Health & Wellness, November 2014 by Appen Media Group

Appen Media Group

Health Wellness November Special Section

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NorthFulton.com | November 2014

Help your waistline survive the holidays Courtesy of Northside Hospital Diabetes & Nutrition Services The average Thanksgiving meal adds up to nearly 1900 calories—almost as much as what the average person should consume in a typical day. Between the turkey, stuffing and pecan pie, Thanksgiving can be a difficult time to resist temptation, but with a little will power and the right knowledge, you CAN avoid packing on those pesky holiday pounds.Remember – weight gain prevention is much easier than trying to diet after the holidays. Northside Hospital offers these healthy eating guidelines to help: • Don’t skip meals to “save room” for a holiday feast. You just end up bingeing later. • Eat a light, low calorie, high-fiber meal before going to a holiday party or dinner

to keep you in control of your appetite and make it harder to overeat. • Drink lots of water – at least eight cups a day. Don’t waste calories on other beverages. • Bring your own healthy dish and you can be guaranteed that it is good for you. • Look for ways to “skinny down” your favorite holiday fare. Study health-conscious cookbooks and magazines for clever substitutes. • Survey all the food available first, then pick only what you really want. Turkey is lean and healthy, especially the white meat. Avoid the skin and trimmings. Fill half your plate with fruits and vegetables. Skip the cheese and sauces. Choose just one starchy food – either stuffing, bread OR potatoes… not all of them. • Eat in moderation. Prac-

tice portion control. Stop when you no longer feel hungry, not when you are stuffed. • Set pre-meal goals to help you keep control of your eating. Make plans to skip seconds or to have just one indulgence. • Eat dessert a few hours after dinner to allow time to digest your meal. Indulge on the things you only get during the holidays and eat only partial servings of each. • Sit down to eat. Emphasize conversation and socializing instead of the food. We don’t realize how much we have eaten when we pick at food while standing. • After a big dinner, go for a walk and then try to eat lighter the next couple of days. To watch videos with Northside Hospital experts and learn more about healthy eating this holiday season, visit www.northside.com/healthcast.

ADHD – not just in children anymore Adult ADHD is associated with multiple comorbidities such as anxiety, depression, bipolar disorder and other 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).

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. PAID ADVERTORIAL

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Some children with ADHD continue to have it as adults. And many adults who have the disorder don’t know it. They 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. Treatment is very rewarding. The first medications to be approved by the FDA belonged to a non-stimulant group of medications: Atomoxetine. The FDA later approved stimulants such as methylphenidate and mixed amphetamine salts. Group delivered cognitive behavioral therapy is recommended in some cases as a supportive treatment. 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.

November 2014

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Cold/Flu Meds Pose Risks For High Blood Pressure (NAPSI)—If you have high blood pressure and purchase an over-the-counter (OTC) medication, you may be getting more than you bargained for. That’s the word from experts who caution that some medications taken over the counter can have a negative impact on blood pressure. If patients are unknowingly taking medications that elevate blood pressure, it could undermine efforts to keep blood pressure in a safe range. The First Step Willie E. Lawrence, Jr., M.D., a spokesman for the

American Heart Association and chief of cardiology at Research Medical Center in Kansas City, Missouri, said the first step is for people with high blood pressure to know which products could cause variations in blood pressure. Cold medicines, painkillers and energy pills or drinks are a few products to watch out for if you have high blood pressure. “Patients should be aware of the list of things that we know can cause an elevation in blood pressure,” Dr. Lawrence said. He advised that these products should be avoided,

used with caution, used only for a short amount of time or used after a discussion with a medical professional. Tips On Using OTCs People with hypertension should educate themselves before mixing their high blood pressure medication with overthe-counter medicines. Some things to consider include: • Chat with a doctor. Lawrence cautions that people who have high blood pressure need to tell their doctors about any over-the-counter medicine they are taking or have taken recently.

• Be a label reader. Medication labels should be scrutinized as thoroughly as food labels. Patients should use increased vigilance in cooler months because when temperatures drop, colds become more common. Look for cold medicines labeled as safe for people with high blood pressure. Decongestants such as pseudoephedrine, which may increase blood pressure, are key ingredients to avoid. • Skip the salt. A top ingredient to avoid in medications, as in food, is salt, which may increase blood pressure due to fluid retention. On the ingredient label, it may be listed as “salt,” “sodium” or “soda.” • Avoid highly caffeinated products. Caffeine raises blood pressure and impacts heart rate. According to Dr. Lawrence, this effect is especially intense if you’re not used to it. He recommends that people with high blood pressure avoid high-caffeine energy drinks. • Ask before using painkillers. Patients should also use caution and speak to their doctors before using common painkillers, such as the class of drugs known as NSAIDs, which stands for non-steroidal anti-inflammatory drugs.

This class includes prescribed medicines as well as over-the-counter aspirin, Advil (ibuprofen) and Aleve (naproxen). NSAIDs are associated with increased risks for people with heart disease and its risk factors. In addition, “These medicines may raise blood pressure a little and at higher doses they can damage the kidneys,” Dr. Lawrence said. Since high blood pressure can lead to kidney disease, that makes adding NSAIDs a bigger health risk. • Know the numbers. Those with moderately elevated or high blood pressure should monitor it regularly, particularly when taking new medications. “People taking medicines in these classes should be monitoring their blood pressure at home to make certain it is staying within the range recommended by their doctor,” Dr. Lawrence said. “If it increases excessively and is consistently over 140/90, then they need to speak to their doctor.” Learn more online at www.heart.org/HBP. Merck Consumer Care, maker of Coricidin® HBP, is a sponsor of the American Heart Association’s High Blood Pressure website.

