May-June 2012 by Family Health Diary

FREE Beating breast cancer Acid attack on heartburn www.familyhealthdiary.co.nz MAY/JUNE 2012

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Luxurious

Pamper Package

SKYCITY GRAND HOTEL + EAST DAY SPA + DINE BY PETER GORDON

I do like the lighter mornings the end of daylight saving brings – it seems to make the alarm less unpleasant. But I’m not so sure about the darker evenings. May means Mother’s Day so remember the mummy in your life on Sunday 13th. Brekky in bed is always a winner if you’re in the same household – or brunch out together if you’re not. Or you could even invite a bunch of fellow mums to your place and host a Pink Ribbon Breakfast to raise funds for the New Zealand Breast Cancer Foundation. You can host, or attend, a Pink Ribbon Breakfast any time in May, so why not make a separate date and take the opportunity to have another decent brekky lined up. It’s a great way to raise funds for NZBCF and remind ourselves of what we need to be vigilant about when it comes to safeguarding against breast cancer. We’ve got a stunning prize up for grabs this issue, when you complete our reader survey. It’s two wonderful nights in Auckland with breakfast and a degustation dinner with matched wines, plus a massage to boot! Divine. Whatever the next couple of months bring you, enjoy, and catch you next time.

Complete our survey and go in the draw to win a

In this issue Household tasks can be a pain in the…

Asthma shouldn’t hold you back

What happens in first 4 weeks of pregnancy?

Simple answer to heartburn

Want to quit? Learn how

Survey WIN $1500 Luxury Weekend Pamper Package

Have your say… Complete our survey

Luxurious Weekend Pamper Package For more information turn to pages 14-15 Complete our survey on pages 16-19 or online

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Family Health Diary Reports... Helping women beat breast cancer

New option to keep you regular

Are your feet in good health?

Depression... getting right treatment is crucial

Apples & pears and bladder control

Take the powerful approach to colds & flu

n Editor Neva Sinclair n Design Cathy Ellegard Goss n For editorial enquiries, write to editor@familyhealthdiary.co.nz For Family Health Diary advertising enquiries please phone +64 9 306 2340 n Sales manager Harinda Singh DDI: 09 306 2344 Email: harinda@brandworld.co.nz Family Health Diary is published by BrandWorld Limited, Auckland. Phone (09) 306 2340, Fax (09) 307 9246. Every effort has been made to ensure the contents of this magazine reflect current accepted medical opinion and that it is as up-to-date as possible, but it does not claim to be the last word on any medical matter featured. No medical or health information, however detailed, can ever be considered a substitute for consultation with, or the advice of, a qualified doctor. Though this publication contains information that may be of the greatest importance to your health and well-being, it is not intended to replace your doctor or discourage you from seeking his or her advice. If anything in Family Health Diary leads you to suppose you may be suffering from any of the serious conditions described, you are urged to see your doctor without delay. ÂŠ2011 Copyright. No part of this publication may be reproduced without the express permission of the publisher. Family Health DiaryÂŽ is a registered trademark of BrandWorld Limited. CLARIFICATION In the March/April issue of Family Health Diary magazine, we published a photograph of a father with his baby asleep on her stomach. We wish to clarify that it is not recommended young babies be put to sleep on their stomachs. By the time babies reach 6-12 months of age, they may choose to roll onto their tummies to sleep. The Plunket NZ website says by this age, the risk of cot death is reduced. For more Plunket tips go to www.plunket.org.nz/your-child/

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Pain & inflammation

Act fast to help reduce pain Ever had neck or shoulder pain? Ordinary household tasks can do it, like trimming the hedge, washing the car or cleaning the windows.

ain is a warning that shouldn’t be ignored. When muscle pain strikes in the neck or shoulders, it’s best to treat the pain and inflammation as soon as possible. Ignoring the warnings may lead to slower recovery or prolonged pain. Inflammation is the body’s way of protecting an injury. When you suffer

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a pulled muscle or tendon, chemicals are released at the injury site, causing swelling and further sensitivity to the body’s pain receptors. Treating the pain and inflammation quickly may help reduce the restriction and discomfort experienced, to help get you moving again sooner.

SIGNS OF INFLAMMATION There are a few tell-tale signs that will help you identify if inflammation is present at the site of injury: • Localised swelling • Heat and a burning sensation • Redness • Stiffness • Loss of function.

VOLTAREN® EMULGEL CAN HELP If inflammation is present, look out for a powerful anti-inflammatory treatment that helps reduce pain and inflammation to assist your body move more freely. Voltaren® Emulgel is a medicated rub for muscle and joint pain associated with acute soft tissue injuries. It contains a powerful anti-inflammatory ingredient, diclofenac, which helps relieve both pain and inflammation by targeting the source of pain and concentrating its action where you need it most. Voltaren® Emulgel’s formulation is cool and easy to rub in so that it is readily absorbed to help relieve aching muscles.

MANAGING YOUR INJURY

Inflammation is the body’s way of protecting an injury… but if left untreated, this inflammation may cause more pain.

Bed rest may not be the best course of action to help speed up your recovery. Speak with your healthcare professional about whether it is ok to undertake gentle activity to help keep you moving. And remember to talk to your pharmacist about Voltaren® Emulgel to see if it is right for you to help reduce pain and inflammation.

Voltaren® Emulgel available at pharmacies and supermarkets

VOLTAREN SUPPLIER OF PAIN RELIEF TO THE

For short-term relief of local pain and inflammation. Always read the label and use only as directed. If symptoms persist or if you have side effects consult your healthcare professional. Novartis Consumer Health Australasia Pty Ltd, Auckland, NZ. TAPS NA5692

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Asthma symptoms holding you back?

