Monmouth County's Ask The Doctor Holiday 2014 by Gunther Publications

Monmouth County’s

HOLIDAY 2014

Ask The Doctor

THE Health & WeLlness Magazine for you and your Family

st Anniversary Issue

Local Physicians Answer Your Health Questions News You Can Use: Beauty Healthy Eating Aging and more PLUS New Kid’s Health Section

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Hormone Therapy for Men and Women Is a Life-Changing Program Benefits of Bio-Identical Hormone Therapy for Women: • • • • • • •

Reduced night sweats Reduced body fat Improved bone density Enhanced libido Improved blood pressure Increase in energy & strength Improve lean muscle and prevent bone loss • Protect against heart disease • Reduce stress levels • And much more

The Secret to Great Health, Super High Energy, Vitality & Sexuality Did You Know 70-80% of Doctor Visits Are Stress Related? Headaches • Hypertension Moodiness • Irritable Bowel Syndrome Asthma • Neck/Back Pain Anxiety • Insomnia • Depression

Benefits of Bio-Identical Hormones (Testosterone Therapy/HGH Therapy) for Men: • • • • • • •

Improved sense of well-being Reduced body fat Enhanced sex drive Stop muscle loss and bone loss Increase energy and strength Protect against heart disease Improve sleep and cognitive function • Lower bad cholesterol • Reduce stress levels

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Obesity Heart Disease Diabetes Cancer Arthritis Hypertension Thyroid Degenerative Conditions of Aging Holistic Treatments Including: Nutritional Therapy & Chelation Therapy

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SUZANNE SOMERS BOOK OFFER to All New Patients Healthy Living

Changing your behavior to be healthy and lose weight takes time and support. Our Healthy Living Program will provide you with plenty of both before, during, and, most importantly, after your program ends—a LIFETIME PLAN to make your Health and Weight Loss goals last!

Balancing Hormones and Body Chemistry

Anti-aging and Regenerative Medicine has as its focus, the slowing down of the human aging process as well as optimizing biological performance through identifying and treating hormonal biochemical imbalances and deficiencies. Program featured in several Suzanne Somers books.

Stress Reduction & Emotional Resiliency

We also address the strong relationship between our psychological and emotional states and our physical and medical conditions. We use counseling, and a variety of biofeedback techniques that improve your ability to adapt and better deal with stress—greatly improving emotional resiliency.

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107 Monmouth Road, Suite 104, West Long Branch, NJ

732-542-2638 www.lifestylesmedical.com

So many dentists...

Our Departments Health Articles and Q&A Pages................................ 5 Your questions answered from local physicians Medical news and information

Kids’ Health...............................................................30 Information, news and expert advice to raising healthy children from pregnancy to 18

Doctor Profiles..........................................................34 Learn more about your local healthcare providers

I Am Beautiful............................................................36

Why Monmouth Dental? Monmouth Dental offers services to meet ALL of your Dental needs. One practice for your whole family and throughout your life. General Dentistry • Prosthetics • Sedation Cosmetic Dentistry • Implants Oral Surgery • Periodontics

Everything from tips to trends Where to go in NJ for specialty services

The Strong Lean Body............................................... 41 Tips on how to reach and maintain a healthy fitness level

The Healthy Mind & Soul.........................................42 Inspirational stories and advice on achieving mental balance and clarity

The Healthy Palate....................................................46 Recipes to enjoy and local dining options for eating out

As We Age.................................................................54 Articles and physician information just for seniors

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ASK THE DOCTOR HOLIDAY 2014

Marketing Director Denise Payne Art Director Julie Weinberg Intern Brianna Siciliano

Editor Elizabeth Newman Event Coordinator for the Millstone Networking Events Jolene Conoscenti

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©2014 by Gunther Publishing Ent. The content of GPE publications and its affiliates are copyrighted. GPE publications are published 12 times a year. Established 10/2008. Distribution and Post office receipt available. All GPE products are distributed free of charge. Average reader per copy is 2.1. No copying or reproduction of the content of this newspaper is allowed without the express written permission from the publisher. GPEs publisher/owner reserves the rights over all electronic copying and reproduction of material contained here within. The publisher, editor, agents, and sales staff reserve the right to reject the advertisements for any reason. Credit for mistakes shall not exceed the costs of the ad in the month which the error occurred.

CONTACT US: PO Box 7632, Freehold, NJ 07728 tmft@optonline.net Phone (732) 995-3456 Fax (732) 677-3390 Follow us! @TMFTimes

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Michael DiMarco, D.C. Founder & Clinical Director

Question: Is my smart phone hurting me?

n today’s busy world, the smart phone is king. People wait in line for weeks just to have the newest and latest iPhone. We barely use our phones to talk anymore. The average 10-24 year old send over 2000 texts per month and receives over 1800. With the popularity of social media apps like facebook, Instagram, and twitter growing by the days, our use of smart phones is only going to increase and so will our aches and pains. Sitting down looking at your phone puts you in an unfavorable posture that exerts an excess amount of stress on your neck and back causing headaches neck pain and back pain. It creates muscle imbalances that ruin our postures and set us up for the consequences of spinal degeneration in the near future. Constantly using our thumbs to type

increases our likelihood of developing tendonitis or “text thumb.” What should I do? • Try holding your phone up higher to reduce strain on your neck instead of looking down all the time. • Most smartphones can now text for you by speaking into them. • Limit the amount of time you spend on your phone and spend it building relationships with the people around you. At Health Fusion Wellness we take an integrative approach to wellness that looks at your body as a whole, following the five main foundational principles of health (Function, Food, Fitness, Finances, and Future) in order to provide the best care possible for our patients. Dr. DiMarco makes himself available to his patients via email or phone because his number one priority is making sure his patients receive the best care possible, get well, and stay well. n

Health Fusion Wellness Chiropractic & Sports Rehab 55 Schanck Road, Suite A-4, Freehold | 732.665.6334 | www.hfwnj.com

Please Welcome Aylin Mahmut, DPT As the Director of Physical Therapy in our office, Aylin brings with her experience, clinical skills and a warm personality that make her an invaluable asset to our patients and staff. Her approach is a holistic one, not to just treat the symptoms that a patient may be experiencing, but find the root of the problem, and fix it to obtain the long lasting results that our patients appreciate. While obtaining her Doctorate of Physical Therapy from the prestigious Columbia University in New York, NY, Aylin treated patients as a licensed Physical Therapy Assistant for six years. She utilizes various techniques during her treatment protocols such as Myofascial trigger point therapy, kinesiotaping, and Mckenzie approach. She is constantly staying up to date on the latest techniques through continuing education and individual research in order to ensure our patients receive the high quality care they have come to expect from Health Fusion Wellness.

FREE Pain Relief Consultation*

Call Today to schedule with Dr. Michael DiMarco, D.C. With more and more people seeking an alternative approach to traditional health care, chiropractic care has become one of the fastest growing and exciting fields in modern medicine. At Health Fusion Wellness we take a multi-faceted approach to health care, we believe that every discipline has its place as part of the health care team and every patient deserves to experience that approach, the best approach.

Dr. DiMarco will listen to you, assess your pain, diagnose the cause, recommend exercises and stretches and a course of treatment. BACK AND NECK PAIN | ARTHRITIS SHOULDER AND ARM PAIN | HIP/KNEE/ANKLE PAIN HEADACHES | BALANCE ISSUES, VERTIGO AND MORE

55 SCHANCK ROAD, SUITE A-4, FREEHOLD 732.665.6334 | WWW.HFWNJ.COM

www.MonmouthCountysAskTheDoctor.com

What is PRP – The Vampire Facial?

RP is a natural product created from your own body.A small amount of blood will be drawn from you and placed in a sterile tube. It is spun down in a centrifuge to separate the different components of blood products. Red and white blood cells are divided from the platelets and the plasma. This plasma now contains a higher than normal number of platelets and is called platelet rich plasma or PRP. While the PRP is being prepared, your skin will be cleansed and prepared for the treatment.

How does PRP rejuvenate skin? Platelets are cells in the body that help to heal tissue and grow new skin. PRP is injected into the skin or used as a layer of topical application with micro-needling procedure. Micro-needling is a technique used to deliver micro-injuries to the skin using tiny needles delivered by a high speed automated tip. This micro-injury results in the production of new collagen and elastin. With the formation of microscopic channels, it allows products like PRP to penetrate deeper into the layers of the skin. PRP is also used as an injection to rejuvenate and regenerate new skin. When injected into specific areas, it acts as a matrix and promotes your own collagen to grow and regenerate tissue. It acts naturally to smooth and tighten skin.

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Lorraine Catalano, CNMT Imaging Director

Question:

Why should I ask my doctor about a Cardiac Perfusion Study? lP Professionals rofessionals

cardiac PET scan is the newest version of a cardiac stress test. Also called a cardiac PET PERFUSION study, it allows your cardiologist to determine if your heart muscle is receiving adequate blood flow and if that blood flow is evenly distributed.

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Question: What can be done about memory loss or family history of Alzheimer’s disease?

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Breaking News for Cardiac Patients CHCI CHCITECHNOLOGY TECHNOLOGY OLD OLDTECHNOLOGY TECHNOLOGY Caring Heart & Brain Imaging is the first imaging facility in New

et’s talk about the brain…Caring Heart & Brain Imaging is the first imaging center in New Jersey to be able to detect plaque in the brain, the precursor to Alzheimer’s disease. The AMYVID Pet Scan is the new “weapon” on the market to combat this heartbreaking disease. The AMYVID PET SCAN may enable earlier diagnosis of Alzheimer’s disease by identifying beta-amyloid plaque in brain tissue. This means that the disease can be diagnosed several years before symptoms actually appear. An individual can receive groundbreaking treatments before Alzheimer’s disease develops to advanced stages. Just as important, the diagnosis of Alzheimer’s disease may be eliminated for patients thought to have Alzheimer’s disease and appropriate treatment decisions can be made based on the patient’s actual form of dementia.

Medical Professionals

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This This nonnoncombatany thisresults heartbreaking disease. The AMYVIDwrite PETa ascript SCAN may earlier diagnosis of ormform- intrusive, rately rately and andmeans specifically specifically determine ifyour your Tell us about the Scanner intrusive, low low radiation, radiation, 45 45minute minute scan scantissue. se by identifying beta-amyloid plaque inAttrius brain This that determine the diseaseifcan be diagheart heartmuscle muscleisisreceiving receivingadequate adequateblood blood cannot cannot beThis becompared. compared. Chest pain isindividual ischest chest cardiac is theChest mostpain advanced PET scanner available rsda abefore symptoms actually appear. An can receive groundbreaking treatments flow flow and and if ifthat that blood bloodflow flowisisevenly evenly pain pain–today. –dangerous dangerous totoignore. ignore. Speedier scan times, less exposure to radiation and imr’s the diagnosis offor Alzheimer’s ere e disease develops to advanced stages. 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Caring CaringHeart Heart&comfortable. &Brain BrainImaging Imaging is is dis is a huge factor Another important benefit a to PET and like to do whatever ithave takes tosubstantial make them This for patients who may had radiation in the past. Caring Heart & Braing Imaging is the first in theto stateundergoing of New Jersey havebrain EC: EC:Hardly Hardlyany anyrecovery recoveryfrom fromthe the honored honored totobebethethe first firstin inthe thestate statetea ofofNJNJ I scan at Caring Heart & Brain Imaging is the reduced radiincludes playing their favorite music or offering them a cup of type of scanner. catheterization catheterization but buta acouple coupledays daysofofrest rest totobring bringthe theAMYVID AMYVID PET PETScan Scantoto itsits esres- this ation exposure. The scanner does not use CT in obtaining and a snack while they wait for their scan to be complete. This is and and nonoheavy heavy lifting liftingforfor a ashort shortand time. time. Lorraine Catalano, CNMT Imaging residents, Director, adds, “Wethis are excited about being able to offer patients a fantastic imaging tool and be first in New residents,and and provides provides thisbreakthrough breakthrough ion n brain images. This is a huge factoroffor patients who earlier may have only system thatand uses CFR—cardiac flow reserve—to guaran- we can now diagnose Thankfully, Thankfully, I now Ithe now feel feelgreat great andam am Jersey tothe bring AMYVID PET scan to it’s residents. With moreeven certainty, and differentiate the forms dementia at even inin diagnostic diagnosticcapabilities capabilities even before before des s had substantial radiation in the past. Caring Heart & Brain Imtee accurate calculation of presence of obstruction andadds, how much relieved relieved to to have have found found the the right right solusoluMedicare Medicare does. does. Lorraine Lorraine adds, “We “We want want ca uca ages. We can address cognitive changes and impairment because we know what is attributing to the diagnoses. Diagnosing and staging is vital for docaging is the first in the state of New Jersey to have this type of cardiac blood flow is to comtion. tion. totodeliver deliver this this imaging imaging resource toyou soso the progression nce once tors to prescribe the appropriate pharmaceutical treatments and resource therapies toyou slow of these diseases. If we can slow down the progression of scanner. This scan will give the information needed for docpromised. CHCI is the only that that you youcan canmake make decisions decisions based based upon upon Alzheimer’s disease, we can give patients and families the time to plan ahead. It also allows the person with Alzheimer’s to participate in health care, finandiagnostic diagnostic accuracy. This fantastic fantastic imaging imaging tors to make appropriate treatment decisions. n facilityaccuracy. in NewThis Jersey offercial and legal decisions, as well as, giving them precious quality time with their tool tool can can diagnose diagnose and anddifferentiate differentiate thethe loved ones.” ing this technology! n Alzheimer’s disease affects the entire family. Help protect your children by forms forms ofofdementia dementiaat ateven even earlier earlierages. ages.getting an early diagnosis. Early detection and treatment can help slow down Another important important benefit benefit totounderunderthe progression of Alzheimer’s disease. If it’s notAnother important to you for your reasons, it is important for your children and their future!

Let’s Talk About The Brain…

ain ain Imaging Imaging

nasquan, asquan, NJ NJ08736 08736

going goinga aPET PETbrain brainscan scanatatCHCI CHCIis isthethe E-Mail: reduction reductionofofradiation radiationexposure. exposure.Our Our Caring Heart & Brain Imaging scanner scannerdoes doesnot notuseuseCT CTininobtaining obtaining service@caringheartcoronaryimaging.com 2414 Highway 35, Manasquan | 732-292-1008 Manasquan, NJ 08736 brain brain images. images. This Thisis isa ahuge hugefactor factorforfor patients patientswho whomay mayhave havehad hadsubstantial substantial service@caringheartcoronaryimaging.com www.CHCI.biz. | www.CHCI.biz Mobile text: BRAIN to 63566 radiation radiationininthethepast. past.Caring CaringHeart Heartand and Brain BrainImaging. Imaging.Early Earlydetection detectionand and treatment treatmentcan canhelp helpslow slowdown downthetheprogress progress ofofAlzheimer’s Alzheimer’sdisease. disease.If Ifit’sit’snot notimportant important www.MonmouthCountysAskTheDoctor.com totoyou youforforyour yourreasons, reasons,it itis isimportant importantforfor your yourchildren childrenand andtheir theirfuture! future!

