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MARCH | APRIL 2020
WEâ€™RE ALL IN FOR KIDS RECOGNIZING
Au ti s m Aw a r e n e s s How to
Cosmetic Gynecology for Every Woman's Needs JAIME L. SEPULVEDA MD FACS FACOG
More for Your Heart Harry Aldrich, M.D. Cardiology South Miami, Coral Gables
Orlando Almanza, M.D. Cardiology South Miami
Jaime Ghitelman, M.D. Interventional Cardiology South Miami, Doral
Joshua Harris, M.D. Cardiology South Miami
Abbe Rosenbaum, M.D. Cardiology South Miami
Yale Samole, M.D. Cardiology South Miami, Coral Gables
South Miami Location Medical Arts Building 6200 Sunset Drive, Suite#401 South Miami, FL 33143 305-666-4633
Julio Barcena, M.D. Advanced Heart Failure Coral Gables, Doral
Javier Jimenez, M.D. Advanced Heart Failure South Miami, Coral Gables
Eric Schroeder, M.D. Interventional Cardiology South Miami
David Bejar, M.D. Cardiology Doral, Coral Gables
Dan Krauthamer, M.D. Interventional Cardiology South Miami
Matthew Snow, M.D. Cardiology South Miami
❤ Best Heart Specialists in South Florida coming together for your Cardiac Health ❤ Convenient Hours & Locations ❤ Full Range of Cardiology Services ❤ Next Day to Same Week Appointments ❤ Saturday Hours Available
Jorge Cuello, M.D. Cardiology South Miami
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Nestor M. Demorizi, M.D. Cardiology Kendall
Jose Martel, M.D. Electrophysiology South Miami
Luis Ortiz-Munoz, M.D. Cardiology Coral Gables, Kendall
Leonard Zwerling, M.D. Raquel Bernal, ARNP Patricia Chavarria, ARNP South Miami South Miami Cardiology South Miami
South Miami Location Coral Gables Location Medical Square Building 4675 Ponce De Leon Blvd, Suite#203 7330 SW 62nd Place, Suite#310 Coral Gables, FL 33146 305-666-4633 South Miami, FL 33143 305-663-1001
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Jonathan Dunn, M.D. Cardiology Coral Gables, Kendall
Kendall Location 8500 SW 92nd Street Miami, FL 33156 305-666-4633
Phillip Erwin, M.D. Structural & Interventional Cardiology South Miami, Coral Gables
Gerardo A. Polanco, M.D. Cardiology Kendall
Marlen Padron, APRN
Lauren Frost, M.D. Cardiology South Miami, Coral Gables
Yasser Rodriguez, M.D. Electrophysiology Kendall, Doral
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Spring Cheers to a New Year! Renews and Inspires
Let’s not dwell on the past, instead let’s look toward our future with passion, understanding, and humility. January is the time for wiping the slate clean. Not only for making resolutions, but reinventing the way we live our lives.With a focus on “inspiration, perhaps no other issue of Inspire Health is as important as our March-April edition. It not only embodies So one of your goals isbut to perfectly start the new yearthe with a focusofonrenewal, heart theifmagazine’s mission, captures message health, you’ll want to read up on our “Easy Cardio Activating Exercises” or positivity, and growth that spring traditionally brings. take in the “Top 5 Foods for Heart Health” that will guide your shopping habits inSpringing 2020. right into the guts of our coverage with a focus on renewal, did you know that Good Gut Health allows your body to kick start the And what better timeRead to do more so than during Month in regenerative process? inside theseAmerican pages – Heart and you’ll know! February. Traditionally the month for all things heart related, we hope to In toourtake positivity got uplifting newsthat on the inspire you care of department, your heart inwe’ve the many stories here are benefits related of learning How to Shut Down. Just 20 minutes a day of easy meditative to the field of cardio vascular care. practices can help you live a more positive and satisfying life. Lest we not forget, this is also the time of year for lovers, to celebrate Andtonothing is as–crucial the with cognitive growth of young people, those closest your heart and nottojust another humdrum dinner out. which is dramatically spelled out in our piece entitled, Why You Should That’s why we encourage you to “Bring the Love” with creative activities to Encourage your Day. Children to Study the Arts. celebrate Valentine’s a time whenstory family and ThenSpring be sureis toalso read our cover on and Dr. friends Michaelcelebrate ForemanEaster – a real Passover. Ok, Passover pretty much has a set menu, but Easter allows eye opener for patients who are open to the idea of pursuing the “Ultimate for newOpinion.” twists on When classic itdishes. sure tochronic hop over to our recipe for Keto Second comesSo to be treating degenerative health Easter Morning Asparagus Fritatta. We also share with you Creative problems caused by high-blood sugar, gastro intestinal afflictions, or Ways todiseases, Dye Easter autoimmune thereEggs. are alternatives. In this we alsotime recognize. Colorectal Cancer During this issue, transitional of year,National it is our goal to inspire you Awareness to Month and International Autism Month. We’re doing our part reflect on what is important, healthy, and good in your life – not just to in raise awareness of these two diseases that impact millions of Americans every 2020, but beyond. year – and we hope we can inspire you to do the same. Be well!
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Inspire Health is intended for educational purposes only. Never substitute content contained in this publication for the advice of a health care professional. Jumpstart Publishing, LLC, and the publishers of Inspire Health neither endorse nor promote the products and services described herein. Readers should not use the information in Inspire Health for diagnosis or treatment of any health problem or for prescription of any medication or other treatment. Always consult with a healthcare professional before starting any diet, exercise, or supplementation program; before taking medications; and if experiencing or suspecting the onset of any health problems.
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contents MARCH | APRIL 2020
7 NATURAL BEAUTY Mineral sunscreen
Tips and tricks to keep your tummy in control
12 WELLNESS Gut health
Vegan potato salad with radishes, snap peas and dill
Recognizing Colorectal Cancer Awareness Month
20 EAT FRESH
Why grains get a bad rap
Flea and tick prevention
26 HEALTHY MIND How to shut down
Rhubarb crisp a vegetarian dessert with a whole grain oat topping
63-91 WE’RE ALL IN
For Kids 6
March § April 2020
32 SUPER FOOD
JAIME L. SEPULVEDA
50 SENIOR LIVING
Palace of South Florida and successful aging
4 Ways to show you care
The best detox bath ever
63-91 SPECIAL SECTION
Join us as we launch "We're All In For Kids" special section
Cancer fighting properties of broccoli sprouts
69 HEALTHY KIDS
72 MIGHTY KIDS
36 STEM CELL
Morning asparagus frittata Try regenerative treatments first WCU prides itself on success Coverage based on age and income
Motivating children to keep active Tips to get kids eating better The right allergy/asthma specialist CARD promotes early intervention Best Buddies is changing lives
Mineral sunscreens deflect UV rays and do not absorb into the bloodstream.
top using sunscreens that contain harmful chemicals! Endocrine system (hormone) disruptors, like oxybenzone, might just ruin your time in the sunshine.You should avoid anything that messes with your hormones! Mineral sunscreen is a great solution for a healthier you in the outdoors. Protecting yourself against skin cancer and premature aging is as simple as using the right products. Many conventional sunscreens contain a chemical called oxybenzone. They can also contain avobenzone, ecamsule and octocrylene. Not only is this bad news for you—it’s bad news for the environment. Chemicals like these are partially to blame
By Kristy Podruchny for the destruction of coral reefs. States like Florida and Hawaii have banned sunscreens containing oxybenzone effective 2021. Mineral sunscreens are safer for you and the environment. Avoid brands with nano-particles because these harm the environment and offer less protection. Mineral sunscreens deflect UV rays, do not absorb into the bloodstream and prevent skin cancer. These sunscreens are made from titanium dioxide and/or zinc oxide, and are usually accompanied by other natural, skin-soothing ingredients. They tend to be less irritating to sensitive skin and are popular among people with eczema.
