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Your activities are missing you. Orthopedics & Sports Medicine
Let us help you get back to what you love. No matter the problem – whether it be joint pain, muscle pain, back pain, or any pain keeping you from life – our skilled and compassionate experts can help. To schedule an appointment, call 801-38-SPORT.
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McKay-Dee Hospital
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Davis Hospital Cancer Center
Comprehensive Cancer Center With a Team Approach
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Medical Oncology/Chemotherapy • Radiation Therapy - Offering TomoTherapy®, advanced cancer treatment that reduces harmful side effects • Surgical Oncology - Skilled surgeons providing you with individualized surgical options Breast Care Center - 3D mammography to increase earlier detection and decrease false alarms - Convenient online scheduling at DavisMammo.com
Nurse Navigator - Caring medical professionals to guide you through the cancer process from diagnosis to recovery Community and Support Services - Dietary support and nutritional guidance - Educational classes - Financial aid - Physical therapy - Support groups - Services offered in association with The American Cancer Society
For more information or to schedule an appointment, call 801-807-7777.
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BREAST AUGMENTATION GYNECOMASTIA ABDOMINOPLASTY LIPOSUCTION THIGH LIFTS FACELIFTS BLEPHAROPLASTY OTOPLASTY RHINOPLASTY JUVEDERM BOTOX
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YOUR TRUSTED SOURCE FOR PLASTIC SURGERY & MEDICAL SPA IN THE GREATER SALT LAKE AREA
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Ten Tips: A Restaurant Survival Guide Food is a celebration, but eating out doesn’t do our body any favors, unless we exercise a little discipline.
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Reviews: Kitchen Products and Healthy Snacks to Get Excited About
Reusable baking sheets, chickpea snacks and Figgy Pops; food products you should know about in 2016.
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Overcome Your Cooking Barriers
It’s not hard to find an excuse to avoid the kitchen, but culinary experiences can be rewarding. Here are the common barriers and how to leap them.
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Cooking With Kiddos
Tired of eating at the same old restaurant chains? We’ve got your new restaurant bucket list right here.
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The idea of cooking with small children is enough to make some parents scream. But cooking with your kids can be immensely rewarding with the right approach.
Pay the Painful Produce Price It might be time to move beyond the debate about whether eating healthier costs more. It does, so decide if the sacrifice is worth it.
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How We All Make Irrational Decisions We like to think our heads are screwed on straight, but research says we make unreasonable decisions all the time.
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Versions of Introversion
The “introvert” and “extrovert” labels we like to pin on others and ourselves are often worthless. Delving a little deeper into the types of introversion might be helpful, however.
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Recipes Upside-Down Apple Pie Green Coconut Bowl Pumpkin Pancakes Roasted Chicken: Become an Expert
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CARE for ALL Close to You
Comprehensive Women’s Care Whether you need a routine exam or specialized maternity services, we offer high-quality, personalized care for women of all ages. For more information or to make an appointment, call 866-431-WELL. MyWomensCare.com 1600 West Antelope Drive, Layton, UT 84041 Find, follow and watch us:
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Healthy
FROM THE EDITOR
QUANTITY TIME
WITH
UTAH
®
SOMETIMES MORE IS MORE.
AS I THINK ABOUT MY PARENTS, I REALIZE THAT I WANT TO SPEND MORE TIME WITH THEM, REALLY DOING JUST ABOUT ANYTHING. TIME IS SO VALUABLE; TIME TOGETHER, EVEN MORE SO. I’VE HEARD THE RHETORIC ABOUT QUALITY AND QUANTITY, AND I FEEL THE OPTIMAL MIX IS A HEALTHY BLEND OF BOTH. MOST PARENTS ADMIT IT’S IMPORTANT TO SPEND ‘QUALITY’ TIME WITH THEIR KIDS, BUT ALSO ADMIT THAT SPENDING QUALITY TIME IS CHALLENGING. I’m still trying to define ‘quality’ time. Does simply driving from point A to point B together count? What about time doing chores, doing homework, or simply watching television together? Which is higher quality time—watching your child perform a sport, or playing a sport with them? Working together or playing together? That is the question. In a recent study of parents and caregivers, 94 percent drew a correlation between the quantity of ‘meaningful time’ adults spend with children and the way kids handle major issues, including discipline and substance abuse. Drawing a connection between meaningful time and child behavior is one thing, but actually taking the time to discuss major issues is another, according to a study conducted by the Pennsylvania-based non-profit group KidsPeace. The study found 54 percent of participants saying they “had little or no time,” or wished they had more time to spend in physical activities with their kids, such as taking a walk or playing catch. Dr. Alvin Poussaint, a Harvard psychiatrist who helped oversee the study, says about 3 1/2 million households —representing 7 million youngsters—spend an hour or less a week in a physical activity with their children. Alas, good intentions generally get sidelined by parents’ work schedules and other demands.
virtually any quantity of time can quickly become quality time. Communication and making a connection is the key to creating quality in the time we spend with each other. Driving from A to B can easily be quality time if we turn down the tunes and talk. Talk radio, in all its flavors, is high food for fodder, but hardly a tie that binds a relationship in the long run. Shuttling your daughter from school to dance isn’t quality time when Imagine Dragons, Dr. Oz, or the daily news is all we hear. For that matter, sitting through a movie isn’t exactly fertile ground for making a quality connection. You get the point. C.T. O’Donnell, the president and CEO of KidsPeace, said the most important thing a parent can do to connect with their child is to be aware of the situation, recognize a child’s need and find a way to act on it. “They can listen to their children. They can talk, not to their children, they can talk with their children. They can take walks in the park. They can spend meaningful, interactive reading time with their kids,’’ O’Donnell said. So, as the weather turns heavenly and we begin to budget the nice outdoors with our hectic schedules, take the time to make time. Whether it’s more about quality or more about quantity isn’t really a question at all. Either way, it’s about time. Spend it wisely.
WRIT TEN BY JOHN A. ANDERSON, EDITOR IN CHIEF
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EDITOR-IN-CHIEF John A. Anderson | john@healthy-mag.com PUBLISHER Kenneth J. Shepherd | ken@healthy-mag.com MEDICAL DIRECTORS Steven N. Gange, M.D. and Lane C. Childs, M.D. OPERATIONS MANAGER Allyson Long | allyson.long@healthy-mag.com DESIGN EDITOR Phillip Chadwick | design@healthy-mag.com MANAGING EDITOR Michael Richardson | michael@healthy-mag.com ONLINE EDITOR Chelsa Mackay | chelsa@healthy-mag.com CIRCULATION MANAGER Ron Fennell | distribution@healthy-mag.com CONTRIBUTING & STAFF WRITERS Caitlin Schille, Angela Silva, Megan Moore, David Joachim, Mark Saunders CIRCULATION
Healthy Utah® is distributed widely to more than 800 locations along the Wasatch Front. It is also direct mailed to doctors, dentists, practitioners, health clinics, banks and other businesses along the Wasatch Front.
Healthy Utah® Magazine 256 Main St., Suite F l Alpine, UT 84004 (801) 369-6139 l info@stardocs.com To be included in our free online directory, or to advertise or get content published please e-mail us at info@healthy-mag.com PLEASE NOTE: The content in this publication is meant to increase reader awareness of developments in the health and medical field and should not be construed as medical advice or instruction on individual health matters, which should be obtained directly from a health professional. The opinions expressed by the authors and advertisers are not necessarily those of the publisher. Call for reprint permission. All stock photography by Shutterstock.com, unless otherwise noted.
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SO, WHERE DOES THIS LEAVE US? Apparently quantity time is the weightier factor, the scarce commodity. So many of us just need to take time to spend with our kids—doing anything. We need to make time. It is my observation that 26quantity years and counting...