Caring Heart & Brain Imaging

92.1008 2.10082414 Highway 35,

l: Phone: 732.292.1008 onaryimaging.com naryimaging.com advertisement

CI.biz. CI.biz.

BREAKING NEWS

Alan Martinez, M.D.

Question: Could I have PCOS?

olycystic Ovary Syndrome (PCOS) is the most common reproductive endocrine disorder in women, affecting approximately 4-12% of reproductive age women. It is found in both normal weight and overweight/obese women. There is some evidence of a genetic predisposition to developing PCOS, as first-degree relatives of PCOS women are at a significant risk. PCOS is thought to be caused by alterations in ovarian hormone production which creates an increase in male hormones. These hormones disrupt the feedback system to the brain and also result in insulin resistance. The menstrual cycle of a woman with PCOS is often anovulatory, meaning an egg is not released each month. Therefore, PCOS is a common cause of female infertility. PCOS symptoms include a history of irregular menstruation, varying degrees of male pattern hair growth (hirsutism), and acne. Menstrual changes can range from irregular, infrequent, to even absent menstrual bleeding. As the time between periods increases so does the risk for developing uterine cancer. Therefore, women with irregular cycles should consult their gynecologist so they may be properly evaluated for these potential conditions.

There is also evidence that PCOS is associated with several long-term health risks, including the development of diabetes, dyslipidemia, and cardiovascular disease. Therefore, it is recommended that women with PCOS be screened at regular intervals for these disorders, so that early intervention can be implemented. Women with PCOS can have a difficult time conceiving. Using fertility medications can improve their chances of ovulation and achieving a pregnancy. When abnormal hair growth is the primary concern, oral contraceptives may be effective, while the addition of anti-androgen medications directly inhibit hair growth. In the case of insulin resistance, the use of metformin may be indicated to help restore normal glucose parameters. PCOS can affect many facets of a womanâ&#x20AC;&#x2122;s health. It is important that patients be educated about the implications of this condition, and that proper evaluation and care is implemented by their provider. n

Reproductive Science Center of NJ | Eatontown | Toms River | Lawrenceville 732-918-2500 | www.fertilitynj.com advertisement

ASK THE DOCTOR HOLIDAY 2014

Attention to Detail, Proven Treatments and Care and Compassion Lead to Excellent Results

Love

Here’s What Our Patients Have to Say:

Your Legs Again All Treatments: • Are minimally invasive • Require no hospitalization; all treatments are done in our AAAASF certified facilities • Require no general anesthesia Most medical insurances, for medically necessary procedures, are accepted.

I had bulging veins that were very painful. I was unable to walk or stand for long periods. Dr. Girija Surya did VNUS Closure, Microphlebectomy and Sclerotherapy on my legs. Dr. Surya and her staff were very attentive and explained each procedure thoroughly. I returned to my normal activities within a day. Since the procedure, I can stand and walk for long periods. My legs don’t feel swollen or heavy. My legs look better, feel better, and I feel better, too. —Shelby from East Brunswick I had severe leg pain. I chose Dr. Girija Surya for her good reputation. She did VNUS Closure on my legs. Time, quality of care, friendly and knowledgeable office staff are some of the outstanding features of the medical care provided at the center. I returned to my normal activities the very next day after the procedure. Since then I have no pain in my legs. — Martha from Holmdel

Dr. Girija Surya, M.D.

Leg Pain?

FREE Vein Screening Call 732-254-0500 to schedule

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Vein Center

Women

The Vein Center for Women was started by combining the knowledge in venous diseases and a personal interest in women’s health. The mission statement of the vein center is “Beauty inside out” as we believe that if ones inner health is good, the beauty would naturally be seen and that is exactly what we try to treat each patient with. To this purpose, the center follows a protocol in evaluating its patients as a whole, giving them information, education and assistance in achieving “Total Health.” n

Holmdel: Colonial Commons, 670 North Beers St., Bldg. 2, Ste. #4 East Brunswick: Plaza Hill, 646 Route 18, Bldg. A, Ste. 103

To make an appointment, call 732-254-0500 or email: msgs@veincenterforwomen.com advertisement

www.MonmouthCountysAskTheDoctor.com

November Is Diabetes Awareness Month.

How much do you know about diabetes during pregnancy? By Brianna Siciliano

iabetes can affect women during their childbearing years. Diabetes is a disease in which blood glucose (blood sugar) levels are above normal. Most of the food we eat is turned into glucose, or sugar, for our bodies to use for energy. The pancreas, an organ that lies near the stomach, makes a hormone called insulin to help glucose get into the cells of our bodies. When you have diabetes, your body either doesn’t make enough insulin or can’t use its own insulin as well as it should. Having diabetes during pregnancy can impact the health of both the mother and her unborn baby. If a woman has poor control of her diabetes during pregnancy, which means that her blood sugar levels are often above normal, this increases the chances for problems for her baby, such as a baby growing too large, which may lead to complications during delivery. It also can cause serious complications for the woman. Working to keep blood sugar in control (in the normal range) before and during pregnancy can help prevent these problems. We don’t know all the causes of gestational diabetes. Many—but not all—women with gestational diabetes are overweight or obese before getting pregnant. It is important for women with type 1, type 2, and gestational diabetes to keep their blood sugar in control. Keeping blood sugar in control before and during pregnancy increases the chance of having a healthy baby and reduces the chance for other problems. Work with your doctor to make a plan to keep your blood sugar in control. Following this plan can help you have a healthy pregnancy and baby. It also can help you and your baby stay healthy after birth. n

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ASK THE DOCTOR HOLIDAY 2014

Dr. David Bertone

QUESTION: My child has a concussion – now what do I do?

he incidence of concussion in youth sports continues to rise, and parents are often left with trying to navigate the process on their own. The highest incidence rate occurs in football, boys’ ice hockey, girls’ soccer and boys’ lacrosse but other sports are not immune.

Unfortunately most parents get their initial education about the concussion process in the local emergency room, which is not always the best place to go following a mild head injury. The ER is often loud, bright and hectic, which is overstimulating to the concussed athlete and can make the symptoms of headache, dizziness and irritability even worse. In the far majority of situations after a mild head injury or concussion, quiet rest is the most important treatment. This allows the brain to heal during a vulnerable time. Our internal system that regulates blood flow to the brain gets impaired during a concussion, so when the brain needs increased blood flow to provide healing nutrients, it actually gets less. If the brain is stressed during this healing time with concentration tasks, memory functions, visual and auditory processing and exercise or activity, the healing process gets interrupted, which can delay the recovery process. The key is to get your child to rest to allow them to avoid any stimulating activities. Sleep is good and will improve healing. Post Concussion Treatment Often following a concussion, a supervised Concussion Rehabilitation program is recommended. At db Orthopedic Physical Therapy, Dr. Bertone provides a 5-step comprehensive post-concussion therapy treatment to improve balance and cognitive function, regain postural control and reduce headaches. As progress is made, Dr. Bertone continues a

David Bertone, pt, dpt, ocs

Doctor of Physical Therapy Board Certified Orthopedic Clinical Specialist

graduated program with more advanced training; all intended to encourage the safe return to physical activity and sports competition. Baseline concussion testing ConcussionRXCare at db Orthopedic Physical Therapy offers comprehensive baseline concussion testing to determine a pre-injury status of your balance, neurocognitive and oculomotor function. This information is stored and used for comparison purposes in case the athlete sustains a head injury. If you suffer a concussion and return to physical activity before you are fully healed, you are at high risk for the potentially tragic “Second Impact Syndrome.” This is particularly important with athletes who play sports where concussion is a common injury. The only way to determine when it is truly safe to return to physical activity is to test your brain function before you have a concussion. To get the most accurate result, baseline testing must be comprehensive and the results interpreted by an expert in the field. This information is then sent to your physician/pediatrician with a report to help them make the proper return to play decision. If the results are impaired compared to the baseline levels, the athlete is retested until they return to prior levels. Organizations that are a part of our ConcussionRXCare program include Red Bank Catholic High School, Riverview Medical Center ER, Freehold Football Club, Marlboro Soccer and Old Bridge Ice Hockey. Call us at 732-747-1262 for more information on how to sign up for this unique and comprehensive program. n

BASELINE CONCUSSION TESTING

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Computerized Balance, Neurocognitive and Oculomotor Testing Includes unlimited post head injury testing and reports to physician for 1 year

Jerry Moczerniuk, pt, dpt

Doctor of Physical Therapy Clinical Director of Manalapan Office

732 Newman Springs Rd, Ste 300, Lincroft • 732-747-1262 | 120 Craig Rd, #2, Manalapan Twp. • 732-462-2162 www.dborthopt.com advertisement

www.MonmouthCountysAskTheDoctor.com

Dr. Brandon Elimanco

QUESTION: Why does my jaw ache in the morning?

Sometimes it makes a popping sound when I open and close my mouth.

ou may be grinding your teeth in your sleep. This can be caused by stress, although it can also be caused by sleep disorders or mechanical issues with your teeth such as misalignment. The technical term for this is bruxism. It is not good for your overall dental health. Mild grinding doesn’t generally doesn’t need treatment. If your clenching or grinding is severe, you can be fitted with a mouth guard to wear at night which will protect your teeth and prevent further damage such as jaw disorders, headaches, and damaged teeth, According to the Mayo Clinic, “Sleep bruxism is considered a sleep-related movement disorder. People who clench or grind their teeth (brux) during sleep are more likely to have other sleep disorders, such as snoring and pauses in breathing (sleep apnea).” In addition to sharing your symptoms with your dentist, it is a good idea to let your general medical practitioner know too.

Not sure if you do this? Some typical signs are: • Teeth that are flattened, fractured, chipped or loose • Worn tooth enamel, exposing deeper layers of your tooth • Increased tooth sensitivity • Jaw or face pain or soreness • Tired or tight jaw muscles • Pain that feels like an earache, though it’s actually not a problem with your ear • Dull headache originating in the temples • Damage from chewing on the inside of your cheek • Indentations on your tongue A simple exam at our office will let you know the severity and a treatment plan. Please contact Dr. Brandon Elimanco 63 West Main Street Freehold at 732-780-1400 or visit our website www. dentalharmony.com. n

63 West Main Street, Freehold • 732-780-1400 • www.DentalHarmony.com

Get Rid of Stress for the Holidays By Brianna Siciliano

inter is one of the most stressful times of the year; no matter which direction you look, you will see holiday decorations, tasty treats, amazing sales, and huge crowds. It is easy to feel overwhelmed and stressed during the most wonderful time of the year, but thankfully, there are ways to get rid of stress during this season. Holiday stress can be caused by many things, therefore it is vital to ask yourself what makes you feel nervous, anxious, and stressed around the holiday season. Is it the unhappy memories from childhood? Is this the first holiday season since you began a new chapter in your life? Do the holidays make you feel out of control? Well, whatever the case may be, it is important to acknowledge the fact that the key to getting rid of anxiety and stress that the holiday season brings is taking control over the holidays instead of letting the holidays take control of you. As we get closer and closer to celebrating important days with family and friends, we receive many offers and invitations to var-

ious holiday gatherings. We feel obligated to attend the parties that we have continued to attend in the past, and we feel obligated to bring foods that people expect. We do not want to do any of these things, but we feel like we have to. Well, instead of giving in to these “obligations,” step aside and ask yourself, “Why am I doing these things when they make miserable? What makes me miserable about this situation?” Be conscious about the choices you are making. If you know that going to Aunt Pam’s house with your family is going to bring unneeded anxiety and stress, then don’t attend the gathering! Holiday traditions are supposed to be happy and joyous, not miserable and stressful. Try something new this holiday season, and most importantly, only participate in gatherings and obligations that will be cheerful and stress-free. n

Holiday traditions are supposed to be happy and joyous, not miserable and stressful.

ASK THE DOCTOR HOLIDAY 2014

Dr. Robert Frankel, MD Dr. Michelle Bouchard, DC Pier Joanne Feliciano, PA-C Erin McNaughton, LPN

Question: How do you maintain your health and weight with hormonal balance and nutrition? Here’s the best approach to medical weight loss—The HCG Diet Bio-Identical Hormone Replacement for Men & Women

Good News

s we get older, our body chemistry changes and we often develop deficiencies in our hormone balance. At first, we develop age-related symptoms, such as lower energy, weight gain, bloating, aches and pain, and mood changes. At our medical practice, we are trained to evaluate normal hormones and optimal hormone balance. Bio-identical hormones are structural, just like human hormones, not synthetic. Numerous research studies have proven that bio-identical replacement by a trained specialist is both safe and predictable. It is well-known that natural estrogen decreases risk of heart disease, and properly balanced with natural progesterone, it does not increase risk of breast cancer. Hormonal imbalances are the genesis for many chronic health problems and, in some cases, increase your risk of serious disease. The symptoms often first appear in women in pre menopause or menopause, when estrogen, progesterone, and testosterone production starts to diminish. Some of the signs of menopause or related hormonal issues in women include: • Weight Gain

• Depression

• Hot Flashes

• Low Libido

• Night Sweats

• Insomnia

• Mood Swings

The good news is that hormone losses and imbalances can be corrected. By using bio-identical hormones, women feel relief from the symptoms, and can effectively protect themselves against osteoporosis and heart disease. With supervised treatment, natural hormone replacement therapy can make women feel healthier and younger than they have in years.

What is the hCG Diet? HCG (human chorionic gonadotropin) is a hormone produced by women during pregnancy. It was developed in the 1950s by Dr. A.T.W. Simeons. He discovered that using hCG in low doses in combination with a low calorie diet resulted in weight loss in pounds and inches.

Facts About the hCG Diet Unlike all other diet programs, hCG addresses the metabolic and hormonal reasons that cause you to gain weight. HCG literally resets your hypothalamus thus allowing your body to maintain your new weight. HCG is a safe and rapid weight loss program with visible results without loss of critical muscle tissue and without hunger.

