VitaJournal - April 2015 - USA by TriVita

experience wellness ®

OMEGA-3

THE “HEART” OF GOOD HEALTH Samuel Grief, M.D. Pg. 6

YOU CAN TRUST

TRIVITA LABELS Pg. 26

HELP FOR

ALLERGY SYMPTOMS

Jyothi Tirumalasetty, M.D. Pg. 22

APRIL 2015

PURSUING WELLNESS

Today’s choices, tomorrow’s wellness If you are seeking to extend your life span and enjoy a greater quality of life while aging, Michael R. Ellison Founder of TriVita

avoid toxins and seek to achieve normal healthy inflammation levels while promoting DNA repair instead of DNA damage. If you use these two filters in your lifestyle choices, you may add years of enjoyment to your life.

oxins come from a variety of sources, many found right in our homes: household products containing ingredients such as acetone and benzene; lead coming through the water from pipes found in older homes; pesticides found in our food; or even alcohol overindulgence, which depletes your glutathione, an antioxidant that occurs naturally in the body. Learn more about the potential harmful effects of alcohol on page 20. Sometimes we think of toxins as being some rare substance we may come in contact with. But as Merriam-Webster defines it, toxins are a poisonous substance produced by a living thing. Wikipedia further defines them as small molecules, peptides or proteins found in plants and animals that are capable of causing disease on contact with, or when absorbed by, body tissues. In a non-clinical version of this, toxins are found in food, water, cosmetics, lotions, household cleaner products and other such daily necessities. But there are ways in which we may reduce and in some cases eliminate the toxic effect by being aware of ingredients or ways in which the toxic invaders come at us. So through awareness and lifestyle choices you can have a dramatic effect upon your healthy aging outcome. And quite frankly, you are never too young—or too old—to make good lifestyle choices that can enhance your health and wellness. You can help your body repair DNA by supplementing with Vitamin D, which also helps explain why people with higher Vitamin D levels show lower incidences of degenerative diseases. Vitamins B-12, B-6, C and CoEnzyme Q-10 also help support cellular and DNA repair. We encourage our Members to support good inflammation levels with Nopalea™ as well as other food choices that have anti-inflammatory benefits. While you may not have an immediate experience of feeling better, you will better serve your pursuit of healthier longevity. Most all of us want independence, mental alertness and mobility until our very last breath. While genetics play an important role, even more important are the lifestyle choices we make. We can reduce our exposure to toxins and we can support our body’s natural defense systems with balanced nutrients and nurturing practices. May you enjoy added quality of life to your years!

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- 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.

AT THE “HEART” OF GOOD HEALTH Samuel Grief, M.D., on omega-3 fatty acids.

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.

10 EATING TO SUPPORT A HEALTHY THYROID

MEDICAL & SCIENTIFIC ADVISORY BOARD

EVER TOO SOON TO CARE FOR YOUR BONES 14 N

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.

Life-enhancing foods and recipes.

Support the bones that support you, by Brittany Stam, M.D.

RIVEN BY A MISSION 16 D

Barbara Wentroble’s purposeful life inspires others.

18 “SPRING CLEAN” YOUR DEBT How sharp are your money smarts?

22 HELP FOR ALLERGY SYMPTOMS

Stopping the cycle of misery: Jyothi Tirumalasetty, M.D.

26 ON A TRIVITA LABEL?

Then it’s in the bottle, by William (Bill) Wheeler, Ph.D.

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. 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.

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- Thoughts from THE EDITOR

Enjoy the renewal of the season! 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

appy April to everyone and a belated Happy Easter to all of our Christian Members. Spring and a time of rebirth is definitely in the air. After our threeweek bout of winter in Arizona in January, things warmed up quickly, causing allergy season to arrive earlier than usual. We have acacia trees that blossom with yellow flowers that cover streets and sidewalks, creating high-pollen warnings on our local news. Those are only one type of tree allergens that wreak havoc on allergy sufferers in Arizona. When our body’s allergic cells and antibodies come in contact with allergens, inflammation is often set off throughout our body. This month, Dr. Jyothi Tirumalasetty writes about both indoor and outdoor allergens on pages 22-23, sharing tips on how to lessen the cycle of misery. You’ll find Nopalea™ (which supports the normal and essential anti-inflammatory function performed by the immune system) on special this month: Buy one bottle, get your second 50% off! See page 13 to buy individual bottles or 4-Packs. We’re also pleased to introduce our newest product, Omega3 Prime.™Omega-3 fatty acids are essential to your health and your body cannot produce them. Our new Omega3 Prime soft gels are small and contain a potent 1,000 milligrams of omega-3 per serving (670 mg EPA and 125 mg DHA). If you didn’t see Omega3 Prime in the April catalog, look for it in your next catalog. The good news is, in April, we’re offering it at an introductory price of $23.99, which is 20% off the already low price of $29.99. It is formulated to support heart, joint and brain health. A co-worker told me that at his last eye appointment, his eye doctor told him to take omega-3s for eye health. You’ll find much on the omega-3 topic in this month’s issue: Dr. Sam Grief on page 6, as well as a dramatic illustration on page 7 from the Global Organization for EPA and DHA (GOED). Dr. Brittany Stam, our women’s health contributor, offers an outstanding article on Bone Health on pages 14-15. If there’s a particular health topic you’d like to learn more about, email me: Pam@TriVita.com, and we’ll see about getting it addressed in future issues. Here’s to a healthy April so you can enjoy the renewal of the season!

