TriVita June VitaJournal- 2014 Canada by TriVita

experience wellness ®

Unhealthy fat = Unhealthy weight Eric Grief, M.D. pgs. 6–7

21st century stress pgs. 8–9

Why TriVita B-12 stands out p. 14

5 must-have tests for men over 40 Michael Radulescu, M.D. p. 23

June 2014

THOUGHTS FROM THE EDITOR

Are you equipped to enjoy this summer’s activities?

ith warmer weather upon us, many people are planning vacations. Having lived in Arizona 21 years, I’m embarrassed to say I only recently visited Grand Canyon National Park. Neither my husband nor I had any idea the effect witnessing this landscape would have on us. To say a photo doesn’t do justice is an understatement. I felt as if I was walking into a movie set when we arrived. I’m rarely speechless, but I was truly in awe for the two days we were there. The one word that comes to mind when I describe what I saw is “magnificent.” All I could think about was the magnificence of God’s handiwork and how His greatness can’t be grasped. We are already planning our next trip, which we hope includes some serious hiking.

10 Essentials

for Health and Wellness Good health is a gift to be treasured and nurtured every day. TriVita joyfully shares these keys to helping you experience wellness:® the 10 Essentials of physical, emotional and spiritual health.

Physical 1. Breathe Deeply 2. Drink Water 3. Sleep Peacefully 4. Eat Nutritiously 5. Enjoy Activity

I don’t want to be one of those people who accept aging as a state where you no longer enjoy certain things in life. We all need to be accountable for our own wellness, but having a goal to accomplish a feat, such as hiking the Grand Canyon, gives an additional incentive to improve your wellness. Thankfully being a part of TriVita has given me the tools I need to experience greater wellness. My daily regimen includes Nopalea™, Adaptuit™, Sublingual B-12®, Vital C™, OmegaPrime®, Essential D™ and my breakfast Leanology® Shake (coming soon to Canada!). We often hear that knowledge is power, and we want to equip you with everything you need to experience wellness. That’s why each month we feature articles from medical doctors, nutritionists and other experts to act as guides on your wellness journey. This month, you’ll want to take advantage of the 20% savings on Sublingual B-12. Dr. Alfred Libby, the product formulator, had an incredible passion for helping people, and we were so blessed to have him on our team. Dr. Libby appeared in our earliest infomercials, and he used to get so excited when people would call in. I remember him saying, “Seeing all those phones light up makes me think about how TriVita’s Sublingual B-12 tablet is lighting up the lives of people everywhere.” If you’re like me and you haven’t experienced all that your great state or province has to offer, perhaps you’ll want to check it out this summer. Just don’t forget to pack your B-12 tablets!

Emotional 6. Give and Receive Love 7. Be Forgiving 8. Practice Gratitude 9. Develop Acceptance

Pam Molenda, Editor Email me! pam@TriVita.com

Spiritual 10. Develop a Relationship with God

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JUNE 2014

Hormone Deficiency Keeping 6 IsYou Overweight? Eric Grief, M.D., on adiponectin and excess fat.

Century Stress 8 21st Enemy of healthy brains, healthy living: Sandra Bond Chapman, Ph.D.

p. 6

Ask Dr. Conard 12 What are the signs of B-12 deficiency? Behind the Label 14 Why TriVita’s Sublingual B-12 stands out. Eating for Wellness 16 What does the food label tell you? Skinny Jeans or Wellness? 18 Harolyn Gilles, M.D., on setting realistic weight expectations.

p. 8

Men Over 40: 5 Must-Have Tests 23 The essential screenings, from Michael Radulescu, M.D.

What’s Hiding Behind Your Weight? 24 Overcoming the real reasons: Mamiko Odegard, Ph.D. You Know What’s In Your 27 Do Drinking Water? Think before you drink.

p. 23 Follow us on:

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June 2014 l 3

PURSUING WELLNESS

Be the best you can be this summer By Michael R. Ellison

une is here and with it, the beginning of summer! Are you feeling and looking your best to enjoy all the great outdoor activities that summer affords us? TriVita is committed to helping you be the best you can be. This month we are featuring Dr. Libby’s original, patented Michael R. Ellison Sublingual Vitamin B-12 at Founder of TriVita special pricing. This is one of the most important and rewarding vitamin supplements TriVita offers to help you feel and be your best—so it’s a great time to stock up! If you look up the National Institutes of Health/Vitamin B-12 on the Web, you will find much information about the benefits of B-12 as well as the risks of low levels. Those at potential risk of a B-12 deficiency include people over age 50, vegetarians and vegans, and people with digestive issues, intestinal disorders or low levels of stomach acidity. Dr. Libby was very aware of the risks associated with low Vitamin B-12 levels, and the importance of proper levels. He also had an intense curiosity about how he could enhance the delivery and absorption of this important dietary supplement. This curiosity drove his research, leading to the invention of the sublingual absorption process for Vitamin B-12. I encourage you to try Dr. Libby’s original, patented formula and see for yourself how it may enhance your wellness.

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Another way to feel your best is to reach and maintain a healthy weight. It is exciting to hear testimonials from people who are losing weight with the Leanology® Smart Weight Loss System, coming soon to Canada. Just as exciting is the unique and powerful promise we make you: When you drink a Leanology shake, we provide a nutrientdense, vitamin-fortified meal to a child through our LeanForward program. Another feature of the Leanology Shakes is to consider them as a part of your food budget; the shakes are a transfer of money when you substitute a regular meal for a shake. So you get a low-calorie, nutrientdense food that saves you money while also providing a vitamin fortified meal for a child. I invite you to join me in starting each weekday with a delicious Leanology Shake— what better way is there to feel and look your best? The VitaJournal will continue to feature amazing stories and information to help you with losing and maintaining your weight for wellness. You can also get additional help through interactive coaching from the Wellness Center— free with your Leanology purchase. This summer, let’s have a great time enjoying and sharing wellness! And a big Happy Father’s Day to the men who have had the joy of being a father. Pursue wellness with passion!

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HAPPY FATHER’S DAY! This month, celebrate and honor the father in your life! “ My father gave me the greatest gift anyone could give another person; he believed in me.”—Jim Valvano “ Every father should remember that one day his son will follow his example instead of his advice.” —Author unknown “ By the time a man realizes that his father was right, he has a son who thinks he’s wrong.” —Charles Wadsworth “ It is not flesh and blood but the heart which makes us fathers and sons.” —Johann Friedrich von Schiller “ It’s only when you grow up and step back from him—or leave him for your own home—it’s only then that you can measure his greatness and fully appreciate it.” —Margaret Truman

Get the B-12 you need SAVE

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“ I cannot think of any need in childhood as strong as the need for a father’s protection.” —Sigmund Freud “ One night a father overheard his son pray: Dear God, Make me the kind of man my Daddy is. Later that night, the Father prayed, Dear God, Make me the kind of man my son wants me to be.” —Author unknown “ I have found the best way to give advice to your children is to find out what they want and then advise them to do it.” —Harry S Truman

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See page 15 for more information. * Offer limited to 6 boxes and expires 6-30-14 at 10 p.m. EST.

CALL TOLL-FREE 1-800-344-8797 OR ORDER ONLINE AT TRIVITA.COM

We want to make your experience with TriVita the best that it can be. That’s why we have a special Customer Experience line set up to hear your suggestions or comments. Call us between 8 a.m. and 10 p.m., EST, Monday–Friday, and Saturday 10 a.m. to 7 p.m. EST toll-free at 1-800-303-8021 and a Wellness Consultant is ready to take your call. June 2014 l 5

ASK THE DOCTOR

Is a hormone deficiency keeping you overweight? How adiponectin and excess fat affect the brain By Eric Grief, M.D.

s most of us know, weight is an equation of calories and energy: when we consume more calories than we burn, the body stores the excess as fat. But we’re learning that these fat stores play a bigger role in being overweight and obesity than we thought.

Eric Michael Grief, M.D., is a family physician at the Bramalea Health Center in Ontario, Canada. He is also Medical Director for an international health concern, with a specialty focus on weight management. His interests include preventive medicine and family counseling. His latest book, “Get Diagnosed Fast,” is available at publishamerica.com.