How Does It Work? The hCG hormone triggers your hypothalamus to break down your abnormal fat cells so you can utilize the stored fat that has now been released as additional energy. Most patients do not feel hungry while on this diet. The hCG diet addresses your metabolism and you will be more likely to successfully lose weight and keep it off. Call today to set up appointment. n

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Knee Pain Dr. Scot Paris

QUESTION: What’s the best way to treat knee arthritis? Consider a non-surgical treatment that really works!

steoarthritis of the knee is the #1 leading cause of disability in the U.S. Over 27 million people suffer with knee arthritis and that number continues to grow. With knee arthritis, the cartilage breaks down and wears away, leaving the bones to rub together causing pain swelling stiffness and limited range of motion. As the cartilage breaks down, the knee loses its lubricating fluid. We found that by replacing this lubricating fluid with a natural substance called Hyalgan, the lubrication is restored and many patients experience amazing pain relief.

What is Hyalgan and how does it work? Hyalgan is a natural lubricating fluid that acts as a lubricant and shock absorber inside the knee joint. The substance in Hyalgan is hyularonic acid which is normally found in high levels in healthy joints. Replacing the hyularonic acid with Hyalgan lubricates the joint and reduces pain. Hyalgan has been administered over 40 million times and has been proven to provide long-lasting relief of knee pain from osteoarthritis. What if you already tried knee injections? If you have had injections like this in the past and experienced poor results, there is still hope! Many doctors in this area offer similar injections, but very few use precision fluoroscopy guidance. Fluoroscopy guidance ensures that the pain relieving Hyalgan reaches the knee capsule where it bonds with the joint fluid to create a lubricating and cushioning layer. Without fluoroscopy, it is estimated that doctors “miss” the capsule over 30% of the time resulting in poor results. We want each and every one of our patients to have the greatest chance of success, so every injection is done with precision fluoroscopy guidance to ensure that the Hyalgan gets into the capsule 100% of the time. Because of this, patients who previously felt little to no relief with non-flouroscopy guided injection are now getting excellent results. The other “big difference” in our results is the multitude of other supportive care options that we have available to enhance the effectiveness of the Hyalgan procedure. These options include state of the art medical laser treatment, physical therapy, manipulation, corrective osteoarthritis bracing (takes pressure off the damaged section of the knee), and natural anti-inflammatory products. The combination of these treatments offers you what we feel is the most comprehensive non-surgical knee treatment program available. Does it hurt? Many of our patients report that they feel little to no pain at all! We do everything possible to minimize any pain from the procedure, from

pain relieving spray and a local anesthetic, to precision guidance that ensures we are always in the right spot. Will my insurance cover Hyalgan? This procedure is covered by most major insurance companies including Medicare. Our insurance department pre-verifies every patient. Who will be performing the Hyalgan procedure? Dr. Scot Paris is the medical physician who performs the Hyalgan injection. Dr. Paris is trained as a general surgeon and has extensive experience with a variety of surgical procedures. With his conservative approach, he has excelled in the non-surgical treatment of knee pain with the use of fluoroscopy guided Hyalgan injections. So how do I know if your knee pain treatment program will help me? If you are tired of suffering with painful arthritis of the knee, and you want to see if the latest advances in non-surgical treatment can help, all you have to do is call 732-683-1800 to set up a risk free consultation. During the consultation all of your questions will be answered in a warm and friendly environment. Knee replacement surgery is a very extreme measure to take without considering all of your other options first. Once it’s done there is no turning back. For that reason we encourage you to schedule an appointment to see if you are a candidate for Hyalgan treatment. We are proud to offer our patients a comprehensive knee pain treatment program that includes the best non-surgical methods to relieve pain all under one roof. We look forward to having the opportunity to help you feel better. Take the first step in ending your knee pain and call to schedule an appointment today! n

Dr. Scot Paris using precision fluoroscopy guidance to ensure the best results possible.

Central Jersey Spine & Wellness

4251 Route 9 North, Bldg. 3, Suite B (Freehold Office Plaza) • 732-683-1800 14

ASK THE DOCTOR HOLIDAY 2014

Dr. Allen Morgan, M.D.

Question: When should I see a fertility doctor?

polycystic ovarian syndrome, pain during here are many factors that would suggest a intercourse, or irregular menstrual cycles trip to a fertility specialist would be a good may affect your chances at successful idea. You should consider your partner’s age, conception on your own. If you have a hiswhether you are generally healthy, the method tory of any of these conditions and plan of birth control you’ve been using up until the to start a family, you should see a fertility point you decided to try to become pregnant, specialist as early as possible. and you and your partner’s family medical history, etc. Reasons for fertility testing are varied, but 90% couples undergoing possibilities may include pre-existing conditions in one of the partners, a family history of fertility treatments…wished health issues, or simply because a woman may want to pursue a career before starting a family. they had seen a fertility If you are over the age of thirty and have been trying to conceive for more than six months, specialist earlier. Among Single-Doctor Practices American Society for Reproductive Medicine in New Jersey (ASRM) suggests that you make an appointIn a recent poll, 90% couples underment to see a fertility specialist right away. The going fertility treatments reported they earlier, the better in fact. wished they had seen a fertility specialist If you are under thirty years old and have earlier. When you consider success rates been trying to conceive without success for more than six months, then it may be time to book a consultation rise the earlier the detection of certain obstacles, and success rates with a fertility specialist to determine whether simple three step decline the older a patient is, the more a short trip to see a fertility specialist becomes a clear choice for anyone who think they might testing would be recommended. Certain conditions such as endometriosis, ectopic pregnancies, be at risk or who has been unsuccessfully trying to conceive for any Time Offern period of time. blocked fallopian tubes, miscarriages, uterine fibroids or polyps,Limited

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QUESTION:

Stan Hish, R.Ph. Pharmacist and Owner

Pharmaceutical compounding. How do compounded medications benefit you?

harmaceutical compounding is the art and science of medicine preparation. Compounding is a process of making medications from “scratch” by mixing individual ingredients together in the exact strength and dosage form prescribed by a physician. In old times, nearly all prescriptions were compounded by chemists who were trained and skilled in the arts of formal medicine. As mass drug manufacturing began in 1950s, a “one-size-fits-all” approach was widely adapted in the industry with pharmacists becoming dispensers of pre-manufactured medications. Within the last decade, however, many physicians realized that this approach does not work for all patients, and they are turning more and more to compounded medications as an alternative treatment option. At Marlboro Village Pharmacy, we have the capacity and expertise to prepare custom formulations that meet your needs: Unique Dosage Forms. We compound medications in alternate dosage forms such as capsules, topical gel, cream, spray, sublingual drops and troches, or suppository. Combined Formulations. We combine multiple medications in a single dose formulation. Strength Variations: We customize dosage to patient specific needs.

ASK THE DOCTOR HOLIDAY 2014

Flavored Medications. We make medicine taste better by changing the flavor and color of the medications. Allergen-free Medications. We formulate medication without allergyinducing ingredients such as sugar, gluten, soy, dye, or preservatives. Discontinued Medications. We compound discontinued, and/or long term back ordered medications. Marlboro Village Pharmacy offers customized solutions for a multitude of medical conditions including hormone restoration therapy (HRT), men’s health, pain management, sports medicine, pediatric, podiatry, dermatology, dental, and veterinary. As a compounding pharmacist, I received specialized training and certifications, and I am ready to answer any questions or recommend a custom solution specific to your needs or conditions. Marlboro Village Pharmacy is also a full service retail pharmacy offering prescription and over-the-counter medications, specialty drugs, vitamins and supplements, natural and homeopathic remedies, and medications for pet family members. The pharmacy also offers a large selection of high quality natural and organic products, and a wide array of exclusive products imported directly from Europe.

Dr. John M. Young, Jr.

QUESTION: How can a dentist help with my snoring?

noring may be common but it is not normal. Snoring can be a red flag for sleep apnea. It is one of the symptoms, along with shortness of breath, that arouses you from sleep, sporadic pauses in your breath during sleep, and disproportionate daytime drowsiness. If you have any of these signs, you need to determine why. Left untreated, sleep apnea can increase the risk of high blood pressure, heart attack, stroke, obesity, diabetes, heart failure, and arrhythmias; as well as increase work-related or driving accidents. I have been practicing orthodontics for adults and youth for 20 years in Monmouth County, currently in Colts Neck at the Colts Neck Center for Orthodontics and Invisalign. My involvement with sleep apnea is a personal one. My incessant snoring was an issue with my wife, so I had a sleep study done and found out that I had severe sleep apnea. I tried the standard CPAP (Continuous Positive Airway Pressure) mask, only to find it annoying and difficult to sleep with. I tried numerous devices and dental appliances, but they were all uncomfortable and ineffective.

Sleep apnea can increase the risk of high blood pressure, heart attack,

Colts Neck Center for Orthodontics and Invisalign

While working with doctors from Stanford University Medical Center, I was introduced to, and now personally wear, the first dental appliance for snoring, Obstructive Sleep Apnea (OSA), and Upper Airway Resistance Syndrome (UARS). It is a perfect alternative for those who cannot tolerate their CPAP therapy. This appliance is FDA approved as a medical device in two separate classifications; (1) as a mandibular repositioner for treatment of snoring and sleep apnea, and (2) as a nasal dilator for improved ease of breathing. Medical insurance will pay for this device. I have brought my many years of dental expertise, personal experience, and research into the Chase Dental Sleep Care of Central New Jersey to assist others in determining the cause of their snoring and the best treatment for it. It has impacted my own life in such a positive way; I hope to share the experience with you. Give us a call and let us help you with your sleep and snoring issues as well as all of your family’s orthodontic needs. My friendly staff and relaxing atmosphere is the perfect place to end your quest for good health and a good night’s sleep. n

stroke, obesity, diabetes, heart failure, and arrhythmias

Chase Dental Sleep Care of Central New Jersey

273 Route 34, Suite 705 • 732-761-8300 www.snoringsolutionnj.com • www.chasedentalsleepcare.com advertisement

www.MonmouthCountysAskTheDoctor.com

Dr. Holli Alster

QUESTION: I have been experiencing heel pain in the morning and occasional sensitivity when I walk. Are these symptoms serious and will they go away on their own?

he possible causes are: plantar fasciitis, a stress fracture, tendonitis, arthritis, nerve irritation, or, rarely, a cyst. It is important to have heel pain accurately diagnosed by a podiatrist who is able to determine the underlying source of your heel pain. Chances are you have plantar fasciitis or heel spurs. The pain is caused by the inflammation of the fibrous tissue on the bottom of the feet (plantar fascia). The pulling of the plantar fascia on the heel bone can cause breakage of the fibers, resulting in pain and swelling and the development of the heel spur. The likely causes are flat feet, high arched feet, inflexible calf muscle, poor footwear, arthritis, diabetes, irritation or repetitive trauma to the heel tissue. Typical symptoms are sharp pain and tenderness on

the sole and at the heel bone when standing and walking. If you think you may have plantar fasciitis or have heel pain, do not hesitate to seek treatment. A physician has several options for treatment: anti-inflammatory drugs and cortisone injections to ease the pain and inflammation, strappings and taping to support the foot, Physical Therapy to provide relief of the inflammation and pain, and orthotics to control foot function which may reduce symptoms, to name a few. If you have any further questions, feel free to contact me at Family Foot & Ankle Center of Central Jersey at 600 Bridge Plaza Drive in Manalapan , phone:(732) 851-1617 or check out our website www.cjfamilyfoot.com. n

600 Bridge Plaza Drive Manalapan

732-851-1617 www.cjfamilyfoot.com

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ASK THE DOCTOR HOLIDAY 2014

What Is Osteoarthritis?

steoarthritis is the most common type of arthritis. People usually have joint pain and stiffness. Unlike rheumatoid arthritis, it does not affect skin tissue, the lungs, eyes, or blood vessels. In osteoarthritis, cartilage—the hard, slippery tissue that protects the ends of bones where they meet to form a joint—wears away. The bones rub together, causing pain, swelling, and loss of motion. Over time, the joint also may lose its normal shape. Bone spurs—small deposits of bone—may grow on the edges of the joint. Also, bits of bone or cartilage can break off inside, causing more pain and damage.

Warning Signs of Osteoarthritis • Pain and stiffness in a joint after getting out of bed or sitting for long. • Swelling in one or more joints, especially those at the ends of the fingers (closest to the nail), thumbs, neck, lower back, knees, and hips. • Crunching feeling or the sound of bone rubbing on bone • Osteoarthritis may progress quickly, but in most people it develops gradually. It is relatively mild and interferes little with daily life in some people. Others have significant pain and disability. • If you feel hot or your skin turns red, or if your joint pain is accompanied by a rash, fevers, or other symptoms, you probably do not have osteoarthritis. Check with your health provider about possible other causes, such as rheumatoid arthritis. • If you are experiencing any pain or have questions, see your doctor for a Physical examination where your doctor will check your strength, reflexes, and general health. n

Dr. Steven Linker, OD

QUESTION: What makes one eye doctor different from another?

ne of the essentials to a medical practice is prevention and early detection of issues. Once diagnosed, your physician can treat your symptoms and work toward your cure. Dr. Steve Linker of Monmouth Vision Associates is currently a member of the New Jersey Society of Optometric Physicians and the American Optometric Association. His optometric training and experience are what you need for your general eye health. While Dr. Linker is able to diagnose and treat your eye health and vision issues, he has made a significant investment in your health by bringing in state-of-the-art diagnostic equipment to help with early diagnosis. Early diagnosis of conditions and diseases can lead to a better outcome. A recent addition to his medical office is the iVue. This is a portable, powerful, and simple SD-OCT, which offers the same scanning speed and

resolution as the larger RTVue OCT. OCT stands for Optical Coherence Tomography. This medical imaging technique uses light to capture micrometer-resolution, three-dimensional images from within optical scattering media such as biological tissue. This technique is for obtaining sub-surface images of translucent or opaque materials at a resolution equivalent to a low-power microscope. It is effectively “optical ultrasound,” imaging reflections from within tissue to provide cross-sectional images. The smaller size makes it perfect for office use. The iVue will scan and report the retina, retina nerve fiber, and cornea for assessment by the clinician. To learn more about what you can do to protect the health of your eyes and your vision, visit their office for an exam to discuss your eye care health and the same for your family. They take most medical insurances and have a wonderful selection of frames should you need glasses. A visit to them may be your first line of ocular defense! Check out their website for more information: www.monmouthvision.com. n

www.MonmouthCountysAskTheDoctor.com

Live Long and Prosper – Medical Breakthroughs in 2014 By Susan Heckler

he medical, scientific and healthcare communities are always busy trying to find new cures and new technology to assist patients and medical professionals to manage patient care. Some of the big breakthroughs for 2014 are: • Newly-developed drugs called “B-cell receptor pathway inhibitors” have been highly effective in treating low-grade B-cell lymphomas and leukemias in clinical trials. • Scientists have now discovered what may be an important new biomarker, called trimethylamine N-oxide (TMAO), which could be a useful screening tool for people who don’t have traditional risk factors. • Computer-Assisted Sedation Without an Anesthesiologist. • Data Rich Wearable Devices that can gather your personal health data and transmit this meaningful information to your medical professionals in real time. • Relaxin for Acute Heart Failure; a type of vasodilator, helps during episodes of acute heart failure by improving blood flow throughout the body. • Cancer Immunotherapy is a new frontier in cancer treatment where your body’s own immune system can eliminate tumors to avoid chemo.