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November 2014

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Everyday mom’s Hollywood fabulous mommy makeover By: Dr. Yugueros Luna Plastic Surgery A mommy makeover is a combination of plastic surgery procedures done to help patients get their pre-baby body back. The procedures can entail a combination of breast augmentation, breast lift, tummy tuck and liposuction. Breast augmentation increases size and alters shape of breasts. The procedure restores lost volume after pregnancy and breastfeeding. The breast lift raises and reshapes sagging or drooping breasts and restores firmness after breastfeeding. A tummy tuck removes excess skin that diet and exercise cannot resolve. This procedure can eliminate abdominal stretch marks, realigns abdominal muscles into tighter formation. Liposuction removes fat that does not respond to diet and exercise. It also restores contour to sagging areas and reduces fat deposits on stomach and hips. mommy makeover procedures are popular in the Untied States. Statistics from 2013 show that breast augmentations were among the most

common procedure performed. Withover 290,224 a year. Liposuctions were also among the most yugueros common procedures performed in 2013 followed by tummy tucks then breast lifts. Surgery length: 4-6 hours Results: Last Indefinitely Worth it rating: 98 percent At Luna Plastic Surgery, we understand the concerns a mom may have before taking the steps to iniate a mommy makeover. A good candidate for a mommy makeover is a woman in good health, complete with childbearing, and at a stablized weight. To find out more or to learn if you would be a good candidiate please visit us for your free consultation at Luna Plastic Surgery inside Emory Johns Creek Hospital, 6335 Hospital Parkway Suite 216. Visit our website at www.LunaPlasticSurgery.com or call 678-892-7820.

Were you born between 1945 and 1965? If you were born between 1945 and1965, you could be among the 800,000 people living with the potentially fatal Hepatitis C Virus (HCV) infection and not know it! While anyone can get hep C, more than 75 percent of infected adults are baby boomers. Other people at risk include those with a history of needle sharing or needle stick injuries, and blood transfusion recipients. Infected individuals with hep C often have no symptoms and can go decades without feeling sick. However, over time the virus can cause serious health problems including liver damage, cirrhosis, liver cancer and even death. The CDC recommends a one-time Hepatitis C screening for all baby boomers. “A new generation of treatments is available that make treatment simpler, and with fewer side effects—resulting in successful outcomes of up to 95 percent in certain groups of patients. Screening requires a

simple blood test, called a Hepatitis C Antibody Test, to find out if a person has ever been infected with hep C. Detection hudes is key to getting successfully treated with medications. Don’t wait for symptoms— make an appointment to get tested,” recommends Brian Hudes, M.D. and Medical Director of Advanced Gastroenterology Associates and Hudes Endoscopy Center. Advanced Gastroenterology Associates specializes in the diagnosis, treatment and prevention of gastrointestinal and liver diseases, including Hepatitis A, B, and C—with a focus on colon cancer screening and prevention. Call 678.475.1606 or visit advgastro.com to learn more. In addition to Dr. Hudes, other practice physicians include Dimple Raina, M.D., Long Nguyen, D.O., and Edward LeVert, M.D.

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Could Your Thyroid Be Why You Are Not Feeling Well? By Dr. Sean Savedoff – Revolution Health Perhaps you are one of the 13 million people in this country that go to your doctor with sudden weight gain, fatigue, hot flashes, infertility, depression, or some other unexplained symptom and ask about your thyroid. They send you out for blood work that comes back normal. The truth is you can go 20-30 years with symptoms before your blood work is abnormal. Finally, when it becomes abnormal, your doctor will put you on thyroid replacement hormones for the rest of your life. Is there another answer? Read on! Why Your Blood Work Looks Normal, But You Do Noy Feel Well Most doctors think the problem is just in the thyroid when most of the time it is not. The reason for this is because thyroid conditions most often occur because of a problem somewhere other than the thyroid gland itself. Thyroid hormone levels of TSH, T3, and T4 can appear normal. I give my patients 3 reasons for this phenomenon. Let’s start with the first reason. T4 hormone must be converted to T3 active hormone. If this conversion does

not take place, then the message to the cell will never get through. Only active T3 can be used in the cell. T4 is the stored hormone and Savedoff not active in the cell and therefore, must be converted to T3. The hormone most doctors give as a replacement hormone is T4. Therefore, if you are not making the conversion your blood work will look normal and you still don’t feel well. The conversion takes place in the liver. If your liver is stressed, by toxic overload for instance, then the conversion may not take place. Has your doctor ever considered your liver in your thyroid program? Normal TSH levels do not mean your body is normal and healthy. The Second Reason, and Perhaps the Most Common Reason, for Your Blood Work Being Normal but Still Not Feeling Well: Active T3 cannot be used in the cell because the receptors to the T3 on the cell are blunted. An important point that I teach is that hormone

