TriVita August VitaJournal 2014- Canada

experience wellness ®

August 2014

Connecting with your WHY pgs. 6–7

“ Why” is the first step to weight loss p. 4

Keep the pounds down as the years add up p. 12

pgs. 30-31

Women & weight loss Tammy Pon, M.D. pgs. 16-17

THOUGHTS FROM THE EDITOR

Managing weight is for everyone— what’s your “why?”

Pam Molenda and daughter Tiffany

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 Emotional 6. Give and Receive Love 7. Be Forgiving 8. Practice Gratitude 9. Develop Acceptance Spiritual 10. D evelop a Relationship with God

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n this month’s issue, you’ll notice a particular theme—weight loss for wellness. We all know that maintaining a healthy weight is key to leading a healthy life. Countless people start new diets every day, but often people don’t take the time to really think about “why” they want to lose weight.

We know you’ll enjoy reading the exclusive article on pages 6-7 of Peter and Ann Pretorius —two humanitarians who have been fulfilling their calling for years in the ministry of feeding starving children. Although there is no question as to what their life’s purpose is, it wasn’t until recently on a trip to TriVita’s Wellness Center that they realized that without their wellness, they couldn’t completely fulfill that God-given purpose.

Seeing kids’ lives change because of two simple (but not always available) things, nutrition and education, is mind-boggling. Recently on a walk, I came upon an elementary school that was buzzing. I saw little girls lined up along the fence doing handstands, boys kicking a ball around, and I thought to myself, “This is so much the ‘norm’ in North America.” But, none of these kids would have the energy or stamina to play if they didn’t have proper nutrition. Just to know what TriVita is doing with our LeanForward program: Drink a Leanology Shake, Feed a Child, invokes such good feelings. You can also read what TriVita is doing in our own community with Children First Academy. Most of these children are below poverty level and/or homeless, but thriving because of powerful programs in place that we’re fortunate to be a part of. Read more on page 26.

All of this talk has made me circle back with myself on the question: “Why do I want to maintain a healthy weight?” I don’t feel I have some big calling in my life, but I still feel I have a lot to contribute and can make a difference. Recently I spent the weekend with my oldest daughter, Tiffany, and we rode bikes for about seven hours all over Santa Monica, CA. I am so happy to be able to keep up with her! It didn’t hit me until after I got back to Arizona and she texted me saying how much fun she had as to how blessed I truly am.

There are so many years when our kids don’t want to have anything to do with us, and all three of mine actually enjoy hanging out with me! I feel that’s because I still am vibrant and healthy and take my wellness seriously.

Pam Molenda, Editor

WELL-BEING

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AUGUST 2014

With Your Why. 6 Connecting How two humanitarians realized the power of wellness.

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p. 6

Why Body Mass Index (BMI) Is So Important

Lowering BMI can reduce health risks.

Keep Pounds Down 12

Three simple ways to stay youthfully trim.

Healthy Weight, Healthy Inflammation 14

What wellness looks like.

Why Weight Loss is Easier for Men… 16

… and what women can do about it: Tammy Pon, M.D.

Stuck On a Weight Loss Plateau?

18

Harolyn Gilles, M.D., on how to move on.

p. 12

Behind the Label 19

Formulas for wellness: How TriVita products are born.

Runaway Obesity in Children 20 The scary result… children are aging faster than ever.

How to Live to 90 33 Uncovering the longevity secrets of the “oldest old.” p. 20 Follow us on:

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August 2014 l 3

PURSUING WELLNESS

The secret to weight loss success?

Finding your “why”

By Michael R. Ellison

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his month we are featuring weight loss for wellness. One of the greatest steps you can take in your healthy aging, as well as in enhancing overall wellness, is to maintain a good healthy weight. Not doing crazy diets that offer no hope for lifestyle adaptation, but taking the systematic steps Michael R. Ellison toward a low calorie but nutrient Founder of TriVita dense diet. I encourage you ® to try Leanology Garcinia Cambogia, at special savings this month. And soon, you will be able to add Leanology Soft Chews to your daily routine: the low calorie, delicious snacks that are a healthy alternative to high calorie, sugar- and salt-based snacks. We all snack, so why not snack healthy? (Watch for new Leanology Chews in an upcoming catalog.)

The benefits of maintaining good weight are significant.

Fat cells are not only UNSIGHTLY but they are also UNHEALTHY; they store many toxins which are harmful to your health. Most toxins are fat soluble and are attracted to fat where they may accumulate and reside for long periods of time. When the body gets overloaded, whatever length of time that is, a health issue will arise.

The sign as you walk into TriVita’s Wellness Center.

know why you want to lose weight. If you can personally establish a strong enough reason “WHY,” you are going to find a way to lose the weight. The Leanology Smart Weight Loss System is a support system to help you do so.

It is Smart because it knows you need a lifestyle change; it knows you will cheat but the system gets you back on track; it knows you will snack so it offers healthy snacks to help you achieve the weight loss while gradually and systematically changing your lifestyle habits. Plus, it offers free interactive coaching. It truly is the intelligent way to lose weight!

To learn how your “why” can work with your purpose in life, be sure to read the article on Peter and Ann Pretorius, founders of the humanitarian aid organization, JAM International (Joint Aid Management). I had the privilege of explaining the TriVita Wellness Center to Peter and Ann while we were in Mozambique, Africa. At the time I did not realize they would be in the U.S. in the next few weeks and would arrange their schedule to visit TriVita headquarters. In the featured article, you’ll read how the message posted in the TriVita Wellness Center—“Why are you here?”—resonated with them. You see, when you can connect your “why” for wellness with your purpose here on Earth, powerful things happen. Peter and Ann truly know their why and they are enhancing their wellness for their purpose. Read their remarkable story on pages 6-7.

Pursue wellness with passion!

To succeed with any weight loss program, it is vital that you

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LEANOLOGY® GARCINIA CAMBOGIA

WEIGHT LOSS MYTHS AND FACTS You don’t have to search far to find information— and loads of misinformation—about weight loss.

Separate fact from fiction with these myths and facts from the National Institute of Diabetes and Digestive and Kidney Diseases: Myth: If I skip meals, I can lose weight.

Fact: Skipping meals may make you feel hungrier and lead you to eat more than you normally would at your next meal. In particular, studies show a link between skipping breakfast and obesity.

Myth: Some people can eat whatever they want and still lose weight.

Fact: Everyone must use more energy than they take in through food and drink to lose weight.

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Myth: Eating meat is bad for my health and makes it harder to lose weight.

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Fact: Eating lean meat in small amounts can be part of a healthy plan to lose weight. Chicken, fish, pork and red meat contain some cholesterol and saturated fat but also contain healthy nutrients like iron, protein and zinc.

Myth: Dairy products are fattening and unhealthy.

Fact: Fat-free and low-fat cheese, milk and yogurt are just as healthy as whole-milk dairy products, and they are lower in fat and calories.

Reference: Weight-loss and Nutrition Myths. Weight control Information Network, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK).

Retrieved from http://win.niddk.nih.gov/publications/myths.htm

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August 2014 l 5

Connecting with YOUR WHY:

How two humanitarians realized the power of wellness For 30 years, Peter and Ann Pretorius have labored to feed needy children in Africa and uplift them to better lives. They are the leaders of Joint Aid Management (JAM), established originally in South Africa and now operating in five African countries, the U.S., Canada, the United Kingdom and Europe.

They work tirelessly for the innocent victims of poverty and conflict. By 2013 they were feeding more than a million hungry children, supplying them with a daily nutritious meal through JAM’s school feeding program.

JAM has long been supported by TriVita Founder Michael Ellison and his wife Susan. Thanks to their humanitarian partnership, LeanForward, every Leanology® Nutritional Shake consumed provides a healthy meal to a malnourished child.

Peter and Ann recently visited TriVita’s Wellness Center in Scottsdale, AZ, and talked with the VitaJournal about their life-changing experience.

P

eter and Ann Pretorius have been living their life purpose for decades, providing food to hungry children through their humanitarian aid organization, Joint Aid Management (JAM). But when they walked into TriVita’s Wellness Center, the sign at the entrance took them aback: it reads “Why are you here?”

“It provoked us to know that it was time for us to work at improving our wellness, so we can be more effective in fulfilling the purpose God has for us,” says Peter. “Yes, we were in Scottsdale to meet with Michael and the TriVita staff, but why were we in the Wellness Center? What was the reality of what we were hoping to receive there?”

The couple realized that they were there to get a plan for their own health and wellness so that they could continue to change lives. While Ann was keen on undergoing the array of wellness tests administered by the Center’s medical doctor and fitness director, Peter’s focus was weight.

