4Health Magazine #165

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#165

5 REASONS TO AVOID SMOKING MARIJUANA

WEIGHT LOSS IMPROVES SLEEP AND MOOD

HOW MUCH DOES SUGAR REALLY AFFECT TEETH?

5 WAYS YOUR FLIP-FLOPS ARE DAMAGING YOUR FEET

VKSKIN SPA

By Victoria Khabinski 646.200.5937

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President, CEO Dmitriy Khabinski Vice President, CFO Igor Goldberg Editors Colleen M. Story Nataly Smolyanska Contributing Writers Colleen M. Story Lynn Merrell Gordon Barclay Morgan Rice Art Director Nadezhda Evgach Advertising Department 212.738.9230 ext. 701 Address: MOO Publishing Corp.

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“4Health” is an editorial-based medical magazine (the "Magazine") provided by Moo Publishing Corp. and by other sources.

DISCLAIMER This Magazine is for consumer educational use only. Nothing contained in this Magazine is or should be considered, or used, as a substitute for medical advice, diagnosis or treatment. The opinions in this Magazine are here to educate consumers on health care and medical issues that may affect consummers’ daily lives. This Magazine does not constitute the practice of any medical, nursing or other professional health care advice, diagnosis or treatment.

The Magazine advises readers to always seek the advice of a physician or other qualified health care provider with any questions regarding personal health or medical conditions. Never disregard, avoid or delay obtaining medical advice from your doctor or other qualified health care provider because of something you have read in this Magazine. If you have, or

suspect that you may have, a medical problem or condition, please contact a qualified health care professional immediately. If you are in the United States and are experiencing a medical emergency, please dial 911 or call for emergency medical help on the nearest telephone.

WARRANTIES AND LIMITATION OF LIABILITY We do not make any expressed or implied warranties, representations or endorsements of any kind whatsoever with regard to the magazine, or with respect to any information, product, service, merchandise or other material provided in or through the magazine. We do not warrant or guarantee the accuracy, completeness, correctness, timeliness or usefulness of any information, products, services, merchandise or other material provided throughout the magazine. We are not liable to any reader or anyone else for any decision made or action taken based on their reliance upon the information contained in this magazine. www.4health.net ww.4h w.

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4HEALTH | Table Of Content

5 Reasons to Avoid Smoking Marijuana

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ALLERGIES: WHY SUFFER? TREATMENTS CAN HELP YOU FEEL BETTER IMMEDIATELY

By Dr. Lev Barsky MD

Some Studiees Sugggest Poteenttial Carrdiovvascculaar Effeects

11 10 How Much Does Sugar Really Affect Teeth?

Stepss to o Red duce You ur Risk of Cavitiees and d Sensitiivity

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WHAT’S CAUSING YOUR BELLY FAT?

By Dr. Prab R. Tumpati

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10 POTENTIAL REASONS WHY YOUR FACE FEELS NUMB It Could be a Stroke, but It Could be Other Things, Too

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DON’T IGNORE THOSE HEADACHES—THEY COULD BE SERIOUS

By Dr. D. Grinshpun

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HAVING CHILDREN LATER IN LIFE—PROS AND CONS More Women are Waiting, but Is It the Right Decision for You?

Weight Loss Improves Sleep and Mood

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7 TIPS TO KEEP EYES HEALTHY WHILE TRAVELING Don’t Wait to Check Out Injuries & Problems

Even Five Percen nt Can n Make a Diffferren nce

14 5 Ways Your Flip-Flops Are Damaging Your Feet

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By Dr. Roman Rayham

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BREAST CANCER SURVIVORS GETTING REALISTIC NIPPLE TATTOOS How an Artist Can Help You Feel Normal Again

35

Tip ps to o Makke Flip-F Flop Wearing Less Hazard dous

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HORRIFIED BY YOUR VIDEO CHAT PROFILE? CONSIDER A CHIN IMPLANT

PERIPHERAL ARTERY DISEASE INCREASES RISK OF AMPUTATION USA Vascular Centers Provides Cure

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ANCIENT THERAPY GAINING NEW POPULARITY IN WESTERN MEDICINE Ada Kulagina L.Ac. Answers Your Questions About Acupuncture

Migraine Sufferers Need to Watch Out for Depression

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7 THINGS TO DO BEFORE SURGERY TO IMPROVE THE OUTCOME Your Choices Can Get You Out of the Hospital Faster

How to Telll if You’rre Suffeeriing fro om Both h

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| Allergy l g

ALLERGIES: WHY SUFFER?

TREATMENTS CAN HELP YOU FEEL BETTER IMMEDIATELY

NAME:

Lev BARSKY, MD SPECIALTY: Allergy & Immunology

CERTIFICATION: Diplomate of American Board of Allergy & Immunology

FELLOWSHIP: Fellow of American College of Asthma Asthma, Allergy and Immunology

It’s summertime, which for most of us, means fun outdoor activities in the sun. If you’re bothered by allergies, however, most likely your sunny days are marred by watery eyes, sinus congestion, runny nose, sneezing, coughing, headaches, sore throats, or itchy skin.

Fortunately, you don’t have to continue to suffer from these irritating symptoms. A qualified allergy doctor can discover what you’re allergic to, and offer treatments that provide easy relief.

WHAT CAUSES ALLERGIES? Allergic ailments are caused by an «overreaction» of the immune system to various environmental substances. The immune system perceives some elements of the environment as a threat to the body and tries to «defend» against them. The major form of defense is an inflammatory response, which is why clinical symptoms of allergic ailments and infectious illnesses are very similar and tend to overlap.

TYPES OF ALLERGIC RESPONSES

CONTACT: 728 Ocean Ave Ave. Brooklyn, NY 11235

(718) 787-0700 INSURANCE: All major insurance plans and Medicare

Allergens can be divided into two large groups: 1) those that we encounter outside our homes, such as pollen from various plants, and 2) those that are present inside our homes, such as dust or mildew.

Different plants produce pollens at particular times of the year. As a result, people sensitive to tree pollen will experience an “acute exacerbation,” or flare-up, of symptoms when trees blossom. In the New York area, this period stems from April until early June. Likewise, people with hypersensitivity to autumn grasses, such as wormwood or ragweed, will begin to feel allergic symptoms in the fall, between August and October.

Very often, individuals are sensitive to several allergens, and thus the duration of their symptoms is considerably longer. This pertains particularly to people who are sensitive to allergens that are present inside houses and apartments, ranging from domestic dust and mold (fungi), to hair and saliva of various animals (so-called indoor allergens). Such people may show continuous allergic symptoms all year long. Symptoms may include headaches, sore and burning throat, itching and irritation of the eyes, and coughing. People who experience mild continuous symptoms due to household allergies

often fall victim to flare-ups in the spring and fall, as well.

Allergic diseases are not limited to symptoms connected with upper airway passages, however. Other prevalent allergic ailments include bronchial asthma (with symptoms of wheezing, shortness of breath, chest tightness, and/or coughing), and asthmatic bronchitis. Of those who suffer from bronchial asthma, 50% of adults and 80% of children have allergies.

IDENTIFYING TRIGGERS WITH SKIN TESTS The most common method of identifying allergens to which an individual is sensitive through various types of skin tests. Conducted by doctors who are allergy specialists, these tests are safe and take a minimal amount of time. Results are usually available within fifteen minutes.

Knowing the substances which a person may be sensitive to enables the allergist to use effective preventative measures and treat allergic diseases. Preventative measures and treatments, in general, are carried out using a combination of different medications selected by a doctor to meet the particular needs of each patient.

TREATMENTS CAN HELP YOU FEEL BETTER For those who suffer from allergy symptoms three months or more throughout the year, and want to be cured permanently, doctors might recommend injections of allergy provoking substances (such as tree pollen, animal hair, or mold), which are highly diluted in water.

Patients following this therapy become “immunized,” or desensitized, to the allergens. This method is called immunotherapy, or «allergy shots.» Numerous studies have shown that the success of immunotherapy exceeds 80%.

If you suspect you have allergies, you can make an appointment with a board-certified allergist, and, in many cases, walk out of the office with the mystery of your ailments instantly solved. There may be things you are exposed to that you can simply avoid. An allergist will often suggest how you can make changes in your home and work environment, so that symptoms are relieved. In addition, an allergist may prescribe a safe, non-habit forming medication that can offer fast relief from symptoms that may have been bothering you for years. www.4health.net ww.4h w..

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5 REASONS TO AVOID SMOKING MARIJUANA SOME STUDIES SUG GGEST POTENTIAL CARDIOVASCULAR EF FFECTS

g Rice ■■■ Morgan

So far, 23 states have passed legislation opening the door to medical marijuana (cannabis). Only two—Colorado and Washington—allow recreational use, but others are considering it in new bills and proposals in 2014.

Though some studies have shown marijuana to be helpful in soothing the side effects of chemotherapy, treating nausea and vomiting, decreasing muscle spasms, stimulating appetite, and easing pain, the drug can also cause health problems, particularly for those who have risk factors for heart disease.

CARDIOVASCULAR RISKS OF SMOKING MARIJUANA The Cleveland Clinic states that while people may believe marijuana to be benign, we don’t have enough scientific information to know just how it may affect people with heart disease, especially over the long term. Studies have indicated the drug may cause the following issues related to cardiovascular health.

Stroke risk: A recent study from the University of Aukland in New Zealand found that those who smoked marijuana had a higher risk of stroke than those who didn’t.

The study included 160 patients aged 18 to 55. All had suffered a stroke, and were willing to undergo a urine test to detect marijuana in their systems. About 16 percent of the stroke

patients had traces of the drug in their urine, compared to 8 percent of those who didn’t have any marijuana in their urine tests. The lead author noted this is the first case-controlled study to show a potential link between marijuana and stroke risk.