Pam Molenda, Editor Pam@TriVita.com

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

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A PRIL 2015 | 5

THE DOCTOR IS IN

At the “heart” of good health: omega-3 fatty acids By Samuel Grief, M.D.

Scientists often discover health breakthroughs by good luck and circumstance. In the 1960s a researcher studied why Canada’s northern Eskimos weren’t suffering from heart disease as much as other North Americans, even though the Eskimos were eating a diet very high in fat (seal and polar bear flesh). It turned out that the flesh of these animals, and certain northern fish, was rich in a type of fat known as omega-3.

O Dr. Grief is medical director at the University of Illinois and chairman of TriVita’s Medical and Scientific Advisory Board. He received his medical degree from McGill University in Montreal, Quebec. 6 | V I T A J O U R N A L

mega-3 fatty acids are a type of polyunsaturated fatty acids. But omega-3s are unique in adjusting cholesterol and triglycerides in the blood in a way that benefits our heart and arteries. Further research has clarified the nowaccepted fact that omega-3 fatty acids do not clog our arteries. More importantly, omega-3s actually help thin the blood and lower levels of circulating fatty acids in the blood. These last two effects are probably why the Eskimos staved off widespread heart disease.

Prescribed to lower disease risk Omega-3s are now prescribed by physicians to help lower the risk of heart disease. In fact, the American Heart Association and other medical authorities in the U.S. and around the world also recommend a diet rich in omega-3s and taking a supplement in varying doses, depending on your health status and medical conditions. Omega-3s have been studied for many other medical conditions, including rheumatoid arthritis, diabetes and abnormal heart rhythms. Science confirms Tr i V i t a . c o m

that there is indeed a positive impact on these conditions when taking anywhere from 2,000–4,000 milligrams of omega-3s daily. Omega-3s are now incorporated into infant formulas as a way of enhancing brain development. After all, the brain is 60% fat—what better way to nourish a growing child’s brain than by giving that child a healthy form of fat? You can get your omega-3 supply from fatty fish—typically salmon, tuna, halibut, sea bass and some predatory fish like king mackerel, swordfish and others. Be careful not to overeat the large, predatory fatty fish as they also contain more potentially harmful heavy metals such as mercury. Some plant foods contain the precursor to omega3s, known as Alpha Linolenic Acid (ALA). ALA is found in walnuts, tofu and many seeds. For good health, eat a healthy and balanced diet, and get your daily dose of omega-3 fatty acids. This article is intended for educational purposes only.

References: Omega-3 fatty acids, fish oil, alpha-linolenic evidence. Mayo Clinic. Retrieved from http://www.mayoclinic.org/ drugs-supplements/omega-3-fatty-acids-fish-oil-alpha-linolenic-acid/evidence/hrb-20059372. Kris-Etherton PM, Harris WS, Apple LJ. American Heart Association Nutrition Committee. Fish Consumption, fish oil, omega-3 fatty acids, and cardiovascular disease. 2002. Circulation. 106:2747-2757. National Institutes of Health. National Heart, Lung, and Blood Institute. Third Report of the National Cholesterol Education Program Expert panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). 2001. NIH Publication Number 01-3670. Washington, DC. [online] Retrieved from http:// www.nhlbi.nih.gov/guidelines/cholesterol/atp3full.pdf. Vannice G and Rasmussen H (2014). Position of the academy of nutrition and dietetics: dietary Fatty acids for healthy adults. J Acad Nutr Diet 2014. 114:136-153. [online] Retrieved from http://download.journals.elsevierhealth.com/ pdfs/journals/2212-2672/PIIS2212267213016729.pdf. Graphic used with permission from GOED, the Global Organization for EPA and DHA Omega-3s.

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- Research DESK

Strong evidence for omega-3 heart benefits – Corvallis, OR The evidence supporting the heart health benefits of blood), blood pressure and overall vascular function. omega-3 fatty acids is strong, says a research review The study of laboratory animals used a level of DHA from Oregon State University’s Linus Pauling Institute. supplementation that equaled about 2–4 grams per Writing in the Journal of Lipid Research, researchers day for an average person. “We believe the evidence is reported that fish consumption and omega-3 strong that the EPA and DHA content in heart tissues supplements may help reduce the risk of heart disease, and blood is important to health and to the prevention and that fatty acids have been linked to improvements of cardiovascular disease,” said the research team.1 in blood levels, reduced thrombosis (coagulation of the