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Ann and P

us eter Pretori

A wake-up call that worked “It was a wake-up call,” remembers Peter, whose weight has see-sawed over the years. “All the tests showed how much I was overweight, and I got an eating plan that made sense.”

His plan emphasized low-calorie, low-carbohydrate, high-protein nutrition anchored by the Leanology Nutritional Shake.

“I lost about 28 pounds, and I feel so much more healthy and energetic,” he reports. “Two Shakes and a healthy meal really work.” His goal? Another 50 pounds lost by late this year, and optimal fitness by March 2015.

Ann’s focus was exercise, and her customized activity plan has helped her be stronger and more energetic. Peter’s exercise plan is on hold while he recovers from knee surgery, but “As soon as I’m able, I’ll regain my fitness; the Wellness Center has shown us how to get there.”

Of course, Peter and Ann always knew that their own wellness connects with their life purpose. Until their visit to the Wellness Center, though, they didn’t have the tools and guidance to make lasting improvements.

“For the past 30 years we have lived a life of sacrifice for the sake of others, and have somewhat neglected our own wellness needs,” says Peter. “After going through the program at the Wellness Center, we took away more than a weight loss plan. We also got an appreciation of the importance of living a disciplined lifestyle, staying strong and healthy so we can continue to be effective in leading JAM.” “Without wellness, you can’t fulfill your purpose” Saving lives has literally been Peter and Ann’s work. Through feeding programs, plus efforts in providing clean water and improved agriculture in many African communities, they’ve turned young lives from misery to success. Connecting that purpose to their own wellness gives them motivation to keep going on their personal wellness journey.

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“For each and every one of us, God has a purpose, a sovereign purpose,” says Peter. “The truth is, if your health fails, without wellness, you can’t fulfill your purpose. I believe God still has a number of years for us to keep on doing our work. To do that, we have to be fit, we have to be healthy.”

Greater wellness also means that Peter and Ann can look forward to years of watching their own family grow and thrive. They have six children and 13 grandchildren. “Of course, we want to see our grandchildren get married and have great-grandchildren one day,” says Peter. “These things are hugely important to our future.”

The effect of the couple’s visit to the Wellness Center has rippled throughout the family. Their youngest daughter is now drinking two Shakes a day, and her siblings are interested in the Leanology nutrition plan, too.

Looking toward the future of JAM’s alliance with TriVita and the LeanForward program linked to Leanology, Peter is enthusiastic and hopeful.

“We are trusting that people from all over the world will ‘lean’ into this program and join hands with us, enabling many, many more hungry children in Africa to also enjoy health and wellness.

“LeanForward is a great trade,” he continues. “It works in an opposite way for both sides: Shake drinkers are looking to lose weight or maintain wellness; the children they benefit naturally don’t need to lose weight, but they desperately need good nutrition. By working at your own wellness, you’re also reaching out and bringing wellness to a child who can’t provide for himself.”

Could there be a “Why?” that matters more?

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From helpless souls to healthy children: See the stories of Jacob and Matthew They were starving. They were sick. But now they’re fully alive and thriving, thanks to JAM. The description fits countless thousands of African children, and the journeys of two in particular will touch your heart.

Experience the moving stories of young Jacob and Matthew on these Web pages: Jacob: youtube.com/watch?v=5lW N0xFwbF8&feature=youtu.be Matthew: youtube.com/ watch?v=5Cfo-pxirQ8 For more information on the work of JAM, and to make a donation to their heartfelt cause, visit jamint.com

August 2014 l 7

Why Body Mass Index (BMI) is so important Lowering BMI can reduce health risks1

What is BMI? Body Mass Index (BMI)—most people have heard about it, but very few people know what it really means. BMI is a number calculated from a person’s weight and height. It is considered by many healthcare professionals to be a reliable indicator of body fat for people.

And, it’s also an inexpensive and easyto-perform screening tool that may help indicate possible weight-related health problems.

How BMI is used BMI is a measurement tool, not a diagnostic one. Just because you have a high BMI doesn’t necessarily mean you should be alarmed. To determine if excess weight is a health risk, a healthcare professional may use other assessments, including: • Skinfold thickness • Diet • Level of physical activity • Family history and other appropriate health screenings BMI reliability The relationship between the BMI number and body fat is fairly strong; however the correlation varies by sex, race and age. Look for these variations: 8 l VITAJOURNAL

• At the same BMI, women tend to have more body fat than men.

• At the same BMI, older people on average have more body fat than younger adults.

• Highly-trained athletes have a high BMI because of increased muscularity, instead of increased body fat.

Higher BMI = higher disease risk Statistics clearly indicate that a higher BMI reading often indicates obesity.

Obesity also increases your risk of getting a disease. So, by lowering your BMI readings, you will improve your chances for good health.

If your BMI is between 25 and 30, you should seek ways to lower BMI using diet and exercise.

A BMI reading over 30 indicates an unhealthy condition. You may be at risk for serious medical problems. A change in your diet and exercise program is strongly encouraged.

Benefits of lower BMI The advantages of maintaining a healthy weight go far beyond improved energy and smaller clothing sizes. By losing weight or maintaining a healthy weight, you are also likely to enjoy:

• Fewer joint and muscle pains • Greater ability to join in desired activities • Better regulation of bodily fluids and blood pressure • Reduced burden on your heart and circulatory system • Better sleep patterns • More effective metabolism of sugars and carbohydrates • Reduced risk for heart disease and certain cancers Ways to lower BMI • Increase your exercise • Cut daily calorie intake by 500 to 1,000 calories and eliminate empty calories • Drink more water • Avoid crash diets • Limit added sugar • Cut out the packaged/processed and fast foods To determine your own BMI, go to diabetes.ca and search for BMI calculator.

Reference: 1 H. Sanada, et al. “High body mass index is an important risk factor for the development of Type 2 Diabetes.” US National Library of Medicine/National Institutes of Health. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/22821094

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And then, the good feeling I had before all that extra, turns bad. This morning I took TriVita’s Garcinia Cambogia as I was preparing breakfast, so it had about 30 minutes to ‘work’ before I actually sat down. I finished my favorite breakfast and then started my day. An hour later, I realized that I didn’t feel the need to snack. People who want to tweak their eating habits to even higher levels of wellness can benefit from using TriVita’s Garcinia Cambogia.”

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“Garcinia Cambogia helped normalize my eating patterns.”

“Garcinia Cambogia has been a startling success in my life! I realized I have stopped my emotional eating, and am satisfied with my Leanology plan. My food cravings have ceased to be excessive.

Garcinia Cambogia helped normalize my eating patterns even after going through stressful events. This type of stress previously would have caused my over-indulgence in food. Garcinia Cambogia is working in a positive manner for me with just three capsules daily.”

Jana L. Member—Scottsdale, AZ Before starting any weight loss program, check with your healthcare provider. Also, elevate your activity and eat nutritiously for weight management success.

August 2014 l 9

Eat more, weigh less?

How to manage your weight without being hungry

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ave you tried to lose weight by cutting down the amount of food you eat? Do you still feel hungry and not satisfied after eating? Or have you avoided trying to lose weight because you’re afraid of feeling hungry all the time? If so, you are not alone. Many people throw in the towel on weight loss because they feel deprived and hungry when they eat less.

Here are suggestions from the Centers for Disease Control (CDC) on eating foods that will fill you up without eating a large amount of calories.

What foods will fill me up?

The chart below will help you make smart food choices that are part of a healthy eating plan.

These foods will fill you up with less calories.

Choose them more often…

These foods can pack more calories into each bite. Choose them less often…

Fruits and Vegetables (prepared without added fat)

Fried foods

Spinach, broccoli, tomato, carrots, watermelon, berries, apples

Eggs fried in butter, fried vegetables, French fries

Low-fat and fat-free milk products

Full-fat milk products

Low- or fat-free milk, low or fat-free yogurt, lowor fat-free cottage cheese

Full-fat cheese, full-fat ice cream,whole and 2% milk

Broth-based soup

Dry snack foods

Vegetable-based soups, soups with chicken or beef broth, tomato soups (without cream)

Crackers or pretzels, cookies, chips, dried fruits

Whole grains

Higher-fat and higher-sugar foods

Brown rice, whole wheat bread, whole wheat pastas, popcorn

Croissants, margarine, shortening and butter, doughnuts, candy bars, cakes and pastries

Lean meat, poultry and fish

Fatty cuts of meat

Grilled salmon, chicken breast without skin, ground beef (lean or extra lean)

Bacon, brisket, ground beef (regular)

Legumes (beans and peas) Black, red kidney and pinto beans (without added fat), green peas, black-eyed peas Reference: “Eat More, Weigh Less?” Centers For Disease Control and Prevention. Retrieved from http://www.cdc.gov/healthyweight/healthy_eating/energy_density.html

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Snapshot

WOMEN’S HEALTH

54%

Worldwide percentage of people 60 and over who are women.

