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healthy valley

® MIAMI

ISSUE 11

AVOIDING

PARENT-CHILD ARGUMENTS IS GARCINIA CAMBOGIA

BE IT

RESOLVED THAT...

Able to Support Weight Loss?

How Do I Keep That New Year’s

RESOLUTION?

Dr. Scott

Bernstein DPM Kendall Sports Medicine

SCAN THIS QR CODE TO VIEW ONLINE MAGAZINE

PERSPECTIVE


Publisher Mauricio Portillo Editor in Chief Claudia Portillo Del Valle Marketing Director Arnaldo Del Valle Copy Editor Lora Incardona

Claudia Portillo

Editor in Chief

Website Director Healthy Media Graphic Design Healthy Media

With the advent of the January comes yet another chance to start a new year full of new aspirations, desires and an tireless amount of new goals that need to be set. Professional Golfer, Arnold Palmer, once said that “The road to success is always under construction.” That being so, the good news is that we are all “works in progress!” Positive change can come to you tenfold if you decide to take control and do something about it. Making a change in yourself will also take you a step closer to making a change in those around you. We may think that because of our past and our present situations we are destined for failure, that we have no opportunities; however, I met quite a few wonderful people last year, people who inspired me to believe that as long as I work hard and have faith, I can accomplish my dreams. This same mantra is true for anybody who truly believes the same When you’re ready to make a lifetime change, always remember: Don’t do it alone. Look for the right people and surround yourself with positive and successful individuals who can help you with the advice and information that will make your process more enjoyable and less frustrating. As many of our readers are athletes in their own right, whether they run in the park, go to the gym, play on a sports team or play with their children or grandchildren, we bring to you sports medicine doctor Scott Bernstein. Sports injuries are a serious matter and, if not properly addressed, could keep an athlete sidelined for much too long. Read why Dr. Bernstein cannot underestimate the importance of sports medicine. I wish you all a happy and prosperous 2014, filled with many blessings and with the ability to make the changes that will help you become that healthy fulfill individual you were created to be.

Photography Gala Ricote Fabiola Peñaloza Contributing Writers Joseph Zebede, MD, FACC Cathy Parbst-Accurso Christina Peña, M.D. Virgilio Sanchez Jr M.D. Ritu Goel, M.D. Megan Clunan, MA, LMHC, LPC Andreea Macoveiciuc Lora Incardona, M.Ed. Maria Luisa Salcines Charlotte Libov Carolina Mar tinez Rubel Shelly Steve Stanley Frankie Ruiz Social Media Director Faride Del Valle

hm healthy magazine is a free monthly publication. All contents are protected by copyright and may not be reproduced without written consent from the publisher. The material in this magazine is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments. healthy magazine and its contributors accept no responsibility for inaccuracies, and the advertiser is solely responsible for ad content and holds publisher harmless from any error.

cportillo@healthyvalleyonline.com Contact@HealthyMagazine.com 1430 S. Dixie Highway, Unit 315 Coral Gables, FL 33146 PH 305-395-4554 www.HealthyMagazine.com


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ISSUE 11

WHAT’S

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INSIDE HEALTHY KIDS 8. 10.

AVOIDING PARENT-CHILD ARGUMENTS CHILDREN GET HEADACHES TOO

HEALTHY BODY, MIND & SOUL 12. BE IT RESOLVED THAT... 14. DR. SCOTT BERNSTEIN, DPM 16. JAIME FLORES, MD 18. HEART DISEASE AN EPIDEMIC THAT IS PREVENTABLE AND REVERSIBLE 22. CERVICAL CANCER CHRISTINA PEÑA, M.D. 24. SYNCOPE

FITNES & BEAUTY 26. HOW TO IMPROVE PERFORMANCE & PREVENT INJURIES 28. PERSPECTIVE 30. HOW DO I KEEP THAT NEW YEAR’S RESOLUTION? 34. IS GARCINIA CAMBOGIA ABLE TO SUPPORT WEIGHT LOSS? 36. BOTOX FOR YOUR HAIR?

Contact@HealthyMagazine.com | 1430 South DIxie Hwy, suite 315, Coral Gables, Fl 33146 | PH 305-395-4554 | www.HealthyMagazine.com


healthy

Kids

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8.

AVOIDING PARENT-CHILD ARGUMENTS

10.

CHILDREN GET HEADACHES TOO


HM

healthy kids

AVOIDING

PARENT-CHILD ARGUMENTS

by Maria Luisa Salcines Most parents know from experience that the more you try to reason with a child during an argument, the more the levels of tension rise on both sides. The best way to deal with this kind of situation is to avoid doing battle with your child. There are many things parents can do to avoid power struggles with their children. The next time you find yourself arguing with your children, try these suggestions. •

GIVE THEM CHOICES. For example, my four-year-old grandson never wants to go to bed when he spends the night. So, instead of asking him if he’s ready for bed, I just smile, hold his hand and guide him up the stairs. When he complains, I change the subject by asking him a question (e.g., “Which book do you want me to read to you tonight?”) Immediately he’ll rush to the book shelf in his bedroom to pick out a book. STOP NAGGING AND LEARN HOW TO USE FRIENDLY ACTION. Some parents nag so much that their children become “parent deaf.” The next time you ask your child to do something and he doesn’t do it, use friendly action to remind him. Here’s an example: Your son has left his shoes in the living room again. You’ve asked him twice to pick them up and he still hasn’t done it. Without arguing with him, gently guide him over to the shoes and point at them. ASK FOR WHAT YOU WANT USING ONE OR TWO WORDS. Parents make over 2,000 compliance requests daily—Get dressed; Brush your teeth; Hurry up; Eat your breakfast, etc. Eventually your children will begin to tune you out. One way to stop nagging is to tell your children that from now on you are only going to use one word. The next time you want them to do something, use a friendly voice and say, “Teeth,” “Breakfast,” “Shower,” or “Bed.” REMEMBER THAT MISBEHAVIOR IS A FORM OF COMMUNICATION. Some parents believe that when their children misbehave they are being “bad,” and they spend time trying to fix the bad child. When we allow ourselves to view our children this way, it will drive us to more power struggles with them.

Our job as parents is to listen and try to understand what our children need. When a child misbehaves, he is trying to tell you something. Maybe you haven’t spent enough time with your child or your child is sleepy, hungry or has been hurt by one of his friends. I heard a recording the other day that said that the average American child receives approximately thirteen minutes a day in actual communication with his parents. If nine minutes of those thirteen minutes are spent arguing with your children, that only leaves four minutes to say or do something positive.

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HEALTHY VALLEY

Spend time with your children, talk to them and listen to them. Sometimes parents have more patience with strangers than they do their own children. Children need to feel valued, loved and respected. When these needs are met their behavior will improve. When you learn to understand your children it will be easier to avoid power struggles and effectively handle or avoid arguments altogether.


