Panache Vue' Tampa Bay Magazine November 2016

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November 2016

EMPOWERING YOUR BODY

BOOT CAMP

READ MY LIPS

LESS IS MORE...

To Cure Diabetes

Rejuvenate Yourself

FOR THE HOLIDAYS www.PanacheVue.com

Sometimes

WORTH THE SPLURGE PANACHE VUE’

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HEALTH

DON'T JUST GET BY... THRIVE!

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e currently have SICK CARE, not HEALTH CARE Last year Americans spent $2.8 trillion on healthcare. That is around $8,000 per person. So does this mean that we are all healthy and living well? Absolutely NOT! In fact, we lead the world in heart disease, obesity, and cancer. Astonishingly, 5 out of 6 Americans will be diagnosed with either heart disease or cancer. If we were spending the most money in healthcare and had the healthiest people, maybe it would be worth it. But we are spending the most money AND have the unhealthiest people. In a study by the Journal of the American Medical Association, of 37 different developed countries the United States ranked 37th (dead last) in terms of overall health of the population. SO where are we spending all of this money? When we are sick or in pain, we go to the doctor. We get prescriptions to help cure and prevent illness and pain. What do we do when that medication has a side effect or no longer works? We go back and get more medications for the next side effect. Americans take up 5% of the world’s population, yet we consume 85% of the world’s medications. You would think that if drugs make you healthy then we would be the healthiest nation, and that is far from the truth. We had 1.1 million people die last year because of drugs and these are not street drugs like heroin or other illegal drugs. These are prescription drugs that were prescribed for the right condition, the right amount, the right time. Prescriptions are not the only culprit, a large amount of that money is spent in nursing homes and cancer treatment centers. We have so many sick and ailing people in our population that we are seeing more and more long-term nursing facilities. People

may be living longer, but we are not living better. TAKE CHARGE OF YOUR HEALTH A lot of people believe that genetics are to blame for the disease we see in our society today, but only 2-5% of degenerative illnesses are actually caused by genetics. So that leaves 95-98% of disease that is caused by lifestyle. The foods we eat, the drinks we drink, and the habits we live are the main cause of the increase in disease. Our offices are focused on HEALTH care. We recognize that health is not just about what you eat and whether or not you exercise. Our offices implement maximized mind, maximized nutrition, maximized nerve supply, maximized oxygen and lean muscle. We personalize each care plan and work with our patients to establish health and wellness goals that create a healthy lifestyle that maximizes each patients’ quality of life. BUT WHAT TRULY SETS US APART FROM ALL OTHER WELLNESS CLINICS It is our dedication to whole health wellness. Our patients are not just adjusted and sent on their way. We spend time focusing on spinal CORRECTION not just spinal alignment. By providing our patients with in office and at home stretching, strengthening, and lifestyle changes, our patients are the healthiest they can possibly be without introducing toxins. It is truly about balance and focus on health. What does CORRECTIVE CARE mean? If your spine and Central Nervous System are “abnormal,” there is a need for corrective chiropractic care. This type of care will restore “normal” spinal position and alignment. By properly restoring normal curves to the spine and aligning the vertebrae, it will eliminate interferences allowing your body to function and heal “normally.” This optimizes your chance to live at 100% of your body’s peak performance. A healthy spine will allow your body to express a normal body temperature, a normal blood pressure, and other measureable norms for the

Dr. Carl Conforti, D.C. spine itself. Much like braces straighten teeth, it is our aim to restore the proper alignment of your spine. Recent research allows us to now know the measurements and proper alignment of your spine. There is a normal body temperature, a normal blood pressure, and there are measureable norms for the spine. We take the necessary steps to restore the regions of abnormal alignment to normal through whole health wellness. Take the next step and allow your body to function at 100% of peak performance.

$27 NEW PATIENT EXAM

($295 value) Includes exam, x-rays (if necessary), and consultation with our team of doctors. CHIRO OFFER EXPIRES 12-15-16 . THE PATIENT & ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS A RIGHT TO REFUSE PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR ANY PAYMENT OR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT WHICH IS PERFORMED AS A RESULT OF AND WITHIN 72 HOURS OF RESPONDING TO THE FREE, DISCOUNTED, OR REDUCED FEE, SERVICE, EXAMINATION OR TREATMENT.

Please join us for our next community event to learn more about how you can start taking control of your health and create your best year ever! For event locations & times, call 813-818-7499.

Conforti

CHIROPRACTIC AND WELLNESS CENTER, INC.

www.confortichiropractic.com

WITH 6 TAMPA BAY AREA LOCATIONS TO SERVE YOU 4040 Tampa Road Oldsmar, FL 34677

813.818.7499

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1811 Healthcare Drive Trinity, FL 34655

727.376.9611

10935 N Dale Mabry Tampa, FL 33618

813.969.2225

2312 Crestover Lane Ste. #102 Wesley Chapel 33544

813.994.6111

902 W. Lumsden Road #104 Brandon, FL 33511

813.574.9206

1502 S. MacDill Ave. Tampa, FL 33629

813.251.0246


B E S T O F TA M PA B AY 2 0 0 9, 2 0 1 0 , 2 0 1 2 , 2 0 1 3 , 2 0 1 4 & 2 0 1 5

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A HEALTHY & BALANCED WAY TO AGE We all want to live a long and healthy life but as our hormones begin to decline, around the mid to late thirties we begin to experience many of the symptoms we may have heard our parents complain about: weight gain, hair loss, low energy, low sex drive, fatigue, memory loss, sleeplessness, dry skin, poor focus, loss of drive and many others. With natural bio-identical hormone replacement therapy it’s possible to alleviate or significantly improve these symptoms without the risks that are associated with synthetic hormones.

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NOVEMBER 2016

FEATURES

20 08/TAMPA BAY DOCTORS CAUGHT RED HANDED 20/SURPRISING NEWS ABOUT PROCESSED FOODS

30

28/GOOD GUT HEALTH = GOOD HEALTH

November 2016

EMPOWERING YOUR BODY

To Cure Diabetes

READ MY LIPS

30/WORTH THE SPLURGE

BOOT CAMP LESS IS MORE...

Sometimes

32/FOODS TO SEE BETTER 34/DIABETES RISK AND YOUR DIET 36/TIS THE REASON 4

PANACHE VUE’

Rejuvenate Yourself

34

FOR THE HOLIDAYS www.PanacheVue.com

WORTH THE SPLURGE PANACHE VUE’

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20% off lips 20% off lips 20% off lips all permanent or temporary lip augmentation all permanent or temporary lip augmentation all permanent or temporary lip augmentation

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813.874.2332 | LECADATAMPA.COM 813.874.2332 | LECADATAMPA.COM 813.874.2332 | LECADATAMPA.COM

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DEPARTMENTS NOVEMBER 2016

VOLUME 7, ISSUE 9 NOVEMBER 2016 Publisher | Editor In Chief Nina Stanley Executive Art Director Shaun Drees

24

Fashion Editor Dali Hernandez Photographer | Photo Editor Lisa Sibley Media Consultants Tallia Keene Milinda O’Daniel Erica Turchin

19 HEALTH & WELLNESS 02/Don’t Just Get By… Thrive!

07/Rejuvenate Yourself For The Holidays 11/Empowering Your Body To Cure Diabetes 20/Buckle Up and Buckle Down

DÉCOR

24/Thirty Days To A New Room 25/Quick Tips To “ReFresh” Your Home For The Holidays

38 26/Less Is More…Sometimes 27/Turn Anywhere Into Home

FASHION

16/The Coat Check: Outerwear Trends For Fall and Winter 17/Boot Camp 18/The Velvet Underground

PANACHE VUE’

Panache Vue’ Magazine PO Box 14033 Clearwater, FL 33766 Telephone: 727- 459-2361 Letters to the Editor: editor@panachevue.com Advertising Inquiries: advertising@panachevue.com www.PanacheVue.com

19/Men’s Holiday Must-Haves

BEAUTY

13/Read My Lips

TRAVEL

38/The Travel Adventures Of Winnie The Pooch 6

CONTRIBUTING WRITERS Dr. Laurie De Luca Dr. Paul Duryea Valerie Kelley Dr. Cesar Lara Dr. Larry Lieberman Dana Martinez Gene McDonald

Panache Vue’ Magazine is published by Panache Group. All rights reserved. Copyright 2008-2016. Reproduction of or use of editorial, pictorial, digital, advertising or design content in any manner is strictly prohibited without written permission of the publisher. Panache Vue’ Magazine is not responsible for statements made by advertisers and writers.


HEALTH

CELEBRATE CHERISH REJUVENATEAND YOURSELF FORMOM! THE HOLIDAYS out the aging lines and wrinkles while Volu-

T O

DEBBIE AND LARRY LIEBERMAN

his is the time of the year that most of us look forward to all year. But DEBBIEof AND instead joyLARRY manyLIEBERMAN of us feel dread. Do you have that stressed, worn out ver the years in our home of 3 active look byboys the time the holidays In one my wife, Debbie, arrive? kept command visit tocentral our office we can give you a fresh, in control by juggling sports, relaxedschool "looks, like you calendars just got back social and from work.a vacation" The mantralook. in our home was “when mamma In our 30 years dentistry we we have ofis happy, everyone is of happy”! Today laugh fered many the question, about it, but solutions moms of totoday juggle so "How many can I rejuvenate my and smile family responsibilities settothehelp toneme forlook the and feelNot younger? home. only do" they manage the family arevery nowoften able put to offer long lastlives,We they theiryou owna needs last ing, non-invasive, nonelse’s surgical making sure everyone needstechnique are met. Many timeskeep in ouryour dentalappearance office I meetlooking moms that will who are intoo. desperate of dental younger Botox,need Juvaderm andtreatment Voluma but choosegive to put their needs first. naturally back the children’s youthful appearance While this had. is veryBotox important, I would smooth like to you once & Juvaderm

encourage those moms to think about the model ma subtly adds volume to the sagging cheek they are setting for their children and somehow area. These treatments are a natural extenfind a way to take care of themselves too. I sion of the cosmetic treatments we already celebrate these moms and invite them in to our provide to help theand aging process, and dental office to beease treated pampered. sustain youth begins the moment you The one's experience haveCool, a frown thatspa doesn't enterDo ouryou office. calming, colors,go a away, wrinkles on youra forehead, soothing rock waterfall, coffee bar (that rivals a gummy lips face or creases Starbucks) and asmile, warm,thin smiling awaits arond and nose?you’ve Botoxis a proyou at your checkmouth in. Whether come for tein routine famoushygiene for reducing appearance your visit or the for other dental of unwantedsigns of aging temporarily treatment, your comfort is our by prime concern. blocking muscle Facial fillers Using memory foammovement. chair pads, TV and music (dermal fillers) temporarily correct view and headphones, sunglasses and a garden in each treatment roomand gives you theasfeeling smooth facial folds wrinkles well you’re not in the yourlip typical dental office. as enhance area.sterile My philosophy is a For those patients a bit more natural, youthful look –who lessneed is more. “comfort” in you a dental environment we offer I realize do have many choices as several options. to whereadditional to get these services.Nitrous I oftenoxide hear (laughing gas) Iisgo available to help relieve why should to a dentist to havedental this anxiety. In addition, we are licensed to offer done. As a dentist I have been extensively oral andon IVthe sedation, a deeper relaxing trained anatomy of the more face, on what way to get through your dental visit. Very the mouth and smile are supposed to often look dental anxiety can be helped simply with calm, like and on injection techniques. I feel ofsoothing music, a dark pair of sunglasses and a fering these services to you is my honor and caring staff who is attentive to your needs.