Because mineral sunscreens physically block UV rays, it’s best to cover exposed skin and reapply often if you’re sweating and/or swimming. The bottle should give you a better idea as to how often to reapply, but it’s a good idea to reapply at least every two hours. If you’re using spray sunscreen, try not to inhale it. Embrace the chalky goodness of mineral sunscreen. While it may not blend as well as chemicalladen sunblock, at least you’ll see if you missed a spot! The benefits of protecting your health and the environment outweigh a few white streaks. Besides, the lifeguard look is in!
Combination of Stem Cells is a ‘Real Game Changer’ for Older Adults Seeking Faster Pain Relief At a recent gathering of fellow doctors and scientists involved in stem cell research and clinical application, Dr. Ramon Castellanos shared what he sees as a “real game changer” for older adults seeking faster and longer-lasting pain relief. During his recent keynote address at the 4th International Stem Cell Congress & Expo in Paris, he presented on the use of particulate grow factors from stem cell derived from placenta and umbilical cord in knee osteoarthritis.
The real game changer is combinations of stem cells to reduce pain faster Dr. Castellanos explained the good news that this approach is more effective in individuals older than 50 than using their own stem cells, either of bone marrow or derived from fat tissue. Over a period of 10 years, Dr. Castellanos reported he observed that this population of aging individuals was not responding as well as his younger patients to the conventional
approach at managing pain in joints affected by arthritis and other conditions such as herniated, ruptured discs. “Over time, we noticed than younger individuals had much better response autologous stem cell injections than those older than 50 years,” he said. Upon further investigation, Dr. Castellanos noted that stem cell begins to get scarce and less active when people turn 50 – which explains why most of his colleagues were often refraining from offering stem cell therapy in patients over 70. As a result, since 2015, Dr. Castellanos has been focused on finding and utilizing alternatives to replace the aging stem cells in those individuals older than 50. “When we started using stem cells derived from placenta and umbilical cords, the response was significantly better.” Over the next four years, Dr. Castellanos tried different combinations of stem cells derived from placenta and umbilical cord – and with spectacular results. He found that pain exhibited among his patients went away faster, and the relief lasted longer. And the best part was that
March § April 2020
he no longer had to invade the individual to collect their stem cells. This new revolution inside the revolutionary concept, however, needed to be proven. In 2017 Dr. Castellanos selected 20 individuals over age 50 with constant knee pain. They all agreed to be injected with the grow factors from placenta and umbilical cord, and then were followed closely at monthly intervals over one year. “All but one had significant improvement – and they were able to resume such simple activities as going up and down stairs,” he
reported. After one year, the 19 individuals reported their pain was still under control. As a result of his findings, this new and impactful approach caught the attention of the international community. “Despite the honor and relevance of being invited to present at the Paris conference,” he says, “the most important thing is being able to help people living in pain.” “By finding this solution for aging cells, we have achieved a real revolution inside a revolutionary concept in medicine that allows for the use of stem cell to improve orthopedic conditions in joints and spine, instead of medication and surgery,” he concluded.
For information, contact Dr. Castellanos at 305-2502355. For a second opinion without an in-office visit, send your MRI via email to email@example.com
MAY THIS YEAR
BE FILLED WITH HEALTH AND HAPPINESS.
INTERNAL MEDICINE, NEPHROLOGY, AND HYPERTENSION
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TIPS AND TRICKS TO KEEP YOUR
Lower abdominal leg raise
TUMMY IN CONTROL
NOT ONLY IS A SLENDER TUMMY CONFIDENCE BOOSTING, IT IS A SIGN OF GOOD HEALTH. A STUDY PUBLISHED IN THE “JOURNAL OF THE AMERICAN HEART ASSOCIATION,” FOUND THAT WAIST SIZE IS A STRONGER PREDICTOR OF HEART DISEASE THAN WEIGHT, ESPECIALLY IN WOMEN. TO TAKE CONTROL OF BELLY FAT, STICK TO A DIET WITH LEAN PROTEINS, HEALTHY FATS AND COMPLEX CARBOHYDRATES. BEGIN AN EXERCISE PROGRAM THAT INCLUDES AT LEAST 30 TO 60 MINUTES OF MODERATE-INTENSITY PHYSICAL ACTIVITY EVERY DAY. GET STARTED BY TRYING THESE FAT-BUSTING EXERCISES.
THE PLANK WITH LATERAL TOE TAPS
This whole body exercise integrates shoulders, abdominals and leg strength. Raising the leg tones the rotational oblique muscles for a chiseled look. A) Place forearms on the ground. B) Walk feet out until legs are straight. Keep hips raised in line with shoulders and ankles. Keep chin tucked in and head raised. C) Raise right leg off the floor and tap toes right by a few inches and back to the center. Repeat on left side. Repeat alternately for 60 seconds.
The Plan with late k ral toe taps
LOWER ABDOMINAL LEG RAISE
By strengthening these abdominal muscles, we prevent the lower back from over-arching and we can flatten the lower tummy. By raising both legs with knees bent, the abdominals become strong with less pressure on your back. A) Start by lying on back with arms by sides (for more resistance, raise body slightly) and raise both legs with knees bent into the air above hips. Hold for 10 seconds B) Lower legs while straightening knees until 3 to 4 inches from the floor. Hold for 10 seconds. Repeat ten times.
SIDE LEG RAISES
The abdominal muscles move us in all directions. This exercise focuses on the oblique muscles through the side of the body but also targets the shoulders and hips. A) L ie on your side with forearm on the floor and head resting in your hand. Keep legs straight with ankles in line with shoulders. B) R aise leg 24 inches above ground. Hold for 10 seconds. Lower leg to 4 inches above your bottom leg and hold for 10 seconds. C) Repeat on each side 10 times.