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Arts Hale Centre Theatre West Valley City
Healthy Events
May/June ‘16
APRIL 21 - JUNE 04 JANE EYRE 225 West 400 North, Orem, UT 84057
MAY 21 TIMP TRAIL MARATHON
MAY 7 COLOR ME RAD 5K Draper Park
Thursday May 19th & Friday May 20th from 10 am – 6 pm at T3 Triathlon 870 W Center Street Orem, UT 801-769-3576
MAY 14 GHOST TOWN TRIATHLON & 5K SYRACUSE 10 HEALTHY UTAH
Races
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MAY 22 PAUL SIMON
Maverik Center Spend an evening with legendary singer-songwriter Paul Simon May 22nd at the Maverik Center.
MAY 6
Fun
#GOMOMGLOW GLOW FEST SCERA Park 701 South State Street, Orem, UT
JUNE 25 BOSTON: 40TH ANNIVERSARY
USANA Amphitheatre
USANA Amphitheatre will rock this summer when Boston’s 40th Anniversary tour rolls into town June 25th. Don’t miss out!
JUNE 3 MACKLEMORE AND RYAN LEWIS
Saltair
Saltair will be hoppin’ when Macklemore and Ryan Lewis bring their tour supporting “This Unruly Mess I’ve Made” to town June 3rd. You will not want to miss this show!
Thanksgiving Point Gardens 3900 N. Garden Way, Lehi, UT Entry Fee: $15 Adult, $12 child, $12 senior
JUNE 14 STEELY DAN USANA Amphitheatre Don’t miss out on a night of classic rock music when Steely Dan bring their “The Dan Who Knew Too Much” Tour with special guest Steve Winwood June 14th at USANA Amphitheatre!
JUNE 24 - OCT 13 2016 COUNTRY MEGATICKET USANA Amphitheatre Get your 2016 Country Megaticket, a seven-show package featuring the summer’s hottest country shows at USANA Amphitheatre! This year’s Country Megaticket gives you the chance to see Jason Aldean 6/24, Keith Urban 7/21, Florida Georgia Line 7/29, Dierks Bentley 9/17, Luke Bryan 9/30 & 10/1 and Brantley Gilbert 10/13.
MAY 23 ANDREW BIRD
The Depot
JUNE 29 JANET JACKSON: UNBREAKABLE WORLD TOUR Vivint Smart Home Arena Janet Jackson is out on tour supporting her first upcoming album in 7 years. Catch her Unbreakable World Tour when it stops at Vivint Smart Home Arena June 29th.
Spend a night with folk artist Andrew Bird when his tour supporting his upcoming album stops at The Depot May 23rd. John Grant will open.
JUNE 14 THE CURE
JUNE 29 & 30 311
Maverik Center
The Depot
Get ready to rock when 311’s summer tour rolls into The Depot for two nights, June 29 & 30th!
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APRIL 15 - MAY 7 THANKSGIVING POINT’S ANNUAL TULIP FESTIVAL
Concerts
It’s true! The Cure will bring their 2016 Tour with guests The Twilight Sad to the Maverik Center June 3rd. You will not want to miss this show!
May/June 2016
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The Fine Art of
PLASTIC SURGERY Considered to be the Father of Plastic Surgery, Gaspare Tagliacozzi (1545-1599), eloquently stated that “We restore, rebuild, and make whole those parts which nature hath given, but which fortune has taken away. Not so much that it may delight the eye, but that it might buoy up the spirit, and help the mind of the afflicted.” The Plastic Surgeon is a Surgical Sculptor. Both cosmetic and reconstructive patients rely on the artistic skills of their surgeon. As one of the oldest of the healing arts, some plastic surgical procedures date back as far as 600 B.C. by ancient Indian physicians. Self-improvement in appearance has been sought for centuries. The term “Plastic Surgery” originates from the Greek word Plastikos meaning to form or to mold. When Dr. Grant A. Fairbanks, consults with a patient, he will draw diagrams to help the patient better understand proportions, the anatomy to be addressed and the concepts of the procedure to be performed. This is tremendously valuable as the patient develops a visual concept of their treatment plan. There is an extra level of confidence that their plastic surgeon is an artist. Dr. Fairbanks received his Medical Degree from Eastern Virginia Medical School in Norfolk, Virginia. He served in the U.S. Military at William Beaumont Army Medical Center in El Paso, Texas, and Raymond W. Bliss Army Community Hospital at Fort Huachuca, Arizona. His General Surgery and Plastic Surgery training was at Lehigh Valley Hospital in Allentown, Pennsylvania, affiliated with Penn State University. His Craniofacial Surgery fellowship training was completed at Riley Hospital for Children at Indiana University in Indianapolis, Indiana. He is in private practice and serves as an adjunct assistant professor of surgery at the University of Utah. He is certified by the American Board of Plastic Surgery.
the Utah State Capitol to the National Capitol in Washington, DC. His statuary includes the UofU Ute Indian, the BYU cougar, and many Utah high school mascots. His work adorns many Latter-Day Saint historic sites and Temples. Avard T. Fairbanks taught important lessons to include strength in a foundation or framework, and principles of rhythm and balance. He demonstrated accuracy with anatomic proportions. As a young boy, Grant A. Fairbanks traveled to Italy with his grandfather to learn about carving marble and sculpting monuments. This influence and his love of the arts encouraged further studies in high school and college. In fact, the first career choice of young Grant was to be an artist like his Grandfather. Grant A. Fairbanks was ultimately influenced by his father, Grant R. Fairbanks, MD, plastic surgeon and sculptor of the Eagle atop Eagle Gate in Salt Lake City. The combination of Art and Medicine in the form of Plastic Surgery lead Grant A. Fairbanks to start his own legacy. Dr. Grant A. Fairbanks continues his artwork to the benefit of his cosmetic and reconstructive patients. He serves as an instructor in a Medical Life Drawing and Sculpture Course, at an annual national professional society meeting. Dr. Grant A. Fairbanks combines Art and Medicine in the form of Plastic Surgery. He believes that Plastic Surgery is the finest of the Fine Arts.
Dr. Fairbanks is the past president of the Utah Plastic Surgery Society and the Salt Lake Surgical Society. His professional affiliations also include the American Society of Plastic Surgeons, the American Cleft PalateCraniofacial Association, and the International Society for Auricular Reconstruction. Dr. Fairbanks has had broad training in Plastic Surgery. He is highly trained in cosmetic surgical procedures of the face and torso. His work with fat grafting for both cosmetic and reconstructive procedures has produced impressive results. His special interest in congenital deformities include surgery of the ear (microtia), prominent ear, cleft lip and cleft palate. Dr. Fairbanks has a long history of interest in the Arts. This began with his great-grandfather, John B. Fairbanks, born of Utah pioneers. He was a painter in the 19th Century who studied in Paris and became an instructor in Art at the Brigham Young Academy, now Brigham Young University. Avard Tennyson Fairbanks, grandfather of Dr. Grant A. Fairbanks, was recognized at an early age for his extraordinary talent. Avard T. Fairbanks was the professor of sculpture at the University of Michigan. The thesis for his PhD was on Anatomical Design, having studied human anatomy as did Michelangelo and Leonardo DaVinci. While at Michigan, he provided the idea and the original hood ornament for the Dodge Ram. When he moved back to Utah he became Dean and founder of the School of Fine Arts at the University of Utah in 1947. He created great monuments from Hawaii to
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Dr. Grant A. Fairbanks
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FREEZE YOUR FAT AWAY!
Grant A. Fairbanks, M.D.