pleasure. Now when you visit us for your

routine cleaning appointment you can easOf course we are here to meet all of your ily add these injections to your dental visit dental needs – teeth whitening, bonded fillings, and leave our office looking younger and veneers, crowns, root canal, dentures, implants refreshed. and implant restorations- are some of the To add some additonal sparkle to your services we offer. We even have 6 different holidays consider ofthe followlasers to why makenot your dental one treatment easier, ing quick fixes: faster and dental more comfortable. For those busy * tooth bonding to reshape and with time colored constraints we can- make Cerec your teeth, reapir small cracks & fill some crowns in a single visit. If your smile in isn’t all gapsyou’d like it to be we have many cosmetic that * crowns - toaren’t conceal spaces, options to help.&Ifveneers your teeth as straight crooked, chipped teeth to help as you’d like them toorbediscolored we have options * teeth whitening - toappearance instantly brighten straighten them. If your is aging and rejuvenate smile faster than you’reyour ready for, we can recapture your*youth your appearance Snapand on enhance Smile - to instantly snap with on a Botox and new Dermal Fillers. beautiful smile over your existing teeth Our philosophy has always been and continues to be to option keep ouryou service and approach Whichever choose, we are to excellentand patient caretoa help top priority. available happy you findI am the extremely that to haspractice helped right one.proud We of aremy so staff grateful me to make I lookcommunity. forward to dentistry in this sucha areality. wonderful answering yourand questions and to aserving anyseaof We wish you your family holiday your dental needs. son, filled with good health , happy times Happyand Mother’s to you awesome women! together lots ofDay smiles! Dr. Larry Lieberman

Larry Lieberman,DDS

WE WELCOME WE YOUARE TO GRATEFUL FOR JOIN OUR LIFE'S MANY DENTAL FAMILY BLESSINGS! No mouth is too big or

small – we are a one dentist practice with a staff that is From ourand dental highly trained caring. Our services include family to yours Lasers, cosmetic, implant family dentistry. aand very happy &

healthy holiday CHERISH MOM ALL MONTH LONG season. “Proud mom Debbie Lieberman and family”

COMPLIMENTARY EXAM/ XRAYS FOR MOM

Proudly providing state of the art, compassionate dentistry since 1984 To learn more about us visit our new website and facebook page

Larry Lieberman,DDS www.dentist-lieberman.com

35691 US 19 N, Palm Harbor (Next to the Longhorn Steakhouse)

727-785-8017

THE PATIENT AND ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS A RIGHT TO REFUSE TO PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT THAT IS PERFORMED AS A RESULT OF AND WITHIN 72 HOURS OF RESPONDING TO THE ADVERTISEMENT FOR THE FREE, DISCOUNTED FEE, OR REDUCED FEE SERVICE, EXAMINATION, OR TREATMENT.

www.PanacheVue.com www.PanacheVue.com

PANACHE PANACHEVUE’ VUE’

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Dr. Carl Conforti, D.C. Dr. Todd Bodanza, D.C. & Dr. Damien Rogers, D.C.

TAMPA BAY DOCTORS CAUGHT RED HANDED

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e have great news for neck and back pain sufferers! The greatest back pain breakthrough of our century that our doctors have seen is NOT a surgery at all, but a little-known, state-of-theart technology that’s safe, painless and is saving neck and back pain sufferers from harmful shots and surgeries throughout our Tampa Bay offices.

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PANACHE VUE’

DRX9000

Yes! Tampa Bay chiropractors, Dr. Carl Conforti, Dr. Todd Bodanza, and Dr. Damien Rogers D.C. were caught recently trying to save their fellow Tampa Bay residents from the villain that has been robbing them of their fun and giving them back pain, neck pain and problems.

Our treatment program is the ideal solution for relief from: • Back pain due to sciatica • Sleepless nights • Back or neck injury as the result of an accident • Back or leg pain when seated • Numbness in your hands or toes • Degenerative disc disease • Herniated and bulging discs • Relapse of neck or back pain following surgery • Back pain due to weight issues • Spinal stenosis FINALLY, SOME GOOD NEWS If you’ve been suffering with back pain or arm/leg pain caused by a disc bulge, disc herniation or compressed discs. In our candidate consultation, our patients typically say they have TRIED


EVERYTHING including: • Exercise • Physical therapy • Multiple Pain medications • Muscle relaxers • Painful shots • Back surgery Or the one we hear most often after failed back surgery is “just live with it.” If you’re like most, none of these have worked for you or you are afraid of what could happen if you do try some of these. Whatever your situation, you owe it to yourself to check into our non-surgical back and neck treatment for neck and back pain and sciatic or leg pain caused by a bulging or herniated discs. HOW DO DISCS GO BAD? Over time the discs in your back tend to get squashed or compressed. Most often, we hear problems caused by: • Playing certain sports • Having a job that requires lots of sitting or standing in one place for long periods of time • Lifting things • Car accidents • Lifting things It’s kind of like a cookie with cream filling. When pressure is applied to the cookie, the cream filling starts to ooze out from between the sides of the cookie (like gravity on our spines). Eventually, this happens to a lot of us. Statistics show that over 80% of Americans will suffer with back pain sometime in their life. In our clinic, we’ve treated hundreds

of patients with non-surgical spinal decompression with amazing results. There are only a very small percentage of people we can’t help. And we will let you know if you’re not a candidate for the treatment. LET’ SEE WHAT PATIENTS HAVE TO SAY ABOUT OUR TREATMENTS! “I went to Conforti Chiropractic Centers and met with Dr. Bodanza. They recommended spinal decompression. At the time I could barely walk and after only two treatments I was pain free and was able to do normal activities. By the end of the treatment, I could not believe the improvement in not only my health, but my relationships. I was the old me! The care and professionalism exhibited by these Doctors was amazing. I was a doubter but I would recommend this to any person suffering from back pain.” - Terry O., Trinity, FL “Spinal decompression saved me from another back surgery. I suffered through my first surgery and recovery only to find myself back in severe pain within a year. After my relaxing treatments in the Benttree Clinic, I no longer have pain, and I did not even have to suffer to get pain free. In fact, after most of my treatments, the staff would have to wake me because they create such a relaxing setting. Check it out, Dr. Rogers has something special going here.” –Tim S., Tampa, FL “As a person who was involved in sports and fitness my entire life, the pain and agony I experienced after my car accident in June 2009 nearly ended me. I was no longer able to be active and I

quickly found my health deteriorating. I wanted to do something about it, but everything I did hurt. A friend of mine told me he had seen some machine at his chiropractors office that could help. I called and scheduled a consultation. Dr. Conforti started me on treatment that day. He could feel the desperation I was experiencing. Long story short, Dr. Conforti saved my life. He made sure each treatment provided relief. He followed through with his word. He relieved me of the pain that was literally killing me. Thank you, Carl.” – Scott M., Palm Harbor, FL

SINCE WE ARE DETERMINED TO PUT AN END TO UNNECESSARY NECK AND BACK SURGERIES, WE ARE OFFERING THE FREE BULGING AND HERNIATED DISC ASSESSMENT

($195 VALUE)

NO CHARGE AT ALL!! And we WILL determine if you qualify for this state of the art technology. We do not let anyone leave our office wondering if our treatment could have helped you get rid of your pain. During your candidate assessment, we will target all of the factors necessary to qualify you for the treatment that will save you from harmful shots and surgeries. THE PATIENT AND ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS THE RIGHT TO REFUSE TO PAY, CANCEL PAYMENT FOR ANY OTHER SERVICE, EXAMINATIONS OR TREATMENT WHICH IS PERFORMED AS A RESULT OF AND WITHIN 72 HOURS OF RESPONDING TO THE ADVERTISEMENT FOR THE DISCOUNTED SERVICE.

OFFER EXPIRES 12-15-16

WITH 3 TAMPA BAY AREA LOCATIONS TO SERVE YOU: Pinellas Conforti Chiropractic & Wellness 4040 Tampa Rd Oldsmar, FL 34677 www.PanacheVue.com

813.749.8331

Pasco Conforti’s Crossroads 1811 Healthcare Dr Trinity, FL 34655

727.376.9611

Hillsborough Benttree Clinic 10935 N. Dale Mabry Tampa, FL 33618

813.969.2225 PANACHE VUE’

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PANACHE VUE’


HEALTH

EMPOWERING YOUR BODY TO CURE DIABETES DR. CESAR LARA

N

ovember is National Diabetes Awareness Month, and it arrives just as the holiday season kicks off for two months of eating, drinking, and celebration. Diabetes has a tremendous impact on our country, affecting almost 120 million Americans: 30 million who have diabetes, and another 86 million who have been diagnosed as pre-diabetic. Diabetes remains the seventh leading cause of death in the nation. In Florida alone, there are 6 million people, over 13% of the population, affected by this disease, and approximately 40% of Florida adults are considered prediabetic. Medical expenses are over 2x higher for individual with diabetes, and the direct medical costs for diabetes (including prediabetes and gestational diabetes) was estimated at nearly $20 billion in 2012. Diabetes puts individuals at much higher risk for heart disease, stroke, kidney disease, blindness, and amputation. In fact, for every 2.2 lbs that a patient is overweight, his or her risk of developing diabetes increases by 10%. All of these statistics may seem disheartening. What are we to do in the face of this kind of massive health crisis? There is, however, good news about diabetes. In 95% of all diagnosed cases, individuals have Type II diabetes, meaning the pancreas produces insulin, but the body is unable to use the insulin properly, a condition known as insulin resistance. However 90% of Type II diabetics are also overweight or obese, and by releasing just 5% of their body weight, have the ability to reduce their insulin resistance by 50%. I mentioned above that a 2.2 lb increase in weight can increase the risk of diabetes by 10%, but conversely, by dropping just 2.2 lbs of body weight, a patient can reduce his or her risk by that same 10%. What this means is that most

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Americans have the ability to significantly decrease their risk of developing diabetes by maintaining a healthy weight, exercising regularly, and making food choices that support good nutrition. In my weight management practice, we care for hundreds of diabetic patients. Through our low-carbohydrate nutritional plan, not only do patients lose excess weight, but more importantly, they are able to improve or eliminate their diabetes altogether. Patients feel better, live longer, healthier lives, and are often able to dramatically reduce or altogether eliminate the need for diabetes medication. As a physician, I can’t stress often enough that true health is not about your jeans size, it’s about the ability of your body to function well and support you throughout a long, vibrant life. Most individuals who develop diabetes will respond extremely well to these lifestyle changes, and will see significant improvements in their condition and reliance on diabetes medication. However, as a weight management physician, I also recognize that these changes are often easier said than done. That’s why our office maintains a staff of physicians who are experts in the field of obesity medicine, and also have strong clinical backgrounds in treating every stage of diabetes. Patients need a balanced approach to diet that continues to provide all the nutrition they need while scientifically reshaping their relationship to insulin to improve their condition. Our physicians are also able to work with medical complications and underlying factors, such as age and family history, to create a unique program designed to address each patient’s specific needs. The final elements of a holistic approach to treating diabetes are education and support. In my own practice, we strive not just to put patients on a nutritional plan to release excess weight, but also to teach them to recognize what foods are healthiest for their bodies, and to cultivate a relationship with food that is healthy as well. Our staff teaches patients about portion size, whole foods, and how to navigate misleading and false advertising claims about “health food.” Finally, we recognize that committing to your health is a huge undertaking, and we offer patients support on that journey. We emphasize that consistency is key. Small setbacks aren’t what counts; the choices you make 90% of the time are what

César A. Lara, M.D.

matters. We are our patients’ cheerleaders and biggest fans. For many people, the accountability and the assistance our staff provides is what allows them to stay on track, and I continue to be inspired by dedicated patients with success stories of turning their health around. If I could leave you with one thought, it would be this: There is so much you can do to improve diabetes. Don’t wait. Start today.