Side leg raises
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By Kristy Podruchny
healthy immune system starts with a healthy gut. The market is exploding with products containing probiotics, but gut health isn’t as simple as popping a pill every day. Gut health is closely connected with your lifestyle. In fact, it’s dependent on you making healthy choices. Staying active, eating whole foods and avoiding certain foods is a good foundation. Eating a variety of vegetables and fruits is a given, but have you ever tried fermented foods? We need a variety of different strains of probiotics and can introduce them into our bodies by eating fermented foods. If the thought of fermenting your own foods gives you nightmares, there are plenty to find in health food stores—look for locally made fermented goodness! Growing your own at home
is ideal, but not necessary. Kimchi, kefir, sauerkraut and non-GMO miso are all wonderful products filled with beneficial probiotics. A bonus to eating fermented cabbage comes from its glutamine content. This gut-healthy amino acid nourishes cells in your intestines. Not a bad deal! Critters in your gut need to eat too, and they thrive on prebiotic fibers in vegetables and fruits. In fact, chicory, artichoke and bananas are all great sources of prebiotic fibers. The collagen, amino acids, vitamins and minerals from a homemade bone broth can also help restore damaged stomach lining. This is important for people struggling with leaky gut as well as any other chronic inflammation. There are also a few wellmade packaged bone broths sold in health food stores. Avoid processed and
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Kimchi, kefir, sau erkraut, and non-GMO miso ar e all wonderful fermented product s filled with beneficial probioti cs.
fried foods that cause chronic inflammation. These can stress your body and compromise your immune function. A diet high in processed foods creates an ideal environment for pathogens, or “bad” microorganisms. Stress management is crucial for gut health. When you’re stressed and in a fight-or-flight (sympathetic) response, your digestive system gets put on hold while your body prepares you to survive a threat. If you’re not digesting your food and absorbing nutrients prop-
erly, your gut health takes a nosedive.You can engage your rest-and-digest (parasympathetic) response with relaxation exercises and diaphragmatic breathing, which manually massages your vagus nerve. This gets the gears moving in your digestive system and jumpstarts your body’s regenerative processes.
ive r e a tTO CWAYS
DYE EASTER EGGS By Ann Jarema
aster is just around the corner - pastel shades, baby animal, and eggs in every store window. Eggs for days! You know what that means for the kids? Lots of decorating. You can go for the traditional option with packaged dyes and colorful stickers, but there are a plethora of other ideas out there. Try something new this Easter, like marbling to pressed flowers. Give your kids the freedom to decorate; they might even come up with a new family decorating tradition. Let’s hop into some of the best new ideas for decorating Easter eggs.
Pressed Flowers Nature is already stunning, so why not use flowers and plants to your advantage? Take the kids for a walk around the neighborhood or your backyard garden and fill a small bowl with flowers. Daisies, rose petals and clovers are easy options. Before you begin the decorating process, press your florals between a book or hard surface. The trick is to get them as flat as possible. While they are setting, wash the eggs and dip them in vinegar. It will act as an adhesive, but make sure to press your flowers onto the eggs before the vinegar dries. Presto, beautiful eggs perfect for springtime. Jewels Let me tell you, kids love gems. Grab some sticker jewels, sequins, and beads and let your
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kiddos bejewel away! Pro tip: smaller rhinestones will stick better to the round surface of the egg. Encourage your kids to create patterns with geometric designs or color. And hey, if they want to go wild, cover the entire egg with jewels. Bedazzled egg decor will sparkle all holiday long. Marbling Marbleized decorating is all the rage! Swirls of color and galaxy patterns. It’s so simple - you’re kids won’t want to go back to traditional egg decorating. Start with a base color. When you’re ready, mix a cup of warm water, food coloring and 1 tsp of vinegar. Drop the egg in and swirl it around until you get the desired effect. Let the eggs dry on a wire rack. Nail polish can be used as an alternative. Either way, marbling is quite the fun project.
Animals & Superheroes Instead of pretty designs, try specific themes, like animals, superheroes or people. The kids will be able to get into their own element with this one as each child has their favorite pet or movie character. Get the kids to print pictures of their desired person or animal. Pull out all necessary craft supplies (stickers, pom poms, googly eyes, etc.). The more the merrier. You’ll have Superman, Mrs. Bunny and Elsa set out on your kitchen table all ready for display. Whether you and your kids opt for tradition or go with a fun, new style of decorating, remember to enjoy the time spent with your kids. Bedazzle, marble and decorate to your heart’s content. Have an Eggtastic Easter with the kiddos!
Prep time: 20 minutes Cook time: 25 minutes Yield: 4-6 servings
VEGAN POTATO SALAD WITH RADISHES, SNAP PEAS AND DILL
INGREDIENTS 1 ½ lbs yellow baby potatoes, scrubbed clean 1 bunch small radishes, thinly sliced (about 1 cup) 2 cups sugar snap peas, trimmed and strings removed 1 tablespoon fresh dill, chopped For the dressing: 3 tablespoons extra virgin olive oil 2 tablespoons fresh lemon juice 1 teaspoon Dijon or spicy brown mustard 1 garlic clove, pressed or crushed ¼ teaspoon salt G round black pepper to taste DIRECTIONS C ut the baby potatoes into halves. To cook, place in a large pot and fill with water until potatoes are well covered. Add 1 tsp salt to the water. Cover with a lid and bring to a boil. Once boiling, reduce the heat to low and let simmer until potatoes are fork tender. F or the dressing, combine the lemon juice, mustard, garlic, ¼ tsp salt and pepper. Once those are combined, slowly add the olive oil while stirring. This helps emulsify the dressing. W hen potatoes are fork tender, drain the water and let them cool for a few minutes. C ombine the radishes, snap peas, dill and warm potatoes. Add the dressing and toss to combine. Serve and enjoy. Refrigerate leftovers.
HARRY AND JILL CONNICK ALERT THE NEW 50S TO COLON CANCER By Patricia F. Danflous
There’s the nine-year-old Harry Connick Jr. with flexible fingers flying over the keyboard as he performs on stage with a Symphony Orchestra.
here’s the teen-age Harry hanging out and performing in New Orleans French Quarter Jazz Clubs - with parental approval and encouragement. Harry, the singer, composer, director and actor with a multi-aged fan base. Harry the crazed, serial killer in the movie Copycat; Harry debuting on Broadway as The Pajama Game lead. Mardi Gras enthusiasts around the world recognize him as founder of Orpheus, one of the most extravagant of parades to roll through the streets of New Orleans. South Louisianans know him as an on-going force in Hurricane Katrina relief and recovery. The award-winning multi-talented Harry is also a regular guy – a son, husband and father. His behind-thescenes life is now bringing
him center stage in a new role. Connick and Jill, his wife of 25-years, are spotlighting colon cancer awareness, screening and early detection especially for those in the “New 50” age range. “Cancer's a real drag,” Harry said as his expression transitioned from warm and friendly, to engaging and serious during an interview with INSPIRE HEALTH. “Jill and I have both, unfortunately, a lot of experience personally with cancer in different ways. I did a movie called Living Proof where I played a doctor who came up with a drug Herceptin. After that movie came out women-- I can remember two who came up to me and asked, ‘Should I be on Herceptin? I have breast cancer.’ That hit me not just because they were asking me, as an actor, for advice, but I recognized that in the throes of that kind of crisis people are looking for
To learn more about Jill and Harry Connick, colon cancer and non-invasive screening go to www.cologuardtest.com/ new50 or take the #ScreenWithMe challenge. Be sure to check with your physician to determine if you are a candy for the non-invasive screening.