Fairbanks Plastic Surgery
COSMETIC & RECONSTRUCTIVE PLASTIC SURGERY DIPLOMATE AMERICAN BOARD OF PLASTIC SURGERY
American Society of Plastic Surgeons
(801) 701-8688 | www.fairbanksmd.com | 520 Medical Drive Suite 210, Bountiful, UT2016 84010 May/June 13 Facebook.com/HealthyUT
F I T N E SS
5
1
VARIATIONS TO THE CLASSIC BURPEE
Begin as if you are doing a normal burpee, but as you do your push up, spread your legs like you are doing a jumping jack. As you return to jumping position, bring your feet back together and finish your burpee as normal.
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B
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b
WRITTEN BY LAUREN TURVILLE
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Star Jump Burpee This variation is much like the standard burpee, but instead of jumping straight up, jump into a star position (arms and legs spread away from body). Finish burpee push-up as normal.
LEAVE BASIC BEHIND THESE BURPEE ALTERNATIVES WILL TARGET MUSCLES THAT STANDARD BURPEES DO NOT AND HOPEFULLY ADD SOME VARIETY TO THIS DREADED EXERCISE!
PUSH-UP JACK BURPEE
Single Leg Push-Up Burpee Begin with a standard burpee jump. As you descend into pushup position, raise one leg in the air, complete your push-up, and return to jumping position. Be sure to keep correct form in your push-up. Alternate legs with each rep.
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Mountain Climber Burpee First complete the standard burpee jump. Proceed to push-up position but instead of completing a push-up, perform a mountain climber (one knee up to the chest), alternating each leg 2 times. Return to start position and repeat.
Box Burpee Be prepared with a step, box, or ledge. In this variation, instead of completing a normal jump up and down, jump onto your box or step. As you jump back down, complete your push-up and repeat. As you are jumping, be sure to keep your feet shoulder width apart and knees slightly bent.
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ACTION SPORTS PHOTOGRAPHY / SHUTTERSTOCK.COM
THE DEATH OF
Why BMI should no longer be used to determine health status WRITTEN BY LAUREN TURVILLE
Body Mass Index (BMI), a ratio of a person’s height to weight, has long been a guide to determine an individual’s health status. It is often used to know what health care costs should be, particularly by employees when evaluating their workers. Recently, the Equal Employment Opportunity Commission proposed that people with high BMIs should have to begin paying higher health insurance premiums. The problem with this is that new research shows that BMI is an inaccurate gauge of health. UCLA psychologists explain that although BMI may tell generally whether an individual is underweight, healthy weight, overweight, or obese, a given weight category cannot accurately predict the health problems an individual will experience. This means that the BMI calculator will label many people who are obese as unhealthy, because obesity is associated with health problems such as diabetes, cardiovascular disease, hypertension, and some cancers, even if the individual is not diagnosed with any of these. On the other hand, the individuals in a normal BMI range are automatically labeled as healthy, when this an often faulty blanket assumption. A. Janet Tomiyama, assistant professor of psychology at UCLA and a leading BMI researcher, published her findings in the International Journal of Obesity. She believes that because of its inaccuracy to determine health, BMI should no longer be used. “Many see obesity as a death sentence, but the data show there are tens of millions of people who are overweight and obese and are perfectly healthy,” she says. Among many other things, the study found that 34.4 million Americans who are considered overweight are healthy, as are 19.8 million who are, according to their BMI, obese. Although BMI will tell you under which weight category you fall, it does not take into account many important factors that determine health status and therefore should not be used as a determinant of health care cost. A more in depth evaluation should be done to determine an individual’s actual health status that would then estimate health risks and the resulting cost of health care. Tomiyama’s study: www.nature.com/ijo/journal/vaop/naam/pdf/ijo201617a.pdf
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Lebron James and Cam Newton are considered overweight according to BMI.
dean bertoncelj / Shutterstock.com
BMI
SOME INTERESTING TIDBITS ABOUT BMI: gg BMI was created in the early 19th century by Lambert Quetelet, who said that it shouldn’t be used to indicate the level of fatness in an individual. gg A study published in Medical Hypothesis found that BMI correctly identified weightrelated health risk in only about two-thirds of women and men. gg A study published in the International Journal of Obesity found that 29 percent of people who fell in the “lean” category according to BMI were actually obese according to body fat percentages. gg Lebron James and Cam Newton are considered overweight according to BMI. Sources: Npr.org, health.usnews.com
Super Bowl 50 MVP Von Miller is considered obese according to the BMI. There is no Denver Broncos player with a normal BMI (18.524.9). On average, they fall in the obese range. Would these elite athletes make the cut for your workplace wellness plan? Source: npr.org
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F I T N E SS
CARDIO EXERCISES ARE BETTER FOR YOUR BRAIN
WRITTEN BY ANGELA SILVA
Not all exercise benefits the brain equally, new research shows
T
he benefits of exercise go far beyond weight loss and muscle gain. You probably already know that your internal organs, specifically your brain, experience significant benefits from regular exercise. Exercise has the potential of neurogenesis occurring in a mature, developed hippocampus and reducing the amount of age-related holes in both the gray and white matter. The hippocampus is the area of the brain responsible for learning and memory. The implications of this discovery are vast and may contribute to the expanding research of age-related diseases of the brain. But one group of researchers in Finland wanted to know – are some exercises better than others for brain health? As it turns out, an experiment conducted using lab rats found that not all types of exercise benefit the brain equally. In a 7-week study, the rats were assigned to one of three groups, each performing a different type of exercise. One group did sustained cardio activity, running at a regular pace for a certain amount of miles each day. One group did high-intensity interval training, sprinting at a high intensity for three minutes followed by two minutes of slow walking. The third group did the ratequivalent of weight training, which involved climbing with tiny weights attached to their tails. The rats were injected with a chemical marker that highlighted the appearance of new brain cells at the beginning of the study so that they could track the neurogenesis at the end. The results, published in The Journal of Physiology, showed that compared with sedentary rats, some exercise yielded significant
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neurogenesis while others didn’t show any difference. Here’s the breakdown:
gg
Cardio exercise showed the greatest amount of neurogenesis in the hippocampus, with the greatest results found in the rats that had run the furthest.
gg
High-intensity interval training showed a moderate amount of neurogenesis compared to the sedentary rats, but not even close to the amount in the cardio rats.
gg
The weight-training rats did not show any difference in brain tissue compared to the sedentary rats, although they were much stronger at the end of the study.
Of course there are benefits of each type of exercise other than hippocampus neurogenesis, and even other potential benefits to the brain, but this specific area of study showed that the effects of each type of exercise have a different impact on the brain. And although rats are obviously not humans, the results still shed light on further research and potential benefits that humans could experience. So if you’re a gym rat (don’t you just love a good gym pun) who loves lifting, maybe you should consider throwing in a good run here or there. And if you’re already a cardio bunny, you probably read this with pride as your superior hippocampus reflected on all of your years of running.
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VERSIONS OF
INTROVERS
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DECIPHERING THE “INTROVERT” LABEL
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SION The labels of “introvert” and “extrovert” are tossed around quite freely these days, but pinning either title on someone is often a shallow observation based on limited understanding. Ideas propagated by internet “experts” have led many to believe that an extrovert is someone who likes parties and an introvert is someone who doesn’t, which is an overly simplistic, flawed and worthless categorization.