•F ecal Microbiota Transplantation; The process involves the transfer of healthy fecal matter into a sick person’s colon, which restores bacterial balance. • Decision Support System for Anesthesia; in an effort to meet the demands and improve outcomes, a new electronic anesthesia management system has been developed which creates, in real time, a full anesthesia record of events, drugs, and procedures. • Genome Editing to surgically alter the genetic material of an organism. • The Human Microbiome is the study of the 1,000 bacterial species that live in the human digestive system alone and how they are associated with diseases. • Retinal Prosthesis – bionic eyes. • Responsive Neurostimulator for Intractable Epilepsy. • New Hepatitis diagnosis and treatments. Over the last few months, emphasis shifted to Ebola and Enterovirus, which have been in the news. As of October 4, the U.S. Centers for Disease Control and Prevention said that four people infected with the Enterovirus had died, but it’s unclear what role the virus played in the deaths. The need for medical breakthroughs seems to be never ending, but at least there is progress! n

call a specialist in

DIGESTIVE HEALTH

dvanced Gastroenterology Associates, LLC (AGA) was established in July 2009 by Drs. Tendler, Cencora, Gold and Pitchumoni. In 2013 we welcomed Tina Vazirani, M.D. to our practice. We offer patients unsurpassed expertise, compassion, trust and follow-up care. We have three convenient offices located in Marlboro, Howell and Old Bridge. We are all board certified gastroenterologists/hepatologists who treat a wide array of gastrointestinal, pancreatic/biliary and liver diseases. Common conditions we treat daily include colon cancer screening, GERD, Barrett’s Esophagus, Irritable Bowel Syndrome (IBS), Celiac Sprue, abdominal pain, constipation and diarrhea, bloating and gas, Ulcerative Colitis, Crohn’s disease, diverticulitis, pancreatitis, gall bladder issues, viral hepatitis, and many others. We are skilled at ERCP, an advanced endoscopic procedure to diagnose and treat conditions of the biliar y and pancreatic systems. We offer PillCam (capsule endoscopy) in our office to visualize and diagnose small intestine problems.

Suresh Pitchumoni, M.D., Barbara Cencora, M.D., Jared Gold, M.D., Tina Vazirani, M.D., Michael Tendler, M.D.

Always accepting new patients. Please call to make an appointment to see one of our physicians.

LOCATIONS IN MARLBORO, HOWELL & OLD BRIDGE

We look forward to building a relationship with you and providing you with the best quality medical care.

www.advancedgastroonline.com | 732.370.2220 20

ASK THE DOCTOR HOLIDAY 2014

What Is COPD?

How Does It Affect Breathing?

OPD is a serious lung disease that, over time, makes it hard to breathe. You may also have heard COPD called other names, like emphysema or chronic bronchitis. In people who have COPD, the airways—tubes that carry air in and out of your lungs—are partially blocked, which makes it hard to get air in and out. The air sacs in the lungs may also lose their elasticity and shape. When COPD is severe, shortness of breath and other symptoms of COPD can get in the way of even the most basic tasks, such as doing light housework, taking a walk, even washing and dressing.

You Deserve a

Beautiful Smile

When COPD is severe, shortness of breath can get in the way of even the most basic tasks How Does COPD Affect Breathing? The “airways” are the tubes that carry air in and out of the lungs through the nose and mouth. Healthy airways and air sacs in the lungs are elastic—they bounce back to their original shape after being stretched or filled with air, just the way a new rubber band or balloon does. This elastic quality helps retain the normal structure of the lung and helps to move the air quickly in and out. In people with COPD, the air sacs no longer bounce back to their original shape. The airways can also become swollen or thicker than normal, and mucus production might increase. The floppy airways are blocked, or obstructed, making it even harder to get air out of the lungs. Symptoms Many people with COPD avoid activities that they used to enjoy because they become short of breath more easily. Symptoms of COPD include: • Constant coughing, sometimes called “smoker’s cough”

BEFORE

AFTER

BEFORE

AFTER

BEFORE

AFTER

Veneers • Crowns • Cleanings Dentures • Bonding • Whitening Tooth Colored Fillings • Inlays Lumineers • Root Canal Therapy Implant Prosthetics

• Shortness of breath while doing activities you used to be able to do • Excess sputum production • Feeling like you can’t breathe • Not being able to take a deep breath

Dr Anthony J. Mancino

• Wheezing When COPD is severe, shortness of breath and other symptoms can get in the way of doing even the most basic tasks, such as doing light housework, taking a walk, even bathing and getting dressed. COPD develops slowly, and can worsen over time, so be sure to report any symptoms you might have to your doctor or healthcare provider as soon as possible, no matter how mild they may seem. n

3350 Route 138 W. Bldg. 2, Wall NJ

732-556-9600 www.DrMancino.com www.MonmouthCountysAskTheDoctor.com

What Is Colorectal Cancer Screening? By Brianna Siciliano

screening test is used to look for a disease when a person doesn’t have symptoms. (When a person has symptoms, diagnostic tests are used to find out the cause of the symptoms.) Colorectal cancer almost always develops from precancerous polyps (abnormal growths) in the colon or rectum. Screening tests can find precancerous polyps, so that they can be removed before they turn into cancer. Screening tests can also find colorectal cancer early, when treatment works best.

Screening Guidelines Regular screening, beginning at age 50, is the key to preventing colorectal cancer. The U.S. Preventive Services Task Force (USPSTF) recommends screening for colorectal cancer using high-sensitivity fecal occult blood testing, sigmoidoscopy, or colonoscopy beginning at age 50 years and continuing until age 75 years.

When Should I Begin to Get Screened? You should begin screening for colorectal cancer soon after turning 50, then continue getting screened at regular intervals. However, you may need to be tested earlier than 50 or more often than other people if — • You or a close relative have had colorectal polyps or colorectal cancer.

ASK THE DOCTOR HOLIDAY 2014

• You have Inflammatory bowel disease, Crohn’s disease, or ulcerative colitis. • You have genetic syndrome such as familial adenomatous polyposis (FAP) hereditary non-polyposis colorectal cancer (Lynch syndrome) It is important to speak with your doctor about when you should begin screening and how often you should be tested. Colorectal cancer screening tests may be covered by your health insurance policy without a deductible or co-pay. n

ANS Center of Hope Celebrates Its Brain Cancer Patients

tlantic NeuroSurgical Specialists (ANS) brain tumor support group celebrated their members at their annual BBQ. The event was held Thursday, August 28th at 6 p.m. at their Morristown office.

Searching for Answers? Getting answers about the cause of your back pain

ANS patients and their families took part in the 2014 ANS Center of Hope picnic

The annual BBQ has grown remarkably in size since its inception in 2012 and is a place where patients can find love, hope and support from their doctors and family members. At the picnic food and activities were enjoyed by guests, including a dunk tank where patients can dunk one of the many neurosurgeons on staff. “Our annual picnic gives us a chance to thank our patients for being such a driving force of inspiration to us all,” says Marketing Manager Tom Wood. The Partnership of Hope support group, made possible by the ANS Center of Hope Foundation, meets regularly on the fourth Thursday of every month. The group meets to dine and exchange personal stories about individual journeys through their illness, but mostly they laugh and celebrate life. The purpose of the ANS Partnership of Hope is for patients of all ages and walks of life to find solace in being around people who understand their daily struggles. Volunteers also work outside of the meetings to accommodate the everyday needs of patients who are not able to care for themselves. ANS neurosurgeon Jonathan Baskin, In addition to Partnership MD, FACS, was on hand at the 2014 of Hope, ANS has started ANS Center of Hope picnic a sister organization called Partnership of Strength. The group, which meets in ANS’s Morristown office, brings people from all walks of life together who have suffered a traumatic condition like an aneurysm or stroke and provides support and education from other stroke victims and professionals. If you would like to make a donation or learn more about the Partnership of Hope and Partnership of Strength, please call 973285-7800 or visit ansdocs.com. n

can be challenging. The sooner you have an accurate diagnosis, the sooner you can begin the treatment plan that works for you. It may be a nonsurgical approach or a minimally invasive procedure. Either way, trust the diagnosis of your back pain with a board-certified, fellowship-trained neurosurgeon. A neurosurgeon is specifically trained to treat the intricacies of the spine and surrounding nerves. Additionally, neurosurgeons who are fellowshiptrained in spine spend 8 years in surgical spine training while mastering the art of diagnosis. Atlantic NeuroSurgical Specialists (ANS) provides patients with access to the specialists you need for an accurate diagnosis. ANS. Your ANSwers start here. Don’t let insurance come before your health. Call to speak with our insurance counselor. For more information visit www.ansdocs.com or call 732.455.8225.

3700 Route 33 Neptune, NJ 07753 732.455.8225 11 Overlook Road Suite 180 Summit, NJ 07901 908.516.2941 2345 Lamington Road Suite 107 Bedminster, NJ 07921 973.285.7800

310 Madison Avenue Suite 300 Morristown, NJ 07960 973.285.7800 89 Sparta Avenue Sparta, NJ 07871 973.729.0266 464 Hudson Terrace Suite 203 Englewood Cliffs, NJ 07632 973.285.7800

www.MonmouthCountysAskTheDoctor.com 23AM 10/15/14 10:43

Ask The Doctor Nov Answers #1122_r1.indd 1

QUESTION: Why Is Thermography Considered the Best Breast Test?

tudies show that a thermogram identifies precancerous or cancerous cells earlier than mammograms, and produces unambiguous results, which cuts down on additional testing—and it doesn't hurt the body. Thermography's accuracy and reliability is remarkable too according to the American Journal of Surgery and the American Society of Breast Surgeons, Cornell. Thermography can be used as a whole body approach to wellness with the understanding that there is no "normal" asymmetrical heat in the body. Thermal cameras can detect heat on the skin surface that may show underlying pathologies. Heat is an indication that inflammation exists, and typically inflammation is present in precancerous and cancerous cells, too. (It's also present in torn muscles and ligaments as well as arthritic joints, which thermography can also detect.) Breast Thermography is a radiation-free state-of-the-art screening procedure that captures heat images of the breast to aid in the early detection of breast cancer. As a tumor grows it develops a blood supply that emits heat that is detected on a modern infrared device. Thermography can establish overall breast health and is an excellent test for assessing fibrocystic breasts and response to treatment. Thermography also can detect many other ailments such as Systematic Dental Disease.

Some dentists have long claimed a relationship between oral bacteria and breast cancer. With Thermography imaging, we can see how the bacteria spreads through the lymphatic (immune) system. Overall Research The Index Medicus, a comprehensive index of medical scientific journal articles, references more than 800 per-reviewed breast thermography studies, in which over 250,000 women participated. Many of these studies involved very large groups of patients (from 37,000 to over 100,000) and some have followed patients for as much as 12 years. Among other conclusions, these studies found that when thermography has been added to a woman's regular breast health checkups, a 61% increased survival rate was realized, and when used as part of a multi-model approach (clinical examination, mammography and thermography) 95% of early stage cancers will be detected. It is well known that early detection is the best defense against breast cancer and that, if treated in the earliest stages, a 95% cure rate is achieved. The "cure" is early detection. n Don't put it off! CALL NOW to schedule your screening at: Advanced Thermal Imaging Freehold Executive Center • 4400 Route 9 South, Freehold 877-315-7226 (Ext. 448) • 24/7 Emergency: 732-902-1876 www.BTIscan.com advertisement

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ASK THE DOCTOR HOLIDAY 2014

Benefits of Vitamin D for Rheumatoid Arthritis By Brianna Siciliano

Dr. Lisa Zimmermann announces the opening of her

NEW MEDICAL OFFICE Treating: Chronic Fatigue • Thyroid Dysfunction Lyme Disease

Dr Lisa Zimmermann has over twenty years of internal medicine experience and five years experience treating and diagnosing chronic fatigue and Lyme disease. She has just finished a three month training sabbatical with one of the leading Lyme physicians.

heumatoid arthritis (RA) is an autoimmune disease in which a body’s immune system attacks––instead of protecting––a body’s joints. The body’s abnormal immune response causes inflammation that can damage joints and organs, including the heart. About 1.5 million people in the United States have rheumatoid arthritis, and most of these people suffer symptoms such as pain, fatigue, joint stiffness, and swollen joints. The pain and stiffness can be eased, thankfully, but how? By diet, of course! Diet plays a major role in many chronic conditions; poor dieting may trigger inflammation. Failing to properly take care of your body, like taking vitamins and minerals everyday, may worsen symptoms for people with arthritis. Everyone should have vitamin D in their diet. Vitamin D helps bones grow properly and stay strong, and it also helps our bodies take in the perfect amount of calcium needed. Vitamin D is extremely important for people who suffer from rheumatoid arthritis. Studies have shown that many medications for RA sufferers have heightened the risks for vitamin D deficiencies. In fact, those who take corticosteroids are two times more likely to be short on vitamin D. Without enough vitamin D, bones can become soft and brittle. With arthritis, the last thing your body needs is bone loss! If you have rheumatoid arthritis, getting more vitamin D will definitely benefit your health. Get your vitamin D levels checked often, especially if you take oral steroids for your condition. To increase vitamin D levels, try getting at least 10 to 15 minutes of sunlight ever other day. Doing this will help your body produce vitamin D naturally. By balancing out nutritious foods, vitamins, and minerals, common symptoms of rheumatoid arthritis can decrease and lessen the pain that you have to suffer from. Do not let rheumatoid arthritis’ symptoms cause you any more harm than it already has. n

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Does a Room’s Temperature Affect Our Metabolism?

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By Brianna Siciliano

omething that most people do not know is that human beings have two main types of fat: white fat and brown fat. White fat stores extra energy, and when your body has too many white fat cells, risks for diseases (like type two diabetes) increase. Brown fat, on the other hand, burns chemical energy to create heat and help your body maintain body temperature. Research has shown that in cold temperatures, white fat cells take on brown fat cell’s characteristics. Over the timespan of four months, research was studied on five healthy men who were an average age of 21. During the day, the men participated in regular activities. At night, the men returned to the private rooms. For the first month of the trial, the men’s rooms were set to temperatures of 75 degrees Fahrenheit. During the second month, the rooms were set to temperatures of 66 degrees. For the third month, the rooms were set to temperatures of 75 degrees once again. During the final month, the rooms were set to temperatures of 81 degrees.

