stability of your current job, then consider hit-

ting the gym. Working out can be a positive distraction, according to, and can

help elevate your mood, keeping depression at bay.

BELIEVE IT OR NOT, 30 minutes of exercise in

the morning could change your whole day. Studies have shown that endorphins are released into the bloodstream during exercise, making you feel more energized.



Feel able to have a full, comfortable conversation during exercise? It means that the body isn’t being asked to work hard enough. Once we’re too winded to talk and gasping for air, we’re asking too much of ourselves. Being limited to broken sentences is just about right.

According to America’s Authority on Fitness, Exercise helps strengthen bones because it forces them to bear weight, which is why high-impact exercise elicits even greater gains in bone density. Experts have found that walking just 30 minutes per day a few days a week is enough to moderately increase overall bone density.


Perceived Rate of Exertion:

This measures how hard we think we’re working. The American Council on Exercise equates this rate of exertion on a scale of zero to 10 with three to five being the ideal workout zone. Put into perspective, lying on the couch is a zero while sprinting after that runaway dog (again) will drive it up to a 10.

300 There are more than 300 types of headaches, but only about 10% of headaches have a known cause. The others are called primary headaches.





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October 2016




7 Unexpected Signs You’re a Lot More Successful Than You Think WRITTEN BY BY JEFF HADEN INC.COM USED WITH PERMISSION.

Once in a while, you need to stop and smell your roses: Not only is it good for you, it will motivate you to plant even more. If you compare yourself to certain people it’s easy to feel you’re unsuccessful. If you’re an entrepreneur and you compare yourself to Richard Branson, you lose. If you’re a musician and you compare yourself to Taylor Swift (especially if the point of comparison is earnings), you lose. If your goal is to change the world and you compare yourself to Steve lose. 36 HEALTHY MAGAZINE

That’s the problem with comparisons. No matter how successful you feel, there will always be someone who is more successful. There will always someone better, or smarter, or wealthier, or seemingly more happy. So let’s stop comparing and just focus on you. Here are a few signs that you’re more successful than you might think--and, in all likelihood, happier too:


You have enough money that you can make positive choices. Many people live paycheck to paycheck. Worse, many have to decide between necessities. (My wife just mentioned the other day how once upon a time she had to decide between filling a prescription for an antibiotic or putting gas in her car.) If you make enough money and don’t spend so much money, that you can make positive choices about what to do with some of it--whether it’s investing, or taking a vacation, or taking classes...anything you want to do instead of have to do--then you’re successful, both because you’ve escaped the paycheck-to-paycheck grind and because you can leverage that extra money to become even more successful.


You have close friends. Close friendships are increasingly rare; one study found that the number of friends respondents felt they could discuss important matters with has dropped from an average of 2.94 to 2.08 in the last 20 years. (So much for the power of social media.) If you have more than two or three close friends, be glad, not only for the social connection but also because the positive effect of relationships on your life span is double what you get from exercising and just as powerful as quitting smoking. And where professional relationships are concerned...


You choose the people around you. Some people have employees who drive them nuts. Some people have customers who are obnoxious. Some people have casual acquaintances who are selfish, all-about-me jerks. Guess what: They chose those people. Those people are in their professional or personal lives because they let them remain. Successful people attract successful people. Hardworking people attract hardworking people. Kind people associate with kind people. Great employees want to work for great bosses. If the people around you are people you want to be around’re successful. (And if they’re not, it’s time to start making some changes.)


You see failure as training. Failure sucks, but it’s also the best way to learn and grow. There will always be trials, challenges, and obstacles--but perseverance always wins in the end. Every successful person has failed, numerous times. (Most of them have failed a lot more often than you. That’s why they’re so successful now.) If you embrace every failure--if you own it, learn from it, and take full responsibility for making sure that next time things will turn out differently-then you’re already successful. And in time, you’ll be even more successful, because you’ll never stop trying to be better than you are today.


You don’t ask for anything. We’ve all experienced this moment: We’re having a great conversation, we’re finding things in common...and then, boom: The other person plays the “I need something” card. And everything about the interaction changes. What once appeared friendly has turned needy, almost grasping...and, if you’re like me, you feel guilty if you decide you don’t want to help. People who feel successful aren’t needy. They accept help if offered, but they don’t feel the need to ask. In fact, they focus on what they can do for other people.


You let others grab the spotlight. OK, maybe you did do all the work. Maybe you did move mountains. Maybe you did kick ass and take names. If you aren’t looking for praise or accolades, that means you’re successful. That means you feel proud on the inside, where it counts. You don’t need the glory; you know what you’ve achieved. If you enjoy the validation of others but don’t need the validation of others, you’re successful. And you know it...even if you don’t show it.


You have a purpose. Successful people have a purpose. As a result, they’re excited, dedicated, passionate, and fearless. And they share their passions with others. If you’re found a purpose--if you’ve found a purpose that inspires you, fuels you, makes you excited to get up, get out, and achieve--then you’re successful, regardless of how much money you make or what other people think. Why? Because you’re living life your way--and that’s the best sign of success there is.

October 2016









Dr. Gottman, a renowned marriage and relationship therapist, is able to predict divorce with startling accuracy. He does this using a “magic ratio” of positive to negative interactions.

Research published in American Behavioral Scientist showed that positive words in the work place are important for productivity.

Researchers in China conducted a study where they had nurses use positive or negative words with patients who underwent surgery. For patients who received “doses” of negative words, pain intensity, stress levels and morphine consumption increased for hours afterward.

Negative: Arguing, criticism, sarcasm, whining Positive: Touching, smiling, paying compliments, laughing, sympathy As long as there are five times as many positive interactions between partners as there are negative, the relationship is likely going to be stable, Gottman’s research says. This holds true even if the negative interactions are volatile and angry. Why do we need so much positivity? One reason may be that negative experiences and interactions tend to be much more influential than positive ones. Social psychology professor at Florida State University, Roy F. Baumeister, wrote about this phenomenon in an article called “Bad Is Stronger Than Good.” “Bad emotions, bad parents, and bad feedback have more impact than good ones, and bad information is processed more thoroughly than good,” he and colleagues wrote. “…you are more upset about losing $50 than you are happy about gaining $50.”


The study measured the positive and negative interactions of different teams, and then measured their productivity. The highest-performing teams had a positive to negative comment ratio of 5.6 to 1. Low-performing teams had an average of 3 negative comments to 1 positive one. Positive Comments: “I agree with that” , “that’s a good idea” Negative Comments: “We shouldn’t do that” , “I disagree”

So negativity directed at us does in fact hurt us, sometimes literally. But we can use words ourselves to counter painful experiences, research shows. Researchers from Keele University in England say that swearing alleviates pain. Expletives come from a different part of the brain than normal language, and somehow influence pain sensation, researchers say. This may be why swearing is a natural response to injury situations.

Bear in mind this is no indication to discard negative feedback entirely. In fact, surveys indicate that negative feedback is just as helpful, if not more helpful than positive feedback. It just doesn’t have to come in equal doses.

To come to this conclusion, researchers had study subjects see how long they could keep their hands immersed in cold water. Participants who were allowed to swear during the exercise reported less pain and endured significantly longer than those who used neutral words.

Sources:, Forbes

Other researchers agree that swearing can be a beneficial response. Swearing raises one’s heart rate, allows expression and raises our defenses. Be aware, however, that swearing too much decreases swearing’s positive effects.

Sources: Nanjing Medical University, Scientific American


health inspection? Y

ou feel a sense of pride after finishing a home-cooked meal that leaves your family finger-licking and asking for more. You enjoy teaching your kids how to bake and cook, and sometimes letting them experiment on their own. Your kitchen is a place of creativity and a source of happiness. But you could be inadvertently creating some health hazards that would cause an outcry if they were discovered in a restaurant or public kitchen. If a health inspector came knocking on your door, would you pass the inspection? According to a recent study by the Los Angeles County Department of Public Health, one in seven homes would fail a restaurantstyle health inspection, and only three out of five would receive an A or B grade.  Here are five common mistakes made in the kitchen at home that are considered health violations in restaurants. OO


The proper way: Especially when cooking meat, always use a cooking thermometer to ensure it reaches the proper temperature. For poultry, the internal temperature must be at least 165 degrees, and for beef products it should be at least 160 degrees. Medium rare (steak or roasts) is removed from grill at 140, served at 145. OO

DOUBLE DUTY DISH RAGS – Using the same dish rag to dry your hands and to wipe down counters causes crosscontamination. After you cut raw poultry, meat or dairy and then wipe your hands on a towel after washing them, you are spreading the germs to the towel. By using that same towel to wipe the counters or dishes, you are spreading those germs to other surfaces. The proper way: Have a separate towel for drying hands and for wiping counters or other surfaces. Soak the counter towels in a solution of bleach and water.

FOREGOING THE COOKING THERMOMETER – Undercooked foods are one of the leading causes of food borne illnesses. Restaurants are required to know the exact temperature of their ovens and grills, and although we may think we’re preheating our kitchen ovens to 350 degrees, a test by Cook’s Illustrated found that different ovens set to the same temperature can vary by as much as 90 degrees.

NEGLECTING THE KITCHEN FLOOR – That’s right, the floor! If a health inspector found any cracks or missing sections of grout or tile, you would face a major health violation. Bacteria and viruses will grow and thrive in cracks in the floor, and as you walk over them you will spread those germs throughout the house. The proper way: Always wet mop your floors, don’t just sweep. Use bleach to clean them if the type of floor allows it. If you discover a crack, fix it immediately.


of their refrigerator. Keeping the temperature beneath 40 degrees will discourage bacterial growth. Sometimes the refrigerator thermometer can be inaccurate, so only a separate thermometer will ensure the fridge is set to the proper temperature. The proper way: Keep a thermometer near the front of the refrigerator. When the door is open, the front is the first to warm up. This way you’ll know for sure that the entire refrigerator is a safe temperature. WASHING IN A FULL SINK – The germs from your hands will wash away and right onto any dishes or pans in the sink. In a restaurant setting, workers must wash their hands in a separate sink than where food is rinsed or dishes are washed. Germs from hands can get onto the surface where produce is washed and cut. The proper way: Keep the sink clear of any dishes before you wash your hands, and use separate towels for drying hands and drying dishes. Keep liquid soap and paper towels or dry towels in the bathroom for hand-washing.

