Health Check Magazine Issue 20 June 2021 - August 2021 by Blooms The Chemist

hea th magazine ISSUE 20 WINTER 2021

The Winter Wellness Issue MEN’S MENTAL HEALTH: THREE PERSPECTIVES WINTER WINNERS: TOP PRODUCT PICKS ASK A PHARMACIST: CHRONIC PAIN

Share your thoughts for a chance to win! You could win some amazing prizes just for completing this 5-minute survey! Help us make Health Check Magazine even better: what type of articles do you want to see? Scan the QR code with your phone and complete the survey. Make sure you include your contact details so we can get in touch if you win! Full Ts&Cs found at

2bit.ly/3dGSCGI

YOU COULD WIN: A $500 Visa gift card A wellness hamper packed with products 10 x $50 Blooms The Chemist vouchers

CONTENTS H E A LT H C H E C K M A G A Z I N E | W I N T E R 2 0 2 1 The change of seasons is always an opportune time to assess our overall health - what habits have we developed that we wish to change? How can we better look after ourselves and those we love? This issue, we’ve focussed on multiple aspects of Winter wellness, from delving into the symptoms and treatment options for chronic pain (page 4) and management of type 1 and type 2 diabetes (page

31) to hearing from a Blooms The Chemist customer whose life has completely transformed (for the better!) since their obstructive sleep apnoea diagnosis. Plus, we share our top product picks for the cooler months, list the multiple benefits of going alcohol-free for Dry July, and look at men’s mental health from the perspective of three healthcare professionals.

Blooms The Chemist's Health Check Magazine is produced entirely in-house.

The Health Check Magazine Team Editor-in-Chief Annette Williams, National Communications Manager

Chief Writer Emily Facoory, Communications and Content Coordinator

SLEEP SOUNDLY

CHRONIC PAIN

PHARMACIST FOCUS

MEN'S MENTAL HEALTH

HAVE HEALTHY TEETH FOR LIFE

INFANT MENTAL HEALTH

MULTIVITAMINS

DEALING WITH DRY SKIN

WINTER WINNERS

EVERYTHING YOU NEED TO KNOW ABOUT INCONTINENCE

EASE CONGESTION THIS WINTER

THE LOW-DOWN ON DIABETES

UNDERSTANDING ANXIETY AND OCD

Chief Designer Ivan Botic, Graphic Designer

EYE CAN SEE CLEARLY NOW

OUR PEOPLE, OUR COMMUNITY

DRY JULY

WHAT’S ON IN YOUR BLOOMS THE CHEMIST

Disclaimer: All material included in Health Check magazine is provided as general information and is not intended, nor may it be construed, as medical advice or instruction. Information and opinions expressed are believed to be correct and accurate to the best knowledge and judgement of the authors. Readers should consult their appropriately qualified health care professional prior to taking any action or inaction in relation to the content contained herein.

H E A LT H C H E C K M A G A Z I N E | W I N T E R 2 0 2 1

Ask a Pharmacist CHRONIC PAIN by Casey Shannon

FOR MANY PEOPLE, CHRONIC PAIN HAS AN EXPLAINABLE CAUSE SUCH AS SURGERY, INJURY OR CAN BE A SYMPTOM OF A CHRONIC CONDITION SUCH AS A MIGRAINE OR OSTEOARTHRITIS. BUT SOMETIMES THE CAUSE OF CHRONIC PAIN CAN BE HARD TO IDENTIFY AND THEREFORE, CHALLENGING TO TREAT. PEOPLE WHO STRUGGLE TO TREAT CHRONIC PAIN MAY HAVE TROUBLE WITH NORMAL DAILY ACTIVITIES SUCH AS GOING TO WORK, SLEEPING AND ENGAGING IN SOCIAL AND PHYSICAL ACTIVITIES.1 The goals of treating pain are to enhance functioning, reduce suffering and distress, while minimising the risks of adverse effects.2 If you experience chronic pain, you may visit a range of health care professionals to help manage your pain including your Doctor, Medical Specialist, Physiotherapist, Psychologist, Pharmacist and Social Worker. Each of these healthcare professionals can work collaboratively to ensure you have the best treatment plan and as a result, reduce your overall pain. Chronic pain can come in many forms and affects people differently.3 Some common areas of chronic pain include: • Headaches and migraines

Pain is a natural process of getting older. Chronic pain is often perceived as an age-related condition and at times, older adults consider osteoarthritis pain to be ‘normal’.6 This is in fact not normal and all chronic pain should be treated by your health care professional. One populationbased study actually found a lower prevalence of low back, neck and face pain among older adults compared to younger individuals.7 Prescription medication for pain relief is addictive. Medications used for pain relief help to reduce your sensitivity to pain and as a result can create a sense of euphoria, which is a feeling some people may come to crave. If you take the medication as directed by your doctor, you are less likely to have this problem.8 People who do get addicted to pain relief medication show many warning signs such as: • Doctor shopping – trying to get prescriptions from different doctors. • Looking for other sources to get pain relief medication such as online or buying other people’s medication. • Feeling uneasy if someone talks to you about your use of pain relief medication.

• Arthritis or joint pain

• Taking different amounts than the Doctor prescribed.

• Back pain

You can injure yourself further if you exercise when you are in pain.

• Cancer pain • Pain from scar tissue • Fibromyalgia (muscle pain all over) • Nerve pain The symptoms of chronic pain can be described in a number of ways by the chronic pain sufferer.4 Pain may be described as: • Burning pain • Shooting pain • Aching pain • Squeezing pain • Stinging pain • Throbbing pain Sensations and symptoms can continue long after recovery from the injury or illness that initially caused the pain. According to the Bettering the Evaluation and Care of Health (BEACH) study, more people are seeing GPs about chronic pain. 5 However, there are still common misconceptions regarding chronic pain:

Light to moderate exercise can be beneficial for your recovery and has the added benefit of reducing stress, boosting your mood and improving blood and oxygen flow to your muscles. Talk to your health care professional about which exercises are safe for you. There are many different types of workouts available so you should be able to find something you love. Some examples of light to moderate exercise could include walking, swimming, yoga, Pilates or even lifting light weights. By talking to your health care professional, you will be able to understand more about your chronic pain and ways you can treat it. Pain does not have to be considered normal as you age and the pain you feel should not be dismissed or overlooked. Visit your local Blooms The Chemist and speak to your Pharmacist for more information on chronic pain. References: Morland. R, Webber. K, Gordon. S. Australian Institute of Health and Welfare: Chronic Pain in Australia. 2020. https://www.aihw.gov.au/getmedia/10434b6f2147-46ab-b654-a90f05592d35/aihw-phe-267.pdf.aspx?inline=true 1,5

NSW Health. Chronic pain management. 2021. https://www.health.nsw.gov.au/ pharmaceutical/doctors/Pages/chronic-pain-medical-practitioners.aspx 2

Cleveland Clinic. Chronic Pain. 2021. https://my.clevelandclinic.org/health/ diseases/4798-chronic-pain 3,4,7

It is better to tough it out and just live with the pain. Ignoring your pain can have serious consequences so it's best to seek treatment. Your doctor will guide you towards the best treatment, which could include a referral to an allied health professional, such as a physiotherapist, recommending overthe-counter medicines such as Panadol or anti-inflammatories, or even providing you with prescription medication.

Thielke. S, Sale. J, Carrington Reid. M. Aging: Are these 4 pain myths complicating care? Journal of Family Practice. 2012 Nov; 61(11):666-670. https://www.ncbi. nlm.nih.gov/pmc/articles/PMC4356472/ 6

Robinson. K. Painkillers: 7 warning signs of addiction. WebMd 2017 Oct. https://www.webmd.com/pain-management/features/painkiller-addictionwarning-signs 8

NPS MedicineWise. 2019. Chronic Pain Explained. https://www.nps.org.au/ consumers/chronic-pain-explained#how-does-chronic-pain-happen? 9

H E A LT H C H E C K M A G A Z I N E | W I N T E R 2 0 2 1

Do you have high cholesterol? BlooD glucose spikes after meals? Betaglucare is a concentrated source of beta-glucan, a soluble fibre found in oats. It is made from high quality Scandinavian oats containing high molecular weight (MW) beta-glucan. When eaten in the required quantity daily Betaglucare reduces your LDL cholesterol and reduces blood glucose levels after meals. Studies have shown that high MW beta-glucans are more effective.

how does it work? The soluble fibre forms a thick gel in the gut when it reaches the stomach. The gel binds with bile acid which contains LDL cholesterol and then exits naturally. The gel also coats the inside of your small intestine, which slows down the absorption of carbohydrates from your meal. As a result, the rise in your blood glucose levels is reduced.

how do i consume it? The powder is easy to add to your favourite smoothie. You can also mix it into a fruit juice. It’s ideal to have with lunch or dinner to reduce blood glucose levels after meals.