That figure rises to 60% for people 75 and older and jumps up to 70% for the 90+ age bracket.

4 years

Globally, the average number of years women outlive men. This gap has decreased in recent decades.

#1

Rank of cardiovascular disease as a cause of death for women (worldwide). Although cardiovascular disease is also the leading cause of death for men, women are more likely to die following a heart attack.

8-fold

The increased risk of heart disease women with diabetes face compared to women without diabetes. By 2020, an estimated 3.7 million Canadians are expected to have been diagnosed with diabetes.

1 in 3

Number of women worldwide who will experience an osteoporosis-related fracture after the age of 50. It’s estimated that 200 million women worldwide are affected by osteoporosis.

40

Age at which most women should discuss breast cancer screening with their healthcare provider. Starting at age 50, screening is recommended every two years.

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August 2014 l 11

THE DOCTOR IS IN

Keep pounds down as the years add up Three simple ways to stay youthfully trim

By Eric Grief, M.D.

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Most vegetables like broccoli, cucumber, cauliflower, onion, lettuce and mushrooms also promote fat loss by keeping sugar levels low.

Fat accumulation usually means your body is releasing too much insulin, a protein released from the pancreas gland and which is responsible for transporting sugar to where it is needed for energy. Unfortunately, in excessive amounts, insulin promotes the storage of fat.

2. When we eat By eating small amounts frequently throughout the day, your body’s metabolic machinery can stay active. Skipping breakfast leaves your body’s metabolic machinery in “sleep mode.” Try to eat at least three hours before bed. Not eating late also promotes a more restful sleep, which is our final step in losing fat.

ave you noticed your waistline expanding with age? This expansion results from gaining fat around your mid-section. This “spare tire” is more common in men than in women, who usually add fat at or below the hips.

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.

The solution for both high insulin levels and too much fat around the mid-section lies in three simple things: the foods we eat, the timing of our food consumption and staying relaxed.

1. The foods we eat All sugars are not equal. For example, drinking a glass of orange juice provides a boost of energy. This short-lived boost of sugar energy can cause your pancreas to overreact and release too much insulin.

Unless you burn the sugar energy soon after drinking the juice, the juice can turn to fat!

Consuming sugar earlier in the day gives you the chance to use it for your activities.

Choosing foods and drink that keep sugar levels low is vital to losing fat around the mid-section. Some examples are fish, chicken, tofu, lentils, lean beef and avocado.

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3. Staying relaxed A restful sleep and a low-stress approach to life help to lose fat. Sleep helps the gut release a chemical messenger called leptin, a hormone that turns off your appetite for food. Inadequate leptin levels can cause you to be too hungry and make it more difficult to choose food and drink wisely.

Relaxing exercise that stretches and opens up your body’s muscles and tissues helps you release fat better. When your body is tight, contracted and tense, it is much harder to release fat and stored toxins. Deep breathing, gentle stretching movements and walking are all good.

With these three steps, you can help avoid packing on the pounds as the years add up.

This article is intended for educational purposes only.

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O-mazing!

The benefits of omega-3 fatty acids

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nterest in omega-3 fatty acids has grown in recent years—for good reason. Studies show more and more health benefits of these polyunsaturated fats, which are essential to human health.

Help for the heart Perhaps best known for their heart health benefits, omega-3 fatty acids have been shown to help keep the heart beating at a steady rhythm, protecting against irregular rhythms or rates (called arrhythmia).1 Most arrhymthmias are harmless, but some can be serious, hindering the heart’s ability to pump enough blood to the body, which can lead to heart, brain and other organ damage.2 These essential acids can also help lower blood pressure and heart rate, and may even reduce triglycerides by 20-50%.1,3 In one study, heart attack survivors who consistently took omega-3 supplements were less likely to have another heart attack or stroke than those who took a placebo.4 Brain protection A recent University of South Dakota study found that omega-3 fatty acids appeared to slow age-related brain shrinkage.5 Blood levels of the omega-3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) were tested in 1,111 women from the Women’s Health Initiative Memory

Study with an average age of 70. Eight years later, the women underwent MRI testing to measure their brain volume.

Women with the highest levels of omega-3s in their blood had overall larger brains than women with lower levels; they also had an average 2.7% larger hippocampus region, an area of the brain that plays a vital role in memory. Study author James V. Pottala, PhD, said that the effect on brain volume is the equivalent of delaying the normal loss of brain cells by one to two years.

Quality sources of omega-3s The human body cannot manufacture omega-3s so it’s important to include them as part of a healthy, balanced diet.

Fatty fish, including salmon, mackerel, herring, sardines and albacore tuna are high in omega-3 fatty acids (the American Heart Association recommends eating fatty fish at least twice a week).6 Flaxseed, walnuts and green vegetables are other sources of omega-3s.

References: 1 Leaf A. (2007). Prevention of sudden cardiac death by n-3 polyunsaturated fatty acids. J Cardiovasc Med., 8 Suppl 1:S27-29.

2 W hat is an Arrhymthmia? (2011). National Heart, Lung, and Blood Institute, National Institutes of Health. Retrieved from http://www.nhlbi. nih.gov/health/health-topics/topics/arr/ 3 Fish oil (2013). Medline Plus, National Institutes of Health. Retrieved from http://www.nlm.nih.gov/medlineplus/druginfo/natural/993.html 4 D ietary supplementation with n-3 polyunsaturated fatty acids and vitamin E after myocardial infarction: results of the GISSI-Prevenzione trial.

Gruppo Italiano per lo Studio della Sopravvivenza nell’Infarto miocardico. Lancet. 1999; 354:447-55 5 J. V. Pottala, K. Yaffe, J. G. Robinson, M. A. Espeland, R. Wallace, W. S. Harris (2014). Higher RBC EPA DHA corresponds with larger total brain and hippocampal volumes: WHIMS-MRI Study. Neurology. DOI: 10.1212/WNL.0000000000000080 6 Fish and Omega-3 Fatty Acids (2014). American Heart Association. Retrieved from http://www.heart.org/HEARTORG/GettingHealthy/ NutritionCenter/HealthyDietGoals/Fish-and-Omega-3-Fatty-Acids_UCM_303248_Article.jsp

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INFLAMMATION UPDATE

Healthy weight, healthy inflammation: What wellness looks like

O

ver the last few years, medical researchers around the world have found strong links between two serious health issues: excess weight, and chronic (long-term) levels of inflammation.

fat cells in health. This obesity research “ultimately characterized obesity as a state of low-grade system inflammation,” the study said. Their findings were published in Nutrition Research Reviews.2

Here’s a quick look at just a few of the findings. While there are many differences among them, they share one conclusion: losing excess fat, and getting inflammation levels under control, seem to be the keys to genuine wellness. The inflammation under scrutiny is not the short-term kind, like the redness and swelling of a cut finger: It’s the long-term, “hidden” inflammation that can lead to a host of major health problems.

Unhealthy fat actively harms us

Obesity = inflammation = disease

Until recently, unhealthy fat tissue (called “adipose” tissue in medicine), was thought to be no more than a storage bin for unneeded energy: fat. Now, though, adipose tissue “is emerging as an active tissue in the regulation of physiological and pathological processes, including immunity and inflammation.” That’s the view of researchers in Korea, writing in the journal Pediatric Gastroenterology, Hepatology & Nutrition.

The global epidemic of obesity means more than an increase in heart disease, high blood pressure and other grave health issues. In a major review of recent research last year, scholars in Mexico noted that obesity is established as a cause of chronic inflammation. Together, excess fat and inflammation are linked with Type 2 diabetes, heart disease, stroke, some types of cancer and osteoarthritis.1

Because adipose tissue releases chemicals that promote inflammation, excess weight threatens health with diseases such as Type 2 diabetes and heart disease. To help reduce weight and reduce unhealthy fat tissue, the scholars advocated “Optimal nutrition”: lots of fruits and vegetables, appropriate vitamins and minerals and low amounts of trans-fats and saturated fats.3

While the process isn’t yet fully understood, it seems that excess fat promotes high levels of inflammatory “messengers” called cytokines. These cytokines trigger inflammation throughout the body. The researchers conclude that achieving a healthy weight can help get inflammation under control, and reduce health risks worldwide.1 The findings were published in the International Journal of Endocrinology.

References: 1 Rodriguez-Hernandez H., Simental-Mendia L, et al. Obesity and Inflammation: epidemiology, risk factors, and markers of inflammation. Int J Endocrinol.