We now know that fat stores within your body do not merely lie dormant. They actually are hard at work regulating sugar, insulin and other chemical messengers. These messengers exert an effect on adiponectin—the “anti-obesity hormone”— and so influence your appetite for food, how your body responds to stress and even how well you think. Abdominal fat promotes inflammation Not all fat acts in the same way, however. The fat that lies within your mid-section is different from the fat that hugs your vital organs. Excess fat around your belly area is impaired in its ability to regulate itself. Indeed, this abdominal fat releases some undesirable chemical messengers called “cytokines,” like Interleukin 1, that wreak havoc by promoting inflammation. Inflammatory messengers do not care what you ate for lunch. They do not care if you have an important meeting that requires your undivided attention. These messengers are like scavengers, searching for areas of the body compromised by trauma or infection. When they combat infection, for example, these scavengers can clean up the infected area and clear out any invaders. The problem arises when

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we have too many of these scavengers (too much inflammation): this leads to an overly aggressive inflammatory response, which can damage our healthy tissue as well. When there is too much unhealthy fat in our body, the resulting inflammation from this storage area leaps out like smoke billowing from a forest fire. These scavengers are like small forest fire-starters, searching for some area to destroy with their acidic and caustic contents. Unhealthy fat also is selfish. It sucks up precious vitamins and minerals which are needed for our vital functioning. This way, we can become depleted of these micronutrients and lose some of our vitality. Brains need healthy fat, low inflammation Our brains consist of healthy fatty tissue. But when there is too much abdominal fat, the pro-inflammatory scavengers that are generated can’t be stopped. When they enter into the brain, they start to accumulate and “gum up” electrical connections involved in mental function, energy regulation and even mood. In essence, too much of the unwanted fat in our bodies can disrupt the “set point” for our weight and energy usage—the ideal balance for our bodies’ optimal functioning. Furthermore, the inflammation that occurs in sensitive areas of our brain can increase the chances for developing brain diseases such as Alzheimer’s and stroke. Adiponectin stimulates fat burning Fortunately, we have a defense mechanism called healthy fat that can rebalance the set point. Healthy fat manufactures TriVita.com

adiponectin, which is a chemical messenger that enters into the brain areas that control energy usage. When we reduce our fat storage either by consuming fewer calories, increasing fiber intake or enjoying more physical exercise, then more adiponectin is released from these trimmed fat stores to enter into the circulation. Our healthy fat stores act differently from the less desirable abdominal fat stores. Healthy fat stores are located throughout the body and serve to regulate our weight and protect us from infection and trauma. These protective fat stores regulate themselves, like a good friend should, so that they don’t grow out of control and become a nuisance. By suppressing inflammatory cytokines (those harmful chemical messengers that promote inflammation), these healthy fat stores allow for the easier transfer of vitamins and minerals to and from the areas that need them. Adiponectin is one such chemical messenger that, alongside its counterpart leptin, can cross into the brain’s energy regulating centers to stimulate fat burning. In this way, healthy fat stores are inherently beneficial to our bodies. Too bad we can’t say the same for those belly fat areas. 1-800-344-8797

When adiponectin enters into the brain, it knows where to go to restore the balance and counteract the Interleukins and other cytokines that may be hanging around. The good news is that by reducing fat stores around the mid-section and other problem areas, these “bad” fat stores can be converted into the “good,” healthy fat that helps regulate weight and protect us from harm. Naturally, then, it is important for us to maintain these fat stores properly and not to ignore them. For weight loss that works, visit your doctor When you embark on a weight loss program to trim your fat stores, it helps to have a professional who can support you along the way— with both nutritional guidance and the latest and most effective methods to reduce inflammation. With your new and improved physique and brain functioning, what will you do to further stretch and challenge yourself? Only you know the answer to that question. This article is intended for educational purposes only.

Body fat is an organ: breakthrough nets Columbia award for researcher

ody fat isn’t just inert tissue—it’s actually an endocrine “organ” that helps control the brain, muscles and other organs. That was the breakthrough scientific discovery of Philipp E. Scherer, Ph.D., that brought him a prestigious award from New York City’s Columbia University Medical Center recently. It was Dr. Scherer who discovered adiponectin, the “anti-obesity” hormone that is produced by fat. His work revealed that adiponectin has a strong anti-diabetes effect: it blocks glucose (blood sugar) production in the liver, and improves insulin sensitivity in muscle. As levels of excess fat in the body rise, adiponectin levels fall. This discovery has great significance for future studies on the role of fat in inflammation and cancer. Dr. Scherer is director of the Touchstone Center for Diabetes Research at UT Southwestern Medical Center in Dallas. Reference: Columbia honors Philipp Scherer for helping to define body fat as major endocrine organ. Nov. 18, 2013. Columbia University Center newsroom. Retrieved from: http://newsroom.cumc. columbia.edu/blog/2013/11/18/columbia-honors-philipp-scherer-helping-define-body-fatmajor-endocrine-organ/

References: Kalat, J. W. (2013). Biological psychology (11th ed.). Belmont, CA: Wadsworth. Turer, A. T., & Scherer, P. E. (2012). Adiponectin: Mechanistic insights and clinical implications. Diabetologia, 55, 2319-2326. Qi, Y., Takahashi, N., Hileman, S. M., Patel, H. R., Berg, A. H., Pajvani, U. B., Scherer, P. E., & Ahima, R. S. (2004). Adiponectin acts in the brain to decrease body weight. Nature Medicine, 10(5), 524-529.

June 2014 l 7

THE DOCTOR IS IN

21st century stress:

the enemy of healthy brains & healthy living By Sandra Bond Chapman, Ph.D.

Sandra Bond Chapman, Ph.D., is founder and chief director of the Center for BrainHealth at The University of Texas at Dallas. An acclaimed cognitive neuroscientist, Dr. Chapman is committed to discovering ways to build resilience, regain cognitive function and retrain the brain to maximize the amazing potential of this remarkable organ.

hat are North Americans most concerned about? No, it’s not heart disease, stroke or diabetes; it’s fear of losing memory, according to a recent survey. And the one factor affecting memory that’s rising each year is stress, said almost 40% of those surveyed for a report by the American Psychological Association. Emerging scientific data suggests that memory and stress are closely tied together. In fact, we may be our own worst enemy when it comes to memory loss because we don’t manage our increasing levels of daily life stress. Stress, whether caused by external events or by internal thought processes, can have a negative effect on the brain and its health; for many of us, stress is an unavoidable fact of life. However, learning how to deal with stress and eliminate prolonged stress as much as possible will boost your brain health and build resilience against mental decline. Not all stress poses a problem; our bodies are designed to combat short-term stress (minutes and hours) by releasing the hormone cortisol to help us manage a threatening situation. That response is rooted in basic survival instincts: the fight-or-flight choice our ancestors faced when being chased by wild animals. We humans have stress systems that are useful and effective when a fast response is needed.

(days and weeks without relief) that the 21st century man and woman live with every day. Stress causes measurable brain shrinkage in otherwise healthy individuals. Instead of a burst of a stress hormone to tackle a looming situation, most people have chronically elevated levels of cortisol, the hormone that is released in the brain as a stress response. These increased levels drastically affect the brain and your mental performance, especially memory. A continuous dose of cortisol damages the brain’s hippocampus (the area of the brain responsible for learning and memory) and eventually leads to brain cell death. High stress levels also contribute to frustration, sickness, poor sleep and reduced creativity. Remember, short-term periods of stress can enhance brain performance and brain health leading to improved concentration, memory, planning, decision-making and alertness. However, chronic, unending, negative stress has damaging effects that can mimic early dementia. Increased stress is often related to our choices and what we do or don’t do to keep our brains healthy each day. So do all you can to reduce your stress and protect your memory. This article is intended for educational purposes only.

Chronic stress = brain cell death However, our bodies and our brains are not equipped to maintain the chronic stress 8 l VITAJOURNAL

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Reducing stress is key to maximizing your brain’s performance. So how do you do it?

•

et out and exercise. Aerobic, physical G exercise leads to the birth of new neurons and strengthens connections between brain regions. It also increases brain blood flow to the hippocampus and releases endorphins, the mood-boosting hormones.

•

Think positive. Reframe habitual patterns where you relive something negative over and over again; such thinking patterns are believed to strengthen unhealthy memories and brain connections.

•

C hange your environment. If your environment is the cause of your stress, do something to reset your brain. For example: Take a walk outside in fresh air, step away from technology for a brief period, or eliminate unnecessary distractions.

•

Have a support system. Make a list of people you can turn to for advice or just to vent.

•

Get a good night’s sleep. Sleep can lower stress levels, plus your brain finds new insights into problems that may be causing stress when it is at rest.

Reference: Heloe, C. (2010, September). A Healthy Kind of Contagious, Experience Life. Retrieved from http://experiencelife.com/a-healthykind-of-contagious/

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June 2014 l 9

Good health and fitness are “catching” Friends and acquaintances can influence your behavior

an an unhealthy lifestyle be contagious? According to a study published in the New England Journal of Medicine, a number of different conditions can actually spread between friends and acquaintances. This study determined that your chances of becoming obese increase by:

• 57% when one of your friends is obese

• 40% if it’s your sibling • 37% if it’s your spouse Researchers also found out that because health and behavior are linked so closely, almost any health state connected to habitual behaviors is communicable.

Now, for the good news Social connections can also improve your health. For example, people tend 10 l VITAJOURNAL

to quit smoking in groups. People who socialize with others who think positively also tend to think positive. Just as people gain weight together, they can also lose weight together.

likely to survive breast cancer than those with fewer friends, and a 2008 Harvard University study suggested that friendship may promote improved brain health as we age.

Another decades-long heart-health study showed how social connections actually improve people’s health. It tracked more than 15,000 people in a Massachusetts town over a lengthy 50-year period. The study concluded that several groups of lifelong friends actually influenced each other to remain very fit well into their 70s.

Researchers also noted that by sticking to your own healthy habits and choices, you can have a positive impact on your own social circle. Even as you are being influenced by others, you can influence them too.

That doesn’t mean you should abandon your “less-than-healthy” friends in favor of healthy people. Because simply having friends—even less-than-healthy ones—can help you live a longer, healthier life.

There are times when saying goodbye to certain friends or social contacts is the healthiest choice if you know that particular relationship is having a negative effect on your health, happiness or personal growth. You’ll want to develop healthier circles of support that can help you stay true to your positive good health.

For example, a 2006 study of 3,000 nurses showed that women with 10 or more friends were four times more

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Take in the outdoors, take off the calories

ummer’s here! Take advantage of the longer days and warmer weather to move your exercise routine outside. But don’t let the word “exercise” scare you: you can burn plenty of calories just by having some summer fun. Remember to hydrate, avoid high-intensity activity during the hottest times of the day and protect your skin from the sun’s harsh rays. Ways to burn those calories Use the chart to the right to get an idea of the calories you could burn engaging in particular activities. The numbers reflect the approximate calories burned by a 154-pound man. A lighterweight person will burn fewer calories and a heavier person will burn more. Just keep in mind that intensity will also affect how many calories are burned.