Heart attack risk: A 2001 study published in Circulation found that smoking marijuana may trigger a heart attack. Researchers looked at over 3,800 patients who had suffered a heart attack, and found that 124 had smoked marijuana in the prior year, 37 within 24 hours, and 9 within one hour. Overall, the risk of heart attack within the first 60 minutes after smoking marijuana was 4.8 times higher than the risk in people who didn’t smoke marijuana.

Constricts blood vessels: A big part of cardiovascular health involves the condition of the blood vessels, including the arteries, veins, and smaller capillaries. The results of a 2005 study suggested that marijuana constricts or narrows blood vessels, potentially increasing the risk of a blood clot. In fact, the marijuana users had higher measurements showing resistance to blood flow than people with chronic high blood pressure and diabetes. Researchers theorized that this effect may increase the risk of stroke and other cardiovascular issues.

Raises levels of blood fats: You’ve heard how triglycerides are bad for you, since they can contribute to narrowed arteries and car-

diovascular disease. A 2008 study found that smoking marijuana increases the body’s production of a certain type of protein that raises levels of blood fats associated with heart attack and stroke. Researchers compared marijuana users to non-users, and found that those who used the drug had higher levels of “APOC-III,” which delays the breakdown of triglycerides and potentially increases risk of plaques in blood vessels. Researchers noted that a higher APOC-III level is a risk factor for heart disease.

General complications: A very recent study published in the Journal of the American Heart Association found that young and middle-aged adults who use marijuana may have an increased risk of heart-related health complications. Researchers looked at reports of cardiovascular complications related to marijuana use between 2006 and 2010. They found nearly two percent of all marijuana-related reports were cardiovascular complications, with patients suffering acute coronary syndromes, cerebral (brain) complications, and peripheral complications. In nine of the cases, the event led to the death of the patient. Researchers concluded that “increased reporting of cardiovascular complications related to cannabis and their extreme seriousness (with a death rate of 25.6%) indicate cannabis as a possible risk factor for cardiovascular disease in young adults.” www.4health.net ww.4h w.

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HOW MUCH DOES SUGAR REALLY AFFECT TEETH? STEPS TO REDUCE YOUR RISK OF CAVITIES AND SENSITIVITY ■■■ Gordon Barclayy Everyone’s on the anti-sugar bandwagon these days. We’re eating too much sugar.

Sugar is in everything. Sugar is making us fat.

Oh, and sugar is rotting our teeth.

The last one isn’t so surprising. Our mothers told us, after all, that too much candy would cause our teeth to fall out. But with all the news about sugar, I wondered: Is it really that bad for teeth?

HERE’S WHAT I FOUND OUT. Why Do They Say Sugar is Bad for Teeth?

Surprisingly enough, sugar itself isn’t really the culprit in causing gum disease and cavities.

Plaque is. You’ve heard about plaque — the nasty stuff that clings to teeth after you eat.

It’s the same stuff your hygienist scrapes off during your appointment, because she knows that if she leaves it there it will cause problems down the road.

Where does plaque come from? It’s formed when bacteria in the mouth — which are always there, no matter how diligent you are about brushing and flossing — digest debris left around after you eat or drink. That debris can be from sugary treats, but it may also come from healthy fruits and vegetables. Whatever it is, the bacteria digest it, then produce acids as byproducts. That acid combines with saliva to form plaque.

As long as you clean away that plaque every day, it won’t have a chance to adhere to teeth

and cause problems, but if it isn’t brushed away often, it sits on the surface of teeth eroding enamel, inflaming gums, and causing tiny holes to form in the tooth’s surface.

enamel. Even if you drink diet sodas, your teeth are getting bathed in these corrosive acids. And once the enamel is gone, you can’t get it back.

Weak enamel makes it easier for plaque to reach the inner layers of the tooth, causing cavities.

SO WHY THE FOCUS ON SUGAR? If all foods have the potential to form plaque, why are dentists and parents so adamant about avoiding sugar?

It comes down to the severity of the attack.

Some foods, like sugary treats and drinks, leave behind more remnants for bacteria to feed on, making it easier for them to form plaque. You know how candy, caramel, chocolate, ice cream, and donuts leave that sugary film in your mouth? Sometimes even pieces of the candy get stuck between teeth.

That’s fuel for the bacteria. Whereas a healthy dose of steamed spinach is less likely to leave as much evidence of its presence.

Sugar also breaks down more quickly in the body, giving bacteria more time to eat it up before you get a chance to rinse. Just like a donut or candy bar gives you a quick sugar high, it also charges the bacteria in your mouth in a hurry — much faster than a whole grain turkey sandwich would, for instance.

SODA POP — THE WORST Since we’re talking about sugar and teeth, we simply can’t ignore soda pop, as it’s enemy number-one. Not only does it give the bacteria lots of sugar, it douses teeth in acids that erode

WHAT TO DO ABOUT SUGAR? So with all this in mind, is sugar bad for your teeth? Sugar is fuel for mouth bacteria — no doubt about that. Sugar breaks down faster than other foods, fueling bacteria quickly. So we can say that sugary foods are more likely to cause plaque than other types of foods.

Does that mean you have to avoid your favorite sugary treats? Not necessarily, though cutting back on sugar is likely to be good for your health, overall. To protect your teeth, take these steps: ■ Don’t sip your soda throughout the day — you’re bathing your teeth in acid.

Instead, drink it over a relatively short amount of time (preferably through a straw to reduce contact with teeth) and then rinse your mouth with regular water. Wait to brush for at least an hour.

Acids in soda weaken enamel. If you brush right away you’ll weaken it more.

■ Brush and floss every day, without exception.

■ Always rinse after consuming a sugary treat of any kind.

■ See your dentist regularly to get rid of plaque buildup. www.4health.net ww.4h w.

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Implants

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WEIGHT LOSS IMPROVES SLEEP AND MOOD EVEN FIVE PERCENT CAN MAKE A DIFFERENCE

y Merrell ■■■ Lynn

If you’re overweight or obese, you may be suffering from insomnia or depression.

Studies over the last several years have found that these conditions are linked. The Sleep Foundation states that as a person gains weight, especially in the trunk and neck, the risk of sleep-disordered breathing — such as that which occurs in sleep apnea — increases. A 2010 study also found that obesity was associated with an increased risk of depression, and vice versa.

Losing some of that extra weight may help improve both of these conditions, creating a number of health benefits. Best of all, you don’t have to lose a lot — even just five percent was enough to create results.

WHAT THE STUDY FOUND For this study, researchers assigned 311 women and 79 men to one of three weightloss programs: ■ The first received printed educational

material about healthy lifestyle habits.

■ The second received brief lifestyle coun-

seling, which included quarterly doctor visits and brief meetings with lifestyle coaches.

■ The third received enhanced lifestyle

counseling, with meal replacements or weight loss medications.

During the study, the scientists evaluated any changes in weight, sleep duration and quality, and mood after six months, and again after 24 months of treatment. Results showed the following: ■ After six months, participants in groups

two and three lost more weight than those in group one.

■ Group two lost an average of 7.8 pounds each, while group three lost an average of just under 15 pounds each.

■ Those who lost at least five percent of their weight at six months had gained an average of just over 20 minutes of sleep a night. Those who lost less than five percent gained only about one minute of sleep.

■ Those who lost at least five percent of their weight also reported better sleep quality and mood, and fewer symptoms of depression.

Researchers noted that more studies need to be done, but stated that weight loss could cause improvements in sleep duration and quality. Lead author Dr. Nasreen Alfaris, a fellow in the department of medicine at the Perelman School of Medicine at the University

of Pennsylvania, said in a news release: “The study confirms several studies reporting that weight loss is associated with increased sleep duration.”

SMALL CHANGES CAN LEAD TO BIG ONES This study confirms what many others have found — that even small changes in weight can create significant benefits. A study reported in the New York Times found that the group that cut just 100 calories from their diets every day were more likely to maintain or reduce body mass than those who did not make dietary changes.

Other doctors have noted that small changes can lead to bigger ones. Watching less television, for example, can lead to taking more walks. Adding more vegetables to dinner can lead to taking in fewer calories, overall.

The NYU Langone Medical Center notes that losing just 5–10 percent of your total weight can lower blood pressure, improve cholesterol levels, prevent diabetes, and reduce the risk of osteoarthritis of the knees.

If you’re overweight or obese and would like to lose some weight, talk to your doctor.

Many people have great success with weightloss programs, as they provide more structure and support than going it alone. Your doctor may have referrals that will help.

Obe esity y Medicine M d n | 4HEALTH HE L H17

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WHAT’S CAUSING YOUR BELLY FAT? YOU MAY HAVE INSULIN RESISTANCE! During the past 20 years, there has been a dramatic increase in obesity in the United States. More than one-third of U.S. adults (35.7%) and approximately 17% (or 12.5 million) of children and adolescents aged 2–19 years are obese. Another 33% of all adults are in the overweight category.

Though there are a lot of things that can cause weight gain, I find the following four factors often play a crucial role in expanding my patients’ waistlines.

THREE THINGS HAVE CHANGED ABOUT HOW WE EAT Hippocrates, father of medicine, is quoted as saying, “Let food be your medicine, medicine be your food.” Over the past several decades, however, we’ve moved away from this concept, and now see food merely as “calories in, calories out,” which has changed our relationship to what we eat.

Three things happened to the modern diet that now contribute to the high levels of inflammation we currently see in the population at large, leading to increased health problems and disease. Understanding these three fundamental principles forms the foundation for a healthy and long life.

Belly fat and insulin resistance: Insulin resistance, or metabolic syndrome, affects one in three Americans and leads to excess belly fat. Unlike the subcutaneous fat that is protective, studies have shown that belly fat produces cytokines and other inflammation-causing chemicals that lead to the increased risk of cardiovascular disease, diabetes and other conditions. In fact, waist circumference of over 40 inches in men and 36 inches in women (lower in Asian Populations), is one of the five criteria for metabolic syndrome. This leads to belly fat which increases the risk of diabetes, heart disease and even cancer risk!