2013; 2013: 678159. Published online Apr 17, 2013. doi: 10.1155/2013/678159 Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3652163/ 2 Forsythe LK, Wallace JM, Livingstone MB. Obesity and inflammation: the effects of weight loss. Nutr Res Rev. 2008 Dec;21(2):117-33. Retrieved from: http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=2943648&fileId=S0954422408138732 3 Lee H, Lee IS, Choue R. Obesity, inflammation and diet. Pediatr Gastroenterol Hepatol Nutr. Sep 2013; 16(3): 143–152. doi: 10.5223/pghn.2013.16.3.143 Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3819692/

Weight loss makes a difference Losing at least 10% of body weight can not only reduce inflammation, but also increase the body’s fat-burning response. That’s what researchers in Ireland concluded, after reviewing a number of studies on the role of unhealthy 14 l VITAJOURNAL

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August 2014 l 15

THE DOCTOR IS IN

Why weight loss is easier for men—and what women can do about it

By Tammy Pon, M.D.

L

ike many things in life, weight loss between the genders just isn’t fair. Women have to count every little calorie and enjoy moderate exercise to lose three pounds, whereas a man can drop 15 pounds just by eating healthier and throwing in a little exercise.

What gives with that?

Tammy Pon, M.D., is a member of TriVita’s Medical Advisory Board.

A functional medicine physician, she received her medical degree from the University of Texas in Houston, USA. Dr. Pon completed specialty training in Healthy Aging.

Science gives us some obvious and not so obvious insight into this difference. First, men are structurally different than women, with a leaner, more muscular body composition.

This gives men a metabolic advantage— even when they sleep! Muscle is more metabolically active, burning more calories than fat.

Testosterone is the dominant sex hormone in men, which accounts for building muscle over storing fat. Testosterone also gives men a metabolic edge in stimulating the liver to make more active thyroid hormone, which turns on cellular metabolism. Estrogen is the dominant sex hormone in women. Estrogen promotes the accumulation of subcutaneous (under the skin) fat. This gives women curves if hormone balance is optimal, or unsightly cellulite if caloric intake exceeds caloric expenditure.

The science of hormones, muscle and fat It’s simple science: women start off at a disadvantage when it comes to burning calories. On the flip side, estrogen stimulates fat burning. A 2008 study comparing the body’s preference for fuel during endurance exercise found that women’s bodies

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prefer burning fat for fuel whereas men relied more on muscle glycogen (stores of glucose, or blood sugar). This may explain why testosterone builds muscle in men and estrogen contributes to fat deposits in women—fuel reserves. However, there is a difference in where men gain fat. Men tend to accumulate abdominal or dangerous “visceral fat” over women, but even this “bad” fat that men pack on their bellies is more metabolically active, so easier to lose by modifying lifestyle.

All this means that women have to work harder than men to maintain and lose weight.

Case in point: A 2013 study conducted at the University of Missouri looked at the effects of exercise on obese women and men with Type 2 diabetes. After a 16-week walking program, the women showed no benefit, but the men showed improvement in heart health. In another study at Syracuse (NY) University, men burned an average of 124 calories while running and 88 calories while walking, while women burned 105 calories and 74 calories, respectively.

Another variable, and it is a big one, is HORMONES! Men and women share the same hormones: estrogen, progesterone, testosterone, DHEA and thyroid hormone, to name a few. However, the hormone orchestra is playing a repetitive melody in men compared to a complex musical arrangement written by a great composer in women. It has been shown that women’s metabolism and appetite change throughout their menstrual TriVita.com

TriVita’s Healthcare Professionals arolyn C. Gilles, M.D., FAAFP H 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.

cycle. Additionally, some women “hit the wall” when they go through menopause and their estrogen drops. Estrogen had been found to trigger the “brakes” in the satiety (fullness) center of the brain, helping a woman know it is time to stop eating. Low estrogen levels as found in menopause dampen this cue and may contribute to overeating and weight gain.

Use biology to even the odds So, what’s a woman to do? Here are some helpful hints based on biology: • Take away the temptation!

Women’s brains respond differently to food than men’s. In one study, brain scans were conducted on men and women who were fasting. Both groups were presented with the sight, smell and taste of foods like brownies, pizza and fried chicken. The brain scans showed that men were able to control their desire for the tempting foods better than women.

• Don’t skip meals. It may come back to bite you.

The effect of fasting on hunger seems to be stronger in women than in men.

Uncontrolled hunger may sabotage your attempt to curb calories.

• Embrace proper portion sizes One study looked at women who dieted versus women who practiced restrained eating, keeping portion 1-800-344-8797

sizes in check. For long-term weight management, portion control works much better.

• Exercise is your friend If you want to “eat your cake” you can have it, but you need to “move” to burn those calories. I like the new wearable health monitors that help people track their daily caloric intake, physical activity and metabolic rate.

The monitors help people balance calories in with calories out for weight loss and weight maintenance.

• Work on keeping your hormones balanced Adrenal glands become the primary hormone factories around the age of menopause. Optimize adrenal function with healthy lifestyle choices, including adequate sleep. Consider working with a knowledgeable healthcare practitioner to assess your hormone levels including thyroid activity if you are still having difficulty maintaining a healthy weight with the above helpful hints.

When it comes to shedding unwanted pounds, science explains why men have it easier than women. But thanks to science, we also have insights on how women can win over excess weight.

Knowledge is power.

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.

This article is intended for educational purposes only.

August 2014 l 17

INSIDE THE WELLNESS CENTER

Stuck on a weight loss plateau?

How to move on

By Harolyn Gilles, M.D.

H

ave you hit a plateau on your path to a healthy weight? There can be several reasons for this… and some may surprise you.

First, a definition: after the first month in our Weight Management Program (WMP) at the Wellness Center, if you stay at the same weight for about a week, that’s a plateau.

The following are the main reasons clients get “stuck”: 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.

Eating. If you stray too far or for too long from your eating plan, you may stop losing weight. For every day you “cheat,” you may have two to three days of no weight loss.

Did you know you can even gain weight drinking diet sodas or coffee with artificial sweeteners? They both signal the body to increase its output of insulin, a proinflammatory hormone that causes fat storage.

Stress. Stress can be negative or positive, and it can affect us physically, emotionally and spiritually.

Physical stress: Lack of sleep is the number one stressor that I see when one of my patients hits a plateau. Travel, illnesses and surgery also impose great stress on the body. In these instances, levels of the stress hormone, cortisol, go up—and so does fat storage.

Emotional stress: A marriage, a divorce, a new job or a job loss—all these things, whether cause for celebration or gloom, create emotional stress. Anything that brings

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your mood very high or very low can signal your body to store fat.

Spiritual stress: If you miss your wellness weight goal, you can become disconnected with your purpose, and disconnected with your spiritual life.

Less exercise. When your activity level drops, it slows down your weight loss.

Lifestyle/toxins. Not drinking enough water will cause toxins to build up, which leads to fluid retention and decreased fat loss.

Drinking alcohol will slow down the weight loss process tremendously, and actually adds unwanted sugars that convert to fat. Smoking cigarettes or living with a smoker can make your body respond more slowly to new eating habits by lowering your metabolism.

Handling plateau triggers like these is a key benefit of our health coaching, conducted by our Fitness/Nutrition Director, Jolene Goring.

Our physician-supported “Weight Loss for Wellness” approach is customized to each person’s needs and issues. Contact us, and let us help you move on in wellness.

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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BEHIND THE LABEL

Formulas for wellness: How TriVita products are born

By Esmeralda Garcia TriVita Formulation Scientist

W

hen you open a box or bottle of a TriVita product, you’re taking the final step in a long process. From the newest products to the oldest favorites, developing our formulas is a painstaking combination of art and scientific know-how.

We listen to what our Members say: What they ask for or comment on when they call our CARE Center, or what they’re bringing up in letters and emails.

Member input is an important part of the process, but only a part. We keep up with the latest developments in nutrition and health research to determine what products will help support the wellness of our Members, and are also practical to bring to market.

Here’s a look at our formulation process: Product concepts Product concepts may come from a variety of sources, both internally from TriVita leadership, and externally. We consider: What are the market trends or latest technological innovations? What’s creating interest among our Members, or making an impact in media?

What needs aren’t being met?

For an example, look at one of our most popular and historic products: Sublingual B-12. It was Dr. Alfred Libby who helped demonstrate the need for an easy, inexpensive way to deliver this important vitamin. And it was Dr. Libby who patented this sublingual (under the tongue) delivery 1-800-344-8797

system. Early on, TriVita recognized how valuable this product could be, so we met the need with a product that’s still a bestseller, and still uses Dr. Libby’s original, patented process.

Constructing the formula Once a product concept has been developed, it goes to our Manufacturing Services group for formula creation. There are several rigorous steps involved here, such as: searching scientific literature; working with contract manufacturers to refine the formula; sourcing key ingredients from quality suppliers; creating samples; soliciting input from regulatory consultants and consulting with TriVita’s experts in nutrition, production and quality.