César A. Lara, M.D. is Board Certified in Obesity Medicine as well as certified in Advanced Bioidentical Hormone Replacement Therapy by Worldlink Medical, the Academy for Preventative and Innovative Medicine. For more than 25 years, it has been Dr. Lara’s passion to become a positive force in America’s ever-growing obesity crisis…one patient at a time. Dr. Lara’s dream of helping men and women overcome diabetes, hypertension, high cholesterol, and other chronic conditions related to obesity was realized with the emergence of the César A. Lara, MD; Center for Weight Management as a premier weight loss center in Tampa Bay. A graduate of the University of Iowa, Carver College of Medicine, Dr. Lara is known for his strong personal faith and his generous contributions to the Tampa Bay community. Dr. Lara regularly appears on television as a medical contributor to Brighthouse Network’s Bay News 9 en Español and WTSP-TV Studio 10. He frequently participates in corporate health fairs promoting an active lifestyle and healthy weight loss options. He is the founder of St. Michael’s Free Clinic and Weight Away Tampa Bay, charitable organizations that provide free medical treatment to those who cannot afford it. Call 727.446.3021 or visit www.bestmedicineforweightloss.com

PANACHE VUE’

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November 2016

is for you! Call:

EMPOWERING YOUR BODY

BOOT CAMP

READ MY LIPS

LESS IS MORE...

To Cure Diabetes

Sometimes

727.459.2361 Email Us At:

Advertising@PanacheVue.com Find us on FB:

www.facebook.com/Panachevue

Rejuvenate Yourself

FOR THE HOLIDAYS www.PanacheVue.com

WORTH THE SPLURGE PANACHE VUE’

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“ADOPT ME!” Meet is theand quintessential Hi! My Bella. name isShe Ranger I am a male definition of a companion dog. Friendly, Catahoula hound mix. I am about a yeargentle, old, loving. Enjoys meeting people , other dogs very handsome and come with a lot of loveand taking short strolls. and positive energy to offer. A home with a It is like having an instant best friend. She back yard would best for me. Please come has even attended a yoga class as an honored and meet me. I will keep you happy always. guest.

We can be found at www.dunedindogs.com, and on Facebook (Dogeden Rescue). Ken Koenig is the founder and he can be reached at 813-205-0156 or kk@dunedindogs.com!

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BEAUTY

BEFORE

READ MY LIPS BY VALERIE KELLEY

A

s far as beauty trends go, plump pouts are here to stay. That’s not to say that thin lips can’t be beautiful. Hello, Greta Garbo and Jodie Foster. However, every time you turn around, some model, actress or reality star (Kylie Kardashian) is showing off her newly "enhanced" kissables. And why shouldn’t they? Soft, full lips seem youthful and healthy, sensuous and sexy. As we get older, the edge of the lips becomes less shapely. Collagen and elastin, which give lips their pouty shape, break down over time, and lines around the lips settle in. Once these lines become etched into the skin, there's less definition, less fullness. Thankfully, there are plenty of ways to get full, sensuous lips even if Mother Nature neglected to give them to you. Or, as is the case for most of us, Father Time has taken them away. For a fast temporary fix, try any number of lip-plumping products found on the beauty aisle. Typically, these products swell the lips with cinnamon, peppermint or capsaicin, increasing blood flow to the lips, giving them a plump appearance. While this may work to increase the volume and softness of your lips, the result is short-lived. Most of the effects will wear off in about an hour. So if you're on a date, to avoid deflation mid-dinner, you might want to reapply. Of course, if you're looking for something longer lasting, than it’s time to consider fillers. "It is extremely important for patients to find a qualified, board-certified professional

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with considerable experience in the procedure. There is a great deal of artistry involved in lip augmentation, as the results should look good but not overdone," says Dana Martinez, owner of Lecada Medical Artistry. Which is why Martinez encourages a less-is-more approach. “Most skilled injection artists are conservative with the amount of filler used in the first injection and therefore in some cases, a second injection may be needed for the best results.” Martinez also says that many men and women are under the impression that if they discontinue using hyaluronic- or collagenbased injectables, their lips will deflate or sag once the filler wears off. “This is, simply, not true,” she says. “Fillers do not damage the existing tissue. They simply add volume by allowing the material injected to be interspersed among the fibers and cells already there. As fillers gradually disappear, lip volume returns to its original size condition, but no less full than it began. Keep in mind that lips get a little thinner with age, so if you do volume-enhancing treatments for quite a while and then quit, you're going to see the change that would have naturally occurred over time.” To recreate a youthful, heart-shaped outline, Botox, used off-label, can be injected along the edges of the upper and lower lip line, temporarily relaxing the muscles that can cause wrinkling. The procedure requires no anesthesia and takes mere minutes. There are a number of injectable fillers that can restore volume and shape to lips that are thin or lacking good proportion. Some of these are shorter acting substances and others may last a very long time. Some of Lecada’s favorites include: Restylane Silk:This hyaluronic acid-

based gel dermal filler instantly adds volume to the area where it’s injected. Restylane Silk is formulated using the same volumizing AFTER and moisturizing components found naturally in the skin. It’s a soft, cohesive gel that integrates into your tissue to provide subtle and even results. Restylane Silk is ideal for smoothing out the lip lines and lines around the lips. Juvederm Ultra XC: Previously approved only for other areas of the face, the FDA has recently approved Juvederm Ultra XC for injection into the lips and perioral area for lip augmentation. Created by Allergan (manufacturer of Botox), Juvederm uses the highest concentration of non-animal, cross-linked hyaluronic acid to provide a long-lasting volume boost the lips. Results last up to a year, with 78% of subjects in a clinical trial reporting satisfaction with the look and feel of their lips at the one-year mark. Typically, with either treatment, fuller lips are immediately noticeable and there is little to no downtime. Results will continue to improve over the next few days when any swelling diminishes. The treatment takes about 15 minutes and lasts about 6-12 months, depending on the filler. You may wish to repeat your lip injection procedure in the future to maintain lasting results, or look into a more permanent enhancement. Lecada's permanent lip volumizing treatment provides a natural-looking and long lasting solution. Utilizing a micro-droplet technique, your body forms collagen around the injected molecules and eventually the desired look is maintained. The amount of collagen formed depends upon your own body’s sensitivity. One to three treatments may be recommended in one month intervals. Contact Lecada Medical Artistry at 813.874.2332

for a complimentary consultation. The expertise of

Lecada's staff will ensure your satisfaction with the procedure and the experience.

PANACHE VUE’

13


NUTRITION

SURPRISING NEWS ABOUT PROCESSED FOODS BY CHARLYN FARGO

P

rocessed food has a bad reputation as a diet saboteur. It's blamed for our nation's obesity epidemic, high blood pressure and the prevalence of Type 2 diabetes. But processed food is more than boxed macaroni and cheese, potato chips and drive-thru hamburgers. It may be a surprise to learn that whole-wheat bread, homemade soup or a chopped apples are also processed foods. While some processed foods should be consumed with caution, many actually have a place in a balanced diet. Here's how to sort the nutritious from the not-so-nutritious. "We have to determine what processed

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really means when we're talking about processed food," says Andrea Giancoli, registered dietitian and past spokesperson of the Academy of Nutrition and Dietetics. For example, Giancoli considers white bread refined since most of the healthy fiber has been removed during the processing. "It's also processed, but keep in mind, that as a cook you're doing processing yourself. Have you ever heard of something called a food processor? I think we get really caught up in the word processed without realizing what it truly means." Processed food can be beneficial to your diet. Milk and juices are sometimes fortified with calcium and vitamin D, and breakfast cereal may have added fiber. Canned fruit (packed in water or its own juice) is a good option when fresh fruit is not available. Some minimally processed food, such as pre-cut vegetables, are quality convenience foods for busy people. Eating processed food in moderation is fine, but consumers should be on the lookout for hidden sugar, sodium and fat. "We have tons of added sugars in our food supply," says Giancoli. "We think that just because a product says 'organic' or

'natural,' that means it's better and healthier for us, but that's not always the case -- whether [a product] has added highfructose corn syrup or natural cane sugar, we need to be wary of both." Sugar isn't just hidden in processed sweets. It's added to bread to give it an appealing browned hue, and there's often a surprising amount added to jarred pasta sauces and cereal. The number of carbohydrates on the nutrition label also includes naturally occurring sugars, which may be a significant amount in foods such as yogurt and fruit. Instead, review a product's ingredients list and look for added sugars among the first two or three ingredients including sugar, maltose, brown sugar, corn syrup, cane sugar, honey and fruit juice concentrate. When it comes to sodium, another ingredient found in heavily processed foods, most canned vegetables, soups and sauces have added sodium, which enhances taste and texture and acts as a preservative. We need some sodium, but we often consume much more than the Dietary Guidelines for Americans' recommendation of less than 2,300 milligrams a day.


