New Hampshire Women Magazine

COMPLIMENTARY

Vol 5. Issue 2

NEW HAMPSHIRE

WOM EN MAGAZINE

Take Control of

Arthritis With Dr. Daniel Tseytlin St. Joseph Hospital Pg. 4

Hooray for Spring!

Take a look at our list of 50 activities for the whole family to enjoy! Pg. 14

Owner Lisa Vuich talks Page 12.

Women’s Sexual Wellness Page 10

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What’s inside: Page 4 & 8: St. Joseph Hospital physician, Dr. Daniel Tseytlin, DO, talks arthritis and taking control of this condition.

Page 6 & 7: 7 Podcasts Every Entrepreneur Should Know.

Page 10 &11: Renew MediSpa Owner, Lisa Vuich discusses women’s sexual wellness.

A Special Thanks to this Month’s Sponsors: St. Joseph Hospital Crown Select from Crown Point Cabinetry Summit Title Renew MediSpa McLaughlin Transportation Averill House Vineyard Looking to join New Hampshire Women Magazine?

Contact: Melissa@nhwomenmagazine.com

Page 14 &15: Your guide to spring activities.

New Hampshire Women Magazine’s print publication is published by Melissa DiOrio of Gracant Communications (melissa@nhwomenmagazine.com). The name ‘New Hampshire Women Magazine’ is registered as a trade name with the State of New Hampshire by SG Communications, LLC and is used herein with its permission. The term ‘New Hampshire Women’ is registered as a trademark with the State of New Hampshire by SG Communications, LLC and is used herein with its permission.

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Written for New Hampshire Women Magazine

Arthritis

Take Hold of This Disruptive Condition New Hampshire Women Magazine asks arthritis expert, Dr. Daniel Tseytlin, DO, at St. Joseph’s Hospital Rheumatology, about the causes and treatment of this disruptive condition.

Arthritis is a common condition that affects millions of people worldwide. Women, in particular, are at an increased risk for developing the condition as they age. A diagnosis of arthritis can be scary, especially if you’re not sure what it is or how to treat it. In this article, we’ll discuss the different types of arthritis, at-home remedies for pain relief, and when you should seek professional medical care.

What is Arthritis?

Arthritis is a term used to describe inflammation and pain in the joints. The most common types of arthritis are osteoarthritis (OA) and rheumatoid arthritis (RA). OA occurs when the protective cartilage between bones breaks down over time with use or age while RA is an autoimmune disorder where your

body attacks itself instead of protecting itself from outside threats. Both conditions cause painful joints and can limit movement in those areas.

What’s the Difference Between Osteoarthritis and Rheumatoid Arthritis?

The main difference between arthritis and rheumatoid arthritis (RA) is that RA is an autoimmune disorder where the body mistakenly attacks its own tissue whereas osteoarthritis (OA) refers to degenerative changes of cartilage surrounding them over time with use or age. Both RA and OA can affect multiple joints at a time. Both conditions cause similar symptoms such as pain, stiffness upon waking up in the morning (lasting longer than 30 minutes) and difficulty completing everyday tasks like getting dressed.

The presence of redness and swelling of affected

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joint(s) is more suggestive of rheumatoid arthritis.

Dr. Tseytlin explains, “Osteoarthritis is a degenerative arthritis with physiology that results in the loss of cartilage between bone.

The rate of deterioration can be influenced by genetic factors and physical labor for example. Because nerve endings remain and are in closer proximity pain can result. Rheumatoid arthritis is a systemic, autoimmune, inflammatory condition where the body’s immune system attacks joints and sometimes systemic organ systems.

Rheumatoid arthritis is managed long term with medicines that target the underlying autoimmune inflammatory cause. Currently, osteoarthritis is managed with supportive pain relieving modalities.”

Are All Forms of Arthritis Progressive?

While some forms of arthritis (such as rheumatoid) will continue to worsen

over time if left untreated, other forms (such as osteoarthritis) can be managed with lifestyle changes such as exercise/stretching routines combined with medications/injections prescribed by a doctor depending on severity of symptoms experienced by patient respectively.

“Some arthritic conditions such as gouty arthritis can be readily intervened upon and managed to prevent progressive damage,” says Dr. Tseytlin. “Similarly inflammatory autoimmune arthritic conditions such as rheumatoid arthritis and psoriatic arthritis (when treated appropriately) can help prevent progressive deformity and loss of function and impairment in activities of daily living. Osteoarthritis is a condition that is generally progressive but the rate of progression will vary.

Some will develop changes early in life that will result in significant deformity by

middle or old age.”

everyday tasks like getting dressed; redness or swelling near the affected joint; and fever accompanied by joint pain.

When Should I See a Doctor?