At this stage we might ask: Will the product be delivered in a capsule, tablet or powder?

What’s the easiest way for Members to use it, while getting the maximum effectiveness and safety? What should the suggested dosage be?

Will the ingredients be consistently available, from a quality source? All these questions and more need to be answered before that box or bottle arrives on your doorstep.

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 over five years’ experience in research and development and quality control for overthe-counter products and nutraceuticals.

Often, we spend time and money working with some of the best ingredient suppliers and manufacturing partners available in the industry. Always, we stay flexible and responsive, adjusting our formula until it’s the best we can offer.

August 2014 l 19

FAMILY MATTERS

Runaway obesity in children The scary result… children are aging faster than ever

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oughly two-thirds of adult Americans are overweight or obese. As a result, there’s a generation of obese children who can expect a shorter life expectancy at birth than their parents. Obese children have a higher risk of heart disease, diabetes and stroke. They are two times as likely as normal-weight children to develop some cancers and are much less likely to survive them. Prevalence of overweight children is especially higher among certain populations such as Hispanic, African Americans, Mexican Americans and Native Americans.

Simple healthy eating tips for parents and caregivers

A recent feature in Time magazine states that these same children aren’t only developing the diseases of adults; they are physically becoming adults at an earlier age. Some obese children have tissue damage that was previously seen in their parents’ and grandparents’ generations. Plus, millions of young people are being prescribed drugs that were never intended for anyone under 40.

• Serve and eat a variety of foods from each food group.

It’s even more difficult to reverse the long-term damages of childhood obesity. For example, scarred tissue in the liver may not recover, damaged chromosomes in the cells could be beyond repair and obesity can make permanent changes in metabolism that makes it much more difficult to process food efficiently. In fact, nonalcoholic fatty liver disease among children has increased dramatically. “Some children’s livers look like someone who has been drinking for years,” comments one doctor.

The key, most health professionals agree, is prevention.

That means starting early with healthy eating, encouraging physical activity and developing effective strategies for coping with stress. Childhood obesity clearly accelerates aging… the idea is to slow the process down to keep children from becoming old before their time.

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• Parents should choose what children can eat, what foods and drinks are in the home, what foods and drinks are served at meals and snacks, what restaurants they go to, but among those foods, parents should allow kids to choose whether they eat at all and how much to eat.

• Fruits and vegetables, as compared to high calorie snack foods (often high fat and high sugar), should be readily available in the home.

• Use small portions—child portions are usually very small, particularly compared to adult portions.

• Bake, broil, roast or grill meats instead of frying them.

• Limit use of high calorie, high fat and high sugar sauces and spreads.

• Use low-fat or non-fat and lower calorie dairy products.

• Support participation in play, sports and other physical activity at school, church or community leagues.

• Be active as a family. Go on a walk, bike ride, swim or hike together. Limit TV time and avoid eating while watching TV. • Avoid high-sugared drinks, especially sodas.

Reference: Tips for Parents & Caregivers to Help Establish Healthy Eating Patterns with Kids. Retrieved from http://www.obesity.org/resources-for/childhoodoverweight.htm

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DON’T LET A B-12 DEFICIENCY DRAG YOU DOWN

B-12 deficiency, anemia and Alzheimer’s:

Major study makes a connection

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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

ould a deficiency of Vitamin B-12 lead to Alzheimer’s disease and other forms of dementia? A major study shows that this might be the case, although indirectly.

For some time, medical science has known that insufficient B-12 can sometimes cause anemia (having insufficient red blood cells), among other symptoms.1 In a study of over 2,500 men and women in their 70s, researchers concluded that older adults with anemia could be at higher risk for mental decline.2 “We found a 60% increased risk of dementia with anemia. After controlling other factors such as other medical illness and demographics, the risk remained elevated 40 to 50%,” said lead study author Dr. Kristine Yaffe, a professor of psychiatry at the University of California, San Francisco.

The study team was careful to point out that their research doesn’t actually prove that anemia causes dementia. They did contend, though, that since anemia and dementia are common in older adults, screening for the blood condition would be a good idea.

Not enough oxygen to the brain According to Dr. Yaffe, the problem concerns oxygen to the brain. Red blood cells carry oxygen throughout the body; when someone is anemic, less oxygen is delivered to all the cells, including the brain.

For the study, published in the journal Neurology, researchers first tested all the participants for anemia. Then, over the course of 11 years, the 2,500+ men and women were given memory and thinking tests. Almost 400 participants had anemia at the start of the study. By the end of the study, 455 participants had developed dementia. Of all participants with anemia, 23% developed dementia, compared to 17% of those who weren’t anemic.

The researchers reported that people who had anemia at the start of the study were 41% more likely to develop dementia than those who didn’t have the blood condition. Alzheimer’s is the most common form of dementia.

References: 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

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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

2 Hong C, Falvey C, et al. Anemia and risk of dementia in older adults. July 31, 2013. Neurology. doi: 10.1212/WNL.0b013e31829e701d. Retrieved from: http://www.neurology.org/content/ early/2013/07/31/WNL.0b013e31829e701d.short

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August 2014 l 21

FIT FOR WELLNESS

Taming the trouble spots:

Better bottom shape-up

This is the third installment in Jolene’s series on targeted fitness.

By Jolene Goring TriVita Wellness Center Director of Fitness

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f you’ve been noticing that your butt isn’t as perky as it once was (where does time go?), you’re not alone. As we age, certain body parts can tend to droop—and the butt is definitely one of those areas. But you can fight back! Our mission this month: to save saggy bottoms from the dangers of all-day sitting and inactivity.

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.

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The muscles in the butt (called the “glutes”) are the largest muscles in the body. This is good news for us because it means that they are easy to activate. Big muscles like to take on most of the work, so with a few simple movements that you can do at home, you can start to sculpt a rounder, more uplifted butt.

Sit and Stand—This is a great functional exercise, which means that in addition to toning your butt, it also works your core muscles to protect your body from injury.

Simply sit down on a sturdy chair. Then stand up. Then sit down. Then stand up. Repeat this 10-20 times daily, and try not to use your arms to help you stand up.

Kickbacks—This is a fun way to tone your butt while you are moving around your home.

Every step that you take, kick back with the opposite leg. For example, if you step forward with the left foot, kick your right leg straight back behind you. Your foot should only rise about an inch above the ground—that’s all you need. Remember, those big glute muscles

WANT to activate. Step, kick step your way around your house. Be sure to keep your core tight to protect your lower back.

Ballerina Raises—Stand up as straight as you can with your tummy tucked in, your heels together and your toes apart like a ballerina.

Now rise up on your toes, squeezing your thighs together. You should feel your glutes tighten as you squeeze your legs together. You can hold on to a counter or the back of a chair to help you balance. Raise and lower for 10-20 counts. This is a good exercise to do while you are washing dishes or talking on the phone.

Above all, accept your body for where it’s at now. Our bodies are so responsive and resilient; just by making little changes we can get big results. Every single decision that we make either moves us closer to our goal, or further away. Which do you choose?

To book a free consultation with Jolene, call the TriVita Wellness Center toll-free at 1-888-669-5036.

Consult with your healthcare provider before beginning any exercise program.

TriVita.com

ABOUT WEIGHT

The latest in weight loss news The morning light may help you stay slim Spending time in the bright morning light may help you slim down, new research suggests. A small study, including 54 adults, found that people exposed to more light earlier, rather than later, in the day tended to be leaner than their peers. A special monitoring device worn on the wrist measured light exposure, sleep mid-point and duration of sleep for seven days.

Weight and height were self-reported. The researchers calculated body mass index (BMI) from those self-reported measurements. BMI is a rough estimate of a person’s body fat. The participants also kept food logs during the seven days they wore the monitoring device. Those who were exposed to brighter light earlier in the day were the slimmest. Researchers also noted that the impact of light may influence metabolic changes and possibly play a role in BMI.1

A little weight loss may ease sleep apnea A small amount of weight loss might help combat sleep apnea, a new Finnish study suggests. Researchers said that losing as little as 5% of body weight could lead to significant improvement in this condition in which breathing pauses frequently while people are asleep, resulting in disrupted sleep, daytime fatigue and potentially serious health risks.

The study team randomly assigned 57 moderately obese people with mild sleep apnea to a year-long supervised program of diet and exercise designed to get them to lose weight. During four years of follow-up, those who lost at least 5% of their body weight saw dramatic improvement in their sleep apnea. Those who maintained their weight loss saw an 80% reduction in progression of their condition, compared to those who didn’t lose weight. The report appeared in the journal Sleep Medicine.2

Fat hormone tied to colon cancer risk in obese men Obesity seems to increase the likelihood for developing precancerous growths called colorectal polyps, according to new research. The study, which was published recently in the journal PLoS One, specifically links polyp risk to several key characteristics of obesity, including elevated levels of the fat hormone leptin, a higher body mass index (BMI) and a larger waistline.