If you’re one of the many people who think they just have to accept asthma symptoms as part of everyday life, you need to know it doesn’t have to be that way.

ost people overestimate their asthma control, thinking the wheezing, coughing and waking in the night, are things they just have to put up with. If you’re using an orange preventer inhaler, but still reaching for your blue reliever in the night, chances are your asthma is not as good as it could be. If this sounds like you, a move to Seretide®, the purple inhaler, could be the answer.

HOW SERETIDE® WORKS Seretide® is a two-in-one inhaler that combines the active ingredient in the orange preventer inhaler with the 6

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active ingredient in the green symptom controller. This combined approach helps control asthma long-term, which means you don’t have to live with the wheezing, coughing and sleepless nights in the first place.1,2

IS SERETIDE® RIGHT FOR YOU? Your doctor is the best person to talk to about your asthma control. The most important thing is to let them know what symptoms you’re experiencing and how often you’re having them. You may not realise you can have symptom-free days for most days of the year with Seretide®, the purple inhaler.3

And if you qualify, Seretide® is fully funded. Just ask your doctor.

PUT SYMPTOMS BEHIND YOU In a major New Zealand asthma study, 81% of people thought their asthma was well controlled, yet three-quarters were using their reliever at least once daily and the remainder were taking at least 3-4 puffs a day. So if there’s one thing the study showed, it’s that most people overestimate their level of asthma control.4 If you’re an asthma sufferer don’t assume that exercise or running around with the kids goes hand-in-hand with laboured breathing, turning ‘enjoyable’ activities into strenuous chores. Asthma treatment has come a long way, and there’s every chance you can put all these symptoms behind you.

IS YOUR ASTHMA UNDER CONTROL? The first step to freeing yourself of symptoms is understanding how well controlled your asthma is right now. Control means5… • No coughing or wheezing • No night-time interruptions • No emergency visits to your doctor or hospital • Participating in activities you enjoy and not having to avoid them • Using a blue reliever inhaler less than two times a week and living life more. There is a simple test to help you find out if your asthma really is under control – visit www.asthmacontrol.co.nz and answer the online questionnaire.

Ask your doctor about Seretide – the purple inhaler

References: 1. Bateman ED et al. Am J Respir Crit Care Med. 2004;170:836-844. 2. Bateman ED et al. Allergy. 2008;63:932-938. 3. Woodcock A et al. Prim Care Resp J. 2007;16(3):155-161. 4. Holt S. NZ INPIRE –Study Overview. Research Review. 2008:1-13. 5. Global Initiative for Asthma. Global Strategy for Asthma Manangement and Prevention. Updated 2009. Available at http://www.ginasthma.org/ Guidelineitem.asp??|1=2&12=1&intid=1561. Accessed 19 November 2010.Seretide® (fluticasone propionate/salmeterol xinafoate; available as a 50/25 or 125/25 micrograms per actuation inhaler, or as a 100/50 or 250/50 micrograms per actuation Accuhaler®) is a Prescription Medicine for the treatment of reversible obstructive airway disease (ROAD) including asthma, and for the treatment of chronic obstructive pulmonary disease (COPD). Seretide is a fully funded medicine; Special Authority criteria apply. Seretide 250/25 microgram inhaler is a private purchase medicine that you will need to pay for. Use strictly as directed. Seretide is not for relief of acute symptoms. Always carry your reliever inhaler. Do not discontinue Seretide abruptly. Tell your doctor if: you are taking any other medicines or herbal remedies; you have pulmonary tuberculosis (TB), a thyroid problem or a heart problem; or you are having treatment for high blood pressure; Side Effects may include: ‘shaky’ feeling; headache; fast heart rate; irritation in the nose and throat. If symptoms continue or you have side effects, see your doctor, pharmacist or health professional. For more information, see Seretide Consumer Medicine Information at www.medsafe. govt.nz. Normal doctor’s office visit fees apply. Ask your doctor if Seretide is right for you. Seretide is trade mark of the GlaxoSmithKline group of companies. Marketed by GlaxoSmithKline NZ Limited, Auckland. TAPS CH3248/AP/SFC/0003/12.

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Making babies...

What happens in the first month? Planning for a baby is an exciting time, but what happens to your developing baby in those first few weeks, when most women don’t even know they’re pregnant?

efore you do your first pregnancy test, your baby’s vital organs are already forming. By the end of the first four weeks your baby is only about ¼ inch long, yet the baby’s heart, digestive system, backbone and spinal cord are beginning to form. When a woman becomes pregnant, the growing baby places demands on the mother for lots of extra nutrients. But it’s those first few weeks when your baby needs the most dietary support so it’s important to take your pregnancy supplement as soon as you start trying for a baby. One of the nutrients you and your baby need more of is iodine, which is essential for the healthy function of the thyroid. It plays a critical role in the development of your baby’s brain and nervous system during pregnancy. Also, in the first two trimesters, your baby is entirely dependent on maternal thyroid hormone. 8

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ELEVIT NOW CONTAINS IODINE To top its long-standing benefits, Elevit pregnancy supplement now contains 250mcg of iodine, adequately meeting Ministry of Health recommended standards in pregnancy, to assist with healthy brain development. Many women know about the importance of folic acid in early pregnancy – taking it in the first three months is essential in reducing the risk of neural tube defects, such as spina bifida. However, the need for additional nutrients doesn’t cease after the first trimester. The body’s demand for certain nutrients, such as folic acid, increases throughout pregnancy, up until your baby reaches maximum foetal growth.

FOLIC ACID FOR EVERY STAGE OF PREGNANCY Healthy cells depend on the continued and proper replication of our DNA, and folate (folic acid) plays an important role in that process. In pregnancy, the rate of folate breakdown in your body actually increases and peaks in the third trimester. So you need to compensate for the accelerated breakdown of folate and ensure your folate needs are met.