Low Vitamin D levels linked to dementia, Alzheimer’s – Exeter, UK a 125% increased risk of dementia and a 120% In a study of 1,658 people, researchers from the University of Exeter Medical School found that those increased risk of Alzheimer’s. Study author David J. with low levels of Vitamin D had a 53% increased risk Llewellyn, Ph.D., said, “Increased Vitamin D intake of dementia and a 70% increased risk of developing could have enormous public health benefits given the devastating and costly nature of dementia.”2 Alzheimer’s compared to those with normal levels. A severe deficiency almost doubled those numbers:

Study suggests omega-3 fatty acids reduce smoking – Haifa, Israel Taking omega-3 supplements reduces craving and immune system dysfunction, but also reduces the for nicotine and even reduces the number levels of essential fatty acids in the brain, especially of cigarettes that people smoke a day, omega-3. The study included 48 smokers aged 18 to according to a recent University of Haifa 45. One group received omega-3 capsules; the second study. “The study indicated that omega-3, group received a placebo. After 30 days the smokers an inexpensive and easily available who had taken omega-3 reduced their cigarettes by an dietary supplement, reduces smoking average of two a day (an 11% decrease), even though significantly,” said the research team. they were not asked to change their smoking habits in any way. They also showed a significant decrease in Cigarette smoking is connected not nicotine craving.3 only to cancer and cardiovascular References: 1 Omega-3 fatty acid supplementation and cardiovascular disease: Thematic review section: new lipid and lipoprotein targets for the treatment of cardiometabolic diseases. Journal of Lipid Research. 2012, Volume 53. Number 12. Pages 2525-2545. Retrieved from http://www.nutraingredients-usa.com/Research/Evidence-is-strong-for-omega-3-s-heart-health-benefits-LinusPauling-review 2 Littlejohns, T.J., et al (2014). Vitamin D and the risk of dementia and Alzheimer disease. Neurology, 83, 10, 920-928. Published online before print August 6, 2014. doi: 10.1212/ WNL.0000000000000755. 3 S. Rabinovitz. Effects of omega-3 fatty acids on tobacco craving in cigarette smokers: A double-blind, randomized, placebo-controlled pilot study. Journal of Psychopharmacology, 2014. Retrieved from http://jop.sagepub.com/content/28/8/804 8 | V I T A J O U R N A L

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CALL TOLL-FREE 1-800-991-7116 OR ORDER ONLINE AT TRIVITA.COM References: 1 Physicians Committee for Responsible Medicine. Essential fatty acids. Retrieved from http://www.pcrm.org/health/health-topics/essential-fatty-acids 2 Understanding the omega fatty acids. WebMD.com. March 2, 2011. Retrieved from http://www.webmd.com/diet/healthy-kitchen-11/omega-fatty-acids?page=2 3 Omega-6 fatty acids. University of Maryland Medical Center. Retrieved from https://umm.edu/health/medical/altmed/supplement/omega6-fatty-acids - 8 0Ecovision. 0 - 9 9 1 -Retrieved 7 1 1 6 from http://www.epax.com/pages/sustainable?open&qnfl=EcoVision 41Epax

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EATING FOR WELLNESS

Eating to support a healthy thyroid By Christa Orecchio

I call thyroid hormones the “Goldilocks hormones.” Even a slight increase or decrease can dramatically affect your energy, digestion, sleep and ability to think clearly. That’s why it’s important to eat the foods that support this gland (and avoid the ones that don’t). Women, take heed: you’re five to eight times more likely to have a thyroid disorder than men. Editor’s note: In last month’s issue, Dr. Brittany Stam explored the medical side of the thyroid gland, including the importance of a healthy diet. Christa shares more food specifics here. 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. 10 | V I T A J O U R N A L

FOODS TO HELP THE THYROID

Healing bone broth—By “healing bone broth,” I mean the kind of soup our grandmothers and great-grandmothers used to make where they slow-cooked raw bones and chicken feet in a pot with herbs for many hours.

This kind of soup is very healing to the lining of our intestines, which is where the root cause of thyroid issues typically begin. Because this soup is slow-cooked and includes the feet, it contains high levels of the protein collagen. This is a highly-absorbable, easy-to-digest protein, full of minerals that feed the thyroid almost instantly. Try this nutritious broth yourself with the recipe on the next page.

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Coconut oil and coconut butter— Coconut products provide raw material to fuel the thyroid without forcing it to do much work to use the energy from those products. Coconut oil packs another punch with its antiviral and antifungal properties, helping to boost the immune system. I actually blend coconut oil into my tea or coffee every morning. Then there’s coconut butter, which is rich and creamy. I love it in place of dairy products to make dishes smooth and sweet. Try our Cashew Cake Batter Pudding recipe (at bottom right). It’s hugely popular and takes just five minutes to make! Oysters—Do you love oysters? So does your thyroid. These shellfish contain a wonderful array of amino acids that support the pituitary gland, a master gland in your brain that controls how much thyroid hormone is produced. When we strengthen the pituitary gland, we do a wonderful service to the thyroid. Plus, oysters are very high in zinc, a mineral that helps the thyroid gland. Brazil nuts—Ten Brazil nuts a day provide enough of the trace mineral selenium to ensure a boost to your thyroid. Selenium is an essential mineral needed for proper immunity and detoxification. In addition, it helps convert inactive thyroid hormone to the active version, which means it can help quite a bit with your energy levels. FOODS TO AVOID

