Real Health & Image - February 2009

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T

he proverbial Fountain of Youth has been the

dream to attain eternal youth. It’s true! People

have a natural tendency to challenge the inevitable death with the wish to discover the cause of the

Tampa Bay-area patients can now take a closer step in attaining their wishes. The newly opened Weight and Body Solutions has demonstrated the “fountain of youth” through the use of state-of-the-art medical treatments. Can it be possible to prevent Parkinson’s, Alzheimer’s or even Diabetes? It’s constantly being researched around the world and doctors are always seeking answers. Introducing Dr. Burton Feinerman to Weight & Body Solutions provides another angle to preventative healthy living through the power of ant-aging. Let’s look into a couple of testimonials which benefited from his treatments…

aging process. Women Ava M. was a 2 Year old child with Intrauterine bleeding of the brain resulting in partial quadriplegia had no speech and motor about aging around 30, development. Within a month of receiving neuron brain stem men around 50. cells and nerve cell growth factors introduced into her central nervous system via the spinal canal, the child was scooting on her abdomen, making sounds and received control of her neck for the first time since birth. typically start thinking

Louis U. was a 72 year old man with advanced Parkinsonism. He received two sets of intrathecal immortalized neuron stem cells with neurotrophins, nerve cell factor, his brain derived neurotrophins and vascular endothelial growth factor. Louis showed dramatic improvements with his speech, which was initially slow and slurred, along with his disappearance of choking and difficulty of swallowing problems. His memory and thought processing appeared sharper.


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For more information about Dr. Nguyen, his clinic and the Ultroid ™ treatment procedure, visit Advanced Hemorrhoid Solutions’ website at www.DoNotSufferInSilence.com or call to schedule a free consultation at 813-920-9799.

By: Terra Walters

D

aryl H. had suffered from hemorrhoids for more than a decade, but managed them using homeopathic remedies – until he lifted something too heavy at work. After that, the pain and bleeding became unbearable, and he began his research.

Daryl‘s friend had undergone a “banding” procedure to cure his hemorrhoids, and soon found himself rushed to the emergency room with a serious infection. Another patient he met described his experience with surgery as “excruciating,” followed by weeks of recovery, intense bleeding and soon a recurrence of the problem. After hearing these horror stories, Daryl was relieved to learn about the non-surgical, non-invasive, FDA-approved Ultroid™ procedure, and even happier to find Dr. Linh Nguyen of Advanced Hemorrhoid Solutions. “The difference with Dr. Nguyen was that he did the consultation and the first treatment on the same day,” Daryl says. “I was in serious pain and discomfort. After that first treatment with Dr. Nguyen, an hour later I was out pouring concrete.”

”There are no words for it- the treatment is amazing.”

Daryl was able to return to work so quickly due to the non-invasive procedure. The Ultroid ™ device uses electrolysis to shrink the hemorrhoid vein. During this process, water molecules are broken down into hydrogen (H+) and hydroxide (OH-). The hydrogen is released in the form of small gas bubbles during treatment, and the hydroxide combines with sodium (Na+) in the blood, forming sodium hydroxide, which targets the hemorrhoid. It is a natural, noninvasive process. The treatment is an innovative, safe and convenient alternative to surgery. No injection, cutting, or burning is involved. Additionally, there are no hospital stays, anesthesia, preop planning, long uncomfortable healing times or post-op follow-ups needed. Daryl has more praise for Dr. Nguyen’s bedside manner. “He has a television in every room, and he asks you what you want to watch – your regular sitcom or whatever. Throughout the procedure, the doctor asks if you are comfortable and reassures you that he can adjust if you feel at all uneasy.” “I would never have done it [treated my hemorrhoids] if it wasn’t for Dr. Nguyen. I have recommended him to three or four people all ready. There are no words for it – the treatment is amazing.” For more information or to schedule an appointment with Advanced Hemorrhoid Solutions, visit www.DoNotSufferInSilence.com or call (813) 920-9799 (Tampa) or (727) 209-0214 (Pinellas Park).

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FEBRUARY | 2009

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Clarity MedSpa is operated by two board certified physicians. Dr. Danny Abbruzzese and Dr. Khalid Saeed have extensive training in Aesthetic Medicine and nutrition. They combine their love of art and medicine to help you achieve your goals. Treatments are personally performed by our board certified medical directors.

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PAGE 3


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Dr. Levin believes and emphasizes that healthy feet promote overall orthopedic health. Many patients with foot pain also complain of back, neck, and even headache pain. The feet are the base and foundation that support the weight of our entire body. And, poor foot posture can impede daily activities.

Having trouble standing on your feet when getting out of bed or after sitting at your desk? Do you get sharp or shooting pain to the bottom of your heel? If so, you may have plantar fasciitis. Plantar fasciitis is a condition of the plantar fascia ligament on the bottom of the foot. It attaches at the base of the heel bone and runs across the plantar (bottom) aspect of the foot. As it courses along the bottom of the foot it divides into 3 slips midway and then into 5 slips at is approaches the toes. The ligament is important in the support of your arch and the mechanics of the foot. When this ligament is overused, strained or not supported properly, it causes pain at the bottom of the heel. This is where the ligament begins and gets pulled excessively along its path and overstrained. The ligament actually thickens and sometimes swells along the point of its attachment. This causes pain along with possible nerve irritation or entrapment of a local nerve branch at this site. This usually causes pain along the medial or inside part of the heel.