KEEPING THE FRIDGE TOO WARM – Many people don’t realize that a major source of bacterial growth is the temperature

October 2016




POKÉMON GO AND OTHER APPS CAUSING ACCIDENTS In 1956, the first in-car audio system was introduced, and with it distracted driving reached new levels. Since then, drivers everywhere have been distracted with audio systems, dashboard gadgets, GPS systems, and, of course, cellphones while driving. But of all the things that drivers have been distracted with, perhaps texting is the greatest one of all . . . or so we thought. Recent studies have found that distracted driving is not happening solely by texting but by other apps and tools on a cellphone. 46 states now have laws that ban texting while driving, but is it enough? 40 HEALTHY MAGAZINE

Today, people can do just about anything on their phones, and the variety of apps is only expanding. People can access sites such as Instagram, Facebook, Twitter, YouTube, Google Maps and Spotify just about anywhere, including in their cars. But the app that’s catching everyone’s attention lately is Pokémon GO. In just 13 hours after its release in July 2016, Pokémon GO reached the top of the highest-grossing app chart in the US, a result of nearly 21,000,000 people playing the game every day. With the chance to catch a Pikachu or a Charmander on your way to work, it’s easy for players to get lost in the game, and put themselves and others at risk on the road. In the small time that Pokémon GO has been released, there have been a number of reported accidents due to distracted driving, skateboarding and even walking. In mid-July, a 28-year-old man crashed into a tree late at night while trying to “catch them all.” With the car’s engine nearly in the passenger seat, the driver was lucky to have walked away with only minor cuts. This is only one of the nearly countless examples we have on how phones

Looking at your phone to read a text (or catch a Pokémon) is equivalent to driving the length of a football field with your eyes off the road.

and apps cause distracted driving. A driver in Baltimore struck a parked police vehicle while playing the game. Most of us recognize the danger that comes from using a phone while driving, but unfortunately, that doesn’t necessarily stop us from doing it. In a survey done by the AAA Foundation for Traffic Safety, over 90% of drivers nationwide know that phone distractions are dangerous while driving, but of those drivers, 35% still admitted to using their phones while behind the wheel. Deborah Hersman, president and chief executive officer of the National Safety Council, believes that distracted driving is a “slippery slope,” and it’s a serious problem that is far under-reported. She believes drivers may be seeing this issue as a “blurry line” when it really should be a “bright line.” In recent surveys, teens consider the most dangerous driving is caused by alcohol (29%) and texting (25%), but only 6% believe that actively looking

at or posting on social media is the most dangerous. In reality, texting while driving is more dangerous than drunk driving, and that ratio only increases the more you use your phone. It seems that we have a long way to go to get the message across that all phone use, including apps, are unnecessary while driving and need to stop. Based on crash data, the National Safety Council estimates that about onefourth of all crashes can be attributed to distracted driving and cell phone use. Everyday, more than 8 people are killed and more than 1,000 injured in distracted driving crashes. According to the Centers for Disease Control and Prevention, looking at your phone to read a text is equivalent to driving the length of a football field with your eyes off the road. Those few seconds that it takes to send a text or post an Instagram picture increase your crash risk by 23 times—and that doesn’t include any other distractions.

Distracted driving accidents happen every day due to using a phone while driving; ultimately, people think it won’t happen to them as they look at one text or check a Snap Chat feed. That ignorance, however, needs to stop. Accidents can happen—they do happen—and they’re not worth the distractions that cause them. There are too many stories where this exact ignorance has ended up taking lives. Distracted driving is one thing that we as drivers can take control of and avoid by simply putting our phones down. For more ways on how to help eliminate distracted driving, check out

Sources: CDC, , Distracted Driving Facts. End Distracted Driving. 2016.


October 2016




Mountaineers share insight on

resiliency Resiliency is the ultimate goal. Whether it’s rebuffing someone’s negative comment or combating financial difficulties, we all want to weather storms with strength. But that’s easier said than done. Jim Davidson learned about hard work—and heights—working for his father’s painting company at 9 years old, and then as a geologist for 16 years. But it wasn’t until he spoke at a science conference about his climbing hobby that he found his true bliss. “I started sharing some of my adventure stories,” Davidson explains, “and a little about the lessons and insights I’d picked up.” He was surprised when his colleagues responded positively, telling him to pursue that speaking talent. Davidson has a lot of experience with hardship. In 1992, he and his college buddy, Mike Price, climbed Mt. Rainier, near Seattle. They fell eighty feet deep into a glacier. Price slowed Davidson’s fall, but was critically injured himself. Davidson tried fruitlessly to save Price with CPR, but soon found himself alone, staring up at 80-foot high glacier walls, convinced he would die alongside his friend. “But that began my ultimate challenge,” Davidson says. “[It] put what I’d learned about being resilient and being perseverant to the ultimate test.” He reflected on the example of his father, who remade himself into a painting contractor after his technology career failed. He reflected on the strength of his fallen friend. And Davidson, without enough experience and using the wrong equipment, got himself out of that glacier. He now teaches resiliency alongside expedition climbing. But you don’t need a traumatic experience to find your resilience, he says. Your inspiration may come from your best friend who survived cancer, mother who never complained, or spouse who is always there for you. Or maybe your faith keeps you going. “Look to [your] places of strength,” Davidson advises. “We all find it in different places.” Use that strength in other areas of your life, he says.

Mountain climber Jeff Evans guides injured vets and seasoned climbers on expeditions around the world. Companies like Microsoft and Apple hire him to teach their employees about dealing with adversity. “Another way to think of resiliency,” he says, “is how you deal with adversity. Evans and colleague Erik Weihenmayer started Soldiers to Summits to lead our war veterans on climbing expeditions. He thought that he would be teaching them, but feels like it’s the other way around. “I’ve learned the most from them,” Evans says, “about resiliency and standing up in the face of adversity.” He says it’s not just what they’ve gone through, but the strength with which they went through it. “I continue to do it…simply because I continue to learn from them,” he says. “We learn how to be resilient over time, from watching people.”

After all he’s learned, Evans believes that the most important ingredient to a resilient life is being present in the moment. But he’ll be the first to admit it’s not easy. “Sometimes when it’s dark and cold and scary, I check out,” Evans admits. “I’ve done [Kilimanjaro] 14 times, but every night at the summit…I go kite surf for a couple hours in my head.” There’ll be times when you just can’t do it. “[But] when it’s time to come back, be back,” Evans says. “Find that mechanism that allows you to recalibrate and be present,” whether that’s breathing, taking a moment to yourself, exercising, or drinking coffee. Find your reset switch. And if you want to flex your resiliency muscle, “embrace the challenges that attract you,” Davidson says. Whether that means yoga, running, music, or climbing, build resilience in your areas of strength, he says, and take it with you to fight your family difficulties and financial troubles. Follow Jim Davidson’s Everest Resilience Project at, and find Jeff Evans at

Source: PBS

October 2016




It’s October, and we’re in the thick of things, with vacation days far behind us, and far ahead. But one good thing about this is that routines help us maintain a better diet. In a recent study done by the University of Georgia’s College of Family and Consumer Science, Americans gain an average of one pound during a one to three-week vacation, and that extra pound can linger for up to six weeks. A pound might not seem like much, but it can add to the average person’s weight gain of 1-2 pounds per year. So, if your diet still hasn’t quite found it’s healthy groove, here are some ideas. First, establish a good sleep pattern. Set your alarm for an early rise, and be sure to get plenty of sleep. Setting a consistent sleep cycle has been shown to go hand in hand with your diet, and it can help reduce those exhaustion munchies. Next, hit the grocery store on a consistent basis to build a habit of not eating out. Eating out generally means more calories than you would eat at home, and more unhealthy food. To help stay on top of your diet, keep some pre-cut fruits and veggies in the front of your fridge and the treats behind closed cupboards. Sure you can have a few treats like cookies and chips around the house, but you don’t want those to be the first thing you see when you are reaching for a snack. October is solidly into the football season, and people often want to settle into a couch in front of the television. Don’t do this! In a study done by the University of Houston, people’s food choices became worse as they spent more time watching TV in a comfortable setting. Be sure to keep your TV limit to 30 minutes to prevent this possible setback from maintaining a healthy lifestyle.


A few ways to flip your diet and start fresh



Avoid added sugar: swap high glycemic foods (which spike and crash blood sugar) for low alternatives such as whole grains and healthy fats.

Stay hydrated: drink water every few hours and try to consume half of your body weight in ounces each day. Starting your day with a glass of water can boost energy and flush out lingering salt and leftovers in the colon.

Bump up your exercise routine: try some high intensity workouts. These don’t have to be done every day, but the best types of exercise combine cardio with weight training 3-4 times a week.

Sources:, University of Houston

HEALTHY MAGAZINE | Advisor Client Content

Jump Start your oral Health For many years we have known that the mouth is the window to the health of the body.


oday I’m going to talk about something that may come as a surprise to you. The mouth is actually part of the body! For some reason many people don’t think that the health of the teeth and gums can or do affect the rest of the body. When was the last time you went for a physical and the doctor opened your mouth to look for inflamed gums, or great big cavities that may be causing infected teeth? The truth of the matter is that oral health can be critical to overall health. We’ve known for many years that bacteria in the mouth can be a major contributor to cardiovascular disease, or cause issues with the fetus in pregnancy. We know that many of the materials traditionally used in dentistry can also cause health concerns, Such as mercury amalgam fillings, and others. I had a case a few years ago where the patient had experienced almost 20 years of severe irritable bowel syndrome (IBS) and nothing traditional medicine had done helped at all. Within 2 weeks of taking out all of his mercury fillings the IBS was totally gone and has not returned.

An upgrade in brushing and flossing habits can pay great dividends also and new technology has made it easier than ever before. We have a water flosser now that magnetizes the water, leaving a “force field” on the teeth that dramatically reduces plague accumulation and is fun to use. Also, many dentists in the state have made an agreement recently with Oral B to provide one of the best power toothbrushes on the market at almost ½ the price of retail and it even has a Bluetooth app. However you decide to do it, do something to jumpstart your oral health today.