Surprisingly, a heavy hand with table salt may not be to blame for our overconsumption of sodium. "Three quarters of our sodium intake comes from processed foods," says Giancoli. "Only 20 or 25 percent of it comes from salting our food. The salt shaker is not the major problem." Q AND A Q: Is it true that you get more nutrients from cooked carrots than raw ones? A: Yes, but you still get plenty of nutrients from raw carrots. Cooking, especially prolonged boiling, does reduce the vitamin content of vegetables. But carotenoids, such as the beta carotene in carrots are more readily available when vegetables are cooked or processed (such as chopped or pureed). Cooking and processing help release the carotenoids, which are bound to the cell wall "matrix" of the vegetables. The same is true of tomatoes. Studies have found that people consuming an ounce or two of tomato paste ended up with more than twice as much lycopene (another carotenoid) in their blood as when they ate much larger amounts of fresh tomatoes. Once for once, processed tomato products

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(such as sauce, paste or juice) contain 2 to 10 times as much available lycopene as fresh tomatoes. However, for most vegetables, especially those rich in vitamin C, it's best to keep heating to a minimum steam them quickly or microwave them to preserve the most vitamins. IN the end, it doesn't matter much - raw or cooked - you can't go wrong with vegetables. - University of California, Berkeley Wellness Letter. RECIPE In the kitchen, fall means squash, apples and all things pumpkin. This recipe for Roasted Acorn Squash with Cider Drizzle, from Eating Well magazine, celebrates fall's flavors. ROASTED ACORN SQUASH WITH CIDER DRIZZLE • 1 medium acorn squash (about 1 3/4 pounds) • 1 teaspoon extra-virgin olive oil • 1/4 teaspoon salt • 1/4 teaspoon freshly ground pepper • 2 cups apple cider • 1 tablespoon packed brown sugar • 1 1 3-inch cinnamon stick

• 3-5 whole cloves • 2 teaspoons butter Preheat oven to 400 F. Coat a baking sheet with cooking spray. Cut squash in half lengthwise and scoop out seeds. Cut each half in half again lengthwise. Brush the cut sides of the squash with oil and season with salt and pepper. Place the squash, cut-side down, on the prepared baking sheet. Roast for 20 minutes, turn the squash over so the opposite cut side is down, and continue roasting until tender, 15 to 20 minutes more. Meanwhile, combine cider, brown sugar, cinnamon stick and cloves to taste in a small saucepan; bring to a boil over medium-high heat. Cook, stirring occasionally, until reduced to a thin, syrupy glaze, 20 to 25 minutes. (Watch carefully toward the end to prevent burning.) Remove from the heat and discard the cinnamon stick and cloves. Stir in butter until melted. Serve the roasted squash with the cider drizzle. Makes: 4 servings. Per serving: 209 calories, 2 g protein, 47 g carbohydrates, 3 g fat, 5 mg cholesterol, 9 g fiber, 154 mg sodium.

PANACHE VUE’

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FA S H I O N

THE COAT CHECK:

Outerwear Trends for Fall and Winter SHARON MOSLEY

A

great coat makes a great first impression. It's the one item in your closet that can transform anything you wear this fall and winter. Oh, yeah, and it can also keep you warm! Here's a checklist of the season's best cover-ups to put on your shopping list now, before the first snowflake falls:

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--Add some volume. The newest coats are slightly oversize this fall, allowing plenty of room underneath for jackets and vests. Choose from overscale details, too -- e.g., wide shawl collars, metallic hardware and bold buttons. If you buy one of these versatile coats, just make sure you aren't totally overwhelmed by the generous silhouette. Check out boxy cropped peacoats, military maxis and cozy duffle coats in the season's popular hue -- camel. --Make it tailored. The menswear coats are always a best bet when it comes to creating a coat wardrobe that will take you from work to weekend. Whether it's a plaid belted wrap coat or a wool tweed top coat, buy the best quality you can afford. This "everyday" coat will possibly become the backbone of your wardrobe for years to come.

--Pump it up. The puffer coats are one of the trendiest outerwear styles this year, pumping up the style in quilted nylon parkas and sporty down coats that provide protection from the cold. There are waterproof versions that do double duty, keeping you warm and dry. On and off the ski slopes, these chic utility coats are now crashing the party scene in metallic colors worn over cocktail dresses. --Have fun with fur. Faux fur and shearling are the season's favorite textures, turning up in short bomber-style coats and long sweeping maxi coats. The quality of faux fur has come a very long way, and faux fur is a great way to give your coat wardrobe a luxurious touch. This fall, the newest plush coats are creating drama in bold graphic patchwork patterns. --Go bright with color. Sometimes we just get tired of all the blacks and grays and we want to brighten up our wardrobes, fast. A dose of crimson or royal purple may do the trick. Or check out the candy-colored pastels in sugary pinks, pale blues and mint greens. These colorful coats will definitely lift your mood during the cold days ahead. --Fly away in style. There are more choices than ever in outerwear this year, and the cape coat is one of the best reasons to buy a new cover-up. These toppers are great to wear when the weather is more temperate and you just need a little something to ward off the chill. They can double as a new jacket to wear to work over blouses and trousers or to wear with casual jeans and sweaters on the weekend. --Get down in the trenches. One classic coat that never goes out of style, the trench coat is a must-have workhorse in your coat closet. You can wear it dressed up or dressed down; it travels everywhere you go, and it's an essential go-to for easy packing. This year, if you want to update this basic, check out a trench in a glossy leather style. --Party on. With the holidays approaching, the evening coats will be making an entrance. Here's where you can have some fun! Go with a floral brocade, a silky brocade or a shimmering satin. These special toppers can be the festive focus of your cocktail wear. Who cares if they don't keep you warm?


FA S H I O N

BOOT CAMP BY JOSEPH PUBILLONES

F

all in...into boots and step out in the footwear fad that's kicking up its heels in high style this year. From sophisticated ankle boots to rugged motorcycle boots to leggy thigh highs, boots have marched right into our wardrobes and they are here to stay. There really is a pair of boots for every day, for every party...even for every rainstorm. Here's how to get off on the right foot this fall with the latest boot trends: --A pair of ankle boots is a basic. Ankle boots have become a go-to in our shoe closets, easy to slip on and off (or zip up) and wear with skinny jeans or short skirts and tights. The ankle boots this fall sport lots of hardware, edgy straps and embellished details like tassels, pompoms, fringe and buckles. For rock star chic, try a pair of Chelsea-inspired "Beatle" boots with a pointy toe in patent leather. If you already own a black leather pair, opt for a softer suede version in the season's newest neutral -- caramel. --Update with midi boots. If you like the look of ankle boots, then you'll love the new "midi" boots that come up a little higher on the leg and hit around mid-calf. These boots are best with the new chunky block heels and retro details: Victorian lace-up ties, velvety or brocade textures or graphic embroidery. Midi boots complement many of the season's newest silhouettes and can go from fun to funky. Try them on with cropped flare pants or culottes to anchor fall's fuller proportions. --Get high on boots. If you thought you couldn't wear knee-high or even thigh-high boots, think again. The tightfitting equestrian styles of the past have morphed into lots of possibilities from boots with forgiving panels of leather and suede combined with elasticized panels that provide a comfortable fit for all shapes and sizes. The "mixed media" effect is perfect for these substantial boots. Think tweed with patent leather; suede with rubber, quilted nylon with

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reptile skins. These boots get even taller with higher heels, whether they are wedges, stiletto or block styles. Take your pick, or stick to flat heels. Don't ever feel like you have to stuff your legs into any of these boots. (That is one advantage of ankle boots.) Instead, think about how you will wear taller boots the most -- layered over leggings or jeans or teamed with skirts and dresses. Take the time to shop for a well-fitting pair. There is a lot of drama to these boots. Choose a great pair and make the most of them. --Get in on a new trend with shooties. The shoe and boot come together for an ultramodern look that combines the best of a shoe with the look of an ankle boot. Just in time for the holidays, these new shooties will amp up the style factor of any festive outfit. There are cut-out caged shoe boots, open toe peep toes, sling-

back platforms and more. This is fall's equivalent of the sandal, but pumped up with much more volume. Go with spikey stilettos for even more party pizzazz. --Get a little practical style. If hiking around campus every day or taking a tour of the fall leaves is more the way you spend your time, then there are plenty of ways to reboot your wardrobe, too. The high-top sneaker boot is a casual, yet sturdy way to tread through cold weather. Top it off with fur or shearling and you've got warmth as well. Rubber rain boots or duck boots are must-haves during slushy winter days, and you no longer have to sacrifice style with these either. And if you really want to add a punkish charm to your boot wardrobe, add a pair of motorcycle boots complete with lug soles. Remember, special boots will be all you need to give your whole outfit a whole new personality.

PANACHE VUE’

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FA S H I O N

THE VELVET UNDERGROUND SHARON MOSLEY

I

t's long been the luxurious choice of kings and rock stars alike, but now velvet is fast becoming a favorite of the fashion crowd. This holiday season the sumptuous textile takes on more of a bohemian flair in slinky slip dresses, plush bomber jackets and even David Bowie boots. But with all these velvets rising above ground this year, it's important to know just what to look for...there are lots of ways to vamp up on velvet. Here's a brief

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glossary of some of the different varieties: --Velvet. Velvets range in weight from light chiffon to heavy upholstery fabrics. Originally made only of silk (thus a fabric afforded only by nobility), velvet is now available in cotton, rayon, acetate, polyester and various synthetic blends. It's usually woven as double cloth. Two layers of fabric are woven simultaneously one on top of the other. The pile, which joins the two layers, is then cut to create that signature, luxurious nap. --Velveteen. Many of us may remember wearing stiff "velveteen" dresses decades ago. Ditto for military jackets and coats. That's because it is made with a weft, or cross-grain pile, and is normally made with cotton. That may be why that famous storybook rabbit actually survived as long

as he did. However, with combinations of newer fabrications, velveteen has "grown up" and become much softer to the touch. --Burnout Velvet (Devore). Burnout velvet is printed with a protein-eating chemical that removes the pile from the printed areas, creating a textured pattern made up of sheer areas and areas with pile. Watch for glamorous burnout velvet tops to be holiday hits this year. --Crushed Velvet. This velvet's pile is textured by pressing in different directions to create a pattern. Crushed velvet is especially effective as a fashion statement in dandified jackets reminiscent of Mick Jagger's famous frock coats in the 60s. --Panne Velvet. A lightweight, highly lustrous velvet with flattened pile, which is laid in one's direction, finished with very heavy roller pressure. Expect to see the flashy velvet show up this party season in shiny wide-leg pants, tunic tops and flowing maxi dresses. --Embossed Velvet. A textured, nonpermanent surface is created by pressing the velvet with engraved rollers and heat. These stylish "patterned" velvets are holiday ready in everything from chic suit jackets to sheath dresses to sleek leggings. --Cisele Velvet. A velvet fabric characterized by raised design motifs, produced by selectively cutting only some of the pile. The loops that have been cut stand higher than those left uncut, creating a pattern. Also known as "sculpted" velvet. --Velour. This term is loosely applied to all types of fabric, woven or knit, with a thick nap or cut pile on one side and it is often used interchangeably with velvet. Velour has long been associated with active wear. Think tracksuits, hoodies and vests. But now, the comfy fabric can be found in the most elegant of sassy cocktail dresses. Now that's the way to celebrate the holidays in style! *Sources used in this article: "Threads" Sewing Guide: A Complete Reference from America's Best-Loved Sewing Magazine. Carol Fresia, Editor. The Taunton Press. "Fashion A to Z: An Illustrated Dictionary. Alex Newman and Zakee Shariff. Laurence King Publishing.