S
o what does science say? The definition of introversion has always been foggy in the scientific community. For years, it was simply defined as the opposite of extroversion. But, while intuitive, this definition failed to describe the trait itself, and even caused confusion between introversion and introspection, according to Scientific American. As it turns out, the work of psychologists like Jonathon Cheek, who teaches psychology at Wellesley University, has unearthed that real life is not so black-and-white. There are many different types of introversion, all of which have their quirks and benefits. Four main categories of introversion, named by Cheek as the STAR Model, can exist in an individual in limitless combinations and levels. SOCIAL INTROVERSION Do you love to socialize within intimate group settings? Do you prefer a few close friends to many acquaintances? Even if you consider yourself outgoing, you may have the tendencies of a social introvert. Social introverts make time for the ones they love, but they also make time for themselves. They aren’t afraid to do things alone and set aside time to recharge. THINKING INTROVERSION Do you catch yourself mulling over your goals, dreams, and ideas throughout the day? Do you have a tendency to overanalyze your decisions? Thinking introverts may appear shy, but they’re really just lost in thought. They pay careful attention to their feelings and spend their days daydreaming. “Think the dreamily imaginative Luna Lovegood, not the socially awkward Neville Longbottom,” Cheek told the Science of Us blog. ANXIOUS INTROVERSION Do you feel stress when introduced to a new social situation? Have you ever felt alone when surrounded by friends? Anxious introverts spend time worrying about social interactions, before, during, and after the fact. They worry about what others would think about their private thoughts and they are easily angered and disappointed when defeated. RESTRAINED INTROVERSION Do you hesitate to try new things? Or get out of bed in the mornings? Do you like to take it easy? Restrained introverts play it safe. They tend to be homebodies and have the most fun when they remain in their comfort zone. They avoid crazy adventures and fastpaced schedules at all costs. Cheek pioneers this research in hopes of bringing public perception of introversion up to speed with science. “Many people do not feel identified or understood just by the label introversion as it’s used in the culture or by psychologists. It doesn’t do the job — it helps a little bit, but it just doesn’t get you very far,” Cheek said to Science of Us. “It turns out to be more of a beginning.” You can take Cheek’s introversion test in his study: http://www. academia.edu/7353616/Four_Meanings_of_Introversion_Social_ Thinking_Anxious_and_Inhibited_Introversion
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fit t o p e r for m 50 HEALTHY UTAH
FITNESS & NUTRITION ADVICE
FROM PROFESSIONAL ACROBAT SAM ALVAREZ
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Jaw dropping strength, balance, and mental fortitude are on display when Sam Alvarez and his fellow performers step on stage in their production called Odysseo, now performing in Sandy. While their abilities seem other-wordly, Sam reveals some simple ways that he and those he works with gain and retain fantastic physical ability. NUTRITION For Sam and his fellow performers, just a few pounds can make an enormous difference. “Think about someone who can bench press 200 pounds,” he says. “Add 5 pounds, and they might not be able to do it.” Since the show depends on the acrobats doing their incredible feats, Sam says dietary and fitness discipline is vital, but rules he follows for himself aren’t crazy. “It’s no magic,” he says. Here are some guidelines from Sam:
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EAT THE GOOD STUFF FIRST If you eat the healthy food first, the unhealthy food is less of a temptation, and less of a factor for fueling your body. Sam calls this “paying the bills” (sound finances and healthy dieting are often based in the same principles, he says). In connection with this, Sam says, make sure good food is easily accessible. Convenience is key.
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IT MUST BECOME A HABIT “I think for anybody, they need to find the balance for themselves that doesn’t feel like it’s a major chore,” Sam says. “It can’t be any different than you wake up in the morning and brush your teeth.” Granted, even brushing teeth was hard for us when we were younger, Sam says. But now it’s just what we do, and nutrition needs to be the same way. Sometimes we pick nutrition rules for ourselves that are simply too difficult to maintain, and they won’t ever become habits.
3
IDENTIFY YOUR MOTIVATION, AND BE SPECIFIC “You want to be doing it saying ‘I do it because I know it’s good for me,’ but that doesn’t last for long,” he says. “Have real reasons for doing what you’re doing.”
4 SATISFY CRAVINGS THE RIGHT WAY “I think you have to satisfy cravings,” Sam says. “Just make it small, and as cheap as possible, meaning fewer calories and avoiding processed choices.” In other words, you don’t have to eat a half gallon of ice cream to calm a sweet tooth. Find something sweet with real fruit in it instead. Also, Sam says, fats are key to satisfying cravings, so rely on healthy fats when a craving comes. Avocados and nuts are a good choice.
continued >>>>>>>>>>>
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“A lot of we have to do is more about the structure of the body. It’s more about how you’re supporting your body.” -Sam Alvarez, Odysseo
STRENGTH There are moments in the Odysseo show that totally destroy our concept of human physical ability. At one part in particular, acrobats are on a spinning carousel, and are pulling themselves up vertical poles with just their arms, often with one arm at a time. Sam says many mistakenly equate acrobatic ability with the strength of a body builder. It’s not about “bro science,” he says, or lifting heavy to get big muscles. “A lot of we have to do is more about the structure of the body,” he says. “It’s more about how you’re supporting your body.” In fact, he says, one primary area of focus for all the acrobats is the rotator cuff, which supports the shoulder inside the socket. Since there is a lot of hanging and upper body strength required in the Odysseo show, shoulder injuries are the most common injury. Maintenance is essential. The Odysseo acrobats use a variety if exercises to build, maintain and warm-up the rotator cuff, so it can safely provide the support they need. Many of their exercises are done with an exercise band that stretches.
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ROTATOR CUFF EXERCISE Anchor the resistance band at elbow level, and hold the end of the band across the abdomen with the hand farthest from the anchor. Keep your upper arm and elbow close to your body, with the forearm and upper arm at a 90-degree angle. Move your hand in a swinging motion across the abdomen for one repetition. Make sure there is tension in the whole movement, and make sure your forearm remains perpendicular to the body.
Some other strength and exercise tips from Sam:
1
KNOW THE PRICE FOR THE BODY YOU WANT TO HAVE Many people don’t set a “budget” for the physical condition they want to attain one day, Sam says. They don’t take the time to track their current status, and figure out the details of what will be required to get to the weight or fitness level they want. This leads to disappointment.
2
GET PLENTY OF SLEEP Sleep is a vital time for the body to repair itself.
3
HAVE A BACK-UP PLAN Whether you’re not in the mood, your body is hurt or you’re just too tired, everyone has a moment when they feel like they can’t take time for exercise. Have a plan for when these feelings arrive.
Healthy-Utah.com
Eating Well to Feel Your Best
The Importance of Good Nutrition During Cancer Treatment Angelina Padilla Cancer Patient Navigator Davis Hospital and Medical Center A healthy diet that includes a variety of nutrient-rich foods is recommended for everyone at every stage in life. However, if you are diagnosed with cancer, nutrition becomes an especially important part of your treatment process. Before, during, and even after cancer treatment, the body must work and fight harder, and the food you put into your body can affect the way your immune system functions. Before Cancer Treatment: It may be difficult to determine what, if any, side effects you will experience and their level of severity. Although many side effects can be managed, it is important to prepare and plan ahead. • • • •
Learn about your treatment plan and possible side effects Talk to your cancer care team about preparing for treatment Stock your home with a variety of easy-to-prepare foods Ask friends and family for help with grocery shopping and cooking
During Cancer Treatment: As you start cancer treatment, you may experience changes in taste, smell, and your overall appetite. If at any point during treatment you begin to struggle with your ability to eat, talk to your cancer care team. Help and support are always available. Healthy eating tips during treatment: • Try a variety of plant-based foods, especially those high in protein
• • • • •
Limit high-fat foods and beverages Limit consumption of red meat and smoked or salt-cured foods Try to eat the recommended serving of fruit and vegetables Keep a variety of protein-rich snacks on hand Don’t be afraid to try new foods and occasionally indulge
Depending on the type of cancer and your side effects from treatment, your cancer care team may adjust your diet plan. In some cases, your body may need extra calories to help you maintain a healthy weight. If this is the case, your doctor may suggest incorporating high-calorie, highprotein foods into your diet. Staying Active: The American Cancer Society recommends at least 150 minutes of moderate physical activity per week, including strength-training exercises. Physical activity can improve your bone health, increase energy levels and strength, and even help reduce stress and fatigue. However, during cancer treatment, it is important to listen to your body and do what feels right for you. Pushing your body too hard can actually have a negative affect on your overall recovery, so now is the time to practice safe exercises that help you feel energized rather than drained. When it comes to your treatment plan, you are not alone. There are many knowledgeable and caring people included in your cancer care team who are ready to offer support and guidance every step of the way. For more information, visit DavisCancer.com.