Reference: How Many Calories Does Physical Activity Use? Choose my plate.gov, United States Department of Agriculture. Retrieved from http://www.choosemyplate.gov/physical-activity/calories-burn.html

Calories burned in 1 hour

Calories burned in 30 min.

Hiking

370

185

Light gardening/yard work

330

165

Dancing

330

165

Golf (walking and carrying clubs)

330

165

Bicycling (less than 10 miles per hour)

290

145

Walking (3 1/2 miles per hour)

280

140

Stretching

180

In 1 hour

In 30 minutes

Running/jogging (5 miles per hour)

590

295

Bicycling (more than 10 miles per hour)

590

295

Swimming (slow freestyle laps)

510

255

Walking (4 1/2 miles per hour)

460

230

Heavy yard work (chopping wood)

440

220

Basketball (vigorous)

440

220

Moderate physical activites:

Vigorous physical activities

LET THE WEIGHT LOSS BEGIN! Garcinia Cambogia—as seen on a popular medical TV show. Coming soon! Call 1-800-344-8797 for details. 1-800-344-8797

June 2014 l 11

ASK DOCTOR CONARD

Q: What are the signs of B-12 deficiency? By Scott Conard, M.D.

Vitamin B-12’s vital role in human health—it helps keep nerve and blood cells healthy and plays a role in DNA creation—means that a deficiency may seriously damage your health. Watch for these signs of low Vitamin B-12 levels1:

Scott Conard, M.D., DABFM, FAAFP, has more than 20 years of successful clinical practice, research and leadership experience. Through his Texasbased practice and books he’s authored, he empowers people to take control of their health.

• Fatigue • Fainting • Pale skin • Anemia • Weakness • Vision loss • Dementia • Hallucinations • Heart palpitations • Shortness of breath • Tingling of the hands and feet However, it’s important to note that people may have low B-12 levels and not exhibit these symptoms. Who is at risk? As I have written before, anyone over 40 may be at risk. As we age, our body’s ability to absorb B-12 from food decreases. This is due to reduced hydrochloric acid in the stomach, which the body needs to separate Vitamin B-12 from food.

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Other factors that can increase your risk of Vitamin B-12 deficiency include veganism, vegetarianism, pernicious anemia, Celiac or Crohn’s disease and gastrointestinal surgery. Medications such as proton pump inhibitors, histamine H2 receptor antagonists, the antibiotic chloramphenical and the diabetes drug metformin can also interfere with Vitamin B-12 absorption. “B” proactive with your health Because so many of us are at risk for low B-12 levels, it’s critical that we get enough of this vital nutrient—and to make sure it’s properly absorbed by the body. This makes a highquality, sublingual form of Vitamin B-12 an important addition to a balanced, healthy diet. This under-the-tongue delivery method helps get Vitamin B-12 to your bloodstream quickly, bypassing the digestive system, which can hinder B-12 absorption. This article is intended for educational purposes only.

Reference: 1“ Manifestations of Low Vitamin B12 Levels”. Vitamin B12 Deficiency. Centers for Disease Control and Prevention, Continuing Medical Education for Primary Care Providers. Available at:http://www.cdc.gov/ ncbddd/b12/ manifestations.html

TriVita.com

June 2014 l 13

ANSWERS 1. False. Feeling sleepy is just one of the symptoms that can go along with fatigue, which is a lack of energy and motivation. 2. False. Stimulants like caffeine may make you feel temporarily more awake, but in the long term, they can actually drain your energy. 3. True. Drinking water is the fast and healthy way to help your whole body run better. 4. False. Over-booking your social life, work life or any other aspect of life creates energy-zapping stress.

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5. True. Vitamins and supplements can help fill the nutrient gap caused by poor eating habits, age or health conditions. Talk with your doctor about supplements, especially Vitamin B-12. 6. False. Regular physical activity is a proven fatiguefighter and energy-booster. 7. False. Instead of “curing” an energy slump, processed sugar products end up making you feel even more tired than you were before. 8. True. Talk with your healthcare professional if you have persistent sleep issues.

Reference: Fatigue (April 21, 2013). National Library of Medicine. Retrieved from:http://www.nlm.nih.gov/medlineplus/ency/article/003088.htm

n True

n False

n True n False

7. A candy bar can cure the mid-afternoon “slump.”

4. Lots of social activity keeps your energy level high.

8. Sleeping problems can cause low energy.

3. Drinking water is a smart energy-booster.

n True

n False

2. A good way to get instant energy is to consume lots of caffeine.

n True

n False

1. The opposite of energy is sleepiness.

n True n True

n False n False

6. Exercise drains your energy.

n True

n False

5. Taking a multivitamin can enhance your energy.

Test your energy smarts with this quick quiz.

im, vigor, vitality, a spring in your step. No matter what you call it, we all want it: energy! But do you know the best and healthiest ways to boost it?

WHAT’S YOUR ENERGY IQ?

BEHIND THE LABEL

Why TriVita Sublingual B-12 stands out By Esmeralda Garcia TriVita Formulation Scientist

ust as people may take Vitamin B-12 supplements for many reasons, there are many reasons to trust the quality, purity and potency of TriVita Sublingual B-12. Like all TriVita products, our B-12 has to meet or exceed the most rigorous standards before it gets to our Members. That’s how we make sure you get what the label says. Here’s why we’re so confident:

Esmeralda Garcia is TriVita’s Formulation Scientist, charged with ensuring that only the highest quality ingredients go into TriVita products. She holds a Master’s Degree in Applied Biosciences from the University of Arizona, and has some six years experience in research/ development and quality control for over-thecounter products and nutraceuticals.

Dietary ingredient standards and testing First, our dietary ingredients (in this case, B-12, B-6, folate and others) are sourced only by manufacturers that have cGMP (current Good Manufacturing Practices) certification for manufacturing dietary supplements. This means before they are used in production these ingredients must be tested and meet valid scientific standards, such as those of the USP (United States Pharmacopeia), a well-established scientific group that creates standards for both prescription drug and dietary supplement ingredients. This preproduction testing ensures our ingredients meet established specifications for potency and purity. Manufacturing quality During production, there’s “traceability” of the ingredient. This allows our manufacturers to track the ingredient through the production process, to be certain the ingredient wasn’t contaminated or weakened in any way. Our certified manufacturers are required to create records for every “batch” of product. Batch records allow our manufacturers to document, track, and

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control production steps, like identifying and accurately weighing out each ingredient used in production. Our manufacturers also pull samples off the assembly line to verify that there are no product deviations. There are product specifications to guarantee consistent shape, thickness and appearance throughout the production process. Finished product & packaging Do the Sublingual B-12 tablets dissolve correctly? Are the active ingredients present in the labeled amounts? Is the blister card perforated so that you can easily remove and take one or two tablets on the go? Is the outer shrink-wrapping applied to assure the product has not been tampered with? All of these questions and more must have “yes” answers, or the product will be rejected. There are even more extras in every box of TriVita Sublingual B-12: • Made in the U.S.A. • Vegetarian/vegan. • Naturally sweetened with stevia. • Natural flavors, no preservatives, no artificial colors or needless “fillers.” When you choose TriVita Sublingual B-12, you’re getting exactly what you pay for… plus a whole boxful of priceless quality.

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WHAT PEOPLE ARE SAYING

DON’T LET A B-12 DEFICIENCY DRAG YOU DOWN If you have any of these troubling signs you might be suffering from a deficiency of Vitamin B-12: • Fatigue, weakness or anemia • Pale skin, fainting • Heart palpitations, vision loss • Dementia, shortness of breath1

“ Having a fairly large family demands a lot of our time. We have seven grandchildren that we see often. Keeping up with them can be tough, but TriVita’s Sublingual B-12 helps us to spend more quality time with them!”

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20%*

Sublingual B-12

Cathy H., Member—Denham Spring, AK

“ I take TriVita B-12 for energy to get me through my busy day and to keep me calm. It got me through some rough mood swings, and continues to help me feel my best every day.” Bonnie R., Member—Clarksville, MD “ I love TriVita’s Sublingual B-12. It has helped me get through some very hard times. I have been using this product daily for close to two years. I started while I was going through financial difficulties. I now have more energy, which I need because I run my own business. I also care for my disabled adult son. I will be taking it as long as it is available to me.” Charlotte R., ITBO*—Cambria, CA “ I am a 69-year-old man who used to run marathons, but after a variety of health problems I could not get the energy to run much. I feel that the Sublingual B-12 has really helped improve my energy levels. I am back to running again and hope to run a marathon soon.” Maurice S., Member—Greenwood, SC * I ndependent TriVita Business Owners (ITBO) may receive commission on the sale of TriVita products. Members whose testimonials appear in print or online receive $25 in TriVita product credits.

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Sublingual B-12 #33298

Original Berry Flavor

Member $19.99 NOW $15.99 * Offer limited to 6 boxes and expires 6-30-14 at 10 p.m. EST.

Call toll-free 1-800-344-8797 or order online at TriVita.com Best Price Club pricing is available to those who have one or more products on auto-delivery. Get convenient delivery when and where you want it, plus bonus rewards. To find out more, visit TriVita.com/BestPriceClub. Reference: 1 “Manifestations of Low Vitamin B12 Levels.” Vitamin B12 Deficiency. Centers for Disease Control and Prevention, Continuing Medical Education. Retrieved from:http://www.cdc.gov/ncbddd/b12/ manifestations.html

June 2014 l 15

EATING FOR WELLNESS

What does the food label tell you?

