TriVita VitaJournal - November 2015 - Canada by TriVita

experience wellness ®

NOVEMBER 2015

COPING WITH WINTER STRESS Eric Grief, M.D.

Pg. 10

TOP FIVE IMMUNE-BOOSTING FOODS ‘TIS THE SEASON: COLD & FLU Jyothi Tirumalasetty, M.D. Pg. 6

Christa Orecchio Pg. 22

PURSUING WELLNESS

Healthy aging and the future of wellness Aging well has to be one of our main priorities in life if we want to enjoy quality of life. This is not really an age-specific subject. It is about embracing lifestyle habits Michael R. Ellison that support optimal wellness outcomes as you age. Of course if you are 50 plus, it Founder of TriVita seems to have a higher priority! Maybe because the body starts reminding us of the passage of time with its various aches and stiffness. Our goal at TriVita is not necessarily to help our Members live to join the centenarian club, but to have a quality life filled with vitality and activity as long as possible. How do we age with vitality? How do we keep active when the body says this feels uncomfortable or even painful? There is sufficient evidence to know nutrients are significantly important in nourishing the body systems. Each body system depends on certain nutrients to support its function. For example, we know the skeletal system depends on calcium, magnesium and Vitamin D. But we also must note that the skeletal system is made of skeletal cells that depend on macronutrients of protein, carbohydrates and fats. They are energy-providing molecules the cells depend It is an exciting on. The cells also depend on micronutrients such as vitamins time as science is and minerals. now opening new In the TriVita catalog and online at TriVita.com, our products are listed under body systems and functions to help you determine pathways for better the dietary supplements you need to support your health goals wellness outcomes. and also to supplement where your diet may not deliver the key nutrients you need. The ingredient claims made for each TriVita product are supported by 21 CFR disciplines issued by the FDA. Our products are also regularly tested not only for quality and purity, but also to ensure they deliver the ingredient amounts as listed on the label. We realize the importance and the need for unadulterated, clean and potent nutritional supplements. In addition to quality supplements, we will soon be offering a more personalized and customized opportunity for wellness outcomes. You see, one of the major breakthroughs in optimal aging research is the discovery of the interaction of genes and nutrients. This creates a vast opportunity for personalized and customized targeted nutrients based on the genome, medical and lifestyle data. It is an exciting time as science is now opening new pathways for better wellness outcomes. Stay tuned: You will be hearing more about it in the near future. Thank you for allowing TriVita to be your trusted wellness partner.

2â&#x20AC;&#x192; | â&#x20AC;&#x192; V I T A J O U R N A L

Tr i V i t a . c o m

- Wellness FEATURES

TRIVITA’S HEALTHCARE PROFESSIONALS Scott Conard, M.D.

Diplomate American Boards of Family Medicine & Integrative and Holistic Medicine. Chief Medical Officer, TriVita, Inc.; President, TriVita Wellness Centers

William (Bill) Wheeler, Ph.D.

ROTECT AGAINST COLD AND FLU P ‘Tis the season for a strong immune system: Jyothi Tirumalasetty, M.D.

With a Ph.D. in Nutrition, “Dr. Bill” Wheeler and his team have 30 years of experience formulating nutritional products. He serves as Senior Vice President of TriVita’s Formula/ Manufacturing Services.

MEDICAL & SCIENTIFIC ADVISORY BOARD OPING WITH WINTER STRESS 10 C Warm up to these wintertime wellness tips: Eric Grief, M.D.

14 THE HORMONE REVOLUTION:

SHOULD YOU JOIN? Hormones aren’t always the issue, says Brittany Stam, M.D.

16 THE IMPORTANCE OF MINERALS

They can make the difference between sickness and health.

22 WINTER’S COMING

Nutritionist Christa Orecchio’s top 5 immune-boosting foods.

28 WELLNESS CENTER WELCOMES

JOEL MASCARO, D.O. A healthcare professional who helps the body heal itself.

29 THE 10 ESSENTIALS FOR HEALTH AND WELLNESS Karim Premji’s beacon for wellness.

1- 800 -344 - 8797

TriVita created a Medical and Scientific 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., CCFP, FCFP Named one of “Chicago’s Top Doctors” in 2012. Dr. Grief is medical director at the University of Illinois. He is also chairman of TriVita’s Medical and Scientific Advisory Board. 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.

Daniela Radulescu, M.D. Dr. Daniela Radulescu is a registered medical practitioner in New South Wales, Australia. She holds an advanced degree in molecular genetics, and has been involved in clinical research for more than 10 years.

N OV EM BER 2015 | 3

- Thoughts from THE EDITOR

Don’t let the holidays compromise your wellness

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. Develop a Relationship with God

t always seems that by this time of the year, many people are dealing with weakened immune systems, often because of the added stress that the holidays bring. Dr. Jyothi Tirumalasetty shares some information to keep you strong on pages 6-7. Being stuck indoors with friends and family who are coughing and sneezing all over you isn’t something any of us look forward to during the holiday season, but often can’t be helped. To keep your immune system strong, it’s key to make sure that you get plenty of sleep and don’t overindulge in alcohol. We know that many of you live in areas of North America that have limited sun during this season, so it’s especially important to watch your Vitamin D levels. This month, to help you protect against Vitamin D deficiency, we’re offering: Buy one Essential D™, get one free. That’s a $16.99 value, and with 1,000 IUs of D3 per serving, you’re getting the same form of Vitamin D that is made by your body. Even if you feel you get adequate sunlight, there are other factors that keep your body from absorbing this essential nutrient: always wearing sunscreen, being dark-skinned, over 65 or obese. People often complain about taking pills or tablets because of their size, but this is one soft gel that is easy to take once a day. Not only is Vitamin D important for your immune system, but it also supports your bones, muscles, heart and cognitive health. As the holidays near, I know that my stress levels always increase immensely. This is sad as I love the actual holidays, but despise the drama of figuring out who is hosting which dinner and dividing up your day between blended families, etc. As our stress levels increase, we also put ourselves at risk of other health concerns. Dr. Eric Grief takes us through some coping strategies to help build up our anti-stress reserves on pages 10-11. If you’ve started your holiday shopping and you’re struggling with a few people on your list who seem to have everything or you know they’re hard to buy for, why not give them something that will support wellness? Many people would get out and walk if they had a walking partner. Volunteer to walk with them three times a week, or whatever you can do. Set a target and then try to move past it. Having someone share in your wellness is always motivating and it’s a win-win for both. During this season of gratitude, we would like to say thanks for your trust in the products, services and educational materials we offer to help you experience greater wellness.

Pam Molenda, Editor Pam@TriVita.com

youtube.com/ TriVitaInc 4 | V I T A J O U R N A L

Tr i V i t a . c o m

ESSENTIAL D

BUY ONE, GET ONE *

FREE! $16.99 VALUE

IN HONOR OF OUR VETERANS

HELPS PROTECT AGAINST VITAMIN D DEFICIENCY

Essential D™

Although Remembrance Day has passed, we’d like to take the opportunity to thank our veterans who have served—and thank those who continue to serve—for our freedom and security. Thank you for your service and your sacrifice. We appreciate you, we honor you, we thank you.