The crispy oat hearts are ideal as a breakfast on it’s own with milk or you can add fresh fruit, yoghurt or your favourite breakfast cereal. It’s a low GI food in itself.

patient testimonials “I have been using Betaglucare for the past 3 years and my Doctor agreed I should try the product. 3 years ago a routine blood test placed my cholesterol at 5.9. After 6 months of consuming Betaglucare every day my cholesterol dropped to 3.9 and now 3 years later it is still 3.9” Joanne from Dural, NSW “I’ve been on insulin for more than a decade now and my sugars used to spike and then dip suddenly. Betaglucare has helped stabilize my levels just by changing my breakfast. The frequency of lows has gone down. The best part of Betaglucare is you can add the powder to your smoothie and make a quick breakfast!” Prachi from Girraween, NSW

reduces lDl cholesterol*

betaglucare.com.au

* When eaten daily in the required quantity of 3g as part of a healthy diet low in saturated fat

reduces blood glucose levels after meals** ** When 4 grams of beta-glucan is consumed along with 30-80 grams of carbohydrates.

 high in fibre

 low gi

 good for gut health

(Betaglucare Australia)

Pharmacist focus Sylvia Tawadrous BLOOMS THE CHEMIST TAREE How long have you been a Pharmacist with the Blooms The Chemist network?

How does your pharmacy give back to your local community?

I've been a Pharmacist since 2001, and I opened Blooms The Chemist Taree in July 2020.

We support our local bowling club, and we get involved with any group that needs support by giving donations in the form of gift baskets to help with raising money. We’re also passionate about supporting our charity partner Make-A-Wish Australia.

What made you want to become a Pharmacist? I wanted to become a Pharmacist because I have a deep passion for helping people and wanted to utilise my degree in science in a different way from laboratory work. What is the most important thing you’ve learnt as a Pharmacist? I’ve learnt to always have patience and to always try to find solutions. Also that whenever you’re going through a tough time, that it’s important to remember to as there's a light at the end of the tunnel.

smile

How do you like to relax or spend your free time? Reading, watching the History channel and if there's time; travelling, and spending time with my nieces and nephew.

How do you best support your team and customers? By listening to my team and working with them to organise fun team building activities. It's really important that we support our customers in any way we can, be that through our regular delivery service, or just being a friendly face they can rely on for connection and support. What’s the number one health tip you’ve learnt over the years? Early intervention is the first step for the best outcome. Do you have a quote to live by? Be kind, as what goes around comes around and to treat people the same way you would like to be treated.

What’s the best thing about your community?

What are five things you couldn’t live without? My bible and church, family, work, food, internet, and my iPad.

I love that because the community of Taree is rural, everyone knows everyone. Our community came together during the 2020 bushfires and throughout Covid-19 and took care of people who were vulnerable and who had no support. It really showed the true compassion and camaraderie that exists in Taree.

If you could give a shout out to one of your regular customers, who would it be and why? All of our customers are unique and have been loyal to the pharmacy over the years, and I would love to give a shout out to everyone of them. To say thank you for their support and the smiles that they bring into our store. H E A LT H C H E C K M A G A Z I N E | W I N T E R 2 0 2 1

Men's Mental Health THREE HEALTH PERSPECTIVES MEN'S HEALTH WEEK (14 TO 20 JUNE 2021) IS AN OPPORTUNITY TO CREATE AWARENESS OF PREVENTABLE HEALTH CONCERNS AFFECTING MEN. EARLY DETECTION AND TREATMENT CAN OFTEN BE VITAL IN CREATING GOOD HEALTH OUTCOMES, AND THIS ANNUAL AWARENESS WEEK IS A TIMELY REMINDER THAT MEN'S MENTAL HEALTH CAN HAVE A BIG IMPACT ON THEIR PHYSICAL HEALTH. SPARKING CONVERSATIONS ABOUT HOW WE APPROACH MENTAL HEALTH CAN BE A POSITIVE WAY TO HIGHLIGHT THE NEED FOR ADAPTING HEALTHCARE APPROACHES FOR MEN AND BOYS. WE SPOKE TO THREE ADVOCATES FOR MEN'S MENTAL HEALTH ABOUT CRITICAL ISSUES FACING AUSTRALIAN MEN AND BOYS TODAY.

PHARMACIST

PSYCHOLOGIST

Andrew Leslie has been a Pharmacist with Blooms The Chemist since 2012. As the owner of Blooms The Chemist Casey Central, Andrew is passionate about working directly with his customers and community on improving physical and mental health outcomes for all.

Zac Seidler is a clinical psychologist, the Director of Health Professional Training at Movember and a Research Fellow with Orygen at The University of Melbourne. Zac has devoted the past five years to the goal of reducing the staggering male suicide rate, treating and researching men’s mental health with over 25 peer-reviewed articles published.

What are the most common concerns men usually approach you with?

What is Men in Mind and how did it come about?

2020 has been a difficult year on all. Pressures have been unprecedented, and the struggles are varied. Men tend to bear the burden of these pressures in silence causing prolonged levels of stress and isolation. Both stress and isolation have awful outcomes on both physical and mental well-being. Studies have shown that men are also less likely to seek treatment or advice for health concerns, meaning they may miss important early detection windows. Pharmacists are some of the most accessible healthcare professionals out there; we're here for you if you need some general health advice or even just a chat. Please don't feel like you're ever alone when dealing with a health issue; we're here to help.

Why are you passionate about men’s mental health? Maintaining positive mental health can be a war of attrition for many Australians. Just as with physical heath, we need to develop positive practices and habits to proactively upkeep a healthy mental state. Mental illness affects 20% of Australians in any given year and when it presents, it can have life-altering and often debilitating outcomes. As a Pharmacist I interact with my community on a daily basis, and this gives me the opportunity to identify when mental health in an individual is not being maintained, so I can provide assistance early. Whilst mental health affects all members of the community, men are less likely to come forward and, I find, often need a lot of encouragement to address arising issues.

How can we make sure that more men come forward and ask for help surrounding their mental health? As a society we need to drop the stigma around mental illness and negative health outcomes in general. In an age where we isolate ourselves in technology, we need to be vigilant to address the needs of our loved ones, neighbours and strangers. Individually we need to establish good habits, forgive ourselves when we don't and seek help when we cannot. Talk to your loved ones and your health provider. Find your local Blooms The Chemist at bloomsthechemist.com.au/ store-finder

I’ve been working as both a psychologist and researcher in the men’s mental health space for several years now. What struck me when I was starting out was the over-reliance on the stereotype that ‘men don’t seek help’. What became abundantly clear is that many guys will seek help, they’re just not being provided with something that they want and need. That’s where the idea came from to start to think about what mental health practice could do better, why it’s not reaching and engaging men effectively. The Men in Mind program is focused on training mental health clinicians to better understand and respond to men’s distress and suicidality, so they don’t slip through the cracks.

What tools and strategies do you use to help men with their mental health? I try to focus really heavily on providing practical solutions, working with the guy to create actionable goals that we can work towards together. It’s really important for men to feel empowered and like they are central in the therapy process.

How can we make sure that more men come forward and ask for help surrounding their mental health? Providing places and spaces that can respond appropriately to men’s mental health difficulties are key, so that they feel safe to reach out. On a societal level, we need more male role models showing all the shades of men’s mental health, to continue to breakdown stereotypes and stigma around what men should be.

What do you wish more men knew about their own mental health? Assuming that being a man means you are immune to the ups and downs of life is just plain wrong. Being a man means having the tools and self-awareness to know when you need to put your hand up and ask for help, so that you can strive for self-betterment and help others along the way too.

What advice would you give to family members of someone who may be struggling with their mental health? Look after yourselves. Don’t forget that you need to reach out and connect too, don’t go it alone. Appreciate the small wins too, it’s a long and often painful journey, so take a breather when you’re given it. Find out more about Men in Mind at meninmind.movember.com H E A LT H C H E C K M A G A Z I N E | W I N T E R 2 0 2 1

MEN’S MENTAL HEALTH ADVOCATE Jack Jones is the Program Director at The Banksia Project, and has spent all his working life in the health system. Whilst studying an Undergraduate Degree in Health Science and a Masters Degree in Health Service Management, Jack held various roles in medical institutions, and with a passion for helping others, mentored Indigenous Youth in Urban and Remote communities.

What is The Banksia Project and how did it come about? The Banksia Project began in November 2015 with a small committee of skilled volunteers who shared a belief that the answer to combatting increasing mental illness and suicide was through preventative care and support. Since then, The Banksia Project has built a community of mates supporting mates through its free 'Growth Room' support groups, which encourage men to open up in a safe, judgement-free environment. The Banksia Project aims to empower men across Australia to cope with life's ups and downs, live healthier, happier lives and genuinely connect, embrace and support those around them.

How can we make sure that more men come forward and ask for help surrounding their mental health? Societal perceptions and expectations have led men to feel that they need "permission" to feel vulnerable. By letting down this barrier, this inherently tells the men around them that they can do the same. Services such as Growth Rooms help men talk about their feelings, no matter what the situation, which in turn encourages them to candidly talk with their family, partner and/or mates about their mental health. The more men are encouraged to open up and share their lived experiences, the more they will come forward and ask for help with their mental health.