Some basic exercises to perform that can relieve pain is to stretch the foot and toes with a towel. This relaxes the ligament tissue and will cause less pain when standing from a seated position. This is probably one the most important treatments one can do to resolve the pain. However there are multiple aspects to a treatment regimen including the use of heat, cold, oral and topical anti-inflammatory medication, cortisone injections, night splints (to aid in stretching and relaxing the ligament), and prefabricated or custom orthotics (to properly support the foot and ligament reducing the strain and excessive tension on the ligament). If all conservative treatment is unable to resolve the pain then one can consider surgery to release part of the ligament. This will relieve the tension on the ligament and possibly the nerve as well. However, to ensure proper foot support and foot mechanics, orthotics should be worn after the surgery is performed. If you feel you have plantar fasciitis please contact a podiatrist for an exam. A proper exam involves a physical exam of the foot, x-rays to evaluate the bone structure and an ultrasound to evaluate the plantar fascia ligament. These can all be done at the same time in the office for a complete assessment of the problem.

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FEBRUARY | 2009

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from the publisher

features

Some people call them coincidences, messages or even miracles. Medical successes leave people at times feeling their prayers have been answered, perhaps an angel guarded over a loved-one or maybe it just wasn’t time. We, as human beings, are drawn to find answers to connect the reasoning behind the mathematical improbabilities. In this case, we take a closer look inside the front cover story on a local Tampa Bay clinic, Weight & Body Solutions, that brings a doctor specializing in preventing some of the most degenerative diseases we know today through a modern approach to medicine no matter what the age of the patient. As we continue to advance in our medical research, the quest for eternal youth is constantly tested. This month we found one doctor known to push the limits from mathematical improbabilities to scientific possibilities. We hope each issue may enlighten our readers to understand Tampa’s medical community growth and the doctors who bring these options to our families.

2 Patient Calls Hemorrhoid Treatment “Amazing” 3 Clarity MedSpa: Treating Your Soul, Not Just Your Skin 4 Heel Pain 6 A Whole Body Approach To Chiropractic Care 11 At the Heart of the Matter, It’s a Matter of the Heart 12 Understanding Weight Loss 13 Acne Facts

sammy

sammy@realhealthandimage.com

from the editor

.......................................................................................................................

in every issue ...........................................................................

5 | Publisher’s and Editor’s Note

February is heart health month, so while you’re wooing your sweetie with chocolates, soap-on-a-rope or jewelry, don’t forget to take care of your heart. Heart disease is one of the main health problems Americans face, largely because of our typically high-fat, high-cholesterol diets and sedentary lifestyle. This month, instead of taking your Valentine out for an expensive dinner, take him or her on a nice long walk. Enjoy the outdoor activities available in Tampa Bay, even while the rest of the country shivers in the cold. This month, earn that slice of cheesecake by doing an extra mile on the treadmill or at the beach. Your heart will thank you, and your sweetie will

6 | Youth Rules Beware of Winter Burn 7 | Health Discoveries 9 | Tribute to Research (Feature Story) Researchers Advocate Including Imaging Technology As Diagnostic Test 10 | Everyday Fitness How To Break-up With Your Love Handles For Good 14 | To Dine For Maggiano’s Review: 5 Stars 15 | Ask Her The Skinny on Weight Loss

too.

terra

terra@realhealthandimage.com

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1&8 Future Medicine Available Now (cover story)

FEBRUARY | 2009

15 | Pet Balance Does Your Pooch Have Smoochable Breath?

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Dr. Micah Richeson has been practicing Chiropractic Medicine for the past eight years in Gainesville, FL, and recently opened a new practice in the Wesley Chapel area. Dr. Richeson has a Bachelors Degree in Science and Anatomy. He received his Doctor of Chiropractic Degree from Parker College of Chiropractic in Dallas, TX, where he learned eight techniques in treating musculoskeletal and neuromuscular conditions. Dr. Richeson is a member of the Florida Chiropractic Association and has served as the president of the Mid-Florida Chiropractic Society for the past 2 years.

Eric Smith High School Health Teacher and Athletic Coach eric.smith@sdhc.k12.fl.us

Dr. Richeson, who has been a practicing chiropractic doctor for eight years, designed his office to be the “epicenter of wellness in the New Tampa/Wesley Chapel area.” “I am a wellness-oriented chiropractor interested in the general health and wellbeing of both my patients and their families,” says Dr. Richeson. “My practice is not just limited to the person that walks in the door; I want to help make families healthier and happier through wellness techniques they can use in their everyday life.” Dr. Richeson says that chiropractic prepares the body to be well. Most people visit a chiropractor because they hurt, but Dr. Richeson says there are usually underlying reasons for the pain. “When I meet a new patient, I try to find out why their body is reacting in a certain way,” he says. “First, I consult with the patient to find out their concerns and to learn about their lifestyle. Then we do a thorough chiropractic exam to test reflexes and flexibility. We use state-of-the-art technology to do exams, which includes a thermal scan that tells us how stress affects your internal system, we perform a surface EMG (electromyography), which shows how stress affects the motor part of your nervous system, we use an HRV (heart rate variability) to show how your body adapts to stress, as well as a number of other tests to determine what type of treatments are necessary. After I perform these exams, we discuss treatment options. Should I see something in a patient that I cannot address, I will then send them to a traditional physician.”

During these very few cold months in Tampa Bay, more and more teenagers find themselves heading to the local tanning salon to enhance their complexion while escaping the chilly temperatures. The tanning bed seems like a perfect answer for those extremely cold days when lying out in the sun can be quite uncomfortable. Not only the warmth of indoors pulls clients in the door, but also the convenience of getting a tan in less than 20 minutes. All of these features seem to be an ideal solution for getting a tan, but be cautious. Tanning beds can be extremely dangerous for teens. According to kidshealth.org, there are an estimated 30 million Americans who tan, and a majority of those are females aged 13-25. Studies have shown that these individuals have increased their risk of melanoma (skin cancer) by 75 percent. Melanoma has been steadily increasing, with more than 1 million new cases each year in the United States. Teens and young adults who use tanning beds are at the highest risk of melanoma. UVA rays cause a persons skin to tan. They also cause the skin to age. These rays are found naturally in sunlight. Overexposure to UVA rays can cause major damage. Sun burns, diminished immune system and sun poisoning are only the minor risks you need to worry about. Long-lasting effects of UVA rays have been linked to skin cancer, which if left untreated can be fatal. UVAs in tanning beds are at a higher concentration than the ones that radiate from the sun. Therefore, tanning beds beam out more UVA rays than the sun would, greatly increasing the skin aging process and the risk of cancer.