Keep your family
healthy…
Your Pharmacy offers a complete line of vaccinations, including: • Shingles • Pneumonia • Hepatitis A & B • Meningitis • Tdap (protects against whooping cough, tetanus and diphtheria)
Restrictions may apply. See Pharmacy for details. Monday 2/10 Healthy Utah1402_SMRGJ
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706_R_1402_RMON01_SMRGJ.indd 1
May/June 2016 53 2/10/14 2:21 PM
HEALTHY MAGAZINE | Advisor Client Content
1 ALMONDS Almonds are a favorite powerhouse snack because they are packed with vitamin E, healthy fats, protein, and calcium, and they are also good for your teeth because they have very little sugar. However, whole almonds are hard and could be difficult to chew, so if you want to get all the oral health benefits without the risk of cracked or fractured teeth, eat sliced almonds instead.
2 CRUNCHY FRUITS & VEGETABLES Crunchy vegetables and fruits are great for your teeth and your overall health because they are often low in calories and high in fiber, water and other essential vitamins and minerals. Eating fruits and veggies such as apples, carrots and celery produce saliva in your mouth that washes away bacteria, and the fibrous texture helps “brush” your teeth between meals. These foods are definitely not a substitute for brushing your teeth every morning and night, but adding them to your daily diet is a great way to clean teeth in the middle of the day.
3 LEAFY GREENS
4 TEETHFRIENDLY FOODS YOU SHOULD EAT Dental health is about more than just brushing and flossing; equally important is what kinds of foods you put in your mouth and in your body. Most people know the foods to avoid for better oral health—such as sugary sodas, treats, and sticky candy—but do you also know which foods should be part of your diet? There are some that are better for your teeth than others.
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There’s no denying that leafy greens are a great addition to your meals, and not just for weight loss reasons. Leafy greens are packed with vitamins and minerals while also being low in calories and sugar. Foods like spinach and kale contain folic acid, a B-vitamin that has been linked to improved outcomes for treating gum disease, and calcium, which is great for your tooth enamel. They’re also easy to eat; you can throw a handful of spinach into your next smoothie, use it in place of romaine or iceberg lettuce on your salad, or add it as a topping to pizzas and pasta dishes.
4 DAIRY PRODUCTS If you believe that cheese makes everything better, you’re in luck. A study published in the May/June 2013 issue of General Dentistry, the journal of the American Academy of General Dentistry, reported that people who eat cheese have higher levels of pH in their mouth, which reduces the risk of tooth decay. The findings indicate that since cheese requires more chewing it increases saliva, which is good for teeth. Yogurt is another dairy product good for the health of your mouth. Both cheese and yogurt are high in protein and calcium, which help strengthen tooth enamel and promote strong and healthy teeth, and the probiotics in yogurt can also help reduce the chances for gum disease as the good bacteria crowd out bad bacteria that might cause cavities. Just remember to choose yogurt varieties with little or no added sugar. Avoiding unhealthy food and drinks is good, but adding some beneficial foods to your diet can also improve your oral health. Talk to your dentist today about the foods she or he would recommend for a healthy, beautiful smile.
William Carroll, DDS
Roseman University of Health Sciences South Jordan Campus 801.302.2600 rosemandental.com Dr. Carroll is Associate Dean for Academic Affairs and Associate Professor at Roseman University College of Dental Medicine in South Jordan, Utah. He graduated from the UCSF School of Dentistry, completed a two-year AEGD residency at Walter Reed National Military Medical Center in Bethesda, MD and recently retired from the US Navy after more than 30 years of service.
Healthy-Utah.com
GREEN SMOOTHIES AND PROTEIN SHAKES, VITAMIN WATER AND COCONUT WATER . . . THESE DRINKS SEEM TO BE ALL THE RAGE, BUT SCIENCE SUGGESTS THAT THEY MAY BE LITTLE MORE THAN EXPENSIVE WATER. Maple water, a newcomer to the field of “superdrinks,” is collected from trees just like maple syrup. When the sap collects, it is usually boiled until it becomes our beloved syrup. Maple water is produced when companies skip the boiling and bottle the sap. The result is a product that’s refreshing and natural; a very diluted version of the syrup at 98% water and only 25 calories for every serving. In fact, the nutrition label only has one ingredient: maple water.
CRAZE OR
CRAZY?
What You Need to Know about Maple Water Facebook.com/HealthyUT
As the new kid on the block, science doesn’t have much to say yet about maple water. No studies have been conducted that compare its effectiveness or benefits with water or all of the many alternatives. But from the nutrition facts, some things are easy to discern. First of all, maple water’s few calories do come from sugar. Natural and unprocessed sugar, but sugar nonetheless. Second, maple water contains no fat and no sodium, which leaves it as a viable option for those keeping an eye on fat intake and heart health. The only nutritional benefits boasted by maple water are its trace amounts of calcium and potassium and its rather high amounts of manganese. While maple water will only provide you with just 1-2% of your needed potassium and calcium for the day, it does offer 30% of the recommended manganese intake in just one serving. This could potentially benefit you if you are suffering from osteoporosis, thyroid disease, anemia, or PMS. Even Trader Joe’s admits of its own product that “the jury’s still out on whether or not this beverage actually provides any true health benefits to people,” but it would appear that there’s no harm in drinking maple water either. If you’re looking for a boosted version of water, something with a few extra nutrients and a little more flavor, maple water might be the perfect drink for you. Sources: traderjoes.com/digin/post/maple-water / webmd.com
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W E L L N E SS
What is Immunotherapy? Immunotherapy is actually not a new thing. It is common for other allergies, such as to pollen, dust mites and more. This therapy involves exposing a patient to miniscule amounts of what they’re allergic to, with doses increasing over time, until the patient’s body is desensitized. Food allergy oral immunotherapy (OIT), or calculated exposure to the allergenic food in increasing doses, has consistently produced excellent results, allowing children to eventually eat what they will and go where they want. Numerous research studies confirm oral OIT’s effectiveness. Effectiveness for peanut OIT is generally reported around 90 percent. Dr. Douglas Jones, an allergist offering OIT in Layton and Murray, Utah, says there is a growing body of medical evidence supporting OIT. It is not without risks, but it has changed the lives of many of his patients for the better. “Over 85% of the patients who have started our food oral immunotherapy program can now eat the food that was once lifethreatening to them in unlimited amounts,” he says.
Food Allergies By The Numbers • 15 million Americans live with food allergies.
WHEN FOOD IS
• Food allergies among children increased by 50 percent from 1997-2011. • There are more than 200,000 emergency room visits per year from food allergy reaction. • There are 300,000 ambulatory-care visits a year for children from food allergy reactions.