#31270

Member $16.99 *Offer limited to 2 specials (4 bottles) and expires 11-30-15 at 10 p.m. EST. See page 9

See Nutritional Support section in our catalog and online

To find out how you can support veterans, visit the Veterans Affairs Canada website: veterans.gc.ca. 5

WELLNESS AT WORK

‘Tis the season for a strong immune system By Jyothi Tirumalasetty, M.D.

With winter on the way, so is the cold and flu season. As we spend more time indoors in enclosed environments with others, we’re more exposed to germs and viruses that can make us sick—if our immune system can’t fight back.

Dr. Tirumalasetty is assistant professor of medicine at the University of Illinois, Chicago. Specializing in Allergy and Immunology, she received her medical degree from Drexel University in Philadelphia, PA. 6 | V I T A J O U R N A L

ealthy lifestyle choices— eating right, exercising and getting enough sleep—are the foundations of wellness, including a strong immune system. Sometimes, though, we need extra help and information. The answers to these frequently-asked questions may give you the edge this season.

How can I tell if I have allergies or a cold? Sometimes it’s hard to tell if you are experiencing seasonal or chronic allergy symptoms vs. a cold virus (Upper Respiratory Tract Infection, or URI). Allergies can cause cold-like symptoms but don’t represent an actual infection. Both conditions can cause runny nose, stuffy nose and sneezing. Allergies usually Tr i V i t a . c o m

cause itching of the nose, eyes and throat as well. A cold virus should not cause itching. Cold viruses should not last more than a week. Getting an allergy test may help to diagnose whether your “colds” are actually allergies.

Stanford University in California, exposure to a virus known as CMV (Cytomegalovirus) was shown to weaken the immune response later on in life.

Is it true that a little alcohol can be good for a cold? Does being outside in cold That depends on what is meant weather bring on sickness? by “a little.” Excessive alcohol Not necessarily, although the intake has been shown to weaken body does use the immune up resources to system. keep us warm and Chronic Recent studies have shown dry. Cold weather excessive that tobacco use or exposure coincides with alcohol use to secondhand smoke influenza (flu) and may deplete cold season. Also, certain decreases Vitamin D3 levels we tend to get vitamins/ less sun exposure minerals over during winter months. Lack of sun time. These nutrients are necessary exposure may lower our Vitamin D for the immune system to function levels and make us more prone to properly. inflammation and infections. Can you get sick from Can age make a difference? insufficient sleep? Yes—people on either end of the Yes. We absolutely need deep, age spectrum may be more prone restorative sleep to help our body to certain types of infections. repair and rejuvenate itself. Sleep Children under the age of two deprivation may lead to increased tend to get more URIs and ear stress. Over time, stress can lead infections because their immune to inflammation and weakening systems are still developing. Most of the immune system. This may children’s immune systems are fully make you more prone to getting developed at age two. more infections. Most adults require between 6-8 hours of sleep Older adults may also be prone per day. to weakening of the immune system that may occur with aging. In a study done by scientists at

1- 800 -344 - 8797

Does exposing children to “good germs” improve their immune systems? This is a theory known as the “Hygiene Hypothesis.” Studies do suggest that exposure to certain bacteria and parasites in early childhood or infancy in children who grow up on farms reduces the development of allergies later on in life. However, this theory has not been studied enough to be put into action in day-to-day life for those of us who don’t live on farms. Other factors such as genetics (a strong family history of allergies) may prevent this from benefiting certain children in North America.

How does tobacco smoke affect the immune system? Recent studies have shown that tobacco use or exposure to secondhand smoke decreases Vitamin D3 levels (Vitamin D3 is the form of the vitamin produced in the body). Vitamin D3 has been shown to have anti-inflammatory effects. Decreased Vitamin D3 may lead to increased inflammation and weakening of the immune system. Does the flu shot make you sick? No. Some expected side effects of the flu vaccine are low grade fever and body aches. This does not typically represent an actual infection. The yearly flu vaccine helps to prevent influenza. Influenza is much different and more severe and serious than the common cold virus. Most people who get sick after receiving the flu vaccine are likely experiencing symptoms caused by the common cold virus or having side effects. Is it safe to use a neti pot? A neti pot is a container designed to rinse debris or mucus from your nasal cavity with water. Neti pots can be a safe and effective way to decrease symptoms related to sinus and allergy conditions. However, certain rare parasites can be associated with plain tap water; if they’re introduced into the nose they may lead to serious, life-threatening infections. Tap water may be used as long as it is filtered and boiled first. Allow the water to cool completely before using. Another option is to use distilled, purified water. This article is intended for educational purposes only.

References: J Allergy Clin Immunol, 2014; 134:342-9. Cell, 2015; 160:37-47. J Allergy Clin Immunol, 2005; 116: 1188-1198. See Immune System Support section in our catalog and online

N OV EM BER 2015 | 7

VITAMIN D UPDATE

Low Vitamin D levels linked to accelerated mental decline – Sacramento, CA Vitamin D deficiency or insufficiency in older adults is associated with faster cognitive (mental) decline—as much as three times faster—than in those with adequate levels, say researchers at the UC Davis Alzheimer’s Disease Center. In a long-term study of 400 men and women, scientists found that Vitamin D deficient individuals experienced faster declines in episodic memory and executive function than those with adequate D levels. “This work, and that of others, suggests that there is enough evidence to recommend that people in their 60s and older discuss taking a daily Vitamin D supplement with their physicians,” said researcher Joshua Miller. http://www.ucdmc.ucdavis.edu/alzheimers/news/news_vitamin_D.html3

Vitamin D may help reduce risk of falls in elderly – Winston-Salem, NC New research from Wake Forest Baptist Medical Center is good news for many homebound elderly: Vitamin D supplementation may help reduce the risk of falls, which affect about 1 in 3 older adults who live at home. In the study, the Wake Forest team recruited 68 participants to receive either a monthly Vitamin D supplement of 100,000 IU or a placebo. Initial blood tests showed insufficient D levels in more than half the participants. After five months, all but one of the people taking Vitamin D had sufficient levels and all but five had optimal levels. What’s more, people in the Vitamin D group reported about half the falls of those in the placebo group. http://www.wakehealth.edu/News-Releases/2015/Vitamin_D_Supplements_Could_Help_Reduce_Falls_in_Homebound_Elderly.htm

D deficiency, insufficiency strongly linked to multiple sclerosis – Montreal, Quebec Low levels of Vitamin D significantly increase the risk of developing multiple sclerosis (MS), according to researchers at McGill University in Quebec. “Our finding is important from a public health perspective because Vitamin D insufficiency is common, especially in northern countries like Canada where exposure to sunlight—a common natural source of Vitamin D—is decreased through the long winter and where we see disproportionately high rates of MS,” said lead researcher Dr. Brent Richards. “We would recommend that individuals, particularly those with a family history of MS, should ensure that they maintain adequate Vitamin D levels. This is a common sense precaution, given that Vitamin D supplementation is generally safe and inexpensive.” http://www.mcgill.ca/newsroom/channels/news/association-between-low-vitamin-d-and-ms-254752 8 | V I T A J O U R N A L

Tr i V i t a . c o m

WHAT DO YOU KNOW ABOUT THE “SUNSHINE VITAMIN”? Put your knowledge to the test

THE ESSENTIAL ABSORBABLE SUNSHINE VITAMIN FOR LIFE

with this short quiz.