Lack of antioxidants: Before the modern food processing era, our diet used to have more than 50 percent unprocessed and uncooked food items such as colored fruits, vegetables, and other natural ingredients that are high in antioxidants such as polyphenols. Studies have shown that lack of polyphenols leads to increased inflammation in the body. www www.4health.net w..4 w.4hea .4hea 44hea 4h a

Ratio of fats: The ratio of omega-3 to omega-6 fatty acids used to be 1:1, but is now at 1:16, which also increases inflammation.

THE FOURTH FACTOR More recent research has revealed a fourth factor in this list—lack of quality sleep. According to the National Institutes of Health, 50 to 70 million Americans are affected by chronic sleep disorders and intermittent sleep problems. The Centers for Disease Control and Prevention (CDC) adds that sleep insufficiency is linked to motor vehicle crashes, industrial disasters, and occupational errors.

Lack of proper duration and quality of sleep also contributes to insulin resistance, which in turn leads to weight gain. A 2012 study, for example, found that sleep deprivation impaired the ability of fat cells to respond to insulin, the hormone that regulates blood sugar. Unfortunately, this can set in a vicious cycle where sleep problems lead to weight gain and weight gain in turn—particularly if it leads to sleep apnea—can make sleep problems worse!

PHYSICIAN ASSISTED WEIGHT LOSS CAN HELP Reversing the many factors leading to weight gain such as insulin resistance, sleep apnea, lack of proper sleep, stress, nutritional deficiencies, food sensitivities, eating disorders, hormonal imbalances etc., can be very difficult to do on your own. Diet fatigue, discouragement, and the constant ups and downs can deter even the most disciplined person from his or her goals.

A physician familiar with weight loss, sleep disorders and wellness can be the helping hand you need to get back on track with your weight and your health. Realizing the bidirectional relationship between sleep disorders and weight gain, we are able to address these very interrelated fields together so you can lose weight, sleep better, and enjoy a healthier and perhaps even longer life.

If you’re not sure about cost, realize that your insurance might cover these services, thanks to the Affordable Care Act that mandates insurance coverage for obesity. Call Dr. Tumpati’s office at 1(888) 283-0399 or visit us online at www.w8md.com.

NAME:

PRAB R. TUMPATI, MD CERTIFICATION: Board Certified in Internal Medicine & Sleep Medicine; Board Eligible in Obesity Medicine Fellow of the American Society of Bariatric Physicians

SPECIALTY: Internal Medicine Medicine, Sleep and Obesity Medicine

INSURANCE: Accept All Major Insurance Plans

CONTACT: 2003 Bath Avenue Brooklyn, NY 11214

(888) 283-0399 www.w8md.com

A THE AS T E ONLY O L INSURANCE S R N E PHYSICIAN PH YS C N WEIGHT WE H LOSS O S PROGRAM PR OGRAM IN THE H AREA, R A, THE TH E DEMAND E A D ISS HI HIGH H AND AND ACCEPTANCE AC CE T N E LIMITED L I E TO O 100 NEW EW PATIENTS AT E T PER E W WEEK. E K.

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10 POTENTIAL REASONS WHY YOUR FACE FEELS NUMB IT COULD BE A STROKE, BUT IT COULD BE OTHER THINGS, TOO

Ly y n Me err rr rre rell elll ■■■ Lyn

“One side of my face has started to go numb now and then,” Laura told her friend, Mary. “It’s always on the left side. I’m worried it may be an early sign of a stroke.”

“Four weeks ago I had a twitching feeling in my left cheek,” Martin told his wife. “Then about three days ago it started to feel numb in the same place. Now I feel it on my right cheek, too. Do you think I should go to the doctor?”

Facial numbness can be strange and scary.

Many people assume right away that a stroke is imminent, while others believe it to be cause by stress or medications.

Though a stroke can cause facial numbness, there are a number of other potential causes, too. Below are ten of the most common ones. The important thing is not to diagnose yourself. Facial numbness may not be anything to worry about, but it may also signal something more serious, so don’t wait to make that doctor’s appointment.

Bell’s palsy: This may be the most common reason for facial numbness in people under the age of 40. Doctors aren’t sure what causes it, but the condition creates weakness in the nerve that controls the side of the face. It usually starts suddenly — you may wake up

one day with it out of the blue. If your face is the h only l thing hi affected ff d and d you notice i muscles l drooping, irritation in one eye, drooling, or paralysis on one side of the face, this may be the cause of your facial numbness or tingling.

Multiple sclerosis: This autoimmune disease damages nerves, and may lead to facial numbness. If you already have MS, this may be why your face feels funny. In some people, facial numbness is the first sign of MS, which is why it’s important to check with your doctor.

Trigeminal neuralgia: This is a nerve disorder that affects the “trigeminal nerve,” which is one of the most widely distributed nerves in the head and carries information from your face to your brain. Also called “TN,” it can cause facial pain and numbness, often when shaving, washing the face, or applying makeup. It can occur because of aging, or in relation to MS. Neuropathy: Any injury that causes damage to the nerves can cause numbness. If you suffered a head injury, or if you’re battling diabetes, you may have this sort of nerve damage.

Migraine headaches: New onset migraine headaches may sometimes cause facial numbness, weakness, or pain. The University of Maryland Medical Center notes that migraines can result in facial tingling or numbness. Estimates are that about 15

percent of people who suffer migraines may have this h hi side id effect. ff Lyme disease: You may not have thought about this one, but it’s important to be aware of it, particularly during tick season. Facial numbness and paralysis can be a symptom of Lyme disease. This is the result of nerve damage associated with the disease. Weakness usually begins in the summer months, and then worsens to facial paralysis.

Stroke: Even a mild stroke can cause symptoms on one side of the face. When a blood clot blocks blood flow to a certain part of the brain, it can produce weakness or paralysis, resulting in facial drooping.

Pinched nerve: Sometimes facial numbness is simply the result of a pinched nerve. This may be a result of an injury or irritation to key nerves that control the muscles in the face.

Shingles: This infection that comes from the chickenpox virus (Herpes zoster) creates a painful rash on various areas of the body. If it flares up near the face, it may cause tingling, pain, and numbness.

Vitamin deficiency: Facial numbness may be caused by a shortage of vitamin B12. This is especially possible in seniors, who have a more difficult time absorbing vitamin B. Low levels of potassium, sodium, and calcium may also cause similar symptoms. www.4health.net ww.4h w.

Neurology e o g | 4HEALTH HE L H19

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DON’T IGNORE THOSE HEADACHES — THEY COULD BE SERIOUS WHEN YOU SHOULD SEE A NEUROLOGIST Most people have suffered their share of headaches. We all know what it feels like to have that familiar pain crawl up the back of our necks after a hard day, or to feel the pressure of our sinuses aching behind our eyes. But though a headache may be a minor nuisance for some, for others it can be a serious, chronic condition that affects daily life. In some cases, a headache can signal a life-threatening problem.

Recently published studies have reported that recurrent headaches are associated with anxiety, depression, and behavioral problems in teens. Women who suffer from migraines are 40 percent more likely to develop depression. A study published in 2005 found that people who have migraines are more at risk of suffering a stroke. About 30,000 Americans suffer an aneurysm every year, and 40 percent of those die because of it. Singer Bruno Mars lost his mother to a brain aneurysm. She was only 55 years old.

Chief of Neurology and professor at Woodhull Medical Center Dmitriy Grinshpun, M.D., knows how serious headaches can be.

He’s Director of the Stroke Center and has years of experience in treating all types of headaches.

TYPES OF HEADACHES Though it may seem like a headache is a headache, there are a number of different types, all requiring a different approach in treatment.

■ Tension headache: This is the most common kind. It’s believed to be caused by the contraction of the muscles covering the skull. If you didn’t get enough sleep, have had a stressful day, or didn’t eat right, you may start to feel that band of pain wrapping up across the top of your head.

■ Migraine headache: Migraines can make life miserable. They’re usually characterized by pain on one side of the head that last for hours to days, accompanied by sensitivity to light and sound. They may also cause nausea and vomiting.

■ Cluster headache: This is a unique type of headache that occurs more often in men than women, though both genders may suffer from it. The cause is unknown. The pain is usually sharp and sudden, and then

just as quickly gone. It may return the next day or a few days later, reoccurring for weeks and then going away for months. It may be accompanied by a runny nose and watery eyes.

■ Thunderclap headache: This is the scary one. It hits like a clap of thunder, feels like the worst headache you’ve ever had, and gets worse in a short period of time. This signals a serious problem such as a ruptured artery. These headaches require immediate medical attention.

Some people also suffer headaches after exercise, headaches that go on for days and come with vision problems, headaches that wake them up in the middle of the night, or headaches caused by traumas, such as car accidents, concussions, or assault.

WHEN TO GET TREATMENT How do you know when a headache requires a trip to the doctor? Here are some tips: ■ It’s different: This headache feels extremely painful, more intense, and different from any other headache you’ve had. It’s time to see a neurologist.

■ It’s getting worse: Nothing you’ve tried is working, and your headaches are getting worse. They could signal another health problem. Don’t wait to check with your doctor.

■ It’s affecting the rest of your health: You’re experiencing vision problems, nausea and vomiting, depression, or other symptoms.

It’s time to find out what’s going on.

■ It’s interfering with your life: Your headaches are keeping you home, away from work and family activities, or interfering with your life in some way. It’s time to see a specialist.

FOR MORE INFORMATION Dr. Dmitriy Grinshpun offers a number of treatment options for all types of headaches. In addition to standard medications, he also works with ultrasound, electrotherapy, nerve blocks, massage, traction, homeopathic treatment, thermotherapy, and more. If you’re looking for a headache solution, he’ll help you find it!