While processed foods and sugar are key culprits to drag down thyroid function, I’m highlighting soy and gluten because of studies behind how damaging these foods can be to thyroid health. Soy—Non-fermented soy products like tofu and soymilk can block the uptake of iodine, a very important nutrient that feeds the thyroid. So when choosing a meat alternative, look for tempeh instead of tofu since it has been fermented. And, substitute unsweetened almond or coconut milk for soymilk wherever possible. Gluten—Gluten plays a role in autoimmune thyroid conditions such as Graves’ disease and Hashimoto’s disease—90% of hypothyroidism (underactive thyroid) in North America is actually Hashimoto’s disease, making this very important to mention. For those with Hashimoto’s, the effects of eating gluten can last up to six months. Better to forgo that slice of wheat bread in favor of brown rice bread or get the gluten-free crackers made from wild rice and/or quinoa.

HEALING BONE BROTH Prep and cook time: 12-24 hours Makes 8 cups 5 pounds organic raw chicken bones and chicken feet, rinsed and cleaned* 2 tablespoons raw apple cider vinegar ¼ teaspoon Celtic or pink salt Herbs and spices to taste, such as basil, oregano, rosemary, thyme and/or cayenne Mix all ingredients in a slow cooker filled with water. Turn on low and cook for 12-24 hours. (This slow process draws the healthful minerals out of the bones.) After cooking, strain fat and solids and save broth. Use broth for cooking grains, beans and soups, or just drink like a tea from a mug. *Ask your grocer or local farmer for the chicken bones. Be sure to ask for the feet as well, since that is where collagen is found.

CASHEW CAKE BATTER PUDDING Soaking time: 1 hour Prep time: 5 minutes | Serves 6 1 heaping cup raw cashews, soaked for one hour and then drained 1 cup pure water (or unsweetened almond milk or coconut water) 1 teaspoon vanilla extract or vanilla bean 3 tablespoons coconut butter (found near the nut butters in the baking aisle of health food stores) ½ teaspoon dark-liquid stevia ½ teaspoon sea salt Blend all ingredients together in a highpowered blender. Refrigerate for 45 minutes before serving.

References: Akcay MN, Akcay G.The presence of the antigliadin antibodies in autoimmune thyroid diseases. Hepatogastroenterology. 2003 Dec;50 Suppl 2i. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/15244201. Fort P, Moses N, et al. Breast and soy-formula feedings in early infancy and the prevalence of autoimmune thyroid disease in children. J Am Coll Nutr. 1990 Apr;9(2):164-7. Retrieved from http://www.ncbi.nlm.nih.gov/ pubmed/2338464. Hyperthyroidism. National Endocrine and Metabolic Diseases Information Service. National Institutes of Health. Retrieved from: http://endocrine.niddk.nih.gov/pubs/hyperthyroidism/index.aspx Hypothyroidism. National Endocrine and Metabolic Diseases Information Service. National Institutes of Health. Retrieved from: http://endocrine.niddk.nih.gov/pubs/hypothyroidism/index.aspx

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HEALTHY AGING

Stress and inflammation could be aging you

tress is a natural part of life. In fact, our bodies are designed to respond to it, sometimes with temporary bursts of energy (the “flight or fight” response when hormones are released into our bloodstream). But when stress becomes chronic, and we are in a constant state of readiness, our bodies can become weakened and susceptible to disease. “Stress clearly promotes higher levels of inflammation, which is thought to contribute to many diseases of aging,” says Dr. Janice Kiecott-Glaser, a leading stress researcher at Ohio State University. She notes that inflammation has been linked to several diseases associated with aging, from heart disease and diabetes to arthritis and functional decline. Chronic stress has also been linked to digestive disorders, sleep troubles, depression and anxiety. Inflammation’s toll on the body A certain amount of short-term inflammation is actually necessary for healing, whether the damage is from injury, illness, toxins, nutritional deficiencies or stress. However, when the body is “overloaded” with chronic stress and excess inflammation, it can be worn down by the constant demands. Cells may become damaged beyond repair, and we can literally become old before our time, falling victim to both mental and physical problems.

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Keys to stress management Try these techniques to help reduce stress: • Practice the 10 Essentials for Health and Wellness (see page 4). • Enjoy physical activity every day. • Eat nutritiously, emphasizing fruits, vegetables, whole grains and lean protein. • Seek out friends to talk to, or take steps to build your social support network. • Take time out each day to sit quietly and peacefully. • Try relaxation techniques such as meditation and deep breathing. • Avoid excess alcohol. If stress continues to be a problem despite your best efforts, don’t hesitate to ask your healthcare provider for help. After all, controlling stress, inflammation and the wear-and-tear they create is key to enjoying health and life for as long as possible. References: Feeling stressed? National Institutes of Health, News in Health. December 2014. Retrieved from http://newsinhealth.nih.gov/issue/dec2014/feature1 Stress management. MedlinePlus, National Library of Medicine, National Institutes of Health. Retrieved from http://www.nlm.nih.gov/medlineplus/ency/article/001942.htm.