How to get the junk out and the good stuff in By Christa Orecchio

e’ve all seen nutrition labels, but what do they actually mean? How can we translate that information into facts that will help us make the right choices for our health? Let’s break it down.

Christa Orecchio is a Clinical and Holistic Nutritionist. She is the creator of The Whole Journey Healthy Product Review site, a TEDx speaker, the nutrition expert on FOX’s weekly San Diego show, “Food as Medicine,” as well as the host of “The Randy and Christa Show: News that makes you healthier,” which airs nationally on DRTV.

Serving size The first thing to look at on the nutrition label is the serving size and servings per container. This will give you an idea of how much of that food counts as a portion size; it’s all too easy to go beyond the portion size when we sit down to consume a packaged food item. Fat The next thing to look for is the fat and what percentage of the portion you are eating comes from fat. Fat is not bad, as long as it is not from trans fats, which are bad, broken fats that cause serious inflammation (trans fats should always be 0%). However, the percentage of other fats should still be below 25%. Sodium Sodium is not bad in the right amounts (depending on where it comes from and if it’s natural or not), but this is something important to check. The Mayo Clinic recommends keeping your daily sodium intake to less than 2,300 mg per day. Carbohydrates, fiber and protein Next listed is total carbohydrates. This number (as well as the sugars) will give you an idea of how much the product will spike

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your blood sugar. It’s a good idea to choose a product that has under 30 grams of carbohydrates per serving and also contains some protein, fiber and fat to balance out how that food will affect your blood sugar. Vitamin and mineral content Last on the food label, you will get a snapshot of notable vitamins and minerals in the food you are consuming. This will help you use food as your medicine to fill nutrient deficiencies. The Food and Drug Administration (FDA) has recently proposed a new nutrition facts label that would make it more consumerfriendly. You can compare the current label and proposed label on next page. It’s all about the ingredients In order to become more savvy, healthconscious consumers, we really should be reading the ingredient list in addition to the nutrition facts. Here are a couple general rules of thumb when it comes to ingredients and reading labels: If you can’t pronounce it, you likely shouldn’t be eating it—How many times have you read the ingredients and skipped over the three or four ingredients that you don’t recognize (and can’t pronounce!). Many people think, “At least it’s at the end of the list, since ingredients are listed from highest to lowest quantities.” I know I’ve been guilty of this. However, just because those few chemicals are listed last doesn’t mean that they won’t adversely affect your health.

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The fewer ingredients, the better—Choose foods with the least amount of ingredients. For packaged foods, purchase those with no more than seven ingredients. Many sauces, dressings, whole grain pasta, chips, crackers, etc. can easily fit this criterion with a bit of detective work. After applying these rules to your next few rounds of grocery shopping, this process will become natural and intuitive—and pay long-term positive dividends to your health!

In the produce aisle

Sugar snap peas and nectarines

he produce section comes alive in summertime. Stock up on your favorite summer staples—and feel free to try something new every time you visit the grocery store. Your taste buds will thank you! Sugar snap peas An excellent source of Vitamin C, one serving of sugar snap peas gives you 30% of the recommended daily amount. Low in calories, these tasty legumes are a good source of Vitamins A and K, and fiber. Select firm, bright green peas and store in the crisper section of the refrigerator in a perforated plastic bag. Use within 2 days for sweetest flavor and best results; sugar snap peas are best eaten raw or slightly cooked. Often confused with snow peas, sugar snap peas feature a rounded pod, while snow peas are flatter.

The current food label (left) and the proposed, revised version (right).

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Nectarines At their peak from June through September, nectarines make a delicious, juicy addition to any meal. A subspecies of the peach, nectarines lack the gene that gives peaches their fuzz. Low in fat, and cholesterol and sodium free, nectarines provide a generous amount of Vitamin C and are a good source of fiber, Vitamin A, niacin and potassium. Choose firm nectarines with smooth, unbruised skin. You can ripen nectarines in a paper bag; ripe nectarines will keep for 2-3 days at room temperature.

June 2014 l 17

INSIDE THE WELLNESS CENTER

Skinny jeans or wellness? Set realistic weight expectations By Harolyn Gilles, M.D.

Harolyn C. Gilles, M.D., FAAFP, is the TriVita Wellness Center Physician and leads the Weight Management Program at the fully-licensed Wellness Center. Dr. Gilles has special expertise in weight management and hormonal balance with bio-identical hormones, and has won the “Best of Scottsdale, Physicians and Surgeons” award for five years running.

have great news for everyone who has struggled with weight: clinging to a number on the scale or a clothing size from the past is NOT a good idea. It isn’t realistic, it isn’t healthy and it isn’t natural, so drop it!

WMP’s biggest benefits for long-term healthy weight is health coaching. Our Fitness/ Nutrition Director and certified health coach, Jolene Goring, will be there for you, week in and week out, to keep you motivated and on track.

Instead, embrace the reality that our bodies change with age, and a healthy weight looks great at any age. Here’s why I say this:

As interim goals are met, she will help you set new ones with individualized, certified health coaching that puts your wellness—not a clothing size—first. The eating plan adapts, too, as your needs and wants change.

Over time, we lose lean muscle mass, and in many cases replace it with fat. So, if all we’re after is losing pounds, we’re losing muscle, too—and that’s not a good thing. If you’re losing muscle, you’re losing the energy to exercise, to function at your best and to achieve the satisfaction of fulfilling your life’s purpose. What’s more, the more muscle you have, the higher your metabolism, which helps you burn fat! By taking advantage of our physiciansupported Weight Management Program (WMP), you get expert help in setting and achieving a realistic goal just for you. We call it “Weight Loss for Wellness” because that’s what it is: a scientific process customized to your individual wellness needs. The WMP is more than medical screenings and much more than just another diet and fitness plan. Our patients get customized eating plans and customized supplementation, testing for food sensitivities and hormonal imbalances. Even beyond all that, one of the

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I can’t tell you how many patients get their “Aha!” moment when that “skinny jeans” pressure is gone. They’ll say to me, “I thought I had to get down to 120 again, but that’s not where my wellness is. I can do this!” What a relief it is for them to let go of the past, and look ahead. Wouldn’t you like to lose those unrealistic weight expectations from years ago? Our program can help. Contact us, and find your “Weight Loss for Wellness” future. If you live outside the Scottsdale, AZ area, the WMP has been designed to meet your needs, too. You can benefit from many aspects of the program, such as a customized eating and activity plan and health coaching. For more information about the WMP, call toll-free 1-888-669-5036.

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FIT FOR WELLNESS

Taming the trouble spots:

Hate your love handles? Tone them without traditional exercise This is the first installment in Jolene’s series on targeted fitness.

By Jolene Goring TriVita Wellness Center Director of Fitness

ove handles (or muffin tops) are certainly not lovely… they are deposits of excess body fat that sit around your abdominal area. If you can pinch your belly fat from the front, back and sides, those are love handles! And it’s not just about fitting into that dress or your favorite pair of jeans—excessive fat in the midsection can also hurt your health.

• Repeat the interval 4 times. As you become

Traditional exercise like sit-ups won’t really banish love handles. When done properly, sit-ups will tone the muscles in the core area. But the problem is, love handles don’t contain any muscle at all: they’re pure fat. Working the area with “core exercises” in the gym will not get rid of the extra fat. What it will do is strengthen the muscles underneath the fat, which will help to give you the toned shape that you want. But to really get rid of love handles, you need to eat a healthy diet and add in cardiovascular activity to your day.

This puts your body into proper alignment, while also shaping those core muscles. Standing up tall also makes you look up to 10 pounds lighter.

Some great ways to tame your love handles: Intervals—this is the fastest way to burn off those love handles. Use the activity of your choice—walking, swimming, house cleaning, bike riding…

• Spend 5 minutes warming up at a moderate pace.

• For 20 seconds go as hard as you can. You should be breathing hard!

stronger, work your way up to repeating the interval 10 times.

The Corset—set a timer to go off every hour. When it goes off, this is your cue to pull your belly towards your spine and stand or sit up as tall as you can. Hold for a count of 5 and release.

Dress to impress • Choose higher-waisted clothing that sits above the hips, so that it doesn’t cut in and create bulges.

• Make sure that your clothes fit properly— if you are trying to wear a size too small, it will actually make your love handles look more prominent.

Remember that you didn’t gain your extra weight in one week, so don’t expect to lose it all in a week. Consistent, daily habits will either bring you closer to your goal, or farther away; it’s your choice! To book a free consultation with Jolene, call the TriVita Wellness Center toll-free at 1-888-669-5036.

Jolene Goring is the Fitness Director at the TriVita Wellness Center. She holds professional certifications in personal training, wellness coaching and integrative nutrition, in addition to being a best-selling author. During her 18 years in the health/fitness industry, Jolene has travelled the world to help people fulfill their life purpose through fitness.

Consult with your healthcare provider before beginning any exercise program.

• For 40 seconds, recover. Go at a slow pace to get your heart rate down.

1-800-344-8797

June 2014 l 19

FAMILY MATTERS

The importance of fathers

odern society often downplays the importance of father figures, but research bears out what most of us have known all along: Dads matter. Compared to children who live without their biological (or adoptive) parents, those who live with their biological fathers are, on average: • 2 to 3 times less likely to be poor • Less likely to use drugs • Less likely to experience educational, health, emotional and behavioral problems • Less likely to be victims of child abuse • Less likely to engage in criminal activity However, children with active father figures (regardless of biology) reap many of the same benefits. An analysis of 16 studies found that children who had “regular, positive contact” with a father figure were less likely to exhibit behavioral problems and psychological problems. In lowincome families in particular, an active father figure was associated with reduced criminal behavior and enhanced mental skills such as reasoning and language development.