Former University of Tampa basketball player Bruce McKinney has found chiropractic care at Cypress Creek Chiropractic very helpful. “I play sports every other day and I believe getting chiropractic treatments improves your quality of life,” says McKinney, who lives in Temple Terrace. “Dr. Richeson is outstanding, not only from the back and alignment point of view. He doesn’t just straighten your spine; he takes a wellness approach to make sure your health is good. He offers advice on diet and a whole-body approach to wellness.” Cypress Creek Chiropractic “If I learned anything over the years, I have found and Wellness is located at that having your body in alignment reduces pain and stress,” says McKinney. “Dr. Richeson helps you 2304 Crestover Lane, Suite understand your body more fully, which in turn helps 102. To begin your journey to you make better life choices. I find that I do not have wellness, call 813-994-5455. as many aches and pains, and my recovery period after playing sports is much quicker. I highly recom- Also for more information mend Dr. Richeson. His office is a great family and visit their extensive wellness Christian environment.” website at www.cypressFor Alan Funnywell, a wellness lifestyle has always been important. “I have been a vegetarian for 25 years and have always been concerned about my health from a wellness perspective,” says Funnywell, a comedian who also is a functional wellness consultant. “I met Doc (Richeson) at a seminar in Orlando. “ I have been adjusted by chiropractors for years and when you find someone who is good like Dr. Richeson, you stick with them.”

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Be cautious when tanning -- outside or inside -- and learn that there are side effects to both. You should always wear sunscreen when outside or in a tanning salon, with an SPF of at least 15. You can also try some alternatives to tanning. Spray-on tans and self-tanners have become increasingly popular in the past few years, and they are much safer than absorbing harmful UVA rays. Check out some websites like teenshealth.org, mypryamid.gov, or health.gov for more information on this topic and others we have explored. Be safe when tanning and wear your sunscreen!

creekchiro.com. Remember that February is Heart Health Month; at our office we help you evaluate your needs. Ask us about our Standard Process whole food supplements that support a healthy heart.

FEBRUARY | 2009

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By Betty Alvarodiaz

To Your Health! Whether you’re a couch potato, diet dropout, or heavy smoker, it’s hard to change old habits. But with this step-by-step guide, you can do it! You’ll learn how to set realistic goals and follow through on them, plus stick to your new healthful habits. Stories of how other real people overcame the same hurdles will motivate you. • Find physical activities that are fun for you. Reward yourself in healthful ways for your fitness achievements. • Create a personalized eating plan that you can really live with • Learn how to identify your most common smoking triggers. Discover ways to beat those urges and kick the habit for good. • Find out how to get reliable information and become proactive about your health.

Quick & Easy Cookbook In our hectic era, who has time to spend hours in the kitchen creating tasty, healthful meals? Yet when we try to eat fast, we almost always resort to eating fat (think: fast food). This indispensable cookbook from one of the most trusted names in the health field breaks the fast-fat connection. Nearly every one of its mouthwatering, low-fat, low-cholesterol recipes can be prepared in under 30 minutes. Here is the opportunity for millions of Americans to start living the more healthful lifestyle they know they should.

While most books focus solely on the role of cholesterol in heart disease, Reverse Heart Disease Now draws on new research that points to the surprising other causes. Two leading cardiologists draw on their collective fifty years of clinical cardiology research to show you how to combine the benefits of modern medicine, over-the-counter vitamins and supplements, and simple lifestyle changes to have

Yoga is a mind-body practice that combines physical postures, breathing exercises, meditation, and a distinct philosophy. Yoga is intended to increase relaxation and balance the mind, body, and the spirit to promote self awareness and streamline thoughts. It helps reduce stresses in our surrounding environment and life. The sites below provide a wealth of information and support system for anyone who wants to reach a place of inner change.

Best est for: Finding nding Your Inner Yoga

Best for: Best for for:: Accepting ccept p ing g Yoga g Into Your Life

ABC Of Yoga: www.abc-of-yoga.com

YogaJournal www.yogajournal.com

What it does: ABC Of Yoga provides a good balance of information for all Yoga enthusiasts.

What it does: YogaJournal is a one-stop shop for all your Yoga needs - on and off the mat.

What’s cool about it: ABC Of Yoga covers different aspects of the ancient, spiritual practice. The main page draws you to a list of informational categories. Each category is further broken down into subcategories. The informational articles within the subcategories offer valuable insight for anyone ranging from beginners to seasoned yogis. You can learn everything there is to know about Yoga from poses & exercises to health benefits. The daily News Desk stays up-to-date with Yoga events and news items from around the globe. Yoga Shop synchronizes with leading online retailers to offer the latest yoga equipment and props. You can practice Yoga anywhere in the world using the yoga holidays and travel services directory. The Yoga Community and Forum provides an outlet for sharing knowledge, experiences and pictures with the rest of the Yoga world.

What’s cool about it: YogaJournal welcomes you to an online retreat for Yoga poses, meditation, healing alternatives and overall well-being. The site has several categories or tabs to choose from at the top of the page. Under the Poses section, you can build a sequence of poses or routine for your exercise regimen incorporating beginner, intermediate or advanced poses. The cool part is that you can build the sequence frame-by-frame with pictures and share them with others. The Basics category offers more in-depth information about the different poses and styles of Yoga. The other tabs offer additional insight into holistic healing and well-being, wisdom and history and meditation. Each section also has recent and popular articles relative to that topic. The main page has changing images that correlate to a different topic (e.g. health, wisdom, lifestyle, food and practice). Once you click on the one of the topics, the site takes you to an interesting article. To top it all off the site has an Editor’s pick, Daily Tip, Community Member of the Day, Community Events and Conferences.