Vitamin D is needed to maintain strong bones, but it’s also needed by your: a. Muscles c. Immune system b. Nerves d. All of the above

This versatile vitamin helps your body absorb: a. Calcium c. Selenium b. Potassium d. Copper

Vitamin D is made by the body when your skin is directly exposed to: a. Oxygen c. Heat b. Sunlight d. Water

ESSENTIAL D You can also get Vitamin D from: 4 a. Supplements c. Fatty fish such as salmon,

b. Fortified foods

tuna and mackerel d. All of the above

BUY ONE, GET ONE FREE!* $16.99 VALUE

Essential D™ #31270

These groups may not be getting enough Vitamin D: a. Older adults c. Obese people b. People with dark skin d. All of the above

ANSWERS: 1. d; 2. a; 3. b; 4. d; 5. d Reference: https://ods.od.nih.gov/factsheets/VitaminD-Consumer/ 1- 800 -344 - 8797

Member $16.99 *Offer limited to 2 specials (4 bottles) and expires 11-30-15 at 10 p.m. EST.

CALL TOLL-FREE 1-800-344-8797 OR ORDER ONLINE AT TRIVITA.COM See Nutritional Support section in our catalog and online

N OV EM BER 2015 | 9

THE DOCTOR IS IN

Coping with winter stress By Eric M. Grief, M.D.

As winter arrives, it brings festive holidays (and stress), colder, darker weather (and stress) and less healthy lifestyles (which promote stress).

F Eric Michael Grief, M.D., is a 20-year family physician based in Thornhill, Ontario, Canada. His book, “Get Diagnosed Fast!,” is available at Publish-America.com. 10 | V I T A J O U R N A L

ortunately, there are a number of things we can do to keep up our “summer” outlook when the winter winds blow. In summer, of course, we have increased daylight hours—and increased opportunities for walking outside, gardening, swimming and just generally enjoying exercise and sunlight. Warmer weather also encourages us to appreciate nature’s fruits and vegetable offerings. We even socialize more in the longer

daylight, at cook-outs, festivals and fairs. So, it isn’t surprising that as the days darken, our stress levels can rise. Add in the stress of holidays (shopping, planning, buying and so forth), and our wellness can suffer. For some of us, this downturn can manifest as SAD: Seasonal Affective Disorder. More than just an acronym, SAD is a real health threat. It can bring with it an increased risk for heart attacks, depression and worsening of fibromyalgia symptoms. Tr i V i t a . c o m

Seasonal lifestyle choices can affect mood Shorter days and fewer outdoor activities can lead to a cycle of playing catch-up: Lower energy from less sun leads to increased caffeine and sugar consumption, which leads to interrupted sleep, which causes poor decisions concerning diet, exercise and social activities. Often, the sleepdeprived and over-sugared, over-caffeinated person will react to a new stress by developing a new health problem. While caffeine and sugar can increase blood pressure and obesity, there are other caffeine-containing beverages like green tea and cocoa that can help us: they contain chemicals called polyphenols which can enhance mood and possibly reduce health risks. So if you enjoy eating dark chocolate, winter is prime time to indulge (within reason). Even some foods like fennel and garlic, or baked apples with cinnamon, have been linked to calmer mood states. Moreover, certain scents like lavender, clary sage, bergamot and sandalwood have been shown to exert calming effects. Fortunately, for any given stress situation that leads you to feel tense or uptight, sad or unhappy, there are additional coping strategies to help you feel more focused and calm.

1- 800 -344 - 8797

Social interactions: opportunity for change Central to feeling calm is the way we interact with other people and living beings. Have you noticed that a phone call from a good friend can lift your spirits, while a phone call from the insurance company or a bill collector can drag you down? The phone is the same and you are the same person talking. The one big difference is how you connect the person on the phone line to your personal inventory of interaction scenarios. Hearing the voice of your good friend triggers your memory of good times with that person. This recollection permits you to relax while a flood of neurochemical transmitters (brain chemical messengers) is released within your brain. One such brain chemical is oxytocin. Oxytocin functions to bond you to other people. A typical example is the bonding between a mother and her newborn baby. Another example is when two people share intimacy; the release of oxytocin helps to nurture bonding feelings. The memory of these intimate connections to other people can generate calmness in the throes of chaos and stress. What if I don’t have a partner? Some of us are without a significant partner. But if you look around and research a bit (at the library or online), you may find that having a pet can generate tremendous feelings of love and calmness. What’s more, the bond between humans and animals has been shown in numerous studies to benefit our health. For example, the simple act of petting a dog or cat can lower blood pressure. Volunteering can bring you in to

close contact with people who appreciate the gift of your time and caring. You might also try meditation: it can not only influence your mood but also promote wellness. One study showed that for those who practice meditation, the inflammatory response genes generate fewer inflammatory proteins. Less inflammation generally means less pain... and a better mood. Sleep your way to better health Decreased outdoor and sunexposed activities usually means that we are spending more time interacting with our electronic devices and less time catching up on sleep. Sleep-deprived adults usually eat more, have higher blood pressure and feel more irritable. Some possible remedies for the shorter daylight season’s effect on sleep include melatonin, magnesium, light-therapy, foot massages and warm baths. When winter prompts you to turn up the heat, these strategies can help you turn up your stress reserves— and your wellness— as well.

This article is intended for educational purposes only.

References: Kurlansik, S, Am Fam Physician, 2012; 86(11):1037-1041. Beetz, A, Front Psychol, 2012; 3: 234. Saiyudthong S, Phytother Res, 2012; 25(6):858-62. Kyle G, Complement Ther Clin Pract, 2006; (2):148-55. Creswell, D, Brain, Behavior, and Immunity, (7): 1095-110.

See Stress Management Support section in our catalog and online

N O V E M B E R 2 0 1 5 | 11

Low inflammation, long life What’s the key to longevity and long-term independence? Low inflammation levels, according to an exciting new study from England’s Newcastle University Institute for Ageing and Tokyo’s Keio University School of Medicine.

n the study of 1,554 people ranging in age from 50 to 115, researchers set out to uncover which biological and pathological (pertaining to disease) processes are the most important for successful aging. Included in the group were 684 centenarians and 167 pairs of offspring of centenarians. Measuring numerous health indicators associated with aging, including metabolism, liver and kidney function, inflammation and telomere length (“caps” at the ends of chromosomes, which shorten with age), scientists found that inflammation levels were the greatest predictor of longevity. Past research has shown that telomere length is associated with aging: the longer the telomeres, the “younger” the person. However, in this study, they found that once people reach a certain age, telomere length doesn’t predict further successful aging.