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healthy kids

THE MIGRAINE MYSTERY Scientists are still baffled by the causes of migraine headaches. The most recent conclusion is that they are the result of inherited abnormalities and affect specific brain regions. Adolescents and children who suffer migraines also may have inherited tendencies affected by triggers such as bright lights, fatigue and changes in weather. There are other acknowledged triggers of migraine headaches: depression, anxiety, a change in sleep pattern or routine, certain beverages, loud noises, food additives and even certain foods. Some young females experience a painful headache during a change in their menstruation cycle. Sunlight in abundance and excessive physical activity can also be triggers.

by Steve Stanley

CHILDREN GET

HEADACHES TOO Many parents fail to realize that headaches and migraines are very common in children. Most of these headaches are not results of a serious illness nor indicative of a brain tumor. Very often, these headaches are caused by a minor illness, cold, infection or fever. Common conditions, such as sinusitis, sore throat and ear infection, can also be the root causes of headaches in children.

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HEALTHY VALLEY

THE TENSION HEADACHE Let’s not forget the tension headache, which can be a sign of a more serious problem. Children also experience stress and anxiety. Remember that everything is relative. What may be insignificant to you may be a major cause of stress to your children. Pushing your children to excel in school can, in and of itself, be a cause of great stress, as can be the emotional turmoil caused by family issues. Poor posture and back or neck strain can also be culprits. Some of the health conditions that tension headaches may indicate: • Hydrocephalus • Brain Infections: Meningitis, Encephalitis or an Abscess • Hemorrhage • Tumor • Blood Clots • Head Trauma WHAT TO DO? If your child is experiencing headaches or migraines, they should see a doctor for an evaluation. Physicians have many tools to help diagnose the problem. They may use CT Scans or even an MRI to determine if there is a structural problem. The treatment protocol will depend on the severity of the headaches and the symptoms presented. Such treatment may include stress management, education, medication or biofeedback training. THE HEADACHE DIARY Do not underestimate the power of a Headache Diary. This is a great tool to get a handle on headaches, for children and adults. Keeping track of your child’s headaches will present an opportunity to detect any patterns that may emerge. Perhaps you will notice that your child gets a headache after eating some chocolate, cheese or even bread. It could be that after a certain physical activity a headache occurs. This Headache Diary also will become a great diagnostic tool for your doctor.


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HM

HEALTHY SOUL

BE IT RESOLVED THAT... by Rubel Shelly What are your feelings about New Year’s Resolutions? For that matter, what is your feeling about the concept of a “New Year”? The New Year celebration was, after all, celebrated at the vernal equinox (March 20 in 2014) until the Middle Ages. That actually makes some sense to me, since the vernal equinox is the first day of spring! Ah, but history isn’t the point here. The point is resolutions. Do you make resolutions for whatever you mark as New Year’s Day? Have they been so vexing for you in the past that you have given up on them? Life occasionally requires resolutions – nothing more nor less than a plan to change something – to accommodate our proneness to err! Even if not as change but as renewed promises, what about these for 2014?

RESOLVED that God the Father, Son, and Holy Spirit will be the primary objects of my love and devotion in this New Year. RESOLVED that my fellow human beings will be treated with respect, dignity, and justice in all situations of my personal and professional life. RESOLVED that love – understood as unselfish care for others – will become the hallmark of my life and all its relationships. RESOLVED that Holy Scripture will have a regular place in my life for the sake of grasping the nature of God and understanding his heart and will for humanity. RESOLVED that my faith will be informed and guided by Holy Scripture above my own inclinations, desires, or tendency at self-justification. RESOLVED that 2014 will be a year of adventure in which I seek out new friends, learn new skills, and contribute to new causes that are worthwhile. RESOLVED that I will exhibit sensitivity to the needs and desires of people around me so that their lives can be better and happier because of my presence. RESOLVED that hope built on the faithful promises of God will dominate any tendency I have to carry pessimism and gloom into the lives of others. RESOLVED that the Kingdom of God will be a practical concept for me in 2014 and that I will try to nudge the world back toward Eden for heaven’s sake. RESOLVED that righteousness will be my daily passionate pursuit as I try to speak, act, and relate in ways that consciously imitate Jesus Christ. RESOLVED that joy will accompany me and flow through me to people who live in a world that too often seems to revel in negatives and foster melancholy. RESOLVED that a lifestyle of peace will replace the frenetic worry and hectic pace that only frustrates me and tends to annoy others. In January, March, or September, these declarations of intent carried through would make a difference that would make all the difference.

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HEALTHY VALLEY


healthy

Body Mind & Soul

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12.

BE IT RESOLVED THAT...

14.

DR. SCOTT BERNSTEIN, DPM

16.

JAIME FLORES, MD

18.

HEART DISEASE AN EPIDEMIC THAT IS

PREVENTABLE AND REVERSIBLE

22.

CERVICAL CANCER CHRISTINA PEÑA, M.D.


HM

healthy body

Dr. Scott

Bernstein By Charlotte Libov

Kendall Sports Medicine

DPM

Dr. Scott Bernstein, a podiatric sports medicine specialist at Kendall Sports Medicine in South Miami, has been practicing medicine for almost 20 years and has been with Kendall Sports Medicine nearly his entire career. Originally from New York, he took the opportunity to complete his residency in foot, ankle and leg trauma in Miami and Hollywood Florida. Sports medicine is the area of medicine that deals with the treatment and prevention of injuries related to sports and exercise. It also involves researching sports-related injuries to study causes and cures for the many injuries caused by physical movement. While with Kendall Sports Medicine, Dr. Bernstein has seen many advances in sports medicine through improved training, injury prevention and enhanced patient care. Interestingly, one of the new important developments in sports medicine is the recognition of the dangers of physical inactivity. Dr. Bernstein joined Kendall Sports Medicine in 1998 with the intention of working with professional athletes, specifically baseball, football and basketball players. But they do not make up his entire clientele. Dr. Bernstein also works with non-professionals who have sustained injuries from sports, exercise and other physical activities. It was as a youngster that Dr. Bernstein decided to be a doctor of podiatric sports medicine, a specific offshoot of the more general branch of sports medicine. As the name suggests, podiatric sports medicine focuses on the treatment and prevention of injuries caused by sports and exercise relating to

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the lower extremities. It was Dr. Bernstein’s personal involvement with all types of sports as a youth that sparked his interest in podiatric sports medicine. Most athletes know that, when injured, ice is for pain and heat is for ache; however, the importance of proper and thorough sports medical care must not be underrated. “When injured, it’s very important to be seen by a sports medicine physician right away to determine immediate and future treatment to allow the patient to get back to their activities as fast as possible. Not being seen early can be detrimental to the patient’s well being and can delay them from getting back to their activities and sports,” says Dr. Bernstein. Proper sports medical care can affect physical development and healing. If intervened correctly, future injuries can be prevented and the patient’s ability to play and participate in sports can be increased, which is one reason why the patientdoctor relationship is so important. Dr. Bernstein explains, “When there exists a good relationship,


it’s easier for the patient to properly heal and enjoy future sports.” The doctor’s advice: In order to stay healthy, it is very important to eat correctly and exercise regularly. Eating is 80% of keeping in good shape; with a good diet we can maintain our health. Exercise is 20%. If we injure ourselves during sports, it is very important to seek care with a sports medicine specialist so you can be guided in the right direction to get your life back on track to participating in your sport of choice. Outside of the office, Marley, my wife, is not only Kendall Sports Medicine office manager but the backbone to our family. We have two beautiful children. Mitchell, 18, attends University Central Florida. He is majoring in graphic design. Lynzi, our daughter, is 16 and attends Cypress Bay High School. She aspires to be a physician one day. Besides spending priceless time with my family, I love going to the gym: cardio with speed bag and weight lifting are my favorites, although I love most gym-related activities.