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WOMEN’S HEALTH

Never too soon to care for your bones By Brittany Stam, M.D.

The expression, “If it ain’t broke, don’t fix it,” is a phrase that does not apply to your bone health. I see many women in their early 50s for their annual exams. When I raise the subject of calcium, Vitamin D and weight-bearing exercises, the women often respond, “Aren’t I too young?” It’s never too early to start thinking about your bone health.

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

Your aging bones s a teenager, you were making more new bone than you were losing until you reached your peak bone mass (the point when you have your greatest amount of bone), usually between 18 and 25. After you reach peak bone mass, you lose more bone than you form. In midlife, bone loss usually speeds up in both men and women. However, this loss can be much more significant in women. In the five to seven years following menopause, a woman can lose up to 20% of her bone density. This explains why, of the estimated 10 million Americans with osteoporosis, about 8 million (80%) are women. Some 1.4 million Canadians have osteoporosis, which strikes one in four women and about one in eight men.

Bone loss can lead to osteoporosis, a disease in which the bones become thin, brittle and weak. These changes make the bones more susceptible to fractures. As the disease progresses, the spinal bones (vertebrae) often weaken, resulting in loss of height. Usually, these type of fractures are painless and can go unnoticed for years. Women experience more rapid bone loss the year before menopause due to the large decline in estrogen levels. While estrogen is required by both men and women for good bone health, the dramatic bone loss in women is not seen in men. This accounts for the greater prevalence of osteoporosis in women than in men.

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Who is at risk Genetics, race and ethnicity all play significant roles in peak bone mass and bone quality. Caucasian women have the highest rates of hip fractures, African-American women have the lowest rates and Mexican-American women have rates in-between the other two groups. Certain diseases can also make you more prone to osteoporosis, such as inflammatory bowel disease, rheumatoid arthritis and lupus. Those with diets low in calcium or who are lactose intolerant are also at risk. In terms of lifestyle choices, osteoporosis is more common in people consuming three or more alcoholic drinks per day, smokers and those who are inactive. How it’s diagnosed The U.S. Preventive Services Task Force recommends screening for osteoporosis in women 65 years and older. The screening test is a bone mineral density test that shows the amount of bone present in the hip, spine or other areas. The most accurate test available is known as a DXA scan (dual-energy X-ray absorptiometry).

If you don’t meet the age recommendation for DXA screening but have other risk factors, you can use a computer tool known as FRAX. In 2008, a World Health Organization (WHO) task force introduced the fracture risk assessment tool (FRAX) to predict the risk of osteoporotic fracture for a person in the next 10 years. FRAX is intended for women 40 years and older who are not taking prescription osteoporosis drugs. You can calculate your own FRAX by going online to: sheffield.ac.uk/FRAX/. Preventing bone breakdown A diet rich in calcium is important in building and maintaining healthy bones. Food is the best source of calcium. Dairy products, such as low-fat and non-fat milk, yogurt and cheese are high in calcium. Calcium can also be found in dark, leafy greens like spinach, kale and collards. Vitamin D is required by your body to absorb calcium. Since Vitamin D is naturally available in only a few foods, it must be taken in supplement form or obtained by spending 15 minutes a few days a week in the sun.

This article is intended for educational purposes only.

References: Fulton JP, New guidelines for the prevention and treatment of osteoporosis. National Osteoporosis Foundation. Med Health R I 1999; 82:110. Osteoporosis. The American College of Obstetricians and Gynecologists. Practice Bulletin Number 129, September 2012 Melton LJ 3rd, Kearns AE, Atkinson EJ, Bolander ME, Achenbach SJ, Huddleston JM, et al. Secular trends in hip fracture incidence and recurrence. Osteoporos Int 2009;20:687–94. Management of osteoporosis in postmenopausal women: 2010 position statement of The North American Menopause Society. Menopause 2010;17:25–54; Ross AC, Manson JE, Abrams SA, Aloia JF, Brannon PM, Clinton SK, et al. The 2011 report on dietary reference intakes for calcium and vitamin D from the Institute of Medicine: what clinicians need to know. J Clin Endocrinol Metab 2011;96:53–8. Goeree R, O’Brien B, Pettitt D, et al. (1996) An assessment of the burden of illness due to osteoporosis in Canada. J Soc Obstet Gynaecol Can 18:15. Ontario Women’s Health Council. 2000. A Framework and Strategy for the Prevention and Management of Osteoporosis. Ontario Ministry of Health: Toronto.