NAME:

Dmitriy GRINSHPUN, MD SPECIALTY: Neurology

TRAINING & EDUCATION: SUNY Health Science Center at Brooklyn Fellowship Clinical Neurophysiology Fellowship, SUNY Health Science Center at Brooklyn Residency Neurology Residency,

MEMBERSHIPS: Director of a Stroke Center and Chief of Neurology at Woodhull Medical and Mental Health Center/NYU Affiliate Affiliate.

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HAVING CHILDREN LATER IN LIFE — PROS AND CONS MORE WOMEN ARE WAITING, BUT IS IT THE RIGHT DECISION FOR YOU? g Rice ■■■ Morgan

Motherhood doesn’t look the same today as it used to. Whereas our mothers and grandmothers may have been encouraged to marry and have children in their 20s, women today have the option of establishing careers first, and may wait to

start families until their later 30s or even early 40s.

According to data from the National Center for Health Statistics and the Census Bureau, mothers of newborns are older now than their counterparts were two decades ago. In 1990, teens had more babies than women over 35, but in 2008, the reverse

was true. Canadian statistics also show that in 2010, over half of the mothers who gave birth were over 30.

As women think about their options for family life, they often wonder about the benefits and risks of waiting. Would it be better or worse for the baby? Are the health risks worth it? Here’s more on the pros and www.4health.net ww.4h w.

cons to help you make the best decision for your family.

WAITING TO GIVE BIRTH: THE CONS After the age of 35, certain health risks go up. These include the following: Decreased fertility: Moms over the age of 35 may have a harder time becoming pregnant than their younger counterparts. Women gradually lose their eggs as they age, and hormonal changes can also contribute to the problem.

Existing health problems in mother: Mothers may be more likely to suffer from health problems such as high blood pressure, high cholesterol, obesity, arthritis, or diabetes.

These health issues can create risks for other problems during pregnancy.

Increased health risks for baby: Older mothers have a slightly higher risk of giving birth to a baby with Down syndrome. At the age of 30, the risk is one in 759, while at 40, it’s one in 82.

Increased risk of pregnancy problems: Mothers over the age of 35 are more at risk for pregnancy problems like miscarriage, ectopic pregnancy, and stillbirth. Older mothers are also at a higher risk for gestational diabetes.

Increased risk of delivery problems: Women 35 and older are at a higher risk of giving birth prematurely, of having to go through induced labor, and of suffering complications from a caesarian section, which is also more commonly performed in older moms. There is also a slightly higher risk of preeclampsia, placental abruption, and fetal distress during birth.

Good prenatal care can help reduce and manage all of these risk factors. A woman can also increase her odds of enjoying a healthy pregnancy by maintaining a healthy lifestyle before and after she gets pregnant.

WAITING TO GIVE BIRTH: THE PROS We’ve all seen young mothers struggling to make ends meet, or fighting with a lack of confidence in themselves as they parent.

Older moms are typically more financially established, and have experienced enough success in their lives that they are more confident in their ability to take care of children.

Other advantages to waiting include: High desire for children: Older moms are very committed to having and raising

children, and are likely to be more careful in taking care of themselves during pregnancy.

More disposable income: Women who wait have established themselves career wise, and typically have more financial resources to raise a family.

Stability: At this point in their lives, most women have a more stable existence. They’ve established themselves in a place and/or a career and are ready to settle down to raise children.

More mature: Women over 35 are more mature than their younger counterparts, and bring to the table a practiced ability to handle emotional and financial situations. They are also known to be more tolerant of the ups and downs of parenting, and often make more patient, understanding parents.

May increase longevity: Recent studies show that women who had their last child after the age of 33 had twice the odds of “exceptional longevity”—living to the age of 95 or older — than women who had their last child before the age of 29.

It’s true that in today’s world of advanced healthcare, there truly is no “best age” to have a baby — only the age that works best for you.

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7 TIPS TO KEEP EYES HEALTHY WHILE TRAVELING DON’T WAIT TO CHECK OUT INJURIES & PROBLEMS ■■■

Colleen M. Story y

You know that traveling can be hard on your health. The lines, the stress, the change in times, the lack of sleep, the weird food — it can all leave you more vulnerable to illness and feeling more worn out when you return from vacation than when you left.

Precautions like packing healthy snacks, drinking extra water, getting a bit of exercise in the airport, or downing a few immuneboosting supplements can all help keep you feeling well on your trip, but there’s one more

thing you may not have thought about: your eyes.

Many people experience eye discomfort and blurred vision while traveling. Worse, some go through genuine eye emergencies because of injuries or infections. To help you avoid these types of catastrophes, make sure to take the following precautions to safeguard your peepers until you get back home.

Bring an extra pair. If you wear glasses or contacts, bring an extra pair with you. There are countless stories of people losing contacts in the swimming pool or leaving glasses behind in the hotel. Particularly if you need your

vision correction to drive, an extra pair can be critical to getting around while you’re away.

Keep the second set close — in your purse or briefcase — to be sure it’s there if you need it.

Assume you’ll have dry eyes. Even if you don’t regularly suffer dry eyes, you’re likely to experience them while traveling. Airplanes are notorious for their dry, stale air, and even a short trip can sap your eyes of their normal moisture. Differences in weather patterns, too, can make your eyes dry and teary, obstructing your vision. Bring over-the-counter drops for extra lubrication. If you have prescription drops for dry eyes, be sure to pack those www.4health.net ww.4h w.

along, too. If you wear contacts, take them out if you’re going to sleep on the plane. Otherwise you could wake up with your eyes stinging and burning.

Take contact cleaning solution. It takes up extra room in your suitcase or carry-on, but it’s critical to healthy eyes. If you’re wearing your contacts on the plane, be sure to take a lens case with solution in it with you. It’s dangerous to store contacts in plain water, as it may contain bacteria that you then later transfer to your eyes, where they can cause serious infections. For the same reason, if you’re going to another country or somewhere you’re not sure about the water quality, use bottled water to wash your contacts.

Take vision changes seriously. It’s normal to want to wait until you get home to see an ophthalmologist. But if you notice significant eye problems while you’re on the road, don’t wait. If you accidently scratch your eye, for example, leaving it could give it time to cause an infection.

Symptoms like blurred vision could indicate blood pressure or blood sugar problems that are too dangerous to ignore. If you see floaters or flashes, you could be suffering from a detached retina. Other concerning symptoms include eye pain and redness, nausea or headache with eye pain, and bleeding or other discharges. Bottom line: take issues seriously, and get them checked right away to avoid suffering additional problems. If you’re in a location where you don’t know the doctors, ask a friend or family for a recommendation, or check out Eye Smart’s “Find an Eye M. D.” for a list of American Academy of Ophthalmology members. (See http://www.geteyesmart.org/eyesmart/find/) Prepare for allergies. If you have allergies, realize that a new location may spark reactions that affect your eyes. Take along some oral antihistamines and eye drops to deal with any troublesome symptoms.

Protect from the sun. The sun can damage your eyes just as much as it can your skin, so a good pair of sunglasses is essential. Again, taking along an extra pair is a good idea.

Take your prescription. An updated copy of your prescription can come in really handy if you need to purchase another pair of glasses or contacts for some reason. A simple card with the prescription on it, signed by your doctor, can save you the cost of another exam in another state.

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I HURT ALL THE TIME—IS THIS CHRONIC PAIN? SYMPTOMS AND TREATMENT

y Merrell ■■■ Lynn

Everyone has aches and pains at one time or another. Sometimes it can last for a week or more. But what if it lasts longer than that?

Could it be chronic pain? If so, what does that mean? Can you get treatment for it? Is it dangerous?

WHAT IS CHRONIC PAIN? According to the National Institute of Neurological Disorders and Stroke, a department in the National Institutes of Health, chronic pain is pain that goes on an on, persisting beyond what would typically seem normal.

Pain is a natural response to injury, and the body’s way of alerting us to a problem. It’s a trigger in the nervous system that sets up a red flag—pay attention! This body part needs your help!

Chronic pain, on the other hand, just keeps coming back and coming back for weeks, months, and sometimes even years. One standard measurement of chronic pain is pain that lasts six months or longer. The pain itself can range from mild to moderate, or in some cases, may be excruciating. It may come and go, or it may be there all the time. For some people it’s a nuisance, while for others it becomes totally incapacitating, interrupting regular daily activities.

WHAT CAUSES CHRONIC PAIN? Chronic pain can stem from many things.

Sometimes an initial injury starts it off, like a

sprained back, hurt neck, or serious infection.

Other times there may be underlying conditions causing the pain, like arthritis, cancer, or other types of infection. For some people, however, there may be no visible cause, no past injury or body damage, but yet the pain is there.

Common types of chronic pain include headaches, lower back pain, cancer pain, arthritis pain, neurogenic pain (resulting from nerve damage), or what’s called “psychogenic” pain, where there seems to be no cause.

WHAT ARE THE SYMPTOMS OF CHRONIC PAIN? It may seem that the symptoms of chronic pain would be self-explanatory. Consistent pain! That pain can come in different forms, however. It may be mild to severe. It may be shooting, burning, aching, or electrical. Or it may just feel uncomfortable, sore, and stiff.

Chronic pain is also often accompanied by other difficult symptoms, like fatigue, the inability to sleep well, a weakened immune system and the tendency to get sick often, moodiness, depression, irritability, anxiety, stress, withdrawal from activity, an increased need to rest, and even disability.