What do you wish more men knew about their own mental health? We wish more men knew the importance of preventive mental health care and when/how to ask for help. It’s positive to seek help or guidance, in fact, it’s a sign of strength, and our Growth Rooms can be a great place to start. Australia has some of the best free mental healthcare initiatives globally, so we need to focus on encouraging safe, non-judgemental listening and providing clear referral paths to qualified professionals who can help. Find out more about The Banksia Project via thebanksiaproject.org.au.

If you or someone you know is struggling, call Lifeline's 24 hour telephone crisis support line on 13 11 14. If it's an emergency, dial 000. 10

Wearing a support or brace may assist by supporting the weakened joint while you go about your sports or daily activities. They provide compression which can help reduce painful swelling and thermal warmth to assist circulation and joint movement.1 Supports and braces are available for all body parts and are made from a wide range of different materials and stabilisers to ensure all your injury needs are covered. Thoughtfully designed to look good and feel good, these go-to solutions for comfort and motion help you stay healthy, social, competitive and positive – gearing you up for life’s great adventures.

1. van den Bekerom, M.P.J.et . al. (2012). What Is the Evidence for Rest, Ice, Compression, and Elevation Therapy in the Treatment of Ankle Sprains in Adults? Journal of Athletic Training, [online] 47(4), pp.435–443. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3396304/ [Accessed 1 Dec. 2020].

VISIT FUTUROBRAND.COM.AU. PROMOTION ENDS 31/8/2021 Terms and conditions apply. Always read the label. Use only as directed. If symptoms persist see your health professional. 3M and FUTURO are trademarks of 3M. © 2021. All rights reserved. Fitbit Charge 4 is a trademark of Fitbit Inc. Rebel is trademark of Rebel Sport Limited. 3M Australia, 1 Rivett Road North Ryde NSW 2113. Permit No. NSW: NTP/00920, SA: T20/1621, ACT: TP 20/01845.1

H E A LT H C H E C K M A G A Z I N E | W I N T E R 2 0 2 1

feel hydrated feel Face

I love the QV Face range because it is so gentle, but still has the added key ingredients that makes my skin feel ready to take on the day.

FREE FROM FRAGRANCE

feel rewarded feel

FREE FROM SOAP

FREE FROM DERMATOLOGICALLY COMMON IRRITANTS TESTED

GENTLE ON SKIN

Have you signed up to My QV Rewards? Download today and earn double points in your first month!

Conditions apply, see My QV Rewards App Open to AU res. 18+. Limit 1 registration p/person. Stamps and Rewards are subject to variation. Purchase receipt/s required to validate Stamps.

Have Healthy Teeth for Life WITH ONLY 53% OF ADULTS BRUSHING THEIR TEETH THE REQUIRED TWICE A DAY AND ONLY 25% FLOSSING AT LEAST ONCE A DAY, IT’S LITTLE WONDER THAT TOOTH DECAY IS ONE OF AUSTRALIA’S MOST COMMON CHRONIC DISEASES. CLEARLY, WE NEED TO BRUSH UP ON OUR KNOWLEDGE OF THE BEST ORAL HEALTH HABITS, AND LUCKILY THE AUSTRALIAN DENTAL ASSOCIATION HAS PROVIDED SOME KEY TIPS FOR YOUR TEETH. “For Dental Health Week 2021, the Australian Dental Association are urging people to do just a little bit every day to keep their teeth for life,” said ADA Oral Health Promoter and dentist Dr Mikaela Chinotti. “After all, you don’t expect to lose a limb – so why think it’s normal to lose a tooth? If you look after them with these simple habits, you can have your teeth for life.”

HABITS TO KEEP FOR THE LIFE OF YOUR TEETH: Brush twice a day Ideally morning and at night the last thing before bed, with no more food or drink after that. There are about 700 species of bacteria found in our mouths, with many able to cause tooth decay and gum disease. Brushing and cleaning between the teeth daily removes the build-up of these bacteria. Brush for two minutes By dividing the mouth into quarters – this is essentially 30 seconds per quarter. If you’ve brushed thoroughly over the two minutes, brushing for any longer doesn’t provide any greater advantages to your teeth. Always use a toothpaste containing fluoride There are many new oral health products that don’t include the all-important ingredient fluoride, that’s been shown in countless studies to be the best protection your teeth could wish for. But you only ever need a pea-sized amount. Drink lots of water The best choice is tap water. In 89% of Australian communities, water supplies have fluoride included to protect and strengthen teeth. Clean between your teeth every day using floss Use interdental brushes or another method suggested to you by your dentist because no matter how well you brush, it won’t remove the bacteria and food from between your teeth. Cleaning between your teeth helps to keep your gums healthy and free from inflammation and disease. Get into the habit of seeing your dentist at least once a year Or more often, depending on your oral health and their recommendations, as they will spot and treat any upcoming issues before they become serious.

Be a sugar sleuth when it comes to reading the Nutrition Information Panel (NIP) Knowing what all those numbers mean can help you make informed choices. When it comes to dental health, things to know include that 4 grams (g) of sugar is equal to one teaspoon of sugar, and the recommended total amount of sugar we should consume daily according to the World Health Organization is 24g. When reading the NIP on food and drink labels, be sure to look at the suggested serving size as well. Remember items like maple syrup, honey and coconut sugar used to sweeten food may be promoted to be healthier than white, brown or raw sugar, but they have the same potential to cause tooth decay. We all like the occasional sweet treat When you have something sweet, do so in combination with a main meal. That’s because saliva is already being formed to help digest the meal so it helps to flush the sugary treat from the mouth and assist in reducing the acid exposure to the teeth.

HABITS TO LOSE: Don’t use force when brushing Use a gentle but thorough touch. Many people think that the harder you brush the more effective it is, but the opposite is true. Hold off rinsing after brushing Spit out the excess toothpaste but don’t rinse your mouth out. This allows the fluoride in the toothpaste residue to stay on your teeth and protect them for longer. Switch it up Rather than lemon slices in your water which causes the water to become acidic and may damage tooth enamel, go for cucumber and mint as a refreshing flavouring to your water. H E A LT H C H E C K M A G A Z I N E | W I N T E R 2 0 2 1

Infant Mental Health INFANT MENTAL HEALTH AWARENESS WEEK RUNS FROM 22 TO 26 JUNE 2021, HELPING TO IMPROVE THE UNDERSTANDING THAT INFANCY IS A CRITICAL TIME FOR THE DEVELOPMENT OF EMOTIONAL, PHYSICAL, COGNITIVE, SOCIAL AND MENTAL HEALTH.

Chris Barnes, Clinical Psychologist and Clinical Team Leader from Gidget Foundation Australia spoke to us about how a parent’s mental health can influence their infant’s wellbeing and the importance of supporting parents to cultivate good mental health practices.

Pregnancy and the postpartum period can be one of the most vulnerable times in a person’s life. In Australia, 1 in 5 women and 1 in 10 men develop some sort of depression and /or anxiety (PNDA) during this period. PNDA does not discriminate and occurs across all different family types. It is important to remember that anxiety and depression is temporary, treatable and responds well to expert care and compassion as well as enabling other supports for the whole family, including the infant. It is normal to feel more anxious during the perinatal period as this transition to parenthood changes so much about your life. There is a lot to adjust to and manage e.g. identity shifts, financial concerns, organising supports, physical and emotional changes as well as relationship adjustments. If parents are under an enormous amount of stress, have had prior pregnancy or infant losses, have few supports or a history of mental illness, this period in life can be even harder to manage. The first three years of life are critical to development. Research has shown that early experiences within an infant’s nurturing relationships play an important role in their overall development, both socially, emotionally and intellectually. These early relationships help set children up for being able to: trust others, have healthy relationships, be curious about the world, be communicative and

relate better to others as they develop. If a parent’s upbringing has been less than ideal it can also make it harder to know how to parent in a healthy way. There are many resources out there to help e.g. Circle of Security courses, talking to a Psychologist, positive parenting courses as well as seeking out trusted adults for ideas and support. If a parent is responsive, caring and in-tune with their children most of the time, then it paves the way for healthy overall development. Children need positive learning environments to help them understand and cope with the world around them. They need to be able to make mistakes, be understood and be in a safe environment to support their overall growth and wellbeing. Good mental health is often a work in progress. So much can and does go wrong even if you have had a settled family life with many resources/supports at your disposal. The perinatal period is a time with much change and one whereby extra understanding and care is needed to not just survive but thrive. If parents are in a better place mentally, then parenting will be a bit easier and children will better learn how to manage stresses, regulate their emotions and cope with life a little more comfortably. This is not easy and needs some active work to put some strategies in place to look after yourselves and those around you. Good mental health benefits all.

Here are some ideas for self-care: • Identify what healthy strategies have worked before and what made you feel good. Sometimes we forget these in the midst of parenting duties! Try putting aside some time to do that activity e.g., tea with friends, walking in nature, having a bubble bath, listening to music or just some time to do nothing. • Talk to your supports to get some time out or if you have a partner, work out some time out for each of you as well as some time together to connect. • Talk about your feelings with a trusted, non-judgemental person. • Do some regular exercise to boost endorphins- you'r body’s feel-good hormones. This also helps self-esteem and sleep. • Eat as well as you can most of the time. There is a strong association between gut health and mood stability. • Acknowledge that there are no perfect parents and be kind to yourself. • Live as close as you can to your values e.g., honesty, love, loyalty, family time, creativity, connection. • Accept that things go wrong and repair what you can. • Do something for others.