THE RECIPE FOR BONE HEALTH IS SIMPLE: •G et enough calcium and Vitamin D • Eat a well-balanced diet • Exercise: weight-bearing, resistance and aerobic • Don’t smoke • Limit alcohol intake SUPPORT THE BONES THAT SUPPORT YOU: DON’T WAIT TO “FIX IT WHEN IT’S BROKE.” 1 - 8 0 0 - 9 9 1 - 7 11 6

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PURPOSEFUL LIVING

Barbara Wentroble’s empowering message Purpose is much more than a catchword to Barbara Wentroble. The Texas businesswoman and minister has actually written a book about the subject entitled “Empowered for Your Purpose,” published by Creative Press. This book offers essential strategies to finding and fulfilling your purpose.

B Barbara Wentroble Dallas, Texas 16 | V I T A J O U R N A L

arbara developed her own sense of purpose by necessity early on in life. As the oldest of six children, she was actively involved in the upbringing of her younger brothers and sisters. “I’ve always been a purpose-driven person,” says Barbara. “That helped me decide at a very early age that I wanted to become a registered nurse.” Barbara knew exactly what she would need to do and the courses she would need to take to reach her ultimate goal.

An accomplished life Since then, Barbara has set her sights even higher to become a wife, mother, grandmother, businesswoman, entrepreneur and minister. She feels that it is her destiny to make life better for other people. Barbara also sees an overwhelming lack of purpose undermining many people’s lives. In her book, Barbara states, “Too many people believe that life merely happens to them. They have a victim mentality that hinders them from the abundant life that Jesus gave us when He died on the cross.” Tr i V i t a . c o m

“Everybody has a call, a purpose, which helps them walk through difficult places in their life,” Barbara continues. “I’ve counseled many people who are deeply dissatisfied with their lot in life. I tell them they haven’t been put on earth just to breathe in and out. Regardless of your age, your life story has not been fully written. There is more to you than you realize if we can only help one another find the meaning of life.” First step—wellness Barbara is always mindful that having a sense of purpose begins with taking care of your own health. She eats nutritiously, takes supplements as needed and has regular checkups. As a result, she feels 20 years younger than her real age. “If your body isn’t living in wellness, you’ll never have a sense of purpose,” Barbara cautions. “I see people my age and much younger who are incapacitated and waiting to die. If you’re focused on your own illness and infirmity, it

makes it even more difficult to find your purpose. How can you focus on helping others when your sole focus is on yourself?” So, how does she help people get out of this self-perpetuating rut? It starts with having the right people around you. “We were not created to be alone,” Barbara emphasizes. “You cannot win the battle alone. That also means avoiding the wrong people who will tear you down. Don’t allow negative people to steal your life’s purpose. Instead, we need to hold each other’s arms up.” She gently tries to find out why troubled people have sought her out. Sometimes there is something or someone that needs forgiving. Others have often undergone major losses in their lives. “People need to break the pattern of despair. I try to help them find the strength to free them from this past despair and embrace the future.”

Answering God’s call Barbara unequivocally states, “Faith is the primary motivating force in my life. This has given me the strength to cope with my own trials. My faith helped me through the loss of my beautiful granddaughter who lived only 7 ½ weeks. Faith in God was what made me release the sorrow and rise up again. Ultimately, I tell myself and others that we’ve been put here to make Heaven on earth… to make the earth a better place and to make a difference in the lives of others. During our last chapter in life we should hear the Lord saying, ‘Well done!’”

“YOUNG AT HEART” LIVE LONGER You’re as young as you feel. That’s the conclusion of a University College London study published in the February 2015 edition of JAMA Internal Medicine. Over 6,500 men and women over the age of 52 answered the question, “How old do you feel you are?” • About 70% felt three or more years younger than their actual age • 25% felt close to their actual age • 5% felt more than one year older than their actual age

Eight years after study participants answered the age question, researchers determined which ones were still alive: • 75% of those who felt older than their age • 82% of those who felt their actual age • 86% of those who felt younger than their actual age

Researchers speculated that feeling younger may lead to better health habits. “Feeling younger or older itself seems to have an effect on our health,” said the research team. “Moderate-intensity exercise, good diet and a positive attitude all enhance longevity.” Reference: Feeling old vs. being old: associations between self-perceived age and mortality. JAMA Internal Medicine. February 2015. Retrieved from http://archinte.jamanetwork.com/article.aspx?articleid=2020288 1 - 8 0 0 - 9 9 1 - 7 11 6

A P R I L 2 0 1 5 | 17

FINANCIAL WELLNESS

Time to “spring clean” your debt? April is Financial Literacy Month: How sharp are your money smarts? If debt is cluttering your life, these tips from the U.S. Government’s National Credit Union Administration can help you get your financial house in order. Review your credit report. Once a year, you’re entitled to a free copy of your credit report from each of the three major credit reporting agencies (CRAs). Obtain yours by contacting AnnualCreditReport.com and make sure your reports are free of errors. If you do find a mistake, alert both the CRA and the creditor providing the information. Organize and/or shred old financial documents. Keep tax returns, canceled checks, receipts and any records supporting tax deductions for at least six years. That’s how long the Internal Revenue Service has to audit you. Keep only other documents (like pay stubs and bank statements) that are absolutely necessary; if in doubt, scan or make a copy. Shred unneeded documents, don’t just toss: that invites identify theft. Store financial passwords and documents safely. Thwart identity thieves by storing passwords to online financial accounts, plus paper documents like a will, in a locked box.