Active fathers, better outcomes Research shows that involved fathers contribute to increased empathy, better self control and fewer behavioral problems in their children. Involvement in children’s education can help improve everything from verbal skills and problem solving to achievement test scores and grades. So what exactly does active fathering look like? At home Depending on children’s ages and interests, it can mean involvement in day-to-day care, reading together, playing games, spending designated dad/child time, doing volunteer work, working on crafts or other projects, and so on. At school Volunteering at a child’s school or simply being in contact with their teachers and staying abreast of schoolwork and school projects can make a big difference in grades and school performance. References: Blackwell Publishing Ltd.. (2008). Children Who Have An Active Father Figure Have Fewer Psychological And Behavioral Problems. ScienceDaily. Retrieved from www.sciencedaily.com/releases/2008/02/080212095450.htm Dad Stats. National Responsible Fatherhood Clearinghouse, Unites States Department of Health and Human Services. Retrieved from https://www. fatherhood.gov/library/dad-stats Promoting Responsible Fatherhood (2011). United States Department of Health and Human Services. Retrieved from http://fatherhood.hhs.gov/ Parenting/influence.shtml

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AGING WELL

Try this proven key to healthy aging Studies show it preserves mental and physical health

ow can we face a future of good health, free of chronic disease, and mental or physical impairment? Though we certainly have no guarantees in life, research shows that, lacking a fountain of youth, exercise may be the next best thing when it comes to helping us age well. Activity=healthy aging at any age If you’ve never made exercise a priority, there’s good news: you haven’t missed the healthy aging boat. According to mounting research, exercise doesn’t play favorites: even those who start exercising later in life can reap some healthy aging benefits. One long-term study found that when men took up exercise after age 50, they reduced their risk of death compared to their sedentary peers; after about 10 years, their risk levels matched those of lifelong exercisers. In a recent University College London study, habitually active adults increased their chances of healthy aging sevenfold compared to their inactive counterparts; those who started exercising later in life (defined in this study as moderate or vigorous activity at least once a week) were still three to four times more likely to age well than the non-exercisers. Additional benefits If the idea of “healthy aging” sounds nebulous to you, consider these more concrete benefits of activity. According to the Centers for Disease Control and Prevention (CDC), regular physical activity can help:

• Control your weight

• Strengthen your bones and muscles • Improve your mental health and mood • Improve your ability to do daily activities and prevent falls, if you’re an older adult

• Increase your chances of living longer So how much exercise do you need for these benefits? In the London study, researchers found that even everyday activities such as gardening and walking were of benefit. However, for best results and benefits, the CDC (and the World Health Organization) recommends at least 150 minutes of moderateintensity aerobic activity per week. As always, consult with your healthcare provider before starting any exercise program. Break a sweat, boost your brain power Aerobic exercise may give your brain a quick boost, according to a study in Frontiers in Aging Neuroscience. Older adults who rode a stationary bike or walked on the treadmill for one hour three times a week saw improvements in memory, brain function and physical fitness after just six weeks compared to a group of adults who didn’t exercise. References: Byberg, L., et al (2009). Total mortality after changes in leisure time physical activity in 50 year old men: 35 year follow-up of population based cohort. BMJ, 338, b688. doi: http://dx.doi.org/10.1136/bmj.b688 Chapman, S., et al (2013). Shorter term aerobic exercise improves brain, cognition, and cardiovascular fitness in aging. Front. Aging Neurosci., doi: 10.3389/fnagi.2013.00075 Hamer, M., et al. (2014). Taking up physical activity in later life and healthy ageing: the English longitudinal study of ageing. Br J Sports Med, 48, 239-243. doi:10.1136/bjsports-2013-092993 Physical activity and health: The benefits of physical activity (2011). Centers for Disease Control and Prevention. Retrieved from http://www.cdc.gov/ physicalactivity/everyone/health/

• Reduce your risk of cardiovascular disease • Reduce your risk for Type 2 diabetes • Reduce your risk of some cancers 1-800-344-8797

June 2014 l 21

IN THE NEWS

Reference: 1 Neutraceuticals World, January/February 2014. Dietary Supplement Caucus Addresses Healthcare Cost Savings. Retrieved from http://www.nutraceuticalsworld.com/issues/2014-01/ page_1/

Can vitamin supplements save you money?

we can better empower people to control their healthcare costs. The improvement in people’s quality of life could be immeasurable.”

What are the dollars and cents advantages of taking vitamin supplements? That was the focus of a recent congressional caucus in Washington, D.C. Congressmen heard the results of a major new study sponsored by several dietary supplement organizations. The study examined potential cost savings when 55+ adults, diagnosed with chronic diseases, incorporated supplements into their daily routine.

According to the Centers for Disease Control and Prevention (CDC), about 75% of total healthcare costs are spent on caring for people with preventable diseases. Only 3% is spent on prevention. The number of people with preventable diseases are expected to significantly rise over the next decade.

“Chronic diseases are one of the greatest contributors to healthcare costs in this country,” says Steve Mister, president of the Council for Responsible Nutrition (CRN), cosponsor of the study. “If we can identify and motivate those at risk to effectively use health supplements,

“Nutritional supplements actively contribute to the overall health and well-being of American consumers,” the report concludes. Mister adds, “We urge people who are interested in lowering healthcare costs to pay attention because this is an opportunity for society to start moving from sick care to smart prevention, and reduce costs while doing so.”1

The Truth About Multivitamins

An average of

80%

of physicians and nurses recommend dietary supplements to their patients1 .

90%

of Americans DO NOT meet recommended daily intake levels for vitamins and minerals from food consumption alone.

LIVE WELL by exercising, avoiding toxins and getting proper nutrition while filling dietary gaps, as needed, with supplements and vitamins.

A Healthcare Professionals Impact Study found that an average of

out of

physicians and nurses use dietary supplements

References: 1 Based on the National Health and Nutrition Examination Survey (NHANES 2003-2006. 2 Healthcare Professionals Impact Study (HCP Impact Study 2009).

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TriVita.com

THE DOCTOR IS IN

Men over 40: The 5 must-have tests By Michael Radulescu, M.D.

urning 40 is a milestone: some consider it mid-life, some joke that “40 is the new 30,” but whatever your perspective, it means the time has come to put health up high on the priority list. At any age, of course, health screening is an important part of disease prevention. Particularly once a man reaches the age of 40, there are some important tests that you should have done to ensure that you are in good health, or to help detect problems before they worsen. Even if you feel fine now, you should know that some health issues don’t produce any symptoms at all until the disease becomes advanced. So, it’s in your best interests to have at least the essential screening tests and exams conducted regularly. And if you’re one of many men who resist seeing a doctor until they really need to, make an exception for these tests: your future, and that of your loved ones, could be at stake. The following essential tests should be performed once you turn 40: 1. Blood pressure: Should be checked yearly to monitor for possible high blood pressure. 2. Stool sample: This checks for occult blood (blood that isn’t visible) in the feces and should be performed every year or two from the age of 40.

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3. Colonoscopy: This can often wait until a person reaches 50 years of age, but people who have a personal or family history of colon cancer or other risk factors should have a colonoscopy at the age of 40. 4. Cholesterol: Should be checked at least every three to five years from the age of 40. It’s a simple blood test. 5. Blood sugar: Diabetes often goes undiagnosed, so a blood sugar (glucose) test every three to five years is vital. Special note: Prostate cancer screenings, once considered routine, are among the most controversial medical tests today. While the PSA (prostate specific antigen) test can detect prostate cancer in its early stages, it can also return many false positives. A talk with your doctor about the relation between prostate cancer, age and family history is recommended.

Michael Radulescu, M.D., is in private practice in New South Wales, AUS, after working in emergency medicine for several years. His specialty areas are cardiology, diabetes and neurology.

These recommendations refer to screening for the general population. For men with specific risk factors for a particular disease (things that make them more likely to develop a problem), the recommendations may be different. If you are in any doubt about your risk factors or health in general, consult your healthcare provider. This article is intended for educational purposes only.

June 2014 l 23

EMOTIONAL WELLNESS

What’s hiding behind your weight? Hidden reasons to cling to extra pounds By Mamiko Odegard, Ph.D.

ou know all the health reasons to shed extra pounds—but are you hanging on to your weight for unconscious, emotional reasons? Using food for reasons beyond nutrition is often a long-standing habit, usually focusing on sugary, starchy, high-fat and salty foods.

Dr. Mamiko Odegard is the best-selling author of “Daily Affirmations for Love: 365 Days of Love in Thought and Action.” A former psychologist and college instructor, Dr. Odegard is known as “The Love and Relationship Expert.” She is based in Scottsdale, AZ.

What can be gained (besides fat) by eating these unhealthy foods? It’s simple: the chocolates or chips, eaten in quantity when we’re stressed or bored, are an easy and readily-available source of temporary comfort. If this is a habit of yours, ask yourself:

These steps can get you on the path to respecting, accepting and loving yourself… to let go of the weight that prevents you from a deeper connection to your life and to others:

• Could you be avoiding sex with your

1. Take a moment to think about and list the benefits you derive from being overweight.

• Are you making yourself less attractive for

2. W hen you have the desire to eat, ask yourself if you are really hungry.

• Are you so lonely, depressed or anxious

3. If you’re not hungry, but feeling bored, stressed, angry, sad, lonely, etc., then find non-food ways to deal with your feelings.

partner, using weight to turn him or her off? fear of entering into a relationship in which you could be hurt or rejected? that food is your only friend?

