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Health Wellness January Special Section
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January 2016
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The New Strong Gaining control over your fitness and your life For many people, aging equals lower metabolism, weight gain and less energy for activities you enjoy. This is directly related to loss of lean muscle. While you can’t avoid getting older, there are some steps you can take to stop the process of muscle loss and start rebuilding healthy, lean muscle. It doesn’t matter how old you are or whether you haven’t exercised in years. You can still regain lean muscle that improves your shape and increases your metabolism. Our downfall is inactivity. Too much sitting is the new smoking. Our bodies were meant to be active, stay active and be strong. When we stop doing meaningful exercise, we lose ground. What is meaningful exercise? A critical component of stimulating the improvements we seek from
exercise is the achievement of momentary muscular failure in each exercise performed. With steady-state activities, like walking on a treadmill or biking, there is no momentary muscular failure involved. Unless activity is demanding, it is practically worthless from an exercise perspective. However, if an activity is sufficiently demanding to take the targeted muscles to momentary failure, then it qualifies as meaningful exercise. Muscle failure should be viewed as a means of signaling the body that it needs to get stronger in order to meet the demands being placed upon it. What is the SuperSlow Zone solution? The SuperSlow Zone protocol is the original and genuine slow-motion, personal strength training workout. The exercise protocol has been proven
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January 2016
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Hypothyroidism: Understanding how it is diagnosed Brought to you by Dr. Sean Savedoff Hypothyroidism affects an estimated 27 million people, so it is quite common. If you are experiencing any of the symptoms, it is important to see your doctor to receive a diagnosis and begin treatment as soon as possible so that you can start feeling better. How is hypothyroidism diagnosed? Blood tests can usually confirm whether you are suffering from hypothyroidism. Here's a bit of an anatomy explanation first. Your thyroid gland is located in your neck. It is, however, also regulated and controlled by a part of your brain, called the pituitary gland. The pituitary also receives feedback from the thyroid so it is kind of like they are always communicating with one another. There is also another part of the brain called the hypothalamus, and it also regulates and works with the pituitary. Therefore, it takes all three working together – the hypothalamus, the pituitary gland, and the thyroid– to have a properly-functioning thyroid system.
This is called the HPT Axis. So when you go to your doctor, there are many blood tests that can be performed. It is helpful for you to know all of the different types available. Here are most of them: 1. Thyroid Stimulating Hormone (TSH) – This is usually the most common test. Hypothyroidism can be detected if the TSH is high. This test can also be helpful in diagnosing subclinical hypothyroidism, where you have higher than normal levels of TSH, but normal levels of T3 and T4. The reason behind the TSH test is that in healthy individuals with normal, functioning thyroids, when their thyroid hormones get too low, the pituitary knows it has to make more TSH to tell the thyroid to make more of its hormones. When the pituitary receives feedback that the thyroid has made enough hormones, then it slows its production of TSH. That is how it is supposed to work. However, in the case of hypothyroidism, when the thyroid is not making enough thyroxine (T4), the pituitary tries to stimulate the thyroid to make more by producing more TSH. However, if the thyroid cannot make more T4
(depending on what is wrong with the thyroid), the pituitary keeps on making more and more TSH, resulting in higher amounts of TSH. So when high levels of TSH are seen, it could mean that the body also has low levels of T4. Which in rare cases, may mean something is wrong with your pituitary and not your thyroid. 2. Total Thyroxine (T4) – Most of the T4 in your blood is attached to a protein. About 1% is not. A total T4 test is looking at both kinds of T4 (bound and not). The free T4 (the 1%) is what affects your tissues. 3. Free Thyroxine or Free T4 – This test checks the amount of free T4 available for actual use by your body. 4. T3 Tests – There are Total T3, Free T3, and Reverse T3 tests. Like T4, T3 circulates in the blood mainly bound to proteins, but 1% is not bound. It is that 1% that is believed to be most potent in its effects at the cellular level, even in comparison to T4. In fact, your body converts T4 into T3 in your liver. How well it does this in all individuals is a matter of how well your digestive system is working. No matter what, T3 is another important blood test to consider. The Free
T3 and Reverse T3 tests can also provide valuable information. Free T3 appears to correlate best with your functioning. Reverse T3 is a controversial test that is not often done by medical doctors, savedoff because it is assumed that your body can convert T4 into T3 without problems. However, holistic practitioners, and some medical doctors, are now recognizing it as an important test. Reverse T3 is a product created when your body converts T4. It should convert it into T3, but instead it converts it into Reverse T3. This Reverse T3 is useless to your body's cells, and cannot provide the energy they need, hence the growing diagnosis of Reverse T3 dominance in my practice. 5. Thyroid Antibodies – It is quite common for someone with hypothyroidism to have thyroid antibodies, created when the body attacks its own tissues. This is the only way to properly
See SAVEDOFF, Page 5
Restore your Thyroid and increase your energy naturally.