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In addition to promoting colon cancer awareness the couple is emphasizing that being 50 isn’t what it used to be. They are encouraging others in their generation to take time for themselves, rethink priorities and reinvest in health. any kind of answers.” The Connick’s are taking a lead in colon cancer awareness as spokespersons for Cologuard, a noninvasive colon cancer screening test that can be done in the home. They know that the right diagnosis, the right treatment – and more importantly, early detection – can make the difference between life and death. “I've been through the consequences of cancer with people who I love,” Harry explained, acknowledging that the loss of his mother to ovarian cancer when he was just entering his teens affected him deeply. “Jill has been through it herself,” he continued, turning toward his wife, now breast cancer-free. “If we're able to give anyone one a degree of comfort or information, we feel responsible and compelled to do that.” “We love doing an awareness campaign,” Harry said. “What’s the most gratifying, and Jill and I talk about this a lot, is meeting people who are affected in various ways whether it's the stage-4 cancer survivor we just met a few weeks ago, a stage-4 cancer patient or somebody who's been recently diagnosed. We want be able to share what we know to help people get out and get screened.” When detected early, colon cancer has a high survival rate. Up until re-
cently however, an invasive colonoscopy was the only screening method available. It’s a test that no one readily signs up for with a dreadful day-before. The new doit-yourself Cologuard test may rule out the need for a colonoscopy for low or average risk patients. With encouragement and perhaps a little persistence from Jill, Harry did not waste a minute when the test arrived at his doorstep. “I'm the kind of person that even if the result comes back positive, I'm going to do what I have to do, which in this case would be go back to my doctor and get a colonoscopy,” he said. “For a person like me who's over 50 and an average risk, Cologuard is the choice to make. I was very fortunate because my results were negative, but I'm glad I did it. Now I can have peace of mind for the next three years.” Jill is passionate about cancer screening. “I never miss an appointment for a breast screening, she said. “Because I have dense breasts, I have regular sonograms and that’s where my cancer showed up” Her treatment regime included radiation therapy and five years of Tamoxifen as medical therapy. Although drug therapy can be rough, the results can be favorable. “Cancer and cancer treatment is toxic,” Jill emphasized.
“My advice to all those facing breast cancer – or any other cancer – is to surround yourself with family and friends. Just keep life as normal as possible. Have a positive outlook. Listen to your doctors and do what they say.” And be thankful when things go right. “Every time I look at Jill, every time I flick this little ring on my finger, that's something special to me,” Harry smiled. “As opposed to big celebrations, we're more into daily reminders of how thank we are.” In addition to promoting colon cancer awareness the couple is emphasizing that being 50 isn’t what it used to be. They are encouraging others in their generation to take time for themselves, rethink priorities and reinvest in health. What do the new 50s do differently than their parents did at the same age? “Eat healthier,” Jill stated. “I love salads. I eat fish, chicken, a lot of vegetables. I'll cook a lot and use olive oil. I love food like that.” “She's a great cook, too,” Harry added. “Jill has an amazing diet that we follow. I also think that access to better quality, more natural foods is becoming more widespread. We love to eat well with the occasional splurge. It’s hard to resist a fried-oyster poboy when I come home to New Orleans.
LET’S MAKE 50 THE BEST MILESTONE YET. STEP UP AND JOIN THE NEW 50 Remember when you thought turning 50 meant the beginning of the end? As entertainer Harry Connick says, “being 50 isn’t what it used to be.” Today’s 50-year-old who makes an investment in her health can look forward to a long, quality-filled life. As part of their commitment to colon cancer awareness, Connick and his wife Jill are role models for what they call the “New 50,” a generation that makes health a priority. “The New 50 is all about you,” Connick frequently states. “It’s about speaking up for yourself and taking charge of your health. It’s about talking to your healthcare provider about how to live a healthier life and learning screening options that may help prevent or minimize disease.” It’s easy to become a member of the New 50 group. If you’re approaching or have reached the 50-year milestone, start by scheduling a visit with your physician to discuss your individual healthcare needs and don’t neglect to talk about your risk for colon cancer. Many people think that colon cancer is tied to diet, lifestyle or a family history. That’s more of a misconception than the truth. REMEMBER: Your risk for colon cancer increases dramatically after the age of 50. Colon cancer is the 2nd leading cause of cancer-related deaths among men and women combined. When diagnosed in its earliest stages, colon cancer is 90% treatable. Visit the American Cancer Society website at www.cancer. org or consult your physician for more information about colon cancer.
COLON CLEAN By Patricia Danflous
rink more water. Add more fiber to your diet. Eat healthy and make sure you exercise. Follow that advice and your chances for living a long, healthy life increase ten-fold. Those healthy living tenets are particularly relevant for maintaining a clean colon and drastically minimizing the risk of colorectal cancer. The American Society of Colon and Rectal Surgeons explain that the approximately 5 foot long large intestine, known as the colon, is an important part of the digestive system for processing and preparing the body’s waste products for elimination. Colon problems range from occasional bloating and constipation to gas, irritable bowel syndrome, colitis, polyps and colorectal cancers. Statistics and studies reported by the American Gastroenterological Association, the American Cancer Society and the Academy of Nutrition and Dietetics indicate a healthy diet is one of the most significant factors in colon health. A recent study by the American Cancer Society, for example, showed that colorectal cancer patients who followed healthy diets had a lower mortality risk including those who improved their diets after diagnosis.
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A CLEAN, HEALTHY COLON LIFESTYLE INCORPORATES THE FOLLOWING GUIDELINES: ✤ A dd high fiber foods to your diet to keep food waste moving along and out of the digestive system. Oatmeal for breakfast is a good start. ✤ D on’t forget about Vitamin D. Clinical nutritionists report that 15 to 20 minutes of sunshine a day along with vitamin-enriched bread and cereals as well as fatty fish are good for the colon. ✤ Drink up. Set a goal of drinking two-liters of water a day to keep your body clean on the inside with less chance for constipation, bloating and gas. ✤ Go to the bathroom. Don’t wait until you get home to empty your bowels.You might prefer the privacy but holding it in leads to a build-up of fecal matter and possible toxicity.
✤ E xercise. No need to say more – exercise increases the oxygen flowing through the colon. ✤ C onsider a colon cleanse. With the increased emphasis on alternative medicine, colon flushes are becoming the latest trend in colon health. Flushes are not for everyone. Be sure to consult your physician before you schedule a flush or try to do one on your own. ✤ D on’t wait to call your doctor if you are experiencing abdominal pain or consistent rounds of constipation and diarrhea. Remember, the majority of colon disorders, including colon cancer, can be prevented or treated with early detection. ✤ S chedule a colonoscopy if you are over 50 or have a family history of colon disease.
the third Colorectal cancer is realated ncerleading cause of ca .S deaths in the U
Be sure to consult a gastroenterologist or family practitioner about a colon health plan that is appropriate for you.