If your symptoms don’t improve after trying “The presence of pain at-home remedies for despite over-the-counter a few weeks or if they become worse over time, remedies is a reason to seek medical attention,” said Dr. it’s important to see a Tseytlin. “[And,] if there is doctor right away so they presence of a swollen joint, can provide more effecwhether it be due to trauma tive treatment options or spontaneous onset, this specific to your needs.

Some warning signs that is another reason to seek an indicate it’s time to visit a evaluation to help make sure doctor include persistent a diagnosis can be made and appropriate managepain even with rest or medication; stiffness last- ment recommendations can be provided.” ing longer than 30 minutes; difficulty completing

photo provided by: St. Joseph Hospital

At-Home Remedies for Pain Relief If you’re experiencing mild symptoms, there are several at-home remedies you can try to ease your pain such as rest, stretching exercises, hot/cold therapy, and over-the-counter medications like ibuprofen or acetaminophen. Additionally, some people find relief from alternative treatments such as acupuncture or massage therapy. These treatments work best when combined with regular physical activity tailored to your specific needs.

“Exercise is important to

continue to help facilitate strength both from muscle conditioning and flexibility to provide support,” says Dr. Tseytlin. “Though there is not one particular type of exercise that is broadly recommended, I encourage patients to be as active as they are to the point their body allows.”

Dr. Tseytlin says those with significant limitations, stationary bike riding, Tai Chi, and physical therapy are exercises that may have “lesser Continue on page 8

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Seven Podcasts

Every Women Entrepreneur Can Check Out Written for New Hampshire Women Magazine

It’s no secret that being an entrepreneur can be a lonely pursuit. Any type of research or reading about entrepreneurship clearly shows many feel the pangs of working alone or being in charge of it all. The good news is that technology has given entrepreneurs the ability to connect with thousands of professional people through podcasts. Once thought of as a pastime, there are now over one hundred million of them at our fingertips. Whether it’s business, fitness, paddle ball, or even darts - there’s a podcast for everyone. And, for women entrepreneurs, there’s no shortage of insight, interviews, and lesson learning across podcast platforms.

Here’s a list of some engaging podcasts to inspire you, uplift you, and keep you company.

Being Boss Podcast and :10 Minutes to Being Boss Being Boss is an award-winning podcast with over 10 million downloads. It started back in 2015 with Kathleen Shannon and Emily Thompson. In 2020, Thompson took over the podcast. It has a worldwide audience of what Thomspon calls creative business owners and provides conversations with experts like best-selling author and vulnerability expert, Brenee Brown and Melissa Hartwig, founder of the Whole30.

Thompson and sidekick Corey Winter also provide a bite-sized show called :10 Minutes to Being Boss, which comes out every Monday.

The duo takes listener ques-

tions and provides actionable advice for the work week. Visit the website at https://beingboss. club/shows.

She Built This™ Podcast Emily Aborn, this month’s cover woman, has a podcast that’s sure to inspire you. According to Aborn’s She Built This website, the podcast focuses on “inspiring stories, business tips, content writing chat, life lessons, a little silliness (because I can’t help myself), and the tools you need to build and start living out whatever ‘this’ means for you!” Visit her website at https://www.shebuiltthis.org/podcast.

Goal Digger Podcast Jenna Kutcher’s mission is for women to “own their awesome” and do what they love. Kutcher’s story is an amazing one. She bought a $300 camera and turned it into a million dollar empire. Her website says the podcast is a “live-workshop style business and marketing podcast packed with actionable step-bystep tips that are helping thousands redefine success and chase bolder dreams. You can train with the experts on how to dig in, do the work, and tackle your biggest goals along the way.” She brings “social media strategies, productivity tips, business hacks, authentic entrepreneurship truths and inspirational stories that can help you design your dream business and life.” Visit her website at https://jennakutcherblog.com/ goal-digger-podcast/.

She Did It Her Way With millions of downloads and growing, Amanda Boleyn brings weekly content to her listeners

on “productivity hacks, different business strategies, how to confidently transition out of your 9-5 and become a full-time business owner. Along with sharing her business savvy tips, she interviews women who have also gone out and done it their way (Amy Porterfield, Jenna Kutcher, Julie Solomon, Lori Harder and many more).” Visit her website at https://shediditherway.com/ interviews.

ZenFounder Podcast According to the ZenFounder website, “Dr. Sherry Walling helps smart people do hard things. She is a clinical psychologist, speaker, podcaster, best-selling author, and mental health advocate. Pairing her professional training and personal experience, she’s helped countless entrepreneurs work through the hardest parts of running and growing a business.” That’s probably a reason why Forbes named the ZenFounder Podcast “one of the 12 best podcasts for entrepreneurs.” Learn more about the podcast at https://zenfounder. com/podcast.