OTHER VITAMINS ARE ESSENTIAL TOO The graph shows the significant nutrient increases required in pregnancy recommended by the Ministry of Health and WHO (the pink part of the graph) with folic acid showing the greatest increase, followed by iodine. Elevit with Iodine pregnancy supplement delivers the essential nutrients* both you and your baby will need, meeting the Ministry of Health’s recommended standards. Elevit contains 800mcg of folic acid and is the only pregnancy

Recommended Daily Nutrient Intake

* Source: Ministry of Health 2006

* Iodine source: WHO 2005

supplement clinically proven to reduce the risk of neural tube defects by 92%.1 Elevit with Iodine also contains 60mg of iron to help combat fatigue and prevent dietary iron deficiency, and 250mcg of iodine to assist with baby’s healthy brain development. It also contains zinc, vitamin C, calcium, B6, B12 and other essential nutrients – all in a once-daily tablet.

TAKE ELEVIT WITH IODINE DAILY To help prevent neural tube defects, Elevit with Iodine should be taken daily as soon as you start trying for a baby and continued throughout pregnancy to help meet both yours and baby’s ongoing needs.

Only available from pharmacies For more information phone 0800 847 874 References 1. Czeizel Ae & Dudas I. NEJM 1992; 327: 1832-5 *Essential nutrients refers to folic acid, iron and iodine. Elevit with Iodine tablets are a Pharmacy Only medicine & contain vitamins B, C, D, E & minerals. Consult your healthcare professional to see if Elevit with Iodine is right for you. The New Zealand formulation of Elevit with Iodine is the same as that used in the Czeizel study except it contains Iodine and does not contain Vitamin A. Medicines have benefits & some may have risks. Always read the label and use only as directed. If symptoms persist or you have side effects, consult your healthcare professional. Supplementary to, and not a replacement for, a balanced diet. Registered Trademark. Bayer New Zealand Ltd, Auckland. TAPS NA5681

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Heartburn?

Don’t put up with it Heartburn starts with stomach acid. When we produce too much stomach acid, the excess acid can flow into the food pipe causing a burning pain in the chest.

UNDERSTANDING HEARTBURN

f the last thing you want to be worried about is heartburn and acid reflux, you need to know there is a simple answer – a treatment that targets the cause of heartburn, stopping it in its tracks so you can get on with enjoying life. For frequent heartburn sufferers Losec Extra could free you from heartburn for up to three months, and you don’t need a prescription to get it. 10

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If you suffer from recurring heartburn, it might be because you’re only addressing the symptoms, not the cause. Heartburn and acid reflux occurs when acid from the stomach flows up into the food pipe (oesophagus), causing a burning pain in the chest and, in some cases, a sour acid taste in the mouth. Too much stomach acid is usually to blame, and so to tackle the problem effectively you may need to limit the amount of acid your stomach produces in the first place.

COMMON DIETARY TRIGGERS Heartburn can be triggered by: • Spicy or fatty food • Chocolate or sweets • Caffeinated or fizzy drinks • Alcohol • Eating large portions and eating before bedtime.

CAUSES OF HEARTBURN The stomach uses acid to sterilise food and protect against infection. Specialised cells in your stomach lining produce this acid and pump it into the stomach. If too many of these pumps produce acid at the same time, it can result in excess stomach acid. Many things can trigger excess acid production – certain foods and drinks, having a busy lifestyle and specific medical conditions.

regulate the production of stomach acid. That’s why millions of people worldwide use Losec®, shown to be twice as effective as antacids in the relief of heartburn and reflux.

TREAT THE ROOT CAUSE Unlike antacids that only temporarily relieve the symptoms of heartburn/reflux, Losec regulates the amount of acid your stomach produces, so that symptoms don’t have the chance to rear their head at all. Losec Extra (omeprazole 20mg) may provide up to three months’ relief when taken for two weeks. It’s now available from your pharmacy – without prescription – making it easier to get lasting freedom from the nagging pain of heartburn.

GET LASTING RELIEF Watching what you eat, reducing excess weight, stopping smoking and avoiding stressful situations can all help reduce heartburn or reflux. But to stop heartburn or reflux at its source, you may need to

Losec treats the problem at its source, regulating the amount of acid your stomach produces.

Ask for Losec® at your pharmacy

Losec® and Losec® Extra are used for the relief of reflux-like symptoms, heartburn or regurgitation for people aged 18 years or older. Always read the label and use only as directed. If symptoms persist see your pharmacist. Bayer New Zealand Limited, Auckland. TAPS NA5679

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If quitting came down to willpower alone, probably everyone would have quit by now.

Finding it hard to stop smoking? Now there’s an easy way to learn how

I’m trying to quit, but it’s hard work and I have so many questions. Where can I get the answers I need? Most people have lots of questions about the different options to help them quit, what to expect when they quit, and how they will feel physically. The people at Pfizer, the makers of Champix®, know how hard it is too. They have a series of short videos at www.champix.co.nz where you can find answers to many of your frequently asked questions.

Why should I go to Champix.co.nz? If you are finding it hard to stop smoking then you may be ready to learn about a different approach. Champix. co.nz has 12 short video features arranged around preparing to stop, support to stop and staying smokefree. 12

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Will the website help me understand why it’s so hard to quit? Yes. One of the features explains how nicotine from smoking causes the release of a “feel good” chemical in the brain. The problem is its only temporary, so to get it back you have to have another smoke, and another…. until the only way to feel normal is with nicotine constantly in your system.