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

Review your budget. If you don’t have one, start. Track income and spending monthly to stay current and make adjustments as needed. Don’t forget to fund your savings and retirement accounts. Use automatic bill payments. You can avoid late payment fees—plus the time and effort of paying with paper—by paying recurring bills online through your checking account. Retire the debt “ghost” of holidays past. Still paying off your 2014 holiday gifts? Don’t let that debt linger and mount. Right now, figure out which loans or credit cards you can pay off entirely this year. Reference: Financial Spring Cleaning Tips. National Credit Union Administration. Retrieved from http://www.mycreditunion.gov/Pages/tips/springcleaning.aspx.

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Handling high blood pressure after the age of 60 Treatment goals change with increased age What is the “right” blood pressure for people over 60? There are differing opinions on how low you should go. For example, the Joint National Committee on Hypertension recommends 150/90 (systolic/diastolic), but the American Heart Association recommends taking it down to 140/90. Consult with your healthcare provider for recommendations customized to your specific needs. However, if you are over 80 years of age there is a greater agreement. Healthcare professionals recommend lowering systolic blood pressure to 150 because it helps reduce the rate of stroke, heart failure and death from a variety of other causes. Medication side effects Blood pressure medication side effects may vary, but most share one—orthostatic hypertension. This condition causes a sudden drop in blood pressure when you stand up. How to minimize the risk of lightheadness, fainting and falling Check your blood pressure regularly. Your blood pressure will vary with physical activity and time of day. With your own home blood pressure monitor you can take a seated reading in the morning and evening. Let your healthcare provider know if it is 90/60 in any situation. Make lifestyle changes Lose weight, restrict alcohol and get more exercise to help lower your pressure. 1 - 8 0 0 - 9 9 1 - 7 11 6

Drink water The amount of water in your body declines with age. Diuretic blood pressure medications can also dehydrate you. When you’re dehydrated, your blood pressure can drop, putting you at risk for falls. Eat a balanced diet Consuming a diet rich in fruits, vegetables, whole grains, nuts and low-fat dairy products helps keep your electrolyte (minerals in your body) balance stable and improve hydration.

SIMPLE LIFESTYLE CHANGES CAN REDUCE SYSTOLIC BLOOD PRESSURE LIFESTYLE CHANGE

REDUCTION

Get to a body mass index of 25 or less

5–20 mm Hg (units of pressure)

Eat a plant-based diet low in saturated and trans fats

8–14 mm Hg

Reduce sodium to 2,400 mg or less daily

2–8 mm Hg

Exercise 30 minutes most days

4–9 mm Hg

Keep alcohol consumption to one drink a day

2–4 mm Hg

Reference: Your guide to lowering blood pressure. National Heart, Lung and Blood Institute. Retrieved from http://www.nhlbi.nih.gov/files/docs/public/heart/hbp_low.pdf A P R I L 2 0 1 5 | 19

Drinking away your health? Alcohol use as we age

rinking problems affect people across all social strata—and across all age groups. It’s important to recognize that as we age, our bodies become more susceptible to alcohol’s effects. So the drinking habits of yesteryear that weren’t a problem could spell trouble as we get older, and could potentially lead to alcohol abuse and its accompanying health problems. Health consequences of drinking Long term, too much alcohol can: • Lead to some kinds of cancer, liver damage, immune system disorders and brain damage • Worsen some health conditions like osteoporosis, diabetes, high blood pressure, memory loss, mood disorders and ulcers •M ake it difficult to find and treat medical problems such as changes to the heart and blood vessels • Lead to forgetfulness and confusion—which could be mistaken for signs of Alzheimer’s disease How much is enough—or too much? The National Institute on Alcohol Abuse and Alcoholism offers these recommendations for adults over 65: No more than seven drinks a week and no more than three drinks per day. If you have a health problem or take medications, consult with your healthcare provider to determine how much alcohol is safe for you. 20 | V I T A J O U R N A L

Signs of an alcohol problem Do any of the following describe your drinking habits? You may need help if you: • Hide or lie about drinking • Get hurt or harm others when drinking • Want to cut down or stop drinking but you can’t • Have to drink more than you once did to get the same effect • Find that drinking interferes with your home life, health, relationships or job • Have legal problems because of your drinking • Experience alcohol withdrawal symptoms such as trouble sleeping, shakiness, restlessness, nausea, sweating, a racing heart or a seizure Anyone with an alcohol problem should see a doctor or other healthcare provider right away. References: Age Page: Alcohol Use in Older People (2015). National Institute on Aging, U.S. Department of Health and Human Services. Retrieved from http://www.nia.nih.gov/health/publication/ alcohol-use-older-people Older Adults and Alcohol (2013). National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health. Retrieved from http://pubs.niaaa.nih.gov/publications/ olderAdults/olderAdults.htm#toc02 Rethinking Drinking: Alcohol and your health (2010). National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health. Retrieved from http://rethinkingdrinking.niaaa.nih. gov/WhatsTheHarm/WhatAreSymptomsOfAnAlcoholUseDisorder_3plus.asp?q=11&symp0= yes&symp1=yes&symp2=yes&symp3=yes&symp4=yes&symp5=yes&symp6=yes&symp7=ye s&symp8=yes&symp9=yes&symp10=yes Tr i V i t a . c o m