The Marie Forleo Podcast/ MarieTV You may have seen Marie on Oprah Winfey’s Super Soul Sunday, or The Today Show, or on her award-winning digital show, MarieTV. If you haven’t, checking out her website at www. marieforleo.com is a must. She’s an entrepreneur, best-selling author, and has an audience in over 195 countries. She consistently brings in inspiring, thought-provoking, and successful people who haven’t taken the safe and same path in life. You’ll hear from

people who have followed their dreams of becoming a writer, NFL star, business owner and more. Marie also offers a ton of free training and information to help entrepreneurs and those wanting more from their life start and stick to their goals. For more information, check out her blog page at https://www. marieforleo.com/blog/.

Women Taking the Lead with Jodi Flynn Jodi Flynn is an executive leadership coach, author, podcaster, speaker, and workshop facilitator. Her podcast Women Taking the Lead started in 2015 and gained substantial traction, even being named by Forbes Magazine as The Top 18 Women-Led Podcasts You Need to Download Now and Entrepreneur magazine named the podcast one of the 24 Exceptional Women-Hosted Podcast for Entrepreneurs. It has held number one spots in iTunes categories: Business, Careers, and Society and Culture. When you browse her library of podcasts, you’ll see a plethora of shows with thought-leaders inspiring listeners to grow their business and advice from Jodi herself.

To learn more and listen to the Women Taking the Lead with Jodi Flynn podcast, visit the website at https:// womentakingthelead.com/ podcast/.

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Continued from page 5

impact on the joints, yet still provide some degree of mobility.”

Depending on the type of arthritis you have and severity of your symptoms, treatment may include Can Arthritis Be Cured? lifestyle changes like exercising “There are many kinds of arthrimore frequently; physical therapy; tis such as the result of bacterial medications like nonsteroidal aninfection, crystalline including ti-inflammatory drugs (NSAIDs), gout or pseudogout, autoimmune corticosteroids, biologic mediinflammatory such as rheumacations; injections into affected toid arthritis, psoriatic arthritis, joints; surgery like joint replacespondyloarthropathy, reactive arthritis, and degenerative such as ment; and complementary therapies such as yoga or relaxation osteoarthritis,” says Dr. Tseytlin. techniques.

“Depending upon the arthritis diagnosed will determine prognosis as well as management strategies. It Doesn’t Have to Control Your Some conditions such as gout can Life!

Understanding arthritis and how be managed in a way to prevent to manage it plays a vital role further flare ups and in essence in living a happy and fulfilling are curative. In conditions such as severe osteoarthritis of the hip or life. While there will always be difficulties that come with the knee surgical intervention by an condition, such as joint pain, there orthopedic surgeon for definitive are treatments available to help management may be an option.”

minimize the symptoms and make daily activities more manageable.

It’s important to remember that by having proper engagement with healthcare providers, both traditional and alternative therapies, as well as maintaining an active lifestyle while keeping your joints healthy, you can live well with arthritis. As long as you have knowledge of the facts about the disease itself and its treatments, know when to seek or rely on professional help when needed, and adhere to necessary lifestyle changes, you’ll have greater control over your wellbeing for years to come.

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MEDICAL SPA | SPECIAL SEC-

Women’s Sexual Wellness Alternative Medicine Treatment Options Dr. Lisa Vuich is a graduate of Tufts University (1988) and Tufts University School of Medicine (1992). She opened Renew MediSpa in 2006 and has worked steadily since then to ensure that Renew MediSpa remains at the cutting edge of the latest advancements in nonsurgical aesthetics. She is a nationally recognized injector, a member of numerous aesthetic organizations, a Key Opinion Leader for several aesthetic companies, and a Master Clinical instructor for Specialty Med Training. She is board certified by the American Academy of Aesthetic Medicine and regularly instructs physicians and other providers on injection technique, platelet-rich plasma therapies and other aesthetic procedures through the Renew MediSpa Training Institute.

and/or after intercourse Post menopausal atrophic • pain with intercourse vaginitis, or vaginal atro• pain or burning with phy, is a condition marked urination by thinning and irritation • more frequent urinary of the walls of the vagina, tract infections caused in part by decreased • stress urinary inconestrogen levels and reduced tinence (involuntary blood flow to the region. leakage) This most commonly occurs after menopause. More Workup and Traditional recently it was renamed Approach to Treatment genitourinary syndrome of It is important to meet with menopause (GSM), in part to begin to include the other your primary care providcommon urinary symptoms er and/or gynecologist if you are experiencing any which can go along with of these symptoms. Initial the vaginal ones. Sympworkup would include a toms can begin as early as pelvic exam, possibly a peri-menopause, during pelvic ultrasound, and menopause, or years afterward. They can also appear cultures. If the diagnosis of GSM is made, the tradiearlier in women who are tional approach has been treated with various cheto replace estrogen orally motherapeutic agents and/ and/or topically (in the or pelvic radiation to treat GYN or other malignancies. form of an inserted ring or a vaginal suppository) for those who are a candidate Symptoms often include: for hormone replacement.