DANGEROUS
Foodallergy.org, CDC, stanmed.stanford.edu “Over 90% of the patients who have started our food oral immunotherapy program can now eat the food that was once life-threatening to them in unlimited amounts,” he says. Researchers at Stanford are among those spreading the OIT movement. Their recent research shows that oral immunotherapy resulted in positive changes to the DNA of study participants.
The anxiety-filled world of food allergies, and a treatment that is changing the game
“Their DNA started to look like people that were non-allergic to food,” said Dr. Kari Nadeau, Director of the Sean N. Parker Center for Allergy Research.
Imagine a poison that is forever within the grasp of your child, often disguised and always dangerous. Imagine the constant need for vigilance in a world where the poison is just a normal snack for everyone else. This nightmare is a reality for many anxious parents and their oftenterrified children, thanks to food allergies.
But it is still a divisive topic in the allergy world. Some researchers claim that the risk of allergic reaction from treatment makes OIT ill-fitting for routine clinical practice. Others claim there is not enough safety data, even if there is a lot of data about effectiveness. Still others worry about long-term effectiveness. Even though OIT allows people to consume whatever they want once they complete treatment, daily doses of the food are still required to maintain that ability.
Established medical practice has offered little solace in the face of dramatically rising food allergy rates. When most families turn to doctors for help, the response is more often then not “here is an epi-pen (an auto-injection device to counter allergic reactions), be careful.” It’s a dark sentence for parents and children who’ve grasped the reality of their increasingly boxed-in lifestyle. Every restaurant will require a barrage of questions, birthday parties will be danger zones and school will be a risk. Both parent and child know that one mistake could mean a trip to the ER or worse, and slip-ups are inevitable over the course of a childhood. But a movement is emerging that may prove revolutionary in the battle against food allergies: oral immunotherapy.
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Rebecca Bowles, a mother in Utah, went through three different allergists with her severely allergic son, and none of them mentioned OIT, she says. It took three years for her to learn about it, and it was through TV news coverage of Dr. Jones, one of the few doctors who offers it.
Healthy-Utah.com
“You’d rather try something than do nothing for your child, What Is A Severe and just go on living life avoiding everything,” she says. Food Allergic Reaction Like? Despite a few warning voices, Bowles decided to move ahead with treatment after consulting with Dr. Jones.
Dr. Jones takes careful precautions in his program, which now has well over 200 graduates. Each patient has a carefully crafted plan, beginning with a miniscule dose of the allergenic food. Each week, the patient comes into the office to receive a slightly higher dose under medical supervision. Every day, however, parents and children repeat that dose at home. Each patient is given a safety kit of medication for home, and a doctor is on call for OIT patients 24/7. This is a very calculated program and needs extensive monitoring. This should not be done without the supervision of a board certified allergist who has taken the extra time and training to do OIT. “I always tell people safety comes first. We take every known precaution to minimize risks and guide a patient safely through this process,” says Dr. Jones. As her son progressed through treatment, Rebecca began to notice changes, most noticeable being decreasing fearfulness. Before, her son had a lot of anxiety about his allergy, she says. “It kept him from wanting to go places, to go to parties, to go to school,” Rebecca says. “Even to the neighbors house.” Its effect on social life is one aspect of food allergies that is particularly worrisome to parents. Childhood experiences are crucial for development, especially social ones. Many children with food allergies are faced with traumatic physical and emotional incidents, trips to the emergency room, and more, and as a result develop a sense of fear and lack of confidence that inhibits many typical childhood behaviors. Amy Martin’s son, who has a severe peanut allergy, also underwent OIT with Dr. Jones. She says that before treatment, her son wouldn’t even pet a dog until he asked the owner if the dog had peanut treats. She even found out her son wouldn’t play on the playground at school for fear that other kids who’d eaten peanuts had touched the structure. And his fear wasn’t unwarranted; at a restaurant he’d been accidentally exposed to peanuts and ended up in the emergency room. Amy’s heartbreak was complete when she discovered the depths of her son’s fear. “If you asked him what he wanted to be when he grew up, he would cry,” she says. “It wasn’t until we were months into OIT that he started telling me about a future. He didn’t think he had one.” Her son, who was four at the time, feared for his life. After OIT, Amy says, everything changed. Her son opens up more and more each week, with greater confidence, and more social activity. His lack of eye contact is fading, as is his anxiety. “His teachers will tell you he’s an entirely different kid,” Amy says. Rebecca and her son experienced a similar change, especially when they reached the point in treatment where her son could be safe in areas of cross-contamination. Rebecca says the day he graduated from Dr. Jones’ program, he wouldn’t stop talking about all the places they would go, to the places he couldn’t eat before.
“His whole perspective of life has literally changed,” she says. “He is excited to go places.” Facebook.com/HealthyUT
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REACTIONS VARY, BUT A PERSON MAY EXPERIENCE: Giant hives/welts (can last for days) Swelling of the face, lips, tongue Triggered asthma Wheezing Throwing up Fainting, unconsciousness Watery eyes Chest pain Runny nose Confusion Diarrhea Severe swelling of face, lips, tongue Dizziness Pale skin Turning blue
Anaphylaxis Symptoms
Is OIT Safe?
Neither Rebecca’s or Amy’s sons had a dangerous moment during OIT. Amy says that while the first few months of exposing her son to a dangerous food was terrifying, she eventually became comfortable with it. “You’re greatest fear is that in trying to help you child maybe you’re doing something to hurt them,” she says. No child has ever died from oral OIT. Amy found that doing OIT was less scary than going to eat a restaurant where there might be some invisible enemy. Most parents of kids with food allergies can relate to the horror of having to decide if a reaction is occurring or not. Do you rush to the ER, give a shot of epinephrine, or wait? At least during treatment she knew exactly what her son was eating, and had proper medical support at all times. Most importantly, Amy says life after treatment is incredible. “It’s a life that we never thought we’d have,” she says. “I mean you pretty much doom yourself to having to make every chocolate Easter bunny, having to make every cake for every birthday party. When you get to the end, it’s an unbelievable freedom.” Food Allergy Research & Education (FARE), a leading voice on food allergies, warns that patients undergoing OIT might experience side effects like abdominal pain, wheezing and diarrhea, and that some patients don’t complete desensitization. But they support patients who choose to do OIT, with a disclaimer. “While FARE supports those patients who might consider private practice OIT, we are not able to evaluate or compare any particular practice or physician,” they write in a press release.
Dr. Jones thinks the time is coming that OIT will become a standard of care in the allergy community, thanks to the courage of patients. “The recent push for a better food allergy treatment has been driven by patients and families who have lived a life of fear, anxiety, and isolation and who have struggled to really experience life,” he says. “I am so thankful for those courageous patients and families who have partnered with us the last three years we have offered this treatment. They are pioneers who have opened the doors for others. We have gained a tremendous amount of experience in OIT, to deliver it safely and effectively to patients. Our results speak for themselves. We will continue to lead, to change, and to improve upon what we have done.”
Current Research Research is underway for ways to do OIT with capsules and patches, and the Food and Drug Administration is currently reviewing these methods. Dr. Douglas Jones is participating in the phase 3 clinical research trial, Palisade Trial (palisadetrial. com), which is being conducted to “determine the safety and effectiveness of an investigational medication for helping the body naturally lessen the severity of its reaction to peanuts.” This may be another step in the progression of OIT.
Douglas H. Jones, MD
Rocky Mountain Allergy, Asthma & Immunology 801-775-9800 rockymountainallergy.com Dr. Jones specializes in the diagnosis and treatment of all conditions relating to allergies, asthma and immune system disorders. He is board certified by the American Board of Allergy and Immunology and the American Board of Internal Medicine. He earned his MD from Penn State University and completed his specialty training at Creighton University.