• Embrace self-care; this is not selfish, as when you look after yourself, as well as others, the whole family will benefit. • Review your lifestyle and see if you can tweak anything to simplify things when it feels overwhelming. • Add a mindful moment into your day, e.g. see what you can do in a more leisurely way, practice some meditation or breathing techniques. • Prioritise each day and what needs to be done, especially on the tough days e.g. the washing can always wait another day and maybe a rest will help more? • Identify the cause of stress e.g. see what you can do now, what might get better with time and acknowledge those stresses that you can’t do anything about as you try to release the worry about them. • If you are feeling overwhelmed, flat, crying a lot, having sleep problems, trouble concentrating or experiencing signs of anxiety like panic attacks or any physical symptoms, then reach out to a professional to talk it through and assess what is really going on. It takes courage to reach out but it will be very helpful. Extra support as a new or expectant parent is essential. We all need the concept of a village.

Gidget Foundation Australia is a not for profit organisation supporting expectant and new parents experiencing perinatal depression and anxiety To find out more visit gidgetfoundation.org.au

H E A LT H C H E C K M A G A Z I N E | W I N T E R 2 0 2 1

Ear Thermometer TH839S

Gentle temperature measurement for infants and younger children • Quick 1 second gentle ear measurement • Fever alarm with beeper • 9 reading memory • Ergonomic design for easy handling • Readable in °C / °F • Suitable for all ages

Forehead Thermometer MC720

Fast non-contact forehead temperature measurement for all ages • Non-contact • 3-in-1 measurement: Forehead, Room & Surface Temperature • 1-second fast measurement • Backlight & Silent Mode for night readings • 25 reading memory • Easy to hold ergonomic design • Readable in °C / °F • Suitable for all ages

Always read & follow the instructions for use & health warnings. If symptoms persist, talk to your health professional.

Multivitamins WHILE MULTIVITAMINS MAY BE A STAPLE IN YOUR PANTRY, ARE YOU USING ONE THAT CATERS TO AND PRIORITISES YOUR SPECIFIC NEEDS? THERE ARE DIFFERENCES BETWEEN MEN’S AND WOMEN’S MULTIVITAMINS, AS MEN AND WOMEN HAVE SEPARATE NUTRITIONAL NEEDS, AND ONE SIZE DOES NOT FIT ALL. Women lose bone density earlier than men, so a multivitamin that includes more calcium would be ideal for women.1 It’s also more common for women to choose a supplement that includes a fair amount of iron, as lower iron can be common due to the menstrual cycle. Men on the other hand may prefer a multivitamin that prioritises muscle growth and vitality.2 Cenovis® Women’s Multi is a comprehensive formula containing 26 specially selected ingredients to provide daily nutritional support for women. It has numerous benefits including supporting a healthy immune system function, skin and eye health, along with energy levels and the maintenance of general health and wellbeing. Cenovis® Men’s Multi is a comprehensive formula containing 27 specially selected ingredients to provide daily nutritional support for men. The capsules help to support a healthy immune system, nervous system function and energy levels. Blackmores Multivitamin for Women is a comprehensive blend of 24 nutrients, designed to support women’s health and wellbeing. This one-a-day tablet supports the body’s metabolism, women’s energy production, and reduces mental fatigue. Blackmores Multivitamin for Men is a comprehensive blend of 21 nutrients, designed to support men’s health and wellbeing. This one-a-day tablet supports a healthy response to stress in the body along with assisting energy production.

ALWAYS READ THE LABEL. FOLLOW THE DIRECTIONS FOR USE. VITAMIN AND MINERAL SUPPLEMENTS SHOULD NOT REPLACE A BALANCED DIET. Men’s vs. Women’s Multivitamins. https://www.gnc.com/wellness/ mens-vs-womens-multivitamins.html 1,2

H E A LT H C H E C K M A G A Z I N E | W I N T E R 2 0 2 1

Sleep Soundly PHARMACIST-OWNER HANNAH MCTIER FROM BLOOMS THE CHEMIST KENMORE SHARES HER BEST ADVICE ON SLEEP HEALTH AND WHY GETTING TESTED FOR SLEEP APNOEA MAY BE YOUR BEST BET FOR SLEEPING SOUNDLY. After her own brother’s personal experience with sleep apnoea, Hannah's interest in the condition and the importance of diagnosis and treatment grew. “We were shocked when my brother’s complaints of daytime sleepiness and difficulty concentrating resulted in a diagnosis of severe sleep apnoea (especially given the fact that he was only 25 years old and otherwise fit and healthy!),” she says. But following treatment with CPAP therapy, Hannah says that her brother now leads an active lifestyle and the turnaround in his health since being treated for sleep apnoea has been remarkable.

WHAT IS THE PROCESS OF A SLEEP APNOEA TEST? Getting tested for sleep apnoea has never been easier! Sleep apnoea can be diagnosed with an overnight at-home sleep test. A team member trained in sleep health shows you how to operate the testing device in the comfort of your own home. The machine measures exactly what happens

while you sleep, just as in a clinic or hospital setting. The data is then uploaded to an independent sleep and respiratory physician, who analyses your results and compiles the findings in a comprehensive report. Once we receive this, we have a one-on-one consultation with you at the pharmacy to explain your diagnosis and based on the findings, we recommend the best treatment plan for your needs.

WHAT DIFFERENT CPAP (CONTINUOUS POSITIVE AIRWAY PRESSURE) MACHINES ARE THERE? WHAT ARE THE DIFFERENCES BETWEEN THEM? Once a patient has been diagnosed with sleep apnoea, Continuous Positive Airway Pressure (CPAP) is the recommended treatment. CPAP is recognised as the gold

standard of obstructive sleep apnoea treatment. There are many different brands of CPAP devices available on the market. At Blooms The Chemist we are pleased to offer our patients access to all market leading brands including:

WHAT ARE SOME COMMON SYMPTOMS OF SLEEP APNOEA? Sleep apnoea signs and symptoms are incredibly varied. Some of the common patient complaints that have resulted in an underlying diagnosis of sleep apnoea include: • Daytime sleepiness and excessive fatigue • Snoring/holding your breath extended period during sleep

for

• Broken sleep and waking up numerous times during the night

The main difference between these brands and devices is the mask fittings. Because we understand that every patient is different, we offer a four week CPAP therapy trial to ensure you are matched with the best machine for you. By tailoring therapy, we help take the guessing game out of choosing a device as well as help patients adapt to therapy and continued long term use.

WHAT ARE SOME GENERAL SLEEP TIPS THAT YOU WOULD RECOMMEND? Low quality sleep and/or a lack of sleep can have many negative impacts on your health, some of which include headaches, excessive fatigue, and cognitive impairments. Sleeping difficulties may occur due to lifestyle factors, poor sleep hygiene, or the presence of an underlying medical condition. Whatever the cause and severity, these general sleep tips are beneficial to everyone’s sleep quality: • Exercise – Make sure you incorporate at least 30 minutes of physical activity into your day (but not close to bedtime), which can help to alleviate stress and increase physical tiredness. • Routine – Get up at the same time every day. Soon this strict routine will help to ‘set’ your body clock and you’ll find yourself getting sleepy at about the same time every night. • Set the scene - Good sleep is more likely if your bedroom feels restful and comfortable. Try not to engage in mentally stimulating activities close to bedtime. Use the last hour or so before sleep to relax your mind. Avoid having a TV in your bedroom! • Watch what you drink - Avoid caffeinated drinks (like tea, coffee, cola or chocolate) close to bedtime; opt instead for warmed milk - an added benefit is that it contains a sleep-enhancing amino acid.

• Irritability, mood changes, poor memory and concentration • Teeth grinding and headaches

WHAT IS THE BIGGEST MISCONCEPTION THAT YOU’VE HEARD ABOUT SLEEP APNOEA? Snoring = you have sleep apnoea False! Not everyone who has sleep apnoea snores. However, it can be a symptom of sleep apnoea when it is followed by silent breathing pauses, choking or gasping sounds. In fact, people with obstructive sleep apnoea stop breathing almost 400 times during the night; each pause lasts 10-30 seconds, usually followed by a snort upon breathing again. One in three men and one in five women who snore suffer from some form of obstructive sleep apnoea.

WHAT’S THE MOST IMPORTANT THING SLEEP APNOEA SUFFERERS SHOULD KNOW? Learning that you have sleep apnoea and may have to undergo treatment can be overwhelming. My advice to anyone in this situation is - “There is no need to be concerned." Here at Blooms The Chemist we have trained professionals who guide you each step of the way and once you feel the benefits of treatment, you could feel like a new you!

In March Blooms The Chemist held Australia’s Biggest Wake Up Call, setting the record for the most amount of sleep quizzes conducted in a month.

2,117

sleep quizzes were completed throughout all of March, which more than doubled the initial target of 1,000.