FUNCTIONAL, INTEGRATIVE CARDIOLOGY 21st century, personalized Cardiology. Treating the mind, body, and soul as well as the heart.
Some Cardiology Groups are so large they have to DO MORE. One Cardiologist believes it’s not about doing more to the patient, it’s about only doing what the patient needs. It’s understanding that you can’t heal or reverse heart disease without addressing the needs of the mind, body and soul. It's individualizing care, talking, asking questions and working with each patient, that promotes wellness. It's about eating right, sleeping right, laughing, loving and being grateful for the challenges each new day brings. The ONLY Cardiologist Fellowship trained in Integrative Medicine (Univ of Arizona), Functional Medicine (IFM), and Board Certiﬁed in Cardiology, Functional Medicine, Integrative Medicine.
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GRAINS ARE THEY GOOD FOR YOUR GUT AND WHY DO THEY GET A BAD RAP? By Lucinda Puddicombe
March § April 2020
ccording to the U.S. Dietary Guidelines for Americans , based on a 2000 calorie diet, you should eat 6 ounces of grains and half of these should be whole grains. In 2015, a study from the “British Journal of Nutrition” discovered that whole grains are associated with a lower mortality rate among subjects aged 30 to 64 years. What better motivation to reach for oats in the morning? Whole grains have a wide variety of health benefits. Fiber slows down the digestion of starch and helps regulate blood glucose. It can also help lower cholesterol, clean the digestive tract and help prevent blood clots. Consuming whole grains such as quinoa, includes the outer nutritious and fibrous bran layer, the starchy inner endosperm and the nutrient and healthy-fat filled germ at the core. Processing whole grains into refined flour, for example, removes the fatty germ to prolong shelf life but this depletes the phytochemicals, minerals and vitamins that prevent disease. It’s difficult to stomach but the gut harbors a huge number of bacteria, viruses, fungi and sometimes worms. The average person has around 30 to 40 trillion cells. The gut then adds another 38 trillion. Our microbiome, the total number of genes which microbes contribute to, is linked to our immune system. From a study in the “ISME journal,” it is apparent that whole grains improve
Dr. Peter Choy MD.qxp_Layout 1 2/14/20 6:27 PM Page 1
bacterial biodiversity and have a positive metabolic and immunological effect on our bodies via the gut microbioAccording to a study from “Gastroenterology,” consuming 24.3 grams of fiber was linked to a 40 percent reduction in Crohn’s disease. Adversely, grains have been known to worsen autoimmune conditions such as celiac disease. A six week study showed that symptoms in celiac disease sufferers reduced by 73 percent on a grainfree diet. Gluten, a protein found in some grains, can cause negative effects such as bloating and fatigue, even gut damage in some cases. The body detects it as a toxin and initiates an immune response to attack it, creating a cascade of inflammatory responses. Gluten has grabbed plenty of media attention, creating a billion-dollar, gluten-free industry but
more research is needed to prove that it actually has an adverse effect in those that are not gluten-intolerant. Not all gluten-free products are as clean as they appear and they often contain artificial ingredients, irritable to the gut or added sugars which can lead to weight gain. Grains contain phytic acid which is known to impair absorption of iron, zinc and some calcium. When seeds sprout, phytate levels decline so soak your grains in water overnight before you consume them. Grains may lead to disease-causing inflammation but these tend to be either wheat or processed grains. A link has also been found between a grain free diet and weight loss but simply reducing calories and opting for whole grains can help prevent weight gain and blood sugar spikes.
improve whole grains d diversity an bacterial bio e metabolic have a positiv ct ological effe n u m im d n a via the gut s ie d o b r u o on microbiome.
INTERNAL MEDICINE PHYSICIAN
Dr. Peter V. Choy, MD FAAC
Dr. Peter Choy, is Board Certiﬁed in Internal Medicine and Cardiovascular Disease. He brings with him a decade of experience in patient medicine including intensive care expertise. His internal Medicine practice includes care for those 18 and over, preventive care and healthy living strategies, diabetes management, and overall disease management. Dr. Peter Choy is looking forward to meeting the growing medical needs of our area residents. El Dr. Peter Choy, está certiﬁcado por la Junta de Medicina Interna y Enfermedades Cardiovasculares. Tiene una década de experiencia en medicina del paciente, incluyendo experiencia en cuidados intensivos. Su práctica de medicina interna incluye cuidado para personas mayores de 18 años, cuidado preventivo y estrategias de vida saludable, manejo de la diabetes y manejo general de la enfermedad. El Dr. Peter Choy espera satisfacer las crecientes necesidades médicas de los residentes de nuestra área.
Dr. Peter Choy is now accepting new patients & walk-ins. To schedule an appointment call: 786.456.8391 El Dr. Peter Choy está aceptando ahora nuevos pacientes y sin cita previa. Para programar una cita llame al: 786.456.8391 7029 SW 61 Ave South Miami, FL 33143 Bilingual staﬀ
Dr. Jaime L. Sepulveda Expands his Practice to Enhance Women's Beauty “Improved quality of life, however, is not limited to daily activities. I have experienced multiple instances, during post-surgery follow-up sessions, where my patients volunteer information regarding improved sexual function once they’ve recovered from surgery,” said Dr. Sepulveda. “And then recently, I’ve started seeing medical literature pointing to markedly improved sexual function. What I find most relevant is that the marked improvement was actually measured by trustworthy standardized-research methods, specifically designed to measure sexual function in patients with vaginal prolapse and incontinence.” In an age of patient-centered care, one during which outcomes in surgical care are determined by patient satisfaction, feedback from patients often outweighs conventional medical measurements. “It is clear now that surgery for the care of urinary incontinence and vaginal laxity have a positive impact that translates into improved sexual function,” said Dr. Sepulveda. “They have
“The goal is to instill great confidence in my patients by enhancing their well-being and helping them maintain a youthful outlook in life.” 22
- DR. SEPULVEDA INSPIRE HEALTH
sex more frequently and engage more frequently in intercourse – and more often they look forward to it because is so much more satisfying. I continue to learn from my patients and their partners. They have shown me the role of my care in their sexual health and their overall wellbeing.” For Dr. Sepulveda, these positive testimonials have prompted him to pursue improved techniques learned from world experts in cosmetic gynecology. “I have added cosmetic genital procedures to my reconstructive work. It came as a natural addition to the surgeries for prolapse and incontinence. The use of a surgical laser has become the standard to perform genital cosmetic procedures with optimal safety and results. It translates to improved wound healing, decreased rate of complications, and decreased blood loss. Overall, patients do better when surgery is performed with a surgical laser.” The continued quest for the best cosmetic procedures has taken Dr. Sepulveda to train with recognized world experts. Having performed reconstructive procedures himself for over 25 years, he is using his expertise to train surgeons – more than 500 to date – who specifically travelled to Miami to learn from Dr. Sepulveda in the operating room. “The approaches I have adopted come as a direct result of my travels to learn from the best surgeons out there in each specific procedure,” he said. Last year, in fact, Dr. Sepulveda was named an associate of the Laser Vaginal Rejuvenation Institute of America in Beverly Hills, Calif., where he trained with the pioneer in cosmetic gynecology Dr. David Matlock. “I learned to integrate laser cosmetic gynecologic procedures with the reconstructive procedures that I’ve done for over two decades.” The procedures known as Designer Laser Labioplasty® and Designer Laser Vaginoplasty® have been used for over 10 years with proven results and satisfaction. “And I am happy to be able to offer them to my patients,” Dr. Sepulveda added. The term vaginal rejuvenation has been used now for a few years. For many women and their partners, the term is both enticing and puzzling. Dr. Sepulveda explains, “Vaginal rejuvenation is not a procedure or a single treatment. It is a group of procedures aimed at improving and enhancing the appearance and function of the female genitalia.” He noted that it includes surgical procedures and the application of cellular therapy.