problems are not necessarily problems with hormones themselves, but rather the receptor to the hormone. Similar to Type II Diabetes, where the diabetic has plenty of insulin but the receptors to the insulin are blunted and unable to “hear” the message in order to allow the glucose in the cell, and therefore the glucose cannot get into the cell to produce energy. That condition is referred to as insulin resistance. T3 resistance works the same way. It is like having plenty of gasoline but not being able to get it into your car. Your cells are literally starving for T3, however, due to the feedback

mechanism, the pituitary gland in the brain gets a message that there is adequate T3 and signals the thyroid that everything is ok and therefore your blood work will be normal. If your doctor is not addressing the 3 main causes of cellular inflammation, and therefore hormone resistance, you will spend the rest of your life on medication and chasing symptoms. The Third Reason, Why the Gold Standard TSH Levels Miss the Autoimmune Condition Hashimoto’s: Finally, the 3rd reason is that the problem could potentially be you are suffering with Hashimoto’s, which is an autoimmune condition where the body is attacking itself. The fact is that most doctors give T4 replacement hormone, which does very little if anything, for the autoimmune type of hypothyroid. The success of treatment will be deceiving because the T4 hormone will make your blood work ap-

pear normal. TSH levels are considered the “gold standard” for thyroid testing. The truth is there is not one study that shows that normal TSH levels have ANYTHING to do with normal thyroid function. Before 1971, we treated the patient; today, sadly, we treat the lab results. Food Intolerance, Autoimmune Hypothyroid and Hashimoto’s Food intolerances can drive inflammation and therefore, your own immune system to attack itself (autoimmune). A massive number of people in this country, enough to constitute an epidemic, have gastrointestinal issues from IBS, Crohn’s, Celiac, and leaky gut, which allow foreign proteins to cross through the gut and cause the immune system to start the attack. Hashimoto’s can be the downstream result of this preventable condition. Has your doctor considered your gastrointestinal system as the cause of your thyroid problem? The proper tests must be done for success. Contact Revolution Health today to schedule your free consultation, or come out to our upcoming dinner talk to learn more (see our ad for details) 770-731-9410, WWW.THYROIDHELPGA.COM

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You are cordially invited to join us for dinner. Tuesday, November 18th 7pm • The Diner at Northpoint

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• 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 • 8 Secrets to Heal Hypothyroidism… and other hormone problems • Why simply taking thyroid medication may not impact symptoms

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health & Wellness • Sponsored Section

Haynes Bridge Dental Care introduces Dental Concierge Membership Every month there are new scientific studies released that link Oral Health (and more specifically Periodontitis) to other more serious health risks, including heart disease, stroke and respiratory disease. Yet many individuals forgo regular dental care for themselves and for their children because they do not have dental insurance. Take a look at some of these figures: • In 2008, 4.6 million children went without needed dental care because their families lacked the financial means to pay for it. • When people don't visit the dentist regularly, they end up in the emergency room. 60,000 ER visits for non-traumatic dental problems or other oral health issues cost Georgia taxpayers more than $23 million according to recent Pew report. • The Surgeon General reports that more than 64 million work hours are lost each year because of

untreated dental problems. Treatment of dental issues can help reduce the risk of more severe, and costly, medical conditions. Routine dental visits are the key to prevention. But even more troubling is the fact that families who have dental insurance still end up having to pay large amounts out-of-pocket, because their annual coverage comes with a maximum benefit. For example, if you total your car, your insurance coverage will likely provide you with a new one. Dental insurance? You’ll pay 50% for three new tires and then the annual maximum runs out. You will still need to pay 100% out-of-pocket for the steering wheel, engine, and paint (that’s cosmetic!). Access to affordable, personalized and comprehensive dental care is important. Haynes Bridge Dental Care located in Johns Creek - has

created an exclusive Dental Concierge Membership program for the Johns Creek Community that is straightforward and open to anyone. No Deductibles. No Claims Process. No Maximum Annual Benefit! This program is available for employers and individuals. It allows members to pay a monthly fee and gain access to heavily discounted dental services (discounted at an average of 55%!). More importantly, Haynes Bridge Dental Care is not a big corporate dental practice that will force you to see a different doctor each time you visit. Their dental practice is family-owned and offers a comprehensive set of dental services, including Preventative, high-end Cosmetic and Restorative, including special services for Seniors. Call Haynes Bridge Dental Care today at 470.297.6700 or visit them online at www. HaynesBridgeDentalCare.com for more information on this program.

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The Impact of Diabetes on Your Vision November is American Diabetes Month. According to the National Eye Institute (NEI), diabetes affects more than 29 million people in the United States. When uncontrolled, diabetes often causes eye complications including cataracts, diabetic retinopathy, glaucoma, and even blindness. “Anyone with diabetes should have a comprehensive eye exam at least once a year,” says Nhora Abril, O.D., at Thomas Eye Group. “Early detection and timely treatment is important in preventing severe vision loss.” Diabetic Retinopathy is the leading cause of blindness in adults 20-74 years of age. Many people in the early stages of diabetic retinopathy may not have symptoms or notice changes in their vision. Without treatment, the

disease can cause irreversible vision loss. “Our doctors are well versed in the management of diabetic eye disease Abril and will perform a thorough dilated exam,” said Tim Couch, Director of Operation at Thomas Eye Group in Roswell. For more information on diabetic eye disease and its impact on your vision, contact Thomas Eye Group at www.thomaseye.com or call 770-475-5515. Thomas Eye Group is a full service eye care provider with eight offices in greater Atlanta including a location at 11690 Alpharetta Highway in Roswell.