Drawbacks: The site has an adverstiment of Santa clause promoting Yoga gifts and singing “Ho, Ho, Ho Merry Christmas Everyone.” It’s quite annoying. I suggest keeping the sound off or on mute while searching through the site because it’ll occur over and over again. Price: This site is free

a healthy heart.

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FEBRUARY | 2009

Drawbacks: On occasion, an advertisement will pop up in the middle of the page. I suggest clicking on the “X” and it will disappear. Price: The site is free. You can sign up for Yoga Community used for blogging, sharing pictures or accessing additional tools.

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About Dr. Feinerman: Graduate of New York Medical College. Training at Long Island College Hospital, NY; Mayo Clinic, Rochester, Minn; Chief Medicine US Army 98th General Hospital, Germany: Chairman Medicine at Miami General Hospital, Opa-Locka Hospital, N Miami General Hospital. Chairman Cancer Technologies, Inc.; Kids Medical Centers of America, Inc.; Anti-Aging Medicine Technologies. Member: Society of Apheresis, Society of Bone Marrow Blood Transplantation; International Society for Cellular Therapy; Society for Cranial Transplantation and Brain Repair; Society for Cardiac Translational Therapy; Academy Of Anti-Aging Medicine American Society of Hematology

CONTINUED FROM COVER

FUTURE MEDICINE

FREE EDUCATIONAL SEMINARS FEBUARY 2009

We live in an amazing biotechnology medical era in which diseases currently considered can be challenged. Emerging developments in stem cell therapy, gene therapy, nanotechnology and tissue engineering offer new

All Seminars will be held at : 5907 Webb Road, Tampa Fl. 33615 From 6:00 PM to 7:00 PM Next To Town and Country Hospital. FEBUARY 3, 2009

Anti-Aging / Future Medicine

FEBUARY 10, 2009 Botox / Juvéderm FEBUARY 17, 2009 Weight Management FEBUARY 24, 2009 HydraFacial, Skin Resurfacing

hope to millions of patients.

As seen on ABC, CBS and The Doctors

The choices and decisions you make each day determine how healthy you are and how you will continue to age. At Weight and Body Solutions, we can offer you different ways and treatments to slow down the aging process as we know it. Burton Feinerman, MD, who heads the staff has been practicing anti-aging technologies for over 20 years and

So make an appointment today for your consultation, so you too can drink from the

has helped many people reverse the aging

fountain of youth. For more

process. Dr. Feinerman can answer any and

information on Anti-Aging/Fu-

all of your questions about Future Medicine

ture Medicine, please visit our

and anti-aging. Financing for treatments is

web site at

available.

WWW.WEIGHTANDBODY.COM or call 813-886-6911.

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FEBRUARY | 2009

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Tampa, FL - MRI scans that detect shrinkage in specific regions of the mid-brain attacked by Alzheimer’s disease accurately diagnose the neurodegenerative disease, even before symptoms interfere with daily function, a study by the Florida Alzheimer’s Disease Research Center (ADRC) in Miami and Tampa found. The study, reported earlier this month in the journal Neurology, adds to a growing body of evidence indicating MRI brain scans provide valuable diagnostic information about Alzheimer’s disease.

The findings are important in light of many new diseasemodifying drugs in trials -- treatments that may prevent mild memory loss from advancing to full-blown dementia if administered early enough.

“We advocate, based on these findings, that the criteria for the diagnosis of Alzheimer’s disease should include MRI scans,” said the study’s lead author Ranjan Duara, MD, medical director of the Wien Center for Alzheimer’s Disease and Memory Disorders at Mount Sinai Medical Center who is affiliated with the University of Miami Miller School of Medicine and University of South Florida College of Medicine. “By incorporating MRIs into the assessment of patients with memory problems, early diagnosis can be standardized and done far more accurately.”

The normal MRI brain scan (above-left), showing no atrophy, depicts the three areas of interest in the brain’s medial temporal lobe: hippocampus (outlined in red); entorhinal cortex (blue) and perirhinal cortex (green). MRI scan (above-right) shows severe atrophy indicative of Alzheimer’s pathology in all areas, except the right perirhinal cortex, which has moderate atrophy. Alzheimer’s disease, the most common cause of dementia, is characterized by memory loss, disorientation, difficulty with reasoning and the decline of language and thinking skills. Alzheimer’s is diagnosed by a process of elimination since many other diseases and related disorders can mimic its symptoms, and autopsy is currently the only definitive way a diagnosis can be confirmed. The diagnosis often includes a medical history, mental status tests, neurological evaluations and blood tests. Physicians typically use brain scans only to exclude conditions that can also cause memory deficits, such as strokes and brain tumors.

“This study demonstrates that MRI brain scans are accurate enough to be clinically useful, both in diagnosing Alzheimer’s disease itself at an early stage and in identifying people at risk of developing Alzheimer’s,” said Florida ADRC Director Huntington Potter, PhD, a neuroscientist at the Byrd Alzheimer’s Center and Research Institute, University of South Florida.

The Florida researchers used a new visual rating system to evaluate the severity of shrinkage, or atrophy, in the brain’s medial temporal lobe – specifically in three structures essential for the conscious memory of facts and events. They compared the MRI brain scans of 260 people -- a group with probable Alzheimer’s disease, two groups with varying degrees of mild cognitive impairment (mild memory problems), and a control group of normal elderly with no discernable memory loss. They found that scores generated by this MRI-facilitated test accurately distinguished each group from the other and correlated with the types of memory problems most frequently caused by Alzheimer’s disease. The more extensive the brain atrophy, the more advanced the clinical stage of Alzheimer’s disease. The researchers even found brain atrophy in some people without memory complaints at the study’s onset who demonstrated memory decline when assessed a year or two later. This suggests MRIs could predict who will get the disease well before signs of dementia become apparent by other diagnostic methods as well as rule out an Alzheimer’s diagnosis in people experiencing memory problems, Dr. Duara said.