When there exists a good relationship, it’s easier for the patient to properly heal and

enjoy future sports

EDUCATION Muhlenberg College 1988 BS & Temple University Podiatric Medicine 1992 Hollywood Medical Center, Hollywood, FL

HEALTHY MIAMI

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Plastic Surgeon

Jaime Flores, MD Aesthetic & Reconstructive Surgical Associates S. Miami Plastic Surgeon

Board certified in plastic surgery, Dr. Jaime Flores is a leading expert in breast reconstruction surgery. He has performed over 1,500 DIEP Flap procedures in his 10 years of practice—each within 4-6 hours. Dr. Flores’ practice expands the discipline of plastic and cosmetic surgeries, but he holds a particular interest in the art of breast reconstruction. His primary focus is on “flap” procedures, especially the DIEP Flap. He has mastered this microvascular approach to breast reconstruction by utilizing the patient’s autologous, or own, tissue. A flap of skin can be taken from a distinct area of the patient’s body, such as the back, buttocks or abdomen, and then be transplanted to the chest, along with the reconnection of blood vessels to the newly reconstructed area. Dr. Flores graduated from the University of Maryland Medical School in 1998. He then completed a residency in Otolaryngology and a fellowship in Plastic and Reconstructive Surgery at Johns Hopkins in 2005. He spent several postgraduate years as a full-time Assistant Professor at the Johns Hopkins School of Medicine, Division of Plastic and Reconstructive Surgery teaching young residents how to excel in the field of plastic surgery and is now an American Board Certified Plastic Surgeon.

Dr. Flores’ dedication to surgery and his commitment to excellence are evident every day, to his patients here and abroad, as he strives to deliver excellent care here in the United States and throughout the world. Dr. Jaime Flores is more than just your average plastic surgeon. He prides himself in changing the lives of children and adults through his generosity, compassion and service. His life’s mission is to free those who’ve been stricken with physical deformities and bodily harm all around the world.


Dr. Flores specializes in reconstructive breast surgery, which includes reconstruction surgeries such as the DIEP, SGAP, LSGAP and TUGS as well as tissue expanders, implants, reductions and lifts, all with minimal scarring. His practice is dedicated to state-of-the-art reconstruction of the breast, head and neck, as well as aesthetic surgery.

By refining the SGAP procedure, Dr. Flores helped Johns Hopkins to establish itself as one of two places in the world offering bilateral SGAP surgery for breast reconstruction. In the last two years, he has developed an alternative flap (LSGAP) that he pioneered while at Johns Hopkins, which bears his name, “Flores flap,” also known as the “Cushion flap,” which harvests tissue from the love handle area without any muscle dissection or distortion to the gluteal region. All of these microvascular flaps give patients additional options for a natural aesthetic result.

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HIGH STANDARDS In addition, Dr. Flores, along with select colleagues, founded The Healing Hands Foundation (THHF), a non-profit foundation dedicated to delivering surgical care to underprivileged people all over the world. Every year he attends four to five international medical missions where he performs surgeries for cleft lips, cleft palates, burn scars and other congenital deformities. He has been involved in missionary work since his college years and continues to devote his life and career to healing those in impoverished communities. His vision is to perform surgeries around the globe and to provide teaching seminars to medical professionals who can then perform these surgeries in their own local communities. He encourages students from high school through all professional levels to volunteer. He believes such experiences will enrich their lives and foster their future careers. His love for volunteer work originated from the time he was just an undergraduate student at the University of Maryland, where the doctor he shadowed volunteered at a local hospital every Saturday. It was there that Dr. Flores learned through the patients’ eyes the importance of volunteering. Seeing how appreciative the patients were and hearing them vocalize how much they loved the doctor for his time and help, Flores became certain that he would do the same. Through both The Healing Hands Foundation and the Pink Petals Foundation, Dr. Flores has been able to accomplish his goal.

Aesthetic & Reconstructive Surgical Associates, LLC

Ph. 786.471.4299 | Fax 305.397.1154 www.drfloresplasticsurgery.com

SERVICES OFFERED BREAST Breast Reconstruction Breast Augmentation Mastopexy (Breast Lift) Breast Reduction BODY Thigh Lift Brachioplasty (Arm Lift) Body Lift Abdominoplasty (Tummy Tuck) Liposuction Abdominal Wall Reconstruction Laser Skin Resurfacing FACE Rhinoplasty (Nose Surgery) Facelift Platysmaplasty (Neck Lift) Blepharoplasty (Eyelid Surgery) Otoplasty (Ear Surgery) Head and Neck Reconstruction Botox Treatments Chin and Cheek Implants

6705 SW 57th Ave, Suite 510 Coral Gables, FL 33143

EXPERT PROFILE

Discover New Confidence


HM

HEALTHY BODY

Heart disease is our nation’s number one killer, accounting for 1 out of every 4 deaths each year!

HEART DISEASE

An Epidemic that is Preventable and Reversible The primary cause of heart attacks and strokes is the gradual clogging, hardening and damage done to the inside walls of our blood vessels. Heart attacks major warning signs and symptoms may include: • • • • •

Chest pain or discomfort. Upper body pain or discomfort in the arms, back, neck, jaw, or upper stomach. Shortness of breath. Nausea,lightheadedness, or cold sweats

YOU CAN PREVENT AND EVEN REVERSE HEART DISEASE BY FOLLOWING A HEART-HEALTHY LIFESTYLE Here are 10 strategies to help you protect your heart: 1.

2. 3.

EAT A HEALTHY WHOLEFOOD DIET - Eat at Least 8 to 10 servings of colorful fruits and vegetables a day, which contain important disease fighting micronutrients. Also eat lots of beans and legumes, raw nuts, seeds, avocados, whole grains and some lean meats. Reduce or avoid processed foods. These usually contain high amounts of sugar, salt, harmful trans-fats and artificial chemicals. AVOID TOO MUCH SUGAR - which can raise your blood pressure and damage your arteries-maintain a fasting blood sugar between 70- 85 mg/dl. GET MOVING -avoid a sedentary lifestyle. Regular physical activity is a must for having a healthy heart. Exercise helps you maintain normal weight. Excess weight is a risk factor for heart disease, diabetes, and high blood pressure.

4. DON’T SMOKE OR USE TOBACCO - Smoking or using tobacco is one of the most significant risk factors for developing heart disease. 5. TAKE TIME TO RELAX -We live in a fast-paced hectic world that’s often stressful Take some time daily to meditate. Sit quietly for 10-15 minutes, take slow, deep breaths and think peaceful thoughts. 6. TAKE CARE OF YOUR TEETH -people with periodontal disease are more likely to have heart disease and suffer a heart attack than those with healthy gums. Floss daily! 7. CHECK YOUR CHOLESTEROL -Your total cholesterol should be under 200, and your LDL should be ideally under 80. But more importantly, your ratio of HDL to total cholesterol should be more than 24%. Your ratio of triglycerides to HDL should be below 2. 8. KNOW YOUR BLOOD PRESSURE - Optimal blood pressure is less than 120/80 millimeters of mercury. 9. LIMIT ALCOHOL -In addition to raising blood pressure, too much alcohol can add unneeded calories to your diet. If you drink alcoholic beverages, have only a moderate amount- one drink a day for women, two drinks a day for men. 10. GET REGULAR HEALTH SCREENINGS - Regular screening can tell you what your risks are and whether you need to take action. Make sure to consult your healthcare professional for any questions concerning your heart health or when to begin any exercise regimen.