Call today to schedule your FREE Personal Consultation. Do you experience any of these symptoms?
At your consultation YOU will find real answers to:
• Life-altering low energy • Abdominal Pain • Memory Loss • Weight loss resistance • Hot flashes • Hair loss • Trouble Sleeping • Depression or Anxiety
• Why your blood work looks normal, but you do not feel well • Why 80% of thyroid symptoms are auto-immune related and why most doctors do not test for them • How you may have a condition “reverse T-3 dominance” that can be revealed by a simple test
As well as discuss: • Food Intolerance, Autoimmune Hypothyroid and Hashimoto’s • Proper ways to detox and how your liver is involved • Why simply taking thyroid medication may not impact symptoms
“My doctor says my labs are normal but I still don’t feel well.”
www.DrSavedoff.com
770-731-9410
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January 2016
Make bone-healthy foods part of your new year’s resolution The holidays are over, and New Year’s resolutions focused on health are top of mind. One of the best things you can do for your bones—and your health—is to eat foods that will maximize bone strength. Proper diet builds strong bones, essential to maintaining a healthy lifestyle. Eating the right foods is one of our most powerful weapons to maintain strong bones and combat bone loss that can occur as we age. Here are five foods that will help you keep your bones at their best. • Milk - the calcium provided in milk is key to strong bones • Dark leafy greens - vegetables like kale, bok choy and turnip greens deliver large amounts of calcium • Salmon - fatty fish like salmon and mackerel provide omega-3 fatty acids and vitamin D that helps you absorb calcium. • Nuts and seeds - the protein in these foods supports strong bones • Fortified orange juice - look for brands with calcium added Make these foods a regular part of your diet, and your New Year’s Resolu-
tion, to take care of your bones. OrthoAtlanta is one of the largest orthopaedic and sports medicine practices in Atlanta with offices including Johns Creek, 6300 Hospital Parkway, Suite 400, 678-205-4261, and Gwinnett, 771 Old Norcross Road, Suite 155, Lawrenceville, 678-957-0757. OrthoAtlanta offers comprehensive operative and non-operative musculoskeletal care and expertise includes sport medicine, arthroscopic surgery, hip replacement, knee replacement, spine surgery, pain management and acute orthopedic urgent care. Learn more: OrthoAtlanta. com.
North Fulton residents now have access to concierge level physical therapy services David Mesnick, PT, OCS, cMDT, is proud to announce the opening of PT360 physical therapy centers in Johns Creek and Sandy Springs. PT360 will focus on patient rehabilitation and recovery in an extremely personalized manner. The hallmark of PT360 is premium, one-on-one physical therapy utilizing a unique and supportive model of care. PT360’s tenets include providing access to care when patients need it and to provide treatments that lead to speedier recovery versus traditional physical therapy appointments. “Because our methods are more focused and precise, just one PT360 session often accomplishes as much as three or four traditional sessions,” stated Mesnick when asked what makes his clinics unique. PT360 founder David Mesnick graduated from the University of Florida with a Bachelor’s Degree in Physical Therapy. His clinical emphasis is in manual osteopathic physical therapy, with a focus on spine and sacroiliac (SI) joint dysfunction. Mesnick is a Board Certified Orthopaedic Specialist (OCS), as well as a certified McKenzie Thera-
pist. He is also a certified functional dry needling practitioner (FDN) and a certified Selective Functional Movement Assessment (SFMA) practitioner. Call PT360 for information about a physical therapy plan. Johns Creek, 770.225.8860 Sandy Springs, 678.430.8107
January 2016
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Look forward to healthy vision By: Reay Brown, M.D. When our vision is clear, we tend to look the other way when it comes to eye exams. But unless you get your vision examined, you really can’t see what’s coming. Seeing an eye doctor (ophthalmologist) regularly to monitor your eye health can be as important as when you see your family doctor to manage your overall health. For people over the age of 40, regular eye exams can detect age-related causes of blindness such as macular degeneration, cataract, diabetic retinopathy and early signs of glaucoma. Glaucoma is the second leading cause of blindness in the U.S., according to the National Institutes of Health. Glaucoma can lead to blindness because there is no pain or visual disruption associated with this disease and it’s often left untreated, uncontrolled or undiagnosed. Those who are at higher risk of being visually impaired from glaucoma include African Americans over the age of 40, Hispanics over the age of 60 and people with a family history of glaucoma. Glaucoma, which refers to a group of eye conditions that lead to damage of the optic nerve, first causes peripheral vision loss. Regular eye exams can screen for glaucoma, including testing