“If you don’t have changes in these three particular areas of the brain, then you don’t have Alzheimer’s, Dr. Duara said. Researchers at centers like Miami’s Wien Center and USF’s Byrd Institute are developing new Alzheimer’s drugs that attack mechanisms leading to the death nerve cells and their connections. The emergence of these disease-modifying off n treatments has made an earlier diagnosis of Alzheimer’s increasingly important, Dr. Duara “Having an accurate diagnosis will allow us to start using drugs earlier. The earlier said. “Havi treatment begins, the more likely you are to stop disease progression and benefit the treatmen patient.” participants in the MRI study were enrolled in the clinical arm of the Florida Most p ADRC, ADRC which is supported by a grant from the National Institute on Aging. The Florida ADRC, the first statewide, multi-center ADRC in the United States, was critical critic for the successful implementation of the study, said Dr. Potter, the study’s senior author. “To validate any new diagnostic test or treatment, you need a large sen number of diverse volunteers for good comparisons. Alzheimer’s research is a partnum nership nersh between the scientific community and study volunteers; we need both to solve tthe complexities of Alzheimer’s disease.” - USF Health USF Health is dedicated to creating a model of health care based on understanding the full spectrum of health. It includes the University of South Florida’s colleges of medicine, nursing, and public health; the schools of biomedical sciences as well as physical therapy & rehabilitation sciences; and the USF Physicians Group. With $360 million in research funding last year, USF is one of the nation’s top 63 public research universities and one of Florida’s top three research universities.

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FEBRUARY | 2009

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Lose up to 15 pounds in 6 weeks by taking the Steel Physique Body Challenge with CarolAnn. Contact her at CarolAnn@Steel-Physique.com for more information. Known as the trainers’ trainer, CarolAnn, has become one of the country’s leading fitness educators. Combining a Master’s degree in Exercise Science with fitness certifications/memberships such as ACSM, ACE, AFAA, LMI and AEA, she has been actively involved in the fitness industry for 19 years. While on her downtime from touring as a national fitness presenter, she teaches group fitness and personal trains. She is the creator and star of The Steel Physique System DVD now available at www.steel-physique.com. For more information regarding personal training and group fitness classes by CarolAnn, contact her at carolann@steel-physique.com w.StudioGroupX.com. or visit www.StudioGroupX.com.

There comes a time when you say to yourself, “It’s OVER!”

Or, if you’re like most, you waffle and flip-flop and secondguess yourself — possibly for years — instead of taking decisive action. Should you follow your intuition and go for the new or hang in a little while longer, hoping things will change on their own? This may sound like a dilemma involving human relationships; but we are talking about your love handles! Getting rid of your love handles takes dedication. And no matter how you do it, one thing’s for sure, pulling the plug on your relationship with your spare tire gets harder as time goes on. Here are some quick tips to make a clean break from your love handles.

Dear John Letter Dear John Letter:

It is called a “break-up” because something is broken….in this case that something is your body. The relationship you have with your love handles is unhealthy. Excess body fat around the mid-section increases the risk for diabetes, heart disease, certain cancers, and even death. Making a clean break from your love handles is imperative for your overall health. Once you decide to make the break, write your love handles a “Dear John” letter telling them the reasons you are deciding to get rid of them. Write down the steps you are going to take, i.e., diet and exercise. Give your love handles a specific date by which they must move out and be gone for good. Hold your ground. Do not go back to your old ways. Remember, you are breaking up for a reason. Post the “Dear John” letter on the refrigerator.

Exercise

Exercise: When getting rid of your love handles, keep in mind that you cannot spot reduce; however, you CAN spot train. Perform cardio exercises such as walking, biking, and swimming at an intensity level of huffing and puffing for at least 20-60 minutes three to five days a week. Also, perform weight training exercises at least two days a week. Work the entire body head to toe (biceps, triceps, quads, hamstrings, glutes, etc.) performing 12-15 reps, two to three sets. Soon, you will see your love handles packing their fat bags to leave your body for good.

Nutrition Nutrition:

To reduce the likelihood of adding more fat to your mid-section, ensure that you reduce the amount of calories and fat you consume and focus on increasing good carbohydrates and protein in your diet. Eat five or six small meals a day packed full of veggies, fruits, lean meats, yogurt, cottage cheese, whole grains, and nuts. To successfully dump the love handles, an active person should consume around 1400-1700 calories a day. Once you make the break, don’t look back. You will be much happier in your new relationship with the one that has been there all along….your abs!!

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FEBRUARY | 2009

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Please Direct Any Questions or Comments to Dr. Robert Lupo Clinic Director Physical Medicine Center 14522 University Point Place, Tampa (813) 978-0020 www.mybackinplace.com

D

uring the month of February, we often think of love and matters of the heart. This gives me a great opportunity to discuss advanced lipoprotein particle profile testing to determine your blood fats. Cholesterol is carried through the body in little balls called lipoproteins. It is the lipoproteins, not the cholesterol in them, that leads to clogging of the arteries.