THE EMOTIONAL EFFECTS The emotional effects of chronic pain can be just as frustrating and debilitating—if not more so—than the physical effects. The constant pain without relief can lead to depression, a lack of interest in life, and even suicidal tendencies. One study in 2003 found that

people in chronic pain were less able to make decisions, and were considered cognitively impaired.1 According to a recent Pfizer health report, one in 29 percent of Australians living with chronic pain had considered suicide.2

TREATMENTS FOR CHRONIC PAIN Chronic pain can sometimes be particularly stubborn in response to treatment, especially in those cases where the cause of the pain is unclear. Still, there are several effective treatments available. Medications, local electrical stimulation, brain stimulation, and even surgery are all options your doctor may consider.

Acupuncture, specifically, seems to hold a lot of promise in this area. Psychotherapy, relaxation and meditation, biofeedback, and other similar methods may also prove helpful. Certain exercises have also proved effective in some cases.

What’s important is to keep trying, and to keep the conversation open with your doctor. Especially if you start to feel depressed or if the condition interferes with your daily activities, it’s time to get help. Contact your regular doctor, and consider making appointments also with a psychologist and/or a neurologist. Many people, even if they are unable to cure their chronic pain, experience relief when they approach the condition from multiple angles, taking a variety of steps to gain relief.

REFERENCES 1

.A. Vania Apkarian, et al., “Chronic Pain Patients are Impaired on an Emotional Decision-Making Task,” Pain 108 (2004) 129-136.

2 .Jordanna Shriever, “Chronic Pain a Suicide Danger,” Adelaide Now June 7, 2011. http://www.adelaidenow.com.au/chronic-pain-a-suicidedanger/story-e6frea6u-1226070584638.

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| Plastic la i Surgery S g y

HORRIFIED BY YOUR VIDEO CHAT PROFILE? CONSIDER A CHIN IMPLANT PROCEDURE GAINS POPULARITY AS FACE-TO-FACE VIDEO CHAT EXPANDS NAME:

Roman RAYHAM, MD SPECIALTY: Plastic and Reconstructive Surgeon

CERTIFICATION: Board-certified, American Board Board-certified of Surgery and American Board of Plastic Surgery Surgery.

TRAINING & EDUCATION: SUNY Downstate College of Medicine Medicine, Staten Island University Hospital (Residency), (Residency) Training at Mayo Clinic, Clinic Post-graduate fellowship at New York Eye and Ear Infirmary Infirmary.

MEMBERSHIPS: American Medical Association Association, Medical Society of the State of NY, NY Medical Society of Kings County, County Arnold Society Society, Priestley Society Society.

CONTACT: 1616B Voorhies Ave., Ave Ste. Ste B Brooklyn NY 11235 Brooklyn, 161 Madison Ave Ave. Ste. Ste 11W New York, NY 10016

((877)) 582-0400 www.NYPlasticSurgeryCenter.com g

LANGUAGES: ENGLISH • RUSSIAN

What’s the fastest growing plastic surgery procedure? You may guess “breast implants’ or “butt lifts.” These surgeries are popular, but neither is the correct answer.

Recent statistics from the American Society of Plastic Surgeons (ASPS) show chin augmentation, or the “chinplant,” is the fastest growing plastic surgery trend among both men and women. Between 2010 and 2011, there was a whopping 71 percent increase in the number of procedures performed in the U. S. In fact, in 2011, chin augmentation grew more than breast augmentation, Botox, and liposuction combined.

Why reshape the chin? The ASPS states that as the baby boomers remain in the workplace, they want to continue to look young and energetic, and chin augmentation is a good way to sculpt not only the chin, but the jaw line, restoring a more youthful look. The increased use of video chat technology also seems to be playing a part, as people are more likely to notice a double chin or sagging jaw line on the screen.

Plastic surgeon Dr. Rayham of the RR Plastix/ New York Plastic Surgery Center performs these procedures often, and states that he can do them in his office under local anesthesia in most cases. “Facial fullness, definition, and profile are usually significantly improved with placement of a chin implant,” he says.

Want to improve your appearance for work, video chats, or just for your own confidence?

Read on to find out if you may be a candidate.

WHAT IS A CHIN IMPLANT? Medically termed “mentoplasty,” a chin implant helps redefine and balance the face. We may not often think about the chin, but like the eyebrows, it helps finish and frame our look. Who ever thought having a “weak” chin was an attractive thing?

In fact, plastic surgeons will often recommend a chin implant along with cheek or nose surgery, as they know that only when

the chin is in balance with the rest of the face will the person truly look younger.

During the actual procedure, the surgeon makes a small incision within the mouth or under the chin, and then inserts a custom-fitted implant in front of the chin bone and under the muscles, securing it with sutures or screws.

The implant may be made of real bone or out of synthetic materials like silicone, Teflon, or Dacron. Depending on the case, he may also need to sculpt the existing bone or fat deposits to create the desired results.

HOW LONG DOES IT TAKE TO RECOVER? Recovery typically takes about a week — that’s when you can go back to your normal activities. After about three to six weeks, most of the swelling is gone and you’ll be able to see the beginning results of the surgery. You may still feel some numbness or stretching in the chin for up to three months.

AM I A CANDIDATE? You may be a good candidate for a chin implant if: ■ You are in good health and have no major medical conditions. (If you are working with some medical restrictions, talk to the doctor about the possibilities.)

■ You want to improve your profile by enlarging and extending your chin.

■ You want to add definition to your chin.

■ You want to improve proportion in our face.

■ You want to accent the upper cheeks and create a more youthful appearance.

FOR MORE INFORMATION Dr. Rayham has offices in Manhattan, New York City, Brooklyn, and Staten Island. For more information on a chin implant or for an initial consultation, call the RR Plastix/New York Plastic Surgery Center, 1–877–582–0400, or visit our website at www.rrplastix.com. www.4health.net ww.4h w.

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NY PLASTIC SURGERY CENTER

AESTHETIC PLASTIC & RECONSTRUCTIVE SURGERY www.NYPlasticSurgeryCenter.com

Advanced clinical and surgical expertise, artistic vision, and exceptional patient care are all at the heart of our practice.

1-877-582-0400 FACE Rhinoplasty Face Lift (Rhytidectomy) Brow Lift Eyelid Surgery (Blepharoplasty) Facial (Chin and Cheek) Implants Ear Surgery (Otoplasty) Torn Earlobes Repair Dermabrasion

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BREAST CANCER SURVIVORS GETTING REALISTIC NIPPLE TATTOOS HOW AN ARTIST CAN HELP YOU FEEL NORMAL AGAIN y Merrell ■■■ Lynn

Having to lose one’s breasts through a mastectomy leaves women struggling with their body image. Reconstruction helps, but it doesn’t include recreating the nipple, at least at first. Though plastic surgeons do offer nipple and areola reconstruction once the initial reconstruction of the breast has healed, some women would rather not go through surgery all over again.

Today, there is another option — nipple tattoos. Women who thought they would never consider getting a tattoo may think twice after going through breast cancer surgery. Tattoo artists are able to create nipples with such artistry that even doctors are hard-pressed to tell the difference between a tattoo and the real thing.

WHAT IS A NIPPLE TATTOO? According to a recent report in the journal Plastic and Reconstructive Surgery, tattoo artists can achieve “aesthetically superior” results by creating three-dimensional tattoos of the nipple and surrounding areola (called the “nipple-areola complex,” or “NAC.”) “The application of “3D” techniques or “realism” in tattoo artistry has significant potential to improve the aesthetic outcomes of reconstructive surgery,” the researchers wrote.

Though the procedure of creating the nipple was typically performed by plastic surgeons using very basic techniques and limited ink colors, today, tattoo artists have become so advanced that they can typically use their artists’ touch to get much better looking results. New techniques involve using a variety of ink colors, needle types, shadow effects, and other illusory methods to make the nipple look closer to the real thing. Today’s artists can even recreate the tiny Montgomery glands surrounding the nipple.

“The technique of 3D NAC tattoo presented is, in our opinion,” the researchers wrote, “a significant advance in obtaining improved aesthetic results for women undergoing breast reconstruction.”

PERSONAL INK PROVIDES SURVIVORS WITH IDEAS Breast cancer survivor Molly Ortwein went through a double mastectomy and wanted to do something about her scars, so she decided to try a tattoo artist. She later talked to her brother-in-law, Noel Franus, about her plans.

Franus, realizing that more women options when recovering from breast cancer surgery, founded “Personal Ink” in December 2012. The non-profit organization seeks to provide ideas and inspiration to survivors and to connect patients with tattoo artists who are qualified to

work on scars. In the future, they hope to host more events across the country where cancer survivors can meet tattoo artists in person.

“It’s a neat option, said Inga Duncan Thornell, a Seattle life coach who had tattoos completed after her double mastectomy. “You step out of the shower and you look like yourself. You don’t look scarred. I understand why women would reconstruct and totally respect their decision to do that to be more normal, but the thought of having more surgery, more discomfort, didn’t appeal to me at all.”

Some insurance companies may partially reimburse a tattoo — be sure to check your policy.

MAKE SURE TO STAY SAFE Are breast tattoos safe? Most doctors believe they are, but recommend women do their research. Be sure you’re going to a reputable artist who uses sterile inks and has an extremely clean facility. Find one that will allow you to watch them open new packs of needles and tubs of ink so you know they haven’t been used. Make sure they use a heat sterilization machine that cleans all nondisposable equipment, and that they wear gloves and follow other important infectioncontrol procedures.

If you notice any unusual symptoms after receiving the tattoo, check with your doctor right away.

718.646.0131

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5 WAYS YOUR FLIP-FLOPS ARE DAMAGING YOUR FEET TIPS TO MAKE FLIP-FLOP WEARING LESS HAZARDOUS g Rice ■■■ Morgan

They’re comfortable. They’re colorful.

They’re so easy to wear. But according to a recent study, flip-flops are bad for your feet.

In fact, the effects can be so detrimental that they leave you with long-term pain and even deformities as you get older. Below are just seven of the ways flip-flops can cause you grief. There are more, so you may want to think twice about wearing these shoes.