Dr. Scott Chandler, DMD

Silver Creek Dental 675 South 100 West, Ste. 1 , Payson, UT 84651  801-853-8803 Dr. Chandler, father of ten, was trained at the University of Kentucky’s dental school. As a trustworthy professional and a perfectionist at his work, he is Payson’s elite dentist.

October 2016







To research his 2010 book The 5 Factor World Diet, celebrity trainer and nutritionist Harley Pasternak traveled to the healthiest countries around the world to learn more about what made their meals extra nourishing. He noted that Japanese people eat a wonderful variety of seaweeds, and that Chinese people tried to incorporate at least five different colors in every meal. But Pasternak also came away with some valuable observations about how different the North American way of life was compared to many other countries. For starters, we eat much bigger portions than people in other countries. We don’t prioritize eating seasonally or locally, and we also add lots of salt, sugar and thickening agents to our foods. Contrast that to the healthy Mediterranean, Nordic and Okinawan diets listed below. They all seem to hew closely to an ethos of regional, seasonal produce. Most other healthy eating cultures also make meals an event — say, multiple courses around the family table, or a glass or two of red wine at a long lunch — as opposed to hastily scarfing fistfuls of cereal above the kitchen sink and calling it dinner (you know, just for example). Each one has its own unique quirks (reindeer meat! green tea!), and it’s good to remember that because of the incredible diversity of lifestyles around the world, it’s clear there isn’t one single path to weight loss or health. But Pasternak did take note of one unifying factor in all of the healthy societies he observed. “The only overlapping feature in most of these healthy countries around the world is that they all walk way more than the average American,” said Pasternak. “So really, regardless of what you’re eating, if someone’s walking four miles more than you each day, they’re going to be a lot thinner and live a lot longer than you.”

MEDITERRANEAN DIET diet, eaten by people in Greece, Italy and Spain, emphasizes seasonality, local produce and traditional preparations. Meals are often community or family events.

milk, fermented milk and cheese. Meats include beef, pork, lamb and reindeer, while seafood include herring, mackerel and salmon. The few desserts in the diet include baked goods made with oat bran, or jam for putting on top of cereal. Herbs include parsley, dil, mustard, horseradish and chives.

SIGNATURE FOODS: Fruits, vegetables,


WHAT IT IS: A traditional Mediterranean

whole grains, legumes, nuts and olive oil are the stars of the show. Fish, poultry and red wine make moderate appearances, while red meat, salt and sugar are bit players.


to start with this one. The benefits of a Mediterranean diet have been studied since the 70s, and researchers have found that living that olive oil life can help people lose weight, lower their cardiovascular disease risk and reverse diabetes. As for ease of adherence, U.S. News & World Report ranked it third (out of 35 considered diets) and called it “eminently sensible.”

study published in The American Journal of Clinical Nutrition found that a healthy Nordic diet seemed to have an impact on genes in abdominal fat, turning off genes related to inflammation. It’s also helped study participants lose weight (while still providing “higher satisfaction” than the average Danish diet), and cut down on type 2 diabetes risk. Scientists are also praising it for itsecological and socioeconomic benefits, as it cuts down on meat production and long-distance imported foods.

vegetables, green and yellow vegetables like bitter melon, soybean-based foods like tofu and soy sauce. Okinawa residents only ate modest amounts of seafood, lean meat, fruit and tea.


Okinawans are catching up economically with their mainland cousins, which means rates of obesity, metabolic syndrome and cardiovascular disease are rising as well. But the people who grew up eating traditionally are still alive and clinging to their culinary traditions. In fact, the island is home to one of the largest populations of centenarians in the world. These super-seniors are living active lives largely free of disease and disability, and are said to age slowly. Some researchers believe that the practice of longterm calorie restriction may play a large role in their longevity.

‘FRENCH PARADOX’ DIET WHAT IT IS: Scientists are kind of

scratching their heads at this one. The French have some of the lowest obesity rates in the developed world and highest life expectancies, despite the rich food they eat. What gives?

SIGNATURE FOODS: Full fat cheese and

yogurt, butter, bread, and small but regular amounts of cheese and chocolate are some of the hallmarks of this rich diet.


NEW NORDIC DIET WHAT IT IS: Scientists designed this

diet to contain 35 percent less meat than the average Danish diet, more whole grains and locally sourced produce and more than 75 percent organic produce. Called the New Nordic diet, it’s similar to the Mediterranean diet in that there is a big emphasis on whole grains, fruits, vegetables, eggs, oil and seafood, while foods like meat, dairy, dessert and alcohol are eaten sparingly. It’s different from the Mediterranean diet in that the Nordic diet uses rapeseed oil instead of olive oil, and the produce is native to the Nordic countries Denmark, Finland, Iceland, Norway and Sweden.


cereals like oats and rye; local fruits and berries like rose hip, lingonberries and bilberries; cruciferous and root vegetables like brussels sprouts, broccoli, turnips, parsnips and beets; rapeseed oil, vegetable oil-based margarine; and low-fat dairy like

researchers think that the so-called “French Paradox” has more to do with lifestyle than anything French people eat. For instance, their portions are small, they don’t snack, they walk everywhere and they eat very, very slowly. Yet other scientists believe that the role of moderate red wine consumption and the positive effects of moldy cheese may account for France’s health stats. If you want to play it safe, maybe try adopting how French people eat, instead of what they eat, if you want to get healthier in the new year.

TRADITIONAL OKINAWA DIET WHAT IT IS: This low-calorie yet nutrition

dense diet is big on fruits and vegetables but sparse when it comes to meat, refined grains, sugar, salt and full-fat dairy. This diet came about in a very specific historical context; its practitioners lived on Okinawa Island in Japan, which was one of the poorest regions in the country before World War II. Consequently, Confucian ideals like eating only enough food to feel 80 percent full played a big role in the island’s eating culture, as did sharing as much as you could with one’s neighbor.

SIGNATURE FOODS: Sweet potatoes,

rice (although not as much as mainland Japanese people ate) green leafy


traditional Asian diet, but a group of international nutritionist collaborated together in the 90s to come up with an Asian Food Pyramid. It prioritizes rice, noodles and whole grains, as well as fruits, vegetables, legumes, seeds and nuts as the most-eaten food groups. Fish and shellfish are optional daily choices, while eggs and poultry should be eaten weekly. Note that recommended servings of red meat are smaller and less frequent (monthly) than even sweets (weekly)!

SIGNATURE FOODS: There are many

different countries whose traditional ways of eating follow this model, but they all seem to have white rice as a staple.


countries have less incidences of obesity, cardiovascular disease and metabolic diseases like diabetes than Western countries, although that seems to be slowly changing thanks to rising economies and urbanization. One Harvard nutrition researcher notes that high-carb, highglycemic aspects of a traditional Chinese diet are colliding with an increasingly urbanized, inactive lifestyle to create an “emerging public health dilemma.”

October 2016





When you’re feeling tense, there are many ways to manage and, in fact, reduce stress levels. Your diet and nutrition choices can make your stress levels go up or down. Certain foods provide comfort and actually increase levels of hormones in the body that naturally fight stress. Other types of foods and beverages can reduce stress by lowering the levels of hormones that trigger it.


way of eating is throwing off our bodies’ natural feel-good chemistry, resulting in a miserable, moody, anxious, and agitated nation. Luckily, an instant jolt of happiness is just a forkful of brain food away. People should be focusing on brain foods and mood-promoting fats to best nurture happiness, says Drew Ramsey, MD, coauthor (with Tyler Graham) of The Happiness Diet: A Nutritional Prescription for a Sharp Brain, Balanced Mood, and Lean, Energized Body. “Just a few meals away from the Modern American Diet, and you’ll start to feel benefits like better energy and a more stable mood,” explains Dr. Ramsey. “The moment you make a better food choice you are instantly building a better brain.”



Sometimes, it’s the effect of a food or drink that can help reduce stress, not necessarily its nutrients. A warm cup of tea can actually calm many people, says Sandra Meyerowitz, MPH, RD, LD, online nutrition coach and owner of Nutrition Works in Louisville, Ky. There’s the soothing effect of sipping a warm drink, regardless of the flavor — but certain herbs, like lavender and chamomile, have been shown to have a relaxing effect on their own.

Avocados are not only delicious mashed into guacamole or sliced onto a salad — they’re also packed with omega-3 fatty acids. These healthy essential acids are known to reduce stress and anxiety, boost concentration, and improve mood. Meyerowitz emphasizes the importance of getting the right amount of omega-3 fatty acids in the diet for overall health, in addition to the benefit of helping to reduce stress.

INDULGE IN DARK CHOCOLATE Ever wonder why chocolate makes you feel so good? Sure, it tastes good, but it also provides an instant boost in concentration and mood and even improves blood flow to the brain, helping you feel more vibrant and energized. Dark chocolate in the diet can reduce stress in two ways — its chemical impact and its emotional impact. Skip the sugary milk chocolate blends and go directly for the darkest organic (highest percentage of cocoa) chocolate you can. A recent study published in the Journal of Psychopharmacology found that just a few ounces of dark chocolate a day results in better mood. Chocolate feels like such an indulgence that it can be a real treat to simply savor a piece of it, and that feeling alone can help to reduce stress. Dark chocolate, which is also rich in antioxidants, can also help to reduce stress by lowering levels of stress hormones in the body, according to a Swiss study in which participants ate about 1.5 ounces per day for two weeks. Just avoid excess calories in your diet by not overindulging in chocolate.

GO WITH GREEK YOGURT This dairy pick is packed with more calcium than you’ll find in milk or regular yogurt, and it can make you happy, too. Proper calcium levels give the “Go” command, alerting your body to release feel-good neurotransmitters. “Disturbances in calcium levels can produce anxiety, depression, irritability, impaired memory, and slow thinking,” says Dr. Ramsey in The Happiness Diet. Plus, the probiotics help aid in digestion and can even ward off colds. If you find yourself nervous or agitated for an unexplained reason, try reaching for an organic Greek yogurt from cows raised on grass pastures. Pastured dairy is higher in healthy fats, and, like grass-fed lamb, often contain higher levels of CLA, the healthy fat that reduces the effects of stress on the brain.