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5 WAYS
Probiotic Supplements BOOST ATHLETIC PERFORMANCE WHAT DOES A PROBIOTIC DO? The gut-friendly bugs in probiotic supplements offer a wide range of health benefits to fitness and sports enthusiasts. These good bugs accelerate recovery from physical exhaustion and improve the immune defense which weakens with rigorous exercise. A daily dose of probiotic supplements will aid in overcoming the negative effects of strenuous training which are a prime concern for athletes. A healthy gut is awash with good bacteria that are found to have the following benefits for triathletes:
1. Increases the absorption of nutrients
Healthy bacteria boost the absorption of key nutrients that supplement sports performance. Better nutrient uptake enables the athlete to push the limits and recover faster even after a painstaking workout session. This results in faster fatigue recovery and consistent performance.
2. Strengthens immunity
Probiotic supplements boost immune function by increasing the absorption of antioxidants and fighting free radicals that cause muscle damage. A hard training session often suppresses the immune system which leaves you susceptible to sickness, disease, and infections. Research has shown that probiotics have the potential to keep you fit and healthy even with a prolonged training schedule.
4. Helps heal common athletic complaints
Athletes often experience gas, bloating, diarrhea, cramps, nausea, and respiratory infections due to exhausting events. This creates an imbalance in the gut flora and adversely affects physical function. Probiotic supplements replenish the gut microbiome with good bacteria which in turn boosts the body’s ability to endure intense training and recovery from fatigue. Probiotics also reduce the occurrence of gastrointestinal issues and inhibit inflammation and heartburn.
5. Improves protein digestion
3. Improves digestion
Fitness enthusiasts and athletes usually supplement their daily diet with protein drinks to boost muscle growth and accelerate recovery. A specific probiotic strain, clinically known GanedanBC has proven efficacy in enhancing the body’s ability to absorb and digest protein. A daily dose of probiotics will improve your focus, keep you going even with during a heavy-duty training program and help you stay ahead of the curve.
WHEN IS THE BEST TIME TO TAKE A PROBIOTIC
Author Bio:
Digestive enzymes are essential for breaking down the food, but they tend to become less efficient with aging. This can invite a host of digestive disorders which can be easily averted with probiotic gut bacteria. Studies suggest that athletes are disposed to digestive disorders due to a strenuous schedule. The healthy bacteria in probiotics improve digestion by increasing the uptake of essential nutrients and proteins. It is well established that when digestion is improved, it has a positive impact on both performance and wellness.
Probiotic supplements should be taken twice a day just before the breakfast and evening meal. To achieve the best results, it is important to take probiotic supplements daily. Any probiotic brand would need two weeks to colonize in your gut and hence it advisable to begin your supplementation at least 14 days before an athletic event. This will not only improve your health but also boost your performance, so start with probiotic supplements today and reignite your athletic potential.
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Mary Toscano is a dedicated wife, a busy mom of two toddlers, an animal shelter volunteer, a health freak runner, and a passionate health and wellness blogger. All of these are her many jobs besides her day job. She aspires to having her own YouTube channel one day about healthy living and clean eating. Spending a major part of her day writing about health and wellness at www.probioticshub. com she educates readers about probiotics. Her goal in life is to inspire and encourage people to take care of their bodies and health. Mary’s message to the world is, “Where there is health, there will be joy, wisdom and wealth!”
Healthy-Utah.com
HEALTHY MAGAZINE | Advisor Client Content
Extinguishing Heartburn
Surgical and non-surgical options for a common problem
H
eartburn or “gastroesophogeal reflux disease” (GERD) is very common. As a matter of fact nearly everyone has it to some degree but most are unaware of it, or it is only minor. Only when it becomes more frequent or severe do people seek relief. A “burning sensation,” pressure under the breast bone in the middle of the chest, or acid taste in the mouth are most common symptoms. Reflux can be manifest by a persistent cough, asthma or waking up at night choking or with an acid taste. Occasionally people have food return up to their mouth without any “burning.” This is known as “solid regurgitation.” It can occur with bending over after eating and can be made worse by any of the following risk factors listed below.
THERE ARE RELATIVELY EASY FIRST LINE STEPS TO TAKE IF YOU HAVE HEARTBURN. AVOIDING THESE THINGS WHEN POSSIBLE WILL HELP: gg Chocolate, coffee, peppermint, greasy or spicy foods, tomato products and alcoholic beverages gg Overeating gg Smoking gg Being overweight gg Eating within 1-2 hours before laying down to sleep gg Some medications gg Pregnancy When these issues are eliminated as much as possible then medical treatment can be helpful. There are over-the-counter medications or stronger treatments with a prescription from your health care provider. Your doctor can help you determine the best options for you. For symptoms that persist despite medical and conservative treatment attempts, there are very successful surgical options. The most common effective surgery is a Laparoscopic Nissen Fundoplication. This operation involves wrapping part of the stomach around the lower end of the esophagus and is highly successful in reducing or eliminating heartburn symptoms. In my practice, essentially all of the heartburn surgeries have been Laparoscopic or what some people call “minimally invasive,” or “microsurgery” where five pencil size incisions are used to allow skinny instruments to move in
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and out through the abdominal wall. This technique allows faster recovery time with less pain. A YouTube edited operation with a narration can be viewed at: www.utahlapband.com/general-surgery/conditions/heartburn-surgeryutah/
IN TRYING TO DECIDE WHEN TO CONSIDER HAVING THIS OPERATION PEOPLE USUALLY WANT TO KNOW: gg gg gg gg gg
How successful is the procedure? Are my symptoms bad enough to consider surgery? How much will it cost? What is my recovery time, or how long will I be out of work? What are the risks and potential complications?
These questions are all addressed in a consultation and most of the answers are individualized depending on a person’s symptoms, health insurance plan, usual activities and overall health. The operation requires half of the patients to stay overnight—the remainder go home in a few hours. Reflux for almost all patients stops immediately with no need to continue medication. The likelihood of a complication is very low. There is no limit to activity after surgery but careful progression is advised. I recommend most people be off work for a week from full time desk work. It may take longer with more physically active jobs. If you feel like you would benefit from this treatment see your doctor or call us for a consultation appointment at our office in Draper, Utah: 801-SURGERY or 801-523-6177.
Darrin F. Hansen, MD, FACS Utah Lap-Band and General Surgery 801-523-6177 DrDhansen.com UtahLapBand.com
Dr. Hansen is a Center of Excellence surgeon for the LAPBAND procedure. This credential is given to surgeons who maintain the highest standards for bariatric patient care. With over ten years of weight loss surgery experience in Utah and over 1000 LAP-BAND procedures combined with ongoing advanced training and techniques, patients have the best chance for excellent results.
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HEALTHY MAGAZINE | Advisor Client Content
FACTS ABOUT
FOOD
& YOUR
Did you know that 1 in 5 Americans has at least one soda per day?