Dr. Sepulveda uses cellular therapy for the O-Shot® a procedure popularized in the media for its effects in sexual function and for the Vampire Winglift®, a procedure used to revitalize and lift the labia, whereby providing a more youthful appearance. In patient consultations with Dr. Sepulveda, he often speaks to his passion for patient care in this unique field. “Taking care of my patients has always been a fascinating journey in which innovation has allowed me to apply my experience to new discoveries,” he says. “The goal is to instill great confidence in my patients by enhancing their well-being, helping them to build stronger relationships, and maintaining a youthful outlook in life.”
Cosmetic Gynecology Procedures • • • • • • • • •
Designer Laser Labioplasty®️ Designer Laser Vaginoplasty®️ Laser perineoplasty Laser hymenoplasty Vampire Winglift®️ O-Shot®️ G-Spot enhancement shot®️ Microneedling rejuvenation of labia majora South Beach Bikini Makeover
• Vaginal surgery for advanced pelvic organ prolapse repair
• Plastic repair of perineal scar • Revision of repairs with unacceptable results • • • • •
including dyspareunia (painful intercourse) Fistula repair Vaginal hysterectomy Vaginal implant revision surgery Midurethral slings for urinary stress incontinence Repair of post-hysterectomy vaginal prolapse
• Fellow of the American College of Obstetrics and Gynecology
• Fellow of the American College of Surgeons • Board Certified in Female Pelvic Medicine and Reconstructive Surgery
• Herman And Wallace certified in Pelvic Dr. Sepulveda’s practice is located at 6200 Sunset Drive, Suite 504. For information, call 305-669-6267 or visit www.miamiurogynecologycenter.com.
• Associate of the Laser Vaginal Rejuvenation Institute of America- Beverly Hills
FLEA AND TICK PREVENTION By Ann Jarema
Spring is here, and with it comes tick and flea season in many areas of the United States.
arasites like fleas and ticks aren’t just gross little blood suckers, they’re also transmitters of disease. According to the College of Veterinary Medicine & Biomedical Sciences at Texas A&M University, fleas often carry bacterial pathogens, while ticks can also carry other diseases including Lyme disease and Rocky Mountain spotted fever. Diligence in controlling flea and ticks in your pets is essential for their health - and yours.
• When your pet comes inside, give them a thorough check from head to tail for ticks. • Plant flea repelling plants. Certain plants contain compounds that fleas avoid. Try one of these options in planters or flower beds: Prevention Tips • Lavender When it comes to para• Spearmint sites, an ounce of preven• Pennyroyal tion is worth a pound of One of the best flea cure. Follow these tips to control methods is cleaning. help prevent issues with Fleas congregate where fleas and ticks: your pets spend most of • Keep pets away from their time, so be sure to long grasses and thick brush. regularly wash all pet bedMow your yard regularly ding. Vacuum and sweep pet and keep bushes trimmed. areas often. • Keep wildlife and feral animals away from places Methods of Flea and your pet is exposed to. Tick Treatment These animals often carry If you want to avoid parasites that can spread. chemicals, there are many
March § April 2020
Create your own herbal flea spray: Mix 1 gallon vinegar, ½ gallon water, 16 ounces lemon juice and 8 ounces witch hazel in a spray bottle. natural options available. These can range from essential oil blends to specific diet additives.
vinegar, ½ gallon water, 16 ounces lemon juice and 8 ounces witch hazel in a spray bottle. After cleaning carpets and floors, spray them Here are a few simple thoroughly with the mixture. options for natural • Consider adding benefitreatments: cial nematodes and/or lady • Bathe animals thorough- bugs to your yard. These ly in a tub. Since fleas do feed on fleas and their not grasp and hold onto larvae and can be found in the hair shafts, they will your local garden shop. drown in the water. During When choosing any type bathing, also check for ticks. of flea and tick treatment, If you find any, remove them work with your veterinarian immediately. to determine the safest and • Create your own herbal best course of action for flea spray: Mix 1 gallon your pets.
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HOW TO SHUT DOWN
o you ever look around at friends, family, colleagues, or the people you grew up with and wonder why their lives appear to be more successful than yours? Do you find yourself feeling at times you don’t quite measure up, while others seem to be happy and in control? While others are thriving in their work, in their relationships, and in their leisure time, you continue to find yourself grinding through each day overwhelmed by
By Dr. Josh Wagner stress and exhaustion. Revealing an incredibly simple pathway to fulfillment that is completely in your control, I am sharing how unconscious, undeserving beliefs are the primary obstacle standing in the way of your goals, happiness and peace of mind in any area of your life. Here are a few practices that take a total of 20 minutes to implement into your daily routine to flip your deserving switch on and finally achieve everything you want in life.
INITIAL SENSING (2 MINUTES) In a comfortable, seated position with hands on your lap begin to sense your body. Sensing is NOT feeling.You are not feeling the temperature of the room nor the feeling of your skin on your clothing or chair. Sensing is being aware of your body’s internal sensation. You may feel a pulsing of the part of your body you are focusing on, like a heartbeat. Give attention everywhere by mentally scanning your extremities and your core.
You can find 20 surely mi somewhe nutes your bus re in y day
CLEARING (5 TO 10 MINUTES) After connecting to your body through sensing, evoke your strongest visual and or auditory memory of the circumstances contributing to your strongest, undeserving belief. The recollection of the person or circumstance should be strong enough to elicit the hurtful, negative emotion in your body easily and quickly. Add to this by intensifying the emotion, for instance, squeezing your stomach muscles as you focus on creating the negative feeling, or even vocalizing out loud what is happening in the scene. As a beginner, you’ll find that your mind is easily distracted and often drifts away during this exercise. Don’t let that discourage you. Every time you realize you are no longer feeling the negative emotion or visualizing the memory, come back to it and re-generate the negative feeling. Sustain the vision and feeling for as long as possible. It’s not easy to do and the more you do this, the longer you will be able to hold the vision and emotion during a session. Once you notice the emotional tension has decreased significantly, you can move to step three. That negative emotion does not have to be gone entirely, just diminished.