If you think that you or someone you know is having a heart attack, you should mil 911 immediately.

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Call MCCI We’ll send you an information package and arrange a private tour of your nearest MCCI location

1-888-670-MCCI (6224) by Virgilio Sanchez Jr M.D.

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HEALTHY VALLEY

www.mccigroup.com


PABLO J. ACEBAL, M.D.

BRAIN • Brain tumor • Head injuries • Cerebral bleeds • Trigeminal neuralgia CERVICAL • Neck pain • Herniated disc • Cervical stenosis • Vertebral fractures

Board Certified in Neurosurgery Doctor of Medicine Albert Einstein College of Medicine of Yeshiva University, New York, NY General Surgery Internship Montefiore Hospital Medical Center, New York, NY Neurological Surgery Residency University of Puerto Rico, San Juan, PR Spinal Neurosurgery Fellowship University of Miami/Jackson Memorial Hospital, Miami, FL 11760 SW 40th St., Suite 511 Miami, FL 33175

Ph. 305-220-2455 Fax 305-220-2448

THORACIC • Mid-back pain • Thoracic stenosis • Vertebral fractures

LUMBAR • Low-back pain, sciatica • Herniated disc • Lumbar stenosis • Vertebral fractures

www.thecnsgroup.net SERVICES • MINIMALLY INVASIVE SURGERY • MICRODISCECTOMY • LAMINECTOMY • INTERVENTIONAL PAIN MEDICINE AND PM&R • SPINE REHAB • PHYSICAL THERAPY • CRANIOTOMY (BRAIN TUMOR, HEMORRHAGE, OTHER) • CYBERKNIFE RADIOSURGERY • CARPAL TUNNEL RELEASE • PERIPHERAL NERVE SURGERY • KYPHOPLASTY (VERTEBRAL FRACTURES)

ALLAN M. JORGE, M.D.

Board Eligible in Neurosurgery Doctor of Medicine University of Chicago, Chicago, IL General Surgery Internship Northwestern University, Chicago, IL Neurosurgery Internship Northwestern University, Chicago, IL Neurosurgery Chief Resident and Instructor Northwestern University, Chicago, IL Spine Fellowship in Adult and Pediatric Degenerative Spine Northwestern University, Chicago, IL 6705 Red Road Suite 522 Coral Gables, FL 33143

Ph. 786-517-8650 Fax 786-517-8657


GEORGE C. IBARS, M.D.

LLOYD I. MALINER, M.D.

DANIEL R. MARIN, M.D.

Board Certified in Neurosurgery

Board Certified in Neurosurgery

Board Certified PM&R and Interventional Pain Medicine

Doctor of Medicine Medical College of Pennsylvania, Philadelphia, PA General Surgery Internship Abington Memorial Hospital, Abington, PA General Surgery Residency Abington Memorial Hospital, Abington, PA Neurology Residency Tulane Medical Center, New Orleans, LA Neurosurgery Residency University of Miami/Jackson Memorial Hospital, Miami, FL Hospital

Doctor of Medicine Union College in Schenectady, NY General Surgery Internship Medical College of Hampton Roads in Norfolk, VA Neurosurgery Training University of North Carolina at Chapel Hill Neurosurgery Residency Hershey Medical Center of the Penn State University in Hershey, PA

Doctor of Medicine University of Miami Miller School of Medicine, Miami, FL General Surgery Internship St. Raphael / Yale Hospital Program New Haven, Connecticut Physical Medicine & Rehabilitation Residency Emory University, Atlanta, GA Interventional Pain Medicine Fellowship Emory University, Atlanta, GA

301 NW 84th Ave., Suite 206 Plantation, FL 33324

6200 SW 72nd St., Suite 403 South Miami, FL 33143

Ph. 954-862-7099 Fax 954-862-7296

Ph. 305-370-3439 Fax 305-430-6006

6200 SW 72nd St., Suite 403 South Miami, FL 33143

Ph. 305-740-8036 Fax 305-740-8137

ANTONIO R. PRATS, M.D.

MICHAEL E. GOMEZ, M.D.

JOSEPH A. TRAINA, M.D.

Board Certified in Neurosurgery

Board Eligible in Neurosurgery

Board Certified in Neurosurgery

Doctor of Medicine University of Miami, Miami, FL General Surgery Residency Emory University, Atlanta, GA Cerebrovascular Fellowship Emory University, Atlanta, GA Neurosurgery Chief Resident Emory University, Atlanta, GA

Doctor of Medicine Tulane University School of Medicine University of Miami Bachelor of Science in Chemistry, minor in Biology and Art HistoryCum Laude General Surgery Internship Parkland Hospital/University of Texas Southwestern Department of General Surgery Neurosurgery Residency Parkland Hospital/University of Texas Southwestern Department of Neurological Surgery

Doctor of Medicine University of Miami, Miami, FL General Surgery Internship West Virginia University, Morgantown, WV General Surgery Residency West Virginia University, Morgantown, WV Neurosurgery Fellowship University of Vienna, Vienna, Austria

3661 S Miami Ave., Suite 401 Miami, FL 33133

Ph. 305-854-4334 Fax 305-854-6966

777 E 25th St., Suite 409 Hialeah, FL 33013

Ph. 786-456-4152 Fax 786-456-4153

6200 SW 72nd St., Suite 403 South Miami, FL 33143

Ph. 305-740-8036 Fax 305-740-8137


HM

HEALTHY BODY

“Cervical cancer is highly preventable in most Western countries because screening tests and a vaccine to prevent HPV infections are available. When cervical cancer is found early, it is highly treatable and associated with long survival and good quality of life.”

CERVICAL CANCER

CHRISTINA PEÑA, M.D.

Cervical cancer is a completely preventable cancer with proper screening. We know so much about how this cancer develops that our screening exams are not designed to look for cancer but to detect the earlier stages that cells go through prior to cervical cancer. Many different treatment options are available for those early stages which would prevent the progression to cancer. First, understand that 99% of cervical cancer is caused by a sexually transmitted disease. This is not the type of cancer that can genetically run in families where you would worry you were at risk if a relative had it. It is caused by the Human Papilloma Virus. Approximately 75% of the population already has been exposed to this virus. It is transmitted by direct sexual contact either orally, digitally, and even if a condom is used in intercourse. Once you are exposed to this virus, as is the case with any virus, you will always have it. There is no cure or treatment to rid ourselves of this virus. What we can do is detect the presence of the virus and any destruction it is causing in time to prevent it from progressing to a cancer.