GOOD CARBOHYDRATES Carbohydrates have been found to increase levels of serotonin, a chemical in the body that can boost mood and reduce stress. Once serotonin levels are increased, people under stress experience improved cognitive function, meaning they can concentrate and work better. Meyerowitz notes the comforting effect of carbohydrates in the diet that can reduce stress — savoring a bowl of pasta or macaroni and cheese feels soothing and can help you to relax. Just make sure to choose healthy carbohydrates like sweet potatoes and whole-grains for better nutrition, and limit fat-laden, caloriedense toppings.

ASPARAGUS IS AWESOME This vegetable is one of the top plantbased sources of tryptophan, which serves as a basis for the creation of serotonin, one of the brain’s primary mood-regulating neurotransmitters. High levels of folate also add to asparagus’s happiness-promoting profile; research has shown that up to 50 percent of people with depression suffer from low folate levels. Like tryptophan, it’s a necessary factor for creating neurotransmitters. It’s also good to add to the menu if you plan on drinking. The enzymes in asparagus are highly effective in breaking down alcohol in your system, preventing a hangover-and that can make anyone happy.

EAT FATTY FISH Fatty fish are also a good source of omega-3 fatty acids and an excellent way to use diet and nutrition to reduce stress because they also offer a major benefit to cardiovascular health. Omega-3 fatty acids and fatty fish have also been found to ease depression, because the chemicals improve communication between nerve cells. Fatty fish include tuna, halibut, salmon, herring, mackerel, sardines, and lake trout.

MAKE A MUG OF WARM MILK A centuries-old home remedy for getting a better night’s sleep, warm milk helps because it has a relaxing effect on the body. Calcium-rich foods are an essential part of a healthy diet for bone health, but they also help with stress reduction. Milk and other dairy foods with calcium and added vitamin D can help muscles relax and stabilize mood — one study even found that they can also ease symptoms of premenstrual syndrome.

GRAB A HANDFUL OF NUTS Nuts are full of vitamins, including B vitamins, and healthy fatty acids as well. According to Meyerowitz, B vitamins are an important part of a healthy diet and can help to reduce stress. Almonds, pistachios, and walnuts can even help lower blood pressure levels. According to one study, pistachios in particular were found to have a role in reducing stress levels. Just remember to limit servings to just a handful a day to avoid excess calories.

GET MORE VITAMIN C Some studies have found that high levels of vitamin C help ease stress levels. One double-blind study reported on the value of taking 3,000 milligrams of vitamin C in a slow-release formula to reduce stress and levels of the stress-related hormone cortisol. Another study looked at the stress reduction effects of taking a supplement containing 1,000 mg of C, plus B vitamins, calcium, and magnesium. Eating citrus fruits, including oranges, grapefruits, and strawberries is a good start, but you would need a supplement to reach such high levels of these nutrients. Continued on page 34 >>>>

October 2016


<<<<<< Continued from page 33

EAT SWISS CHARD This leafy green is packed with magnesium, a nutrient essential for the biochemical reactions in the brain that boost your energy levels. According to Dr. Ramsey, some of the first studies on magnesium involved its effect on depression. That could come in handy today, since the majority of Americans simply don’t get enough magnesium in their diet. Green-thumb tip: Swiss chard is easy to grow in a home garden. If you plant it, harvest just a few outer leaves--not everything all at once--and the plant will continue producing all season long.

BUY BLUE POTATOES Blue potatoes aren’t a common supermarket find, but they’re popping up as a unique offering at farmer’s markets all over the country. The color in blue potatoes is courtesy of anthocyanins, powerful antioxidants that provide neuro-protective benefits such as bolstering short-term memory and reducing mood-killing inflammation. Be sure to eat their skins, too. The potatoes’ skins are loaded with iodine, a diet-derived nutrient essential for life, and one that helps regulate the thyroid, what Dr. Ramsey calls one of our “master mood regulators.” And always choose organic potatoes. Nonorganic spuds usually fall victim to multiple toxic chemical sprays that are absorbed into the vegetables’ flesh.

PREPARE GRASS-FED LAMB CHOOSE CHERRY TOMATOES All tomatoes are a great source of lycopene, a fatsoluble phytonutrient that helps protect vital brain fat, and a nutrient that actually stops the buildup of proinflammatory compounds linked to depression. Because lycopene lives in tomato skins, the best way to get it is through cherry tomatoes, whose smaller surface area means you’ll eat more skin than if you eat a full-size tomato, explains Dr. Ramsey. To maximize the amount of lycopene your body absorbs, drizzle some olive oil over the tomatoes, and enjoy! Just be sure to always choose organic. Trials at University of California--Davis have found that organic tomatoes have higher lycopene levels.


HONEY VS. SUGAR Eating sugar unleashes harmful free radicals linked to disease--even cancer--inside of your body. Honey-although sweet like sugar--is packed with beneficial compounds such as quercetin and kaempferol that actually help clean up the free radicals and reduce inflammation. “Honey helps reduce inflammation, which is very important to maintaining a healthy brain,” Dr. Ramsey explains. “Some depression actually stems from chronic, low-grade inflammation.”


Animals raised on grass pastures boast much higher levels of healthy conjugated linoleic acid, or CLA. This happy fat beats back stress hormones protecting brain cells and erases dangerous inflammation-promoting belly fat, Dr. Ramsey explains. Grassfed lamb is also packed with moodpromoting heme iron, the type that your body most readily absorbs. Iron is vital for a stable mood--its highest concentrations in the brain are located in areas related to mood and memory.

October 2016




Which Foods Have The Most Pesticides? You Might Be Surprised! 52 HEALTHY MAGAZINE

The harmful effects of pesticides are a real concern for many Americans today. However, the health benefits of fruits and vegetables outweigh the potential risks that pesticides serve. Although pesticides have been very beneficial in allowing for modern, large-scale food production, the potential downsides are numerous.


THE DIRTY DOZEN THE CLEAN FIFTEEN 1. Avocados 2. Sweet Corn 3. Pineapples 4. Cabbage 5. Sweet Peas (Frozen) 6. Onions 7. Asparagus 8. Mangos 9. Papayas 10. Kiwi 11. Eggplant 12. Honeydew Melon 13. Grapefruit 14. Cantaloupe 15. Cauliflower


t is well documented that pesticides can be harmful to human beings. They have been linked to brain and nervous system toxicity, cancer, hormone disruption, and skin, eye and lung irritation. This is scary when you consider that nearly threefourths of the 6,953 produce samples tested by the U.S. Department of Agriculture in 2014 contained pesticide residues. Some vegetables, such as leafy greens, are by their very nature more likely to have a higher concentration of pesticides than say, an orange, which has a thick, protective skin to keep out pollutants. By arming yourself with the knowledge of which fruits and vegetables are more likely to be tainted by pesticides, you can successfully navigate the produce aisle to reduce the risk of pesticides entering your system.

But how do you know which vegetables and which fruits are more likely to be soaked in pesticides before they’re harvested and delivered to your supermarket? Luckily, a collection of researchers under the umbrella of the Environmental Working Group provide a convenient list of which fruits and vegetables to pick up, and which ones to avoid. Since 2008, they’ve been issuing their research on produce, released in what they call the “Clean Fifteen” and the “Dirty Dozen.” This is a great list to get started on picking the vegetables that are least harmful and carcinogenic for you. As a side note, though this list may help you avoid vegetables that have a high concentration of harmful pesticides, there is still much more information to gain to maintain a healthy, balanced diet. For example, although corn is on the Clean Fifteen list, the majority of medical information suggests that corn is not very good for your diet, offering little nutrients at a high caloric cost. However, this is a great starting point when trying to decide which vegetables and fruits are okay to toss in your cart the next time you’re at the grocery store.

THE DIRTY DOZEN 1. Strawberries 2. Apples 3. Nectarines 4. Peaches 5. Celery 6. Grapes 7. Cherries 8. Spinach 9. Tomatoes 10. Sweet Bell Peppers 11. Cherry Tomatoes 12. Cucumbers

Also important to note is that this list changes every year. For instance, green beans were on the Dirty Dozen list last year, due to the widespread use of a certain pesticide which has since been banned by the FDA. So make sure you check back every year, and always keep your eyes peeled for new news that might float in about your favorite vegetables to ensure that you’re keeping your diet as pesticide-free as possible. Happy shopping!

October 2016



Can herbal remedies improve menopause symptoms?



very woman will experience the hormonal decrease that is menopause, the effects of which are often treated with prescription medicine. Although medication can help in most cases, some women fear the effect that long-term drug use can have on the body, even with prescription drugs. As an alternative, a recent study has revealed a more natural way to relieve menopausal symptoms. Dr. Taulant Muka, researcher at Erasmus University Medical Center and lead author in this study, tested plant-based supplements on women experiencing menopause. He found that hot flashes and vaginal dryness were greatly reduced, all thanks to phytoestrogens, which are components found in plants and are similar to estrogen. Menopause symptoms like hot flashes and night sweats are a discomfort to millions. Taking care of these symptoms is important, and Muka says that doing so in a natural way is better for the body than taking medication. Hormone therapy prescriptions—such as pills, patches and gels—are most commonly used to treat menopausal symptoms, but such treatment has been linked to breast cancer and other health problems. Muka and his colleagues wanted to know if plant-based treatments could really work as an alternative to medications for treating menopause. Their study included over 6,000 women, each taking a form of traditional, natural or Chinese medicine like soy, ginseng and black cohosh. Night sweats continued, but the plant estrogens treated overall vaginal dryness and decreased hot flashes. Although these are beneficial findings, are these natural remedies doing enough? The FDA requires that menopausal treatments reduce hot flashes by two per day or more, which natural methods did not quite manage. But even if Muka’s plant-based treatments fulfilled that requirement, the FDA does not review or regulate any type of natural supplement. In addition to this, Muka notes that his study doesn’t have a lengthy follow-up, thus being unable to define any longterm effects that phytoestrogen may have. Dr. JoAnn V. Pinkerton, executive director of the North American Menopause Society, also points out that the study doesn’t distinguish between women who suffer from several hot flashes and those who don’t. This distinction plays a major role in the overall effectiveness of phytoestrogens, as symptoms vary between women. Pinkerton recommends using caution when taking prescription or natural supplement menopause treatments, as there may be risks from both if used long-term. For example, there have been many reports of liver damage associated with products containing black cohosh, which is a plant harvested in the wild. With over 50% of women taking herbal remedies for menopause symptoms, there seems to be a movement that’s headed in the “natural” direction. Be sure to consult with a doctor about menopause when deciding what treatment is be best for you, as symptom variations may mean different treatment.