• Have you given up, resigned to a life alone as a homebody?

• Is food a substitute for going out and living life?

• Does food and your weight allow you to

keep the negative, self-defeating messages in your head to avoid success at work and life?

24 l VITAJOURNAL

If you are overweight or obese, you know too well the assumptions people may make about you: you’re lazy, sloppy, have no willpower, aren’t productive physically, and on and on. These cruel stereotypes (whether you’re aware of them or not) can erode your self-esteem bit by bit until you surrender to the food “fix.”

4. Develop a support system of people you can talk to or do activities with when you feel low emotionally. 5. Treat the problem, not the symptom! Don’t hesitate to seek help from a professional coach, counselor or spiritual advisor if you need it. Remember: you are perfectly in control, even when you think you’re out of control. Take that first step to nurturing your best self. TriVita.com

SPIRITUAL WELLNESS

From dejection to hope, transformed by God

By Chaplain Donna Kafer

“ May the God of hope fill you with all joy and peace as you trust in him, so that you may overflow with hope by the power of the Holy Spirit.” —Romans 15:13

epending on who you ask, life is either exciting and exhilarating or dull and wearisome. Some people seem to be naturally optimistic, upbeat and fun to be with, while others are pessimistic and difficult to endure. If we were raised in a family of upbeat, optimistic people, then we’re indeed blessed. On the other hand, if we’ve come from a family of dour pessimists, we know what an effort it is to try to change our own outlook. The good news is, leaving behind learned or even natural inclinations toward negative viewpoints is possible through the transformational power of Almighty God. When we allow Him to minister to our hearts, minds and spirits, we are inviting Him to change us from the inside out. Our once dark perception of the world is then replaced by a bright faith, a real belief in something greater than ourselves. Instead of always being turned inward, we are turned outward and upward toward The Lord. In essence, we’re saying to God that we trust Him. 1-800-344-8797

A new way to see our lives It is through the richness of His grace, mercy and love that we are given a new way to see our lives. Though the world may be filled with difficulties and trouble, we are now able to see through it all to the beautiful promises of The Lord. Promises that instill an amazing joy that passes all understanding. This unsurpassed joy, His joy, will encapsulate us in a cocoon of warmth and comfort, one that will guide us through to eternity. It helps to remember that even when life beats us down and when all seems lost, we can trust that nothing can take us away from the love of God. Through His love we can see His plans for us and instead of the darkness that we used to see, we now see hope. Through this hope we can most assuredly know that He is always with us and that He will never forsake us, ever! Where fear used to dwell, there is now peace. Where apprehension reigned supreme, there now resides faith. Where there was negativity, hate and loss, there now only remains the love of God, the greatest gift that has ever been given.

Donna Kafer, TriVita’s chaplain, has served as chaplain to the Arizona State Legislature for 16 years. In addition, Donna is a motivational speaker and author. She has written two books, and now has a third book in progress.

So whether our glass is half empty, or half full, let’s raise it to the One who can fill it, pressed down, shaken together and overflowing with His glorious blessings.

June 2014 l 25

Snapshot

SUMMERTIME

Number of congressional delegates who signed the Declaration of Independence. Adopted by the Second Continental Congress on July 4, 1776, the official signing of the Declaration took place on August 2. The original copy is on display at the U.S. National Archives and Records Administration in Washington, D.C.

15 minutes

Amount of time it takes for the sun’s ultraviolet (UV) rays to damage your skin. Use sunscreen with a minimum sun protection factor (SPF) of 15. Look for varieties with both UVA and UVB protection.

59%

Increased risk of melanoma faced by those who began indoor tanning before age 35. Using tanning beds also increases the risk of eye damage and wrinkles, and changes skin texture.

9 a.m. – 3 p.m.

The most hazardous hours for UV exposure outdoors in the continental United States (11 a.m. – 4 p.m. in Canada), particularly in the late spring and summer.

1917

The year Canada Day was first officially celebrated. The day marks the 1867 unification of Nova Scotia, New Brunswick and the Province of Canada into one country. It was originally known as Dominion Day.

Reference: Sun Safety (2014). Centers for Disease Control and Prevention. Retrieved from http://www.cdc. gov/cancer/skin/basic_info/sun-safety.htm Skin Cancer: Is Indoor Tanning Safe? (2014). Centers for Disease Control and Prevention. Retrieved from http://www.cdc.gov/cancer/skin/basic_info/indoor_tanning.htm Skin Cancer: What Can I Do to Reduce My Risk? (2014). Centers for Disease Control and Prevention. Retrieved from http://www.cdc.gov/cancer/skin/basic_info/prevention.htm The UV Index and Ozone (2013). Environment Canada. Retrieved from http://www.ec.gc.ca/uv/

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Do you know what’s in your drinking water? Think before you drink

ore than a refreshing and thirst-quenching beverage, water is an essential for human health. And no wonder: water makes up 66% of the human body and 75% of the human brain. You can live for more than a month without food, but only about a week without water. That’s why TriVita includes “Drink Water” in its list of 10 Essentials for Health and Wellness (see page 2). But the quality of your water is just as important as the amount you drink. What’s on tap According to the United States Environmental Protection Agency (EPA), Americans drink more than 1 billion glasses of tap water per day. Although public water systems are highly regulated, and water suppliers are required to provide annual water quality reports, the EPA cautions that drinking water should not be taken for granted; threats to drinking water include improperly disposed of chemicals, human and animal wastes, pesticides and other substances. How do you know if your water’s safe? The EPA suggests reading your water quality report (supplied by your town or water utility annually), reviewing results of drinking water tests and contacting regulatory officials to ensure your water supply complies with all standards. You may also wish to purchase a home water treatment system. These can range from filtered pitchers to a whole house water filter, depending on your water treatment needs (improved taste, removal of contaminants, etc). Look for products certified by one of these accredited organizations: NSF International, Underwriters Laboratories or Water Quality Association.

In the United States the U.S. Food and Drug Administration (FDA), regulates how bottled water is defined (spring water, mineral water, etc.), sets maximum allowable contaminant levels and requires manufacturers to adhere to Current Good Manufacturing Practices. Although bottlers use standard identifiers to describe their water, these can be somewhat misleading. “Spring water” doesn’t have to be collected at a natural spring, “purified water” could simply be municipal tap water that meets the U.S. Pharmacopeia’s definition of purified water, and so on. Many terms aren’t even regulated: your “mountain” or “glacier” water may not necessarily come from a pristine mountaintop. What’s your best bet? First, read the bottle label. Often lacking in detail, you may need to contact the manufacturer for more information on the water source, treatment method and so on. Look for bottled water certified by NSF International or bearing the International Bottled Water Association (IBWA) logo; both organizations conduct annual plant inspections and require adherence to set standards. References: Bottled Water (2009). Health Canada. Retrieved from http://www.hc-sc.gc.ca/fn-an/securit/facts-faits/bottle_water-eau_embouteillee-eng.php Bottled Water Basics (2005). United States Environmental Protection Agency. Retrieved from http://water.epa.gov/drink/info/upload/2005_09_14_faq_fs_healthseries_bottledwater.pdf Bottled Water Everywhere: Keeping it Safe (2013). U.S. Food and Drug Administration, U.S. Department of Health and Human Services. http://www. fda.gov/forconsumers/consumerupdates/ucm203620.htm Bottled Water Shows Strength Yet Again, New Report From BMC Shows (2013). Beverage Marketing Corporation. Retrieved from http://www. beveragemarketing.com/news-detail.asp?id=260 Filtration Facts (2005). United States Environmental Protection Agency. Retrieved from http://water.epa.gov/drink/info/upload/2005_11_17_faq_ fs_healthseries_filtration.pdf Water Facts (2004). United States Environmental Protection Agency. Retrieved from http://water.epa.gov/lawsregs/guidance/sdwa/upload/2009_08_28_sdwa_fs_30ann_waterfacts_web.pdf Water on tap: what you need to know (2009). United States Environmental Protection Agency. Retrieved from http://water.epa.gov/drink/guide/ upload/book_waterontap_full.pdf

Bottled water: the best choice? More and more people are reaching for bottled water: in 2012, Americans drank almost 9.7 billion gallons—roughly 30 gallons per capita. But here’s the question: is it safer than tap water?

1-800-344-8797

June 2014 l 27

RESEARCH DESK Alzheimer’s affects women more than men

Chicago, IL

A 65-year-old woman has a 1 in 6 chance of developing Alzheimer’s disease later in life, while a man of the same age has about a 1 in 11 chance. These were the startling findings of a new report from the Alzheimer’s Association that addresses the heavy toll that Alzheimer’s takes on women. This report, “2014 Alzheimer’s Disease Facts and Figures,” also states that women in their 60s are twice as likely to develop Alzheimer’s as breast cancer. “Women are at the epicenter of Alzheimer’s disease,” says the report. “They represent the majority of both people with the disease and Alzheimer’s caregivers.” The total healthcare cost of Alzheimer’s and other dementias is expected to exceed $214 billion in 2014 in the United States alone.1 ...................................................................