Now a vaccine does exist for HPV. It is in fact recommended for both men and women to help control further spread of the virus and ultimately cancer. However, for a vaccine to work, you cannot have been exposed to the strain prior. For this reason, health insurance companies generally cover the vaccine for boys and girls from the ages of 9 - 26. No matter what the age, it will not work if you have been exposed already to the virus. Also, be aware that the vaccine does not cover all the HPV types. There are over 100 types of HPV virus in this family of virus. Our most complete vaccine only covers 4 of these types. Fortunately, they are the 4 most common HPV types we see in the US today. Within this family of HPV, there are some strains we label ‘high risk’ and others we label ‘low risk’. The reason is that they do not all act the same nor cause the same destruction. Those we call ‘high risk’ have the potential to act aggressively and cause a cancer if not caught in time. Those we call ‘low risk’ are not aggressive enough to change cells toward cancer. However, I can guarantee you that not one of my patients would want


these strains either because these can cause genital warts. This is why routine prevention examinations are important for women. These exams specifically look for early evidence of either of these diseases. When transmitted sexually, the virus prefers to invade the cervix, which is deep in the vagina. Once exposed, the virus can enter and damage any of the cells in its path. It can invade the cells on the skin of the labia, the walls of the vagina, and the cervix. But while it is present in all those areas, it prefers to invade the cervix and cause cervical cancer, before it would ever likely cause a vaginal or a vulvar cancer. The reason I find fascinating. I can best explain it as follows: Viruses are generally lazy. They sleep the majority of their life cycle. We call them dormant in this stage, from ‘dormir’. Yet they want to survive and cause destruction. So if they want to survive, they will prefer to enter cells that are rapidly dividing. In this way, if they do very little work and get into 1 cell, they will be spread further as that cell divides. Compared to the cells in the labia, the vagina, and the cervix, those on the cervix divide the quickest. So that’s where the virus will first choose to invade and we would more likely see a cervical cancer, before any chance of a vaginal or vulvar cancer. How do you know if you have cervical cancer? There are no symptoms. There is no pain, abnormal discharge, or odor until a tumor already exists. And this never has to happen. Cancer of the genitals is completely preventable with proper screening. So what are these screening tests? We have traditionally recommended the pap smear. The pap smear is when a brush is passed along the cervix to essentially exfoliate the cells that are on the surface so we may look at them under a microscope. We want to see that they are not disfigured. Now I’m going to give you some good news and some bad news. The good news is that we know so much about how this virus transforms the cells towards a cancer, that the pap smear can catch those stages that the cell goes through. Based on what stage

it is caught in, there are treatments that can get rid of those cells and never allow a cancer to develop. The bad news is that the pap can be wrong up to half of the time. This means that up to 50% of the results that come back as “normal,” may have missed an underlying abnormality. This is where HPV testing can help. We have the capacity to test for the virus itself from the same pap smear sample. This result will guide us as to whether we should believe what the pap is saying, or investigate further. Now, it is not mandatory for a gynecologist to test for HPV at the time of your pap. There are guidelines that we follow based on the patient’s age and history for testing it. In my office, I do offer it to all my patients. I test not only for the presence of the virus, but which strain you may have. I also test for something called HPV E6/E7. I covered this briefly in an earlier article. It is the latest technology in testing not just if you have been exposed to HPV but how aggressive might that strain be. If any of the screening exams suggests there may in fact already be some damaged cells on the cervix, the next step is to take an actual sample of the area. This is done by a method called colposcopy. A microscope, called a colposcope, is used to look at the cervix directly. Any areas of concern seen are then biopsied for confirmation. The results will return in stages. Generally, stages 1 - 3. Depending the stage, and how long it may have been there, there are different minimal office procedures that can be done to remove that layer of abnormal cells. In essence, once the damaged layer of skin cells on the cervix are removed, you start from scratch again. This means, your cells are back to normal again. You still have the virus, but you will not develop cancer. Please schedule your cervical cancer screening exam with your doctor this year. Start the year off right. Cervical cancer is a completely preventable disease. While there is not yet a cure for the virus, there is a cure for what the virus can do.

SURGICAL PROCEDURES 1. Robotic surgery for the treatment of endometriosis or infertility; removal of the uterus, fibroids, ovaries, cysts and/or scar tissue 2. The benefits of robotic surgery include minimal scarring, minimal blood loss, lower risks of infection or injury, and a minimal recovery period. 3. Laparoscopic surgery for tubal ligation, ectopic pregnancy or other minor conditions and indications 4. Essure: a procedure for permanent sterilization without any incision or recovery period 5. Hysteroscopy: evaluation of the uterine cavity for treatment of infertility, polyps, heavy bleeding or removal of intrauterine contraceptive device 6. Prevention and treatment of cervical precancerous cells and genital warts 7. Insertion or removal of Mirena, Paraguard, Nexplanon birth control methods COSMETIC PROCEDURES 1. Labialplasty 2. Vaginal tightening 3. Scar revision, both surgical and noninvasive methods 4. Removal of skin tags, lipomas or other unwanted skin abnormalities MEDICAL TREATMENTS 1. Treatment of heavy or irregular periods 2. Bio-identical hormone replacement therapy for symptoms of menopause 3. Infertility workup and treatment 4. STD testing and treatment 5. Birth control 6. Low and high risk pregnancy care Exclusive concierge 24/7 access

CHRISTINA PEÑA, M.D. South Florida

OB-GYN SPECIALIST

PH. 305-227-8727. 7400 N Kendall Drive, Ste 507, Miami FL 33156


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healthy body

Syncope by Joseph Zebede, MD, FACC

What makes a young maiden faint at the sight of her prince charming? And what makes her valiant prince lose consciousness years later, long after sustaining a fall from his white stallion? Syncope, or fainting, is one of the most common conditions evaluated by medical personnel. It accounts for approximately 3% of visits to emergency rooms. Despite its frequent occurrence, however, it is relatively poorly understood. The definitive diagnosis of the cause of syncope oftentimes remains elusive. The difficulty in establishing a precise diagnosis rests in part in the fact that syncope may have a myriad of causes from simple, so-called “vagal� spells, which may occur because of pain or nausea, to complex cardiac arrhythmia or neurologic (brain) disease. When a person loses consciousness, it is essentially because of one of two reasons: either there is not enough blood supply to the brain or the brain function itself is altered. Thus, someone may lose consciousness because low blood pressure is reducing the amount of blood reaching the brain or because of the brain having a seizure as a primary event.

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Reasons for a low blood pressure include changes in body position and dehydration, as well as obstruction to the flow of blood as may be seen with certain cardiac valve abnormalities (e.g., aortic stenosis). A drop in blood flow may also happen because either the heartbeat is too slow or has stopped altogether, thus reducing the amount of blood pumping to the brain, or because the heart rate is so rapid that, in effect, the heart cannot pump the blood appropriately. The key to the diagnosis of syncope is a detailed history and a basic evaluation. A physical examination is performed, which may suggest disease of the arteries, abnormalities of the heart valves or nervous system problems. Typically, testing for fainting may involve an ECG (electrocardiograph), an ultrasound of the heart (echocardiogram) and one or more types of cardiac monitoring. Examples include 24-hour monitoring (Holter monitor) and long-term monitoring for one or more weeks (loop or event monitors). Further testing may involve measurement of blood pressure for 15-40 minutes while standing (tilt test) in order to detect the propensity to drops in blood pressure under certain circumstances. An electrophysiology study is a form