FA S H I O N

MEN'S HOLIDAY MUST-HAVES BY SHARON MOSLEY

H

ey, guys! Just because you've got a few parties to go to in the next few months, doesn't mean you have to stress out about what to wear. It's easy to put together a fun and festive holiday wardrobe with these fashionable favorites. You might even want to put a few of these on your wish list for Santa! --Start with a not-so-basic shirt. What better time of year to go mad for plaid? But the plaid shirts this fall are anything but classic. Look for colorful tartans, lumberjack flannels and bold graphic designs. Or check out a slinky silk shirt to wear under everything. After all, the holidays are all about shine, right? --Add a vest. It's the perfect "third" piece to complete a holiday outfit. When you don't really want to wear a jacket, you can easily dress up a shirt (with or without a tie) with a vest. Buttoned up, it takes your casual outfit to a whole different level. --Then loosen up those pants. Whether you like distressed denim jeans or a pair of rugged cords or even a pair of classic wool trousers, go for a little slouchier, wider-leg approach. You don't have to do the whole flared leg Elvis thing, but you may want to take a breather from all those skinny uptight pants and loosen up a bit. --Put some color in your world. You don't have to rely on black this season to get dressed up for even the most formal of affairs. Instead, experiment with rusty red coppers, rich burgundies, midnight blues, emerald greens and graphite greys. And if you really have a passion for fashion...try not-so-mellow yellow. The juicy lemon is tangy in a cashmere V-neck sweater. --Tie one on. Use ties to your advantage. There's one to suit every festive mood this holiday season. From super

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slender Rat Pack versions in solid knits to colorful printed bow ties, there are hundreds of ways to accent those patterned shirts and vests with an extra dose of flair. To update your go-to charcoal suit, give it a pop of purple with a plum striped tie. --Don't sweat the small stuff. Just pull on a great sweater. There are lots of occasions during the next few weeks when you may not want to wear a suit, but you want to add an extra chill chaser like a special sweater. The star sweater of the season? A shawl-collar cardigan. It's a great layering piece that amps up the style factor big time. --Put your focus on the neck: a silk turtleneck, a mock neck or a rolled funnel neck. Or if you get itchy just thinking about those throat-huggers, slip into a classic V-neck or crewneck sweater in a delicious shade of pumpkin or baby blue. Camel, if you're more old school. --It's all about the bomber jacket. The aviator-inspired jacket whether it's done in denim and embellished with appliqued patches, or dressed up in luxe leather with lots of metal hardware, is one of the best

ways to do outerwear for the holidays. It's true, you might not want to hang out at the bar all night sweating it out in one of these, but let's face it, not all parties are created equal. For those nights out on the town... cocktails at a sidewalk cafe or bonfires in the country... a lightweight jacket is the perfect way to go. Ditto for a quilted vest. --Indulge in velvet. It's all the rage in womenswear, and menswear too. And if you do have an invitation to a formal holiday affair, then the velvet tuxedo may be a sophisticated choice. The navy tuxedo is an elegant alternative to black, but so are the burgundies. Velvet also turns up on the party circuit in sport coats. Throw one of these on with jeans, and you've got the "creative casual" dress code covered. --Wrap up with the extras. Accessories are the finishing touches for any season. This fall, the chukka boot or desert boot is a shoe-in for dressed down days and nights; for dressier events, slide into a pair of velvet loafers. Add a gingham wool scarf or a colorful bandana and top it all off with a dashing fedora. Hats off to happy holidays in style!

PANACHE VUE’

19


WELLNESS

BUCKLE UP AND BUCKLE DOWN BY CHARLYN FARGO

T

he Obama administration has announced a new public health goal: the elimination of traffic fatalities in the United States in the next 30 years. It's a response to news of an entirely different sort: In 2015, 38,300 people were killed on American roads, a 7 percent increase over the previous year and the largest jump in 50 years. The Transportation Department will, among other things, emphasize increased seatbelt use, expand deployment of rumble strips along roads and elevate awareness about the dangers of drunk and distracted driving. The emergence of self-driving cars might help -- human error plays a role in 94 percent of car crashes -- but drunk driving

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remains the biggest villain.

GETTING THE LEAD OUT

Elevated levels of lead in the blood is significant health threat. Short-term overexposure can cause abdominal pain, loss of appetite, weakness and constipation. Longterm overexposure can lead to depression and forgetfulness. It's worse for children, who are at risk of lifelong harm, particularly in terms of neurological development. Each year, approximately 310,000 children ages 1 to 5 are found to have unsafe levels of lead in their blood. The good news is that the rate of lead poisoning has fallen dramatically in the past two decades, according to new numbers from the Centers for Disease Control, from nearly 26 percent in 1988 to under 2 percent in 2014. Racial disparities persist, however: Black children are twice as likely as white children to have elevated blood lead levels.

BODY OF KNOWLEDGE

It takes roughly an hour for the human eye to completely adapt to darkness, but once fully adapted, it is 100,000 times more sensitive to light than it is in bright sunlight.

LIFE IN BIG MACS

One hour of making beds burns 136 calories (based on a 150-pound person) or the equivalent of 0.2 Big Macs. One hour of jumping on said bed consumes 704 calories -- or 0.8 Big Macs.

COUNTS

52: Percentage of Americans surveyed who say they use a dietary supplement, such as botanicals, fish oils or probiotics Source: JAMA

DOC TALK

Blood-brain barrier: surgical drapes


PHOBIA OF THE WEEK

Hamartophobia: fear of sinning

NEVER SAY DIET

The Major League Eating record for strawberry-rhubarb pie is 7.9 pounds in 8 minutes, held by Patrick Bertoletti. Bertoletti is a professional eater who also holds the record for blueberry pie consumption (handsfree) at 9.17 pounds in 8 minutes. His, apparently, is a Life of Pie.

BEST MEDICINE

Three patients at an in-patient psychiatric clinic are up for release. The psychiatrist-on-call informs them that they will have to pass a simple test before they can leave. Psychiatrist: "How much is two plus two?"

PATIENT #1: "BLUE."

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With a nod from the psychiatrist, an orderly escorts Patient #1 back to his room. Psychiatrist to next patient: "What is six minus three?"

PATIENT #2: "SQUARE."

An orderly escorts Patient #2 back to his room. Psychiatrist: "OK, you're next. How much is five plus five?"

PATIENT #3: "10."

The psychiatrist is astounded. "How did you know that?" he asks. "Easy," replies Patient #3. "Everyone knows blue multiplied by square equals 10."

OBSERVATION

"I'm a light eater. As soon as it's light, I start eating." --Comedian Doug Larson

SUM BODY

Three things in your body longer than you are tall. 1. Your small intestine is roughly 18 to 23 feet in length. "Small" refers to its diameter, about 1 inch. The large intestine is wider -- 3 inches -- but shorter in length at about five feet. The small intestine is tasked with absorbing most of the nutrients from the food we consume. The large intestine extracts water and creates stools for defecation. 2. Your circulatory system -- all of the arteries, veins and capillaries transporting blood throughout the body -adds up to roughly 60,000 miles of tubing if laid end to end. 3. Your DNA stretches out roughly six feet. Every cell nucleus in your body is packed with six feet of DNA. If you uncoiled all of the DNA from all of the cells in your body and tied the strands together, it would stretch 10 billion miles, from the Earth to Pluto and back.

PANACHE VUE’

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November Concerts THE FLORIDA ORCHESTRA Mozart’s Jupiter Symphony Nov 4 - 6

Songs of the Sea: Britten, Elgar & Debussy Nov 11 - 13 Great American Pops From Fiedler to Williams Nov 18 - 20

Tickets Start at Just $15 www.FloridaOrchestra.org 727.892.3337 or 1.800.662.7286

TFO-Panache Vue-November.indd 1

9/30/2016 12:50:17 PM

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February 2015

LOVE IS IN THE AIR

“DA BEST THIN

KISSING MAY NOT BE GOOD FOR YOUR HEALTH

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23


DÉCOR

THIRTY DAYS TO A NEW ROOM JOSEPH PUBILLONES

I

t's always exciting to come home and find some new project that makes you fall in love with your home all over again. Neater than most divorces and packing and unpacking, a make-over -- or a make-under -- are easy and cost-effective. There are many quick fixes that can be done that are the equivalent of a plastic surgery... just without the pain. In the end,

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these changes will make you appreciate and make you want to be in your home. Finding areas where your home can be improved is generally easy. You live there and know where the shortcomings or flaws are. Realizing what they are is the first part of resolving the issues. Change is hard to accept for some, yet as you embark on some changes, and start to see the benefits, you will ask yourself: Why didn't I do this sooner? The best way to make these changes is to plan for them or at least make a list. There are some changes that will be easier and you can do yourself, and there will be others that will require help and need scheduling. I suggest taking a calendar and highlight one project per each day for 30 days. In one month, your home will

feel remarkably fresh. Let me start you with some ideas, and of course, you can add your own: --Decluttering does a lot for a room. It allows you to see through what you already own. --Add some live plants, and flowers. This will make the quality of your air better. --Change your lamps. Buy new ones, or "borrow" them from another room. --Play musical furniture and figure out a new layout that encourages conversation or reading. --Add wallpaper to one feature wall, especially if you don't have a lot of art. --Make a slipcover for that old couch from a brightly printed King-size sheet and some safety pins. --Change out your decorative pillows. Ready-made pillows are very affordable. --Map out a great art wall with painter's tape, then hang the art in a great pattern. --Create a nice stack of books on a table, chair or even the floor. Books warm up a room. --Change your dated light fixture for a beautiful ceiling fan. --Bring in a new area rug with a bold graphic pattern. This will give the room a new vibe. --Paint all the walls, one wall or no walls and paint the ceiling. --Accessorize with fewer but larger items. I use the size of a football as a reference. --Hang a mirror in the room. It will bounce light either from a window or lighting fixture, and give the room some sparkle. --Install a new pair of side panels next to your windows. They will help frame the view. There are no limits to change. Each home and room comes with its own set of concerns and problems. Don't get overwhelmed. Consider each idea on its own merit, as you tackle each issue leave yourself open to adjusting even those things you have already addressed. Homes are to be lived in, and as such they will invariably change, and that keeps it current.


GREEN LIVING

QUICK TIPS TO REFRESH YOUR HOME FOR THE HOLIDAYS BY GENE MCDONALD

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f it wasn’t for the Last minute, Nothing would get done. If you are like me this year, you feel like the Holidays snuck up on you like a Ninja in the night. Now, I know you’ve been meaning to upgrade the kitchen because of all your holiday guests yawning at your kitchen last year. Let’s not bring up that comment that really stuck you in the side during the dinner party. It was so hard to smile during dinner when you heard someone say, “That Bathroom brings back memories of when I was a kid, and our bathroom had those same Formica countertops of the 1980’s”. Ugh!!! Talk about twisting the knife. This year, those same smiling family members are coming over to the house again with their invisible clipboard for taking notes and wearing their reading glasses halfway down their nose. Oh Snap!!! What do I do??? You may not have time to remodel the whole kitchen and bath and it may seem too risky of having your home turn into a construction site for the holidays where you end up eating dinner on a sheet of plywood and two saw horses as the mashed potatoes and gravy are served on some contractors Table saw. I have made a list of quick ideas to “REFRESH” your home on a modest budget or depending on how creative you are it may only be time you invest. Roll up your sleeves and let’s bring out the best of your home without too many ‘COVER-UP Decorations”. The Friendemies will know...LOL

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1) Have your backsplash template by a local glass guy or countertop builder, then have them cut you ¼” glass to match the template and you can simply paint the back with any color LATEX paint. Even an artist can paint designs on it. Then silicone it to wall and say Bye-bye to grout lines. 2) Change out your cabinet handles or knobs 3) While the cabinet door handles are off refresh those wooden doors and drawer fronts with wood polishes and wipe on type sealers. 4) If you have time you may be able to just change out you kitchen island with a new slab of countertop material. 5) Maybe your granite tops can be restriped and resealed with a stone enhancer than a glossier sealer. 6) Corian type materials can have the little scratches buffed out and brought to a high polish / satin finish and then maybe adding a new color of 4” high backsplash. This way we don’t have to worry about plumbing work or rip out countertop time. 7) Paint and re-caulking is always a nice refresher 8) Visit countertop shops and see if they can make you table tops with their remnants, because we know everyone is going to stare at the coffee table you have with all the chips and nicks in it. Just change the top, not the structure. 9) Put some quick Crown type

molding over those upper cabinets for a Custom look 10) If you have a tile backsplash, either clean and reseal or add a color to the grout sealer These are just a quick off the top of my head. Please find this article online at www.Panachevue.com and ask some questions about more ideas I can help you with so you can have a wonderful Holiday gathering at your home. Gene McDonald, aka “The Counter Top Rock Star” is the President of Refresh Interiors Design.com. To schedule an appointment or Visit his showroom, visit www.ReFreshInteriorsDesign.com or Call 727.527.0206.