12 | V I T A J O U R N A L

Although all participants showed increased inflammation levels over time, those who kept them low had the best chance for maintaining good cognitive (mental) health and independence, and for living longer. “It has long been known that chronic inflammation is associated with the aging process in younger, more ‘normal’ populations, but it’s only very recently we could mechanistically prove that inflammation actually causes accelerated aging in mice,” said study co-author Professor Thomas von Zglinicki. “This study, showing for the first time that inflammation levels predict successful aging even in the extreme old, makes a strong case to assume that chronic inflammation drives human aging too,” said study leader Professor Thomas von Zglinicki. Implications for the future Researchers hope that understanding the factors

determining extreme longevity may help to achieve extended healthy lifespan for the wider population, and to close the gap between the fastest and the slowest aging population groups. “Our results suggest that suppression of chronic inflammation might help people to age more slowly,” said coresearcher Dr. Yasumichi Arai. “However, presently available potent anti-inflammatories are not suited for long-term treatment of chronic inflammation because of their strong side effects. Safer alternatives could make a large difference for the quality of life of older people.” References: http://www.ncl.ac.uk/ageing/about/news/item/ scientists-crack-the-secret-of-the-centenarians Asumichi A et al. EBioMedicine. doi:10.1016/ j.ebiom.2015.07.029

Tr i V i t a . c o m

NOPALEA SUPPORTS THE NORMAL AND ESSENTIAL ANTI-INFLAMMATORY FUNCTION PERFORMED BY THE IMMUNE SYSTEM—AND MAY HELP LOWER INFLAMMATION.1

Nopalea™ #30710

946 ml bottle

Member $39.99

Nopalea™ 4-Pack #33400

Member $139.99 See Healthy Inflammation Support section in our catalog and online

CALL TOLL-FREE 1-800-344-8797 OR ORDER ONLINE AT TRIVITA.COM Reference: 1 Allegra, M., et al. The Journal of Nutrition, 2014; 1-8

WOMEN’S HEALTH

The hormone revolution: should you join? By Brittany Stam, M.D.

For thousands of years, women have been going through menopause. The hot flashes, the vaginal dryness, the mood swings—they haven’t changed. So why do many women suddenly feel that they are “unbalanced” and point a finger straight at their hormones?

Dr. Brittany Stam is an obstetrician/gynecologist at MomDoc in Chandler, AZ. She completed her residency at Staten Island (NY) University Hospital. Dr. Stam practices both obstetrics and gynecology. 14 | V I T A J O U R N A L

believe the reason for this is that lately, HRT (hormone replacement therapy) has taken a revolutionary turn. Today, not only can you get your coffee order personalized down to how many sprinkles of cinnamon you want, but you can have your bioidentical hormones compounded specifically based on your hormonal needs. While this is a wonderful advance in medicine, it gives the impression to some women that starting a new hormonal “recipe” will fix all their problems. It isn’t always hormones With the Baby Boomer generation right in the thick of menopause, my office hours are filled with patients suffering from weight gain, sleep issues and hot flashes, and they want HRT to “fix” all of these problems. Sadly, many of these patients are being referred to me by their primary care providers, who are also putting the blame on hormones. Tr i V i t a . c o m

While I agree that a twice-a-week patch, a nightly cream or even hormonal pellet insertion can alleviate many annoying menopausal symptoms, they aren’t for everybody or every problem. For example: A patient I’ll call Claudia was recently referred to me for problems with sleep. Claudia, 52, has been having trouble sleeping at night for months. She came to me for a hormone replacement consultation due to her recent onset of menopause. As I do for all my patients concerned about their hormonal status, I ran some basic hormonal labs. I also had her undergo a sleep study. The result? Claudia has obstructive sleep apnea (a sleep disorder causing pauses in breathing leading to daytime sleepiness and higher risk of cardiovascular problems). Menopause wasn’t her sleep problem (although it can be for many women); Claudia’s obesity was the real culprit. Some 38-46% of menopausal women have difficulty sleeping, according to two important studies. Primary sleep disorders (those not caused by some other factor) are also common in this population. In a report of 102 women ages 44 to 56 years who reported sleep disturbances, 53% had sleep apnea, restless legs syndrome or both. Claudia’s story is one of many demonstrating that common symptoms of menopause (sleep disorders, weight gain, hair thinning) may be caused by other health problems. What women need to be aware of is that while evaluating menopausal hormone levels can be helpful, we must not forget to rule out other potential causes. The thyroid is a perfect example. Thyroid imbalances can cause hair loss, heat intolerance, weight gain and even symptoms of depression. Placing a woman on HRT without first evaluating her thyroid function would not only miss the diagnosis of an imbalance, but could also be potentially harmful to her health. Any woman experiencing symptoms that she believes are related to menopause should first speak to her healthcare provider. Together, doctor and patient can formulate the best plan for health. If HRT seems to be the best treatment for your symptoms, your healthcare provider will help you determine the type and route of estrogen and progesterone you will be prescribed. What we now know is that bio-identical hormones (hormones derived from soy and plant extracts that are modified to be structurally identical to human hormones) are potentially safer than synthetic hormones (man-made from pregnant horse urine). [For more on this topic, read my online article in the February 2015 VitaJournal titled “Hormones Your Heart Loves.” Visit TriVita.com; click on “Resources,” then “VitaJournal.”] If you’re interested in HRT—or any other medical treatment— please talk with your healthcare provider about what is right for you.

Treating hormone imbalances often requires a holistic approach; the best plans are often preventive and involve diet, exercise and other lifestyle-based strategies. While HRT can be very beneficial for symptom relief, bone protection and healthy cholesterol, these steps may also help ease symptoms: • Consume less caffeine • Consume less alcohol • Don’t smoke • Exercise regularly • Wear loose clothing • Sleep in a well-ventilated, cool room

This article is intended for educational purposes only.

References: http://www.uptodate.com/contents/clinical-manifestations-and-diagnosis-of-menopause?source=search_result&search=Casper%2C+R+menopause&selectedTitle=8%7E150 Freedman, RR, Menopause, 2007;14(5):826. http://www.uptodate.com/contents/treatment-of-menopausal-symptoms-with-hormone-therapy?source=search_result&search=Casper%2C+R+menopause&selectedTitle=1%7E150

See Men’s & Women’s Health Support section in our catalog and online

1- 800 -344 - 8797

N O V E M B E R 2 0 1 5 | 15

Minerals—important for overall body health

lthough most people know minerals are important to their health, few people know exactly why or even that much about them. The human body uses minerals for many different purposes, including building bones, making hormones and regulating the heartbeat. So, minerals are clearly important for your body to stay healthy. Like everything else, moderation is the key to mineral consumption. There are two major kinds of minerals: macrominerals and trace minerals. Macrominerals are minerals that your body needs in large amounts. They include: Calcium—helps to build strong bones and teeth. Good sources include yogurt, low-fat milk, beans and seafood. Magnesium—helps your body with energy production and keeps 16 | V I T A J O U R N A L

muscles, arteries and the heart working properly. Good sources include vegetables, beans and certain nuts. Potassium—helps the body build muscle, synthesize proteins and maintain healthy blood pressure. Also helps control the electrical activity of the heart. Good sources include sweet potatoes, beans and bananas. Sodium—taken in moderation, this mineral helps heart performance, the nervous system and glucose absorption. Most commonly found in table salt, seasonings, condiments, meat, fish and poultry. Chloride—helps with digestion, Vitamin B-12 absorption and keeps the amount of fluid inside and outside of your cells in balance. Found in such foods as seaweed, rye, tomatoes, lettuce, celery and olives.