of cardiac catheterization in which small electrode wires are threaded from the leg veins into the heart. Electrical measurements are made that, in turn, may shed light on the origin of the condition. For instance, problems with the conduction of the electrical impulse in the heart leading to slow heartbeats can be diagnosed. In addition, abnormal “electrical circuits” that can lead to very rapid heartbeats (tachycardia) may be found. Oftentimes these can be corrected at the same time by a procedure called catheter ablation. Other testing may include evaluation of the arteries that irrigate the brain (carotids, vertebral) as well as brain scans (CT or MRI). Testing for seizures may involve a brain wave test called electroencephalogram (EEG), which generally takes a few hours. Rarely an ambulatory EEG, lasting for 24 hours or more, may be indicated. Another cause of syncope and seizures may be markedly abnormal blood sugar levels. This can be evaluated by blood tests and/or a glucose tolerance test, which is a series of blood sugar levels taken at multiple intervals after a fixed dose of glucose is ingested. In cases where fainting events are very infrequent and far apart in time from each other, and when the evaluation has been unremarkable, a small monitor may be implanted. This acts as a computerized “chip” that records abnormal heartbeats automatically or when the patient activates it immediately after an event. Readings are obtained via a programming wand and a computer. Clearly, the treatment for syncope will depend on its cause. It may range from increasing hydration and posture exercises to medication for seizures or implantation of a cardiac pacemaker or defibrillator. If significant cardiac valve disease is present, a valve may need to be fixed or replaced. If carotid arteries are significantly obstructed, they may need surgery to clear the obstruction, or a stent (a scaffolding inside the artery) deployed in order to keep an artery open. Now that we have a clearer understanding of the mechanisms, we may propose that the princess fainted because of a reflex that lowered her blood pressure (A tilt test would have helped in the diagnosis.) and she needs better hydration. The prince, however, is likely having seizures as a result of head trauma upon falling from his steed (He will likely need medications.). In summary, syncope is a common condition with multiple potential origins. One must investigate the cause of the symptoms thoroughly in order to prescribe targeted, effective therapy.

JOSEPH ZEBEDE, MD, FACC Mount Sinai Medical Center 4308 Alton Road, Suite 980 Miami Beach, FL 33140 Aventura Hospital Campus 21000 NE 28th Avenue, Suite 203 Aventura, FL 33180 PH. 305.674.6770 | info@epconsult .net

HEALTHY MIAMI

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Fitness FITNESS&&beauty BEAUTY

Country and Track and Field Coach, (who will be the running Coach of the Columbus High this year) states that “She catered her visits to address the specific needs of my team (60+ athletes) She focused her seminars on things such as stretching, nutrition, posture, flexibility, shoes, core exercises self mobilization. The information and concepts she explains and demonstrates are progressive and up to date with recent research. Anyone can have information, but the dynamic delivery Cathy uses is imperative (especially with high schoolers) for absorption. The rapport that she builds with the kids in her visits is impressive. Her interactive seminars really lead the kids to experience the information that she is offering. The kids spend the hour laughing and learning (and getting healthier). Each of the seminars was followed up with an email with videos demonstrating what we had gone over attached for distribution to the kids.

By Cathy Parbst-Accurso

Getting the Active and Athletic back in action. Athletes Treating Athletes Cathy Parbst-Accurso, PT, CKTP is an expert in her field for 19 years and is now providing the best in injury prevention/ performance enhancement services to athletes and active people in Miami. Her office has been specializing in evaluating and treating runners for the past 10 years and has been providing specialized clinics to the local high schools and running clubs and teams. As a former National Duathlon Champion and someone who was ranked 12th in the world as a Professional athlete in her sport, she knows what it takes, not only to excel in a sport, but to prevent the injuries that one may be prone to. With the recent technology in her office of the Optojump Next, Cathy and her staff are able to provide patients with the most advanced technology to measure when an athlete is able to return to sport. It is also able to measure gait problems in any individual who has been injured or has had surgery. The Opto-jump is currently being utilized at the Olympic training center as well as with professional sport teams as a tool to measure real time data that is used to find out where a person’s imbalances lie. This

can prevent injuries as well as safely return a person back to sport or activity. At In Balance Physical Therapy athletes are treated by evaluating the source of their problem and every patient is given complete one on one care on their visit. Cathy and her staff of manual therapists evaluate your body as a complete biomechanical chain to find out the source of the problem, not just the symptoms. Movement video analysis and skilled hands-on techniques are applied to restore function along with education for prevention of future recurrences of injuries. As function is restored, and pain decreases the ability of the human body is able to sustain activities of postural alignment during work, activities of daily living and athletic workouts. They also work on targeting the autonomic nervous system to help decreases internal and external stresses on the body which will help increase the healing process. There are many testimonial letters that state the benefits of her services. In one of such letters, Eric Pino, the Coral Reef Head Cross

CATHY PARBST-ACCURSO Owner - PT, CKTP, Certified Rock Doc To know more or request a consultation, call 305-251-2912 or visit www.inbalancephysicaltherapy.net

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I confidently recommend her services to anyone in need of them. Athletes were not only treated but also educated regarding their injuries. In another letter, Micah Gill, an RRCA and USATF certified running coach states that he “has found no better physical therapist than Cathy Accurso in all his years. She makes an attempt to connect with each runner, finding out their individual concerns, and then addressing their issues. Her talks are always vibrant & dynamic while her demeanor is very supportive & compassionate. She is always well informed on all the latest scientific research available & she has the unique ability to relay that information in a way that everyone can understand it and apply it to their own needs.” Hence, Cathy is an expert in her field who is providing the best in injury prevention/ performance enhancement services to athletes and active people. Cathy also teaches free seminars at local churches and business called the Maximized Living classes along with her husband Dr Joe Accurso. These classes provide a transformational experience to the students and empower them to lead a life of health and happiness through education on exercise, nutrition and lifestyle. If you would like them to teach at your business or church, please contact her at Accursopt@gmail.com


FITNESS &

Beauty

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26.

HOW TO IMPROVE PERFORMANCE & PREVENT INJURIES

28. PERSPECTIVE 30. HOW DO I KEEP THAT NEW YEAR’S RESOLUTION? 34.

IS GARCINIA CAMBOGIA ABLE TO SUPPORT WEIGHT LOSS?

36.

BOTOX FOR YOUR HAIR?


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Fitness & beauty

Perspective By Megan Clunan, MA, LMHC, LPC

People are happier, increasingly hopeful and more goal oriented on January 1 than at any other time of the year. Individuals create New Year’s resolutions filled with new plans, impassioned hopes and valiant dreams.

Albert Ellis established Rational Emotive Behavioral Therapy (REBT). Basically REBT states that individuals largely feel the way they think. When problem behaviors and emotions are present, this is likely due to faulty thinking.

The sense of a new beginning is exciting and the new year collectively ignites this sense within humanity, unlike any other world event. People desire to pursue their dreams, impact the lives of those around them for the greater good and do what they love with excellence. Humans are designed with purpose and to thrive rather than simply survive. Every new year provides a reminder of this reality, hence the act of creating New Year resolutions.

People resolve to “do better” in the new year because they know they can do so. The welcoming in of a new year reminds them of the true self they want to be, and somewhere inside know they can be. The purposeful pursuit of doing “better” improves attitude, drive, passion and compassion. One’s life cannot help but be impacted for the good when this is the perspective; however, when this perspective fails and faulty thinking seeps into its place, thoughts such as, “Improving this area of my life is too costly for me,” or “I don’t really deserve that promotion,” or “My dream is ridiculous, considering who I am,” problem behaviors (not exercising, giving a less than excellent effort at work, forfeiting working through relational conflict with a spouse, etc) develop and problem emotions (ambivalence, depression, anxiety, complacency, disappointment) follow.