Low Vitamin D tied to increased inflammation in elderly Dublin, Ireland

There is a significant association between low Vitamin D status and markers of inflammation in elderly adults. These findings were confirmed in a study published online February 25, 2014, in the Journal of Clinical Endocrinology & Metabolism. Researchers from Trinity College in Dublin, Ireland analyzed data from 957 Irish adults over the age of 60. The study confirmed that concentrations of IL-6 and C-reactive protein (CRP), both markers of inflammation, were significantly higher in people with deficient Vitamin D levels, compared to those with sufficient levels. Researchers concluded that, “These findings suggest that an adequate Vitamin D status may be required for optimal immune function, particularly within the older adult population.”2 ...................................................................

Web-savvy seniors are in better health

London, England

Mature adults who use the Internet frequently are more likely to demonstrate better health prevention behaviors, according to a recent study sponsored by University College, London. Compared to people who don’t use the Internet, active online users were screened for colorectal cancer more often and tended to be more physically active, eat a healthy diet and smoke less. “The most interesting aspect of this study,” said researchers, “is that consistent users always topped the list with the most cancerpreventive behaviors.” Participants included approximately 6,000 men and women age 50 and over who completed surveys every two years between 2002 and 2011. Both male and female regular Internet users were 50% more likely to exercise and 24% more likely to eat healthy foods. Researchers concluded that the Internet is an important resource for health information and urged an increase in Internet access for mature adults.3 ................................................................... References: 1 Alzheimer’s Association. 2014 Alzheimer’s disease Facts and Figures, Retrieved from: http://www.alz.org/downloads/facts_figures_2014.pdf 2 Vitamin D deficiency linked to compromised immune function, Nathan Gray. Journal of Clinical Endocrinology & Metabolism, February 26, 2014. Retrieved from: http://www.nutraingredients.com/Research/Vitamin-D-deficiencylinked-to-compromised-immune-function-Study 3 Cancer Epidemiology, Biomarkers & Prevention, news release, Oct. 22, 2013. Retrieved from: http://www.healthfinder.gov/News/Article.aspx?id=681198&source=govdelivery&utm_medium=email&utm_source=govdelivery

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TriVita’s Healthcare Professionals

Lost sleep can lead to lost neurons Philadelphia, PA Not getting enough sleep disrupts mental performance. That was the conclusion of a new Penn Medicine study published in The Journal of Neuroscience. This study indicates that chronic sleep loss may be more serious than previously thought. It may even lead to irreversible physical damage and possible loss of brain cells. Using a “mouse model” of chronic sleep loss, the research team determined that extended wakefulness is linked to injury and loss of neurons that are essential for alertness and optimal mental function. The research team stressed that more work needs to be done to see whether humans experience similar symptoms after extended sleep loss.4 ..........................................................

Genetically modified foods can trigger gluten sensitivity Fairfield, IA The Institute for Responsible Technology (IRT) has released a report suggesting a link between genetically modified (GM) foods and glutenrelated disorders. The report says that GM foods may be a key environmental trigger for gluten sensitivity, which affects approximately 18 million Americans. GM foods may help trigger or worsen the following gluten-related disorders: Leaky gut, imbalanced gut bacteria, immune activation and allergic response, impaired digestion, damage to the intestinal wall. There are currently nine GMO foods being grown for commercial use: soy, corn, cotton (oil), canola (oil), sugar from sugar beets, zucchini, yellow squash, Hawaiian papaya and alfalfa.5 ......................................................... References: 4 Penn Medicine Researchers Show How Lost Sleep Leads to Lost Neurons. March 18, 2014. Retrieved from: http://www.uphs.upenn.edu/news/News_Releases/2014/03/veasey/ 5 GM Foods Proposed As Trigger for Gluten Sensitivity, page 6. Gluten Free Retailer, February/March 2014. Retrieved from: http://responsibletechnology.org/glutenintroduction

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Harolyn C. Gilles, M.D., FAAFP is the TriVita Wellness Center Physician and the medical leader of the Weight Loss for Wellness program at the fully-licensed Wellness Center. Dr. Gilles has special expertise in weight management and hormonal balance with bioidentical hormones, and has won the “Best of Scottsdale, Physicians and Surgeons” award for five years running. Scott Conard, M.D. founded TienaHealth, an organization of medical doctors in primary care practice who emphasize healthy lifestyles to maintain wellness. Dr. Conard is considered a national expert on disease prevention.

Medical Advisory Board TriVita created a Medical Advisory Board to assist our efforts in staying abreast of current scientific developments and to provide input on the latest, most effective testing methods. Samuel N. Grief, M.D., FCFP Named one of “Chicago’s Top Doctors” in 2012, Dr. Grief is medical director at the University of Illinois. He received his medical degree from McGill University in Montreal, Quebec. Jarir G. Nakouzi, M.D. An international consultant, Dr. Nakouzi completed his residency in the Yale University Program of Internal Medicine. His private practice takes an integrative approach to chronic diseases. Tammy Pon, M.D. A functional medicine physician, Dr. Pon received her medical degree from the University of Texas in Houston. She completed specialty training in healthy aging. Daniela Radulescu, M.D. Dr. Radulescu is a clinical research scientist in Sydney, Australia. She holds an advanced degree in molecular genetics, and has been involved in clinical research for investigational medicines.

June 2014 l 29

Inspire me!

Improving quality of life

Get physical Just 30 minutes of moderate activity a day can help improve quality of life by boosting your mental and physical wellness, according to the American Heart Association. Can’t squeeze it in? Three, 10-minute sessions can be just as effective.1

Be where you are No matter what you’re doing, strive to be both physically and mentally present. Experience the now; worrying about the past or future won’t change anything, and you’ll lose the moment you’re in.

Give of yourself Nothing can help improve your own quality of life more than helping others improve theirs. Time, resources, a helping hand… you’ll recognize the opportunities to give when you see them.

Reach out Connect with an old friend. Strike up a conversation with someone at the grocery store. Or simply recommit to strengthening the relationships you already have. As humans, we thrive on social connection.

Think positive Negativity and quality living are incompatible. Cultivate optimism by counting your blessings. Name just one a day and in a month, you’ll be amazed by the change in your outlook. Glass half full? Yes, please!

Reference: 1 Physical activity improves quality of life (2013). American Heart Association. Retrieved from http://www.heart.org/HEARTORG/GettingHealthy/PhysicalActivity/ StartWalking/Physical-activity-improves-quality-of-life_UCM_307977_Article.jsp

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UNIVERSITY STUDY SHOWS

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NOPALEA™ LOWERS C-REACTIVE PROTEIN NOPALEA is the delicious, nutrient-rich drink that features the superfruit of the Nopal cactus. In the double-blind, randomized, placebocontrolled study in the U.S., 286 participants drank either a daily serving of Nopalea or a placebo for an 8-week period. The subjects who drank Nopalea daily for 8 weeks saw an average drop in C-reactive protein, a measure of inflammation, of 20.9%. SUGGESTED USE: When taking Nopalea for the first time, drink 90 ml in the morning and 90 ml in the evening for 60 days. For maintenance, drink 30–90 ml daily depending on your body’s needs. May be mixed with water or your favorite beverage. Keep refrigerated.

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Members whose testimonials appear in print or online receive $25 in TriVita product credits.

June 2014 l 31

ABOUT WEIGHT

What’s “in the news” about weight loss Excess sugar consumption leads to higher rates of cardiovascular death Americans have a love affair with sugary foods and drink. This has helped double the risk of heart-related premature death, warns a recent research study. The new study published in JAMA Internal Medicine examines how added sugars affect death rates from cardiovascular disease. Sugarsweetened beverages like soda are the leading source of added sugar consumption in the U.S., followed by desserts like cookies and cakes. The study found that people who consumed the highest amounts of added sugar were more than twice as likely to die from cardiovascular disease.1,2 Rigid parenting style linked to obese kids Kids who have demanding parents are far more likely to be obese than children whose parents offer a more balanced parenting style, new research suggests. Canadian scientists found that obesity rates were about 1/3 higher in children up to age 11 whose parents have a more authoritarian parenting style. These kids were significantly heavier compared to those whose parents were more affectionate, willing to discuss behavior limits and set healthy boundaries. Obesity rates for children in the United States have more than nearly doubled in the past 30 years. In Canada, obesity rates among children and teens have nearly tripled in the past three decades.3

the weekend. Nearly everyone gradually loses weight during the week and then gains it back over the weekend, a team of American and Finnish researchers reported. But the researchers found that people who successfully lose weight and keep it off are those who maintain healthy eating habits during the week. Those who consistently lost weight in the study tended to compensate more strictly during the week for their weekend weight gain, the researchers noted. Study participants’ weight began decreasing immediately on Monday and continued downward until Friday, while people who tended to gain weight showed a weaker weekday compensation for the weekend’s indulgences. Researchers believe this occurs because weekdays are more regimented, making it easier for people to watch what they eat. Meanwhile, the weekends offer many temptations.4

References: 1 E xcess sugar consumption from soda, desserts leads to higher rates of cardiovascular death. Retrieved from http://www.foxnews.com/ health/2014/02/04/excess-sugar-consumption-from-soda-desserts-leads-to-higher-rates-of-cardiovascular-death/?intcmp=latestnews 2 Added Sugar Intake and Cardiovascular Disease Mortality Among US Adults. Quanhe Yang, PhD., et. al. JAMA Internal Medicine, February 3, 2014. Retrieved from http://archinte.jamanetwork.com/article.aspx?articleid=1819573&resultClick=3 3 Kakimi L., et al. Rigid Parenting Style Linked to Obese Kids. Medline Plus. Retrieved from: http://www.nlm.nih.gov/medlineplus/news/fullstory_ 145200.html 4 Orsama A.-L., Mattila E., et al. Weight rhythms: weight increases during weekends and decreases during weekdays. Obesity Facts, European Journal of Obesity. February 2014. 7:36-47 (DOI:10.1159/000356147

Weekday meals may be key to losing weight A new study suggests that people trying to lose weight should pay close attention to what they eat during the week, and not worry as much about enjoying themselves during 32 l VITAJOURNAL

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Summer fun, summer sun Take steps to avoid getting burned

ummertime! How many memories revolve around the sunny days of summer? This year, don’t create bad memories by soaking up too much sun: overexposure to the sun’s harsh rays can mean a painful sunburn in the short term, and lead to more serious long-term problems such as skin cancer, premature aging, eye damage and even immune system suppression. Help protect yourself and your family with these “SunWise” action steps from the U.S. Environmental Protection Agency (EPA): Don’t burn: Sunburns significantly increase lifetime risk of developing skin cancer, especially for children. Avoid tanning—outside and at tanning salons: UV light from tanning beds and the sun causes skin cancer and wrinkling.