EMOTIONALIZING (10 MINUTES) After clearing, you will find it easier to visualize and feel the emotions of what you want to experience in life. You have just wiped clean your emotional state, confidence in your vision and which makes it easier to it has been 20 minutes, gently generate new positive come out of the process. emotions. Start picturing Continue with your day and what you most want (in if you wrote down any notes the same area of life you during the process, make sure just cleared) and generate to take them seriously and the emotion this vision act on them. gives you. Is it gratitude, There’s an astute saying, joy, excitement, peace? “If you don’t have 20 minutes Whatever single emotion a day to meditate, then you your vision most generates, focus on it while holding the should be meditating for 40.” It’s not much to ask. You vision. can surely find 20 minutes To intensify your somewhere in your busy emotion, breathe deeply day. Even if you have three into your chest and focus children who wake up earlier on gratitude even more intently. Once you sense an than you, you can find time, PeggyGaines.qxp_Layout 1 2/7/20 2:44 PM 1 like Page thousands of parents do, internal shift of newfound
to nurture yourself with this practice. Your children, too, will benefit from your new mindset and perspective. Keeping the same time each day provides a predictable routine and habit that makes it easier to strengthen your commitment. So if possible, do The Deserving Process first thing in the morning. It is a phenomenal way to begin each day.
To support your effort, consider getting an accountability partner—a spouse, friend, or family member—who can do this process with you and share your journey. Their support and participation are an invaluable asset. Invite someone to read this book at the same time you do and begin the process together. It makes a tremendous difference not to be alone through it. Your commitment to not letting your partner down will strengthen your commitment to yourself. It’s a win-win. Help someone you care about to flip their switch and it will expedite you flipping your own.
DR. JOSH WAGNER is a mindset coach, international speaker and consultant to renowned doctors and their staffs around the world. To learn more about Dr. Josh Wagner, please visit www.drjoshwagner.com. You Deserve It: The Missing Answer to the Life You Want is available on Amazon and at Barnes and Noble.
A Healing Place For Meditation & Reiki Reduce Your Stress with Meditation Enhance Your Well-being with Reiki Peggy Gaines, RN, BSN Clinical Meditation Specialist Professional ICRT Reiki Master
1390 S Dixie Hwy Suite 2108 (305) 609-4433 meditationwithpeggygaines.com PeggyGaines@mpgrn.com INSPIRE HEALTH
INGREDIENTS For the filling: 5 cups chopped rhubarb, washed and diced into ½ inch pieces 2/3 cup white sugar 2 tablespoons cornstarch or all-purpose flour 1 teaspoon cinnamon For the topping: ½ cup all-purpose flour ¾ cup brown sugar 1 cup old-fashioned oats ½ cup butter, cut into small cubes 1 teaspoon cinnamon 1 teaspoon vanilla
A VEGETARIAN DESSERT WITH A WHOLE GRAIN OAT TOPPING INSTRUCTIONS Preheat the oven to 375°F. Grease a cast iron pan or 8 inch square baking dish and set aside. Toss the rhubarb with sugar, cinnamon and either cornstarch or flour. Place in baking dish. In a mixing bowl, add all the topping ingredients, except the butter, and mix together. Add the butter and cut it into the oat mixture with a pastry cutter. You can also use your hands to do
this, breaking up the butter cubes and mixing to create a crumbly topping. Sprinkle this over the rhubarb mixture. Bake for 35-45 minutes or until bubbling. If the top is browning too quickly, you can cover it with tinfoil and then remove the foil for the last 10 minutes of baking to finish crisping up the top. When fully cooked the rhubarb should be tender and the topping golden brown. A llow to cool for 5-10 minutes before serving with vanilla ice cream.
Prep time: 15 minutes Cook time: 45 minutes Yield: 8 servings
March § April 2020
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By Kai Bragg
ecognized as a high-quality food source, dietary supplement, and medicine for thousands of years, flaxseed has long been cultivated for its beneficial qualities. With applications in everything from woodworking to ayurvedic medicine, it is easy to see the importance this crop holds to human health and development. Found
at most supermarkets, this ancient super food is easily accessible to the average health-conscious consumer. Flaxseed is truly a super food. It's soybeanlike nutritional profile is rich in amino acids and contains compounds that reduce inflammation. It's a great source of dietary fiber, omega-3s and other essential fatty acids. It's packed with protein, vitamins, minerals and
lignans. With omega-3s being known to support heart health, and lignans showing evidence of exhibiting anti-cancer properties, itâ€™s easy to see why flaxseed makes a great addition to a healthy diet. For dietary purposes, flaxseed is sold in two basic varieties: golden and brown. Having little nutritional difference, golden flaxseed is generally considered the tastier choice. You may decide to use whole seed, ground, or oil preparations, depending on the preferred method of ingestion and the desired health benefits. The whole seed or ground form is generally considered best. Occasionally taken as a part of a digestive cleanse, if ingested in large quantities whole flaxseed may upset your stomach. Supplementing with flaxseed oil can often be the most effective way to incorporate large
amounts of the beneficial compounds into your diet. With many options on the market, take some time to consider which form is right for you. Flaxseed is delicious. Its subtle sweet and nutty flavor and texture lends itself well to breads and baked goods. Finding new recipes to try out may end up being the favorite part of your supplement regimen. Used in everything from pasta to smoothies, flaxseed can provide a nutritious, flavorful addition to any meal. Consider adding it to granola, sprinkling over stir-fry, or even topping a cake with toasted candied flaxseed! With a flavor profile that adapts well to savory or sweet dishes, and a nutritional profile full of beneficial nutrients, flaxseed is easily one of the top choices in health foods.
cancer, Flaxseeds help fight in, prevent weight ga nce la improve digestion, baood hormones, lower bl l. pressure & cholestero
Have you tried Traditional Physical Therapy and are STILL in pain? Rehab Lab is a Concierge Physical Therapy practice that was created with YOU in mind. Experience a high level of quality service and satisfaction to finally get YOU out of pain. Work one-on-one with a licensed Physical Therapy Doctor that will evaluate you and discover the root cause of your pain and empower you to regain control of your body and life.
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Broccoli Sprouts BENEFITS:
• May fight and prevent • • • • • • •
cancer May benefit the heart Support strong bones May help fight H. pylori infection Assist with detoxifying the body May improve respiratory function Can be part of a multiple sclerosis diet May protect your brain (Broccoli sprouts help protect brain health and help prevent autism / help lower symptoms).
Sources: Clinical cancer research: an official journal of the American Association for Cancer Research, International Journal of Food Sciences & Nutrition. Copyright 2017 Weider Publications http://www.flexonline.com
PANZANELLA WITH BROCCOLI SPROUTS INGREDIENTS: • 1 large tomato, diced • half a cucumber, diced • 1/2 red bell pepper, diced • 1/2 yellow bell pepper, diced • 1/4 red onion, diced • 10 large basil leaves, chopped • 2 tbsp capers • 3 oz. croutons • a handful of Fullei Fresh Broccoli Sprouts VINAIGRETTE: • 1/4 tsp. Dijon mustard • 1.5 tbsp. red wine vinegar • 1/4 cup olive oil • 1/4 tsp. salt DIRECTIONS: Whisk vinaigrette ingredients together. In a large bowl, mix the other ingredients. Drizzle vinaigrette and mix well.