Unfortunately, by the end of January a little over 1/3 of all New Year resolutions die. Somewhere in the 31 days of January, perspective of one’s life changes and hopes of what the new year could hold seem to weaken. I am sure there are many excuses (ahem...I mean, legitimate reasons) why resolutions fade but the main cause I see is that individuals lose healthy perspective of themselves and their capabilities. According to the Merriam-Webster Dictionary perspective is defined as “the capacity to view things in their true relations.” January 1 resolutions are made because people perceive themselves as maintaining the willpower to better their lives—be that mentally, physically, emotionally, relationally, professionally or otherwise. Resolutions are made because people choose to recognize their innate ability to improve, contribute, impact and strive. When individuals choose not to view themselves in their true capacity to the self, others and society, perspective shifts, which is often exemplified by resolutions fading.

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When individuals lose a healthy perspective of the self, they lose their true self, they lose who they have the created capacity to be. Faulty thinking holds individuals captive in a much more narrow frame of reference, where accepting surviving rather than thriving becomes a way of life. The narrow frame of reference is irrational, must be challenged and replaced with logical thinking. Instead of thinking you are incapable and undeserving, consider why you may be capable and deserving. Recognize whatever you desire to improve will take work but this ability is already within you. What matters is healthy perspective.


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Fitness FITNESS&&beauty BEAUTY

How Do I Keep

That New Year’s

RESOLUTION?

“Everyone is an athlete. But some of us are training, and some of us are not.” Dr. George Sheehan, runner/writer/philosopher

By Frankie Ruiz This is the time of year that people consider various New Year’s resolutions and I’m hoping you’ll resolve to take up running or some other form of physical exercise. If you are already running, make sure that one of your resolutions is to keep on with your running routine. The questions I have for both sets of people are: Have you ever truly identified what encourages and gives you that extra push to stick with the run? Is there something that motivates you enough to lace up those Nikes and run out your door before the sun comes up? What can possibly move you enough to get you to finally join that training group or run club as they pound the pavement for what seems like meaningless miles of running? Here’s the deal: We all have moments when our motivation spikes high enough to get us to run. I don’t know too many runners who can’t point back to that moment when they decided to stop or keep going. Even Forrest Gump had that moment when he just decided to run and run and run. A lot of thinking tends to precede a person’s decision to actually start exercising consistently. There are excuse-filled thoughts ranging from “It’s too hard,” to “My body isn’t made to be a runner,” all the way down to arguably the most common thought “I don’t have the time.” Let’s get you ready for these thoughts so that you aren’t hindered by them, neither before you start nor after you have taken a few laps around your block.

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I want you to ask yourself right now: Why am I running or exercising? I know the tense used in the question is implying that you are a runner or physically active right now and that is a good first step in thinking optimistically. Go ahead and ask yourself why. Now pause for a moment, think about your answer and hold onto it, as we will come back to your response shortly. I have been coaching for years and my role isn’t just to get my athletes to run faster but to stay motivated to continue to master the sport of running. It is no easy task for a person to stick with running; however, as the old saying goes, nothing that is worth it is easy. Throughout the years I have heard people tell me why they run and I have to say that it is quite possible that most of their answers are less than inspiring or motivating to the average person. Very few of those lines would be used in a TV commercial or magazine ad to advertise running. The responses from people vary and include being in-shape, clearing their minds, losing weight and relieving tension as well as it is less expensive than other forms of exercise, it’s a bucket list item and it helps them to feel young. The list is endless of what I would call unmotivated, boring and pragmatic reasons. Folks, we have to dig deeper than that! All those reasons are simply common-sense and logical answers, but the problem is that running is insane! Running doesn’t make sense at first glance, or even at second or third. In fact I would argue that it is a

completely irrational activity. Does it make sense that many of my friends are still on their fourth dream in bed on a Saturday morning and I am almost done with my 10-mile run, probably under the deluge of a Miami rain storm? Of course not! So what will motivate you to get yourself to wake up early to run or to run after a tiring day of work? The answer is that you need to take the answer to the earlier question— Why am I a runner?—and to that answer, ask in a yelling manner “Why?” until you get an emotionally charged response. It may sound like this the first time: “Why am I a runner?” Response: “Because I want to be healthy.” Second question (yelling): “Why do I want to be healthy?” “Because I want to give it my best shot to be alive and well to be there when my daughter has my first grandchild!” You see how the second answer may move you to fight through the little things that make it easy to quit or possibly never start? Dig deep and take some time with your answers, as your true motivation may be a few layers under your first few responses. Peel back the layers and get to the core answer that is filled with power and emotion so you make that New Year’s resolution one that you can keep. I must warn you, though, this is an exercise you may have to go through more than once because motivations do change and often require well-refined reinforcement, as it isn’t just one moment but many moments that make up a healthy and fit lifestyle. Don’t stop running in 2014!


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Fitness FITNESS&&beauty BEAUTY

Is Garcinia Cambogia

Able to Support Weight Loss? By Andreea Macoveiciuc

Garcinia cambogia is widely used in weight loss supplements. Manufacturers claim that this plant from Indonesia can help with faster weight loss; however, researchers seem not to agree with marketers, as studies have showed the plant isn’t able to trigger significant weight loss.

Whenever a new weight loss product launched on the market is mentioned by a celebrity, its popularity peaks overnight. This is pretty much what has happened with garcinia cambogia supplements. Since Doctor Oz mentioned them in one of the show’s episodes, the popularity of these products started growing and lots of faux supplements started appearing, obviously claiming to be endorsed by the renowned showman.

WHAT STUDIES SAY ABOUT GARCINIA CAMBOGIA In a randomized controlled trial, the effects of HCA were tested in 135 obese people, results showing that the acid failed in providing the claimed benefits. In fact, the fat loss of those who took the placebo was greater, which means that the plant had absolutely no effect in terms of weight reduction.

But what does science have to say about garcinia cambogia? Is this supplement really revolutionary and able to provide the miraculous weight loss and health effects mentioned in the bold headlines used for marketing campaigns?

Still, the GC supplements available on the market incorporate other ingredients as well, so there is still one small chance for the combination of those ingredients to actually support weight loss. ConsumerLab.com, an independent company that tests the safety and quality of health products, examined 11 different garcinia cambogia supplements with results showing that six of the supplements contained lower amounts of HCA than marketed and one of those supplements only provided 16% of the HCA concentration stated on the label.

GARCINIA CAMBOGIA FOR WEIGHT LOSS—MYTH OR FACT? Before taking a look at the available studies and research papers, it’s worth mentioning that this plant, originating in Indonesia, is promoted as a natural fat loss agent, able to prevent the storage of new lipids and to inhibit appetite in order to promote weight loss. Looking like a small green or yellow pumpkin, the plant is traditionally used for cooking, various species of GC being popular as ingredients for traditional recipes in Thailand, Burma, Malaysia, the Assam region of India and other Southeast Asian countries. In the Ayurvedic medical system, the plant is mentioned as a natural digestion stimulant, mainly thanks to its sour taste. Also, extracts from GC are used for curry condiments in India and Thailand. People in Sri Lanka use it for seasoning fish dishes and in South India people use this plant as a natural medicine, thanks to its antibacterial properties.