October 2016




Trying to look your best sometimes leads to looking your worst. Thatâ&#x20AC;&#x2122;s how it goes in the land of hair, where blow dryers and bleach quickly turn from friend to foe.


But Hailey Durfee, hair salon owner and graduate of Paul Mitchell School, says that when dyeing and beauty tools seem to betray us, ruining our efforts to look good, in reality it’s probably our fault.


Heat protectors are something you spray on your hair just before blow drying or using any hot tools. It creates a shield for the hair, protecting it from the intense temperature of a curling iron, straightener, or any other hot device.

Here are ten tips to keep healthy hair when using beauty products:


FOR BLONDE BLEACHING AND DYEING, JUST TOUCH UP THE ROOTS When people change their hair color, they shouldn’t bleach or dye all their hair every time. Just find the new growth and bleach or color it, leaving alone the other hair. This will help avoid progressive damage from chemicals over time. Durfee said that chemical damage usually happens when people are trying to make their hair blonde. Remember that bleach works by pulling out color from the hair, and that if you were to leave the bleach in for an extended time, serious damage would result. Use it cautiously.





PATCH TEST Before using a dye, put a little bit on the skin inside your elbow. If you have a reaction, clean it off, and obviously don’t use it on your head. Allergic reactions to dye aren’t especially common, but do happen, causing mild to severe symptoms like itching, rashes and general sickness.






LEAVE IT ALONE OVER WASHING Washing hair once every 3-4 days is ideal for most women. Some stylists and dermatologists even recommend less frequent shampooing, according to WebMD. When choosing shampoo, remember that alcohol dries out hair fast. Salon products are more expensive, but generally have less alcohol.

FOR CHEMICALLY DAMAGED HAIR: DEEP CONDITIONER If hair is damaged from dye or bleach, Durfee recommends using deep conditioner as a replacement for regular conditioner 2-3 times per week. Deep conditioners are labeled as such, and are widely available. When showering, leave the conditioner on for about five minutes before rinsing it out.

Many recommend having unwashed and dry hair before starting with the dye. Obtain and follow instructions so that you don’t find yourself not knowing what to do mid-dye. After dyeing, rinse with warm water, and don’t rub. Unnecessary force when washing the hair is damaging.

Developers, which determine how much lighter the hair gets, are often way too high in these boxed coloring kits. “The higher the developer the more the hair lifts but also the more the hair is damaged,” Durfee says. “So, for example, a brunette wanting highlights would take a higher developer than a blonde wanting highlights. With box color they have no idea if a brunette or blonde is picking it up so just to be safe they throw in the highest developer, which is very damaging!” These boxes of hair dye don’t label the level of developer, making it difficult to avoid punishing your hair. In this regard it is wise to trust a hair professional. Go to a beauty supply store, and show the sales associate a magazine clipping of the color you want. They should be able to choose coloring with the right level of developer, which typically range from level 5 to 40, and sometimes higher. Most developers for going lighter or darker are healthy at about a level 20, which is a whole shade. Going significantly lighter means choosing a much higher developer. Reminds you of chemistry class, doesn’t it?


In the shower, don’t use excessive force when scrubbing the hair, because wet hair is most susceptible to damage. Using warm water instead of hot water can help avoid having a dry and irritated scalp. A tip for swimming: Get your hair wet before jumping in a swimming pool, so that your hair doesn’t soak up chlorinated water. After any water activity like a shower or swimming, avoid brushing your hair until it’s dry. “Wet hair swells, and in this state it is very fragile and therefore it’s easier for hair breakage to occur,” says. “The best way to detangle hair after you shampoo and condition it is by using a wide-toothed comb or pick.”

PERM SOLUTION Avoiding damage with perms is all about having the correct perm solution, according to Durfee. There are generally three different levels of perm solution for different hair types, based on health of the hair. If it is too strong, the solution will cause their hair to get fried and coarse. If you have gotten a few perms and the hair is starting to feel coarse, it probably means that too high of a solution is being used. But remember that there is a cost to beauty. “Anything chemical such as color or perms will result in some damage,” Durfee says.



TRIM TRIM TRIM Blow dryers, straighteners and curling irons can do serious damage over extended periods of time if the proper steps are not taken. Durfee said daily hair habits are generally more damaging than any coloring or perm process people do. Hot hair instruments lead to split ends which, if left alone, can continue to split down the length of the hair, eventually breaking off, leaving the hair thin, unhealthy and unattractive. Frequent trimmings catch these split ends before they do serious harm, leaving the hair looking healthier.

Hair is one of our greatest possessions, part of who we are. We want to guard it from damage any way we can, but we also want it to look good, and there lies the conundrum. But suspicion can turn to confidence when it comes to beauty products as you pay better attention to the important details of caring for hair.

October 2016



BREAST CANCER OR SOMETHING ELSE? Lumps in the breast are more often the result of benign breast disease or a breast cyst— non-cancerous and non-life-threatening— and it’s important to know which is which.



ancer is a terrifying disease that has probably touched your life or the life of someone you love. It’s something that is frequently in the back of our minds, especially as we get older. Every woman dreads finding a lump in her breast because of what it might mean. Surgery, chemo, radiation—all are potentially life saving measures that come at the cost of time and prolonged pain. What you might not know is that lumps in the breast are more often associated with benign breast disease or breast cysts. The National Cancer Institute reports most breast lumps are benign, meaning they are not cancerous or life threatening. They can, however, be the result of natural circumstances or one of many other conditions. It’s important to know the difference between the conditions causing lumps in the breast and breast cancer, and what it means for your health.



A woman’s breasts are always changing. As women approach middle age, the lobules that produce milk give way to soft, fatty tissue. This kind of breast lumpiness is most often found around the areola and in the upper and outer parts of the breast. Moreover, many women experience a natural swelling of the breasts during menstrual cycles, making any kind of breast lumpiness more pronounced than normal. Pregnancy, too, may result in increased lumpiness in the breasts. Lumps of this nature are typically benign and very rarely become cancerous. They can, however, hide the presence of malignant lumps or tumors that can be detected on a mammogram. For this reason, any lump detected in the area of the breast should be mentioned to your health care provider.


Simply put, cysts are just fluid filled sacs. The National Institutes of Health reports that breast cysts are most common in women between the ages of 35 and 50. These sacs can often swell during or around the menstrual period. This swelling may cause tenderness or pain in the breast. If swelling persists, a doctor may decide to drain the cyst. If you have any questions or concerns about a lump or the condition of your breasts, you should consult a doctor as soon as possible. Even if you have had benign lumps before, speak to your doctor about the formation of any new lumps. The earlier you speak to a doctor the better off you’ll be, especially if the lump is found to be cancerous. You can never be too safe.


fountain of youth THROUGH DIET & EXERCISE?



Too often we overexert ourselves and don’t take into account muscle recovery and refueling. Balance out your routine by adding in strength training 2-3 times a week, a few cardio workouts which may include a High Intensity Interval Training for major calorie burn and then some type of mind-body class to lengthen muscles and refresh the mind.


Our body is made up of 65-75% water depending on the source so it should be our drink of choice above anything else. Hydrated muscles work more efficiently and don’t fatigue as fast. The Centers for Disease Control and Prevention reports that water helps your body maintain a normal temperature, lubricates and cushions joints, protects the spinal cord and other sensitive tissues and gets ride of waste.


Our lack of time for preparation and confusion on the nutritional value of foods can hinder us from making good food choices. No matter how hard we work out we can’t out-exercise a bad diet. Try and eat as many foods that you can recognize every ingredient. For example, how many ingredients do you find in produce? Exactly one. Shop for foods found on the outside edge of the store and avoid the middle aisles as much as possible. Foods with an extended shelf life are not your friend.


There are a lot of electronic distractions, and jobs that require hours of chair-time which can lead to poor posture and, often times, back and hip problems. Our bodies are built to move— not sit. Create opportunities to move. Get up and walk around the parking lot every hour. Take the stairs whenever possible. Stand and do some squats or lunges. Plan activities that require physical activity, like hiking or mall walking.


Many have the mentality that we need lots of cardio to control our weight or lose those extra pounds. Don’t get me wrong, cardiovascular exercise is good, but strength training is how you can positively change your body composition. Muscles also support us structurally, which can help us avoid injuries or chronic aches.


Everything seems better if we look at it with a positive perspective. Select activities that keep you moving, but also clear your head. Connecting with family and friends to be healthy with you can have a positive impact. Life doesn’t have to get harder, and your body doesn’t have to get weaker. Empower yourself with smart eating, appropriate exercise and a positive outlook. Let’s love the life we are in.

October 2016









Sitting is the new smoking, as they say, and a multitude of products are seeking to remedy the office sitting problem. Varidesk is a leader among the standing desk movement.

FAVORITE drive, only to plop back in the chair again for hours. So I stand up for the first hour or two of work. After a while, my feet and legs get a little sore from standing, so I go back to sitting.

The ProPlus White model has two levels, one for a monitor and one for a keyboard and mouse. Handles under the top level let you adjust the height to whatever you need.

Right after lunch, however, I usually feel sleepy, so I pop the desk back up to standing position for another couple hours. Standing makes it much easier to focus and shake off the afternoon doldrums. Without a doubt, the Varidesk makes the workday easier.

Does it make a difference? After a couple months using the Varidesk, I would say I’m not planning on going back to a normal desk any time soon. I haven’t lost weight, and I can’t say my overall fitness level has changed much because of the desk, but it does make me feel more energetic at work, and more productive.

$395 (Pro Plus 36 White),

I have a bit of a commute to work, so I hate finishing that




Tough Tested Rugged Battery Pack

Butler Overboot

A weatherproof, shockproof, dustproof way to never panic about draining battery on phone, tablet, camera, or whatever. The pack can charge an average smartphone about five times. It won’t really fit in a typical pocket, but keep it in your car, purse or backpack for a lifesaving battery boost. It has two usb ports so you can charge multiple devices.

Galoshes aren’t a thing people use everywhere, but we think they are pretty useful for the rambunctious child. Just pop it on over any shoe (it’s a super practical design), and your child’s shoes are protected from mud and water.