A diﬀerence you can see. North Fulton’s source for exceptional eyecare: • Comprehensive Ophthalmology • Pediatric Ophthalmology and Strabismus • Cataract Surgery • LASIK and Refractive Surgery • Oculoplastic Surgery and Cosmetic Services • Eyewear and Contact Lenses for all ages • Retina, Glaucoma, and Cornea Services • Optometric Services Larry Heit, M.D. I Stuart Newman, M.D. Stephen Lipsky, M.D. I Nhora Abril, O.D.

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Sponsored Section • health & Wellness November 2014

So big deal, a little inflammation

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Exactly,….. BIG DEAL! Inflammation is not something to take lightly. Let’s put it this way, if you came across a smoldering fire in your house, you wouldn’t just walk away...would you? I suspect that you would consider this an important matter to tend to, because you know that even a small smoldering fire could quickly become a big rip roaring fire that could burn your house down. Your thought process might be something like, “don’t panic, just put the fire out; and put the fire out fast.!” You might even say “Whew, I am glad I caught that fire while it was small, and thank God that I just happened to walk in here and see this.” Yeh, it would be an emotional and financial disaster to lose your home. So what if we were talking about your life? All it takes is ONE fire to cause an event i.e heart attack and stroke. There are many causes of inflammation that can ultimately cause your arteries to be fragile. The arteries can suddenly rupture as plaque pushes through the wall like a volcano. A clot is formed, blocking the flow and BOOM. You have a heart attack or stroke. What causes inflammation? Great question. Stress, bad diet, migraines, autoimmune diseases( like lupus and psoriasis), smoking, cholesterol, insulin resistance, prediabetes, diabetes, PCOS, liver disease, sleep disorders, and, periodontal disease to just name a few. Don’t get a false sense of security if you are a marathon runner, passed your stress test, calcium score, and even have a phenomenal cholesterol profile. Stay tuned to hear more from us and Plaque Busters in the national arena. If you are serious about your life, and your life is a

priority, we can help you before it is too late. We are very experienced in a prevention strategy that works! It is tailored to YOU, your body and your genetics! Right now as spring approaches, most of you are wanting to “get the weight off”. We are gaskill excited about our new weight loss program and we will personally coach you. If you want to find out your genetic dietary pattern needs (we are all one of six patterns), we can help you learn how to eat for minimizing your risk of developing plaque and to help you lose weight most effectively for a lifetime. Yes, it’s true: we are not all genetically programmed to eat the same way! Out of all of Dr. Gaskill’s patients that have followed & complied with her cardiovascular prevention method for the past 7 1/2 years, none have had a heart attack or stroke! We also utilize functional/naturopathic medicine in addition to traditional Western medicine to successfully treat a large number of illnesses, including chronic fatigue, pulmonary disorders, food and chemical sensitivities, irritable bowel syndrome, ADD, obesity, migraines, cardiovascular disease, arthritis, digestive disorders, skin disorders, anxiety, depression & insomnia. www.drlesliegaskill.com www.plaquebusters.net Leslie S. Gaskill, M.D., LLC 6290 Abbotts Bridge Road, Ste 201 Johns Creek, Georgia 30097 770-495-9995

Is your stubborn weight-loss problem actually a hormone problem?

I just don’t feel good...

• Chronic Fatigue • Digestive Issues • Sleep Problems • Fibromyalgia • PMS/Hot Flashes

By: Leslie Gaskill, M.D.

Dr. Daniel Falor, D.C.

Master Herbalist Clinical Nutritionist Functional Medicine

678.867.7200 www.aimedicine.com 5755 North Point Parkway, Suite 72 Alpharetta, Georgia 30022

Do you find that no matter how much you exercise or how little you eat, you still can’t seem to get rid of that excess five, ten or twenty pounds? Well it could be Falor that your weight problem is due to a hormone imbalance. Particularly estrogen. Estrogen balance is essential for achieving and maintaining fat loss. Excess estrogen or “estrogen dominance” causes fat gain, water retention, bloating, and many other health and wellness issues.While premenopausal women excess estrogen tend to have more weight at the hips, menopausal women with estrogen excess exhibit more fat accumulation in their middle. We are constantly exposed to estrogen-like compounds in foods that

contain toxic pesticides and growth hormones. These toxins are known to cause weight gain, which causes the production of more estrogen from our own fat cells. More estrogen then increases more weight gain. Pharmaceutical hormones, such as those used in hormone-replacement therapy (HRT) or birth control pills, also increase estrogen. So, what can you do? Well, the first step is to cleanse your body of these toxic chemicals and re-balance your hormones. At the same time, nutritional recommendations and dietary changes are put in place to help your body return to a state of optimal health. If you’re reading this and thinking, “Could this work for me?” Call our office at 678-867-7200 and schedule a consultation. You have nothing to lose, except a lifetime of accumulated toxins in your body. Oh, and the excess weight.