Sulfur—important for maintaining youthful skin and joints as well as a healthy digestive system. Also helps enzymes function properly. Found in meat, poultry and especially eggs. Trace minerals Your body needs small amounts of trace minerals such as iron, manganese, copper, iodine, zinc, cobalt, fluoride and selenium. Trace minerals are crucial for many body functions including transporting oxygen, normalizing the nervous system and stimulating growth, maintenance and repair of tissues and bones. Having the proper balance of minerals in the body can make an important difference between disease or sickness and optimum health. Reference: https://www.nlm.nih.gov/medlineplus/minerals.html Tr i V i t a . c o m

VitaDaily: Foundational nutrition your body needs

TriVita’s once daily multi-vitamin is the ideal multi-vitamin for anyone who wants clean daily nutrition without unnecessary additives or excessive mega-doses that some other brands use. VitaDaily offers: • Convenient, once daily formula • Easy-to-swallow tablets • 24 vitamins and minerals • A good source of calcium • Vitamins A, C, E and Selenium • A complete range of B vitamins • Vitamin A present as 50% beta-carotene • No artificial colors, flavors or preservatives

VitaDaily™ #30203 Member $16.99

VitaDaily is formulated to help make your life healthy and easy: Just take it once in the morning and get on with your day! See Nutritional Support section in our catalog and online

CALL TOLL-FREE 1-800-344-8797 OR ORDER ONLINE AT TRIVITA.COM 17

MEN & WOMEN’S HEALTH

Women, men, and their health differences Most people would agree that men and women are… different. And matters of health are no exception. Many health issues that are common to both men and women actually affect women differently— in terms of prevalence, severity and even in the care they receive. Heart disease Heart disease is a leading cause of death for both men and women in Canada, but women are more likely to die following a heart attack than men are. In addition, women are more likely than men to experience delays in emergency care and in treatment to control their cholesterol levels. Alcohol abuse While men are more likely to become dependent on, or addicted to alcohol than women are throughout their lifetime, the health effects of alcohol abuse and alcoholism are more serious in women. These health effects include an increased risk for breast cancer and heart disease. 18 | V I T A J O U R N A L

Mental health Women are more likely to show signs of depression and anxiety than men are, and have higher rates of depression: about a 2 to 1 female-to-male ratio.

for men and women, including a family history of stroke, high blood pressure and high cholesterol, some risk factors are unique to women, including pregnancy and menopause.

Stress Since 2003, stress has been on the rise for women. Women are more likely to report having stress than men. According to Statistics Canada, negative health consequences of stress may include heart disease, stroke, high blood pressure and immune issues. It may also lead to unhealthy lifestyle behaviors such as excessive drinking, smoking and a poor diet.

Urinary tract health Women are more likely than men to experience urinary tract problems. For example, urinary incontinence affects more women than men due to the way the female urinary tract is structured.

Stroke More women than men suffer a stroke each year: In Canada, stroke kills about 30% more women than men. While many of the risk factors for stroke are the same

References: http://www.nichd.nih.gov/health/topics/womenshealth/ conditioninfo/pages/howconditions.aspx http://www.phac-aspc.gc.ca/cd-mc/mi-mm/depression-eng.php http://www.statcan.gc.ca/pub/82-625-x/2014001/article/11896-eng.htm http://www.statcan.gc.ca/pub/82-625-x/2014001/article/14023-eng.htm http://thehearttruth.ca/know-your-risk/women-hearthealth/

Tr i V i t a . c o m

FIT FOR WELLNESS

What’s your fitness age? By Jolene Goring

Did you know that you can feel more than 20 years younger just by increasing your daily activity?

Jolene Goring, Fitness Director at the TriVita Wellness Center, is a best-selling author and expert in health and fitness. An 18-year veteran of the health/ fitness industry, she is a Board Certified Holistic Nutritionist. 1- 800 -344 - 8797

umerous studies show that people who are active have a fitness age of at least 20 years less than their chronological age! So an active 62-year-old might have a fitness age of 42... But what exactly is fitness age, and how can you use this information to feel younger? Researchers at the Norwegian University of Science and Technology have completed several studies on active vs inactive people. Their conclusion: The people who do physical activity on a regular basis tend to live longer. Many of the study participants only started exercising when they were middleaged or older, and they still experienced biomarkers of a younger fitness age. These studies are exciting because they prove that it is never too late to get active. No more excuses that you are too old to make a difference in your body. Yet another reason to get up and get moving!

These tips that can help you to have a younger fitness age, which will likely mean that you have more energy and vitality too: 1. Assess your current level of fitness. Do you sit at an office or on the couch most of the day? Do you make an effort to walk? Do you go to the gym regularly? 2. D ecide what will work with your lifestyle. Are you willing to devote 30 minutes, five days a week to fitness? What about five minutes? Choose a realistic goal to get started. 3. C hoose your activity—anything that makes you break a sweat and gets your heart pumping is beneficial. You can try a new fitness class at your gym, take your dog for a walk, swap a coffee date for a bike ride... get creative and find things that you enjoy doing. Above all, keep at it. The key is consistency. Once your body gets used to feeling great and moving, you will want to maintain this new youthful energy!

References: http://well.blogs.nytimes.com/2015/07/01/older-athletes-have-a-strikingly-young-fitness-age/?em_pos=small&emc=edit_hh_20150707&nl=health&nlid=44773352&ref=headline&_r=0

http://well.blogs.nytimes.com//2014/10/15/whats-your-fitness-age/ N O V E M B E R 2 0 1 5 | 19

FINANCIAL WELLNESS

Ways to avoid fraud Fraudsters, literally around the world, are itching to get their hands on your money and personal information. Below, tips on how you can stop a scam before it starts. Know that wiring money is like sending cash Con artists often insist that people wire money, especially overseas, because it’s nearly impossible to reverse the transaction or trace the money. Don’t wire money to strangers, to sellers who insist on wire transfers for payment, or to anyone who claims to be a relative or friend in an emergency and wants to keep the request a secret.

Read your monthly statements Scammers steal account information and then run up charges or commit crimes in your name. Dishonest merchants bill you for monthly “membership fees” and other goods or services without your authorization. If you see charges you don’t recognize or didn’t okay, contact your bank, card issuer or other creditor immediately.

Remember there’s no sure thing in investing If someone contacts you with low-risk, high-return investment opportunities, stay away. Be suspicious of pitches that insist you act now, that guarantee big profits, that promise little or no financial risk, or that demand that you send cash immediately.

After a disaster, give only to established charities In the aftermath of a disaster, give to an established charity, rather than one that has sprung up overnight. Pop-up charities probably don’t have the infrastructure to get help to the affected areas or people, and they could be collecting the money to finance illegal activity.

20 | V I T A J O U R N A L

Don’t reply to messages asking for personal or financial information It doesn’t matter whether the message comes as an email, a phone call, a text message or an ad. Don’t click on links or call phone numbers included in the message, either. It’s called phishing. The crooks behind these messages are trying to trick you into revealing sensitive information. If you got a message like this and you are concerned about your account status, call the number on your credit or debit card—or your statement—and check on it. Reference: http://www.consumer.ftc.gov/articles/ pdf-0003-avoid-fraud.pdf

Tr i V i t a . c o m

PREMIUM FISH OIL FOR PRIME BRAIN SUPPORT Omega-3 fatty acids EPA and DHA are among the most important brain health nutrients known. They help with brain development, protect against cognitive decline and optimize brain cells for healthy function.1-5 Omega3 Prime™ offers: 1,000 mg omega-3 fatty acids: 670 mg EPA 125 mg DHA Easy-to-swallow soft gels Natural lemon flavor

FISH OIL SOFT GELS: DON’T LET SIZE FOOL YOU!

OMEGA3 PRIME™

When buying fish oil supplements, it’s important to look for the amount of actual omega-3s.