BikeTube Backpack from Recover A backpack is just a backpack, until it is made out of bicycle inner tubes. Recover is a brand that recycles common waste into their products. This is a unique, durable backpack that also helps save the planet. $99,

Para Kito

GoMacro Thrive Bars At Healthy Magazine, we’re always looking for the next tasty, healthy snack. These bars are among the best we’ve ever tasted. Try the Almond Apricot variety.

Protection from insects is a big deal right now, so we’ve been searching for products that shield us from mosquitoes and other harmful insects in a healthy way. Para Kito uses natural essential oil repellants like rosemary, geranium, mint and clove. We like their roll-on gel the best. They also have wrist-bands with insertable repellant tablets. $19.50 for Roll-On Gel,

October 2016



October 2016



Healthy Snack Solutions

FOR KIDS It’s common knowledge that after school is prime time for snacking, and it is also a time when many kids make, shall we say, less than nutritious food and beverage choices.  Try these waistline-friendly after school snack alternatives your kids are sure to love: •

POTATO CHIPS/FRIES: Cut the potato in the desired shape (round, rectangular, oblong, etc.).  Fully coat with egg whites.  Season with a touch of salt or other herbs as desired. Bake at 350 degrees until golden brown.  Serve with sugarfree catsup.

POPCORN: Air pop popcorn and on it drizzle a moderate amount of powdered butter substitute, light parmesan cheese, or even honey for a tasty twist.

PIZZA: On a fat-free/low-calorie/lowcarb whole grain tortilla (or whole grain bagel), smear tomato paste or sauce and top with fat-free cheese, whatever veggies the child likes, and even lean meats like ham or turkey dices.  Bake at 350 degrees until cheese is melted with a few brown spots on top.

TORTILLA CHIPS:  Cut Chinese wonton squares (usually found in the produce aisle) in half diagonally so they become triangles.  Spread out evenly on a baking sheet, lightly spray with cooking spray, and sprinkle on a dash of salt.  Bake at 350 degrees until crunchy.  Eat alone or serve with fat-free salsa or the below-described Mexican bean dip.

MEXICAN BEAN DIP:  Drain and food process two 14-ounce cans of black beans.  Add 3/4 cup of fat-free salsa and 1/2 tablespoon of Worcestershire sauce and blend until completely smooth.  Top with a dab of fat-free sour cream, fatfree cheese, diced tomatoes, chopped green onions, etc. as desired.

FRUIT SMOOTHIES: These are a warm weather staple that can, and should, be enjoyed year-round.  While fruit smoothie recipes abound, it need not be a complex process.  Simply blend, in amounts to your personal liking, either plain or flavored fat-free/sugar-free yogurt with skim milk, ice cubes, and


either fresh or frozen fruit chunks. For added sweetness, you can add a touch of honey or an artificial sweetener, such as stevia. Blend and enjoy!

HEALTHY ICE CREAM SANDWICHES: These are a snap—and always a crowd pleaser!  Purchase any type of round fat-free/sugar-free cookie on the market (preferably the new whole grain varieties) or bake any low-fat/ low-calorie cookie recipe from scratch.  Sandwich waistline-friendly sherbet, sorbet, or gelato between two cookies and press to make a sandwich. For added excitement, flavor, and visual interest, you can also roll the outside edge of the “sandwich” in chopped unsalted nuts, shredded coconut, raisins or finely diced fresh or dried fruit. PARFAIT : While the word “parfait” may not be in your child’s vocabulary, he will love making—and eating—this snack layered with goodness.  In a cup or bowl, simply create thin, alternating layers

of non-fat yogurt, low-fat granola (or other heart-healthy cereal product), and fruit slices or whole berries. Make as many layers of each as you like and then dig in! •

JELL-O®: Let’s not forget how much colorful, jiggly Jell-O® can delight, especially when it is jam-packed with diced fruit.


Children’s health advocate, health industry veteran and two-time fitness champion, Merilee Kern, is the creator of the ground-breaking “Kids Making Healthy Choices” APP for children, parents/caregivers and educators (available on iTunes), which is based on her award-winning, illustrated fictional children’s book, “Making Healthy Choices – A Story to Inspire Fit, Weight-Wise Kids.” She may be reached online at:

Shepherd’s Pie with Lamb and Wilted Spinach This version of classic shepherd’s pie layers wilted spinach between the meat and the potatoes. If spinach is not your thing, substitute any vegetable you prefer. TIP You can substitute lean ground chicken or beef for the lamb in this recipe. YOU’LL NEED Rimmed baking sheet, lined with foil Ricer or potato masher Two 1-quart (1 L) wide-mouth mason jars INGREDIENTS 4 small Yukon Gold potatoes, peeled and quartered 1⁄4 cup milk 2 tbsp butter 2 tbsp olive oil, divided 1⁄4 cup finely chopped onion 8 oz lean ground lamb 1 tsp freshly ground black pepper 1⁄2 tsp salt, divided 1 tbsp finely chopped garlic 1 tsp hot pepper flakes 3 cups baby spinach DIRECTIONS 1. Place potatoes in a medium saucepan and cover with salted cold water. Bring to a boil over high heat. Boil for 15 to 20 minutes or until fork-tender. 2. Meanwhile, preheat oven to 350°F. 3. 3. Drain potatoes and spread in an even layer on prepared baking sheet. Bake in preheated oven for 5 minutes to evaporate the water. 4. Run potatoes, one at a time, through the ricer and into a bowl (or mash potatoes in the bowl). 5. In a small saucepan over medium-low heat, heat milk and butter until butter is melted. Gradually add warmed milk mixture to the potatoes, stirring to combine. Let cool completely. 6. In a medium skillet, heat half the oil over medium-high heat. Add onion and cook, stirring, for 3 minutes. Add lamb and cook, breaking it up with a spoon, for 5 to 7 minutes or until no longer pink. Stir in pepper and half the salt. Drain off any excess fat and let cool completely. 7. In a large skillet, heat the remaining oil over medium-low heat. Add garlic and hot pepper flakes; cook, stirring, for 1 minute. Add spinach and cook, stirring, for 1 minute. Add the remaining salt and cook, stirring, for 1 minute or until spinach is wilted and coated with garlic. Let cool completely. 8. Layer lamb mixture, spinach mixture and mashed potatoes in jars, dividing evenly. Seal jars and refrigerate for up to 3 days. 9. When ready to serve, remove lid on jar and microwave on High for 1 minute or until warmed through. Makes 2 servings TIPS Use caution when removing the jar from the microwave, as the glass could be quite hot. If serving two people at the same time, you can microwave both jars together, but increase the time by 30 seconds.

Courtesy of 150 Best Meals in a Jar by Tanya Linton © 2016 Reprinted with publisher permission. Available where books are sold.

October 2016


Chickpea Quiche


Prep Time: 10 Minutes Cook Time: 25 Minutes Servings: 8 Ingredients

FOR THE FILLING: 1/2 cup dried chickpeas (garbanzo beans) (or a little over 1 cup cooked) 1 tablespoon olive oil 1/2 large onion (about 2 cups), thinly sliced 3 cups finely chopped kale 3 eggs 1 cup milk 1/2 teaspoon salt plus additional as needed 1/4 teaspoon pepper 1/4 cup feta cheese

FOR THE CRUST: 2 1/2 cups chickpea flour 1/2 teaspoon salt 1 teaspoon baking powder 6 tablespoons olive oil 6 tablespoons water

INSTRUCTIONS: 1. To prepare the chickpeas: Soak chickpeas for 8 hours, or overnight. Drain the soaking liquid and add fresh water to a saucepan along with chickpeas and a pinch of salt. Bring to a boil, then simmer for about an hour, or until chickpeas are tender. 2. Meanwhile, heat 1 tablespoon of olive oil in a pan over medium heat. Add the onion along with a pinch of salt and cook over medium-low heat for 25 minutes, stirring occasionally, until caramelized. 3. While the onion is caramelizing, make the crust. 4. Preheat the oven to 350 degrees and lightly grease a 9 or 10-inch tart pan. 5. Whisk together the chickpea flour, salt and baking powder. Add the oil and water and stir until the dough comes together. If dough is too crumbly and dry, add additional water, a tablespoon at a time, until it comes together. 6. With damp hands, press the dough evenly into the prepared pan. Bake for 15-20 minutes or until crust is firm and dry to the touch and is just starting to brown. Remove from the oven. 7. Once the onion is caramelized, add kale and increase heat to medium. Once kale is wilted, add the chickpeas. Cook for another minute, then remove from heat. Add salt to taste. 8. Whisk together the eggs, milk, salt and pepper in a separate bowl. 9. Spread the onion mixture evenly into the warm, pre-baked crust, then pour in the egg mixture. Sprinkle the feta on top. 10. Bake for 30 minutes, or until the top is set and browned slightly.


This yellow split pea coconut breakfast porridge is savory breakfast at its finest. It’s full of gently warming spices, like turmeric, ginger, and black pepper, but sweet carrot and a swirl of coconut milk help to keep it mild and balanced. It’s hearty, but not heavy, and–mixed with a bowl of nutty brown rice–it’s a wonderful way to start the day.

Yellow Split Pea Coconut Breakfast Porridge Writtten by Gena Hamshaw

Recipe Type: Breakfast, Main Dish, Entree Cuisine: Gluten Free, Soy Free Prep Time:  10 Mins Cook Time:  40 Mins Total Time:  50 Mins Serves: 5 Cups, Or 4-6 Servings INGREDIENTS 1 tablespoon coconut oil 1 teaspoon mustard seeds (optional) 1 white or yellow onion, diced 2 large or 4 small carrots, peeled and diced 2 teaspoons grated or minced ginger (or ½ teaspoon ground ginger) 1 teaspoon turmeric ½ teaspoon cumin ½ teaspoon coriander ½ teaspoon salt ¼ teaspoon freshly ground black pepper 1½ cups yellow split peas 4 cups water ½ cup coconut milk (canned, not boxed) 1 tablespoon lime juice For serving: 3-4 cups cooked brown rice, chopped scallions, green onion, or cilantro, extra coconut milk, avocado slices INSTRUCTIONS: 1.