The study focused on 126 seemingly healthy men aged 48 to 65, all of whom had undergone colonoscopies. In addition, the team noted BMI scores, waist measurements and leptin levels for all participants. After cross-referencing overall results, the investigators determined that men who were obese faced a 6.5 times greater risk for having three or more colorectal polyps than those who were lean.3 References: 1 The morning light may help you stay slim, PLOS One, April 2, 2014. Retrieved from http://www.nlm.nih.gov/medlineplus/news/fullstory_145472.html 2 Henri Tuomilehto, et. al. The impact of weight reduction in the prevention of the progression of obstructive sleep apnea: an explanatory analysis of a 5-year observational follow-up trial. Sleep Medicine, 2014; DOI: 10.1016/j.sleep.2013.11.786. Retrieved from http://www.sciencedaily.com/releases/2014/02/140211083812.htm?utm_source=feedburner&utm_medium=feed&utm_campaignFeed%3A+sciencedaily%2Fheal th_medicine%2Fdiet_and_weight_loss+(Diet+and+Weight+Loss+News+--+ScienceDaily) 3 Fenton, Jennifer, et al. Fat hormone tied to colon cancer risk in obese men, PLoS One, January 2014. Retrieved from www.plosone.org

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August 2014 l 23

EATING FOR WELLNESS

8 ways to make summer grilling healthier

By Christa Orecchio

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or many of us, summer eating means outdoor cooking and lots of barbeques. Grilling is a longtime fun tradition for so many of us— but did you know there are healthy and unhealthy ways to grill?

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.

When we grill using high heat, proteins in meat and fish can get converted to something called heterocyclic amines or HCAs. These HCAs are chemicals that have been linked to tumors in animals as well as a greater risk of breast, colon, stomach and prostate cancer.

What happens is the fat and juices of the meat drip onto the grill, forcing smoke to be produced that contains carcinogenic (cancer-causing) chemicals called polycyclic aromatic hydrocarbons (PAHs).

Then smoke rises past the food, depositing these PAHs on the surface of the food.

Not to worry: I would never ask you to give up this time-honored tradition that has connected friends, family and neighbors since grills were first invented. There are many ways to take caution for safer grilling.

Outdoor cooking for safety, health 1. Avoid grilling processed meats at all costs. Processed meats contain an entirely different set of potentially carcinogenic agents than unprocessed meats. So in my view, this means saying good-bye to hotdogs and sausages on the grill. Always grill unprocessed meats: grass-fed hamburgers or steak, organic, free-range chicken, and wild fish.

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2. Marinate! Studies show that marinating food prior to grilling reduces the levels of carcinogenic compounds. Lighter, thinner marinades seem to work best, as the thicker ones with sugar burn more easily.

I’ve included two of my favorites (see next page), an Italian Marinade and a Mexican Pesto Marinade, both always winners in my household and cooking classes. Both can double as salad dressings or dips for your fun summer picnics.

3. G o lean. Choose lean organic chicken and grass-fed beef or fish over fattier alternatives like ribs and sausage. There will be less drippings and therefore fewer PAHs. 4. Smaller cuts of meat. Kebabs, anyone?

Choosing smaller cuts of meat that take less time to cook will limit exposure to chemicals.

5. M ind the barbeque and hone your technique. If you’re on grill duty, make sure you flip burgers every minute, keep food a good six inches from the heat source, and use cedar planks whenever possible to prevent the juices from dripping onto the grill. (Cedar plank wild salmon is delicious!)

6. G o for the veggies! If you are a kebab type of person, try grilling fruit and veggies as well as meat or fish because they contain very little protein. So, there is no danger of conversion to the chemical HCAs that can cause harm.

Having 50% of your plate as veggies is good for your health in many different TriVita.com

ways. Grilled fruit and veggies make for fantastic salad additions when you add them to fresh, raw greens.

Or just use them with dips for healthy picnic snacks or appetizers.

7. D itch burnt meat. As appealing as char-grilled may look, the charring is toxic and I always recommend cutting off burnt or charred parts.

8. C heck your briquettes. If you use charcoal briquettes, go for the natural ones made from either real wood or coconut, (there won’t be any coconut flavor in your briquettes). Not all briquettes contain the same ingredients. The largest briquette manufacturer lists their ingredients publicly.

Italian Marinade 1⁄4 cup avocado oil (for high-heat grilling) 1⁄4 cup apple cider vinegar 1⁄4 cup lemon juice 1⁄2 teaspoon Himalayan pink salt 1⁄2 t easpoon dried whole basil and oregano 1⁄2 teaspoon fresh ground black pepper 1 teaspoon coconut sugar Combine all ingredients, stirring well. Marinade beef, pork, poultry, veggies or fish before grilling. Baste while cooking.

Mexican Pesto Marinade 1 full bunch of cilantro 1⁄4 cup apple cider vinegar 1⁄4 cup lime juice 1⁄2 teaspoon Himalayan pink salt 1⁄2 teaspoon dried cumin 1/8 cup avocado oil Blend all ingredients in a blender or food processor. Marinate beef, pork, poultry, veggies or fish before grilling. Baste while cooking.

Reference: Harvard Health Publications and Brigham and Women’s Cancer Center

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In the produce aisle

Lima beans & eggplant Lima beans Though many a modern child has turned their nose at the sight of a lima bean, this disrespected legume was once very popular in Aztec and Inca cultures.

Thought to have originated in South America, lima beans eventually made their way around the world; today, they are commonly used in soups and stews.

Like most beans, limas provide plenty of protein— and fiber (soluble and insoluble)—per serving. Free of fat, sodium and cholesterol, lima beans are high in folate and a good source of potassium and iron.

Store dried beans at room temperature and in a closed container.

Eggplant: yes, it’s a fruit Also called an aubergine, the eggplant is a member of the nightshade family (sister to the potato, tomato and hot peppers, to name a few). Along with other purple foods, eggplants contain nutrients with antioxidant properties, called anthocyanins. Low in calories and free of fat and sodium, eggplants are a good source of fiber.

Extremely versatile, eggplants can be steamed, boiled, baked, mashed, grilled and more. A favorite among vegetarians, their texture and firmness make for a great meat substitute.

Select eggplants without cracks or discolorations.

Store in the crisper for up to seven days. Slice and freeze fresh eggplant for off-season enjoyment.

August 2014 l 25

Children First Academy Giving back… in TriVita’s own backyard

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riVita’s mission is to help people everywhere experience wellness—no matter their age or circumstances. That’s why TriVita is proud to help support Children First Academy (CFA), two charter schools serving homeless and underprivileged children in the Phoenix metropolitan area. CFA works to provide hope and stability for children whose lives can be chaotic.

The students of Children First Academy At CFA, 100% of the students live at or below the poverty line and 40% are homeless. Many of the children live in motels, shelters or in overcrowded conditions—lacking the basic necessities most of us take for granted. CFA strives to provide these children with the basic needs, care and attention they often lack.

A stable learning environment Because of the transient nature of these children’s lives, education can be hit-or-miss. CFA’s unique busing program ensures these children a stable learning environment.

“At both campuses, we offer the flexibility of a unique bus transportation service for the kids. On a daily basis, our bus drivers may very well pick up a child in the morning at one location and drop them off that afternoon—after receiving word from the family—at another location,” said Sharyn Logue, CFA Executive Director. CFA’s buses travel hundreds of miles each day to accommodate the children and their families.

“Without good nutrition, it’s pretty hard for a child to sit still and study and learn,” said TriVita Co-Founder Susan Ellison. “We’ve been thrilled to be a part of that. All of us are fortunate that if we choose to do so, we can make a real impact, and make a difference in these kids’ lives.”

Medical care/social services CFA has partnered with Phoenix Children’s Hospital to provide comprehensive onsite medical help for the children.

The hospital’s mobile medical unit visits the schools to provide free immunizations, health screenings, and vision and hearing assessments.

Free, onsite counseling services are available to children and their families; parenting classes are also offered free of charge.

Caring Above all, the CFA staff care. Their ultimate goal is to serve the whole child by providing hope, fostering strength and facilitating self-determination.

“Something I particularly love about this school is the way they affirm the children,” said Susan. “They tell these children, ‘You can do it, you can be whatever you want to be,’ and they do everything they can to give these children that opportunity. And we can do the same thing.

All of us can be a part of making a really big difference in these kids’ lives.”

Proper nutrition At CFA, children receive a nutritious breakfast, lunch and snacks each school day. Additionally, families receive a box of non-perishable food items at least once a month. TriVita is proud to help support CFA’s food program, which helps provide the nutrition young bodies need to grow and thrive.