Is this why going cold turkey can be hard? Yes. At www.champix.co.nz there is another feature talking about why trying to quit with no support is difficult. Many people suffer nicotine withdrawal symptoms which can last more than 10 weeks including the desire to smoke, headaches, sleepless nights, feeling down or irritability. This is one

of the reasons why only around 5% of smokers who try to quit by going cold turkey are successful after a year.

So, what are the options? Go to www.champix.co.nz where you can learn more about the options. There is a feature explaining why combining willpower with medication improves your chances of quitting.

Q Q

What is Champix and does it work? Champix is a medication that can help you stop smoking. It is also quite different to gum or patch-based treatments you may have tried. It is a tablet you take twice a day for at least 12 weeks. By the end of the 12-week Champix programme, you’re four times more likely to have given up, than if you’d taken no medication. At www.champix.co.nz there’s lots more information on this.

How does Champix work? Champix works in two ways. It reduces withdrawal symptoms and blocks the effect of nicotine, so if you do smoke, you probably won’t enjoy it as much. At www.champix.co.nz you can find out more. Are there side effects? Everyone is different, so talk to your doctor about the potential side effects of Champix. Two common ones are nausea and difficulty sleeping. Some people may experience side effects such as mood changes and it isn’t known if they occur as a result of quitting or taking Champix.

What will it cost? If you’re ready to quit now, talk to your doctor about Champix. You may be eligible to have the entire 12-week course funded. Normal doctors’ fees and pharmacy dispensing fees apply.

If you want to know more about Champix go to www.champix.co.nz

Ask your doctor about Champix® And find out more at www.champix.co.nz Champix (varenicline) 0.5 mg & 1 mg Tablets. Champix (varenicline) is a prescription medicine that helps adults stop smoking. Champix is fully funded under special authority. A pharmacy charge and normal doctor’s fees apply. Do not take Champix if you are allergic to varenicline or any other tablet ingredients. Tell your doctor if you have ever had depression, other mental health problems, kidney problems, have a history of repeated fits, are pregnant, intend to become pregnant or are breastfeeding. Some people have had changes in behaviour, mood or thinking including self-harm or harming others. If you or your family notice changes in your behaviour, mood or thinking, stop taking Champix and see your doctor. Some people have had allergic reactions to Champix that can be life threatening. If you get swelling of the face, mouth, throat or a skin rash, stop taking Champix and see your doctor immediately. There have been reports of heart attack and strokes in some people taking Champix. Heart attacks and strokes can also be caused by smoking. If you have any of these conditions tell your doctor. Common side effects include nausea, constipation, flatulence, dry mouth, headache, dizziness, difficulty in sleeping and abnormal dreams. If you have other side effects see your doctor. Always read the label and use as directed. Consult your doctor to see if Champix is right for you. Contains varenicline 0.5 mg or 1 mg. Further information on Champix is available from www.medsafe. govt.nz or Pfizer New Zealand Ltd, Auckland, www.pfizer.co.nz. Ph. 0800 736 363. V11111 TAPS NA5683

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WIN

Luxurious pamper package… It could be yours

We all deserve a treat now and then… something to remove body and mind from the demands of everyday life. So how does this sound?

ou could win a luxurious weekend pamper package for two by simply completing our reader survey on pages 16-19. And if you do win, and you’re the generous type, you might even give it to Mum for Mother’s Day! The package for two people includes two nights in a Luxury King Room at the five-star SKYCITY Grand Hotel, Auckland, breakfast at The Terrace restaurant, degustation dinner with matching wines at dine by Peter Gordon and a sumptuous harmony massage for two at East Day Spa.

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The Grand Hotel is five-star luxury at every step. You will be greeted by the concierge and whisked away to your King Room with views of the Auckland skyline. In your room you can relax in fluffy bathrobes, pamper yourself with East Day Spa products in the luxurious bathroom, and connect to the outside world via broadband internet. You will be captivated by the exquisite degustation menu with matching wines, at dine by Peter Gordon, situated in the Grand Hotel. dine by Peter Gordon is a chic, elegant and award-winning restaurant with a unique blend of Asian, Pacific and traditional European cuisine. For seven years the team at dine by Peter Gordon have been cooking and serving delicious food and some of the most exciting wines from around New Zealand and abroad.

Then when it’s time for some serious pampering, you can pop into East Day Spa for a Harmony Massage for two – the perfectly blissful, romantic and relaxing escape for a couple.

The 60-minute massage will be in one of East Day Spa’s candle-lit double rooms, and will follow a foot treatment where feet are bathed in a milk bath, with a delicate aphrodisiac ylang ylang oil foot scrub.

WIN with Family Health Diary Just by taking part in our survey, pages 16-19, or on our website at www.familyhealthdiary.co.nz you will go in the draw to win a Luxurious Weekend Pamper Package for two at SKYCITY Grand Hotel, Auckland*, valued at more than $1500. PRIZE INCLUDES**: · Two nights’ accommodation for two people in a Luxury King Room at SKYCITY Grand Hotel, Auckland · Buffet breakfast for two at The Terrace restaurant · Harmony massage for two at East Day Spa · Degustation dinner for two, with matching wines, at dine by Peter Gordon. *Conditions apply – subject to availability. May not be combined with any other voucher or offer. Bookings need to be made in advance. Package valid until September 30, 2012. Close out dates may apply. Prize is not transferable for cash. Offer only available to residents of New Zealand aged 18 years and over. Survey commences on 30th April 2012 and closes 24th June 2012. Only one entry per person. One winner will be drawn. **Valid for prize package inclusions only as stated in prize list above. Does not include air fares / travel / transfers. Employees of BrandWorld Ltd, SKYCITY, East Day Spa & dine by Peter Gordon and their affiliates and agencies and immediate families are ineligible to enter. The winner will be notified by email. Judges’ decision is final and no correspondence will be entered into.