Heat the coconut oil in a Dutch oven or a medium sized pot over medium high heat. Add the mustard seeds, if using, and allow them to cook until they start to pop. Stir in the onion and carrots. Sauté the vegetables for 8-10 minutes, or until they’re very soft and the onions are clear, adding a tablespoon or two of water if the vegetables start to stick. Stir in the ginger, turmeric, cumin, coriander, salt, and pepper. Add the split peas and water and bring the mixture to a boil. Reduce the heat to a simmer and cover. Cook for 35-40 minutes, or until the split peas are tender. Check the split peas a few times to stir them and make sure they’re not sticking to the bottom of the pot; if they’re very thick, stir in a half cup of water. Once the split peas are very tender, stir in the coconut milk and lime juice. Check seasoning and adjust salt, pepper, lime juice, and turmeric to taste. Serve with rice and toppings of choice.

NOTES: Leftover porridge will keep for up to 6 days in an airtight container in the fridge.

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3/4 cup water 1 small onion, chopped 1 can (8 ounces) pumpkin puree 1 cup unsalted vegetable broth 1/2 teaspoon ground cinnamon 1/4 teaspoon ground nutmeg 1 cup fat-free milk 1/8 teaspoon freshly ground black pepper 1 green onion, green top only, chopped

1. In a large saucepan, heat 1/4 cup of the water over medium heat. Add the onion and cook until tender, about 3 minutes. Don’t let the onion dry out. 2. Add the remaining water, pumpkin, broth, cinnamon and nutmeg. Bring to a boil, reduce heat and simmer for 5 minutes. Stir in the milk and cook until hot. Don’t boil. 3. Ladle into warmed individual bowls and garnish with black pepper and green onion tops. Serve immediately.

Classic Pumpkin Soup [ 1 CUP ]

serves 4

Nutrition Information:

Per serving: Calories 72, cholesterol 1 mg, protein 3 g, sodium 241 mg, carbohydrate 12 g, fiber 2 g, total fat 1 g, potassium 199 mg, saturated fat < 1 g, calcium 78 mg, monounsaturated fat < 1 g.

Canned pumpkin puree, available year-round, is an easy source for the mashed cooked pumpkin. When pumpkins abound in the fall, however, you can make your own puree by roasting a small pie pumpkin and whipping the flesh in a blender or food processor.


©Eugene Bochkarev |



Eat, drink & be scary.

©Pawel Strykowski |

Pumpkin Spice Pancakes [ 1 PA N C A K E ] serves 19

Breakfast is good any time of the day. When craving pancakes but wanting something healthy too, try this take on the traditional white-flour medallions. With Halloween just around the corner your family is sure to love this festive, mouth-watering treat. Ingredients

1 egg 1 egg white 1 cup flour 1/2 cup whole wheat flour 1/2 cup oatmeal 1 3/4 cups fat-free buttermilk (Or use powdered) 1 teaspoon baking powder 1 teaspoon baking soda 1/2 teaspoon cinnamon 1/2 teaspoon nutmeg 1/4 teaspoon ground cloves 1/2 teaspoon salt 3/4 cup canned pumpkin puree


1. Beat eggs well until somewhat frothy. 2. Add other ingredients except pumpkin and mix. 3. Add pumpkin and mix again. 4. Fry batter in scant 1/4 cupfuls on a nonstick griddle or pan. 5. Try not to stack pancakes if possible; this helps retain the fluffiness. Store them on a cookie sheet in a 250°F oven until time to serve, which helps keep them warm. 6. Sprinkle with powdered sugar and serve.

Nutrition Information:

Per serving: Calories 51, calories from fat 5, total fat 0.6 g, saturated fat 0.2 g, monounsaturated fat 0.2 g, polyunsaturated fat 0.1 g, trans fat 0.0 g, cholesterol 11 mg, sodium 176 mg, potassium 54 mg, carbohydrate 9.7 g, dietary fiber 1.1 g, sugars 0.4 g, protein 2.1 g The following items or measurements are not included in nutrition facts: fat-free buttermilk.

go to For more information

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October 2016


Utah Valley Orthopedics & Sports Medicine – North Valley American Fork While Dr. Matthews is a talented orthopedic surgeon, he isn’t one to turn immediately to surgery. Non-operative options are considered first. For example, cartilage damage is common, and injections can often relieve symptoms, and surgery isn’t necessary. The team at Utah Valley Orthopedics and Sports Medicine provides a comprehensive approach to each patient, with physicians who have a variety of training. Besides Dr. Matthews, there is a non-operative sports medicine physician, a neuropsychologist who can treat concussions, a foot specialist, a physical therapy department and more. Patients can get a world-class level of care for a broad variety of sports and trauma injuries, all in one office. Dr. Matthews says it’s important for him to focus on the patient experience. “It’s important to remember the human side to medicine,” he says. “There is someone on the other side of the phone who has a problem, who is in pain.”

Dr. Brad Matthews

Front Line Experience Produced a Superb Or thopedic Surgeon We all want a doctor we can trust, one with real experience and a high level of training. Dr. Brad Matthews, an orthopedic surgeon in American Fork, has a vast amount of unique experience, due to his military service and unique training path. After medical school, Dr. Matthews took a military scholarship, which meant he committed to do a residency within the military system. So he completed his residency at the William Beaumont Army Medical Center in El Paso, Texas, where he saw a wide variety of trauma and sports medicine cases, and acquired his training in orthopedic surgery. After residency, he and his family were stationed in Alaska, where Dr. Matthews was given the post of Department Chief of Orthopaedic Surgery. As Department Chief, he implemented new systems to improve wait times and quality of care for military personnel. A four-star general awarded him and his team a commendation for improving military health care. It was at this point that Dr. Matthews was chosen for deployment to Afghanistan, which he says was a difficult time for him and his family, but also a valuable experience for his future medical career. His family was not allowed to come, as he was stationed on the frontlines in a small Forward Operating Base. The pressure and complexity of his duties were immense. “In the entire southeast portion of the county, I was the only person that knew how to do trauma or orthopedics,” he said. “I spent 6 months doing and performing really complex life saving procedures. Anything


that came right off the frontlines, we were the first people to treat it.” Due to the Geneva Convention and other international agreements, Dr. Matthews treated soldiers from all countries and from both sides of the conflict, including Romanians, Germans, Iraqis and Afghanis. “It was really a unique experience, one that I don’t want to repeat, but at the same time it was very fulfilling because I knew that I was doing something that was very important, that was life saving and limb saving,” he said. Furthermore, Dr. Matthews says his military experience makes him a unique asset to his patients in American Fork. His exposure to a broad array of injuries in a high-stress environment makes him a composed, proficient orthopedic surgeon who can quickly and accurately diagnose injuries and know how to treatment them. His military experience combined with years of sports medicine training making him an especially capable surgeon. Now, instead of treating injuries from gunshots and explosions, Dr. Matthews treats ACL ruptures, meniscus tears, ankle breaks, wrist fractures and other common orthopedic injuries in the civilian world. He performs open reduction internal fixations, which is to place broken bones in the right place, and fix them with screws or plates. He is an expert in ACL reconstruction, rotator cuff repair, shoulder labrum reconstruction, elbow surgery and cartilage repair. He is also experienced in using minimally invasive, arthroscopic techniques.

Patients shouldn’t wait around weeks and weeks for care, he says, and the Intermountain team does a good job at making the patient experience positive. “We really push here at IHC to make the experience better for the patient,” he says. “We search for ways to provide the best comprehensive care.” One specialty of Dr. Matthews is rotator cuff surgery. He spends a lot of time teaching and counseling patients about the procedure. He has developed a plan of care reduces recovery time drastically from the average of 12-18 months. “The shoulder is complex, and there could be a variety of issues,” he explains. “It takes years to master, years to understand.”

MEET THE DOCTOR Dr. Matthews is married with 3 children. He is an ex-athlete, having played basketball, football and golf. He loves spending time outdoors with his family. He is also active in the community, providing medical services for the Lone Peak High School football team.

SIGNS YOU NEED CARE Pretty much everyone has cartilage damage, says Dr. Matthews, but certain things indicate you should go see an orthopedic specialists: gg Stiffness gg Catching gg Swelling gg Locking gg Post participation pain swelling gg Inability to do normal motions

Utah Valley Orthopedics & Sports Medicine – North Valley American Fork

3. “I have a joint problem, so I need to see an orthopedic surgeon.” It is typical for people with muscle, bone or joint issues to feel like they should go see an orthopedic surgeon. But Dr. Evans says that 75 percent of injuries that lead people to see an orthopedic surgeon don’t actually need surgery. While orthopedic surgeons can still treat these conditions in most cases, a nonsurgical sports medicine professional like Dr. Evans may be the better option.

Matthew Evans, MD Common Misconceptions With Common Spor ts Injuries A broken finger or a knock on the head can leave us wondering what we’re supposed to do to heal properly. Dr. Matthew Evans, a non-surgical sports medicine specialist in American Fork who knows a thing or two about athletic injuries, has some helpful insight. A former college football player, Dr. Evans relates to the concerns of active people of every variety. He focuses helping people find the quickest ways to healthy and full recovery, so they can get back to doing what they love. There are a few misconceptions about common injuries, such as broken fingers and concussions, which Dr. Evans encounters frequently.

1. “I broke my finger, but I’m not going to a doctor because there isn’t much he/she can do to help.” Dr. Evans explains that this mentality about broken fingers and toes is wrong, and potentially harmful. Every broken bone should be evaluated and immobilized. “Some people just want to walk around and take some ibuprofen,” Dr. Evans says. “In many cases, the bone needs some guidance to heal properly.” If the broken finger or toe isn’t given the proper care, the consequences can be serious and long-lasting.

“There can be problems down the road as far as range of motion,” Dr. Evans says. “Some people will lose the ability to fully extend or bend their finger. Some people say ‘while I have nine others,’ but we use our hands for everything.” If a broken toe doesn’t heal correctly, it can jut out the wrong way, pointing to the outside, which puts the person at risk for future toe breaks and stubbed toes. Furthermore, the individual’s shoes may no longer fit right.