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DÉCOR

LESS IS MORE... SOMETIMES JOSEPH PUBILLONES

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ies van der Rohe was the world renowned architect credited for creating the design mantra "less is more". This was and still is a great philosophy intended for modern life. In his 1929 Barcelona Pavilion he demonstrated how seamlessly architecture, structure and interior furnishings could complement each other with simplicity and restrained elegance. Current design trends reinforce this

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concept of simplicity to an elevated degree. With Apple stores opening in every major city across the world, the age of technology has infiltrated the design language of almost everything and become mainstream. Take the mobile phones for example -- the smart phones can no longer have buttons or plugs for earphone cords to be appealing, and cars from the Tesla to Toyotas have encouraged the automobile industry to touchpad monitors leaving dashboards void of any visible mechanical systems. How will we get cars started...by starting it with your mobile phone, or with a digit recognizing system. The age of the Jetsons has arrived. Homes are automated so that temperature, music, lighting and cooking utensils can be controlled via your phone or tablet...and some household chores can be done with i-robots such as the Roomba, and the litter-

robot. In the last five years, homes have made a leap forward towards the same type of extreme minimalism found in the electronic devices. Entire kitchens have been consolidated in to self-contained islands or walls that open up transformer-style to reveal the stove, refrigerator and sink. Sleek bathroom fixtures have also adopted the less is more concept. Toilet tanks are now out of sight and are inside walls, tub designs are now sleek vessels made from lightweight composite materials, faucets and showerheads are flush with the wall, and frameless glass enclosures seem to float above the floors. It doesn't stop there. Everyone everywhere seems to crave uber-simplistic lines and virtually empty spaces. Glamorized by boutique hotels, interior designs have been equally simplified. A visit to any new residential construction, model condo or a quick flip through shelter magazines clearly demonstrate what has happened to interior design...I call it the white box syndrome. In an attempt to adapt to the pulse of the current market, designers and homeowners have taken in the tectonics that for many years was the standard of clinics and hospitals. Sparsely furnished rooms awash in white upholstery, white gloss painted walls, white porcelain floors, and pure white quartz countertops. While this is appealing to look at first glance, these rooms are sometimes sterile and impractical for everyday life. While I have done all white design schemes at a client's request in the past, today's design are taking the monochromatic oversimplified design idea to the extreme. In the quest to have rooms that are as simple as an I-phone these interior designs have become ubiquitous and fail for lack of interest and a genuine point of view. These stark designs no longer surprise anyone and have made their way into the cookiecutter category. Perhaps the home's views change how furniture is laid out, but these interiors seem to be generated by robots. Perhaps the desire is to be as minimal as an Apple store is counterproductive to creating a home. In the end, design is not just what you see, but work that needs to be executed to make people feel unique. It's time to go back to the drawing board, not just your computers.


DÉCOR

TURN ANYWHERE INTO HOME BY JOSEPH PUBILLONES

No matter where I have lived or traveled -- whether it's Miami, Florence, Rome or Paris -- if it is a stay that lasts longer than two weeks, I feel the urge to make it my own. Sometimes a change in career, job or lifestyle lands you in a city without much to call your own. It might be an extended stay in a hotel, a rented or leased apartment or a new condo, but when it is not personalized you feel empty and not grounded. Turning any house into a home is a challenge I'm always up for. For extremely transient locations such as a hotel or extended-stay suite, my goto tip is to bring a few pictures in frames of your family, friends and pets. Sometimes just a visual presence is enough to warm a place up. The next tip is also easy: buying some flowers or a potted plant is enough personalization for your room, and just a little bit of watering is enough of a chore to create the sense of a routine. Pack a small candle in your luggage; the familiar scent of a candle burnt at home is enough to calm any nerves. Now for longer stays in a place, which may or may not be your final destination, there is another set of tips to help make your stay feel like a place of your own. An unexpected place to start is with a set of new decorative pillows. Head to the nearest home accessories shop and look for a set or two of pillows which can be used to warm up this place, and might even make it to your own place once that happens. These are easily portable and can be packed almost anywhere, even in your luggage. Add a color coordinated throw, and voila instantly the place feels more like yours. In the bedroom, bedding goes a long way in making a home. If you are lucky enough to know the size of the bed where

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you will be staying in, you can bring your own or get some in a new color you have always wanted. A blanket or comforter is also a great way to making even the most generic of rooms have a bit of your personality. Another unusual bit of advice is layering the floor or wall-to-wall carpet with a smaller area rug. Adding something underfoot can help pull the color of your room together, and

for some gets rid of the "ick" factor of walking barefoot in your room. Today's technology and advancement in materials have made it possible to wallpaper an accent wall almost anywhere. Low adhesive wallpapers are available for an entire wall or a border around the perimeter of a room. These can be installed by you and removed when your stay or lease is up without any remaining evidence.

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NUTRITION

GOOD GUT HEALTH = GOOD HEALTH BY CHARLYN FARGO

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ut health was one of the hottest topics at this year's annual Academy of Nutrition and Dietetics convention held recently in Boston. The choice of carbohydrates and more importantly, dietary fiber, play an important role in influencing the gut microbiota. Then there are prebiotics and probiotics. Nutrition research has pinpointed specific functional components of foods that may improve health, and prebiotics and probiotics are two such substances.

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Although they are available as dietary supplements, it is not necessary to use special pills, potions, cleanses or other concoctions to incorporate prebiotics and probiotics into your diet. These "nutrition boosters" are natural ingredients in everyday food. "Focus on the food sources first. They are more readily available for absorption and digestion," says Kristi King, registered dietitian and spokesperson for the Academy of Nutrition and Dietetics. Prebiotics are natural, non-digestible food components that are linked to promoting the growth of helpful bacteria in your gut. Simply said, they're "good" bacteria promoters. Prebiotics may improve gastrointestinal health as well as potentially enhance calcium absorption. Prebiotics include fructooligosaccharides, such as inulin (dried chicory fiber) and galactooligosaccharides. But rather

than focusing on these lengthy words, include more prebiotics in your diet by eating foods such as bananas, onions, garlic, leeks, asparagus, artichokes, soybeans and whole-wheat foods. Probiotics are the "good" bacteria -or live cultures -- just like those naturally found in your gut. These active cultures help change or repopulate intestinal bacteria to balance gut flora. This functional component may boost immunity and overall health, especially GI health. For instance, probiotics have been used for management of irritable bowel syndrome symptoms. Some strains of these live cultures may help prevent specific allergy symptoms, reduce symptoms of lactose intolerance and more. However, effects can vary from person to person. To obtain more probiotics, King recommends fermented dairy foods such as yogurt, kefir products and aged cheeses,


which contain live cultures (for example, bifidobacteria and lactobacilli). For nondairy foods which also have beneficial cultures, try kimchi, sauerkraut, miso, tempeh and cultured non-dairy yogurts. Ultimately, prebiotics, or "good" bacteria promoters, and probiotics, or "good" bacteria, work together synergistically. In other words, prebiotics are breakfast, lunch and dinner for probiotics, which restore and can improve GI health. Products that combine these together are called synbiotics. On the menu, that means enjoying bananas atop yogurt or stir-frying asparagus with tempeh. The bottom line: At a minimum, prebiotics and probiotics are keys for good gut health. "I think we are at an exciting time in research," says King. "We're finding that the gut flora is responsible for more than just digestion."

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Q AND A

Q: What is whole white wheat flour? A: Most American wheat is hard red spring wheat, but about 15 percent now is hard white wheat, which is a sort of albino wheat. Whole white wheat looks like refined wheat (which has had the bran and germ removed), but in fact it contains the whole grain. Hard white wheat is not new -- Australia and China grow lots of it. It has all the fiber, vitamins and minerals of regular whole wheat, but is slightly different in chemical composition and has a milder taste. If you're buying bread or crackers, check the ingredients. "Whole wheat" is the best choice, whether it is white or regular whole wheat. It should be 100 percent whole wheat or else whole wheat mixed with other whole grains such as oats. Don't be confused by "enriched wheat flour," which is always refined wheat. -- University of California Berke-

ley Wellness Letter.

RECIPE

We don't often think about putting a pear in a smoothie, but the natural sweetness of a pear makes it a perfect choice.

PEAR OATMEAL AND BLUEBERRY BREAKFAST SMOOTHIE

• 1 large ripe, cored pear such as Comice or Anjou • 2 cups milk • 1/2 cup quick-cooking oats • 1 cup frozen blueberries • 1 teaspoon cinnamon Place all of the ingredients into a blender and puree at high-speed until smooth and creamy. Makes 2 servings. Per serving: 320 calories, 12 g protein, 55 g carbohydrate, 7 g fat, 20 mg cholesterol, 9 g fiber, 120 mg sodium.

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NUTRITION

WORTH THE SPLURGE BY CHARLYN FARGO

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s a dietitian, there are a few foods that make me think -- even though I know they're classified as healthy, they come with a high calorie price. Foods like avocados, dark chocolate, nuts, red wine and even olive oil. So are they worth spending your calories? The Food and Drug Administration says "yes". Just last week, the FDA changed its definition of healthy to include foods like almonds. It now allows almonds to be called "healthy" on food labels. The agency re-evaluated its regulatory definition so that it distinguishes different types of fat. The new criteria for FDA's "healthy" definition include:

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--Foods must meet the "low fat" requirement or total fat per serving must be primarily comprised of mono- and polyunsaturated fats. Mono- and polyunsaturated fat content must be declared on the Nutrition Facts Panel. --Foods must contain at least 10 percent of the Daily Value for vitamin A, vitamin C, calcium, iron, protein, fiber, potassium or vitamin D. If using potassium or vitamin D to substantiate, the amount per serving must be declared on the label. So under the new guidelines, foods like almonds meet the FDA's new guidance because they contain predominantly "good" monounsaturated fats and 14 percent of the Daily Value for fiber. A one-ounce serving of almonds contains 14 grams of total fat, of which 9 grams are monounsaturated fat and 3.5 grams are polyunsaturated fat (another "good" type of fat), along with 4 grams of fiber. Rather than define healthy foods by what they don't have -- fat, sugar, sodium, calories -- the new standard for healthy has

changed to encompass foods that are nutrient-rich in vitamins, minerals, healthy fats and phytochemicals. Nutrition science has evolved throughout the years, particularly regarding fat and the role of different types of fat in our diet. FDA said that the purpose of revising the "healthy" criteria is to bring the use of the claim more in line with the nutrition science reflected in the 2015 Dietary Guidelines for Americans and the updated Nutrition Fact Label. A 1-tablespoon serving of extra virgin olive oil may have 14 grams of fat and 199 calories, but just as important is that it's full of health-promoting monounsaturated fatty acids and antioxidants. In addition, avocadoes and nuts provide beneficial fats and antioxidants. Dark chocolate and moderate red wine intake are now linked to heart health. The bottom line is food is meant to be enjoyed and the combination of fabulous flavor and great nutrition makes the experience a treat for mind and body. So we can all give in to those cravings in moderation.