We acknowledge the support of:

www.eastdayspa.com

www.skycityauckland.co.nz

SKYCITY GRAND HOTEL OFFER

SKYCITY Grand Hotel is offering a Bed & Breakfast Package from $249 (incl GST): · · · ·

One night’s accommodation at SKYCITY Grand Hotel Breakfast for two at The Terrace 2-for-1 Sky Tower admission coupon Includes FREE Wi-Fi until 31 August 2012

Book at www.skycityauckland.co.nz or call 09 363 6000. Offer valid for up to two adults for bookings and stays until 25 March 2013, subject to availability. Close out dates may apply. 2-for-1 Sky Tower admission coupon is valid for the Main Observation Level only. A credit card surcharge of 1.5% may apply.

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Survey 2012 Complete our survey and go in the draw to win a

Luxurious SKYCITY Weekend Pamper Package,

WIN

valued at more than $1500

See page 15 for details. Entries close 24 June 2012

Or complete online www.familyhealthdiary.co.nz

FAMILY HEALTH DIARY MAGAZINE 1. Where did you get this copy of Family Health Diary magazine?

☐ Pharmacy ☐ Inside copy of NZ Listener ☐ Inside copy of New Zealand Women’s Weekly ☐ From friend/family ☐ Other 2. Did you read any stories from start to finish in this issue? ☐ Yes (go to question 3) ☐ No (go to question 4) 3. If yes, which stories did you read from start to finish in this issue? Please list 4. Did you learn anything new from reading this issue of Family Health Diary magazine? ☐ Yes ☐ No 5. Are you more likely to purchase any products as a result of reading this issue of Family Health Diary? ☐ Yes ☐ No 6. Have you ever bought products as a result of seeing them in Family Health Diary magazine or on Family Health Diary TV ads? ☐ Yes ☐ No 7. Have you ever talked to a pharmacist or doctor about a product as a result of seeing it in Family Health Diary magazine or on Family Health Diary TV ads? ☐ Yes ☐ No 16

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8. In the last year, how often did you read Family Health Diary magazine?

☐ Every issue (5 times per year) ☐ Only when there’s been something of interest ☐ 2-3 times a year ☐ Once a year or less

9. Generally, what do you think of Family Health Diary magazine?

Strongly Strongly Agree Agree Disagree Disagree

It’s interesting to read I learn new things about products from it It helps me talk to my doctor or pharmacist about sensitive subjects It’s a bit old fashioned I trust the product recommendations It makes health issues easier to understand I like the offers and giveaways they have It helps me decide which health products to buy I find it repetitive I find the print a bit hard to read I look for products I’ve seen in it when I’m in store It just tells me what I already know I like the handy size of it

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FAMILY HEALTH DIARY TV

10. Generally, what do you think of the Family Health Diary TV ads?

I learn new things about products from them They’re more interesting They know what they’re talking about They’re annoying They’re easier to understand than other ads They make it easier to choose what to buy I like the presenters they use They’re boring I don’t think of them as an ad I listen for the music to see what’s on them They’re a bit old fashioned I look out for products I’ve seen on them when I’m shopping They’re more believable than other ads

Strongly Strongly Agree Agree Disagree Disagree

☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐

☐ ☐

Survey continues >>

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11. List the names of any of the presenters/hosts of the Family Health Diary TV ads

you can recall?

FAMILY HEALTH DIARY WEBSITE 12. Have you ever visited www.familyhealthdiary.co.nz?

☐ Yes (go to question 13) ☐ No (go to question 15) 13. What was the main reason you last visited the Family Health Diary website? (Choose one) ☐ To enter a competition ☐ To download a coupon ☐ To watch a TV ad ☐ To find out more about a product ☐ To find information about a health condition ☐ To read the magazine ☐ Other 14. Have you ever read Family Health Diary magazine online? ☐ Yes ☐ No 15. Would you read Family Health Diary magazine if it was only available online? ☐ Yes, I’d go to the Family Health Diary website to read it ☐ Yes, if it was emailed directly to me ☐ No 16. Do you receive the monthly Family Health Diary email newsletter? ☐ Yes ☐ No

GENERAL QUESTIONS

17. How often did you visit a pharmacy in the last year?

☐ Monthly ☐ Every couple of months - 6 times a year ☐ 4-5 times a year ☐ 2-3 times a year ☐ Once a year or less

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18. How often did you visit a doctor in the last year?

☐ Every month ☐ Every couple of months - 6 times ☐ 4-5 times ☐ 2-3 times ☐ Once or less 19. Have you ever entered any Family Health Diary competitions? ☐ Yes ☐ No 20. Do you have any general comments to make about Family Health Diary magazine or TV?

ABOUT YOU 21. Are you

☐ Male ☐ Female 22. Age ☐ under 20 ☐ 20-29 ☐ 30-39 ☐ 40-49 ☐ 50-59 ☐ 60+ Would you like us to add you to the Family Health Diary email database to receive regular newsletter updates? If so please provide your email address: Would you like to go in the draw to win a Luxurious Weekend Pamper Package? If so please provide your contact details (your details will not be used for any other purpose) NAME: DAYTIME PHONE: EMAIL: ADDRESS: Thank you for taking the time to complete this survey. To go into the draw to win our fantastic prize offer, post your completed survey to: Family Health Diary Survey, PO Box 90-096, Auckland 1142. Or fill it out online at www.familyhealthdiary.co.nz Survey entries close 24 June, 2012. Terms and conditions apply. Full details on our website www.familyhealthdiary.co.nz or see page 15. www.familyhealthdiary.co.nz

Beating breast cancer Screening is the single biggest factor in improving survival rates for breast cancer. So celebrate Mother’s Day by joining the New Zealand Breast Cancer Foundation in urging all women aged 40 and over to keep going for their mammograms.