Maybe just on weekends rather than every day?

Pain. Flip-flops can cause you serious foot pain. The shoes have no arch support, heel cushioning, or shock absorption, so if you wear them when you’re doing a lot of walking, you can suffer injuries like tendonitis, sprained ankles, arch pain, and more.

Choose more supportive shoes for days when you’re on your feet for an extended period of time.

Infections. Flip-flops gather up a ton of germs. According to a 2009 study from the University of Miami, one pair of flip-flops can house more than 18,000 bacteria, including some that come from fecal matter and the dangerous Staphylococcous aureus. The study also found that one pair of flip-flops that belonged to a six-year-old child had germs that cause yeast infections and diaper rash. Those who have any sort of open cut or blister on their feet while wearing these contaminated www.4health.net ww.4h w.

4HEALTH shoes could suffer serious infections, boils, and even more serious toxic sicknesses. Researchers noted that germs are flip-flops are more dangerous because people handle these shoes more often than other shoes, adjusting them and slipping them on and off.

Blisters. Because a flip-flop lacks any features to stabilize the foot, it is more likely than other shoes to rub against the bare skin, particularly in the space between the toes. Over time, it can create painful blisters. If these break open, they put you at risk from all the germs present on the flip-flop.

Plantar fasciitis. When you wear flipflops, your entire gait changes. According to a study from the Auburn University, flip-flops make people take shorter steps, throwing off the natural gait and resulting in ankle pain.

Researchers noted that flip-flop wearing volunteers scrunched their toes to hold onto the shoe. Over time, that motion stretched the plantar fascia, causing inflammation and heel pain (plantar fasciitis). Participants were also likely to turn their ankles inward, which could result in long-term ankle and hip problems.

Stress fractures. A stress fracture is a small crack in a bone—in this case, a bone in the foot. They’re often caused by overuse, or by improper support for the foot during

extended periods of walking, hiking, or jogging. Podiatrists have noticed that wearing flip-flops a lot can lead to stress factures in the metatarsal bones (long bones at the top of your foot). If you get one of these, you have to wear a fracture boot for 4-6 weekks while the injury heals.

TIPS TO REDUCE THE HAZARDS Despite the dangers, many people just can n’t give up their flip-flops. If you’re one of th he die-hard fans, try these tips for reducing you ur risk of foot problems: Don’t walk long distances: Flip-flops are perfect for lounging around at the pool or th he beach, or even for a night at the movies, but choose more supportive shoes when you’’re going to be on your feet a lot.

Look for high-quality brands: Some man nufacturers make more supportive flip-flop ps that have a more stable sole, a higher arcch support, and improved cushioning. These sttill aren’t good options for long walks or hikees, but will be less likely to cause injury in th he short-term. Look for brands like FitFlop ps, Teva, Merrell, OluKai and Reef.

Wear sunscreen: Don’t forget that the skkin on your feet is susceptible to sunburn an nd even skin cancer.

Don’t wear them when your feet need protection: If you’re mowing the lawn, riding a bike, heading out through the countryside, or otherwise walking through debris and/or over rough terrain, leave the flip-flops behind.

They increase risk of cuts, bruises, and painful stubs that can leave you bruised and unable to walk.

Listen to your feet: If they start to hurt, switch shoes!

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567 9th Str., Brooklyn, NY 11215 ( P ar k Slo pe) www.4health.net w.4hea .4

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4HEALTH

lis BEE POLLEN

Human n beings have long coveted the products of the honeybees. In pre-industrial times, they raided hives for honey and wax, and of course, we still continue to prize both.

Bee pollen, however—the precious grains of flower pollen collected by honeybees from a diversity of plants—is a great source of a variety of antioxidants, vitamins, and minerals, and has been traditionally used as an antiaging and energy food. Known as “life giving dust,” it was used as far back as the time of the ancient Egyptians as a way to maintain health and vitality.

Today, Americans have access to many imported bee pollen products, but most of these are highly processed to lengthen shelf life and eliminate costs for proper storage. BeeLis pollen, however, is naturally made with no harsh chemicals to harm the delicate nutritional qualities.

WHAT IS BEE POLLEN? Bee pollen, also called “bee bread” or “pollen ball” is a mass of pollen packed by worker honeybees into granules with added honey or nectar. As the bees go from flower to flower, they collect pollen from the flowers on their feet and bring it back to the hive, where they pass it on to another worker bee.

The second bee will then pack the pollen into a “brood cell,” adding nectar, enzymes, and other organisms that transform the pollen into bee pollen. The resulting material contains nutrients, fatty acids, and protein.

WHAT ARE THE BENEFITS OF BEELIS BEE POLLEN? Bee pollen, like that found in BeeLis products, has been used for centuries to boost energy, strengthen immunity, tame allergies, speed wound healing, ease depression, alleviate headaches, improve fertility in males and females, calm menstrual cramps, and restore lost sexual desire.

Early scientific studies that hint at the broad potential of this nutrient-rich substance: Allergies: A 2008 animal study found that daily supplementation with bee pollen provided an anti-allergic action. A second study found that “myricetin,” one of the flavonoids in bee pollen, was responsible for this antiallergic effect.

Antioxidant: A 2009 study found that bee pollen offers powerful antioxidant benefits, which may have anti-aging benefits.

Osteoporosis: Early animal studies suggest that bee pollen may hold promise in treating osteoporosis. Bee pollen boosted bone levels of calcium and phosphate, and protected against bone loss.

Anti-inflammatory: In a 2010 study, bee pollen showed a potent anti-inflammatory effect, helping to reduce swelling and inflammation in animals with paw edema. This property may also contribute to bee pollen’s wound-healing and anti-aging benefits.

Anti-microbial: Researchers in 2011 found that pollen is rich in flavonoids and phenolic acids that provided free-radical scavenging activity, along with a strong antimicrobial action. It was particularly beneficial against bacteria like staphylococcus and streptococcus.

You Can Buy BEELIS Products at: TRAVYANAYA APTEKA 274 Brighton Beach Ave., Brooklyn, NY 11235 (718) 648-0002 Ocean Pharmacy 1929 Kings Hwy, Brooklyn, NY 11229 (718) 998-9595 My Choice Pharmacy 924 Kings Hwy, Brooklyn, NY 11223 (718) 375-7700 NetCost Market Stores

These properties can aid in wound healing, anti-aging, and immune-boosting benefits.

BEELIS POLLEN FROM AMISH FARMS The harsh manufacturing process applied to most bee pollen products risks destroying the fragile mix of beneficial nutrients. Heat and chemicals damage and even obliterate enzymes and flavonoids, creating a product that is much less effective than the original natural pollen. In fact, manufactured bee pollen loses 50 percent or more of its healthy properties.

BeeLis bee pollen is from the most natural source—Amish bee pollen. This pure product contains no chemicals and is collected from bee apiaries from the most top-quality Amish farms, which have been recognized by several media channels. The difference is huge, and your body will be able to tell.

BeeLis pollen preserves all the vitamins, minerals amino acids, and antioxidants that one needs to maintain a healthy lifestyle. Try supplementing once a day and see if you don’t feel a stronger, more energetic zest for life!

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PERIPHERAL ARTERY DISEASE INCREASES RISK OF AMPUTATION USA VASCULAR CENTERS PROVIDES CURE Movement is life. The ability to move independently, exercise, work, and enjoy an active lifestyle really depends on the health of our feet and legs. Have you ever imagined life without them? Fortunately, most of us don’t have to worry about it, but if you have peripheral artery disease (PAD), your risk of one day having to lose one or both legs is higher than normal.

Nearly five percent of men and women from 44 to 74 years of age suffer from PAD, and many of them aren’t even aware of it. According to the National Limb Loss Information Center, in 1996, an estimated nearly 130,000 people lost a limb because of the disease. Here’s more, and how you can protect yourself from such a tragic fate.

WHAT IS PERIPHERAL ARTERY DISEASE? Blood saturated with oxygen and nutrients flows from the heart to the organs and tissues in the rest of the body. PAD is a form of atherosclerosis (hardening of the arteries), and gradually narrows blood vessels, restricting blood flow. As this occurs, there is a shortage of nutrients and oxygen delivered to parts of the body, particularly the legs, though critical organs may also be affected. Over time, the arteries that supply blood to the legs can become narrowed or even completely clogged.

WHO IS AT RISK? Those who smoke, or who have high blood pressure, high cholesterol, or diabetes, are more at risk for PAD. Another risk factor is age: as the years go by, arteries are more likely to show wear and tear. People who lead a sedentary lifestyle, who are overweight or obese, or who have a family history of PAD, are also more likely to develop the disease.

WHAT ARE THE SYMPTOMS OF PAD? In the early stages of the disease, the patient may experience fatigue, numbness, tingling or coldness in the affected limb. As the disease progresses, the patient may experience “intermittent claudication,” or cramping leg pain.

From time to time, when walking, a sharp pain occurs in the leg, making it difficult to continue. This pain occurs because some groups of www.4health.net w.4hea .4

muscles are not receiving enough oxygen-rich blood, which strains the muscle and causes the painful reaction. After staying still for a time, the pain goes away, and the person can walk again. As the disease progresses, the distance a person can go on foot without pain decreases.

In the later stages of the disease, open sores may develop on the skin of the legs and feet.

Again, these are usually caused by poor blood flow, and may take a really long time to heal.

Though these symptoms are common, many people with PAD experience no symptoms in the early stages. That’s why it’s always important to have regular physical check-ups, particularly if you have some of the risk factors mentioned above.

DANGERS OF PAD Pain and fatigue in the legs, accompanied by disrupted blood flow, is a relatively innocuous manifestation of PAD. When the disease progresses, ulcers may develop. If they don’t heal, gangrene may occur due to insufficient blood supply of tissues, and that can lead to a potential amputation. If treatment is not started early, in many cases, the patient may not only lose a leg, but also his or her life.