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Humans may adjust to cool temperatures by increasing brown fat cells, which in the long run may improve glucose metabolism. The men were exposed to their rooms’ temperatures for at least 10 hours each night. While they were in their private rooms, each man wore standard hospital clothing. There were no blankets for them to use when the room temperature dropped; all the men were offered was their hospital clothing and bedsheets. Meals were provided, and their calorie and nutrient intakes were carefully monitored. At the end of each month, the five men had extensive evaluations, which included muscle and fat biopsies, energy expenditure testing, and PET/CT scanning on their neck and upper back (to measure brown fat volume and activity). After one month of exposure to mild cold temperatures, the five participants had a 42 percent increase in brown fat volume and a 10 percent increase in fat metabolic activity. During the final month of exposure, with the warm temperatures, the results were completely reversed. These findings hint that humans may adjust to cool temperatures by increasing brown fat cells, which in the long run may improve glucose metabolism. These changes can be reversed if human bodies are exposed to warmer temperatures. So, does a room’s temperature affect our fat and metabolism? Yes, it does! n

ASK THE DOCTOR HOLIDAY 2014

Dr. Michael LaCap and Dr. Estela LaCap

QUESTION: What is the best way to remove unwanted hair?

etting rid of unwanted hair permanently, until now, was known to be costly and painful. We offer the new SopranoXL which is a Pain Free, Hair Free ™ laser system. This state-of-the-art procedure was specially designed to permanently reduce unwanted hair faster, more comfortably and with fewer visits. Our laser is effective for all skin types and perfect for any area of the body—including more sensitive areas like the face, neck and bikini area. Because of Soprano’s patented in-motion technology, even sensitive areas can easily be treated without the pain caused by other systems. By using a sweeping, paintbrush technique, the Soprano significantly reduces procedure time and discomfort, resulting in increased patient satisfaction. We compare the sensation to a “hot stone massage” and patients agree. The type of laser used is the Diode laser and are the most effective of all laser wavelengths for hair removal. Also, the results are lasting hair removal with no downtime.

While electrolysis provides long-term elimination of unwanted hair, it is uncomfortable and can demand years of treatment and excess cost. The laser uses a wide beam that treats hundreds of hair follicles at once, instead of treating hair-by-hair like electrolysis. Large areas such as a back, legs or arms can be treated in a short amount of time. Today, advanced laser systems are replacing unpleasant, time-consuming or short term hair removal methods such as waxing and shaving. Our Soprano laser removes hair without causing irritation, and minimizes the chance of scarring and pigmentation changes. Imagine having hair-free, smooth skin. No more nubs, nicks, hassles or ingrown hairs with virtually painless treatments. The SopranoXL has received FDA approval for “permanent hair reduction” and is effective for both men and women of all skin types, including tanned skin, as well as different hair types. At L’Amore Laser & Medical Spa, there is a female and a male board certified physician who perform the treatments to accommodate your preferences. You should be aware that in the state of NJ only licensed Physicians are permitted to use the lasers for hair removal. n

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Rethinking D Drinking

o you enjoy a drink now and then? Many of us do, often when socializing with friends and family. Drinking can be beneficial or harmful, depending on your age and health status, and, of course, how much you drink. For anyone who drinks, Rethinking Drinking is for you. And your loved ones. Rethinking Drinking is an easy-to-use Web site (www.RethinkingDrinking.niaaa. nih.gov) and publication from the National Institute on Alcohol Abuse and Alcoholism (NIAAA). It is designed to help people reduce their risk for alcohol problems. Rethinking Drinking helps you analyze your own drinking and offers the latest, research-based information on the most effective ways to cut down, if necessary. Why not take a look now at your drinking habits and how they may affect your health? Rethinking Drinking can help you get started. Most adults who drink alcohol drink moderately and responsibly without complications. At the same time, alcohol-related problems—which result from drinking too much, too fast, or too often—are among the most significant public issues in the United States and worldwide. An estimated 17 million Americans have an alcohol use disorder, a term that includes both alcoholism and harmful drinking that has not reached the level of dependence. Short-term, alcohol causes someone to feel high, relaxed, or sleepy. Long-term, excessive use can change brain circuits, so that the urge to drink becomes as compelling as hunger. Genetic makeup and environment contribute to the risk for severe alcohol use disorder, which is characterized by: • Craving—a strong need, or compulsion, to drink • Loss of control—inability to stop once drinking has begun • Dependence—withdrawal symptoms, such as nausea, sweating, shakiness, and negative emotional states, such as anxiety, after periods of heavy drinking • Tolerance—need for increasing amounts of alcohol to get “high” However severe the disorder, many people can benefit from treatment. Talk with your doctor to determine the best course of action for you. n

ASK THE DOCTOR HOLIDAY 2014

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Can Drinking Milk Be Harmful? Dairy Facts Revealed By Brianna Siciliano

eople always wonder about the health benefits and concerns with dairy. In the past, there have been drastic trending weightloss programs designed to exclude dairy products from daily diets, like the Paleo Diet. Many people on the program lost weight, but in the long-run, their bones suffered. Dairy products are essential for bone health, as most of us already know, but can dairy be harmful? In the ‘80s and ‘90s, experiments were conducted in Sweden to examine the relationship between bone fractures and mortality in men and women. Three large countries in Sweden participated in the study, including about 61,433 women aging from 39-74 and about 45,339 men aging from 45-79. The people who ran this study concluded that higher milk intake was associated with higher fracture rates in women and higher death rates in men and women. Is this experiment a reliable source to follow? That is questionable. No two people are exactly alike. Some of the people who took the experiment could have been intolerant to lactose, some of the people could have genetically inherited bone issues that caused fractures, and some of the people could have suffered health issues that had absolutely nothing to do with their dairy intake. Although the Swedish study is trying to prove that dairy is bad for our diets, we have to keep in mind how nutritious dairy is for our bodies. Cow’s milk contains all the proteins, fatty acids, and micro-nutrients needed to nurture a growing calf. Human muscles, cells, and organs are very similar to a calf ’s, which means that dairy

ASK THE DOCTOR HOLIDAY 2014

products are a great of a source of nutrients for humans as they are for baby calfs. A single cup of milk (244 grams) contains Calcium, Vitamin D, Riboflavin (B2), Vitamin B12, Potassium, Phosphorus, Vitamin A, Vitamins B1 and B6, Senium, Zinc, and Magnesium. All of these nutrients come in a glass that is filled with about 146 calories, 8 grams of fat, and 13 grams of carbs. Do the pros outweigh the cons calorie wise? Absolutely. If the vitamins and minerals are not convincing enough, consider the fact that dairy is the best source of calcium. Many people, especially women, lack the proper amount of calcium in their diets. Including diary products in your everyday diet will lower your risk of calcium deficiencies. With this said, it seems logical that dairy is extremely beneficial for bone health. Many mainstream health organizations recommend that people consume 2-3 servings of dairy per day in order to provide enough calcium for their bones. The bottom line is dairy products are known to have a large impact on health. Can dairy products kill you? Possibly. If you intake too much dairy, like some of the participants in Sweden’s study did, you will face major health concerns. At the same time, if you intake too much of any food, no matter what kind of food it is, health concerns will rise. The key to great health is knowing what your body can and can’t tolerate. Balancing every food group––including dairy––in your daily diet in moderation is the key to a long, healthy life. n

Educational Philosophy Documented by Local Authors Offers Proven Results in Early Childhood Learning

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hyllis and Carmine Visone, owners of Home Away From Home Academy, Aberdeen, believe that children arrive in this world eager to learn and that in the time between birth and six years of age, children learn 50% of what we need for a lifetime. Their published educational philosophy, “The Visone Method”, centers on guiding healthy children between the ages of three months through second grade in their own development. Step by step, the Method specifically identifies the most credible procedures for each particular stage and age of development to ensure high quality early childhood education. While the philosophy is a common sense approach to early education, what makes it extraordinary, is that it considers the whole child at every turn. According to parent Lauren Healey, “HAFHA is a truly special place. My three children are happy, and I have seen them grow emotionally, socially, and educationally since entering the school”. For over 20 years, Home Away From Home Academy has begun the educational process earlier, and apparently it is the key to their outstanding success. According to a recent CNN study, the American Academy of Pediatrics announced new guidelines this summer, that encourage doctors to talk not just about nutrition and illnesses, but about the importance of reading out loud, singing and talking during an infant’s first days – all activities that take place from as young as twelve weeks at the Academy. The President of the AAP, James M. Perrin, states, “The benefits are so compelling, that encouraging earlier education has become an essential part of our care”. Phyllis Visone, owner and director of Home Away From Home Academy states, “All children need access to at least two years of high quality pre-school. The children who attend our school have proven that earlier literacy, and access to high quality early education, result in outstanding academic statistics on the elementary level. There is so much potential for more children to succeed, if given the right tools at a younger age.” “The owners of the school through the use of ‘The Visone Method’ have developed an instructional model that will certainly influence the millennial curriculum and will no doubt be widely replicated”, says Irene Sessa, pioneer of the Universal Pre-Kindergarten program. “Home Away From Home Academy is a beacon of hope for contemporary early childhood education.” Many parents feel the same way, and it shows in their complimentary statements about the school. Meredith Henriques shares, “The staff and teachers at HAFHA are the best in elementary education. In addition to the reading, math, and writing, they have a fantastic art and music program, a handson science program, and more – truly a foundation to last a lifetime”.

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K I D S ’ H E A LT H

Enterovirus Versus the Flu: Which Should We Look Out For? By Brianna Siciliano

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ASK THE DOCTOR HOLIDAY 2014

ecently, an outbreak of disease diagnosis’s have been shared with the world, stirring up a lot of fear and worrying nationwide. The media has created a huge scare about the enterovirus in particular, and has parents fearful of their children’s health and lives. What the media fails to show the world, however, is that enterovirus is less fatal than the flu. There are over 100 types of enteroviruses (EV). These infections are common viruses that occur in the US an estimated 10-15 million each year. Most people that are infected with Enteroviruses have mild to no symptoms, but some infections can be very serious. The spread of EV infections is unpredictable; Enterovirus D68 (a non-polio enterovirus) spreads from person to person when an infected person sneezes, coughs, or touches a surface that is soon after touched by others. Enterovirus-D68 (EV-D68) is a type of infection first detected in 1962 in California, and is thought to occur less often than other types of enterovirus infections. In recent months, children were diagnosed with serious cases of EV-D68, and parents nationwide all came together to ask the same three questions: Who is at risk? How is it diagnosed? How do I keep my children safe? Generally, infants, children, and teenagers are most likely to become infected with enteroviruses and become ill. This is because infants, children, and teens are not yet immune from previous exposures to these viruses (at least for EV-D68). Children with asthma may have a higher risk than other children for severe respiratory illnesses caused by EV-D68 infection. Adults can get infected with enteroviruses, but adults are more likely to have mild symptoms, or none at all. To diagnose EV-D68, specific lab tests on specimens from a person’s nose and throat need to be done. Many hospitals, and some doctor’s offices, can test ill patients to see if their illness is an enterovirus infection, but most cannot do specific testing to determine which type of enterovirus, like EV-D68, they may have. It is recommended that clinicians should only consider EV-D68 testing for patients who have severe respiratory illnesses and when the cause of these illnesses are unclear. To protect yourself from getting and spreading EV-D68 (and other respiratory illnesses), it is important to: 1. Wash hands often with soap and water for at least 20 seconds. 2. Avoid touching your eyes, nose, and mouth when your hands are unwashed. 3. Cover your coughs and sneezes with a tissue, your shirt sleeve, or your elbow and NOT your hands. 4. Clean and disinfect frequently touched surfaces (like toys, doorknobs, computer keyboards, etc.), especially when someone in your household is sick. 5. Stay home when you are sick. 6. Stay up to date with immunizations, especially influenza immunizations! Because of all the media’s buzz about enteroviruses, many people are forgetting about how deadly and frightening the flu is. Even though our nation has accessibility to the flu shot, the disease still sends hundreds of thousands of people to doctor’s offices, hospitals, and sometimes the morgue. If you only remember one point after reading this, then let that point be this: more deaths happen each year because of the flu than an enterovirus. Although the enterovirus is scary, it is less likely to come anywhere near your family members than the flu is. Do not let the media scare you or your family into worrying about a disease that will most likely not harm anyone you know; instead, focus on getting all of your loved ones vaccinated and healthy! n

QUESTION: Why do I have to wear a retainer…and how long is long enough?

ost people do not realize that once braces are removed, teeth tend to shift and go back to their pre-braces positions. The teeth and bone have a memory to some degree, many elements influence their position. The muscles in your tongue, cheeks and lips all put pressure on your teeth. The more severe your orthodontic problems were, the more vulnerable you are for shifting. If your teeth had spaces between them, they may shift ever so slightly back into having small gaps. A rotated tooth will want to rotate back. Once your orthodontist has successfully moved your teeth and given you that terrific smile and comfortable bite, it is necessary

for you to wear retainers. Initially it is recommended that you wear them 24/7 for the first year, removing them to eat, brush and play sports. Chewing gum and sticky foods are to be avoided with retainers. After the first year, you will only continue to wear them at night, indefinitely. Your smile is the first thing people notice about you. You have made an investment in that smile with great orthodontic care. Wearing your retainers will protect your investment and maintain that winning smile. n

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Parents, Antibiotics Aren’t Always the Answer By Brianna Siciliano

ntibiotics do not fight infections caused by viruses like colds, flu, most sore throats, bronchitis, and many sinus and ear infections. Instead, symptom relief might be the best treatment option for viral infections. Get smart about when antibiotics are needed—to fight bacterial infections. When you use antibiotics appropriately, you do the best for

your health, your family’s health, and the health of those around you. Taking antibiotics for viral infections, such as colds, flu, most sore throats, bronchitis, and many sinus or ear infections: • Will not cure the infection • Will not keep other people from getting sick • Will not help you or your child feel better • May cause unnecessary and harmful side effects • May contribute to antibiotic resistance, which is when bacteria are able to resist the effects of an antibiotic and continue to cause harm Rest, fluids, and over-the-counter products may be your or your child’s best treatment option against viral infections.