LIFESTYLE CHOICES REDUCE RISK

ata last year from the Auckland Breast Cancer Register, funded by the New Zealand Breast Cancer Foundation, shows women who have their cancer picked up by screening mammogram have a 95% chance of surviving to five years. This compares to 73% survival to five years in women whose cancer is diagnosed through feeling a lump.

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To reduce your risk of breast cancer you can… • Maintain a healthy body weight • Eat a diet rich in fresh fruit and vegetables and low in red and processed meats • Exercise for at least 30 minutes, three to five times a week • Limit alcohol intake to an average of one or two a day, with at least two alcohol-free days every week • Stop smoking • Manage stress levels.

BREAST AWARENESS FROM 20

MAMMOGRAMS FROM 40

From the age of 20 get to know how your breasts look and feel, so you can quickly recognise any changes: • A new lump or thickening, especially if it is only in one breast • A change in breast shape or size • A pain in the breast that is unusual • Puckering or dimpling of the skin of the breast • Reddening or a rash • A nipple that is turned-in or has discharge that occurs without squeezing. See your doctor promptly with any of these changes.

• The New Zealand Breast Cancer Foundation recommends women have annual mammograms from age 40 and mammograms every two years from age 50 onwards. • BreastScreen Aotearoa offers free screening mammograms to women aged 45-69.

YOU CAN HELP WITH A PINK RIBBON BREAKFAST All around New Zealand women, men, clubs and groups are starting the day with Pink Ribbon Breakfasts to raise funds for the The New Zealand Breast Cancer Foundation. These funds are used to improve awareness and fund programmes that support women with breast cancer in the community. Why not organise one with your friends? Or go along to one in your area. To find out more about holding a Pink Ribbon Breakfast or to find one in your area, visit www.pinkribbonbreakfast.co.nz

NEW ZEALAND BREAST CANCER FOUNDATION AMBASSADOR Family Health Diary’s Jude Dobson is an ambassador for the New Zealand Breast Cancer Foundation. As a former nurse, she understands why screening is so important but stresses “we still have a long way to go to save women’s lives”. Jude supports the Breast Cancer Foundation’s determined focus on encouraging women to go for mammograms. And she has good reason to back up her support. “We simply want to prevent women from dying from this disease…. And screening is the best first step.”

If you would like more information about breast cancer or The New Zealand Breast Cancer Foundation visit www.nzbcf.org.nz or call the Foundation on 09 304 0766 BreastScreen Aotearoa can be reached at 0800 270 200 www.familyhealthdiary.co.nz

Natural way to

DIGESTIVE health Many people think there are only two options to help keep them regular – a chemical laxative or a fibre-based product. Well now there’s a new option that’s 100% natural, gentle and effective.

f you have ever had digestive problems you’ve probably tried a number of solutions to help get you going again. Phloe Powder Drink is a new product derived from 100% natural ingredients, to help with regular, gentle bowel movements. Derived from New Zealand kiwifruit, Phloe Powder Drink works with your body, when your body needs it, offering a clinically shown, natural solution.

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WORKS FASTER Phloe Powder Drink is stronger and designed to work faster than Phloe capsules. It’s easy to take, just mix the kiwi tropical flavoured powder sachet with 30ml of water and drink – that’s only a mouthful. Harnessing the natural benefits of concentrated kiwifruit, Phloe Powder Drink doesn’t just get you going, it actually helps to bring your body to good digestive balance.

HOW PHLOE WORKS Derived from kiwifruit, Phloe has a unique triple action formula. It combines fibre, prebiotics and enzymes to naturally support and optimise bowel health. This combination helps avoid episodes of bloating, flatulence and the “feeling of fullness”.

THE PHLOE RANGE Phloe Bowel Health products are available in capsules, chewable tablets and now new powder drink. The capsules and chewable tablet contain the same amount of active ingredient, and are designed to be taken daily for optimal digestive benefit. The tasty kiwi tropical flavoured chewable tablets are great for children and people on the go. Now new Phloe Powder Drink allows you to take Phloe as a small shot-sized drink – specifically designed to get you back to regularity.

JOIN THE PHLOE HEALTHY YOU CLUB

LOOK AT THE NZ STATISTICS • 65% of GPs surveyed see 6-15 patients a week for gastrointestinal concerns1 • More than 90% of the GPs surveyed said they would recommend Phloe to their patients1 • The average NZer should eat around 30% more fibre every day2

Phloe Powder Drink available only at pharmacies

At www.phloe.co.nz you can join the Phloe Healthy You Club for free and it only takes around 30 seconds. Once you’re joined up, you will receive the ‘Healthy You’ magazine with useful information and tips on managing your bowel health long term. You will also receive product information and discount vouchers for your next purchase of Phloe.

ne w

Phloe range available at supermarkets, pharmacies & health stores. For more information and to join the ‘Healthy You’ programme visit www.phloe.co.nz Reference: 1. BGA GP Mailer, 1 July 2010. 2. A Focus on Nutrition: Key Findings of the 2008/09 New Zealand Adult Nutrition Survey. Always read the label and use only as directed. Supplementary to, and not a replacement for, a balanced diet. Data on file. Vital Foods Ltd, Auckland. TAPS NA5682

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Put your best

foot forward Pain in your knee, ankle, heel or lower back? Wondering what the cause is? You might want to check your foot alignment.

oor alignment of the feet not only affects your posture, but can cause aches and pains in other parts of the body. Around 70% of people suffer from excess pronation, which is when the foot rolls inwards when walking. It happens because our feet, which were designed to walk barefoot on soft, natural surfaces like soil and sand, take

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a daily pounding on unnatural, hard and flat surfaces including footwear. This causes the feet to roll over (to gain ground contact) and the arches to flatten. Like the foundation of a tall building, problems in the feet can have far-reaching effects throughout the body, leading to pain affecting not just the feet, but the heel, knee, lower back and legs.