Savedoff: Continued from Page 3 diagnose Hashimoto’s Thyroiditis. The reason most doctors do not request this test is because even if it comes back positive, there treatment will be the same as for a standard hypothyroid case. This is why so many people complain of the there symptoms even though they’re on the medication. Thyroxin will not address the inflammation causing the autoimmune attack on your thyroid. It only makes your TSH values look normal…. In summery, I hope this article answers some of your questions regarding the confusion about how hypothyroidism is commonly misdiagnosed. My goal is to bring to light some of the amazing lab tests out there for patients to request from their doctors and get real answers. There are some natural
your peripheral vision, measuring intraocular pressure and evaluating your optic nerve. Early detection allows the eye disease to be treated immediately, which can prevent irreversible vision loss. To ensure your eyes are healthy, have an eye exam at least every two years. The doctor will ask you about your medical history, use that familiar wall chart to measure your ability to see small details clearly and evaluate how well your eye muscle align or coordinate when working together and individually. Dr. Reay Brown is an ophthalmologist on staff at Northside Hospital and works in a range of innovative ways to diagnose and treat cataracts and glaucoma. For more information, visit www.northside.com/ophthalmology.
ways to support your thyroid, and ensure it functions optimally. By gaining an understanding of these different lab tests and there proper values, I believe the majority of people with a thyroid disorder will be able to get a true diagnosis and see significant improvements in their symptoms. That being said, there are those who will need additional tweaks, deeper testing, and personalized changes to their diet, supplements, and lifestyle plan before they see the improvements they’re looking for. So you may want to find a doctor that practices functional medicine. A functional medical doctor can assist you with natural ways of treating the root cause of illness, rather than just treating the symptoms with medication. And this is what we do, so if you or someone you know may have a thyroid disorder and want to correct this condition, please call (770) 731-9410 or visit www.DrSavedoff.com and schedule an appointment with us today.
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Sponsored Section • Health & wellness
January 2016
The new signature in assisted living Will you make your Retirement living should be exceptional living. Situated in one of the most desirable spots in Johns Creek, this new 100 apartment community is within close proximity to world-class healthcare facilities, cultural venues, fine shopping and dining. Arbor Terrace of Johns Creek is a one-of-a-kind community offering a luxurious lifestyle with concierge services, chef-prepared meals, housekeeping and more, without a large investment or long-term commitment. “We are changing the way people live,” says Beth Richardson, Executive Director at Arbor Terrace. “Working with strong on-site partners in healthcare, including 24 hour nursing staff and on site therapy, we can provide as much or as little care as our residents
need.” Arbor Terrace’s goal is to provide the residents with comfort, security and peace of mind. This beautiful community will have all the amenities you would expect including a fitness center with a variety of exercise and educational offerings as well as a vibrant social calendar. As Judd Harper, President of the Arbor Company points out, “We consider it our priority to help you stay fit and healthy. Our dedicated staff is committed to facilitating our residents’ physical, intellectual and cultural wellbeing.” For more information on Arbor Terrace of Johns Creek, please call (770)999-9577 and visit our website at www.at-johnscreek.com.
The New Signature of Senior Living has arrived in Johns Creek! Arbor Terrace is the newest assisted living and memory care community in the area. Visit us today to see for yourself why so many call us the best.
health a priority in 2016? We have all heard it said, “Your life is a result of the choices you make.” This is certainly true when it comes to your health. If you are like many people, you have put your health on the backburner. The start of a new year is an excellent time to take an accurate look at your own health, review the good and bad things you have been doing for your health, and set goals for what you can do better. Goals must be specific, and involve exactly what you want. Once we have that in place, we can work together on the details of how to get there. When I sit down with you, we will discuss your health concerns in detail and develop
both short- and longterm goals. The route we take is specific to you, and includes a specific combination of treatments which are designed to work with your body rather than against it. This is the essence of personalized stegall medicine, and can be applied to a wide range of health conditions. I welcome the opportunity to work with you in making your health a priority in 2016. Please call my office at (770) 551-2730 for more information.