March § April 2020
Broccoli sprouts are one of the stars among superfoods. Did you know that just a handful of broccoli sprouts are as nutritious as a whole head of broccoli? They are 50x as potent as fully grown broccoli. Doctors are recommending them because of their anti-carcinogenic cancer fighting properties! Additionally, they are a good source of vitamins A, B, C, E, and K, calcium, iron, and protein, and are particularly sought-after for their high concentration of antioxidants. A powerful antioxidant found in broccoli sprouts may help protect the heart from high blood pressure, heart disease, and stroke. A new study shows the compound called glucoraphanin, helped improve heart health, fight inflammation, and boost natural defense systems against oxidative stress. Glucoraphanin is one of a group of chemicals that act as an indirect antioxidant that raises the body antioxidant defense systems. When ingested glucoraphanin is converted into sulforaphane.
In 1980, Apple went public, Pac-Man broke loose and The Palace opened its doors. 40 years later, we’re all still one-of-a-kind.
People love Apple’s products so much, they made it #1 in the world. Fans love Pac-Man so much, it is still the world’s most played video game. And the families, residents and experts who experience Palace Senior Living keep voting it #1 in America. What keeps brands like these at the top, year after year? Trust. Trust that you can count on the unmatched quality of the product. Trust that the experience will meet your expectations. And trust that the most precious people in your life — your own parents — will be cared for like they’re the most precious people in our life. That’s why we’ve been Miami’s first choice for Senior Living for over 40 years. We invite you to visit us.
305.271.2220 · www.ThePalace.org
KETO EASTER MORNING ASPARAGUS FRITTATA
Prep time: 20 minutes Cook time: 20 minutes Yield: 4 servings
INGREDIENTS • 2 tablespoons olive oil • ½ cup green onions, diced • 1 lb thin asparagus spears, tough ends snapped off and spears chopped into bite sized pieces • 6 large eggs • ¾ cup ricotta cheese • 2 oz soft goat cheese (or cream cheese), crumbled • ½ tsp salt • Ground black pepper to taste DIRECTIONS Set oven to broil. Heat cast iron skillet over medium heat and add olive oil. Be sure to coat both the bottom and the sides of the pan with the oil. Add diced green onions and cook until soft (about 5 minutes), stirring occasionally Add chopped asparagus and continue to cook for another 5 minutes. Crack the eggs into a large mixing bowl and add the ricotta cheese, salt and pepper. Whisk together well. Turn the stove down to medium-low heat. Pour the egg mixture into the cast iron pan. Crumble half the goat cheese (or cream cheese) evenly over the top. Mix everything together gently. Add the rest of the cheese on top. Cook this gently for about 5-7 minutes, do not mix or stir while it cooks. Cook until the edges are set but the top is still wet and loose. Transfer the skillet to the broiler and cook for another 3 minutes or so. Keep an eye on it. The top should be cooked and set, and a little golden brown. Allow it to cool for 5 minutes or so before cutting. Serve and enjoy. Refrigerate leftovers.
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Dr. Robert E. Jacobson, MD Neurosurgeon
Dr. Michael R. Gombosh, MD Orthopedic Surgeon
GIVE STEM CELLS A TRY BEFORE UNDERGOING AN INVASIVE JOINT SURGERY! Maria Villar MSN, FNP, BC
By Ingrid Machado / CEO Miami Stem Cell® Miami Stem Cell® continues to be at the forefront in Stem Cell Therapy advancements and in this article, I will discuss in detail why treating joint related pain with Regenerative Treatments first and often even in lieu of surgery, can be extremely beneficial and should always be the primary
option you try before undergoing certain types of invasive surgical procedures. On a daily basis, we continue to see a myriad of patients that come to us complaining about joint pain even after having had surgery, a large percentage of them suffering with back / spine pain related issues in particular. Therefore, my objective here is to reiterate the importance of understanding that if a patient already has a titanium implant on their back (or basically any other foreign object implanted on another joint), our doctors would be somewhat limited to further treat your existing pain. In the case of the spine
Ingrid Machado, CEO Ingrid Machado (305) 598-7777 CFO email@example.com
(a critical area and prime example of what I am trying to convey here), our treatments are restricted to only certain specific areas that they can target after a surgical procedure, since we could not treat the actual titanium implanted vertebrate and thus, lessening the powerful benefits of our Regenerative Medicine Treatments. In addition, invasive surgeries involve many correlated troublesome issues, like the risk of general anesthesia, health complications, required extensive physical therapy sessions and also long periods of downtime, all of which could be avoided using our non-invasive Stem Cell Therapy option. When a patient is considering the use of Regenerative Treatments such as Platelet Rich Plasma (PRP), Bone Marrow Aspirate (BMAC), commonly called ‘Stem Cells’ or mixtures with Biological products for treatment, the amount needed and location of the injection depends on the part of the body treated. Research evidence shows that injected biologics have a mixture of multiple cellular growth factors that work by ‘boosting’ the body’s healing of the injured area through accelerated but very localized inflammation in the site injected ultimately leading to tissue healing. Soft tissue such as muscle, tendons, capsules of joints and parts of the intervertebral disc are the targets for this type of treatment.
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The spine in particular is different than larger joints such as the knee, shoulder or hip in several important ways. First, these are larger joints that are easier to localize and inject, have mainly tendons running within them that can partially or completely torn which is best suited for biologic treatments. Larger quantities of biologic material can be easily injected in these areas. However, in the spine there are 3 additional critical factors whether in the low back (lumbar) or neck (cervical). First, each vertebral segment includes an intervertebral disc as well as 2 small joints (facets) on each side at each level so in the spine this can degeneration frequently occurs in multiple joints. Second, the nerve roots are located between the disc and the joints and the spinal cord in the neck and nerve sac (dural sac) in the lumbar spine is important and then precise placement of the injection is critical and should be per-
formed only by a specialist with spine training and not who does occasional injections in this area. Therefore, it is critical that the patient have up to date diagnostic films including plain X-rays and MRI scan and possibly even a CT scan, so the spine specialist can locate the exact site of the pathology and discuss with the patient whether it is local to one area or side or more general. Since it is the small spinal joints, their surrounding tissue and the intervertebral discs that are targeted, biologics are more effective before severe degeneration and bone overgrowth occurs which can be seen on these radiologic studies. The goal of the treatment is to both decrease pain and allow some resolution of the soft tissue swelling of the disc and joints. In conclusion, the cellular immunotherapy space has exploded over the past few years and we are now entering the cell therapy revolution.
The progress in this space has been unprecedented and Miami Stem CellÂŽ has always been at the forefront using the latest technology and state-of-theart procedures to control pain. So don't delay and start living pain free today! For more information on the array of services we offer, or to schedule a free evaluation with our Team of Experts, please call Miami Stem CellÂŽ at (305) 598-7777 or visit: www. stemcellmia.com You can also follow us on Facebook, Instagram & Twitter as well as watch our amazing testimonial videos on our YouTube channel or email us at: firstname.lastname@example.org
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