One of Blooms The Chemist Kenmore’s customers Shane, shared his experience with sleep apnoea and how taking a sleep test changed his life.

“I’ve known I’ve had sleep problems for around 15 years, but never really did anything about it. People say I stop breathing when I sleep, and I suffer from fatigue; I’m usually asleep on the couch by 6.30pm. I just saw it as something I had to live with, and my wife suggested a change of diet and things like that; but I’m pretty set in my ways, so nothing happened. We were in the sleep machine section at Blooms The Chemist Kenmore one day and there was another gentleman in the same section. He said to get one as it will change your life. I decided to test one out and after the results came through, I found out how bad my sleep apnoea was. It took me a while to get used to the machine, and it took six weeks to make myself leave it on all night. Finding out the right configuration to put it on was a big thing for me and once I understood it a bit more and getting it to seal properly, it has been truly great. If I go away it’s one of the first things I pack; it’s certainly changed my life for the better. My wife doesn’t wear earplugs anymore and I have a good night’s sleep, and by the time I get home in the afternoon I’m still sitting up watching TV at 8.30pm at night without going to sleep. Now I urge people to get the test done; it’s the simplest thing. I got my dad onto it as he has been a terribly bad snorer all his life. My mum has been trying to get him to do something about it, but he’s too pigheaded. I told him that the machine was really good, and he went in the next day and did the test. He ended up being worse than what I was and now he’s on one of the machines as well and he said he’s feeling so much better.”

Visit your local Blooms The Chemist and chat to your Pharmacist about an at-home sleep test.

H E A LT H C H E C K M A G A Z I N E | W I N T E R 2 0 2 1

Dealing with

Dry Skin

WHEN WINTER STRIKES, YOUR SKIN CAN END UP A LITTLE WORSE FOR WEAR. THIS MAY MEAN THAT YOU NEED TO UPDATE YOUR SKINCARE ROUTINE TO INCLUDE SOME PRODUCTS THAT PROVIDE MORE HYDRATION AND NOURISHMENT. DERMEZE TREATMENT CREAM is a rich moisturiser

for very dry skin. It works by replacing lost moisture and helps to nourish your skin. With less of a greasy feeling, and easier to spread than a typical moisturising ointment, this unique blend is a good option when intense hydration is required. Apply Dermeze Treatment Cream as often as required, especially in the morning and evening after bathing or showering. CETAPHIL DAILY HYDRATING LOTION is a lightweight

lotion with Hyaluronic Acid that provides instant hydration to the skin and locks in moisture to protect skin from dryness throughout the day. It boosts skin radiance, providing instant and gentle 24hr hydration. QV FACE MOISTURISING DAY CREAM is gently

formulated for daily moisturising, while also offering SPF 30 protection to help protect your skin against damage and premature ageing from the sun’s UV rays. Designed for sensitive skin, its non-greasy formula is perfect when used alone or under makeup. ALWAYS READ THE LABEL AND USE ONLY AS DIRECTED. IF SYMPTOMS PERSIST SEE A HEALTHCARE PROFESSIONAL.

H E A LT H C H E C K M A G A Z I N E | W I N T E R 2 0 2 1

Winter

Winners Check out our top selections for Winter and make sure you’re prepared for the cold season ahead.

ASTRAGALUS 8 ORIENTAL BOTANICALS

BEPANTHEN NAPPY RASH OINTMENT

ALWAYS READ THE LABEL. FOLLOW THE DIRECTIONS FOR USE. IF SYMPTOMS PERSIST, WORSEN OR CHANGE UNEXPECTEDLY, TALK TO YOUR HEALTH PROFESSIONAL.

CODRAL DAY & NIGHT COLD & FLU TABLETS

DERMAVEEN CALMEXA MOSTURISER WITH CERAMIDES

THIS MEDICINE MAY NOT BE RIGHT FOR YOU. READ THE LABEL BEFORE PURCHASE. FOLLOW THE DIRECTIONS FOR USE. IF SYMPTOMS PERSIST, TALK TO YOUR HEALTH PROFESSIONAL.

NATURE’S OWN HIGH STRENGTH ECHINACEA ALWAYS READ THE LABEL. FOLLOW THE DIRECTIONS FOR USE. IF SYMPTOMS PERSIST, TALK TO YOUR HEALTH PROFESSIONAL.

BLACKMORES OMEGA TRIPLE SUPER STRENGTH FISH OIL

SWISSE ULTIBOOST GRAPE SEED

SWISSE ULTIBOOST HAIR SKIN NAILS+

ALWAYS READ THE LABEL. FOLLOW THE DIRECTIONS FOR USE. IF SYMPTOMS PERSIST TALK TO YOUR HEALTH PROFESSIONAL. SUPPLEMENTS MAY ONLY BE OF ASSISTANCE IF DIETARY INTAKE IS INADEQUATE.

INNER HEALTH PLUS RESTORE-BIOTIC

THE JOJOBA COMPANY’S CALMING JOJOBA

ALWAYS READ THE LABEL. FOLLOW THE DIRECTIONS FOR USE. IF SYMPTOMS PERSIST TALK TO YOUR HEALTH PROFESSIONAL. SUPPLEMENTS MAY ONLY BE OF ASSISTANCE IF DIETARY INTAKE IS INADEQUATE.

LEMSIP MAX ALL IN 1 FOR THE TEMPORARY RELIEF OF COLD AND FLU SYMPTOMS. THIS MEDICINE MAY NOT BE RIGHT FOR YOU. READ THE LABEL BEFORE PURCHASE. FOLLOW THE DIRECTIONS FOR USE. INCORRECT USE COULD BE HARMFUL. IF SYMPTOMS PERSIST, TALK TO YOUR HEALTH PROFESSIONAL.

KYND VITAMINS COLLAGEN+ ALWAYS READ THE LABEL. FOLLOW THE DIRECTIONS FOR USE. IF SYMPTOMS PERSIST TALK TO YOUR HEALTH PROFESSIONAL. SUPPLEMENTS MAY ONLY BE OF ASSISTANCE IF DIETARY INTAKE IS INADEQUATE.

BLACKMORES MULTIVITAMIN + IMMUNE ALWAYS READ THE LABEL. FOLLOW THE DIRECTIONS FOR USE. IF SYMPTOMS PERSIST TALK TO YOUR HEALTH PROFESSIONAL. SUPPLEMENTS MAY ONLY BE OF ASSISTANCE IF DIETARY INTAKE IS INADEQUATE.

NEXCARE STRONG HOLD PAIN-FREE REMOVAL TAPE

OSTELIN VITAMIN D3 1000IU

PANADOL TABLETS

ALWAYS READ THE LABEL. USE ONLY AS DIRECTED. VITAMIN SUPPLEMENTS SHOULD NOT REPLACE A BALANCED DIET.

THIS MEDICINE MAY NOT BE RIGHT FOR YOU. READ THE LABEL BEFORE PURCHASE. FOLLOW THE DIRECTIONS FOR USE. IF SYMPTOMS PERSIST, TALK TO YOUR HEALTH PROFESSIONAL. INCORRECT USE COULD BE HARMFUL.

CHEWY QUICKEZE ICY MINT FLAVOUR THIS MEDICINE MAY NOT BE RIGHT FOR YOU. READ THE LABEL BEFORE PURCHASE. FOLLOW THE DIRECTIONS FOR USE. IF SYMPTOMS PERSIST, TALK TO YOUR HEALTH PROFESSIONAL.

H E A LT H C H E C K M A G A Z I N E | W I N T E R 2 0 2 1

RHINOCORT HAYFEVER & ALLERGY SPRAY

STREPSILS EXTRA BLACKCURRANT LOZENGES

THURSDAY PLANTATION TEA TREE OIL

ALWAYS READ THE LABEL. FOLLOW THE DIRECTIONS FOR USE. IF SYMPTOMS PERSIST, TALK TO YOUR HEALTH PROFESSIONAL.

FOR THE RELIEF OF SORE THROAT SYMPTOMS. ALWAYS READ THE LABEL. FOLLOW THE DIRECTIONS FOR USE. IF SYMPTOMS PERSIST, TALK TO YOUR HEALTH PROFESSIONAL.

ALWAYS READ THE LABEL. FOLLOW THE DIRECTIONS FOR USE. IF SYMPTOMS PERSIST, TALK TO YOUR HEALTH PROFESSIONAL.

URAMET TABLETS

VOOST VITAMIN C

ALWAYS READ THE LABEL. FOLLOW THE DIRECTIONS FOR USE. IF SYMPTOMS PERSIST, TALK TO YOUR HEALTH PROFESSIONAL.

ALWAYS READ THE LABEL. USE ONLY AS DIRECTED. IF SYMPTOMS PERSIST SEE YOUR HEALTHCARE PROFESSIONAL.

XEROCHILIA (DRYNESS OF THE LIPS): DERMAL THERAPY LIP BALM

YOUTHFUL: VIXIN GOJI GLOW STEM CELL SERUM

WET ONES WIPES

BLACKMORES BIO ZINC ALWAYS READ THE LABEL. FOLLOW THE DIRECTIONS FOR USE. IF SYMPTOMS PERSIST TALK TO YOUR HEALTH PROFESSIONAL. SUPPLEMENTS MAY ONLY BE OF ASSISTANCE IF DIETARY INTAKE IS INADEQUATE.