According to statistics, a quarter of patients with PAD experience complications related to gangrene. Therefore, when the earliest signs of the disease appear, patients should seek medical help. Experienced doctors specializing in cardiovascular medicine can stop the progression of the disease and protect against the risk of leg amputation.

EXPERIENCED DOCTORS AT USA VASCULAR CENTERS USA Vascular Centers is proud to provide a number of doctors qualified to treat PAD. If you are suffering from pain in the legs when you walk, we can help. Modern methods of PAD treatment are so effective and safe that leaving the disease untreated becomes a real crime against yourself and your loved ones. Professionals at USA Vascular Centers successfully treat the disease, as well as varicose veins and other vascular diseases. Treatment is covered by most insurance types, including Medicare.

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SPECIALTY: USA Vein Clinics has eight-of-the-art centers specializing in the treatment of venous disorders disorders. Their expert cardiovascular physicians have cured over 10 10,000 000 patients nationwide nationwide.

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4HEALTH

MIGRAINE SUFFERERS NEED TO WATCH OUT FOR DEPRESSION HOW TO TELL IF YOU’RE SUFFERING FROM BOTH

■■■ Colleen M. Storyy “I feel like my migraines are making me depressed,” says one sufferer. “I worry my life will never get better.”

“I’ve tried everything to stop my headaches,” says another, “and nothing is working. My family is tired of me feeling unwell all the time, but I don’t know what else to do, and I’m starting to feel really down about it.”

Could regular migraines be connected to depression? According to a recent study, they can, and the results can be particularly dangerous. Victims may start feeling so badly they start having suicidal thoughts.

WHAT THE STUDY FOUND Researchers from the University of Toronto, Canada, reviewed data from more than 67,000 Canadians collected during the 2005 Canadian Community Health Survey. They found 6,000 of those had been diagnosed by their doctors as having migraines. Focusing in on those individuals, they looked for connections between the migraines and depression. Results showed the following: ■ People who had migraines were about twice as likely to also have depression as those who didn’t have migraines.

■ More specifically, 8.4 percent of men with migraines also suffered from depression, compared to 3.4 percent of men without migraines.

■ In women, 12.4 percent with migraines

suffered from depression, compared to 5.7 percent without migraines.

■ Female migraine sufferers under 30 years of age were more than six times as likely to have depression as suffers aged 65 and older.

■ Both men and women suffering from migraines were twice as likely to have ever seriously considered suicide as those without migraines.

Researchers wrote that they weren’t sure why people with migraines are more likely to have depression or to consider suicide. They theorized that the victims hadn’t managed to find treatments that worked or to find other ways to minimize the pain.

WHY DETECTING DEPRESSION C AN BE DIFFICULT Dr. Todd A. Smitherman and Steven M. Baskin, writing for the American Headache Society, state that it can be difficult to identify the physical symptoms of depression. “They may share some symptoms with migraine,” they write, like sleep and appetite changes, low energy, dizziness, and trouble concentrating.

How do you tell if depression may be creeping up on you? Doctors recommend you watch out for thoughts and feelings like sadness and hopelessness that lasts longer than at least two weeks. Other potential symptoms

include feelings of guilt and worthlessness, a loss of interest in activities you used to enjoy, and thoughts of suicide.

DON’T GIVE UP YOUR SEARCH FOR A SOLUTION If you suffer from migraines, there are a number of possible treatments (some of which are listed below). Make sure you’ve exhausted them all before you give up. If you believe you may be suffering from depression as well, speak with your doctor or counselor about potential treatment.

Antidepressants or cognitive therapy may help you to feel better, which may give you more energy to seek out an effective migraine treatment.

Natural herbs: Some herbs have shown in studies to be effective against headaches.

Try butterbur, feverfew, rosemary, and peppermint.

Medications: A number of medications have been approved for the treatment of migraines. Talk to your doctor. Some antidepressants have been shown to help ease the symptoms of depression and migraines.

Biofeedback: This technique has proven to be effective in reducing the number of headaches in some people.

Botox: This technique is now best known for reducing wrinkles, but it’s also shown to be effective against headaches in some people. www.4health.net ww.4h w.

4HEALTH

37

ANCIENT THERAPY GAINING NEW POPULARITY IN WESTERN MEDICINE ACUPUNCTURE – YOUR QUESTIONS ANSWERED. g L.Ac ■■■ Ada Kulagina,

If you’re curious about acupuncture and are thinking about trying it, you probably have some questions about what it is and how it works. We talked to Dr. Ada Kulagina, LAC, who specializes in acupuncture in Brooklyn, to get some answers.

What is Qi? Qi is a Chinese term for vital energy or life force. In traditional Chinese medicine, qi is believed to regulate a person’s spiritual, emotional, mental, and physical balance, and to be influenced by the opposing forces of yin and yang.

What are the principles of acupuncture or how does it work?

It is believed that there is energetic substance (called Qi), which is inhaled through

www.4health.net w.4hea .4

the lungs at birth and then circulates through specific channels (called meridians). When Qi gets deficient, out of balance or stagnated, a person will feel unwell and will typically have signs and symptoms of illness or discomfort.

Acupuncture helps restore the balance of Qi by cleaning blocked meridians, strengthening deficient organs and calming hyperactive organs.

What are meridians?

Meridian is a traditional Chinese medicine term for each of the 20 pathways throughout the body for the flow of qi, or vital energy, accessed through acupuncture points. These pathways are believed to affect certain organs or parts of the body.

How should I feel during acupuncture?

People experience acupuncture differently, but most feel no or minimal pain. Some people are energized by the treatment, while others

feel deep relaxation. If you experience that type of deep relaxation, numbness, or heaviness, it is known as “Deqi” (pronounced duh chee), and is a sign the treatment is working properly.

Does acupuncture hurt?

The acupuncture treatments themselves typically do not hurt, because acupuncture needles are extremely fine and flexible. Occasionally you will feel a pinching sensation as the needles are inserted. With the needles in place, you may feel pressure, tingling, or aching. This is the Qi in the body and is a desired response. It is not expected to be uncomfortable or painful. The most common experience during treatment is a deep sense of relaxation and well-being. If you do experience any pain or discomfort, advise your practitioner immediately, as your needles may need to be adjusted.

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4HEALTH

7 THINGS TO DO BEFORE SURGERY TO IMPROVE THE OUTCOME YOUR CHOICES CAN GET YOU OUT OF THE HOSPITAL FASTER ■■■ Colleen M. Storyy If you’ve been scheduled for surgery, you’ve probably been told about the procedure, what you’ll need to do the day of surgery, and about how many days you may be spending in the hospital. What your doctor may not have told you is what to do between now and your surgery date to help increase your odds of a fast recovery.

All surgeries, no matter how common, come with risks. You can reduce those risks by taking extra good care of yourself in the weeks leading up to the procedure, and by doing a few key things to make sure your body is as strong as possible.

A FEW THINGS TO ASK YOUR DOCTOR Before surgery, there are things your doctor may do out of habit. He or she may order a battery of preoperative tests, for example, or recommend you avoid food and drink for 12 hours or more before the actual operation.

These steps can actually cause you more stress than is necessary, or potentially slow your recovery.

According to an article in the Cleveland Clinic Journal of Medicine, for example, “Needless testing is expensive, and may unnecessarily delay the operation, and puts the patient at risk for unnecessary interventions.”

Rather than blindly taking the tests, ask your

doctor what is truly necessary. Find out if there are some you can skip to make your time before the operation less stressful.

Fasting before surgery has long been recommended, as it helps reduce the chances of vomiting and choking during surgery.

Typically, patients are told to avoid food and drink after midnight the night before surgery, but studies have shown no difference in stomach content between patients fasting after midnight and those drinking clear liquids (which are quickly eliminated) up to two hours before surgery. Again, ask your doctor if liquids may be allowed for a little while longer. www.4health.net ww.4h w.

4HEALTH SEVEN TIPS FOR IMPROVING POST-SURGICAL OUTCOME In addition to talking with your doctor, try the following seven activities to increase your body’s strength and resilience, which will help you recover more quickly.

Eat well. This is not the time to pig out on junk food. Give your body healthy fruits and vegetables and whole grains to build up your defenses. If you’ve been feeling ill, check with a dietician for help.

Exercise. It’s the best way to keep your body strong, and strength is what you need.

It’s particularly helpful if you’re going through joint surgery or some other type of procedure that will require you to get up and walk around soon after. Studies have shown that people who engaged in exercise programs before surgery recovered faster.

Relax. Surgery is stressful, even for the most relaxed individual. Stress increases your perception of pain and will slow your recovery. This is the time to practice stress relief. Choose your favorite activity — time with friends, yoga, tai chi, meditation, a massage, a weekend away, a funny movie, etc.

Consider taking along your favorite music with you to the hospital, or a good book, to help keep your mind calm.

www.4health.net w.4hea .4

Breathe. Surgery often taxes the lungs.

You may have seen other patients using those little plastic machines to measure the amount of air they can take in. If you practice deep breathing before surgery, you’re likely to recover your lung capacity more quickly.

Control any other health conditions. If you have high blood pressure, high cholesterol, diabetes, or other health conditions, do your best to keep them under control before surgery.

Continue on your medications until your doctor tells you to stop, and make sure your medical team is aware of all the drugs you’re taking.

39

Stop smoking. Smoking weakens the lungs and makes it harder to recover your breathing after surgery. Ask your doctor about programs that can help. Even stopping just a week before surgery may be enough to be beneficial.

Avoid alcohol. Studies have shown that people who have more than two alcoholic drinks a day are at a higher risk for postoperative complications. Heavy drinking increases risk of infection after surgery. Most health experts recommend no more than two drinks a day for men, and one for women.

To improve your surgery outcome, consider avoiding it completely for at least a week prior to your procedure.