• thinning of the vaginal Certain lifestyle changes walls • shortening and tighten- are also suggested such as the use of non-irritating ing of the vaginal canal • lack of vaginal moisture lubricants. Not all women are candidates for estrogen (dryness, burning) therapy, and some prefer • chronic vaginal infecnot to take it for other reations sons such as a personal or • spotting spontaneously 10 / VOL 5 ISSUE 2 / NEW HAMPSHIRE WOMEN MAGAZINE

family history of gynecologic malignancy.

A woman with atrophic vaginitis typically experiences significant pain during sexual intercourse. This frequently leads to avoidance of sexual activity altogether, which is in most cases distressing to the woman and her partner.

Since staying sexually active enhances blood circulation in the vagina and stimulates natural moisture, avoidance of sexual activity further compounds the problem.

Additional Therapeutic Options For women who have failed to respond to traditional treatment approaches, there are quite a few options still available to restore health to the vaginal tissues and nearby structures. The three main alternative interventions

are “Energy-based” procedures, Platelet Rich Plasma, and bioidentical testosterone replacement for women.

Energy based procedures deliver heat to the atrophic tissues, stimulating the body’s repair mechanisms to restore lost collagen and elastin.

Many of these devices utilize radiofrequency energy to safely and comfortably deliver the heat, such as ThermiVa and Viveve. In clinical studies these treatments have been shown to have effects such as restoring lubrication, reducing or eliminate vaginal pain, improvement in vaginal laxity (looseness), increased sexual satisfaction, tightening Viveve Device

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of external skin (labia), and improving urinary incontinence.

tenance treatment every 1 to 2 years is commonly employed to avoid symptom recurrence.

To further enhance the clinical effect, we often combine these energy-based treatments with platelet rich plasma injection (PRP).

This is sometimes called the “O-Shot” because it may improve a woman’s ability to achieve orgasm as well. PRP is prepared from a sample of your own blood taken on the day of the procedure.

This blood sample is then processed to eliminate red blood cells and to form a concentrate of platelets, the cells in the body which are richest in multiple growth factors to further promote tissue healing and new blood vessel development.

PRP has a very long history of safety across numerous medical applications and has been used in sexual wellness procedures since around 2012. In order to be potent enough to stimulate angiogenesis (new blood vessel development) it is crucial that a sufficient volume of blood be drawn to achieve the ideal platelet concentration and that it be processed with a high quality PRP kit. Not all providers offering “PRP” are following this type of protocol, so it is good to do some research before selecting a PRP provider for sexual wellness procedures. Once function has been restored, a main-

Bioidentical testosterone replacement for women is also available for women with a variety of peri-menopausal and postmenopausal symptoms.

This plant-sourced testosterone is low dose and is delivered in the form of a tiny pellet or two into the fat of the upper buttock in a 15 minute procedure performed every 4 months on average. Increased vaginal lubrication is just one potential benefit of testosterone replacement.

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Although these procedures are rarely covered by traditional insurance, patients can utilize Flex Spending Accounts or

Health Savings Account funds if they have such programs through their employer. At Renew MediSpa we also work with Advance Care Card (www. advancecarecard.com) for a year of interest free financing for those who qualify.

For more information on these and other procedures, please visit our website at www.renewmedispa.com. We also have a number of videos available on our YouTube channel which address many of these topics in more detail.

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Spring is Around the Corner!

The Ultimate Guide to the Best Spring Activities for the Entire Family

1. Go on a walk 2. Plant flowers 3. Jump rope 4. Go on a hike 5. Visit a farmers market 6. Play hopscotch 7. Take a nature walk 8. Fly a kite 9. Have fun at a playground 10. Look up at the stars 11. Go on a picnic lunch 12. Build an outdoor obstacle course 13. Set up a bird feeder 14. Watch a new movie 15. Start taking photos of nature 16. Pick fresh vegetables 17. Shop downtown 18. Visit a butterfly Sanctuary 19. Go on a bike ride 20. Play in the rain 21. Experiment with new recipes 22. Go on a scavenger hunt 23. Blow bubbles 24. Start a new craft 25. Feed the ducks 26. Start a new book 27. Do an art project 28. Play hide and seek

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29. Play a board game 30. Donate old clothes 31. Wash your car 32.Try a new sport, like tennis 33. Listen to music outdoors 34. Go to a local baseball game 35. Start a garden 36. Cook on the grill 37. Eat ice cream 38.Take family photos 39.Take your dog for a walk 40. Play tag 41. Go horseback riding 42.Try rollerskating 43. Go on a road trip 44.Try sidewalk chalk 45. Open your windows for fresh air 46. Lie in a hammock 47. Makes s’mores 48. Create an outdoor fort 49.Try golfing 50. Go to a drive in movie

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