H E A LT H C H E C K M A G A Z I N E | W I N T E R 2 0 2 1

Everything You Need to Know About Incontinence THE ISSUE OF INCONTINENCE SHOULDN’T BE ONE OF EMBARRASSMENT AND SHAME. WITH OVER 5 MILLION AUSTRALIANS EXPERIENCING BLADDER OR BOWEL CONTROL PROBLEMS, IT’S MORE COMMON THAN YOU THINK AND YOU’RE CERTAINLY NOT ALONE.1 IF YOU DO HAVE URINARY OR FAECAL INCONTINENCE AND YOU’RE UNSURE OF WHICH TYPE YOU MAY EXPERIENCE, WE’VE LISTED A GUIDE BELOW THAT HELPS TO EXPLAIN EACH ONE, ALONG WITH RISK FACTORS AND TREATMENTS.

Stress Incontinence Stress incontinence can occur when activities are undertaken that add pressure onto the bladder, causing urine leakage. It can happen due to a range of physical activities including laughing, coughing, sneezing, or walking. Stress incontinence mainly affects women due to the impacts of pregnancy and childbirth, but men can also develop it after having prostate surgery. After childbirth, many women find that their pelvic floor muscles have become weakened, and as they undertake certain activities, they are more inclined to experience stress incontinence as pressure is put on the bladder causing urine to leak out.

Urge Incontinence Urge Incontinence or overactive bladder syndrome is the urge to urinate even when the bladder isn’t full. This can lead to involuntary loss of urine before reaching the toilet. This type of incontinence is common in both men and women and is more

likely to occur as you age. Symptoms may include waking up multiple times in the middle of the night with the urge to urinate, having to urinate more than eight times a day, and feeling as if you won’t make it to the toilet when you need to urinate. Urge incontinence can be caused by certain health conditions such as multiple sclerosis, Parkinson’s and the occurrence of an enlarged prostate gland. Urinary tract infections may also cause temporary urge incontinence, but this often clears up as the infection goes away.

Overflow Incontinence Overflow incontinence affects more men than women and occurs when you have difficulties completely emptying your bladder. This can result in overflow, where your bladder will leak without any notice. It can occur when you have no urge to urinate as the brain has no idea that the bladder is full. Symptoms can include a sudden release of urine, bed wetting and a feeling as if it’s hard to urinate even though you feel

as if you need to go. Overflow incontinence can happen due to a blockage in the urinary tract and certain health conditions where the nerves can be affected such as diabetes or Parkinson’s. Men are more commonly diagnosed with this type of incontinence as one of the most common symptoms of overflow incontinence is an enlarged prostate gland.

Mixed Incontinence Mixed incontinence can occur due to a combination of issues, most commonly associated with the symptoms of stress incontinence and urge incontinence. You may experience more of one type over the other, but if both types are present then you may have mixed incontinence.

Reflex Incontinence Reflex incontinence is related to a disruption in signals from the brain to the spinal cord, often due to surgical trauma or a spinal cord injury. The bladder muscle can dysfunction and cause leakage, often without the urge to urinate or without the feeling of a full bladder.

Functional Incontinence Functional incontinence occurs when a person’s urinary system and bladder control is functioning correctly and are continent, but they are just unable to access a toilet in time. This can be due to an intellectual or physical condition, caused by a range of reasons such as not being able to recognise the need to go to the toilet or unable to locate or access a toilet. Functional incontinence is also known as disability associated urinary incontinence. Conditions such as dementia, cerebral palsy and arthritis can become barriers for someone to access a toilet. Best results to improve continence are shown when toileting support is given, for example, chairs are moved closer to the bathroom.

Enuresis Nocturna Enuresis Nocturna is most commonly known as bed wetting. Adults can experience bed wetting due to a range of reasons such as a smaller than usual bladder, excessive alcohol, a urinary tract infection or medication.

Faecal Incontinence Faecal incontinence can be described as leakage from the bowel due to involuntary bowel movements. It can be caused by a range of reasons including bowel disease, long term straining and weak back passage muscles.

Risk Factors - Age can be a factor as when we get older our pelvic floor muscles can become weaker and can cause the occurrence of incontinence. - Diseases such as diabetes, Parkinson’s disease and multiple sclerosis can affect bladder control due to the increased chances of damaged nerves. - An enlarged prostate gland can be a contributor towards incontinence in men. - A spinal cord injury can cause incontinence due to miscommunication between the brain and the nerves that control bowel and bladder function, disrupting the flow of urine. - A urinary tract infection may also cause temporary urge incontinence, but this often clears up as the infection goes away.

- The risk of developing incontinence while pregnant or after the baby is born can increase due to the weight and pressure of the baby pushing down on the pelvic floor muscles. This can put pressure on your bladder muscle causing urine to leak out. Stress incontinence usually only develops from the mid 50's as a result of child birth, but usually not directly after.

Treatments for Incontinence A way to help prevent the occurrence of incontinence is bladder training. This is when you schedule the amount of time between bathroom trips, helping you to decrease the amount of trips you take and also helping you to improve your bladder’s capability of holding more urine. Pelvic muscle exercises, also commonly known as kegel exercises are used to help strengthen your pelvic muscles. These support the bladder and can help you avoid the loss of urine and prevent accidents from occurring. But they may not help towards certain kinds of incontinence for example, reflex incontinence. Another useful tip that may help includes ensuring that you are able to access your bathroom at home and that there are no obstacles or barriers in your way. Make sure that there are no obstructions and keep the door open and lights on to allow for easy access. Depending on the type of incontinence, treatments can have a higher or lower success rate. You may also benefit from the use of incontinence aids, in combination with other treatment options. Molicare have a vast range of products that are highly absorbent and provide a comfortable fit for both men and women. With a range of different styles, sizes and absorbency levels – there’s a perfect fit for all incontinence needs. Their curly fibre technology also helps to maintain healthy pH levels and reduce the risk of skin irritation. It is important to seek medical advice and talk to your doctor or a continence professional about your symptoms and any treatment plans. Visit your local Blooms The Chemist and chat to your pharmacy team for more information and recommendations on the best products for you.

Key Statistics. https://www.continence.org.au/about-us/our-work/keystatistics Understanding Incontinence. https://continence.org.au/about-continence/ understanding-incontinence Urinary Incontinence. Faecal Incontinence. https://www.continence.org.au/ 1

H E A LT H C H E C K M A G A Z I N E | W I N T E R 2 0 2 1

Ease Congestion this Winter

RHINOCORT works by reducing inflammation in

the nose, offering relief from hayfever and allergy symptoms. It can help with nasal congestion and a blocked or runny nose as well as sneezing and itchiness.

THERE ARE DIFFERENT WAYS TO HELP REDUCE NASAL CONGESTION THAT MAY ARISE FROM THE COMMON COLD, SINUSITIS OR HAY FEVER. DECONGESTANTS WORK BY NARROWING THE SMALL BLOOD VESSELS THAT RESIDE IN YOUR THROAT, NOSE AND SINUSES, REDUCING THE SWELLING THAT CAUSES THE CONGESTION IN THE FIRST PLACE. NON-MEDICATED SALINE NASAL SPRAYS HELP TO REMOVE ALLERGENS AND EXCESS MUCUS FROM THE NASAL PASSAGE.

DEMAZIN NASAL DECONGESTANT SPRAY* provides

the symptomatic relief of nasal and nasopharyngeal congestion associated with the common cold and flu, hayfever and sinusitis. *DO NOT GIVE TO CHILDREN UNDER 6 YEARS OF AGE. FESS SALINE NASAL SPRAY ORIGINAL provides a

natural way to help relieve nasal congestion caused by the common cold sinusitis, and hayfever. FESS helps to thin and clear excess mucus and by washing away allergens that can cause hayfever. VICKS VAPORUB is easy to use in just three steps

for a hassle free way to help relieve cough and cold symptoms.

ALWAYS READ THE LABEL. FOLLOW THE DIRECTIONS FOR USE. IF SYMPTOMS PERSIST, TALK TO YOUR HEALTH PROFESSIONAL. 28

Good gut health, supports good immune health.

Always read the label. Follow the directions for use. If symptoms persist, talk to your health professional.

DAY MONEY BACK GUARANTEE

LIVE LIFE RESILIENT Always read the label. Follow the directions for use. If symptoms persist, consult your healthcare professional. AU/NZ residents 18+ only. Before 11.59pm AEST/NZDT 30/09/21 buy any Ethical Nutrients product (excl. Ethical Nutrients Clinical range) from a participating pharmacy & if not happy after 30 days of use, visit ethicalnutrientspromotion.com.au by 11.59pm AEDT/NZDT 14/11/21 & fill out claim form incl. receipt upload. All valid claims get refund (up to AUD $104.95/NZD $90.95). Max 1 claim per household (based on residential address). Keep original itemised receipt/s. See ethicalnutrientspromotion.com.au/terms for full conditions. Promoter: Metagenics (Aust) (ACN 010 636 165/NZCN 715309). DRP0104 03/21

H E A LT H C H E C K M A G A Z I N E | W I N T E R 2 0 2 1

The Low-down on Diabetes DIABETES AFFECTS OVER 1.5 MILLION AUSTRALIANS INCLUDING THOSE WHO ARE UNDIAGNOSED.1 LUKE OWEN, OUR RESIDENT PHARMACIST FROM BLOOMS THE CHEMIST ERINA, SHARES HIS INSIGHTS INTO THE DIFFERENT TYPES OF DIABETES AND COMMON MISCONCEPTIONS ABOUT THE CONDITION.