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3180 Karen White Dr., Suwanee (770) 599-2068 www.at-johnscreek.com
10700 Medlock Bridge Road, Suite 207 • Johns Creek, GA 30097 (770) 551-2730 • www. advanced-med.com
January 2016
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To reduce your healthcare costs, be prepared (NAPSI)—Going to the doctor or dentist? Be prepared! Knowing the right questions to ask can help you save money and improve your care. Here are some suggestions: Know Before You Go If you are covered by insurance, your out-of-pocket expenses will generally be higher if your provider does not participate in your plan’s network (the name of your network usually appears on your health plan ID card). Providers may be open to offering discounts when they do not participate in your network. Consider negotiating fees in advance. 1. Do you participate in my plan’s network? If not, how much can I expect to be billed for my visit? 2. Will my insurance plan’s payment cover the full cost of this out-ofnetwork visit? If not, will you expect me to pay the difference between your bill and what you are paid by the insurance company? If you participate in another network, are you willing to accept their payment amount as full payment for this visit/service? 3. Will you file claim forms for outof-network services on my behalf? 4. What tests/lab work will be ordered for my visit? Will they be covered
by my health plan? If performed elsewhere, are the facilities performing the tests/lab work considered “in-network” under my plan? 5. Will your office check with my plan to determine if pre-authorization is required for any tests or procedures? 6. Will you be performing or ordering services not typically covered by my plan? 7. Do you offer payment options, discounts, or otherwise negotiate your fees, for services that are out-of-network or not covered by my plan? 8. Are the medications you prescribed covered by my plan? If not, is there a less expensive alternative such as a different brand or generic option that is covered? 9. Will my surgery/procedure be performed at an in-network facility? Will all of the providers (anesthesiologist, radiologist etc.) that I see at the hospital or outpatient facility be part of my plan’s network? If not, can you provide me with contact information for these providers so that I can obtain information to help me plan for my health care expenses? Note the date and the name of the person(s) you spoke with.
For more tips on managing your healthcare costs, download FAIR Health’s free mobile app in English and
Spanish (FH® Cost Lookup/FH® CCSalud) at the iTunes store, Google Play or www.fairhealthconsumer.org.
ADHD – not just in children anymore personality disorders. Adult ADHD is a valid psychiatric disorder of adulthood distinct from these other conditions. Adult attention deficit disorder differs from the childhood variant because the hyperactivity in adults may be replaced by other symptoms such as anxiety, impulsivity and inattentiveness. In fact, prior to 2002 there were no diagnostic guidelines, but there have been great advances since. Some of the symptoms that characterize Adult ADHD are:
ADHD is a relatively common psychiatric disorder among adults. The prevalence is thought to be 3.5%-5.3%, which accounts for more than 11 million cases in the United States alone. With increased public awareness, adult ADHD became a topic of great interest so clinicians should be able to diagnose, treat, and manage patients with this disorder. Etiology is still uncertain. Genetics however is believed to play a prominent role, followed in importance by acquired injuries to the brain. ADHD was widely thought to be strictly a disorder of childhood. Now there are numerous scientific papers and clinical trials that acknowledge the existence of an adult version of this disorder, which can be traced back to the younger years. Before this time ADHD in adults was known as Minimal Brain Damage or Dysfunction (MBD). Adult ADHD is associated with multiple co-morbidities such as anxiety, depression, bipolar disorder and other
1. Often fails to give close attention to details or makes careless mistakes in school-work, work or other activities. 2. Often has difficulty sustaining attention in tasks or play activities. 3. Often does not seem to listen when spoke to directly. 4. Often does not follow through on instructions and fails to finish schoolwork, chores or duties in the workplace (not due to oppositional behavior or failure to understand directions) 5. Often has difficulty organizing tasks and activities. 6. Often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (such as schoolwork or homework)Often loses things necessary for tasks and activities (eg. School assignments, pencils, keys) 7. Is often easily distracted by extraneous stimuli. 8. Is often forgetful in daily activities. Some children with ADHD continue to have it as adults. And many adults who have the disorder don’t know it. They PAID ADVERTORIAL
may feel that it is impossible to get organized, keep a job, or remember and keep appointments. Daily tasks such as getting up in the morning, preparing to leave the house for work, arriving at work on time, and being productive on the job can be especially challenging for adults with ADHD. These adults may have a history of failure at school, problems at work, failed relationships and traffic accidents. Like teens, adults with ADHD may seem restless and may try to complete several tasks as once, most of them unsuccessfully. They also tend to prefer “quick fixes,” rather than taking the steps needed to achieve greater rewards. On the other hand, it is important to know that ADHD can occur in high frequency with other comorbidities such as anxiety, depression, bipolar disorder and other personality disorders. There is high frequency of misdiagnosis and diagnosis is usually subjective and based on behavior and clinical history. Treatment is very rewarding, there are multiple classes of medication and alternative treatment available for those who don’t respond to conventional therapy. Cognitive behavior therapy and coping strategies remain the long term treatment of choice for ADHD If you or someone you know may have Adult ADHD, call Johns Creek Family Medicine at 770-771-6591 and schedule an appointment with Dr. Zack Charkawi.