Q AND A

Q: What does the "live and active cultures" seal mean? A: The "Live & Active Cultures" seal is restricted to yogurt products, according to the California Dairy Research Foundation. Developed by the National Yogurt Association, the seal is intended to help consumers distinguish between products containing live cultures of bacteria and those that have been heat treated, subsequently killing all bacterial strains. The seal is available to any refrigerated yogurt or frozen yogurt manufacturer and requires products to contain a standard amount of lactic acid bacteria per gram at the time of manufacture. While helpful to consumers, the seal is limited in that it does not differentiate from added probiotics -- those beneficial bacteria that populate our intestinal tract and have been linked to specific benefits, such as improved digestion and immunity -- and the starter culture bacteria (Lactobacillus bulgaricus and Streptococcus thermophiles) used in the fermentation process for producing yogurt. As for other

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products containing probiotics (that may not carry the seal), such as granola bars, cereal and chewing gum, additional research is required by the consumer to investigate whether the products contain adequate quantities of probiotics, whether they are alive at the time of manufacture, and whether research has determined that the probiotics listed in the product are beneficial. -- Environmental Nutrition Newsletter.

RECIPE

Here's a recipe for perfect bite-size snacks to stash in lunch boxes or have with a cup of tea. They are full of fall's flavors -pumpkin, cranberries and almonds. Recipe is from the Almond Board of California.

PUMPKIN CRANBERRY GRANOLA BITES

• 2 cups rolled oats • 3/4 cup canned pure pumpkin (not pie filling) • 1/2 cup roasted diced almonds • 1/2 cup dried cranberries

• • • • • •

1/3 cup unsalted pumpkin seeds 1/4 cup maple syrup 2 tablespoons vegetable oil 1/2 teaspoon ground ginger 1 teaspoon kosher salt 1/4 teaspoon ground cloves

Preheat the oven to 350 degrees F. Line a baking sheet with sides with aluminum foil and spread the oats on it. Toast them for 8 to 10 minutes, until lightly golden. Pour them into a large bowl. Leave the oven on. Add the remaining ingredients to the oats. Mix the granola together. Form 1-inch balls of the granola mixture (a 1-tablespoon cookie scoop works well). Place the balls on the baking sheet. Bake the bites for 15 to 18 minutes, until firm and lightly browned. Remove the pan to a wire rack to cool. Store the pumpkin bites in an airtight container. Makes 30 bites. Serving size: 3 granola bites. Per 3 bites: 203 calories, 5 g protein, 25 g carbohydrate, 10 g fat, 0 mg cholesterol, 4 g fiber, 143 mg sodium.

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NUTRITION

FOODS TO SEE BETTER BY CHARLYN FARGO

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ur eyes need the right nutrients to to help prevent cataracts, macular degeneration, glaucoma and other sight problems. The Academy of Nutrition and Dietetics offers five top foods for eye heath. --Kale: This leafy green is a rich source of lutein and zeaxanthin, which are related to vitamin A and beta carotene, and are believed to protect eye tissues from sunlight damage and reduce the risk of cataracts and macular degeneration. Other good sources of these eye-friendly nutrients include dark green leafy vegetables such as collard greens, turnip greens and spinach, broccoli, peas, kiwi, red grapes, yellow squash, oranges, corn, mangoes and honeydew melon. Your body needs fat

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to absorb lutein and zeaxanthin, so be sure to eat them with a bit of healthy fat such as a drizzle of olive oil. And kale also contains vitamin C and beta carotene, other eye-friendly nutrients. --Sweet Potatoes: These orange tubers are a good source of beta carotene, which may slow progress of macular degeneration. Your body converts beta carotene to vitamin A, a nutrient that helps prevent dry eyes and night blindness. Beta carotene and vitamin A also help reduce the risk eye infections. Other great sources of vitamin A are carrots and butternut squash, plus dark green foods including spinach and collard greens and liver, milk and eggs. It's always best to get your nutrients from foods rather than pills. Your best sources of vitamins and antioxidants are from whole foods, since it may be a food's combination of nutrients that have a synergistic healing effect. And, similar to lutein and zeaxanthin, beta carotene and vitamin A are absorbed best when eaten with a little healthy fat such as olive oil.

Strawberries: Fresh, juicy strawberries are a good thing for your eyes, and contain plenty of vitamin C, which is an antioxidant that can help lower your risk of cataracts. Also, be sure to load up your plate with other vitamin C-rich foods including bell peppers, broccoli, citrus (such as orange and grapefruit) and cantaloupe. --Salmon: Dry eyes? Eating enough omega-3 fatty acids can help alleviate the problem. Get some healthy fats every day in the form of salmon or other types of fish (two to three times per week), walnuts (which also include eye-healthy vitamin E), flax and chia seeds. Salmon is also a good source of vitamin D, which helps protect against macular degeneration. You can also get vitamin D by eating sardines, mackerel, milk and orange juice fortified with vitamin D. --Green Tea: A cup of green tea is more than relaxing and soothing -- its antioxidants may help lower risk of developing cataracts and macular degeneration. Green tea contains healthful substances called


catcehins, which are responsible for its anti-inflammatory and antioxidant properties. Other foods that are that are high in catechins include red wine, chocolate, berries and apples. Black tea also boasts catechins, but in lower amounts than its green cousin. Q AND A Q: Are there benefits in consuming nuts in their raw form? A: Nuts are healthful, nutrient-dense foods that contain good amounts of fiber, protein, potassium, magnesium, antioxidants and heart-healthy monounsaturated fatty acids. They also are extremely versatile and can be used to make nut butter, ice cream, sauces and savory meals like pad Thai. Raw or roasted nuts have a very similar nutritional makeup, and the oil used to roast nuts adds a negligible number of calories per serving. Steaming or roasting nuts may be required to kill harmful bacteria or mold. In California, where 80 percent of the world's almonds

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are grown, steaming or fumigating the nuts is required by law, due to previous salmonella outbreaks. Therefore there are no truly raw almonds. Aflatoxin, a potentially cancerous mold found in very small amount sin some foods, may be reduced by roasting peanuts, which are technically a legume, but often categorized as a nut. Some raw versions of nuts and nut butters can be more expensive, as well. Nuts -- raw, roasted or steamed -- can add variety and good nutrition to any healthy diet. They are nutrient-dense, but also calorically dense, so monitoring serving sizes is paramount when enjoying them. -- Environmental Nutrition, October 2016. RECIPE Who doesn't love cauliflower -- you can puree it into a crust, make it into a side dish or soup or eat in raw with a dip. It offers plenty of nutrition and very few calories. Here's a recipe for Buttery Roasted Cauliflower that's a great side dish. It's from Cooking Light magazine.

BUTTERY ROASTED CAULIFLOWER • • • • • • • •

4 cups small cauliflower florets 2 large shallots, cut into wedges Cooking spray 1 tablespoon canola oil 1 tablespoon butter, melted 3/8 teaspoon kosher salt 1/4 teaspoon black pepper 1 tablespoon chopped fresh chives

FRESH TARRAGON LEAVES Place a jelly-roll pan in oven and preheat oven to 450 degrees. (Leave pan in oven as it preheats.) Place cauliflower and shallots on preheated pan; lightly coat vegetables with cooking spray, and toss with oil. Bake at 450 degrees until browned and tender, about 15 minutes. Drizzle with butter; toss to coat. Sprinkle with salt and pepper; top with chives and tarragon, if desired. Serves 4. Per serving: 104 calories, 3 g protein, 10 g carbohydrate, 6.7 g fat, 8 mg cholesterol, 3 g fiber, 241 mg sodium.

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NUTRITION

DIABETES RISK AND YOUR DIET BY CHARLYN FARGO

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hat you eat really can increase your risk of diabetes. In a study by researchers at Harvard, eating less of the right foods over a four-year period resulted in a 34 percent increase risk of type 2 diabetes. The study, which was published online in the Diabetes Care Journal, followed 124,607 adult participants who did not have diabetes at the start of the study. The participants were drawn from three long-term health monitoring programs -the Nurses' Health Study I and II, and the Health Professionals Follow-up Study. Participants had the quality of their diet monitored initially during a four-year period and were then monitored for in-

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cidence of diabetes over the next 20 or more years. Diet quality was assessed using the Alternate Healthy Eating Index (AHEI) score. The AHEI quantifies diet quality by measuring a number of factors including servings of vegetables per day, servings of fruit per day, ratio of white meat to red meat, ratio of polyunsaturated fats to saturated fats, plus fiber, trans fat and alcohol intake. Unhealthy factors, such as trans fats intake, result in lower diet quality scores whereas healthy factors, such as increased fiber intake, resulted in a higher score. The study found that a decrease in diet quality of more than 10 percent over four years was linked to a 34 percent increased risk of type 2 diabetes. But when diet quality increased by over 10 percent during the four-year period, the risk of type 2 diabetes reduced by 16 percent. The study also found that change in body mass index only explained 32 percent of the new cases of diabetes. This

backs up previous findings that have shown that people can develop type 2 diabetes at lower BMI levels if the quality of their diet is poor. "Improvement in overall diet quality is associated with a lower risk of type 2 diabetes, whereas deterioration in diet quality is associated with a higher risk," the researchers wrote. "And the association between diet quality changes and diabetes risk is only partly explained by body weight changes."The bottom line? What you eat over a period time does make a difference. Choose fruits and vegetables, low fat dairy, lean meats and whole grains.

Q AND A

Q: Why does cottage cheese have so much less calcium than other dairy products? A: Cottage cheese retains only 25 to 50 percent of the calcium of the milk it is made from, since the curding process encourages the loss of calcium into the whey, which is then drained. Thus, compared to


milk, yogurt, and other cheeses, most cottage cheese is only a modest source of calcium. A 4-ounce serving of cottage cheese has 60 to 100 mg of calcium (dry curd has only 35). A cup of milk has 300 mg; a cup of yogurt, 300 to 400 mg; and an ounce of most hard cheeses, about 20 mg. Women over 50 and men over 70 should consume 1,200 mg of calcium a day; other adults, at least, 1000 mg. Still cottage cheese is a healthful food -- high in protein and available in low-fat and nonfat versions (which have fewer calories). The main problem with cottage cheese is that it's very high in sodium - typically 400 to 450 mg in 4 ounces. You can buy the "no salt added" variety, but it takes time getting used to; it tastes "flat" but does have more cheese flavor. You can add a little salt, if you wish, or mix equal amounts of regular and no-salt cottage cheese. -- University of California, Berkley Wellness Letter, September 2016.