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November 2014

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Want relief from TMJ pain or tension headaches? Botox is now available at Center for Advanced Dentistry You may not have heard about Botox therapy for head, neck, and/or facial pain. The same effect of Botox that reduces the appearance of wrinkles (relaxing muscles) is used to reduce the intensity of muscle contractions. Intense and/or prolonged muscle contractions of our muscles used for chewing can cause pain and damage to our teeth. Pain can be in the contracted muscle or can be referred to a distant site. Severe clenching and grinding of the teeth can cause the teeth to chip, break, or even need root canal treatments. How Does BOTOX® Treat Jaw Tension and TMJ Disorder? Botox is injected into the masseter muscles of the jaw to treat TMJ, an inflammation of the TMJ joint in the jaw. Located on both sides of the head at the point where the jawbone meets the skull, the temporo-mandibular joint (TMJ) is used during talking, eating, swallowing, and other everyday activities. If this joint becomes displaced or is overworked through excessive teeth grinding, a person may suffer severe tension headaches, as well as sharp pain in the jaw. BOTOX® relieves jaw tension by making muscles

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unable to engage in the powerful, often unconscious movement of the jaw that produces headaches and pain. The BOTOX® alternative treatment for TMJ disorders and jaw tension is usually quick, straightforward, and effective. A non-surgical procedure, BOTOX® injections are administered in a doctor’s office and treatment requires no hospital stay. Most patients experience noticeable improvement within one or two days of their first treatment, although relief can take up to a week. Botox For Neck Pain, Migraine and Tension Headaches? Recently, Botox has become a tool to help relieve migraine headaches and associated neck muscle pain. It has proven to be very effective in pain relief from muscle sources. It is

important to distinguish the source of pain since Botox works on muscles. This mechanism is why Botox reduces wrinkles! Botox can be used in differentiation of pain source. If it does not give some relief, the source of pain is probably not the muscles. Many patients seeking Botox treatment for wrinkle reduction report elimination or reduction of migraine headaches as an added bonus Please call 678-894-7926 now to schedule your complimentary no obligation consultation appointment to find out more and see if this is right for you. Check out http:// suwaneedentist.biz for a video from The Doctors TV Show.

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Sponsored Section • health & Wellness November 2014

FAQ – Bladeless cataract surgery What is a cataract and what is cataract surgery? Cataracts are the most common cause of vision loss in people over 40 and today cataracts affect more than 22 million Americans age 40 and older. At some point in our life, we will all develop a cataract. The natural lens of the eye yellows and becomes cloudy with age as a result of biological changes of the proteins inside the lens. The function of the human lens is to focus incoming light onto the back of the eye. As your lens ages,

light from the outside worlds becomes more and more distorted as it enters your eye. Difficulty reading, needing more light to read, experiencing glare and haloes at night and, even poor sleep patterns can be explained by cataract formation. The treatment for cataracts involves an almost painless, 10 minute surgery to remove the “clouded lens” or “cataract” and replace it with a man made intraocular lens implant. It is the most common surgical procedure in the US

and around the world and is considered to be an extremely successful and safe procedure with a success rate approaching 99.5%. What is laser cataract surgery? With traditional cataract surgery, all the steps of the surgery are customarily performed “manually” by the surgeon using handheld tools. Laser cataract surgerythe next evolution of cataract surgery with the Ziemer Z6 laser generally offers a greater amount of precision, predict-

Don’t Let

Cataracts Keep You From Seeing the Colors of Fall. Milan Eye Center is the ﬁrst practice in the United States to offer bladeless cataract surgery of its type.

Milan R. Patel, M.D. Niraj Desai, M.D. Cataract & Refractive Cataract & Refractive Surgeon Surgeon

Kiran Sajja, M.D. Oculoplastic Surgeon

Anjum Cheema, M.D. Glaucoma & Cataract Surgeon

Milan Eye Center is excited to announce that we have been chosen to be the ﬁrst practice in the United States to use the Ziemer Z6 Laser for bladeless laser cataract surgery.

Look for our ad series and visit us at www.MilanEyeCenter.com for more information on speciﬁc services and ways to learn more. 2013 and 2014

6300 Hospital Pkwy, Suite 325 | Johns Creek 970 Sanders Rd, Suite 100 | Cumming 201 Kimberly Way, Suite 106 | Canton 1995 Mall of Georgia Blvd, Suite A | Buford

Learn more: www.MilanEyeCenter.com | Call for a consultation: 678-688-4575

ability and safety to these steps leading to potentially improve visual outcomes and more precise targets. With the Ziemer Z6 Laser System, your surgeon has the potential to offer you unmatched accuracy and a more predictable and customized cataract procedure. Based on your medical history and pre-operative evaluation, you and your surgeon will discuss the options available for your desired visual result. Together you can discuss a treatment plan which may include using the LDV Z6 to create the laser incisions in the cornea along with an advanced lens implant that may allow for improved near, intermediate or distance vision. This tailored treatment may reduce your need for glasses or contact lenses after surgery. How is laser cataract surgery different from traditional cataract surgery? In traditional cataract surgery, incisions in the cornea are made using handheld instruments including blades to access the cataract. Your surgeon will then use a surgical device to manually create a circular opening in the lens capsule of the eye that holds the cataract. The Ziemer Z6 laser can be used to make the corneal incisions precise and the opening in the lens capsule as circular as possible, in the right location, and sized to fit the replacement lens. Your surgeon can also use the laser to break up and soften the hard cataract. Softening the lens with the laser enables your surgeon to then remove the cataract more gently and with significantly less ultrasound energy than is used in traditional manual cataract surgery. What are the benefits of laser cataract surgery? • A highly customized treatment • A treatment with little or no discomfort • A potentially more precise and predictable treatment • By and large, a gentler and easier cataract removal • Generally, a more rapid visual recovery due to reduced inflammation • The opportunity to receive tailored treatment with advanced technology multifocal lenses, which may reduce the need for glasses or contact lenses after surgery Am I a suitable candidate for laser cataract surgery? Your surgeon and you will decide whether you are a suitable candidate based on your eye anatomy, type of cataract and type of lens implant that you desire. Most patients are candidates for having some of the steps of cataract surgery