What Not to Do • Do not demand antibiotics when your healthcare professional says they are not needed. • Do not take an antibiotic for a viral infection. • Do not take antibiotics prescribed for someone else. The antibiotic may not be right for your illness. Taking the wrong medicine may delay correct treatment and allow bacteria to grow. When your child is sick, antibiotics may not be the answer. Work with your child’s doctor or nurse to learn how you can help your child feel better. n

www.MonmouthCountysAskTheDoctor.com

DOCTOR PROFILES

Dr. Michael LaCap L’Amore Laser and Med Spa

Dr. Estela LaCap L’Amore Laser and Med Spa

Michael LaCap, M.D. is certified by the American Board of Physical Medicine and Rehabilitation and a Diplomate of the American Board of Pain Medicine. Dr. LaCap has many years experience in medical aesthetics with advanced training in non-surgical to minimally invasive cosmetic procedures. Dr. LaCap is a recognized medical aesthetic professional who performs and trains other professionals in the use of Botox, Filler, IPL, Isolaz, Ultrasound, and Radiofrequency treatments. Additionally, Dr. LaCap is recognized for his extensive experience in the use of lasers and skin resurfacing modalities to create beautiful smooth skin. Dr. LaCap is an expert who provides real solutions to real skin care issues for men, women and adolescents. He gives the highest quality in medical aesthetic services and patient care in a comfortable, relaxing medical spa environment. All treatments are tailored to your precise needs to achieve the best results possible.

Estela LaCap, MD is a Medical Esthetic Professional Certified by the American Academy of Medical Esthetic Practitioners (MEP-C). She is a member of the American Society of Laser Medicine and Surgery, the International Association of Physicians in Aesthetic Medicine, the Botox® Cosmetic Physicians’ Network, and a Diplomate of the American Board of Pediatrics. Dr. LaCap is certified by the Esthetic Skin Institute and had extensive training in non-surgical cosmetic procedures, including advanced injection techniques in Botox® Cosmetic and dermal fillers, medical grade chemical peels, IPL (Intense Pulsed Light), sclerotherapy, mesotherapy, acne treatments, cosmetic laser procedures, skin resurfacing and Ultherapy. L’Amore’s staff is made up of skilled, understanding and caring individuals who will greet you with a warm reception from the moment you come in the door and their highly trained staff will make each of your visits both comfortable and give you the best results possible.

Northpoint Building 176 U.S. Highway 9, Suite 301A, Englishtown 732-252-9415 • LAmoreNJ.com

Michael DiMarco, D.C. Founder & Clinical Director Health Fusion Wellness Chiropractic & Sports Rehab Dr. Michael DiMarco obtained his doctorate from the University of Bridgeport College of Chiropractic, the only university-based chiropractic program in the country and is also one of the co-founders of one of the fastest growing sports nutrition companies in the country, SHREDZ Supplements. Armed with a passion for fitness Dr. DiMarco uses his extensive knowledge in sports rehab and nutrition to help his patients achieve results that get them back to their lives faster without having to worry about re-injury. Dr. DiMarco understands that each problem is unique and tailors his treatment plans accordingly. He utilizes various techniques including but not limited to chiropractic adjustments, postural correction, myofascial release, and is certified in Functional Movement Taping level 1 & 2 by ROCKTAPE. He is committed constantly educating himself and staying up to date on the latest techniques to better serve his patients. 55 Schanck Road, Suite A-4, Freehold 732-665-6334 • www.hfwnj.com

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Northpoint Building 176 U.S. Highway 9, Suite 301A, Englishtown 732-252-9415 • LAmoreNJ.com

Lorraine Catalano, CNMT Imaging Director, Caring Heart & Brain Imaging Lorraine Catalano has been active in the medical field as a family practice specialist and a nuclear medicine technologist, respectively, with over 30 years of experience. She has been performing Nuclear Cardiology scans for more than 15 years, and is a Certified Nuclear Medicine Technologist (CNMT) who is a member of the American Registry of Radiologic Technologists (ARRT) and the American Society of Radiologic Technologists (ASRT). Lorraine brings a technological expertise to the Caring Heart team that is unparalleled. Caring Heart Coronary Imaging’s mission is to utilize state of the art technology for Cardiac Stress Tests, reducing patient exposure to radiation and the amount of time spent having the test done, as well as, giving more definitive results that could prevent unnecessary procedures from being performed. They also performs the PET Brain Scan which helps distinguish between Alzheimer’s disease and other forms of dementia. Lorraine is dedicated to continuing to develop patient care resources in the Jersey Shore area. She has been active in the medical field long enough to guarantee absolute patient care without compromising imaging results. 2414 Highway 35, Manasquan 732-292-1008 • www.CHCI.biz

Dr. Lisa Zimmermann is an internist with over 20 years of clinical experience. Dr Zimmermann trained at North Shore University Hospital a Cornell University Hospital in Manhasset, NY. After completing a residency in Internal Medicine she moved to monmouth County NJ and set up her internal medicine practice. Dr. Zimmermann began to treat the patients with chronic symptoms that no one had found the cause and usually it was chronic lyme disease. She has been to advanced training in the diagnosis and treatment of tick borne disease with ILADS–International Lyme Associated Disease Specialists and has also just completed a three month training period with one of the leading Lyme specialists in NY. In addition to this she is also literate in the herbal treatment of tick borne infections as usually long term antibiotics will not eradicate lyme disease and often herbal medicine is needed as well. She also will do a comprehensive exam looking for compromised immune system, thyroid dysfunction, and adrenal fatigue. Dr. Zimmermann has now opened a medical practice dedicated to the chronic fatigue and Lyme disease treatment for adult medicine.

Dr. Anthony Lombardi, MD Lombardi Plastic Surgery Center Services: • Breast Augmentation • Smart Lipo • Body Contouring • Botox/Dermal Fillers • Laser Treatments Dr. Anthony Lombardi, a board-certified plastic surgeon, has over 15 years of experience in surgical and non-surgical cosmetic procedures. Although highly skilled in all aspects of cosmetic surgery, he prides himself as one of the area’s leading breast augmentations surgeons. Dr. Lombardi offers the latest, cutting edge technology in cosmetic and plastic surgery, as well as the full spectrum of non-surgical procedures. Revolutionizing the aesthetic community, The Lombardi Plastic Surgery Center now offers “The Botox Bar,” New Jersey’s first walk-in Botox Center. With a highly trained staff, his practice extends a quick, easy experience to achieve ultimate results in aesthetic treatments. Education: Seton Hall University, B.A. New Jersey Medical School, M.D. Monmouth Medical Center, Surgery Residency UMDNJ Plastic Surgery Fellowship Board Certifications: The American Board of Plastic Surgery, Member of the American Society of Plastic Surgeons, Member of the New Jersey Society of Plastic Surgeons

702 Brewers Bridge Road, Jackson • 732-440-4782

32 Corbett Way, Eatontown 732-460-9555 • www.lombardiplasticsurgery.com

Dr. Brandon Elimanco Dental Harmony

Dr. Robert Frankel, MD, DC, FACEP Improve Health Solutions

Dr. Brandon Elimanco lives in central New Jersey with his wife and three children. He graduated from Rutgers College in 1988 with a B.A. in biology. He then attended UMDNJ – New Jersey Dental School, graduating in 1992 with a DMD. He continued his training at Robert Wood Johnson University Hospital in New Brunswick where he participated in a General Practice Residency program. Dr Elimanco’s mission has been to promote dental health to all his patients and the community for over 20 years. He established his practice, Dental Harmony in Freehold, to provide quality dental care for all members of your family, from the youngest to your most elderly and dearest ones. Professional Membership: American Dental Association New Jersey Dental Association Monmouth Ocean County Dental Association Mercer County Dental Association 63 West Main Street, Freehold 732-780-1400 • www.DentalHarmony.com

DOCTOR PROFILES

Dr. Lisa Zimmerman, MD For Chronic Fatigue, Thyroid Dysfunction and Lyme Disease

Services: • Medical Practice • Natural Medicine • Hormone Balance • Nutrition & Weight Loss • Laser Hair Removal Dr. Robert Frankel is a board certified emergency physician for over a decade trained at Albert Einstein Medical Center. He is also board certified by Federation of Anti-Aging Regenerative Medicine and has a doctorate in chiropractic. His training in both traditional medicine and holistic antiaging care makes him a unique practitioner. His approach to each patient is based on individual care. Dr. Frankel breaks the paradigm “one drug works the same for each person.” The practice customizes your care with nutrition, diet and hormonal balance. 200 Atlantic Avenue, Suite G, Manasquan 866-807-8686 www.ImproveHealthSolutions.com

www.MonmouthCountysAskTheDoctor.com

I AM BEAUTIFUL

NO W AVA ILA BLE AT

Metro Salon Ouidad’s specially formulated products for curly hair will repair damaged curls, smooth away frizz, tame unruly locks, improve softness, shine and definition.

by Using Ouidad’s Perfect Products By Brianna Siciliano

M Metro Salon now has a full line of Ouidad products, plus seven Ouidad certified stylists, featuring the Carve & Slice haircut and the Rake & Shake styling.

Metro Salon

2 C O N V E N I E N T L O C AT I O N S :

Marlboro Plaza, 140 Route 9, Englishtown (Next to Kohl’s & Hobby Lobby)

732-536-0900

Friendship Plaza, 4546 Route 9, Howell (Next to Hobby Lobby)

732-367-9449

ASK THE DOCTOR HOLIDAY 2014

any hair stylists and hair salons promote hair straightening products and techniques, and without knowing it, these stylists and salons are lowering the confidence levels of many curly and wavy headed clients. Thankfully, in 1984, Ouidad (the curl experts) opened the first salon in the country exclusively for curly hair. Known as the “Queen of Curl,” Ouidad decided to develop products specifically for curly and wavy hair. She believes that curly hair is beautiful and an art; clients with curly hair should feel sexy, gorgeous, and confident, and in order for that to happen, these clients need to embrace their beautiful head of hair! Every Ouidad product is gentle, water-soluble, and moisturizing. After using Ouidad products, curly and wavy headed clients have healthy, manageable, and frizz-free hair. All Ouidad products and stylists are committed to delivering the best results for all different kinds of curly hair. If you are looking to repair damaged curls, tame unruly locks, preserve your hair’s color, fight humidity and heat, or moisturize your head of hair, then you need to shop for Ouidad hair products. As a matter of fact, if you are looking to do just about anything to improve and embrace your curly hair, then Ouidad products are perfect for you! Every Ouidad specialist has undergone extensive training to focus on important aspects of curl care. Ouidad stylists are masters of the Carving & Slicing method, which is an Ouidad unique haircut created specially for curly and wavy hair, and the Rake & Shake styling method, which is designed to create perfect curls every time. It is time to embrace, nourish, and celebrate your gorgeous curls. Trusting Ouidad products to take great care of your hair will change your life forever for the better! n

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I AM BEAUTIFUL

Do you want LG under your tree?

Easily adjustable bracelets with charms that let a woman show how she feels, what she believes in, and who she is. • Gives back $.25 of each bracelet to Generation Rescue.® • Designed and manufactured in the USA. • Features unique designs. • Uses only recycled metals.

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Have you heard of our… 3D Fiber Lash Mascara? $25 OFF

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167 Highway 33, Manalapan, NJ 732-780-4300 38

ASK THE DOCTOR HOLIDAY 2014

Non-Damaging, Hypo-Allergenic, Mood-Altering Lashes in a Tube

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732.252.9415 | www.LAmoreNJ.com

I AM BEAUTIFUL

Hair Today, Gone Tomorrow… Are Hair Extensions for You? By Susan Heckler

very once in a while it is fun to switch things up and change your look, especially with hair. Many people play with their hair color and others go from curly to straight as it fits their mood. The harder switch is going from short hair to long…or is it? The growing-in phase takes excruciatingly long and can be unattractive. You can spend months growing your hair style out to try longer locks, only to find it wasn’t the look you wanted. There is a faster and easier way; hair extensions to add length and volume to your own hair. You can toy with hair extensions on your own by purchasing the clip-in kits. This is an inexpensive way to get an idea of it you want to make the investment in having a professional hair extension done. The clip-ins get removed when you go to sleep and reapplied daily. There are many different methods of professional hair extensions and the cost can vary from $200-$2,000 depending on what

type of hair your have and what you want done. According to Linda Albani of Salon Bella Donna at 3675 Route 9 North in Old Bridge, you need to be careful what product you choose and who applies it. “You want the extensions to look natural and not damage your own hair. Color matching is the most important thing for a natural look. You also have to know how to incorporate the extensions in with your hair style.” Done well, the extensions can last up to 6 months with maintenance varying by method. Tape-ins last 4-6 weeks at which point new tape is added and can then last up to 6 months. Bonded cold and hot fusions last up to 6 months with very little maintenance. Questions? You can give Linda a call at 732-591-1300. n

The Hair You Want Today Can Be Yours Tomorrow

SALON BELLADONNA Have Beautiful, Long Thick Hair Practically Overnight Silky Manageable Hair with Volume at the Roots Whether you have a medical condition causing your hair loss, or would like to have a long thick head of hair with volume at the roots,

call Linda for a FREE CONSULTATION. She will make your dreams come true!

“…among the forty most incredible items on the planet.” –VH1’s Fabulous Forty Countdown 40

ASK THE DOCTOR HOLIDAY 2014

The Renaissance Plaza, 3675 Route 9 North, Old Bridge 732-591-1300 • www.SalonBellaDonna.com Open 7 Days: Sun, Mon, Wed, Fri, Sat 9am-6pm • Tues, Thurs 9am-9pm

THE STRONG & LEAN BODY

Which Yoga Style Is for You? By Susan Heckler

t seems every doctor or medical professional I go to recommends the same thing…yoga. It is known to improve your strength, flexibility, and balance as well as release tension in your body, quiet your mind, and help you relax. Okay, sign me up! But what kind of yoga is best for me? What is best for you? There is a class to suit you, whatever your body type, condition or temperament. Before taking a yoga class you will want to consider a few potential issues such as your age, your physical condition and limitations, any injuries that restrict your movements, your weight, level of stress and your need for relaxation or action. The best idea is to touch base with the studio and let them know your personal issues and then take several different classes with several different instructors. Be certain your instructor is well trained and qualified to teach.