TEETH D
o you ever feel like you can’t make it through the day without that morning coffee or Diet Coke? Does it seem almost impossible to make it past 10:00 without that caffeine boost? Or maybe, you get that after lunch sweet tooth. You are not alone! On average, 54% of Americans confirmed to drink coffee every single day. And a lot of Americans crave a sweet treat after lunch or dinner. While coffee, Coke, or a sweet treat might be your energy boost for the day, you should know that those things directly affect the health of your teeth. Coffee is very acidic and can cause wear and tear on the enamel, the protective outer layer of tooth structure, causing increased likelihood of decay. Coffee is also famous for staining teeth. The nature of your tooth enamel is very porous, therefore, making it easy for coffee to stain your teeth over time. Although there are ways to remove coffee stains, you’d be doing yourself a favor by avoiding getting them in the first place. Did you know that 1 in 5 Americans has at least one soda per day? Soda is another culprit to tooth decay. In a 12 ounce can of soda, there is an additional 35-40 grams of added sugar per serving. That means if you drink a 16 or 20 ounce bottle of soda, your sugar intake increases significantly. Many people are aware that sugar is bad for your teeth, but few people are aware of the process in which decay becomes prevalent in the mouth. After you drink soda, the bacteria in your mouth cling to the sugar that remains and create acids that destroy enamel, eventually causing decay.
to teeth. Using a straw when drinking coffee or soda can reduce the exposure to your enamel, and may help reduce staining. Rinsing with water or, better yet, brushing soon after drinking coffee or soda is one of the best ways to help. Candy cravings, as mentioned above, are a dangerous temptation to give in to as well. Just like with soda, the sugar stays in your mouth unless you brush right away and the bacteria feed on the sugar causing acidity and eventually decay. Chewing gum can be a way to rid your body of the sweet treat craving. If possible, be sure to select sugarless gum. Chewing sugarless gum increases the flow of saliva in the mouth which reduces acid and lessens the likelihood of decay.
If you still want to drink some soda or coffee, there are ways to help minimize the potential damage
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There are plenty of foods you can eat that are great for your teeth. Foods that are high in calcium and protein, such as cheese and yogurt, are great for your teeth. Leafy greens are full of vitamins and minerals which help strengthen the teeth. Apples and carrots are high in fiber and water, increasing the amount of saliva in your mouth, reducing the bad acid. Celery, along with apples and carrots, can act as a toothbrush scraping bacteria particles off your teeth. Almonds are a high in protein and calcium, and low in sugar. They are a perfect snack. Along with the benefits these foods are to your teeth, they provide great benefits to your overall health as well.
Joseph S. Maio D.D.S.
Apex Family & Cosmetic Dentistry (801) 758-5459 apexfamilydental.com
DENTAL
Dr. Maio grew up in Riverton, Utah. He received his undergraduate education in Denver, Colorado at the prestigious private institution, Regis University, where he graduated Magna Cum Laude. He has been recognized as an American Top Dentist for 4 consecutive years, as chosen by the Consumers Research Council of America.
(801) 758-5459
Healthy-Utah.com
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A NOVEL BREAKTHROUGH THERAPY FOR MEN PROSTATE ENLARGEMENT, RESULTING URINARY ISSUES, AND A RELIABLE SOLUTION
THE SAD STATE OF MEN’S HEALTH The statistics are sobering: men die more often than women from 14 of the top 15 causes of death, and live six fewer years. This disturbing pattern is partially related to the fact that, compared to women, men take less care of themselves, wait longer to see a doctor, and are less likely to have a continuing relationship with a health care provider. This article focuses on a very common, bothersome, but not typically lifethreatening condition called Benign Prostatic Hyperplasia (BPH). Even then, prostate cancer (men’s most common cancer), which usually causes no symptoms, can be diagnosed when evaluating BPH.
PREVALENCE OF BPH The prostate gland is a golf ball sized organ beneath the bladder which produces the semen expelled with ejaculation. Since the urethral tube runs through it, BPH, or prostate growth, often explains changes in urination affecting aging men. Urinary bother slowly increases so that by the 60s over 70% of men are affected (>500 million men worldwide).
prostate tissue using a telescope and heated wire, is performed in an operating room under general or spinal anesthesia. While there have been technical advances, this “Gold Standard” surgery causes bleeding and requires a catheter afterward, and sometimes a short hospital stay. TURP definitely improves symptoms but carries risks: besides anesthesia and bleeding, a 60+% inability to ever again ejaculate, and 10% risk of erectile dysfunction. Newer LASER versions of TURP cause less bleeding but still require anesthesia and a catheter, have a longer recovery period, and higher re-treatment rates than TURP. Not surprisingly only 2% of BPH patients choose TURP/ LASER. Urologists have looked for alternatives for years.
FAILURES
HEAT
• A FREQUENT AND URGENT NEED TO URINATE, DAY AND NIGHT • A WEAK STREAM, OFTEN SLOW TO START, SOMETIMES INCOMPLETE EMPTYING
UROLIFT®
• URINE THAT STOPS AND STARTS, AND DRIBBLING Some men tolerate these annoyances, assuming they’re a natural part of aging. Or they try unproven over-the-counter supplements. Yet, left untreated, progressive BPH can lead to infections, bladder dysfunction, and even kidney damage. Fortunately, BPH is quite treatable.
BPH PILLS Three types of BPH medications are available: one relaxes the prostate, one shrinks it, and one improves blood flow. Though these can help, one-third of men soon discontinue their pills (often for cost, dizziness, or sexual side effects). Some men are then referred to a urologist, but some just give up (and their BPH inevitably progresses).
TURP Developed around 1935, this surgical procedure, which removes the obstructing
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Following UroLift
Explored between 1990-2000, balloon dilation and metal stents, similar to heart procedures, simply did not work.
Microwaves (TUMT) and radiofrequency (TUNA), both designed for the office setting, ultimately proved quite painful and often failed within 2 years. A new steam treatment called Rezum® looks promising, but longer studies are needed. All heat procedures require a catheter afterward.
BPH SYMPTOMS:
Urologist’s view of Prostatic Obstruction
Invented in 2004 and FDA-cleared in 2013, this novel procedure allows urologists to place tiny anchors, pulling the prostate open (think: curtain tie-backs). Since UroLift® is quite tolerable under local anesthesia, it is often performed in a urologist’s office, in under 10 minutes. Catheters are rarely needed; mild side effects (like bleeding, burning, aching) resolve within two weeks allowing for rapid return to full activity. When compared to TURP in a recent study, UroLift® patients recover faster and are more satisfied. And in >7,000 cases worldwide no one has reported any sexual side-effects. Obviously not everyone with BPH needs procedural intervention, and not everyone is a UroLift® candidate. To learn more go to www.urolift.com or make an appointment with a urologist who uses UroLift®.
Steven N. Gange, MD FACS Summit Urology Group A Division of Granger Medical Clinic Salt Lake City, Utah 801-993-1800 Dr. Gange graduated from the UCLA School of Medicine in 1986 and, after completing his urology residency, served in the US Army for six years where he helped train upcoming Army and Navy urology residents, and served on the clinical faculty of UC San Francisco and the University of Hawaii. He then moved to Salt Lake City in 1996 joining Western Urological Clinic (which has recently merged and become Summit Urology Group) and has a thriving private practice. Dr. Gange enjoys cutting edge medicine, and has participated in over 50 clinical trials, many as Principal Investigator, and has published over a dozen papers in the medical literature. Although he treats adult men and women, he has developed a strong interest and expertise in Men’s Health, and has sought extra training in the areas of BPH, prostate cancer, low testosterone, vasectomy reversal, and erectile dysfunction. In his practice he always emphasizes the role of minimally-invasive options, like UroLift®, when available. As Principal Investigator the UroLift® trials that led to FDA clearance, Dr. Gange was the first urologist in North America to perform UroLift® in February 2011, and was the first in the world to do so under local anesthesia. Currently Summit Urology Group has performed more in-office UroLift® procedures under local anesthesia than any clinic in the world. Dr. Gange continues to enjoy teaching and regularly lectures to and trains urologists from across the country in UroLift® implantation. And as the favorable evidence supporting UroLift® for BPH continues to mount, he and his colleagues are witnessing the powerful impact that this minimally-invasive intervention is having on the quality of life of so very many men worldwide. Feel free to contact Dr. Gange by email: ppmd@wucmd.com, or call 801-993-1800 for an appointment.
May/June 2016
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