#31320

Member $34.99 Premier Members, earn 2X VitaPoints on your entire order with the purchase of Omega3 Prime.*

Omega3s

OMEGA3 PRIME SOFT GEL

Omega3s

COMMON SOFT GEL

*Offer expires 11-30-15 at 10 p.m. EST. For more information on Premier Membership, see page 31.

CALL TOLL-FREE 1-800-344-8797 OR ORDER ONLINE AT TRIVITA.COM References: 1 Helland IB. Pediatrics. 2003 Jan;111(1):e39-e44. 2 Yurko-Mauro K. Curr Alzheimer Res. 2010 May;7(3):190-6. 3 Kotani S, et al. Neurosci Res. 2006; 56:159–64.

4 Cole GM. J Nutr. 2010, Apr;140(4):869-74. 5 Meyer BJ. Lipids. 2013 Sep;48(9):863-8.

See Brain & Nerve Health Support section in our catalog and online

EATING FOR WELLNESS

Winter’s coming: My top 5 immune-boosting foods By Christa Orecchio

As we head into winter, it’s important to shift our eating and health focus to foods that nourish, build and safeguard our immune system.

Christa Orecchio is a Clinical and Holistic Nutritionist. Creator of The Whole Journey Healthy Product Review site, she is a TEDx speaker and makes regular TV appearances as a nutrition expert. 22 | V I T A J O U R N A L

s the old adage goes, “An ounce of prevention is worth a pound of cure.” Adding these foods in routinely can contribute to a healthy, happy holiday season where you are not taken down by the “bugs” that float around when we spend much more time indoors. This month we highlight five foods to use as your medicine for a fortified immune system, ready to tackle winter’s worst! 1. Turmeric and black pepper Turmeric has an immune-stabilizing effect, because it is detoxifying and supportive to the liver. It can help scavenge free radicals (unstable, damaging molecules) and

toxins that could be bringing you down. Freshly-ground black pepper increases vigor by reaching deeper tissues (and when combined with turmeric, absorption of turmeric is increased three-fold). Black pepper is warming to the body—it raises core body temperature, which helps the immune system. This warming action helps deepen the effect of other spices you use with it. 2. Fresh ginger Ginger contains natural anti-inflammatory properties, helps kill bad bacteria and viruses, combats colds and fever, and inhibits the production of cytokines (small proteins that cause pain and swelling). Tr i V i t a . c o m

3. Bone broth Hippocrates, the father of natural medicine, stated 3,000 years ago, “Let thy food be your medicine and let your medicine be thy food.” Bone broth, as used throughout history, has been affectionately called “Jewish penicillin.” Bone broth is still made and ingested today by people around the globe. Healing bone broth is made from organic, raw chicken bones and cooked over a 24-hour period for maximum mineral extraction. This mineral-rich liquid is made by simmering the bones of free-range chicken, traditional vegetables, herbs, and a small amount of raw apple cider vinegar in pure water. This is my personal go-to on a weekly basis and I love using this broth for strengthening immunity, as well as helping with gut function. 4. Maitake mushrooms This mushroom hails from northern Japan and is recognized as an immune-booster. Maitakes are high in compounds called beta glucans, which are helpful sugars (polysaccharides) found in the cell walls of bacteria, fungi, yeasts and algae. Research shows that beta glucans alter white blood cells and stabilize immune function. They have been successfully used in combination with other therapies for a number of disorders and diseases. Beta glucans work by stimulating the immune system and activating certain cells and proteins that attack invading organisms. Lab studies in some cell cultures and in mice have shown that they appear to slow the growth of cancer. I like to add Maitakes to our Wild Mushroom Pasta (see recipe). Sometimes I’ll also chop them finely, sauté them in grass-fed butter or ghee and garlic and eat that alone as a side dish. Add them to brown rice or quinoa to make a type of pilaf. 5. Shiitake mushrooms This wild mushroom grows throughout China and Japan. It is widely available in mainstream grocery stores. Like Maitakes, Shiitake mushrooms contain powerful beta glucans that knock out inflammation, “bad” bacteria and harmful viruses. Ironically (because they are a fungus), they even attack the bad kind of fungus in the body. Even better, Shiitake mushrooms contain B vitamins such as B-2, B-5 and B-6, which provide the body with energy by breaking down fats, carbs and proteins. Shiitakes add selenium, copper, manganese and zinc, making them well-equipped to be your best food defense against a variety of threats to wellness. I use them the same way as Maitakes, plus I always add them to my miso soup.

Wild Mushroom (Brown Rice) Pasta Prep and cook time: 20 minutes | Serves 4-6 5 tablespoons ghee (clarified butter) or regular organic butter ½ pound fresh cremini mushrooms, trimmed and sliced ¼-inch thick ¾ pound mixed fresh wild mushrooms, trimmed and sliced lengthwise, ¼-inch thick (oyster, maitake, shiitake, chanterelle, porcini) 1 large clove garlic, minced ¾ teaspoon sea salt ¼ teaspoon black pepper ½ pound dried brown rice fettucini ¼ cup chopped fresh chives 2 tablespoons chopped flat-leaf parsley 1½ teaspoons finely grated lemon zest ½ teaspoon lemon juice Boil water for fettuccini. While water is coming to a boil, sauté mushrooms in garlic and ghee for 5 minutes; set aside. Add fettuccini to boiling water. Be careful not to overcook pasta, as brown rice pasta cooks faster than regular pasta. Drain cooked pasta. Rinse in cold water. Blend mushrooms and pasta together. Toss with remaining ingredients. Optional: grated Parmigiano Reggiano cheese or nutritional yeast (if dairy-free is desired).

References: http://www.ncbi.nlm.nih.gov/pubmed/19906249 http://www.ncbi.nlm.nih.gov/pubmed/19515245 1- 800 -344 - 8797

See Immune System Support section in our catalog and online

N O V E M B E R 2 0 1 5 | 23

- Science AND TRENDS

Seniors getting smarter, but physical health declining – Laxenburg, Austria People over 50 are scoring higher on cognitive tests than people of the same age did in years past, but their physical health is declining, reported population experts at the International Institute for Applied Systems Analysis in Austria. “We think that these divergent results can be explained by changing lifestyles,” said study author Nadia Steiber. “Life has become cognitively more demanding, with increasing use of communication and information technology also by older people, and people working longer in intellectually demanding jobs. At the same time, we are seeing a decline in physical activity and rising levels of obesity.” http://www.iiasa.ac.at/web/home/about/news/150831-pop-PLOSONE.html

Life satisfaction linked to stronger bones – Joensuu, Finland Life satisfaction may be just as important to healthy bones as healthy lifestyle habits, suggests research from the University of Eastern Finland. In the study, 1,147 women had their bone density measured in 1999 and again in 2009. Their life satisfaction was also repeatedly measured. Although the women’s bone density fell an average 4% over the 10-year study period, those with higher life satisfaction had up to 52% higher bone density than those who were dissatisfied. And those whose life satisfaction decreased over the 10 years? Their bone density weakened by as much as 85% compared to those who reported improvements in life satisfaction. Rauma P et al. Psychosomatic Medicine, 2014; 76: 709. 24 | V I T A J O U R N A L

Tr i V i t a . c o m

Statin use could come with risks – San Francisco, CA The benefits of statin (cholesterol-lowering) drugs must be weighed against their potential side effects (muscle pain and weakness and declines in cognitive function), according to new research from University of California San Francisco. “Prior studies have favored statin use because of the clear benefits to the heart and because serious side effects are rare,” said senior author Kirsten BibbinsDomingo, Ph.D., M.D. “Unfortunately, we don’t have enough studies in older adults, and as a result don’t know enough about how common or how severe the side effects are. Our study showed that in older adults, even small increases in functional limitations and mild cognitive impairments from statin use could result in net harm.” Researchers say more study is required to quantify both the potential benefits and harms of statin use in older adults.