performed with the Ziemer Z6 laser. How long has the procedure been performed? Thousands of cataract procedures have been successfully performed using femtosecond laser systems, and femtosecond lasers have been used in eye procedures for decades. The most familiar use of femtosecond laser technology is LASIK. Femtosecond lasers represent an advanced standard in precision laser cataract surgery and the Ziemer Z6 platform was FDA cleared in 2013. What should I expect on the day of surgery? Your day in surgery should be no different than a routine cataract case. The Ziemer Z6 laser is positioned next to the surgeon and is utilized seamlessly during the cataract surgery process. You will be given mild IV sedation that will likely keep you pleasantly unaware of the goings on in surgery. Not only is it potentially painless, there are no needles or stitches as part of the procedure. What should I expect after surgery? After surgery, you can generally expect your vision to be improved within 24 hours. Generally, patients experience no pain after surgery. Slight scratchiness of the eye is common and they prescribed eye drops will help with any of these symptoms. Many patients return to work or normal activities the next day and even drive themselves to their post-op day one appointment! How long does the procedure take? You can expect to be at our center for about 2 hours, and you will be in the procedure room for only 20-25 minutes. Please visit our website at milaneyecenter.com or call 678688-4575 for more information on how to schedule your Cataract evaluation at Milan Eye Center where compassion meets excellence in eye care.

November 2014

health & Wellness • Sponsored Section

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Holiday Weight Management—It’s a Balancing Act By Rachel Quiles MS, RDN, LD Maintaining your weight during the holidays can be tricky, especially since there are so many delicious things about this time of year. We start looking forward to favorite holiday dishes and treats as soon as the weather changes. Unfortunately, many people gain 1-2 pounds between Thanksgiving and New Year’s Day, and the new pounds stick around until the next New Year. They continue to add up for most of us. But with some planning and simple strategies, you can keep things in balance. Here are some strategies to consider before the big holiday office party or family dinner: 1. Eat lighter during the days leading up to the party or family meal. It’s important to balance your calories in with the calories you burn off, but your body isn’t necessarily restarting the calorie count every 24 hours. You can pay it forward. 2. Be sure you don’t miss your regular exercise during the week and look for ways to add a bit more

into your everyday activities. 3. Don’t skip other meals on the big day. Otherwise you’ll be ravenously Quiles hungry when the hors d’oeuvres are served or the big meal finally reaches the table. 4. Find a like-minded accountability partner. 5. Be selective. Try non-fried veggie hors d’oeuvres. Be cautious of high-calorie sauces and dips. 6. Enjoy sensible portions of your favorite dishes. 7. Send leftovers home with your guests. You’ll get to enjoy your favorite dishes, without feeling obligated to finish them off. The scale is your friend. Get on it regularly, even during the holidays. This is a great way to head off an undesirable trend. Sensible planning can allow you to enjoy holiday celebrations without guilt and regret, and you’ll be a few steps ahead of the game as you ring in the New Year.

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Sponsored Section • health & Wellness November 2014

Tonsils...Liability or Asset? Choosing wisely… Choosing Atlanta Heart Specialists By Bryant T. Conger, M.D.

The tonsils and adenoids are the body’s first line of defense as part of the immune system. They sample bacteria and viruses that enter the body through the mouth and nose, but they sometimes become infected and at times, they become more of a liability than an asset. The two most common problems affecting the tonsils and adenoids are recurrent infections of the nose and throat and significant enlargement that causes nasal obstruction and/or breathing, swallowing, and sleep problems. Chronic tonsillitis and infections within the tonsils that produce foulsmelling white deposits can also affect the tonsils and adenoids, making them sore and swollen. Cancers of the tonsil require early diagnosis and aggressive treatment. You should see your doctor when you or your child experiences the common symptoms of infected or enlarged tonsils or adenoids, including: • Swelling of the tonsils • A white or yellow coating on the tonsils • Sore throat, sometimes accompanied by ear pain. • Uncomfortable or painful swallowing • Swollen lymph nodes (glands) in the neck • Fever • Bad breath Signs of adenoid and tonsil enlargement are:

• Breathing through the mouth instead of the nose most of the time • Nose sounds “blocked” when the person speaks • Chronic runny nose • Recurrent ear infections • Snoring at night • Restlessness during sleep or pauses in breathing during sleep At North Fulton Ear, Nose & Throat, our physicians are well-equipped to handle all forms of tonsil and adenoid disease. Call (770) 343-8675 for an appointment today.