HOW DOES THE BODY USE GLUCOSE? Glucose is your body's main source of energy and it comes from foods that contain carbohydrates, such as potatoes, bread, pasta, rice, fruit, and milk. After food is digested, the glucose is released and absorbed into the bloodstream. If your body is unable to produce insulin (as in the case of people with type 1 diabetes) or you have insulin resistance (type 2 diabetes) then your body will be unable to use the glucose you consume through your diet to convert it into energy. Insulin opens the doors (the glucose channels) to allow glucose to enter your cells to be converted to energy. It also allows glucose to be stored in the muscle, the liver, and other tissues. If insulin cannot do its job and the doors that allow glucose into the cells cannot open properly; the result will be hyperglycaemia, which means that there will be a lot of sugar in the blood and not much energy. A high amount of sugar in the blood over time can lead to complications like blindness, kidney damage, heart disease, nerve damage, sexual difficulties, or foot ulcers. WHAT’S THE DIFFERENCE BETWEEN THE MANAGEMENT OF TYPE 1 AND TYPE 2 DIABETES? Both type 1 and type 2 diabetes require a balanced diet and the avoidance of a sedentary lifestyle. Medication requirements differ as type 1 is almost entirely managed by insulin, while type 2 diabetes has a much broader treatment strategy with differing stages of treatment. WHAT KIND OF SUPPORT CAN TYPE 1 DIABETIC PATIENTS RECEIVE IN A PHARMACY? Type 1 diabetic patients are typically part of a multi-disciplinary health care team

including a GP, Endocrinologist, Diabetic Educator, Dietician, and Pharmacist. The role of Pharmacist is typically discussing what different medications or dosages the patient might use before a meal or overnight, how best to manage a hypoglycaemic episode (where the available sugar in the bloodstream is at unhealthily low levels, typically due to fasting or overmedicating). We can also discuss any new technologies which are available, like insulin pumps and techniques around blood finger pricking, blood sugar testing and medication administration. If a pharmacy is operating as a National Diabetes Services Scheme (NDSS) agent, they will also be routinely ordering and supplying subsidised diabetic paraphernalia and ensuring type 1 diabetics have enough needles and testing strips. Pharmacies can also operate as a sharps disposal site where diabetics can deposit their needles for safe and appropriate disposal. WHAT ARE THE MISCONCEPTIONS THAT YOU HAVE COME ACROSS WHEN EDUCATING CUSTOMERS ABOUT DIABETES? That diabetes is not a serious condition - this often leads to conversations about what other diseases, like heart attacks and blindness, diabetes can contribute to. Another misconception is that only type 1 diabetics use insulin. If type 2 diabetics do not manage their diabetes appropriately their health can deteriorate, requiring them to use insulin. You do not have to be overweight to develop diabetes - while it is a risk factor, it is not a requirement for developing diabetes. Many people are surprised that diabetics can still eat some sweet things; patients

with diabetes need to eat a balanced diet that can include sugar in moderation. Finally, diabetes cannot be passed directly from one person to another by any means. While there is a genetic component of diabetes being passed from parent to child at birth, it is only a predisposition that requires additional environmental factors to bring about the condition. WHAT ARE THE KEY CONSIDERATIONS FOR MANY DIABETICS, WHICH OTHERS MAY NOT BE AWARE OF? While you don’t need to avoid sugar, you must be more conscious of its impact on your body. As type 2 diabetes deteriorates or if you have type 1 diabetes, you may have to take blood glucose samples daily, sometimes multiples times per day. While early-onset type 2 diabetes may be reversible with lifestyle intervention, most type 2 diabetics are dependent on their medication to maintain health and all type 1 diabetics are required to be medicated. Advanced type 2 and type 1 diabetics need to have a hypoglycaemia plan, and this should include how their friends and family can help in an episode. Diabetics also need to ensure they are regularly seeing an optometrist to check their eye health and a podiatrist to check their feet health. Blooms The Chemist's Diabetes Monitoring (Blood Glucose Screening) can assist those recently diagnosed with diabetes, or those with higher risk of developing type 2 diabetes. Visit your local Blooms The Chemist and chat to your Pharmacist for more information. Diabetes – The Facts. http://www. stirkmedicalgroup.com/wp-content/ uploads/2015/11/Diabetes-Information1.pdf 1

H E A LT H C H E C K M A G A Z I N E | W I N T E R 2 0 2 1

UNDERSTANDING

Anxiety and OCD GENERALISED ANXIETY DISORDER (GAD) AND OBSESSIVE-COMPULSIVE DISORDER (OCD) HAVE LONG BEEN SHROUDED IN MISCONCEPTIONS AND STIGMA, WITH MANY PEOPLE CONFUSED ABOUT THEIR TRUE DEFINITIONS AND THE BEHAVIOURS THAT ACCOMPANY THEM. GENERALISED ANXIETY AND OCD ARE COMPLEX AND DIFFER FROM PERSON TO PERSON, WITH EACH INDIVIDUAL EXPERIENCING A RANGE OF VARYING SYMPTOMS. THE BELOW INFORMATION MAY HELP TO PROVIDE MORE AWARENESS AND UNDERSTANDING OF THESE TWO SEPARATE MENTAL HEALTH CONDITIONS. WHAT IS GENERALISED ANXIETY DISORDER (GAD)? People who suffer from GAD tend to feel anxious a vast majority of the time, with their worries being of a more persistent and constant nature that can affect their everyday lives. “Their worries can relate to work, health, family and/or financial issues, rather than just one issue. Even minor things such as household chores or being late for an appointment can become the focus of anxiety, leading to uncontrollable worries and a feeling that something terrible will happen.”1 Symptoms can be different for everyone, but some common symptoms include: - Racing heart - Hot and cold flushes - Excessive fear - Avoidance of situations that make you feel anxious - Feeling restless Every year in Australia, approximately 14 per cent of the population (1 in 7) experience an anxiety condition, and it is estimated that just under 3 per cent experience GAD.2 Nearly 6 per cent of the population will experience GAD in their lifetime.3 GAD can occur due to a number of reasons including a family history of mental health illnesses, recent stressful situations or events and certain personality traits such as nervousness or having perfectionistic tendencies. WHAT IS OBSESSIVE COMPULSIVE DISORDER (OCD)? Having OCD is not as simple as organising a messy cupboard or being overly tidy, as it is often portrayed in the media. In fact, OCD is a much more complex and debilitating illness which unfortunately many people do not understand. Obsessive Compulsive Disorder is a mental health disorder that affects people of all ages and walks of life, and occurs when a person gets caught in a cycle of obsessions and compulsions. Obsessions can be defined as “thoughts, images or impulses that occur over and over again and feel outside of the person’s control.”4 They are usually unwanted and can often trigger

distress and fear causing the sufferer to perform compulsions as they mistakenly believe that they will help ease the anxiety. Compulsions can be repetitive behaviours that sufferers undertake to try and reduce the presence of obsessions. These are some examples of compulsions, but there are many more that people suffer from: - Excessive hand washing - Mental review of events to prevent harm - Checking that nothing terrible happened or checking that you will not harm yourself or others - Repeating routine activities or body movements - Avoiding certain situations or events that might cause your obsessions to resurface Some examples of treatments used for GAD include cognitive behaviour therapy (CBT), medication and anxiety management strategies.5 OCD may be treated using a form of CBT called exposure and response prevention (ERP) as well as with medication.6 To find out more, talk to your local GP who can refer you onto a psychologist who can help. It’s important to seek support from a psychologist who is trained in the specific areas of GAD or OCD in order to get the right treatment. OCD and Anxiety Disorders Week runs from 4 to 10 of August, providing awareness and support for those who suffer from these mental health illnesses. If you or someone you know is struggling, call Lifeline’s 24 hour telephone crisis support line on 13 11 14. If it’s an emergency, dial 000.