According to the National Cholesterol Education Program (NCEP) guidelines, 50 percent of people who have a heart attack have normal cholesterol levels. Standard cholesterol testing only gives you part of the picture, leaving many people with “normal” cholesterol numbers unaware that they are still at risk for a heart attack. NCEP introduced new risk factors that are responsible for many individuals being at risk for cardiovascular disease. These risk factors can only be identified with advanced lipoprotein testing. Where do you get advanced testing you ask? Physical Medicine Center offers you the chance to see your Lipoprotein Particle Profile (LPP). This is an advanced test that accurately assesses your risk for heart disease by measuring the size,density and number of your LDL and HDL lipoprotein particles. You need to know about lipoprotein particles because research has shown that there are different sizes of LDL and HDL particles, and some are much more dangerous than others. Having a detailed LPP gives your doctor the information needed to make more effective treatment decisions to reduce your risk for heart disease and even heart attack. Who needs an LPP? All patients do, but especially those who have a family history of heart disease or diabetes, have been diagnosed with heart disease or diabetes, or are already taking cholesterol-lowering medications. You also need an LPP if you have been diagnosed with Metabolic syndrome or are overweight, have a low HDL (good cholesterol) or high LDL (bad cholesterol), or if you have high triglycerides.

Physical Medicine Center offers an advanced array of alternative and conventional treatment options and laboratory testing such as the LPP or the Functional Intracellular Nutrient Analysis, as well as full evaluation of the male and female stress hormones and sex hormones. If you would like to schedule a no-charge consultation to see if you could benefit from any of the testing mentioned in this article please call 813-978-0020 ext. # 4 and make an appointment. You and your heart will be happy that you did! “For questions about advertising, call 813-872-4448”

FEBRUARY | 2009

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Dr. Miles is a graduate of Kirksville College of Osteopathic Medicine. He completed his Post Doctorate training at University General Hospital and flight surgeon training at Brooks Air Force Base. He served in the U.S. Air Force as a flight surgeon aboard Air Force One under Presidents Ronald Reagan and George Bush, Sr. He has been in private practice in Pinellas Park since leaving the military Dr. Miles is a member of the American College of Aesthetic Surgeons, American College of Osteopathic Family Physicians and American Society of Liposuction Surgeons. He is the former two-time Chairman of Family Practice Department at Northside Hospital and the Tampa Bay Heart Institute.

To understand how to lose weight, you must first understand how and why your body is designed and how it works. Mankind has always struggled with weight. Unlike today, the problem used to be gaining weight. We used to struggle with starvation. In prehistoric times, hunters would constantly seek out food, hoping only to survive. Later on, man learned how to use land to grow crops. We would have to store whatever was grown in the summer for food in the winter. Until recently, these two methods provided us with food stored for the lean times. Therefore, our bodies’ natural response is to adapt for times of famine when food is not plentiful. Our bodies are designed not to lose weight but to store every ounce of energy in fat cells. Our bodies have a process called homeostasis. This means that we try to resist change. Unfortunately, we don’t try to resist gaining weight, only losing weight. As soon as our body determines that we are losing weight, it tries to stop the loss. The first thing the body does is slows or metabolism down. This slows the burning of calories and fat. We will feel fatigue and an inability to concentrate. Second, it sends a signal to the mind, telling us to eat. Usually this signal encourages us to eat foods with has high energy (fat and carbohydrates). Snack food developers have recognized this and have been more than happy to give us what our bodies crave: sugar and fattening foods. Only after the body has determined that we are not going to feed its craving for sugar and fat will it begin the process of breaking down stored fat. As we break down fat, the body continues to slow our metabolism. It is trying to maintain homeostasis by way of preventing any weight loss. Basic metabolic rate (BMR) is the amount of calories that the body burns without any extra activity. The BMR is different for every person. It is controlled by age, sex, stress level, happiness or depression, hormones and body size. Remember, it does not matter how much you eat. If you are not burning more calories than you intake, YOU WILL GAIN WEIGHT! Simply put:

At Body By Design of Tampa Bay, we have an in-depth understanding of the miracle of how you are made. This knowledge is combined with modern medicine to take your body to the next level. Every patient is evaluated and we formulate an individualized plan for success. Whether it is a change in diet, increase in exercise, medications or the revolutionary Vaser Liposelection surgery, we will help bring out a beautiful you.

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FEBRUARY | 2009

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James Markham, R.E., C.M.E. James is licensed by the Florida Board of Medicine to practice Electrology and laser hair removal. He is currently on staff at Tampa Laser Touch in Westchase. In 1999, he became one of the first practitioners to use the Candela alexandrite laser for hair removal in Florida. His areas of expertise include laser tattoo removal and facial rejuvination. He finds satisfaction helping patients reach their aesthetic improvement goals. For more information call 813-MY-LASER or visit www.mylaser.com

Despite nearly equal numbers of males and females graduating from medical schools, women account for less than 20 percent of all cardiologists, according to findings from a 10-year follow-up survey published in the Dec. 16-23, 2008, issue of the Journal of the American College of Cardiology.

Acne is the most common condition seen and treated by physicians today. In fact, it will affect almost everyone at some point in their lives.

Moreover, two-thirds of women continue to report discrimination, mostly due to competing demands of parenting and family responsibilities. With so many young women entering medical school, the healthcare community has expressed concern over their underrepresentation in certain specialties such as cardiology.

Acne causes people a great deal of anxiety and embarrassment. Acne is most common on the face, neck, chest and back, where the se-

“Women in cardiology continue to face the same institutional and personal roadblocks as those in other areas of medicine and science,” says Athena Poppas, M.D., F.A.C.C., associate professor of medicine, Brown University Medical School.

baceous (oil) glands are most numerous. There are two main classifications of acne: inflammatory and non-inflammatory. Blackheads and whiteheads are two types of non-inflammatory acne. Closed comedos (blackheads) are caused by a blockage in the hair follicle. The trapped sebum (oil) and dead cells oxidize when exposed to oxygen, producing a black spot. With open comedos (whiteheads) the trapped sebum remians under the skin producing a white bump. Inflammatory acne occurs when bacteria is trapped within the skin. An acne papule is the mildest form, consisting of round hard red bumps. This can easily turn into a pustule which is larger and contains yellowish pus in the center. Nodules lie deeper in the skin, are painful and can take a longer time to heal. The most severe type of inflammatory acne is called cystic acne. This condition consists of severely infected deep nodules. There is a high possibility of scarring with this condition. The exact cause of acne is not known, but it pretty much comes down to an excess of oil on the skin leading to clogged hair follicles and pores. There are also many ways to make acne worse. The most common is by scratching or picking. This forces skin bacteria into clogged pores, starting an infection. Another mistake is over-scrubbing the skin. This signals the oil glands to produce even more sebum, leading to more acne. Any number of topical agents like soaps, makeup, perfumes, shaving creams and lotions can block pores or over-dry the skin, increasing the possibility of acne.