Many options for choosing a cardiologist exist within Forsyth and North Atlanta. At Atlanta Heart Specialists (ahsmed.com) we believe we offer a unique approach to cardiovascular health and disease prevention. Although we work out of 5 hospitals our goal is to keep you out of these institutions. We believe that combining a holistic approach with evidence based therapy offers you the best opportunity to take control of your health and prevent heart attacks and strokes! Waiting when you are worried is never good. We offer same day office visits from 9-5 and 24/7 physician access to our patients so that you can relax and be reassured. If you do end up in the emergency room know that one of our physicians is always available to you. Knowledge is power and in todays multimedia world AHS offers multiple tools to get the information you need. At heartdrsingh.com articles on prevention, testing and treatment are available for easy reading and downloads. Social media sites and a monthly patient newsletter ensure that you stay on top on the latest advances in heart health. With 7 offices and 12 board certified, award winning cardiologists, AHS can offer the full spectrum of cardiac care from pacemakers to stents , echos to ablations, stress tests to radial

(arm) caths. In those rare situations where outside expertise is needed, as one of the few remaining independent cardiology groups we can access the expertise you need regardless of which hospital system it exists within. At the Cumming office, Dr Narendra Singh leads an internationally recognized clinical research unit that offers groundbreaking clinical trials. His team has early access to some of the most promising therapies in cardiovascular medicine and its all available for free to eligible Forsyth patients. So while you have choices … take the time to make the right one. You heart will thank you! With open hearts… Your AHS physicians!

Don’t Miss a Beat

Take control of your hearing and your life Hearing loss is not just age related, other medical factors including diabetes can be the cause. If left untreated people with hearing loss are 5x more likely to suffer Dementia. Your sense of hearing is a vital link to your world – a source of pleasure, information and communication. Don’t let your hearing loss shut you out from Family, Friends and Life.

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Our first priority is prevention. Our mission is to deliver the highest quality cardiovascular care. Holistic approach with evidence based therapy. Award winning physicians and internationally recognized clinical research unit.

Convenient Cumming & Johns Creek locations. For appointments call:

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www.heartdrsingh.com • www.ahsmed.com

November 2014

health & Wellness • Sponsored Section

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Bianco Primary Care is a new type of general practice As medical students, husband and wife Drs. Michael and Shelley Bianco saw a problem emerging in healthcare. Time after time they heard their physician preceptors tell patients that there was only time to discuss one health concern during appointments. With costs growing and reimbursements from insurance and Medicare shrinking, doctors are being forced to see more patients each day. The practice of medicine has become quantity focused rather than quality focused. Drs. Michael and Shelley Bianco want to change this. Bianco Primary Care is a new type of general practice that gives doctors and patients more time together. This time allows patients the ability to talk with their doctor about health concerns without feeling rushed. They are able to take the time to listen, to develop a personal relationship with their patients and to offer more than just an additional prescription. This caliber of care is delivered within the

concierge or subscription model of primary care. In this type of medical practice, patients pay an annual fee that guarantees them more time with their physician. This fee, about the cost of a daily Starbucks coffee, allows the physician to have a smaller patient pool for their practice, giving them the ability to see fewer patients in the day and spend more time with those patients. Joining a concierge medical practice restores the strong doctor-patient relationship that many of us can still remember. Becoming a patient of Bianco Primary Care means same day or next day appointments that start on-time, having access to your doctor by phone or email 24/7, and developing a personal relationship with your doctor. Additionally, Drs. Michael and Shelley Bianco offer nutrition counseling, coordination with specialists and house-calls. Bianco Primary Care is accepting new patients, call for a 30 day no cost trial with Bianco Primary Care.

Customized Healthcare With Old-Fashioned Service. “With healthcare becoming less personal and more complex you deserve more than the standard level of care.”

• Affordable annual membership fee keeps volume low so doctors have time to listen. Limited volume practice so patients get the time they need (10 times less patients than a normal primary care practice) • Focus on individualized care and personal relationships • 24/7 access to physicians, like having a doctor in the family • 30 day no cost trial to see if its right for you • Health maintenance, acute illness, chronic disease management • Physical exams, sick visits, geriatrics, hypertension, heart disease, diabetes, thyroid and more

Dr. Shelley Bianco D.O.

12315 Crabapple Road, Suite 108 • Alpharetta GA 30004 (in the Silos Plaza next to Alpine Bakery & Atlanta Fitness)

Dr. Michael Bianco D.O.

BIANCO PRIMARY CARE

We are accepting new patients. Call us today to see how personal healthcare can be.

Phone: 678-254-2333 www.BiancoPrimaryCare.com

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Sponsored Section • health & Wellness November 2014

Men, it’s time to get your life back How do you feel now compared to when you were 25? If you don’t feel as good, something is wrong. I have found that most men have decreased energy, weight gain (especially around the middle), muscle loss, and simply don’t feel very good. In addition, many men don’t have the sex drive they used to have. Increasingly, men feel like they have lost their edge, and some even feel depressed. The effect on their lives can be severe. If this sounds familiar to you, then your testosterone

levels probably aren’t what they should be. Just about every man age 40 or older has low testosterone. I’m even finding that men in their 20s and 30s are affected. A simple blood test, which I perform in my office, can tell if a man has low testosterone. If so, the solution is simple: testosterone replacement therapy. I help men with this every day, and the results are often dramatic. As a bonus, it not only

improves the symptoms discussed earlier, but also heart health, brain health, and longevity. Men, it’s time to stegall get your life back! Contact me today to start feeling better. Jonathan D. Stegall, MD The Center for Advanced Medicine (770) 551-2730 advanced-med.com