HELP PROTECT YOURSELF AGAINST B-12 DEFICIENCY

https://www.ucsf.edu/news/2015/04/125236/statin-use-elderly-would-prevent-disease-could-carry-considerable-side-effects

For older women, more exercise may mean more fat loss – Alberta, Calgary Doubling the recommended amount of exercise—150 minutes per week to 300 minutes—can mean more fat loss, especially in postmenopausal women, it was reported in the journal JAMA Oncology. Canadian researchers recruited 400 sedentary women to participate in the 12-month study. The women were divided into two groups: the first group exercised five days a week for 30 minutes and the second group exercised five days a week for 60 minutes. The women were asked to not change their diet. After 12 months, researchers found that while women in the first group lost weight and body fat, those in the second group experienced a much more significant reduction in BMI and total body fat.

Essential for overall wellness and healthy aging, B vitamins help support your: Brain • Heart • Nerves Bones • Cells • Sleep health Cardiovascular system Emotional/mental health

Friedenreich C et al. JAMA Oncol, 2015; 1: 766.

Dr. Libby’s Slow Dissolve B-12 Tablets #35140

Member $19.99

See Energy, Stamina & Performance Support section in our catalog and online

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

EMOTIONAL WELLNESS

GRATITUDE

THROUGH GOOD TIMES AND BAD

By Mamiko Odegard, Ph.D.

We often hear about the need to practice gratitude. Gratitude keeps us grounded in our daily blessings to help us maintain a positive sense of emotions no matter the situation.

Dr. Mamiko Odegard is the author of several internationally bestselling books, including Daily Affirmations for Love. Based in Scottsdale, AZ, she has over 30 years’ experience as a psychologist, therapist and professional coach. 26 | V I T A J O U R N A L

hen my mother, who had Alzheimer’s, died suddenly and peacefully one evening, I was extremely grateful that God had taken her so quickly. She had been suffering excruciating pain and had been unable to move her body. Yet, during those moments when she was in such physical distress, I could lie next to her, feeling closely connected, soothing her with words and gently stroking her hair and skin. I knew that she was dying, and used that time to love her and tell her that she no longer had to stay here on Earth for us. She could be our angel to watch over us. Although I was not present for her death, I felt a sense of calm peace, and was grateful for being with Mom that day. I had even told her “goodbye.” I knew she was in a much better place and that was confirmed shortly after her death when I had a vivid dream of my parents crying, smiling and overjoyed at being reunited. Each of you has the ability to choose the way you view situations. It is that

perspective that determines how you feel and react to events. Psychologists call this “internal locus of control,” meaning that you can impact your life and your feelings rather than being controlled by fate. When you experience the loss of a loved one, it is one of the most difficult and stressful times to cope and to maintain a sense of gratitude. Yet, gratitude can exist in loving an individual and sharing a life together. One of my clients inspired me with her message that although she is now her husband’s caregiver due to his rapidly deteriorating health, she is grateful for their love and the time that they spent and now share together. She is grateful for their powerful love, and that helps sustain her. The art of gratitude is a skill, learned through both struggles and light, fun lessons in which we feel a sense of abundance. May you remember that grief exists only because you loved so deeply and were so connected to another. To have loved and received love in return is indeed a life well lived. Tr i V i t a . c o m

SPIRITUAL WELLNESS

SHARE FAITH TO FIND

HAPPINESS

“Take delight in the Lord, and He will give you the desires of your heart”. ~ Psalm 37:4

By Chaplain Donna Kafer

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. 1- 800 -344 - 8797

wasn’t surprised by the latest study on religion and happiness. After analyzing 9,000 Europeans aged 50+, researchers concluded that joining a religious group could do more for someone’s “sustained happiness” than other types of social activity like volunteering or taking a class. “The church appears to play a very important social role in keeping depression at bay and also as a coping mechanism during periods of illness in later life,” wrote the lead researcher in the American Journal of Epidemiology. As reported in The Washington Post and other media, the study concluded that “… the secret to sustained happiness lies in participation in religion.” Other studies have reached similar conclusions. I personally believe God created all of us with an innate sense of His presence and of His sovereignty. Creation proclaims His glory and invites all of us to partake of His blessings. When we welcome the Lord into our lives and actively engage with others of like-minded faith, we find happiness. Historically, man has tried to live his life like a deified being that is above others and answers to no one save himself. This is flawed thinking because when we resist

the existence of the Creator, it places us at odds with Creation itself. If there is no God, there is no purpose, no moral compass, no true happiness and no real reason to exist. Man’s quest to fill the void in his life with all manner of outside pleasures and temptations keeps him from knowing the mercy, grace and love of the Father. Though the Lord invites all of us to know Him, many continue to resist His invitation. This resistance can cause deep fear, anxiety, resentment and excessive worry to take root in our souls, causing a deeper void still. This is why people who accept the reality of an all-loving, all-compassionate God and willingly surrender their lives to Him are some of the happiest people in the world. Scientific research continues to prove that people of faith are happier, less depressed and more optimistic than those without faith. So wouldn’t it make sense for us to relinquish our emptiness and embrace the One who can bring everlasting peace to our hearts? If we want happiness, contentment, joy and a beautiful sense of hope, then let’s come to the One from whom all blessings flow: God. N O V E M B E R 2 0 1 5 | 27

INSIDE THE TRIVITA WELLNESS CENTER

Wellness Center welcomes Joel P. Mascaro, D.O. A healthcare professional who believes in “helping the body heal itself” is the newest progressive team member at the TriVita Wellness Center.

oel P. Mascaro, D.O., a distinguished healthcare innovator based in Scottsdale, AZ, brings years of experience in what he calls “causative medicine” to the expertise available at the TriVita Wellness Center. “If you treat the cause, then the body will respond,” says the board-certified wellness professional. “The body heals itself,” he affirms. “What I do is find the cause, and empower patients to achieve maximum wellness.” His designation as “D.O.” means Doctor of Osteopathic Medicine, a fully recognized and credentialed medical approach. Like M.D.s, D.O.s attend residency programs, can prescribe medications and perform surgery. Osteopathic physicians (most of whom practice primary care), focus on preventive healthcare, and employ a “whole person” approach to medicine. 28 | V I T A J O U R N A L

Dr. Mascaro graduated with the President’s Award from the Philadelphia (PA) College of Osteopathic Medicine. Through more than four decades of service, he has achieved tens of thousands of successful patient outcomes. The recipient of several awards (including “Best of Arizona” Weight Loss Doctor and a People’s Choice Award), the Philadelphia native is ready to serve Wellness Center clients as part of the highly-skilled team in place. He is also a professor of osteopathic medicine at a major medical school in Arizona. Faced his own weight challenges Consulting with Dr. Mascaro means working with a professional who has faced the same wellness challenges as many TriVita Members: weight and related

issues. “I had a son 21 years ago, and I also had an epiphany: if I was going to be around to see him, I had to make changes,” he recalls. At the time, Dr. Mascaro weighed 208 pounds and “couldn’t see my shoes when I looked down.” He began an exercise program, ate healthy foods in proper proportions, and now enjoys vigorous wellness. “I found a life of health,” says Dr. Mascaro, “and now I promote that to my patients.” The Wellness Center’s physiciansupervised personalized weight loss and management program is designed for both in-person and remote-use clients, via phone, online and email. Call toll-free 1-888-669-5036 to find out more about TriVita’s fully-licensed medical facility, or to schedule an appointment with Dr. Mascaro. Tr i V i t a . c o m