Scratching, picking and over-scrubbing all make

The most common time for acne outbreaks to occur is during puberty when more oil is produced as the skin is changing. However, when adults are plagued with acne it can be frustrating and embarrassing.

As more Americans live with chronic heart conditions, the need to ensure a stable and competent cardiology workforce, including the recruitment of women, has become increasingly urgent.

“One-third of Americans will have cardiovascular disease, so we must attract the best and the brightest -; and that includes women -; to keep up with demand and provide the highest level of patient care and research to help advance the field,” says Dr. Poppas, who also serves as chair of the American College of Cardiology’s Women in Cardiology Council, which commissioned the study. “We need to find ways to reduce discrimination, establish greater flexibility in work hours and expand opportunities for mentorship to better meet the needs of women and men as they plan their careers in cardiology.”

acne worse.

To help control acne at home, cleanse your skin twice daily. Using a gentle exfoliative (product that contains acid) at night will help to increase cell turnover, meaning there will be less dead skin to block pores. Lastly, moisturize with a non-greasy moisturizer. If you do not replace the skin’s moisture, the oil glands will produce more oil.

The need for greater flexibility is no longer gender-specific; both male and female doctors are striving for a better work-life balance. In fact, a similar proportion of male and female cardiologists are working less than full-time (80 percent vs. 82 percent, respectively). This coincides with an overall trend toward more lifestyle-friendly areas of medicine, such as emergency departments, anesthesiology and radiology, which give doctors more control over their hours.

It is also important to wash your hands more frequently and avoid putting your fingers and hands on your face unnecessarily. Additionally, avoid resting your face in your hands while studying, sitting in class or watching TV. Although greasy foods do not cause acne, if a certain food produces an ‘acne reaction’, avoid it. Since stress can decrease our body’s immune response and slow down healing, try to find time to relax. Most important of all, do not scratch, pick or pop acne pimples which causes scarring.

The current survey of 1,110 participants, a follow-up to the 1996 survey, aims to better understand the career and lifestyle needs of male and female cardiologists. For more information, visit www. acc.org.

There are countless over-the-counter medications for the treatment of acne, most containing combinations of alph and beta-hydroxy acids and drying agents. If these do not work, consultation with a physician is recommended. There are many oral and topical drugs which can dramatically reduce the severity and frequency of outbreaks. Acne can also be successfully treated using a specific wavelength of laser light. The light does two things; it kills the bacteria that cause acne and dries the skin to reduce oil output. The treatments are scheduled one or two times per month until the condition subsides. Another laser called the Erbium:Yag is used for the removal of acne scarring. The combination of laser therapy with proper home care can usually prevent further problems.

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FEBRUARY | 2009

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I have been in the back scenes of the restaurant industry for over 12 years. I recently shed thirty pounds and realized I have to be more conscious of what I eat, which is difficult when my world revolve around dining out, be it socially or my career. So I am out to find a low-cal, low-carb alternative in a society that thrives on butter and bread when dining out. Ask me anything at

By Danielle Singh, APCA The Fit Gourmet© Personal Chef/ Fitness Professional Nutrition & Natural Health Consultant www.fitandbeyond.com Photos and meals prepared by: The Fit Gourmet©

robyn@realhealthandimage.com.

Perhaps it is the holiday season, celebrating with loved ones and the comforting foods and fine spirits that give me a yearning for Italian food. Conveniently located as part of the Westshore mall, Maggiano’s is the perfect place to both stop to take a quick inventory and enjoy a glass of wine. The natural wood décor, colorful flower bouquets and crisp white lines give an air of classic rat pack elegance without seeming pretentious. The music crooning from the audio system or piano immediately relaxes me.

Maggianos is ideal for making your meal the main event, instead of a prelude to the rest of the evening. Family-style menus are offered for parties of four or more. This includes five unending courses of two dishes each. Between such classical selections as chicken parmesan, bruchetta, calamari and cheesecake, and signature dishes such as spinach and chicken manicotti (my personal weakness), beef tenderloin and mushrooms, and chopped salad, there is something for everyone. The service is fantastic;

everyone assists in maintaining the table, from bar service to second helpings. The meal moves naturally at a snail’s pace, so bring someone whose company you truly enjoy, sit back and relax, soak in the atmosphere, sip your wine, taste mouthwatering food, and enjoy dining as an experience. Overindulge. You survived the hustle and bustle. Maggiano’s is the perfect place to treat yourself. You’ve earned it.

Eggplant comes in dozens of varieties from large to small and purple to white. The most common eggplant is the large, dark purple American eggplant, which is found in our grocery stores all year long. Choose eggplants that have a smooth, shiny, skin and are firm but slightly springy. Store in a cool, dry place and use within two days.

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FEBRUARY | 2009

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Shannon Thigpen is a nationally certified personal trainer and fitness instructor. She is the co-founder of Salsa & Soul Fitness, which can be found at www.salsaandsoulfitness.com.