Yoga Style Guide Slow paced, stretching, easy postures, simple breathing techniques and some seated meditation: • Hatha • Ananda • Integral • Integrative Yoga Therapy Slow paced, concentrating on proper alignment and symmetry of postures, longer time spent holding postures, honoring the wisdom of the body, use of props: • Iyengar • Kripalu • Anusara

• Therapeutic • Svaroopa • Viniyoga A challenging workout with emphasis on the breath-body movement, detoxification through sweat, focus of mind, building strength, flexibility and stamina: • Ashtanga • Bikram • Vinyasa • Dynamic Use of breath with movement, chanting, meditation, visualization, and relaxation:

• Kundalini • Sivananda yoga Blends the spiritual wisdom of yoga, the touch of Thai massage and acrobatics in order to cultivate trust, connection and playfulness: • Acro-yoga • Partner yoga Namaste! n

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Save the Date! Free Community Health Fair • December 6 • 9:00am - 1:00pm *Offer valid with purchase of membership. Must present this ad. First time visitors only. Must be 18 or older. ID required. Cannot be combined with any other offer. Restrictions apply. Call for details. Offer expires 12/31/14

www.MonmouthCountysAskTheDoctor.com

H E A LT H Y M I N D & S O U L

Give Loved Ones Experience Gifts By Brianna Siciliano

pecial occasions are always creeping up on us, and we often feel confused about what gifts we should give. Giving presents to loved ones can be challenging. We do not want to give the people we care about gifts that they do not like, so most of the time, we end up gifting them with money, an outfit or two, or a bottle of their favorite wine.To spice things up, gift someone an incredible once-ina-lifetime experience. Do you have a thrill-seeking loved one who has a special occasion coming up? If so, why not gift them a certificate to go skydiving, drive a race car, or learn how to fly? Most thrill-seekers have activities like these on their bucket lists, and gifting them a chance to jump off a plane, fly a plane, or drive a race car will show that you care about their passions.

Do you have a loved one who enjoys music or theatre? There are endless experience options of gifts for these kinds of people. If you know someone who enjoys Broadway, gift them with a pair of tickets to see a Broadway play. If your loved one enjoys a certain band or singer, gift them with a pair of tickets to that entertainer’s concert. Do you have a loved one with a passion for creativity? Treat them to a class that they will enjoy the most, whether it is an art class, a photography class, or a cooking class. If that does not sound appealing, why not treat your loved one to a tasting, whether it may be a whine tasting, martini tasting, cheese tasting, or a chocolate tasting. Your loved one will have plenty of happy memories because of your thoughtfulness. Different people enjoy different things, so why should you continue to gift the same presents to every person you care about? Try to personalize gifts for everyone you care about and enjoy the lifelong memories that you are creating. n

Giving someone an experience gift shows that you are thoughtful and that you care about what they enjoy. Next time a loved one’s birthday comes up, treat them to something they would truly enjoy, whether it may be a day at the spa, a dinner at their favorite restaurant, a skydiving trip, or an afternoon at a chocolate tasting.

Celebrating 30 Years with 30% Off We have many one-of-a-kind pieces — you are sure to find the perfect holiday gift! Open 7 days a week from Thanksgiving to Christmas for your holiday shopping and convenience.

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732.370.4840 www.JewelryLinkNJ.com YOUR ONE STOP JEWELRY STORE! 42

ASK THE DOCTOR HOLIDAY 2014

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www.mosaicsalonspa.com www.MonmouthCountysAskTheDoctor.com

H E A LT H Y M I N D & S O U L

Having Empathy Is the Last Way to Help Someone By Brianna Siciliano

hen we see someone we love suffering, whether it be emotionally or physically, we feel the urge to help them in any way possible. We try to mend them back to better health and help them find happiness once again. During this time, we feel sorry and empathetic for our loved ones, but as it turns out, feeling sorry for our loved ones is not what we need to do. While being empathetic for struggling and suffering loved ones, we are treating ourselves like the struggling soul. We put ourselves in our loved one’s shoes and imagine what their life is currently like. If our loved one is drowning in their sorrow, we jump into the same sorrow and drown ourselves. Is that healthy for anyone? Not at all. Instead of helping the person you intend to help, you end up hurting him or her, as well as hurting yourself. If you truly want to help someone, do not focus on how horrible their current situation is. Do not feel sorry for him or her, because when you do, you do not envision him or her as an equal. Instead, you envision him or her as someone who is less than you are. Instead of putting yourself in their situation, briefly acknowledge their pain and situation. Do not do this for too long—just long enough to discover what you would like for your loved one to feel. For example, if your sister is going through a terrible break up, you want her to find happiness and strength. Picture your loved one at his or her best. Look at

him/her as a healthy, happy, confident, powerful person and think of how you can help your loved one get to that successful point. Do not let yourself get sucked into a complaining conversation with them. Do not complain about the situation that is at hand; instead, stay happy and light. If your loved one must complain, you can listen and allow that, but do not join in. By complaining, you spend a lot of energy on the grieving process and less energy on the healing process. Next, acknowledge that your loved one has the right to feel how he/she feels. When people are in pain, they want others to validate that their pain is real. To acknowledge your loved one’s pain in a safe way, say something along the lines of “_______ is a natural reaction to a situation like this,” or “it is okay to be _______.” It is important for you and your loved one to acknowledge the pain that he or she is suffering because once their feelings are acknowledged, they can begin the process of feeling better. Help your loved one remember who he/she is. Help your loved one find his or her happiness once again. If your brother is struggling, and he used to love painting or boxing, reintroduce him to his passion. If your best friend falls ill, and misses the times where she was able to cook and watch her favorite movies, find a way to incorporate cooking and her favorite films back into her life. Empathy is not going to solve anything, but taking action will. n

P ROF E S SI ONA L C H R I S T IA N C O U N SE L OR S

Practical Family Counseling, llc

Our mission “is to let God lead the way in your life.” Family & Marriage Counseling • Grief Bereavement Teens Affairs • Anxiety • Depression • Personality Disorders Sexual & Drug Addictions

4400 Route 9 North Suite 1000, Freehold Office: 732-303-7574 • Cell: 732-762-7212 1-877-291-0004 • 1-800-514-0071 Hamilton Office: 609-528-5600

ASK THE DOCTOR HOLIDAY 2014

By Jill Garaffa

o, what in the world is “Life Coaching” anyway? This field has gained much popularity over the past decade in the world of business, but what many people may not realize is that life coaches also work with people on a personal level. Similar to how a personal trainer can bring you to your full potential with your body or a musical coach or athletic coach can inspire greatness with a musician or athlete, life coaching is a process that helps bring out your full potential in your life. Whether your goals are around career, health & wellness, relationships or finances, a coach can help you get out of your own way, clarify what you want and help you gain momentum to have breakthroughs in your life. Unlike counseling or consulting, Life Coaching does not offer professional advice or answers for your circumstances. Rather, life coaching supports you by offering objective feedback so you can find your own answers. Coaches ask thought provoking & powerful questions, offer observations and may challenge and encourage you to stretch beyond your comfort zone. Coaching is a wonderful investment and excellent tool to support you with growing into your highest potential. Jill Garaffa, OTR/L, PCC, ELI-MP is a Licensed Occupational Therapist and Professional Certified Life Coach providing Health & Wellness Coaching for individuals and organizations. For more information, please visit www.seedsof changecoaching.com or call 732-8596962. n

H E A LT H Y M I N D & S O U L

What Is Life Coaching?

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T H E H E A LT H Y PA L AT E

Cream Cheese Pound Cake This delicious cake is a healthy substitute for pound cake. It is just as delicious as pound cake, with only a third of the fat and calories. Directions

Ingredients 1 ½ cups of whole-wheat pastry flour

2 tablespoons of light corn syrup

1 ½ cups of all-purpose flour

6 large egg whites

1 ½ teaspoons of baking powder ½ teaspoon of salt 3 large eggs ½ cup of nonfat buttermilk ½ cup of canola oil

1 tablespoon of vanilla extract 2 cups of sugar, divided ½ cup (1 stick) of unsalted butter, softened 8 ounces reduced-fat cream cheese

Preheat oven to 325°F. Coat a 12-cup Bundt pan with cooking spray and dust the pan with flour. Whisk whole-wheat flour, all-purpose flour, baking powder and salt in a medium bowl. Whisk the whole eggs with buttermilk, oil, corn syrup and vanilla in a separate medium bowl until well blended. Beat the egg whites in a separate large bowl with an electric mixer on high speed until light and foamy. Gradually beat in 1/2 cup sugar until stiff glossy peaks form. Beat butter and cream cheese in a large bowl until creamy. Add the remaining 1½ cups sugar and beat, scraping down the sides of the bowl as needed, until pale and fluffy, for about 4 minutes. Alternately add the flour and buttermilk mixtures, beating until just smooth. Fold in about one-third of the egg whites with a rubber spatula until everything is smooth, with no white streaks remain. Fold in the remaining egg whites. Scrape the batter into the prepared pan, spreading evenly. Bake the cake until a skewer inserted into it comes out clean, and the top springs back when touched (should be around 1 hour to 1 hour and 10 minutes). Let the cake cool in the pan on a wire rack for 10 minutes. Loosen the edges of the cake with a knife and turn the cake out onto the rack; let it cool for at least 1 hour more before slicing. n

ASK THE DOCTOR HOLIDAY 2014

T H E H E A LT H Y PA L AT E

HoneyBaked Ham Serves Up a Healthy Holiday

ver 40 years ago, Harry J. Hoenselaar began a special tradition when he opened his first “The HoneyBaked Ham” Company store in Michigan. He’d select the finest quality bone-in ham, cure it in his secret marinade, and then for tenderness, he’d smoke the ham for hours over a unique blend of hardwood chips. The crowning touch was Harry’s crunchy sweet glaze that crackled with good taste. He even found a way to slice the ham into perfectly even slices. He invented and patented a unique machine that slices a ham in a single, continuous spiral. The rest is history. Every store of HoneyBaked Ham still prepares the same way Harry did… one ham at a time. Fully prepared, spiral-sliced, HoneyBaked Ham or gently roasted, sweetly glazed turkey breast, you can be sure it will always be perfect. A family owned business, the HoneyBaked Ham store located on Route 35 in Middletown/Red Bank in the Union Square Shopping Center has been serving the community with the finest quality hams on the market for over 15 years. The HoneyBaked Ham is not only known for its savory meats, but also its hearty side dishes and delectable desserts. Packages can be ordered and sent directly to the home or office of corporate clients or relatives. The store also offers catering with hot food or sandwich platters and let us not forget their great individual boxed lunches which would go perfectly with a fresh, homemade soup! The Middletown store has become quite famous for providing ‘the alternative to flowers’; a bereavement gift to share with loved ones. Store owner, Keith Visone says, “Flowers are quite expensive and don’t last very long, but sending a loved one food during a time of need not only lasts but provides comfort for the entire family to enjoy.” Don’t let this holiday pass by without putting a HoneyBaked Ham on your table… the world’s BEST ham! For more information on the Middletown store, or to place an order call 732-842-1115.

www.myhoneybakedstore.com/middletown/2702

Gluten Free for Healthy Holiday Dining HoneyBaked Ham signature meats, including the ham, are all natural and gluten free. The glaze was specifically re-formulated many years ago to create a healthier choice that gluten free customers can enjoy.

Call Now To Place Your Order!

574 Route 35 South Middletown/Red Bank, NJ 07701

732.842.1115

www.MonmouthCountysAskTheDoctor.com

T H E H E A LT H Y PA L AT E

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To redeem this certificate, visit the Member Services Desk at your local Sam’s Club® located at 320 W. Main St., Freehold, NJ. Limit 1 of each item per membership. Must scan all products at checkout to redeem.

320 W. Main St. Freehold, NJ 07728 732.780.3943

Welcome package offers valued at $20 and can be redeemed only one time. Offers not valid online. Offers cannot be combined with any other offer or promotion. No cash value. While supplies last. No rain checks. Welcome package for new members only. Walmart® and Sam’s Club® associates are not eligible for this offer. Package includes one free Rotisserie Chicken, free 2 pack French Baguette, free 18 – 36 count Daily Chef™ Cookies (assorted varieties), $3 off 40 pack Member’s Mark® Purified Water, $3 off 32 oz. Grape Tomatoes, $4 off 6 count Bell Pepper Multipack. State and local laws may require sales tax to be charged on the pre-discounted price of an item with an Instant Savings offer. Offers valid 30 days from date of new member sign-up. Available in clubs with a Rotisserie department. Sam’s Club® Advertised Merchandise Policy — It is our firm intention to have every advertised item in stock. Occasionally, however, an advertised item may not be available for purchase due to unforeseen difficulties. We reserve the right to limit quantities to normal retail purchases or one-per-member or household, and to exclude resellers. We have done our best to ensure all information in this piece is accurate and up-to-date. Errors and omissions occasionally occur and are subject to correction. Pricing and item availability may vary by location and in Alaska, Hawaii, Oklahoma, Puerto Rico, Wisconsin and on SamsClub.com. © Copyright 2014 Sam’s Club. All rights reserved. Designed by Sam’s Club. Not all products may be available in all locations. Quantities may be limited on select items. Information is current at press time. All trademarks are property of their respective owners. Not responsible for typographical and pictorial errors. Unless otherwise noted, prices for items ordered at SamsClub.com do not include shipping costs. Go to SamsClub.com to see item-specific shipping costs and restrictions. Visit SamsClub.com/clublocator to find a club near you. Visit SamsClub.com for additional items.