HAVE YOU CHECKED YOUR FEET? Most people don’t realise that their feet pronate, or associate the problem with poor posture and other body ailments. Yet the difference between good and poor foot alignment is obvious once you use a good orthotic. An orthotic is a corrective insole that realigns the foot to a neutral position.

The image above shows how pronated feet can be corrected by simply using an orthotic insole (as shown with the right foot).

SCHOLL ORTHAHEEL FEATURES & BENEFITS • Podiatrist designed and recommended • Designed to help cushion the foot and correct over-pronation • Unique built-in 4 degrees rear foot angle to control excess pronation and restore the foot to its neutral position Inserts provide relief from common • causes of heel and foot pain, knee pain, aching legs and back pain.

Available from pharmacies and speciality footwear stores www.schollorthaheel.co.nz

SCHOLL ORTHAHEEL RANGE Scholl Orthaheel is a range of awardwinning orthotic insoles designed to fit into most footwear, providing medical-grade support and relief at an affordable price. Designed by leading international podiatrist Phillip J. Vasyli, Scholl Orthaheel orthotics have a 4-degree rear foot wedge which helps correct body posture and restore natural foot function.

SCHOLL ORTHAHEEL FOOTWEAR Scholl Orthaheel orthotics are also built into a range of footwear and sandals in a wide range of styles and colours. Fashionable, comfortable and supportive, Scholl Orthaheel walking shoes, cross-trainers, sandals and jandals offer true comfort when walking, and help prevent knee pain, tired aching legs and, in some cases, even help with lower back pain.

SSL, Auckland, NZ. PO Box 100 091 NSMC, Auckland. TAPS DA2110LM

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DEPRESSION

If your treatment is working, why change? If you have been prescribed Efexor-XR® (venlafaxine) for the treatment of major depression, it’s important to know that if you are offered an alternate brand you don’t have to change.

fexor-XR remains fully funded at no extra cost to you until at least April 2017. You just need to let your doctor know that you want to stay with Efexor-XR, and ask your pharmacist for it by name. Efexor-XR has helped thousands of New Zealanders living with depression.1 Not only is Efexor-XR used in the treatment and prevention of relapse of depression, but it is also prescribed for a range of mood disorders including generalised anxiety, social anxiety and panic disorder.2 26

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DUAL ACTION Efexor-XR’s dual-action approach to depression may help resolve a broad range of depression symptoms like constant sadness, trouble sleeping or low energy. Resolving these symptoms can be the first step to helping you control your depression so you can feel like your old self again.

WHAT IS THE GOAL OF TREATMENT? In treating depression, the goal is more than just to feel better – you want to

try and eliminate all your depression symptoms and to keep them from coming back. Doctors call this the remission of symptoms and people who reach remission of symptoms are less likely to have their symptoms return. No two people have the same symptoms. Remission for you could mean having days without feelings of

WHY IT’S IMPORTANT TO FOLLOW YOUR DOCTOR’S ADVICE One of the most important things to remember is to take your medication as prescribed, and stay on it for as long as your doctor advises. That’s because it’s not uncommon for depression symptoms to return. For some, the symptoms of depression seem to disappear, or improve to the point where they no longer seem to interfere with your life. If this happens to you, don’t be tempted to stop taking your medication, unless your doctor advises it, because sometimes these symptoms come back. Doctors call this a relapse, and if this occurs it is usually within six months of starting treatment. Symptoms can also return long after the depression seems to have disappeared. This new episode of depression is called a recurrence. Evidence suggests that a recurrence can make it more likely that symptoms will continue to return in the future.3 If your treatment is Efexor-XR your doctor will know the right dosage and how long you need to stay on Efexor-XR to get the best results.

constant sadness, or the return of your normal sleeping and eating habits. It could also mean having energy again for your favourite activities and renewed interest in the things you used to love doing. You can find more information about fully-funded Efexor-XR on our website www.pfizer.co.nz

Talk to your doctor to see if EFEXOR-XR is right for you And ask your Pharmacist for Efexor-XR by name

EFEXOR-XR (venlafaxine hydrochloride, 37.5 mg, 75 mg, 150 mg) Modified Release capsules. References 1. IMS Jan 2012. 2. Efexor-XR Data Sheet. 3. Thase ME. J Clin Psychiatry 2003;64 (suppl 2):3-7. EFEXOR-XR (venlafaxine hydrochloride) is a funded prescription medicine (restrictions apply) for the treatment of depression, panic and anxiety disorders. A pharmacy charge and normal doctor’s fees apply. Do not take EFEXOR-XR if you have an allergy to venlafaxine or any other capsule ingredients. Do not take EFEXOR-XR if you are on monoamine oxidase inhibitors (MAOIs) or have taken MAOIs in the last 14 days. Use with caution if you have a history of aggression, glaucoma, kidney, liver, blood pressure or heart problems, raised cholesterol, a history of fits, a history or family history of bipolar disorder, abnormal bleeding tendencies, are pregnant or breastfeeding. Tell your doctor if you are taking any other medicines. Common side effects include stomach, bowel or urinary tract problems, headache, difficulty sleeping, drowsiness, dizziness, nervousness, confusion, agitation, muscle tremor or weakness, fast heart beat, menstrual problems, weight loss, sweating, hot flushes, hair loss, bleeding or bruising more easily than normal, changes in your eye sight, sexual function problems. If you have any side effects see your doctor. Use strictly as directed. Consult your doctor to see if EFEXORXR is right for you. Contains venlafaxine hydrochloride 37.5 mg, 75 mg or 150 mg. Further information on EFEXOR-XR is available from www.medsafe.govt.nz or Pfizer New Zealand Ltd, 14 Normanby Road, Mt Eden, Auckland, New Zealand 1140. www.pfizer.co.nz. Ph. 0800 736 363. TAPS NA5680

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Bladder problems?