Jennifer, Cristan and Abe Fadal Wag | 304 E. Davis Blvd. | Davis Islands, Fl www.wagoftampa.com | 813-258-9181 Join us on Saturday, February 14 from 11am-3pm for: Poochie Smoochie! Valentine’s Day Dog Adoptions and Pet Dental Health Expo!

I think nk I hear a resounding “NO” screaming through the page from many of my readers out there. Even if your dog’s breath is minty fresh, pet oral hygiene should be taken seriously and monitored continuously. This will lead to not only pleasant breathe but could extend the life of your pet.

People are trying all kinds of diets to lose weight quickly. Even when they are successful at getting the weight off, they often find little success keeping it off.

Two-thirds of people who go on diets gain the weight back in one year. Ninety-eight percent of people who lose weight gain it back in two years! With statistics like that, it is clear that diets do not work. As they say, if you go on a diet, you will come off the diet. Once you come off of the diet, if you resume your old habits, you gain the weight back, usually more and sometimes very quickly. It is important to develop healthy eating habits by eating well-balanced meals. To have a nutritionally balanced program, you should have 40 – 60 percent of low glycemic carbohydrates, 15 – 30 percent protein, and 15 -30 percent proper fats. For many 50 – 25 – 25 respectively, is a good balance. If the body does not have the appropriate fats or low glycemic carbohydrates, it becomes out of balance. The glycemic index is the rate at which a food raises your blood sugar and insulin. Glucose is the standard. It has an index of 100.

In the coming months, you may receive a reminder card from your vet to schedule a teeth cleaning for your pet. For many, the thought of putting our favorite four legger under anesthesia is scary….and for a few the idea is absolutely absurd! How do you know if your pet’s dental health is less than pearly white? The first indicator is bad breath. I am not talking about typical doggie breath…but a putrid…can’t stand to be around you….odor that makes your pooches smooches something to be avoided. Also, discolored teeth, mouth pain, excessive drooling, bleeding gums or loss of appetite are all signs. As with humans, pets will build tartar and plaque if their teeth go uncared for. The build up of these two culprits may lead to gingivitis and then periodontal disease (gum disease). Gingivitis is treatable but Periodontal disease is not. It can be stopped and then managed by the proper professional treatment however. You definitely do not want your dog or cat to get to this point. Poor dental hygiene can also lead to other problems such as Oro-Nasal Fistulas, Feline Odontoclastis Resorptive Lesions and finally Kidney, Liver or Heart Disease. The latter is life threatening and can lead to the death of the pet. It occurs by the bacteria gaining access to the blood stream through the compromised gums. Bacteria-laden plaque can actually lodge in the heart valves, liver, kidney and lungs.

1. 2.2 3. 4. 5. 6.

You will be happy to know that there are easy solutions to get you back on the road to pleasant doggie kisses.

Brusha Brusha Brusha-

Yes, brush your pet’s teeth at least once a week. Use a special pet toothbrush or finger brush and pet toothpaste. Never use human toothpaste or baking soda. Not pet friendly.

H2O additives- There are many all natural products out there that you simply add Carbohydrates have glucose, the body’s No. 1 source of fuel. Low glycemic carbohydrates have minerals, vitamins, and antioxidants the body needs. If the body does not have the appropriate amount of low glycemic carbohydrates, it will go into a false state of starvation. Without carbs, the body begins to feed off of water and quick glucose stores called glucogen in the muscle and liver. A person can easily lose six to eight pounds in two to three days without losing any fat. Since you are losing an equal amount of fat and muscle, your percentage of body fat does not change either. Bread, rice, potatoes, bagels, crackers, cookies, cakes, cereals, pasta, all spike blood sugar really quickly. This stimulates and sometimes over-stimulates the release of insulin. If your blood sugar goes too low or into a hypoglycemic range, you can become mentally disoriented, have a seizure, or go into a coma. To prevent that, the body must release stress hormones like adrenalin and cortisol to drive blood sugar back to normal. Typically this process leaves you extremely hungry, craving high glycemic foods, and the whole process begins again. Over years of this cycle, the body becomes less sensitive to insulin. The body begins making more and more insulin to compensate. Because insulin is also a storage hormone that drives glucose to fat cells for storage, more and more fat is stored around the abdomen which causes a host of problems as well as weight gain. Look for low glycemic foods. Eat regularly, and try to eat balanced meals. Incorporate moderate exercise like walking 30 minutes five days and week, and watch the weight come off.

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to your pet’s water. So, as they drink throughout the day they are also cleaning their teeth. Many of my customers have tried this and have had wonderful results. A few great products are made by Triple Pet and Ark Naturals. www.triplepet.com, www. arknaturals.com

Mouth Sprays and Gels- If a toothbrush won’t work, an easier way may be to spray an all natural cleanser in the pet’s mouth or rub a gel on the teeth and gums with your finger. The PetZLife oral care gel and spray work wonders. These products are made with Grapefruit seed extract, Grape seed extract, Thyme oil, Neem oil, Rosemary oil, and Peppermint oil. www.petzlife.com This one is easy and highly recommended!

Rope toys and Chew Toys-

Believe it or not play time can be a great time to get a bit of teeth cleaning in without your pet realizing it! All the while your dog has no idea that he is doing double duty as he earnestly chews his rope bone.

All Natural Dental Treats and Bones-

Make sure that the dental treat you choose is highly digestible and made of all natural products. These treats work but just make sure they will not lodge in your pet’s tummy or intestinal track. Flossie tendons by Merrick are wonderful as they help clean in between teeth. They are 100% beef tendon and digestible. Raw bones are great cleaners as well. Make sure the bones you feed your dog are either raw or slow roasted. Bones in any other form may splinter and cause harm to your pet.

Yearly Vet Cleanings-

the hope is that by doing a few of the above, you can avoid as many trips to the vet and vet bills. Make sure to work with your vet to ensure pet dental health!

Have a great month and enjoy your pets!

FEBRUARY | 2009

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