Avoid getting sick with this simple quiz Foodborne illness peaks in summer months; before grilling in the backyard or packing a picnic, check your summer food safety smarts with this short quiz from Foodsafety.gov. 1. Why do foodborne illnesses increase during the summer? A. Bacteria, including those that cause foodborne illness, tend to multiply faster when temperatures are warm. B. People are cooking and eating outside more, away from the refrigerators, thermometers and washing facilities of a kitchen. C. Both a and b. 2. How can you tell if your grilled burgers are done and safe to eat? A. They have been cooked for at least 4 minutes on each side. B. A thermometer inserted in the middle of the patties registers at least 160 degrees Fahrenheit. C. They are brown in the middle and no pink is showing.

Use sunscreen—generously: Cover all exposed skin 20 minutes before heading outside. Use a sunscreen with a Sun Protection Factor (SPF) of at least 15 that offers both ultraviolet A (UVA) and ultraviolet B (UVB) protection. Reapply every two hours and after swimming or sweating.

3. Is it safe to put cooked burgers back on the plate that held the raw meat? A. Yes, as long as you wipe off the plate with a paper towel.

Wear protective clothing: Wear a long-sleeved shirt, pants, a wide-brimmed hat and sunglasses, when possible.

C. No, because any bacteria in the raw meat or juices could contaminate the cooked burgers.

Check the UV Index: The UV Index forecasts the strength of the sun’s harmful rays. The higher the number, the greater the chance of sun damage. The forecast is issued daily by the National Weather Service and EPA. Visit www.epa.gov/ sunwise/uvindex.html when planning outdoor activity. Get Vitamin D safely: Get Vitamin D through fortified foods and supplements. Don’t seek the sun. Reference: Action Steps for Sun Protection (2014). U.S. Environmental Protection Agency. Retrieved from http://www2.epa.gov/sunwise/action-steps-sun-protection

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4. It’s 3 p.m. and you just finished making fresh salsa for a 6 p.m. party. Is it safe to leave the salsa out on the counter until the party begins? A. Yes, because the acid in the tomatoes will keep harmful bacteria from growing. B. No, because bacteria grows rapidly in food at room temperature. C. No, because your family might eat it all before the party starts. Answers: 1. c; 2. b; 3. c; 4. b

Seek shade: Stay in the shade when possible, especially between 10 a.m. and 4 p.m., when UV rays are strongest.

B. Yes, because the burgers are thoroughly cooked.

Reference: What’s Your Summer Food Safety IQ? (2010). Foodsafety.gov, United States Department of Health and Human Services. Retrieved from http://www.foodsafety.gov/blog/summer_quiz.html

June 2014 l 33

TriVita's 10 Foundational Values

Director of Publications Pam Molenda Creative Director Craig Hedges

Providing you with the health products you need to achieve greater wellness is a tremendous responsibility—it’s one we take very seriously. That’s why we developed, and rigorously follow, a strict adherence to a code of quality, integrity and innovation. It’s called our 10 Foundational Values and it means you’re assured of getting the best product experience in 10 indispensable ways:

1. Scientifically Validated Formulas

Production Manager Roger Barger Senior Designer Karin Burklein Graphic Designers James Metcalf, Cheryl Earl Editorial Assistant Ginny Schoonaert Feature Writers Cheryl Romano, Heather Giedt, Steve Solomon

Our medical board uses their extensive health and nutrition knowledge to review proprietary TriVita supplements based on the latest scientific research and the health and wellness concerns of our Members.

Contributing Writers Michael Ellison, Founder of TriVita Esmeralda Garcia, TriVita Formulation Scientist Christa Orecchio, Certified Clinical Nutritionist Donna Kafer, Chaplain Mamiko Odegard, Ph.D. Scott Conard, M.D. Eric Grief, M.D. Sandra Bond Chapman, Ph.D. Harolyn Gilles, M.D., FAAFP Michael Radulescu, M.D. Jolene Goring, Wellness Center Director of Fitness

2. Unique Delivery Systems

Unlike other supplements that can be difficult to absorb, TriVita supplements are developed for better absorption and effect.

3. Controlled Laboratory Studies

Signature products from TriVita undergo medical studies and trials at accredited university medical centers and laboratories to ensure their effectiveness.

4. Pure Ingredients

TriVita uses high-quality essential nutrients available to create effective, body-friendly formulas without mood altering stimulants or harmful chemicals.

5. Pharmaceutical-Grade Quality

We voluntarily adhere to the strict manufacturing guidelines of the Good Manufacturing Practices (GMP).

6. Third-Party Testing and Certification

In addition to our own quality control, we commission third-party testing and research to guarantee that our products are full potency and meet all regulatory standards.

7. Quality-Controlled Packaging and Production

Safety is a top priority in our packaging and manufacturing. Each product is inspected multiple times and we use two safety seals per package on ingestible products to guarantee safety, freshness and product potency.

8. Dedicated to Product Innovation

TriVita’s commitment to science is a driving force behind our superior quality products, from formulation to production. We put the utmost care into creating products that deliver positive and lifelong wellness experiences for our Members.

9. Medical Advisory Board

TriVita’s advisory panel of Board Certified physicians provide us with the latest information on scientific developments and testing methods.

The VitaJournal is published by TriVita, Inc., 16100 N. Greenway Hayden Loop, Suite 950, Scottsdale, AZ 85260, Printed in the USA, ©2014 TriVita, Inc. All rights reserved. The VitaJournal welcomes Member questions, photographs and testimonials. All submitted materials become the property of TriVita, Inc. and may be edited for publication. Submissions should be directed to: Story@TriVita.com. SUBSCRIPTIONS: Subscription to the monthly VitaJournal is FREE to active TriVita Members. Subscription to TriVita’s Wellness Report (delivered to your email address) is also FREE to TriVita Members. If you would like to receive this informative Wellness Report, call 1-800-344-8797 and give a Wellness Consultant a valid email address. The VitaJournal is distributed for information purposes only and does not constitute professional or medical advice. Prices in this publication are current as of the date of printing and do not include local tax, shipping and handling charges. Best Price Club pricing featured in red is only available to those who have one or more products on AutoDelivery. Opinions expressed by authors are not necessarily those of the publisher. The VitaJournal may be reproduced only by TriVita Members. Other reproductions, in whole or in part, are prohibited without the express permission of the publisher. For Questions: 1-877-850-2968

The information in this VitaJournal may contain errors or inaccuracies. We reserve the right to change prices, selections, update information and limit quantities without prior notice. Experience Wellness is a registered trademark of TriVita Inc. Children, women who are pregnant or nursing, and all individuals allergic to any foods or ingredients should consult their healthcare provider before using any product. To report a serious adverse event or obtain product information, contact 1-800-344-8797. These products are not intended to diagnose, treat, cure or prevent any disease.

10. Complete Customer

Satisfaction Guarantee

We promise to provide the best customer experience possible and offer a 60-Day Money Back Guarantee on all of our products.

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Our Wellness Consultants are here Monday through Friday 8:00 a.m. to 10:00 p.m., EST, and Saturday from 10:00 a.m. to 7:00 p.m., EST. The CARE Center is closed on Sunday. Order online 7 days a week at TriVita.com. Follow us on:

facebook.com/TriVita

twitter.com/TriVitaInc

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FREE PHYSICIAN-SUPPORTED

WEIGHT MANAGEMENT CONSULTATION Call today about the Weight Management Program (WMP) at TriVita’s Wellness Center. From this fully licensed medical facility, you’ll get all this FREE! • FREE weight management consultation • FREE personalized nutrition plan • FREE weight loss supplement recommendations It’s physician-supported weight loss for wellness with Dr. Harolyn Gilles, our Wellness Center Physician.

Harolyn Gilles, M.D., FAAFP

Call now, and find out about additional options available to help you lose weight your way.

CALL TOLL-FREE 1-888-669-5036 (To order or ask questions about TriVita products, call 1-800-344-8797.)

WELLNESS IS JUST ONE OF THE REWARDS! BEST PRICE CLUB

Now you can enjoy the best pricing on all of your TriVita product purchases just by joining TriVita’s Best Price Club. Best Price Guarantee Convenient Auto-Delivery Great Flexibility Exclusive Rewards

Bonus Offers Dedicated Toll-free Number Surprise Gifts Change or Cancel at Any Time

Join the Club! Simply call us toll-free at 1-800-344-8797 to set up one or more products you want delivered automatically to your door each month and we’ll take care of the rest. It’s that easy!* To learn more, visit TriVita.com/BestPriceClub. *Best Price Club pricing is available to those who have one or more products on auto-delivery.

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June 2014 l 35

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