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CLASSIFIEDS

40

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4HEALTH

41

4HEALTH

42

ALLERGY & IMMUNOLOGY

Lev BARSKY, MD 728 Oceanview Ave, Ave Ste 1 Brooklyn NY 11235 Brooklyn,

DERMATOLOGY

Lloyd A. CYPRUS, DMD th

Yelena OSKOTSKAYA, DDS

3054 Brighton 7 St Brooklyn NY 11235 Brooklyn,

7101 4th Ave Brooklyn NY 11209 Brooklyn,

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INTERNAL MEDICINE

Leonard LEVITZ, MD

Victoria ALEKSANDROVICH, MD

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1749 E 16th St Brooklyn NY 11229 Brooklyn,

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321 Edison St Staten Island, NY 10306

AUDIOLOGY

NEPHROLOGY

321 Edison St Staten Island, Island NY 10306

(718) 980-2525 FAMILY PRACTICE NEUROLOGY

Dmitry EPELBOYM, DDS th

Nataliya SAFONOVA, DDS

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2211 Ocean Ave Brooklyn NY 11229 Brooklyn,

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Audiology ISLAND

Tatyana GIRSHIN, MD 248 Ave P Brooklyn NY 11204 Brooklyn,

148 New Dorp Ln Staten Island, Island NY 10306

Lucia AVANY, MD

(718) 980-0188

2960 Ocean Ave, Ave Fl 3 Brooklyn NY 11235 Brooklyn,

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CARDIOLOGY

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Don BANDARI, MD 1664 E 14th St, St Ste 101 Brooklyn NY 11229 Brooklyn,

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Marina KREPKH, DDS 7708 4th Ave Brooklyn NY 11209 Brooklyn,

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Sam WEISSMAN, MD 202 Foster Ave Brooklyn NY 11230 Brooklyn,

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4HEALTH NEUROSURGERY

ONCOLOGY

OPTOMETRY

Amit SCHWARTZ, MD

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Margarita BAUMAN, OD

948 48th St, St Fl 2 Brooklyn NY 11219 Brooklyn,

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OBESITY MEDICINE

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Arkady LIPNITSKY, DC 813 Quentin Rd, Rd Ste 200 Brooklyn NY 11223 Brooklyn, 780 8th Ave, Ave Ste 201 New York, York NY 10036

(877) 423-7987

158 06 Northern Blvd 158-06 Flushing NY 11358 Flushing,

The HERITAGE REHABILITATION & HEALTH CARE CENTER 5606 15th Ave Brooklyn NY 11219 Brooklyn,

Svetlana LUVISH, DPM 520 Neptune Ave Brooklyn NY 11224 Brooklyn,

(718) 946-8586

(888) 699-8952 PLASTIC SURGERY

(718) 445-3700 www.brooklynroc.com

Ideal OPTICAL Prabhakara R. TUMPATI, MD 2003 Bath Ave Brooklyn NY 11214 Brooklyn,

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Paul GLIEDMAN, MD

7602 5th Ave Brooklyn NY 11209 Brooklyn,

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Alina VASILYEVA, DPM

Mila MOGILEVSKY, DO 1599 E 15th St, St Fl 2 Brooklyn NY 11230 Brooklyn,

(347) 252-6732

2101 Ave X Brooklyn NY 11235 Brooklyn,

Roman RAYHAM, MD, BOARD CERTIFIED IN PLASTIC SURGERY 1616B Voorhies Ave Brooklyn NY 11235 Brooklyn, 161 Madison Ave, Ave Ste 11W New York, York NY 10016

(718) 512-2160

OB/GYN - GENERAL

2116 Ave P Brooklyn NY 11229 Brooklyn, 2646 E 14th St Brooklyn NY 11235 Brooklyn,

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(877) 582-0400 www.nyplasticsurgerycenter.com

PODIATRY

David SCHWARTZ, MD Hayama BRILL, MD

800 Poly Pl, Pl Ste 114A Brooklyn NY 11209 Brooklyn,

1725 E 12th St, St Ste 301 Brooklyn NY 11223 Brooklyn,

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Aleksandra ZLOTNIK, OD

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www.orthobrooklyn.com

(888) 829-5059

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ORTHOPAEDIC SURGERY

(888) 416-5055

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Isak BADALOV, DPM

OPHTHALMOLOGY

67 09 75th St 67-09 Middle Village, Village NY 11379

(212) 744-0392

(718) 894-9291

OB/GYN - UROGYNECOLOGY

Michael RISKEVICH, MD 2818 Ocean Ave, Ave Ste 1 Brooklyn NY 11235 Brooklyn,

Natalya UROVISH, MD www.orthobrooklyn.com

Leonard M. BLEY, MD Harout MARGOSSIAN , MD 7206 Narrows Ave Brooklyn NY 11209 Brooklyn,

(888) 404-5046

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43 32 Kissena Blvd 43-32 Flushing NY 11355 Flushing,

(718) 939-0609 97 32 63Rd Rd 97-32 Rego Park, Park NY 11374

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PHYSICAL THERAPY

Yuly CHALIK, MD

PAIN MANAGEMENT

2632 E 14th St Brooklyn NY 11235 Brooklyn, 107-15 107 15 Jamaica Ave Queens NY 11418 Queens,

587 Kings Hwy Brooklyn NY 11223 Brooklyn, 160 E 56th St, St Ste 900 New York, York NY 10022 98-14 98 14 65Th Ave Rego Park, Park NY 11374

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Birch & BIRCH, DPM

1529 Richmond Rd Staten Island, Island NY 10304

(888) 538-2717

Vladislav RUDNER, PT David EDELSTEIN, MD (888) 829-5059 www.orthobrooklyn.com

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Leonid VOROBYEV

(718) 759-6979

1901 82nd St Brooklyn NY 11214 Brooklyn,

(718) 490-2416 www.magichandspt.com

6419 Bay Pkwy Brooklyn NY 11204 Brooklyn,

(888) 645-1338 482 Manor RD Staten Island, NY 10314

4HEALTH

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VASCULAR SURGERY

Vitaly RAYKHMAN, MD th

2632 E 14 St Brooklyn NY 11235 Brooklyn, 107-15 107 15 Jamaica Ave Queens NY 11418 Queens,

(347) 508-3991 www.nyui.org

Lev KHITIN, MD 8607 21th Ave Brooklyn NY 11214 Brooklyn, 400 E 56th St, St Ste 1 New York, York NY 10022

AESTHETIC CENTERS

USA VEIN CLINICS 2511 Ocean Ave, Ave Ste 102 Brooklyn NY 11229 Brooklyn, 116-02 116 02 Queens Blvd Forest Hills, Hills NY 11375 1153 First Ave New York, York NY 10065

(888) 535-0808

(718) 764-1687

www.vashiveni.com

www.usaveinclinics.com

Victoria KHABINSKI, VKSKIN SPA 162 Brighton 11th St, St Fll 2 Brooklyn NY 11235 Brooklyn,

(646) 200-5937

Park PLACE PHARMACY

Gitelis LAW OFFICE

160 Park Pl Brooklyn NY 11217 Brooklyn,

2004 Coney Island Ave Brooklyn NY 11223 Brooklyn,

(718) 857-4000

(347) 462-1388

MEDICAL SUPPLY

ALTERNATIVE MEDICINE - GENERAL

Khavinson & ASSOCIATES Ridwan SHABSIGH, MD 3121 Ocean Ave Brooklyn NY 11235 Brooklyn, 944 Park Ave New York, York NY 10028

Robert RHEE, MD

(718) 283-7746

(888) 812-8499

USA HAIR CLINICS

903 49th St Brooklyn NY 11219 Brooklyn,

Ada KULAGINA, LAC 8635 21st Ave Brooklyn NY 11214 Brooklyn,

(888) 410-3442

1153 First Ave New York, York NY 10065 2511 Ocean Ave, Ave Ste 102 Brooklyn NY 11229 Brooklyn, 116-02 116 02 Queens Blvd Forest Hills, Hills NY 11375

201 E 65th St New York, York NY 10021

(212) 931-8533 69 15 Yellowstone Blvd 69-15 Forest Hills, Hills NY 11375

Leon KUCHEROVSKY, ESQ

www.usahairclinics.com

PHARMACIES

Alexander SHIFERSON, MD

2444 86th St, St Ste A Brooklyn NY 11214 Brooklyn,

903 49th St Brooklyn NY 11219 Brooklyn,

(855) 328-5525

(888) 812-8499

115 South Corona Ave Valley Stream, Stream NY 11580

(516) 881-7755 www.lkesq.com

LAW

Nostrand HOUSES PHARMACY

(718) 360-9550 www.drshusterman.com

4HEALTH Magazineâ&#x201E;˘ gathers data from a variety of different sources, public and private. While we strive to provide the most accurate, up-to-date information possible, we can't guarantee that our listings are completely free of errors. If you feel some data is missing or inaccurate, please feel free to contact us at any time. Thank you for your support!

USA VASCULAR CENTERS

2029 Bath Ave Brooklyn NY 11214 Brooklyn,

(917) 793-5919

NUTRITION AND DIETETICS

David SHUSTERMAN, MD

(888) 418-0442

1601 Gravesend Neck Rd Rd, Ste 903 Brooklyn NY 11229 Brooklyn, 29 W 17th St New York, York NY 10011 221 W Street Rd Trevose, PA 19053

Globe SURGICAL SUPPLY

3031 Ave V Brooklyn NY 11229 Brooklyn,

(718) 332-0040

Albert GROSS, CNS, NYS, CDN 1942 E 8th St Brooklyn NY 11223 Brooklyn,

(718) 376-8317 www.nylifex.com

Viktoria BERESS, ESQ 28 Dooley St Brooklyn NY 11235 Brooklyn,

(212) 390-0325

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