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RECIPE If you're looking for a quick, healthy dinner, try these Pork Sliders with Smashed Avocado from Cooking Light magazine. Heart-healthy avocado is used instead of mayonnaise to give a boost in fiber and omega 3s. PORK SLIDERS WITH SMASHED AVOCADO • 8 (1-ounce) whole-wheat slider buns • Cooking spray • 12 ounces extra-lean ground pork • 1 1/2 tablespoons chopped fresh flatleaf parsley • 3/4 teaspoon salt • 1/2 teaspoon garlic powder • 2 ounces Monterey Jack cheese, shredded (about 1/2 cup) • 2 teaspoons fresh lemon juice • 1/2 ripe avocado • 2 small ripe tomatoes, sliced • 8 small Bibb lettuce leaves

Heat a grill pan over medium-high heat. Lightly coat cut sides of buns with cooking spray. Place buns, cut sides down, in pan; cook 1 minute or until lightly toasted. Combine pork, parsley, salt and garlic powder in a medium bowl, gently mixing with hands. Divide mixture into 8 equal portions, shaping each into a 1/4-inch-thick patty. Lightly coat both sides of patties with cooking spray. Arrange patties in pan coated with cooking spray; cook 2 minutes. Turn patties over; top patties evenly with cheese. Cook 2 to 3 minutes or until cheese melts. Combine lemon juice and avocado in a bowl; mash avocado with a fork, and stir to combine. Spread avocado mixture evenly over bottom halves of buns. Place 1 patty on each bottom bun. Top each with 1 tomato slice and 1 lettuce leaf. Top with top halves of buns. Serve immediately. Serves 4 (serving size 2 sliders). Per serving: 393 calories, 36 g protein, 34 g carbohydrate, 13.9 g fat, 81 mg cholesterol, 7 g fiber, 752 mg sodium.

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WELLNESS

TIS THE REASON BYSCOTT LAFEE

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he holidays won't be in full swing for several more weeks, give or take, but if you're unwrapping your annual excuse now that seasonal festivities are the reason for your weight gain, you should know that science backs you up. A survey published in the New England Journal of Medicine of nearly 3,000 people in countries as diverse as the U.S., Japan and Germany found that holiday weight gain is fairly universal. We may eat different goodies (nobody eats Aunt Joyce's fruitcake), but the results are the same. Survey participants in all three countries reported gaining more weight in the 10 days after Christmas compared to

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the 10 days before. On the plus side (negative really), folks said they shed half of the weight gain shortly after the holidays concluded, though the remaining poundage tended to linger until summer or later.

have not been FDA-approved for use in children, but the scientists do suggest a simple, preventative measure: Children can build bone mass by jumping for 10 minutes per day, three times a week. It should come naturally.

BONE OF PREVENTION The too-sedentary lives of modern American kids is having another damaging effect beyond rising rates of obesity: Their bones are becoming more fragile. According to a clinical report published in Pediatrics, the percentage of children experiencing broken bones has increased from 35 percent to 65 percent over the past 40 years. Researchers say the increased risk is due to modern lifestyles, particularly too much sitting around indoors and too little exercise outside. Also, children are not getting enough calcium in their diets. Treatments for weak bones in adults

GET ME THAT, STAT! A new study by the RAND Corporation reports that the major health care proposals of presidential candidates Hillary Clinton and Donald Trump produce -- surprise! -- decidedly different results. The analysis finds that Clinton's proposals would provide health care insurance coverage to an additional 9 million people while Trump's would result in approximately 20 million persons losing coverage. LIFE IN BIG MACS One hour of lying in bed quietly -- doing nothing -- burns 68 calories (based on a 150-pound person) or the equivalent of


0.1 Big Macs. COUNTS 80: Percentage of surveyed physicians who say they feel overextended or at capacity, with no time to see additional patients 54: Percentage who describe their morale as somewhat or very negative 49: Percentage who say they are either often or always feeling burnt out 48: Percentage who say they plan to cut back hours, retire, take a non-clinical job, switch to "concierge" medicine or take other steps that would further limit patient access to care Source: 2016 Survey of America's Physicians: Practice Patterns and Perspectives DOC TALK Dose sponge: a radiology employee

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PHOBIA OF THE WEEK Aulophobia: fear of flutes NEVER SAY DIET The Major League Eating record for sausage sandwiches is 13.25 in 12 minutes, held by inaptly named ChipBurger Simpson. BEST MEDICINE Patient: "Well, doc, I hope you're going to tell me that I'm very ill." Doctor: "Why do you say that? Don't you want me to tell you you're the picture of health?" Patient: "No. I feel absolutely terrible. I don't want to feel this way if I'm healthy." OBSERVATION "Don't think of organ donations as giving up part of yourself to keep a total stranger alive. It's really a total stranger giving up almost all of themselves to keep part of

you alive." -- Unknown MEDICAL HISTORY This week in 1971, the U.S. Environmental Protection Agency (EPA) for the first time shut down heavy industries in Birmingham, Alabama, when air pollution approached dangerous levels. It was an emergency action under the Clean Air Act of 1970. The EPA asked a Federal judge to issue a temporary restraining order. MED SCHOOL Q: What good is your pinkie finger? A: Well, apart from making gloves fully functional, your pinkie finger provides roughly half of your hand strength. While the index, middle finger and thumb are designed to pinch and pluck power, the pinkie and the ring finger provide your hand's basic grabbing power. Just trying gripping something without your smallest finger.

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T R AV E L

THE TRAVEL ADVENTURES OF WINNIE THE POOCH BY JIM FARBER

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inifred, also known as Winnie, Pretty Girl and Tootsie Pop, was one pampered pooch, a member of the 1 percent club. She spent her time behind a pair of gated communities -- her spacious home in Brentwood, California, on Los Angeles' fashionable west side and her desert getaway "cottage" within a gated golf-course complex in Rancho Mirage near Palm Springs. Every day when Winifred took her walks the sights, and particularly the smells, were so comfortable, so familiar, a well-kept list of olfactory references. When she was urged to get into the Mercedes station wagon it was almost always for a trip between her two residences, and

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she enjoyed lolling in the backseat as time and the road rolled by. Then one day the routine changed. It wasn't a big change, but it was sufficient to give Winifred (a handsome golden labAustralian sheepdog mix) the sense that something was up. Her owner, Anne, took her outside and fitted a fashionably appealing blue saddle-style backpack on her. Hmmm. "What is this?" she must have thought. But she was willing to cooperate if it pleased her owner. It was less pleasing, however, when the backpack was stuffed and she kept bumping into things she shouldn't ordinarily bump into. She didn't care for this sensation of suddenly being a double-wide. What Winifred did not know was that she was about to have an adventure, a three-day hiking trip into the mighty Sierra Nevada Mountains. And she was going to be expected to carry her weight, which would consist mostly of water, snacks and a convenient collapsible water dish that she would soon discover was a treasure not to be left behind. In the beginning the trip seemed like the usual LA-to-Palm Springs commute. But then, as the hours slipped by, Winifred began to realize "We're not in LA or Palm Springs anymore." The air smelled dif-

ferent, really different. Nothing matched up. There was also the inconvenience that when they stopped she wasn't allowed in restaurants. It was discrimination, plain and simple. She watched as service dogs with their colorful little bibs were let in. Their destination was Mammoth Lakes, where they would be staying at the Sierra Lodge and the Westin Monache Resort. Both made a point of being "pet friendly." The Westin even went so far as to provide complimentary food and water bowls and a nice soft pillowy doggy bed. The policy, however, did not solve a seemingly contradictory problem, a sort of canine Catch 22. On the one hand, both hotels were welcoming to pets. At the same time, state laws required that pets could not be left alone in the room nor were they allowed in the hotel restaurant or, for that matter, any indoor restaurant. This left two options: Either Winifred would need to be locked in the car (which might work for a few hours in the cool of the evening) or restaurants would have to be found that offered outdoor "pet friendly" seating. Luckily, Mammoth Lakes Village is a pretty doggy place, so there were quite a few eateries that fit the bill. Then came Winifred's first day of roughing it -- a 10-mile hike on the Duck


Pass Trail. Her pack now fully loaded, she dutifully posed for her portrait in front of the sign announcing they were about to enter the John Muir Wilderness. And as the hike began, Winifred was determined that if she was a tenderfoot, she wasn't going to show it. "This is great," she seemed to be saying to herself, especially when her leash was removed and she was free to fully explore this brave new world of dust and rocks and pine trees and so many new smells she didn't know where to store them all. It didn't take long before she settled into a rhythm, bounding on ahead then waiting for her companions to catch up. And when she met other dogs heading down the trail, they all were friendly and anxious to share an introductory sniff. There were so many new experiences and sensations to catalog: wading across streams and into lakes, climbing up the rocky trail and enjoying the sensation of nestling into a shady bed of pine needles. "This is great!" she seemed to be thinking. "I like being a wilderness dog! I even like being dirty!"-- another new experience. By the time the hike was over she seemed like a seasoned mountaineer. For three days Winifred's adventures continued. She rode on a gondola all the

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way to the top of Mammoth Mountain, which looked out on the sawtooth peaks of the Minarets. There she met an intrepid band of mountain-bikers and a party of tourists intent on taking selfies. The next day she hiked the trail around Convict Lake with its shimmering water, towering granite cliffs and fluttering aspen groves. As always, she wanted to please her owner, but the truth was Winifred was a tenderfoot and these rocky trails were becoming hard on her paws. Those shady spots where she could lie down were looking more and more appealing. She kept thinking the doggy equivalent of "Are we there yet?" By then end of day three, she'd had it. All she wanted to do was lie on her doggy bed in the room. But when she heard the word "home," her energy returned. Soon she was back in her familiar spot in the backseat watching the Sierras go by outside the window. "That was tough," she thought. "But I made it. I survived. Maybe I'll try it again next year." WHEN YOU GO If you plan to take your dog on vacation, here are some ways to make the trip comfortable and pleasant for all of you.

Consider the season in which you are traveling. Outdoor seating at dog-friendly restaurants won't be available during colder months. Bring an adequate amount of the food to which your pet is accustomed. A collapsible water bowl that clips onto the dog's pack makes it easy to keep your pet hydrated. Seek out accommodations that allow pets and ask what amenities they offer. Ask them for dining suggestions if pets aren't allowed in their dining rooms. Research a local veterinarian in case of emergencies and program the clinic's number into your phone. If hiking is on your agenda, consider whether your dog is in good enough condition to come along. If so, get him or her into shape by taking increasingly strenuous walks on paths close to home. Your dog will become accustomed to wearing a pack if you introduce that at home, too. Have your pet wear the empty pack for a few days and then gradually add the necessary contents. If you plan to ride any public transportation -- from a mountain gondola to a city bus -- find out if the dog needs to be muzzled. That's one area we hadn't thought about and weren't prepared for.

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