GAD. https://www.beyondblue.org.au/the-facts/anxiety/types-of-anxiety/gad

ABS National Survey of Mental Health and Wellbeing: Summary of Results, 2007 (2008), p 27

2,3

About OCD. https://iocdf.org/about-ocd/

Treatments for Anxiety. https://www.beyondblue.org.au/the-facts/ anxiety/treatments-for-anxiety 5

OCD Treatment. https://iocdf.org/about-ocd/ocd-treatment/

H E A LT H C H E C K M A G A Z I N E | W I N T E R 2 0 2 1

Austral ia’s

No.1 sel l ing #

Eye Can See Clearly Now Even though we experience the world around us through their lens, we often forget that our eyes also require care and support in order to function properly. The majority of Australians (90%) say that sight is their most valued sense, so it’s vital that we look after our eyes.1 Getting your vision tested should be an important regular check up to add to your list, especially as you age. Optometrists not only prescribe glasses and contact lenses but can also assess the health of your eyes. There are numerous tests you can take that can evaluate the quality of your eyesight, including visual acuity tests which measure the ability to see fine print or detail, colour vision tests which can help to determine colour blindness and visual field tests that check peripheral vision. Taking breaks can help to lessen the impact of eye dryness and fatigue that might strike, especially if you are looking at a screen for eight+ hours a day. There is a rule called the 2020-20 rule that can help to prevent eye strain. For every 20 minutes that you are looking at a screen, you look 20 feet or 6 metres away for 20 seconds.2

While quitting smoking is a no-brainer for your general health, it can also impact your eyesight. According to research from the Vision Eye Institute, “smoking increases the risk of developing a retinal disease and cataracts, worsens existing vision problems and can cause optic nerve damage, leading to blindness.”3 Knowing your family history is also extremely important when it comes to your eye health as many eye conditions can be hereditary. They can be passed down or you may be at a higher risk of developing one yourself. It’s vital that your healthcare professional is aware of any prior conditions in your family so you can be prepared and have regular checkups when required. Eye Health. https://www.health.gov.au/health-topics/eye-health Computers, Digital Devices and Eye Strain. https://www.aao.org/eye-health/tips-prevention/computer-usage 1 2

H E A LT H C H E C K M A G A Z I N E | W I N T E R 2 0 2 1

The original Saratoga Pharmacy

Our People, Our Community Saratoga, NSW Loyal and dedicated are two words that perfectly describe Patricia Renyard, who has worked at the pharmacy that is now Blooms The Chemist Saratoga for the last 50 years.

Among her favourites whom she delivers to is Elaine Dacey, living independently on her own in a retirement village, who she’s known for years. “You do feel like you know them as a family, you know their history and things like that. We’ve had some sad times, and you’re just there as a shoulder to cry on sometimes.” “Sometimes I go to places where they don’t see anyone for a while, so they look forward to a visit. You always worry if they don’t answer the door, but usually they’re just having a sleep,” Pat laughs. The deliveries tripled when COVID-19 first started, as no one was allowed to leave their house. A young Pat in the Pharmacy

“Pat’s been around forever, she started here at the pharmacy when she was just 15 and she’s worked in pharmacy her entire life. She comes to work and does a great job; she has a really good work ethic and she’s loved around here at Saratoga,” says Kurt Smith, Pharmacist and owner of the Blooms The Chemist Saratoga store.

“We have an elderly community here; a lot of people were at home and were really concerned about their health and the impact that the virus might have on them. A big part of that has been Pat going out to people’s places, delivering and doing the whole no contact thing and following new procedures and protocols.

“The store has changed a lot since I first started. It was originally in a little house that just had a small divider for the dispensary to separate it from the pharmacy and that was it; it was quite cute,” Pat says. Pat does everything, including going above and beyond for the customers whom she delivers to. “From time-to-time people will ring us up at 5.30pm on a Tuesday and say, ‘Can you please go down to IGA and get some bread and milk or something for me and drop it down’ and Pat being the person she is, always says yes!” Kurt says. “Some people I can deliver to, and you just go in and have a chat and you know what their kids and grandkids are up to and things like that. But that’s all part of the service really, it’s just that type of community here,” Pat says.

Kurt Smith, Pharmacist-owner Blooms The Chemist Saratoga

“50 years in a job or in a workplace is such a long time and I think it really shows the resilience and the nature that Pat has and the kind of loyalty she has to her job,” Kurt says. “It must mean that she loves the area, and she loves doing what she’s doing; we’ve all been here a long time; the saying is that someone’s got to die before you get a job here!” laughs Retail Manager Lesley Carmichael. “I’ve said to them a few times, you have to take me out in a box!”

Elaine Dacey and Pat

“We’ve got one lady who gives me a bag of chocolate crackles every time I deliver to her, so everyone waits for them when I get back. We’ve also got another lady that delivers cakes and slices once a week.”

For Pat, retirement is a long way off. H E A LT H C H E C K M A G A Z I N E | W I N T E R 2 0 2 1

Dry July MAKE A DIFFERENCE THIS JULY, NOT ONLY TO YOUR HEALTH BUT ALSO BY HELPING TO PROVIDE INVALUABLE SERVICES TO CANCER PATIENTS, THEIR FAMILIES AND CARERS. ALL YOU HAVE TO DO IS GO ALCOHOL-FREE FOR ALL OF JULY. Due to the fundraising efforts of Dry July participants each year, the Dry July Foundation is able to fund programs and projects that improve the comfort and wellbeing of people affected by cancer. These include wellness programs, accommodation, transport services, hospital equipment, comfort items and information resources. While it may be a tough feat for some, giving up alcohol even for a short period of time can have many benefits, including: IMPROVED QUALITY OF SLEEP Drinking regularly can negatively affect the quality of your sleep, as you spend less time getting the deep truly restful sleep that you actually need. Rapid eye movement or REM sleep is when you tend to have vivid dreams and is said to benefit memory retention, learning and mood.1 The more alcohol consumed before bed, the greater the impact to your REM sleep. By getting a better quality sleep, you’ll ultimately be more productive and have more energy throughout your day. IMPROVEMENT OF MENTAL HEALTH Alcohol is a depressant and can impair and slow both physical and psychological activity.2 It can contribute to a range of side effects including memory impairment, mood swings, mental confusion, and impaired motor skills and coordination. By cutting down on your alcohol consumption you are allowing your brain a chance to readjust and gain more clarity.

WEIGHT LOSS When you cut out alcohol, it’s no surprise that you tend to lose a little weight. Alcohol contains a fair few calories and if you’re reducing your intake then your overall calorie consumption will decrease. This may lead to weight loss, especially if you’re incorporating other healthy habits into your life, such as exercise and healthy eating. SAVING MONEY The average Australian household will save $1,664 a year by cutting down on alcohol.3 That’s a significant amount, considering that 1.9 million Australians are drinking more than six standard drinks per day.4 HEALTHIER SKIN Another unexpected benefit of reducing your alcohol intake is the improvement of your skin quality. Drinking excess alcohol can cause dehydration, leading your skin to become dry and dull. By cutting down on alcohol and increasing your water intake your skin will be more hydrated and radiant, along with an increased cell turnover which can help prevent premature ageing of skin. Try reducing (or completely cutting) your alcohol intake for even a month and see what benefits you may experience. Visit dryjuly.com for more information on how to participate and clear strategies to help you conquer an alcohol-free month.

¹What is REM sleep? https://www.medicalnewstoday.com/articles/247927#alcohol-and-rem-sleep 2 Why is Alcohol Called a Depressant? https://www.michaelshouse.com/alcohol-treatment/why-is-alcohol-called-a-depressant/ 3,4 What a month off drinking does for your body. https://www.dryjuly.com/health/what-a-month-off-drinking-does-for-your-body

What’s on in your Blooms The Chemist June IRON SCREENING Adequate iron is essential for the optimal functioning of red blood cells, which carry oxygen throughout the body. Low iron levels can lead to fatigue, breathlessness, decreased immunity and anaemia. Your Blooms The Chemist Pharmacist can check your total iron levels with a quick and easy iron screening test; head online to find out more or ask in-store today.

July DIABETES MONITORING (BLOOD GLUCOSE SCREENING) There are over 1.2 million people in Australia living with diabetes.1 Blood Glucose Screening can assist those recently diagnosed with diabetes, or those with a higher risk of developing Type 2 diabetes, to effectively monitor their blood glucose levels. Conducted as a simple fasting finger-prick test, Blood Glucose Screening can provide an indication of blood glucose. The test will not confirm if you have diabetes; a high blood glucose reading only indicates there may be an issue which can be discussed further with your GP. Visit your local Blooms The Chemist for more information on Blood Glucose Screening and diabetes monitoring and management.

August SLEEP APNOEA SUPPORT One in four Australian adults are at risk of developing sleep apnoea with the condition affecting approximately 10% of females and 25% of males.2 Sleep apnoea can affect anyone, though your risk is higher if you are obese, over 65 years of age or have a family history of the condition. Symptoms can include snoring, constant irritability or falling asleep during the day.3 An at-home sleep test can determine if you have sleep apnoea; ask your local Blooms The Chemist team member for more information on this common condition and available testing options.

Ask your local Blooms The Chemist team for more information about our range of Health Services. To find your local Blooms The Chemist or shop online, head to bloomsthechemist.com.au

bloomsthechemist.com.au 1

Australian Government. http://www.health.gov.au/internet/main/publishing.nsf/Content/chronic-diabetes Healthy Sleep. https://www.healthysleep.net.au/sleep-apnoea-in-australia/

Snore Australia. https://www.snoreaustralia.com.au/obstructive-sleep-apnoea.php

H E A LT H C H E C K M A G A Z I N E | W I N T E R 2 0 2 1

bloomsthechemist.com.au