2. “He didn’t pass out, so it’s not a concussion.” Concussions are a hot topic in recent years, especially for youth, but there are still some serious misunderstandings, explains Dr. Evans. Not being knocked out after a blow to the head does not mean the person doesn’t have a concussion. In fact, Dr. Evans says, most of the time loss of consciousness doesn’t happen with a concussion. Another common error parents can make is to assume that their child doesn’t have a concussion because the coach looked in the player’s eyes with a light, and didn’t see any issues. Looking at a person’s pupils with a light is actually done to determine if there is problem with pupil constriction, which can be a sign of a concussion. It is just part of the diagnostic process, and is not sufficient for a definite concussion diagnosis.

“That is why our field of nonsurgical sports medicine was developed, to have people that can more effectively treat these nonsurgical injuries,” Dr. Evans says. Nonsurgical approaches to joint issues can mean less pain, less healing time, and less time away from the activities people want to do, compared to surgical approaches. For example, if there are calcium deposits in the rotator cuff causing mobility issues, it can often be treated effectively with an ultrasound-guided injection, or with manipulation of the tendon with a needle. Dr. Evans is also trained in manual manipulation of the spine and pelvis, which is a nonsurgical approach to treating spinal injury. This technique, which has been used for more than 100 years, can be used to increase mobility and decrease pain. Dr. Evans’ makes sure to spend plenty of time with each patient, and has close oversight over each patient’s progression. For example, if a patient needs physical therapy, Dr. Evans will outline for the therapy team what the patient should and should not do. The Utah Valley Orthopedics and Sports Medicine team in American Fork consists of physicians with a broad range of training, so that each patient receives coordinated, comprehensive care all in one office.

North Valley 98 N 1100 E Ste. 103 American Fork, UT 84003 Phone: 801-492-2330

October 2016









801.943.1751 74 HEALTHY MAGAZINE

HairrestoRat 2104 FORT








*actual patients of Dr. Zufelt

If you’re thinking about hair restoration, think about doing it right. Permanently. With one of Utah’s most experienced microfollicular transplant specialists and thousands of very happy clients, The results simply speak for themselves. DR. MICHAEL ZUFELT

i o n C e n t e r o f U t a h .c o m UNION BLVD, SLC, UT

October 2016


HEALTHY MAGAZINE | Advisor Client Content

PLAN FOR A HEALTHY MOUTH How waiting till the last second for dental care causes problems and wastes money.


he key to good dental health is consistent home care supplemented by regular visits to your family dentist. One of the best ways to jump start your dental health is through bi-annual dental check-ups. I know that seeing the dentist isn’t on the top of most people’s priority list. But by visiting the dentist before you have a major problem, we are able to help you stay ahead of the little things, such as plaque and cavities, which helps to prevent the bigger issues, procedures like root canals and extractions. Prioritizing your dental health is one of the easiest ways to jump start a better overall quality of life. Little things like stained teeth, bad breath, or a sore tooth can have huge effects on your daily life, but are things that are easily treated and prevented by your dentist. Even though you can’t see it, your mouth is full of bacteria. Although most of the bacteria is harmless, without proper oral hygiene, the bacteria can quickly cause dental and other health problems. Conditions such as cardiovascular disease, endocarditis, and premature births, have all been linked to poor oral health. So remember, spending a little time to take care of your teeth can pay huge dividends with the rest of your physical health.

ups a year. You don’t want to wait until the last minute to realize you need to get your family into the dentist. A lot of people wait until the last few weeks of the year to schedule their dental visits which often causes a busy schedule with few available openings. By scheduling in advance, you are better able to have appointment times that work with you and your family’s busy schedule. This is the exact same thought everyone else is having, which results in a booked out dental schedule that is nearly impossible to get in to. Dental insurance and other health plans are something you have already paid for by the time you step into a dental office.

With the end of the year quickly approaching, another thing to consider while planning your next dental visit is the yearly calendar. Most insurance and flex spending plans allow for two regular check-


By not utilizing your entire plan, you end up leaving money on the table that you can’t get back or use next year. This is why I always recommend patients to plan out their calendar in advance, so they know they are getting all the health and dental benefits that they are already paying for. So make sure to schedule your annual check-ups with your family dentist today. Not only will you see immediate improvements to your teeth, you will also see benefits to your overall health, and get the most use out of your insurance money.

Joseph S. Maio D.D.S.

Apex Family & Cosmetic Dentistry (801) 758-5459


Dr. Maio grew up in Riverton, Utah. He received his undergraduate education in Denver, Colorado at the prestigious private institute, Regis University, where he graduated Magna Cum Laude. Dr. Maio is the CEO and a practicing dentist at Apex Dental, with 7 office locations across Salt Lake, Utah, and Tooele counties.

HEALTHY MAGAZINE | Advisor Client Content

Heartburn Treatment


Comparing heartburn medication with other options.


s many as 4 out of 10 Americans have symptoms of gastroesophageal reflux disease or G.E.R.D as it’s called. The third most common prescription medications in the United States are proton pump inhibitors (PPI’s). They turn off about 90% of the stomach acid. That is helpful if it is coming back up into your esophagus damaging the lining and giving you a burning sensation. Your swallowing tube sits behind the heart. GERD can cause you to feel like your heart is on fire, which is why its called “heartburn.” This uncomfortable sensation can be made worse by several factors such as overeating, being overweight, spicy food, peppermint, chocolate, smoking, some medications, and eating large amounts at night then laying down. Avoiding some of these factors as much as possible will reduce heartburn symptoms in many people. Some people may have some chest “discomfort” or a pressure sensation that can mimic other medical problems. Another condition that creates an increased risk for heartburn is a hiatal hernia. It is when there is too much space around your esophagus as it passes through the diaphragm before joining the stomach. That enlarged opening can then allow your stomach to slide up into your chest and weaken your body’s own defense valve against GERD. A hiatal herinia can develop from pregnancy pressure, being overweight or you may be genetically predisposed to have one. Thank your parents. What if you still have symptoms, then what? The next weapon of defense against acid after avoiding aggravating factors is trying to turn off the acid. This can be improved by “antacids” such as Tums, baking soda, or other neutralizing agents. If you still need help then you may benefit from a prescription medicine such as a PPI. They do work well for a lot of people. If you have improvement then you may need to stay on that medication for a significant period of time. There can be a significant rebound effect when you stop them. That means the acid level may be higher than it was before you started medication. It is usually temporarily and causes you to feel like your heartburn is actually worse than it was before you started the medication. That’s not good. Some studies have shown that PPI’s failed to eliminate acid reflux in 30 to 50% of patients and they don’t reduce non-acid reflux commonly called regurgitation. When regurgitation is severe people can bend over after eating and have lunch come back up.

Most people can take medication and do very well. But, there can be significant side effects especially for long-term use of PPI’s in some people. Studies have shown an increased risk of pneumonia due to lack of neutralizing acid in the stomach. There’s an increase incidence of colon infections because the same mechanism. Your body requires acid to liquefy calcium and other minerals to be absorbed into your body effectively. Turning off the acid may decrease your absorption of calcium and may lead to increased bone fractures with long-term use. The most recent concerning study showed some evidence about risk of dementia such as Alzheimer’s with long-term PPI use especially in the elderly. These risk are not very high but they are real. So what else is there? Many people don’t know there are surgical options. They are very effective. It significantly reduces the likelihood of food or acid coming back up into the esophagus. It

is commonly reserved for people who have breakthrough symptoms despite other attempts to resolve their symptoms, those who have regurgitation, or when there is concern about long-term medical treatment. The operation is to close the enlarged opening and “wrap” the top of the stomach around the lower end of the esophagus to keep it from sliding back up into the chest. It improves the natural valve mechanism to keep stomach contents from coming back up. In my experience patients are very happy with the results. Who wouldn’t be happy to have the fire put out? The effectiveness of surgery can decrease over time from 95% success initially to 75% at 5 years out. In our program most patients have the procedure as an outpatient, with a minimally invasive technique and return to work in 7-10 days. There are risks to having surgery. Those should be discussed with your surgeon if you are considering that treatment as an option.

Darrin F. Hansen, MD, FACS Utah Lap-Band and General Surgery 801-523-6177

Dr. Hansen is a Center of Excellence surgeon for the LAPBAND procedure. This credential is given to surgeons who maintain the highest standards for bariatric patient care. With over ten years of weight loss surgery experience in Utah and over 1000 LAP-BAND procedures combined with ongoing advanced training and techniques, patients have the best chance for excellent results.

October 2016





Don’t assume people know how to help your child when he or she has an asthma attack. Talk with your child’s teacher(s). Inform them of the symptoms (recurrent coughing, shortness of breath, wheezing, etc.) that can develop and inform them on how to help your child use an inhaler.


Talk with the school nurse. Inform him or her that your child has asthma. Ask what precautions can be made to help keep your child safe, such as keeping a rescue inhaler near your child at all times. Review the protocol with the nurse and ask who will notify parents or guardians if your child has an asthma attack. Identify any potential asthma triggers in the school at that time as well.


Talk with your child. Make sure he or she knows what to do when having an asthma attack. Encourage your child to seek out help from an adult when he or she first develops symptoms instead of waiting.


Schedule a visit with your allergy and asthma specialist. It is helpful to have your child’s lung function assessed and make sure his or her asthma is controlled prior to returning to school. At that visit, bring necessary school forms to be reviewed and signed so that your child’s rescue inhaler can be kept with him or her at all times. You can develop an asthma plan with your doctor at that time. Lastly, you can either have your child receive the flu vaccine or plan when they will be vaccinated.


Make sure your child is taking his or her controller medications as prescribed if one has been prescribed. This could potentially help minimize asthma attacks at school and could keep your child safe. Compliance with asthma medications and the asthma plan is so important. Please ensure your child is getting the appropriate medications as prescribed.

Being very open and honest with all those that your child is surrounded by can help relieve some anxiety. Always be willing to teach others about how best to help your child.

Ready or not here it comes! Back to school time is already upon us. There’s hustle and bustle in the clothing stores and the school supply aisles are packed with eager and excited students and parents. For parents who have children with asthma it may not be as exciting. It can be very overwhelming. Provided are some tips to get ready for the school year. 78 HEALTHY MAGAZINE


DR. DO UG L A S J ONES Dr Jones is the medical editor for Healthy Magazine for Allergy, Asthma & Immunology. He attended school at Penn State University College of Medicine. He can be reached at: 801-775-9800,, Twitter:@RockyMtnAllergy

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October 2016



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October 2016



Healthy Miami | October '15