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Sponsored Section • Health & wellness
January 2016
Dermatology and Family Medicine
The Clear ar Choice for Exception Exceptional Care
Dr. Shereen Timani Dermatology
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6300 Hospital Parkway, Suite 100 • Johns Creek, GA 30097
Trouble Hearing? State of the art surgical options for women Hear More. Anywhere. Anytime.
STOP putting it off ! Hearing begins with YOU. Schedule your appointment today and let our Doctors empower you with an affordable and personalized hearing solution. Dr. Deborah Woodward Doctor of Audiology
770-814-1260 www.YourHearingLink.com 4045 Johns Creek Parkway, Suite B • Johns Creek, GA 30024
One of the most exciting advancements of modern medicine is the use of minimally invasive surgical techniques. The founding physicians of Modern Ob/ Gyn, Drs. John and Ingrid Reyes have dedicated their practice to this philosophy. “Minimally invasive surgery allows us to perform complex procedures through either small incisions or no incisions at all. Patients benefit from having less pain, shorter recovery times, and few or no scars,” says Dr. John Reyes. Minimally invasive surgery also refers to in-office procedures which include treatment of heavy bleeding with endometrial ablation and incision-free permanent sterilization. “In office procedures are a safe and excellent option for many patients. It’s great to be able to offer these procedures to women because they can get back to their lives so quickly, oftentimes even the same day. And typically, because these are seen as office visits, the cost to the patient is
only their co-pay which makes such a big difference” says Dr. John Reyes. Modern Ob/Gyn stands by its promise to bring the most advanced and sophisticated options to this community. “We are here to do our very best for the women of this community. This is why we went to school and trained for so long—we really value the work we do and how we can help our patients,” says Dr. Natu Mmbaga, the most recent addition to the physician staff of the practice. The physicians at Modern OB/GYN provide comprehensive women’s care at two convenient locations in Johns Creek and Cumming, including prenatal care, annual well women exams, and management of many other women’s health care needs. The physicians provide services at both Northside Forsyth and Emory Johns Creek Hospital. To schedule an appointment visit their website at www.reyesobgyn.com or call the office at 404-446-2496.
January 2016
There’s an APP for that! For YOUR ears and YOUR world Can you imagine being able to stream the sounds from your iPhones and iPads directly into hearing devices that NO ONE else can see? What if you could answer or make phone calls and clearly hear the person on the other end through both ears? The marvels of technology have made these scenarios possible to create a seamless connection to a world filled with sounds. More than 36 million Americans experience hearing challenges in various environments and situations - a frustrating disadvantage to those affected. Forget about what you think you know about hearing devices up to now. You will be AMAZED at how smart, how helpful, and how transforming better hearing can now be. “As an audiologist for almost 24 years, it is both exciting and overwhelming to stay on top of the latest advances in hearing technology. It is a very fulfilling time to be in a profession that is truly transforming people’s lives by connecting them to the world in a way that others take for granted” says Dr. Deborah Woodward. “Another leap forward has been the very successful extended wear option.” These devices are invisible to others, worn 24/7 for months at a time, and have no batteries to change. If you have a mild to moderate hearing loss, this cutting edge option may be right for you. As the local community’s leading link to better hearing over the past 17 years, Dr. Deborah Woodward and her staff at the Johns Creek Audiology and Hearing Center have successfully led thousands of hearing challenged patients to a more enjoyable and fulfilling life. Dr. Woodward offers patients not only improved day to day communication, but also the solutions to those challenging listening environments such as restaurants, group meetings, phone communication, and yes, that age old argument between spouses on the “correct” loudness of the television volume. Countless devices and services are now being marketed to assist the hearing challenged but like fingerprints, no two ears are the same. Consulting with an audiologist is an absolute must. The “one model fits all” bought from a magazine or website has the potential to actually add MORE damage to your current hearing profile. If in need of help, you can rely on the expertise of a Doctor of Audiology and a Center with a proven TRUST record to help plan your personal and unique solution to “better” hearing. The Johns Creek Audiology and Hearing Center is known for their competitive pricing along with award winning service. They can also provide diagnostic testing for hearing disorders, tinnitus (ringing in the ears), vertigo, and ear wax management. All major insurance plans are accepted and no interest finance plans are offered. Call (770)814-1260 to schedule YOUR life changing appointment
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January 2016
e have the prescription for growing your practice! MARKETING OPPORTUNITIES FOR MEDICAL PRACTICES
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