PURPOSEFUL LIVING

The 10 Essentials: Karim Premji’s beacon for wellness How many people are thinking about their health and wellness at age 19? That’s how old Karim Premji was when he became part of the TriVita wellness community as an ITBO (Independent TriVita Business Owner*). Healthy living has long been important to this Toronto, Canada resident, but Karim has taken his commitment to a whole new level.

arim recently went back to school to become a certified holistic nutritionist. “That has given me the training and knowledge to advise people on a wealth of health-related subjects, including diet, supplements and lifestyle choices,” says Premji. He has appeared on a local Toronto TV show entitled “Health Matters” and is prominently featured in an upcoming documentary, “The Wellness Story.” Karim is currently an on-site holistic nutritionist at a local store where he can personally guide people toward healthy choices. However, Karim believes that everything starts with the basics, specifically TriVita’s 10 Essentials for Health and Wellness (see page 4). “These essentials are

1- 800 -344 - 8797

the bedrock for everything I do and say,” Karim emphasizes. “I now have an even greater appreciation for what they can accomplish.” These essentials allow Premji to ask questions that can help him really help people. For example, there’s a huge disconnect between what people think “Eat Nutritiously” means and the reality. “It’s so much more than just eating an apple a day,” Premji says. “Drink Water seems to be obvious, yet so many people are seriously dehydrated. The 10 Essentials provide a wealth of opportunities to improve your life.” Of course, TriVita supplements are an important part of Karim’s personal nutritional regimen, and something he wholeheartedly recommends to clients. “I’m a

big fan of Nopalea™ and other nutritional supplements like Dr. Libby’s Slow Dissolve B-12, Omega3 Prime™ and VitaDaily.™ They can have a profound impact on people’s lives. I just hand people a TriVita Gift Card and let these products speak for themselves.” He’s especially proud of several clients who have experienced tremendous results thanks to his coaching. “Nothing is more rewarding than seeing the joy on people’s faces when they are finally living a life of wellness.”

*ITBOs (Independent TriVita Business Owners) may receive commission on the sale of TriVita products.

N O V E M B E R 2 0 1 5 | 29

TRIVITAS 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

Senior Designer Christine Ray

Designer James Dempsey

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.

Editorial Assistant Ginny Schoonaert

Feature Writers Heather Giedt

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.

Donna Kafer, Chaplain

4. Pure Ingredients TriVita uses high-quality essential nutrients available to create effective, body-friendly formulas without mood altering stimulants or harmful chemicals. 5. Current Good Manufacturing Practices (cGMP) Compliant We voluntarily adhere to the strict manufacturing guidelines of the Current Good Manufacturing Practices and all of our supplements are manufactured in the US. 6. Third-Party Testing and Certification In addition to our own quality control, we commission third-party testing and research to guarantee that our products are full potency and meet all regulatory standards. 7. Quality-Controlled Packaging and Production Safety is a top priority in our packaging and manufacturing. Each product is inspected multiple times and we use two safety seals per package on ingestible products to guarantee safety, freshness and product potency. 8. Dedicated to Product Innovation TriVita’s commitment to science is a driving force behind our superior quality products, from formulation to production. We put the utmost care into creating products that deliver positive and lifelong wellness experiences for our Members. 9. Medical & Scientific Advisory Board TriVita’s advisory panel of Board Certified physicians provide us with the latest information on scientific developments and testing methods. 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. 30 | V I T A J O U R N A L

Cheryl Romano Steve Solomon Contributing Writers Michael Ellison, Founder of TriVita

Eric M. Grief, M.D. Jolene Goring, Wellness Center Director of Fitness Mamiko Odegard, Ph.D. Christa Orecchio, Certified Clinical Nutritionist Brittany Stam, M.D Jyothi Tirumalasetty, M.D

The VitaJournal is published by TriVita, Inc., 16100 N. Greenway Hayden Loop, Suite 950, Scottsdale, AZ 85260, Printed in the USA, ©2015 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. Subscription to the monthly VitaJournal is FREE to activeTriVita Members.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 GST, shipping and handling charges. 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. 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.

Our products are not intended to diagnose, treat, cure or prevent any disease. It is intended for your general knowledge only and is not a substitute for professional medical advice or treatment for specific medical conditions. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition. Our Wellness Consultants are here Monday through Friday 8:00 a.m. to 8:00 p.m., EST. The CARE Center is closed on Saturday and Sunday. Order online 24/7 at TriVita.com.

facebook.com/TriVita

twitter.com/TriVitaInc

youtube.com/TriVitaInc Tr i V i t a . c o m

GETTING THE MOST OF YOUR

MEMBERSHIP?

Feel free to redeem your VitaPoints at any time—you’ve earned them! VitaPoints are redeemable online or by phone. Don’t know how many points you have? There are three ways to check your VitaPoint balance:

Call Premier Member customer service

Check your latest TriVita invoice

REDEEMING VITAPOINTS Redeem Points Dollars Off Product

100 $1

500 1000 2000 2500 5000 $5

$10

$20

$25

$50

Every time you make a purchase, you earn VitaPoints equal to 4% of the product value.

EARN REFERRAL VITAPOINTS Share wellness with others and enjoy 20% of the product value of their orders—every single time they place an order.

ENJOY EXCLUSIVE OFFERS In addition to TriVita’s monthly specials, Premier Members receive special savings opportunities. Watch your email inbox for details.

NOT A PREMIER MEMBER YET? There are no fees or obligations—just benefits designed to help you on your wellness journey. 1- 800 -344 - 8797

CALL TOLL-FREE 1-800-344-8797 OR VISIT TRIVITA.COM TO SIGN UP TODAY! N O V E M B E R 2 0 1 5 | 31

THE ESSENTIAL ABSORBABLE SUNSHINE VITAMIN FOR LIFE!

ESSENTIAL D™

Essential D™

BUY ONE, GET ONE *

#31270

Member $16.99

FREE!

* Offer limited to 2 specials (4 bottles) and expires 11-30-15 at 10 p.m. EST. See page 9 for more information.

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

FEEL VITAMIN C’S FULL POTENTIAL WITH DR. LIBBY’S VITAL C Experience the difference a quality Vitamin C formula can make, with Vital C—designed to support Vitamin C’s many roles in whole-life health. It’s non-acidic, pH neutral, buffered and available in tablets and powder.

Vital C™ Crystal Tablets

Premier Members, earn 2X VitaPoints on your entire order when you purchase Vital C™ Crystal Tablets or Vital C™ Crystal Powder.*

#30170

* Offer expires 11-30-15 at 10 p.m. EST. For more information on Premier Membership, see page 31.

#30230

Member $19.99

Vital C™ Crystal Powder Member $24.99 See Immune System Support section in our catalog and online

V1115C