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TriVita.com

“D”-fend your health with Vitamin D Why it’s so necessary

V

itamin D is no longer considered just a “bone vitamin.” Now, thanks to extensive research and numerous clinical studies, we know that nearly every area of the body can benefit from Vitamin D.

That’s why so many doctors are recommending much higher amounts of Vitamin D for better health. Without optimal levels of Vitamin D, your body is more susceptible to many different disorders, from heart disease, Alzheimer’s and dementia to weak, brittle bones and diabetes. Another remarkable fact: Even if you have normal blood sugar, Vitamin D deficiency makes you 91%t more likely to progress to insulin resistance or “pre-diabetes,” and it more than doubles your risk of progressing to Type 2 diabetes.

Vitamin D deficiency is a global epidemic. Approximately 1 billion people don’t have adequate Vitamin D levels, and 64% of North Americans lack enough Vitamin D to avoid many health conditions.

So, assessing your own Vitamin D status is clearly very important. Thankfully, achieving an optimal level of Vitamin D is easy, inexpensive and helps protect against a wide range of diseases.

We can make some Vitamin D in our bodies, but most of us require additional amounts from diet, the sun, or from supplements to maintain adequate levels. Once Vitamin D has been ingested through food or produced in the skin, the liver and kidneys convert it to the active form: Vitamin D3.

Virtually every tissue type in the body has receptors for Vitamin D, which means all tissues need large amounts of this vitamin for adequate functioning. Higher Vitamin D dosage may be necessary to support heart muscle, brain cells, fat tissue and more.1 Food and supplements You may need to depend on food or supplements for adequate Vitamin D. Food sources of Vitamin D include liver, beef, eggs, milk, cheese, salmon, tuna and sardines.

However, it may be difficult to get enough Vitamin D through food alone, and you may want to consider Vitamin D supplementation.

Reference: 1 Bronwell, Logan. The Overlooked Importance of Vitamin D Receptors, Life Extension, August 2013.

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August 2014 l 27

EMOTIONAL WELLNESS

When parents and children switch roles: Handling the emotional toll

By Mamiko Odegard, Ph.D.

I

n America alone, almost 44 million adults are caring for an aging parent, according to the Alzheimer’s Association. This staggering number increases daily, as more parents turn 65 and increase the odds that they’ll become physically dependent.

Dr. Mamiko Odegard, a messenger of hope and change, helps individuals and couples to enjoy life and business success.

Best-selling author of “Daily Affirmations for Love,” she is known as “The Love and Relationship Expert.” Based in Scottsdale, AZ, USA, Dr. Odegard has over 30 years’ experience as a psychologist and college instructor.

Who do they turn to for help? Yes, it’s you the adult child, who now may be close to turning 65 yourself. Just when your children are growing up and leaving the nest, you find yourself becoming a caregiver all over again: for your parents.

The strains are numerous: being on 24hour call, driving parents to doctors’ appointments, managing their household needs, physical care and finances. No wonder you might feel you’re not in control of your own life: stressed, anxious, depressed and overwhelmed.

These five steps can help you handle all the demands, without harming your own emotional health: 1. Before any incidents occur, start now to build your relationship. If any resentment exists, honestly talk with your parent(s) or enlist the help of a mental health professional to let go of past hurts and move toward forgiveness and love.

2. Develop an action plan for handling emergencies. Be prepared for sudden declining health and end-of-life issues.

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You need to have copies of all medical and legal records, such as wills and insurance, and also any power-of-attorney records that will let you act on your parents’ behalf. The more prepared you are, the more in control you’ll feel.

3. Accept the physical, emotional and mental limitations of your parents, and learn how not to take their actions or statements personally. They are not trying to make your life miserable or be difficult.

Here again, a mental health professional can help.

4. Confide in other family members or close friends; join a support group. You are not alone; more and more people you know are sharing your struggles of feeling emotionally and physically exhausted and overwhelmed.

There are a number of online support groups that can help; you might also consult a healthcare provider or trusted advisor.

5. You don’t have to do everything yourself!

Be honest about your feelings and needs, and reach out to family and others within your support system or community for help to share responsibilities.

Taking care of a loved one is demanding and challenging. However, the times when you can nurture your parents can also be a great time for healing and creating an even greater love and appreciation for each other, leaving a legacy that lasts forever.

TriVita.com

SPIRITUAL WELLNESS

Who are you, why are you here?

Ask the One who knows

By Chaplain Donna Kafer

“ Know that the Lord is God. It is He who made us, and we are His; we are His people, the sheep of His pasture.”

—Psalm 100:3

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oday more than ever, people seem to be in a constant quest to discover their identity and purpose in life. To say there is a degree of insecurity that is pervasive in society today would be an understatement.

People feel very insecure about who they are and lack clear understanding about what they’re supposed to do with their lives.

There is nothing more frustrating in the world than to continuously grapple with the question of identity: “Who am I and what is my purpose?”

These are questions that most of us have faced at one time or another and, truth be told, some still wrestle with on a daily basis. Are you one of those people who wonder who you are and what your purpose might be? I know how frustrating that can be, because I’ve been in that place and it wasn’t one I wanted to stay in, either.

meant, but I hated the hollow emptiness that resounded in me and I wanted it to go away.

What I hadn’t realized was that even though I believed in God, I hadn’t surrendered my life to Him. So, while I didn’t know who I wanted to be, I certainly knew that I didn’t want to be insecure, lost and confused, which I was.

In desperation I cried out to The Lord to free me from the unrelenting confines of my inner prison, to release me from the insecurity that plagued my every step.

A flood of His divine mercy chased the darkness from the corners of my heart and mind, illuminating my way. Now my Father in heaven guides me and sets my path before me, clearly, succinctly and purposefully. My identity is clear, my purpose highlighted and most importantly, that God-shaped void is now filled with HIM! If it is in your heart to know your reason for living, to know who you are and what your purpose is for your life, then come to the well and drink deeply from it. For it is there that you will find your identity. God is there to fill your cup to overflowing.

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.

I hadn’t surrendered my life to Him When I was in my 20s and far from my walk with God, I used to hear people talk about the God-shaped void in our hearts that could only be filled with The Lord. I wasn’t sure what they 1-800-344-8797

August 2014 l 29

VITAJOURNAL EXCLUSIVE

Leader with a “servant’s heart”: From poverty to purpose Since spirituality is such a vital component of wellness, TriVita leaders were privileged to attend the Arizona Governor’s Prayer Breakfast in Phoenix, at the invitation of State Legislative Chaplain Donna Kafer (see her column on page 29).

Ambassador Gaddi Vasquez

Top left: Amb. Vasquez with local residents outside Kabul, Afghanistan, when he was Director of the Peace Corps.

Top center: The Ambassador visiting with malnourished babies in Haiti.

Top right: Children and administrators at an orphanage in South Africa, one of Amb. Vasquez’ many travel stops when he was Director of the Peace Corps.

Keynote Speaker Gaddi Vasquez spoke so eloquently on service and purpose that TriVita wanted to share some of his thoughts here.

In addition to serving as U.S. Ambassador to United Nations Agencies based in Rome, Amb. Vasquez is former director of the U.S. Peace Corps. The recipient of five honorary doctorate degrees, he is currently Senior Vice President, Government Affairs, for Edison International and Southern California Edison, one of the country’s largest electric utilities.

VJ: Amb. Vasquez, at the Prayer Breakfast you said that a person can’t truly be a leader without first having a “servant’s heart.” Could you describe what that means for you?

Amb. Vasquez: Learning to be a servant develops in many ways; I believe that, in part, it’s about service to others, about compassion and generosity. I’ll illustrate with a story I shared at the Prayer Breakfast: I am a descendant of a migrant farmworking family. Our family of four lived in a one-bedroom trailer that sat on a dirt foundation: no running water, no heat, no cooling. I have a photo of that trailer (in

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Watsonville, CA) that has travelled with me to every position I’ve ever held. It reminds me daily how blessed I have been. It all started in that environment, where I learned the value of sharing and giving to others.

Although we were poor, my mother never turned away the homeless people who would knock on the door asking for food.

Understanding service to others can help define you for the rest of your life; it can take you places you never imagined.

VJ: You also spoke about being a shoeshine boy; how did that help shape your values?

Amb. Vasquez: At about age 11, I was hired to shine shoes at the corporate headquarters of the Voit Rubber Company. Every Friday, I’d shine the shoes of the chairman of the board, and then go down the row of vice presidents, shining all their shoes. That experience was one of my life’s defining moments and helped me fully understand what it is to be a servant. Probably few other jobs symbolize that role more than cleaning another person’s soiled shoes.