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NOTHING UNUSUAL OR MIRACULOUS HERE, RIGHT? The medical science community seems to agree that GC is not a miracle product, with most of the available studies showing that the garcinia cambogia supplements available on the market aren’t able to produce significant weight loss effects, nor is the direct administration of HCA (hydroxycitric acid), the main ingredient in GC, thought to be responsible for the claimed fatinhibiting action of this plant. HEALTHY VALLEY

Yet there is one study showing that daily administration of HCA for 12 weeks can cause significant weight loss in overweight people. The study was conducted at Purdue University, the test group receiving 1,200 mg of HCA on a daily basis. After the test period, women taking the acid lost 55% more weight than those in the control group. So what do we know for certain? We know that the GC supplements available on the market are often poorly qualitative and many of them provide very low amounts of HCA, so they are quite unlikely to trigger the claimed health effects. On the other hand, as two studies have shown, very high doses of HCA administered daily can support weight loss but they are also likely to put one’s health at risk, as toxicity is one of the proven side effects of this ingredient. To summarize, garcinia cambogia may have some positive effects on weight loss but further research is needed to establish whether the daily intake of GC is harmful or not and whether the benefits provided by garcinia cambogia outweigh the potential negative side effects of this weight loss supplement.


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Fitness & beauty

BOTOX

We detoxify our bodies, why not our hair? Especially after the summer, hair has a tendency to be damaged due to the sun and chlorine build up, even product build up. O2 DETOX is a unique oxygen therapy that detoxifies the hair and scalp by removing all impurities. It is not just another hair treatment. Oxygen Detox is enhanced with natural jua extracts and joazeiro bark. The O2 DETOX combo defends the hair from the impurities and chemical residue present in damaging elements and styling products. Nutrient Serum provides a complete transfusion of health and vitality to hair, delivering the finest and most powerful nutrient blend of coconut oil; karite butter; vitamins A, B, C and D; and a blend of anti-oxidant-rich strawberries, kiwis, cranberries, oranges and limes. All of these leave the hair soft and shiny. Thermo Protector closes the cuticle, resulting in soft, shiny, healthy hair. It also defends the hair from harmful UV ray exposure and maintains moisture by providing a hydrophobic film around the hair shaft. The beauty is that it does not wash out after a one-time treatment, rather it lasts up to 20 shampoos. Thermo Protector is also recommended prior to a color service in order to enhance and add vibrancy to the hair color. Those of us not detoxifying may find ourselves doing some Botox. Essence of Youth is a great treatment for someone who has had years of chemical processing and heat styling done to their hair. Similar to Botox and other cosmetic procedures, Essence of Youth promises to turn back the hair’s clock by smoothing away imperfections and removing damage accrued over the years. It contains collagen and other natural active ingredients that restore the hair’s elasticity and youthfulness by penetrating and filling in gaps in the hair shaft.

O2 O2 is a unique oxygen therapy that detoxifies the hair and scalp. O2 releases oxygen that removes all toxins and impurities from the hair and scalp, followed by an infusion of nutrients and oils, resulting in healthy and luxurious hair.

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HEALTHY VALLEY

FOR YOUR HAIR? Treatment includes an anti-aging shampoo that removes residue from chemical processing, oxidation, pollution and styling products that clog the hair cuticles and prevent the absorption of nutrients. It is followed by Anti-Aging Collagen, which is an exclusive blend of exotic and powerful ingredients that penetrate the hair from cortex to cuticle, creating a structural lifting similar to Botox. The formulation generates collagen and elastin that rejuvenate the hair shaft. The next step is Revitalist, which is an innovative formulation that utilizes the LunaMatrix system, an effective agent for restoring hair mass lost from aging and oxidation. The final step is Defrizzing Serum, which creates a protective hydrophobic coat around the hair shaft, preserving the moisture inside the hair strands, leaving intense shine, moisture and extended strength. This treatment lasts 2-3 months, depending on lifestyle and maintenance. This is also a progressive treatment, which means that the more often the treatment, the better the hair quality. Who would benefit from these treatments? Anyone wanting to have healthy looking hair, no matter their hair type. Can I do the treatments myself of should they be done by a professional? The products are sold only to licensed cosmetologist, so you need a professional to do the treatment. Where can I have the treatment done? At Cosi Chic Blow Bar, Salon, & Spa. Call today for your appointment and have youthful hair tomorrow. Call us at 305-284-1095.

ESSENCE OF YOUTH Utilizes the latest in Anti-aging technology to restore hair volume and reverse aging caused by damage. Essence of Youth is a damage reversal treatment that uses the anti-aging properties of collagen, elastin, and antioxidants to repair damaged hair and combat signs of aging, restoring hair’s youth, shine, and volume.


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COMMUNITY EVENTS JANUARY 25

EVERY 2ND TUESDAY

WalkABout Autism & Expo Dan Marino Foundation 9:00am – 1:00pm Sun Life Stadium 2269 NW 199th St., Miami Gardens For more information, call 954-530-5511.

Alzheimer’s Association Support Group 7:00pm – 8:30pm The Palace at Kendall 11377 SW 84th Street, Miami For more information and to register, please call Rosanna AFTER 1pm at 305-665-2806.

13 Weeks To Weight Loss Success with Acupuncture & Herbal Medicine 10:00a to 11:30a Coral Gables Acupuncture 2645 Douglas Rd., Suite 502 Miami, FL 33133 For more information, call 305-446-3009

WEDNESDAYS

JANUARY 27

Free Amplified Phones for Senior Citizens 10:30am – 11:30am Deaf Service Center of Palm Beach County 3111 S. Dixie Hwy., Ste. 237, West Palm Beach For more information, call 561-802-3353.

Detoxification for Healthy Weight & Happiness 7:15 pm Patricia and Phillip Frost Museum of Science 3280 S. Miami Ave. Miami, FL

Youth & Recovery with Nar-Ateen 7:00pm Kendall Community Church of God 8795 SW 112th St., Miami For more information, call 305-256-4247.

THURSDAYS FEBRUARY 1 Color Me Rad 5K Miami 9:00 a.m. Sun Life Stadium 2269 NW 199th St. Miami Gardens, FL 33056 For more information, call 305-943-8000

Weekly Farmers Market 8:00 am – 3:00pm Cleveland Clinic, Jagelman Conference Center 2950 Cleveland Clinic Blvd., Weston For more information, call 954-659-5000. EVERY 3RD THURSDAY

Tropical 5K 7:30am Jungle Island 1111 Parrot Jungle Trail, Miami For more information, call 305-278-8668. FEBRUARY 2 The Village Maternity Services Grand Opening 2:00p to 5:00p Inner Look Beauty Center 4925 SW 74th Ct. Miami, FL 33155 For more information, call 786-287-8891

Alzheimer’s Association Support Group 1:00pm – 2:30pm Riviera Presbyterian Church 5275 Sunset Drive, Miami For more information and to register, please call Rosanna AFTER 1pm at 305-665-2806. FIRST SATURDAY OF EACH MONTH Fibromyalgia Support Group 12:00 PM - 2:00 PM Miami Children’s Hospital Palmetto Bay Outpatient Center 17615 Franjo Road Please contact Maria Vazquez at 305-898-1899 or fibromiami@gmail.com for more information.


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