Men and women are not the same Men and women are a bit like apples and pears… They’re both fruit but quite different, especially when it comes to shape.

en and women come in different shapes and sizes, so it makes sense that when it comes to bladder control problems, men and women need different protection with products designed specifically for the male and female body. Bladder control is taken for granted by most people. But for some, bladder control difficulties mean their bladder becomes the boss, affecting their 28

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activities and enjoyment of life. But it doesn’t have to be that way. DEPEND® underwear offers comfortable, reliable and discreet protection that allows you to get on with enjoying life, and they now come in coloured designs for men and women. DEPEND® underwear offers targeted protection and more effective absorbency for men and women, where it’s needed most.

BLADDER PROBLEMS CAN BE CAUSED BY… • Pregnancy and childbirth • Urinary infections • Side effects from medication Prescribed or natural diuretics (e.g. • caffeine in tea and coffee) • Chronic constipation Bladder stones and other • obstructions Disease and damage of the spinal • cord and nervous system • Diabetes • Menopause.

Regardless of the cause, and the degree of weakness, you just want to manage your bossy bladder so you can continue living your life, participating in activities you enjoy and getting out and about as normal. Pelvic floor exercises and bladder training programmes can help strengthen the muscles in the pelvic area so you can hold on longer between toilet visits. The key in managing the problem comes from the right protection, whether the weakness results in a few light drops when sneezing or coughing, or a more significant loss requiring a change of underwear or clothes.

DESIGNED DIFFERENTLY FOR WOMEN AND MEN

Peach underwear for women

DEPEND® underwear offers targeted protection – absorbent cores positioned where men and women need it most.

Leg openings shaped for a woman's body

DEPEND® products offer you worry-free protection giving you the freedom to get out and enjoy life to the full, so you can feel confident in any situation.

Grey underwear for men

Available at selected supermarkets and pharmacies

Absorbent protection where women need it most

Leg openings shaped to fit a man's body Absorbent protection where men need it most

sa Free mp le

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Colds & flu need powerful treatment

When colds and flu strike the family, you just want fast, effective relief. For effective medicines you can trust, you need to head to your pharmacy.

imetapp has specialised and trusted formulas for children, as well as a more powerful and effective adults’ range, providing a one-stop solution for the family’s cough, cold and flu needs.

New to the Dimetapp Adults’ range this season:

DIMETAPP FOR ADULTS

Dimetapp PE Sinus Pain helps to relieve symptoms of cold & flu, sinus headache, sinus congestion and a blocked or runny nose.

Dimetapp’s more powerful adult formulations address major cold and flu symptoms, including cough, blocked or runny nose, body aches and pain, fever, sinus pain and sinus congestion. The Daytime/Nightime liquid capsules provide relief for a full 24 hours, helping you get a good night’s sleep, but when taken as directed, not making you drowsy during the day. 30

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Dimetapp PE liquid capsules help to relieve the symptoms of sinus congestion and a blocked nose.

Dimetapp PE Sinus Pain & Allergy helps to relieve the symptoms of cold & flu, itchy, watery eyes, sneezing, runny or blocked nose and sinus headache. Dimetapp PE Sinus Day + Night provides up to 24 hours’ relief from cold & flu symptoms such as sinus pain and a blocked nose.

DIMETAPP FOR CHILDREN Taste is a big factor with children’s medicines. If they don’t like the taste, they won’t take it. Dimetapp’s children’s formulations not only taste great, but they’re also sugar-free and colour-free. The children’s elixir helps relieve both coughs and colds helping the kids (and you) get a good night’s sleep.

Ask your pharmacy staff which Dimetapp treatment is right for you

IS IT A COLD OR FLU? It can be hard to tell the difference between a cold and flu, but there are key differences. The common cold is a viral infection of the nose, throat and nasal sinuses characterised by inflammation, discharge and nasal congestion. Symptoms to look for include a sore throat, runny nose, postnasal drip, watery eyes, nasal stuffiness and a cough. A child with a cold may have a slight fever, but fever with a cold is unusual in adults.1 The flu is a viral infection of the air passages and lungs, caused by a different set of viruses to a cold. In addition to symptoms of a cold, a person suffering from the flu will also have muscular aches and pains, followed by a sudden onset of chills and fever developing over a 24-hour period. A severe headache is common, followed by a sore throat, a dry cough, sore or inflamed eyes and a general feeling of listlessness. Nausea and vomiting may occur in children.1

References. 1. http://www.dimetapp.co.nz/cough_cold_ information/index.html Always read the label and use only as directed. If symptoms persist see your pharmacist. Incorrect use may be harmful. May cause drowsiness – avoid alcohol and driving. Not for children under 6 years. Pfizer, Auckland. TAPS NA5706

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WIN

Luxurious Weekend Pamper Package

Complete our survey and be in to WIN the ultimate weekend pamper package in Auckland, valued at more than $1500!

For more information turn to pages 14-15. Complete the survey on pages 16-19 or online at

www.familyhealthdiary.co.nz Competition closes 24 June 2012 Download a QR app your Download a QR app onon your Smartphone and scan this QR Smartphone and scan this the giveaway. QRcode codetotoview go to the survey.