Heavenly Wheels Heavenly Wheels, Inc. is dedicated to “putting the needs of our customers first and foremost.” With a new presence in Johns Creek, at 6375 McGinnis Ferry Rd. in front of Emory Johns Creek Hospital, we are able to assist the community

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with home medical equipment sales and rentals as well as provide products that make “aging in place” a real possibility for many. Our showroom has a wide selection of Golden recline lift chairs, Pride GoGo scooters, bath aids, wheelchairs and more. New merchandise arriving daily includes the HurryCane and Luggie scooter. Our associates are well-trained in the proper use of all products. We rent many items for short-term needs: steerable knee walkers, manual wheelchairs, and mobility scooters, among others. In addition, our mobile repair technicians are factory-authorized to service all kinds and brands of home medical equipment and are fully committed to the care, comfort, and convenience of our customers. Our motto – We Keep You Moving - is more than that – it’s dedication to providing timely, professional service when people need it most. Visit the store, our website heavenlywheels.com, or call 888-792-0301 to learn about how we can assist you.

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November 2014

health & Wellness • Sponsored Section

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Back In The Game is now Pain Xperts Exercise is medicine By Ann-Marie Giglio, C.P.T., F.M.S

peer-reviewed studies. The evidence is so clear that the American College of Sports Medicine created a certification called, yes, “Exercise is Medicine.” I have seen clients reduce or eliminate Giglio blood pressure medication after 6 months of our programs. So, if you’d like to get on the path to better health, exercise! Simply taking a walk is a great place to start. Do it today! For help with your exercise program, call Ann-Marie at 404-435-6367

In order to better reflect the true nature of the scope of services we provide in the Atlanta market, we’re excited to announce we have changed our name from Back in the Game Laser Therapy to PainXperts Laser Wellness. In addition, we have expanded beyond our Johns Creek location to provide deep tissue laser therapy treatments in Buckhead at Icebox Cryotherapy. This location is in the Buckhead Court Shopping Center off of Roswell Road. We are proud to provide the highest level of pain relief with the LightForce™ EX Deep Tissue Therapy Laser. Laser Therapy is a surgery-free, drug-free option for individuals suffering from both acute and chronic pain. Treatments are fast, safe, and painless. Most patients see results in 3 to 5 treatment sessions and the treatments

We’ve come a long way from our earliest ancestors. They worked: walking, running, dragging, lifting. Today? We work our fingers. We push a button, reach through a window, grab a bag of food (800+ calories), push the button again, using a whopping 13 calories. The cost of this ease? Our health. Exercise and its impact on health have been studied for decades. According to Edward M. Phillips, M.D., Assistant Professor of Physical Medicine & Rehabilitation, Harvard Medical School, doctors “need to use their prescription pads to promote the most cost-effective and potent treatment we know: exercise.” He noted, “Last year, a groundbreaking mega-study found that exercise is similar to many drug interventions in preventAre you ever afraid you’ll end up like your parents? ing early death in patients with coronary heart disease, heart Our programs at CoreMatters get our clients failure, recovering from stroke, fit and ready for the rest of their lives. They: and in preventing diabetes.” That means the effect of ex• Get STRONG! • Shrink middle-age middles ercise on the body was similar • Sleep better to drugs! • Kick-start metabolism • Get rid of aches and pains Another study showed and keep up with people with moderate hip kids and grandkids! • Drop a pants size osteoarthritis might avoid hip Join Roswell’s #1 Over 50’s Group Personal surgery with exercise. AnTraining program. Have fun and train with your peers! other confirmed that exercise significantly reduces the risk of Unlike other fitness centers in Roswell, we are not an impersonal dementia. gym. We are a private studio with a friendly, family-like environment These are gold standard,

If you’re over 50, do you worry about someday losing your independence?

that you will love. We accommodate medical conditions, injuries and anything achy. I am so confident you will get results, I guarantee it. That’s right. We offer a 100% money back guarantee! In fact, I’ll refund every penny AND donate $50 to your favorite charity. “If you’ve had chronic pain or injuries, CoreMatters is worth the investment. You will gain so much valuable information about your how your body is meant to move both during a workout and in everyday living.” – Debbie Patrick

Questions? Call us at (404) 435-6367. But please act on this quickly if you’re interested. Space is limited & places are filling up FAST! So call us today! Order our FREE report “The Truth About Weight Loss” at www.ourcorematters.com

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Call today to schedule your FREE consultation: 404-435-6367

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1144 Canton Street • Ste 104 • Roswell, GA 30075 www.ourcorematters.com • annmarie@ourcorematters.com

have a therapeutic effect continuing for up to 18 hours after the treatment. Laser Therapy is clinically proven to reduce pain and inflammation associated with many common musculoskeletal conditions, such as lower back pain, bursitis, tendonitis, and plantar fasciitis. Laser Therapy is endorsed by professional clinical organizations, including the World Health Organization (WHO), American Physical Therapy Association (APTA), and the International Association for the Study of Pain (IASP®) and over 3,000 research studies have been conducted in the field. The LightForce™ EX Deep Tissue Therapy Laser by LiteCure® Medical is FDA cleared and represents a great advance in medical technology. If you’re living with pain, feel free to give our office a call to schedule your free consultation today.

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Sponsored Section â&#x20AC;˘ health & Wellness November 2014