ASK THE DOCTOR HOLIDAY 2014

T H E H E A LT H Y PA L AT E

What Would Happen If Carbs Were Eliminated from Our Diets? By Brianna Siciliano

s surprising as it may sound, you can eat carbs and still maintain great health, and even lose weight! Over the years, tons of trending diets like Atkins and Paleo diets have drilled the principle that diets with high protein and low carbohydrates are the keys to weight loss and weight maintaining, but that is completely false. There is no need to banish all carbohydrates from your everyday diet. In fact, getting rid of carbs may hurt your health instead of help it. Why would you want to do that? People always assume that all carbohydrates are not good for you, and that in order to lose weight and maintain great health, we need to limit carbohydrate intake or eliminate the entire food group completely. This, however, is a major myth. Refined carbs, like sugar, white bread, biscuits, and candies, are the carbs to limit or eliminate, sure. These carbs lack vitamins, fibers, and minerals, and these carbs are usually high in glycemic load. So basically, by reducing or eliminating intake of these refined carbs will help lessen and eliminate inflammation, and at the same time, decrease the aging process. The carbohydrates that provide us with lots of nutrients, like vegetables and fruits, are the carbs to keep

eating. Unrefined carbs contain healthy amounts of antioxidants, minerals, fibers, and vitamins that are vital to our body’s health. These nutrients help improve our heart health, bone health, and digestive system while fighting off inflammation and cancer. With this being said, a lack of healthy carbs––the unrefined carbs––can be dangerous for our bodies. Another huge myth that has been drilled into our brains is that we are supposed to avoid eating carbs after training. Well, this is completely untrue! Unrefined carbs are necessary after working out. Our muscles need protein and unrefined carbs after workouts to replenish glycogen stores, rebuild micro-tear (to help our body’s avoid workout soreness), and prevent further muscle breakdown. After exercising, it is important to replenish our bodies with foods that our bodies crave, for example: bananas, apples, sweet potatoes, and dark green vegetables. Overall, it is important to realize that carbs are good and bad for our bodies. Do not avoid eating carbs, eliminate carbs, or go on low-carb diets to lose weight or maintain health. Instead, eat a balanced diet and enjoy living your healthy life. n

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QUESTION: I love cheese, but it contains fat. Shouldn’t I avoid it?

health of your skin and other membranes. Vitamin C makes you less o! Yes, cheese does contain fat, and many people are concerned about limiting their fat consumption, especially vulnerable to a multitude of diseases. Vitamin E is crucial to absorbAmericans. Other countries have higher cheese consumption, yet ing other nutrients and maintaining good health. For those who are lactose intolerant, natural cheeses such as lower occurrence of hypertension and obesity. Cheese has fatty acids and saturated fats, both of which assist our bodies to absorb Farmhouse Cheddar, Aged Gouda, Gruyere, Parmigiana Reggiano contain minimal amounts of lactose, because most of the lactose fat-soluble vitamins and regulate all sorts of biological processes. Cheese is a high-quality food that is rich in nutrients. It has and is removed when the curds are separated from the whey in the cheese making process. Most dairy foods are gluten-free, espeshould be a part of any healthy eating plan. Your body needs protein, carbohydrates, fats, and a full accompaniment of vitamins cially natural cheeses. To learn more about the common and minerals. Cheeses are excellent myths and misperception of cheese, sources of complete proteins; those speak to Stephen Catania at The proteins that contain all eight of the Cheese Cave at 14 Monmouth Street amino acids humans need, as well as in Red Bank or call 732-842-0796. n calcium, potassium, and vitamins. Recent studies show that both adults and children are deficient in calcium, potassium, or vitamins, particularly vitamins A, C, and E. Calcium is needed for strong bones and teeth, assists blood to clot and in the way your nerves, muscles, and heart function. Where the love of artisan cheese 14 Monmouth Street, Red Bank Potassium is essential to maintaining meets the love of food and friends! 732-842-0796 healthy cells and it helps nerves to Gifts • Gourmet Grocery • Catering • Private Events www.cheesecave.com function well. Vitamin A is vital to the

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Deceiving Food Options:

Don’t Fall for the Tricks By Brianna Siciliano

ravings for mouth-watering treats arise at every corner. We often feel the need to fulfill our desires with options that are believed to be healthier.

For example, instead of grabbing the chocolate bar that has caught our eye, we decide to grab the pre-made trail mix. Trail mix is supposed to be healthy, right? Well, most trail mixes are loaded with deep fried banana chips, yogurt covered raisins, and handfuls of chocolate treats. Two large handfuls of trail mix adds unnecessary sugars, calories, and carbohydrates to our bodies. Are you still craving trail mix? The healthiest trail mixes are the ones that are homemade. Throw a bunch of seeds, dried fruits, unsalted nuts, and a few chocolate treats together and enjoy your healthy treat. Likewise, health bars seem like a quick, healthy, and harmless snack. For instance, fiber and protein bars are high in their added-in nutrients, but the calories and processed ingredients cause the snack to be almost as unhealthy as candy bars. To get better proteins and fibers, go for a cheese stick, an apple, or an ounce of almonds. In a similar and deceitful way, fat-free foods always seem to grab our attention. Do your best to avoid falling into the fat-free trap! Fat-free foods are not always the best option. In fact, most fat-free flavored yogurts have around 15 grams of sugar in a tiny 6-ounce serving. Instead of getting a fat-free flavored yogurt, buy a plain, fat-free Greek yogurt and add some fruit. Be mindful of every food that enters your body, no matter how healthy the food may seem. n

Local Raw Honey—Boundless Health Benefits Local honey is delicious AND nutritious! Some benefits include: Holiday Bazaar coming in December! From The Garden Inc. is going to be opening it’s doors for our 2nd anual Holiday Bazaar. We’re going to have special guest vendors selling all sorts of great gift items. With a focus on locally produced food, we want to give you a taste of all we have to offer and more. The event will be Sunday December 7th from 10am-5pm. Allergy Relief Just a few teaspoons of honey each day can help reduce or even eliminate pollen related allergies. Honey that is local (produced within 50 miles of your home) and raw (never heated or pasteruized) contains trace amounts of the very pollen that causes allergies. Introducing this to your system acts as a sort of vaccine. Topical Salve Raw honey has antiseptic properties. When other topical antibiotics are not well tolerated, honey can be made into an ointment and applied to cuts and wounds, drawing out infection and aiding in healing. Healthy Sweetening Refined sugar and artificial sweeteners are extremely bad news for your health. These processed sweeteners have been directly linked to higher instances of diseases like diabetes and obesity, which wreak havoc on the human body. Honey is much easier for the body to break down and use, wherease refined sugar and artificial sweeteners are mostly stored as fat. Throat Soother Honey taken by the spoonful will soothe a sore throat and acts as a cough suppressant. Adding honey to tea or another favorite warm beverage ups the comfort level even more!

Visit From the Garden for honey and more! We specialize in honey party favors for your wedding, shower, or other special event. See our busy bees working up close in our observation hives, and create a unique gift with our custom gift baskets! From the Garden is open year round, every day except Monday. We’re looking forward to your visit!

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Pumpkin-Pie Pudding Want to surprise your family with a delicious, creamy treat? Any pumpkin lover will delight at the sight and taste of this wonderful dessert! Ingredients 15 ounces of solid-pack pumpkin 12 ounces of evaporated milk ¾ of a cup of sugar ½ a cup of biscuit/baking mix 2 eggs, beaten 2 tablespoons of butter, melted 2 ½ teaspoons of pumpkin pie spice 2 teaspoons of vanilla extract Whipped topping, optional Directions In a large bowl, combine and blend all the ingredients except the whipped cream. Then, transfer the ingredients in the bowl to a 3-qt. slow cooker that was coated with cooking spray. Cover and cook on low for 6-7 hours, or until a thermometer reads 160°. Serve in bowls with whipped cream on top, if desired. n

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Four Negative Effects of High Protein Diets

Discover Your Steps to Optimal Health

By Brianna Siciliano

any high protein fad diets, including the Atkins Diet and the South Beach Diet, emphasize eating lots of protein and persuade dieters to avoid carbs like bread, pasta, potatoes, and rice. This protein based diets can help us feel full for longer periods of time and stabilize our blood sugar levels, but they also carry four significant that are not worth taking. 1. Research shows that high protein diets increase risks of osteoporosis. Women who eat high protein diets filled with meats have a higher rate of bone density loss than those who do not. Women who eat lots of meat lose an average of 35 percent of their bone density by the age of 65, while women who do not lose an average of 18 percent. Doctors believe that this is because a high protein diet requires your body to process more calcium. While many high protein diets allow people to consume dairy products like milk, cheeses, and yogurts, our bodies might still take the calcium from our bones to help process the high amounts of protein that we are consuming.

tep by Step – Wellness is dedicated to providing you with complete support in nutrition as well as mind, body and spirit. By looking at how all areas of life are connected, my clients develop a deeper understanding of the foods and lifestyle choices that work best for their bio-individuality and together we implement lasting changes step by step that will improve their energy, balance, health and weight.

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Make sure to fill your diet with foods from all of the food groups, not just proteins! 2. High protein diets are known to cause kidney problems. Our kidneys are responsible for filtering substances, including protein, from our blood. If there is a lot of protein in our diet, our kidneys are working extremely hard and eventually, our kidneys can be strained. People who have reduced kidney function should definitely avoid high protein diets. 3. When eating lots of protein and avoiding carbohydrates–– which are needed to make energy––we are forcing our body to burn dietary fat and protein to make energy. Since we are not getting energy from our carbohydrates, our body burns the protein in the tissues of our hearts, livers, and kidneys for energy. Damage to these organs can eventually lead to organ failure. 4. High protein diets are known to cause nutritional deficiencies. Fruits and vegetables are necessary to a healthy diet because of the vitamins and minerals they provide to our bodies. Cutting out these foods because of their carbohydrates eliminates the dietary fiber and increases the risk of vitamin E and B deficiency. Risks for irritable bowel syndrome and colon cancer are also increased. High protein diets are dangerous may help us drop weight quickly, but in the long run, the risks of these diets are not worth it. n

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Living With Diabetes: Keep Your Feet Healthy By Brianna Siciliano

If you experience any of the following symptoms, contact your health care provider or a podiatrist (foot doctor) right away.

f you have diabetes, it’s important to take care of your feet and the rest of your body. Checking your feet daily can prevent serious problems. People with diabetes can develop serious problems with their feet that can affect how easily they can walk, and even lead to amputation. Many of these serious problems can be prevented by taking good care of your feet and your health. Research shows that diabetes often causes problems with feet and legs, and these problems can be severe. Amputations in people with diabetes account for more than 60% of the amputations of legs and feet not resulting from an injury, such as from a car crash. People with diabetes were eight times as likely to lose a leg or foot to amputation as people without diabetes, according to CDC research.

• You may feel pain in your legs or cramping in your buttocks, thighs, or calves during physical activity. • Your feet may tingle, burn, or hurt. • You may lose the sense of touch or not be able to feel heat or cold very well. • The shape of your feet may change over time. • The color and temperature of your feet may change. • You may lose hair on your toes, feet, and lower legs. • The skin on your feet may become dry and cracked.

These are some of the ways that diabetes can harm your feet:

• Your toenails may turn thick and yellow.

• Diabetes reduces blood flow to certain areas of the body, especially the legs and feet, which makes it harder for your body to heal injuries.

• Fungus infections such as athlete’s foot may appear between your toes. • You may have blisters, sores, ulcers, infected corns and ingrown toenails.

• Diabetes nerve damage may cause you to no longer feel pain in your feet, and you may not realize you have a wound or injury that needs treatment.

If you have diabetes, it is best to see a podiatrist who can monitor and manage the disease so you can stay healthy. n

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Prioritizing Your Health Concerns By Brianna Siciliano

s we get older, we have one ultimate goal in mind: to stay healthy. Sometimes, we don’t always know what we need to do to stay healthy. Sure, we watch what we eat and exercise as often as we can, but is that enough? Not at all! Once the age of 60 is reached, or surpassed, there are multiple tests that are recommended to keep seniors happy, healthy, and safe. These tests can be done, or ordered, whenever you visit your regular doctor. Your doctor may even recommend additional tests for you based on your personal health profile. So what tests should you look into taking, if you have not already done so? See if any of the tests below catch your eye!

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A major health issue with seniors has to do with blood pressure. You might one of the millions of Americans who have high blood pressure and do not even know it! It is very important to get your blood pressure regularly checked by health care providers to make sure that your blood pressure is normal so that your heart, arteries, brain, eyes, and kidneys stay healthy and safe. If you want to avoid having heart attacks or strokes, it would be a good idea to get a cholesterol screening. High cholesterol levels are a major reason as to why seniors have heart attacks or strokes. The good news, though, is that high cholesterol can be treated by medications and a set diet. Measuring your levels of total cholesterol, HDL “good” cholesterol, and LDL “bad” cholesterol, is very important to do regularly. Are you a woman who is afraid of having osteoporosis? Make sure to protect your bones! Osteoporosis is not a force to be reckoned with. People with osteoporosis who suffer from fracture, especially if the fracture is in the hip, significantly increase their risks of permanent disability, or even death. All women should have a bone density test at the age of 65, unless a woman is at a higher risk. In that case, the screening test should be completed at the age of 60. Have you been visiting the eye doctor at least once a year since you turned 60? Well, you should be! Eye diseases like macular degeneration, cataracts, and glaucoma are common diseases to be diagnosed with as we get older. Our eyes should be checked every two years until the age of 60, and then once a year after that milestone. Having your eyes screened can maximize and preserve your vision. It is always a great idea to ask your doctor about different screenings and exams, like prostate cancer screenings, pelvic exams, or breast exams and mammograms. It’s better to be safe than sorry, right? If you have any health concerns or questions, do not hesitate to ask your doctor. You deserve to feel great as the independent, important, and healthy person that you are! n

AS WE AGE

Perks of Being a Senior By Brianna Siciliano

n today’s society, everyone wants to remain forever young. People are always making comments about how ‘young’ we look. Sure, being young has its benefits, but being a senior has just as many. Studies show that seniors are among the happiest groups of people in the world, which may come off as a surprise to many. The truth is: seniors are the most comfortable in their skin. When we are comfortable and confident with ourselves, we stop holding ourselves back from participating in various events and activities. With age, we learn that sweating the small stuff is not worth our time. Instead, we focus on what is truly important and valuable, which brings us to the next perk of being a senior: grandchildren. Being a grandparent is an incredible experience. Grandparents get to experience the joys of little children with the perks of not having to change diapers or wake up in the middle of the night. “The best baby-sitters, of course, are the baby’s grandparents. You feel completely comfortable entrusting your baby to them for long periods, which is why most grandparents flee to Florida.” (Dave Barry). One of the best advantages of being a senior is using senior discounts. When living with a fixed monthly income, it is important to make sure that all of the money is not being spent on leisurely activities. Thanks to senior discounts at the movies, amusement parks, and restaurants, seniors do not have to feel trapped or left out on modern day activities. Being 65 and older doesn’t sound so terrible anymore, does it? n

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What You Need to Know About Shingles and Its Vaccine

n the U.S., currently 1 million people get shingles every year, and about one out of every three people will get shingles in their lifetime. Shingles, also known as zoster or herpes zoster, is a painful skin rash caused by the varicella zoster virus, the same virus that causes chickenpox. If youâ&#x20AC;&#x2122;ve had chickenpox, you are at risk of getting shingles. One out of every three people, 60 years old or older will get shingles. One out of six people older than 60 years who get shingles will have severe pain. The pain can last for months or even years. The most common complication of shingles is severe pain where the shingles rash was. This pain can be debilitating.

There is no treatment or cure from this pain. As people get older, they are more likely to develop long-term pain as a complication of shingles and the pain is likely to be more severe. Shingles may also lead to serious complications involving the eye. Very rarely, shingles can also lead to pneumonia, hearing problems, blindness, brain inflammation (encephalitis), or death. Adults 60 years old or older should talk to their healthcare professional about getting a one-time dose of the shingles vaccine. n

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