Many years later, during my service as an elected County Supervisor in Orange County, CA, I was hosting a fundraiser for my re-election when a man walked up and shook my hand. It was Bill Voit, son of the founder of the rubber company, who had come to support my campaign. We both marveled when I said “I used to shine TriVita.com

Want to live longer?

Find your purpose in life

your father’s shoes.” This is truly a great country where perseverance and hard work are rewarded.

VJ: While you were Director of the Peace Corps, one of your priorities was to expand the diversity of the organization. How do you feel that diversity has strengthened our country?

Amb. Vasquez: In many villages and towns abroad, a Peace Corps volunteer will be the only American that locals will ever see in person.

So, it’s important that the Peace Corps look like America, with all our ethnic and gender diversity. It’s one of the great strengths of our nation.

America’s diversity has been defining as to who we are, who we have been, who we will be. From the Irish in Boston to Italians in New York, from Chinese in the West to Mexicans in the Southwest, the role of immigrants weaves a very colorful fabric. This diversity brings us so much richness, all brought together by the common understanding that we are Americans.

VJ: You emphasized that everyone has a purpose, and we all need to find ours. Could you describe how you discovered your purpose?

Amb. Vasquez: As a child, having grown up in poverty, I learned that having determination and perseverance were important values.

I was also taught by my parents early on that despite our poverty, it is always better to give than to receive.

I’m mindful of the Biblical quote: “To whom much is given, much is required.” While I may have started in a very challenging environment as a child, I’ve been blessed to have done reasonably well. My purpose has been to help those who cannot help themselves.

I always say, “Dream big dreams and do great things.” America is still the land of opportunity: you can be from somewhere else, and realize your dreams.

As Warren Buffett (business magnate, philanthropist) recently said, “Anyone who’s bet against this nation since 1776 has lost.”

N

o matter your age, having a sense of purpose may help you live longer, according to a recent study from Carleton University in Canada.

“Our findings point to the fact that finding a direction for life, and setting overarching goals for what you want to achieve can help you actually live longer, regardless of when you find your purpose,” said lead researcher Patrick Hill. “So the earlier someone comes to a direction for life, the earlier these protective effects may be able to occur.”

Analyzing survey data from over 6,000 participants, Hill and colleagues found that those who reported a greater purpose in life had a lower risk of mortality over a 14-year followup period. This was true for younger, middle-aged and older participants.

“These findings suggest that there’s something unique about finding a purpose that seems to be leading to greater longevity,” said Hill. He and others are currently investigating whether a sense of purpose leads people to choose healthier lifestyle habits, thereby boosting health and longevity. They are also interested in discovering if a sense of purpose affects other health outcomes. “In doing so, we can better understand the value of finding a purpose throughout the lifespan, and whether it provides different benefits for different people.”

Reference: Hill, P. & Turiano, N. (2014). Purpose in life as a predictor of mortality across adulthood.

Psychological Science, published online before print May 8, 2014. doi: 10.1177/0956797614531799

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August 2014 l 31

RESEARCH DESK Eating cruciferous vegetables reduces inflammation New York, New York

A study of more than 1,000 Chinese women indicated that people who eat the most cruciferous vegetables have substantially less inflammation than those who eat the fewest. The results of this study were published in the Journal of the Academy of Nutrition and Dietetics. The cruciferous vegetable family includes cabbage, broccoli, bok choy, Brussels sprouts, kale and cauliflower.

The study authors suggest that the health benefits of these vegetables may be at least partly a result of their anti-inflammatory effects. “Bottom line, if you’re eating a lot of cruciferous vegetables your health is better, and specifically, inflammation markers are diminished,” said the research team. “That means you’re going to have a healthier heart and you’re going to live longer.”1 ...................................................................

Aerobic exercise may help older women at risk for dementia Vancouver, BC, CAN

Regular aerobic workouts increase the size of the brain’s memory area in older women and may help slow the progression of dementia. These findings were reported in a new study published online in the British Journal of Sports Medicine. The research study included 86 women, ages 70 to 80, who had mild memory problems, also known as “mild cognitive impairment,” which researchers say is a common risk factor for dementia. The women also underwent MRIs to assess the size of their hippocampus, the part of the brain involved in verbal memory and learning. Twenty-nine women had their hippocampus size checked again after completing a rigorous six-month exercise program. Those who did the full six months of aerobic training showed significant enlargement of the hippocampus, but this change did not occur in women who did not exercise.2 ...................................................................

Green tea may boost brain health

Basel, Switzerland

Green tea may have many positive effects on health, according to a study published in the academic journal Psychopharmacology. Researchers uncovered evidence that shows that green tea extract enhances cognitive (thinking) function, especially the working memory.

The research team from the University of Basel discovered that green tea extract increases the brain’s effective connectivity, meaning the influence that one brain area exerts over another. This effect on connectivity also leads to improvement in actual cognitive performance. Subjects tested significantly better for working memory tasks after consuming green tea extract. The study results suggest that green tea may be helpful in treating such mental disorders as dementia.3 ...................................................................

References: 1 Yu, Jiang, et al. Cruciferous vegetable intake is inversely correlated with circulating levels of pro-inflammatory markers in women. Journal of the Academy of Nutrition and Dietetics, Vol.114, Issue 5, pages 700-708, May 2014.

Retrieved from http://www.andjrnl.org/article/S2212-2672(13)01891-1/abstract 2 Regular aerobic exercise boosts memory area of brain in older women. British Journal of Sports Medicine. Retrieved from http://company.bmj.com/content/regular-aerobic-exercise-boosts-memory-area-brain-older-women 3 A. Schmidt, et al. Green tea extract enhances parieto-frontal connectivity during working memory processing. Psychopharmacology, March 19, 2014. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/24643507

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TriVita.com

AGING WELL

How to live to 90

Researchers uncovering the longevity secrets of the “oldest old”

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hat are the secrets to surviving—and thriving— to 90 and beyond (a group called the “oldest old,” or nonagenarians)? That’s what the 90+ Study, launched in 2003 by the University of California, Irvine, set out to discover. One of the largest studies of its kind in the world, the 90+ Study conducts clinical, pathological and genetic research on more than 1,400 participants over the age of 90—one of the fastest growing segments of society.

These volunteers were once part of The Leisure World Cohort Study (LWCS), a study launched in 1981 that collected extensive lifestyle data on 14,000 residents of Leisure World, a retirement community in California. Today, study volunteers go through cognitive and physical tests every six months, in addition to providing information about their lifestyle habits, including diet, activity and medications.

Analyzing this data has yielded major findings, many of which have been published in prestigious medical journals.

Some of the more intriguing findings include:

• People who drink moderate amounts of alcohol or coffee live longer than those who abstain.

• More than 40% of people 90 and older suffer from dementia, while almost 80% are disabled. Both conditions are more common in women than men.

• About half of those over 90 with dementia do not have sufficient Alzheimer’s-related plaque growth in their brains to explain their cognitive (mental) loss.

• Individuals 90 and older who carry a gene called APOE2 are less likely to have Alzheimer’s-like dementia but much more likely to have Alzheimer’s-related plaque growth in their brains.

• Poor physical performance on activities such as walking is associated with increased risk of dementia.

The study is funded for at least another five years; researchers plan to focus on factors associated with longevity, dementia in the oldest old, how memory loss affects this age group and more. “We will continue to try to understand what makes the oldest old so unique,” said project co-director Dr. Claudia Kawas. “This is an amazing population, and we can learn so much from them.”

References: National Institute on Aging renews funding for UCI’s 90+Study (2013). UCI News. Retrieved from http://news.uci.edu/press-releases/nationalinstitute-on-aging-renews-funding-for-ucis-90-study/ The 90+Study (2013). Institute for Memory Impairments and Neurological Disorders, UC Irvine. Retrieved from http://www.mind.uci.edu/ research/90plus-study/

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TriVita's 10 Foundational Values

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:

Director of Publications Pam Molenda Creative Director Craig Hedges Production Manager Roger Barger Graphic Designers James Metcalf, Cheryl Earl Editorial Assistant Ginny Schoonaert Feature Writers Cheryl Romano, Heather Giedt, Steve Solomon Contributing Writers Michael Ellison, Founder of TriVita Esmeralda Garcia, TriVita Formulation Scientist Christa Orecchio, Certified Clinical Nutritionist Donna Kafer, Chaplain Mamiko Odegard, Ph.D. Tammy Pon, M.D. Eric Grief, M.D. Harolyn Gilles, M.D., FAAFP Jolene Goring, Wellness Center Director of Fitness

1. Scientifically Validated Formulas

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.

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.

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.

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 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.

34 l VITAJOURNAL

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 p.m., EST. The CARE Center is closed on Sunday. Order online 7 days a week at TriVita.com.

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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.)

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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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