B Vitamins: More than just an energy boost Essential for overall wellness and healthy aging, B vitamins help support your: Brain • Heart • Nerves • Bones • Cells • Sleep health Cardiovascular system • Emotional/mental health How does it work? Simply place a tablet under your tongue and allow it to dissolve completely. Dr. Libby’s controlled slow dissolve process uses the blood vessels in the mouth to enhance the absorption of these critical nutrients right into the bloodstream—and throughout the body where they are needed most.

Dr. Libby’s Slow Dissolve B-12 Tablets #30140 $19.99 MEMBER $15.99 BEST PRICE CLUB Dr. Libby’s Slow Dissolve Super B-12 Tablets #33356 $22.99 MEMBER $18.39 BEST PRICE CLUB Best Price Club price available w/one or more products on auto-delivery.

CALL TOLL-FREE 1-800-991-7116 OR ORDER ONLINE AT TRIVITA.COM

ASK THE DOCTOR

Can anything help my allergy symptoms? By Jyothi Tirumalasetty, M.D.

Many allergy sufferers don’t need a calendar to know that spring is coming: The sneezing, runny nose, itchy eyes and throat give it away. If it’s any consolation, the bothersome symptoms of “seasonal allergy” (also known as hay fever) afflict many people year-round.

llergies are caused by trigger substances called “allergens.” These can be found indoors and out, like pollen, dust, pet dander and mold spores. When our bodies reject these everyday substances, we get an allergic reaction: the sneezing, etc., possibly along with fatigue and headache. 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. 22 | V I T A J O U R N A L

Inflammation makes things worse Although the allergic reaction may initially take place inside the nose, it can lead to inflammation throughout the body. This inflammation starts when allergic cells and allergic antibodies come in contact with allergens. Allergic cells release various

chemicals and hormone-like substances immediately after an allergic reaction starts. This reaction happens only in those who have developed an allergy to specific allergens. The hormone-like substances, known as cytokines, may set off shortterm inflammation or long-term (chronic) inflammation. This type of inflammation may weaken our immune system’s ability to fight off infections. It may make you feel like you have a “cold” all the time. It can disrupt sleep in some and affect how you function during the day. How can we stop this cycle of misery? The first step is to identify the triggers and minimize their impact on daily life. Tr i V i t a . c o m

Indoor allergens Our indoor spaces can harbor allergy triggers such as dust mites, pet dander and indoor mold. House dust mites settle into our bedding, carpet and upholstered furniture. They’re everywhere people are… unless you live in a high altitude or desert climate. You can make simple changes to minimize your exposure to dust mites: •D ust mites love humidity, so lower humidity keeps their numbers down. Air conditioning helps in hot weather. • Wash bedding in hot water once a week. • Consider buying allergy-proof covers for your pillows, mattress, box spring and comforter. • Avoid wall-to-wall carpet in the bedroom. • I f there is carpet in the bedroom, vacuum often. • Wear a protective face mask when cleaning.

About mold: Mold may grow in damp places such as basements, crawl spaces and poorly ventilated bathrooms. It’s important to identify and remove mold by using bleach. Using a dehumidifier may help prevent mold re-growth. As warmer weather approaches, try to keep windows closed to prevent outdoor spores from entering your home. Outdoor allergens The great outdoors isn’t so great for allergy sufferers. Depending on where you live, there may be several different waves of pollen and mold in the environment from spring until first frost. Trees and grasses typically produce pollen in spring/summer, while ragweed produces pollen in late summer and fall. It may be helpful to check pollen and mold counts before planning outdoor activities. Pollen counts are usually higher in the morning and on dry, windy days. Try to avoid exercising outdoors during these times.

Wearing a protective face mask while gardening and doing yard work may help decrease exposure to allergy triggers. And at day’s end, showering and removing clothes that may have trapped pollen may also prevent allergy attacks. If these steps don’t help reduce the misery of allergy symptoms, consult your healthcare professional. But do try these proven techniques; here’s to a happy, healthier spring. This article is intended for educational purposes only.

References: Mediators of inflammation in the early and the late phase of allergic rhinitis. Hansen et al. Curr Opin Allergy Clin Immunol 4:159-163. 2004. Aeroallergen botany. RW Weber. Ann Allergy Asthma Immunol 112: 102-107. 2014 The diagnosis and management of rhinitis: An updated practice parameter. J Allergy Clin Immunology. 2008.

For pet-lovers Since pet dander may travel through central air ducts, it’s likely that dander is present even where your pet is not. Running a HEPA-type air filter (HighEfficiency Particulate Arrestance) in your bedroom and/or other rooms may help. Consider weekly pet bathing (especially for animals that are active outdoors during pollen season), and always wash your hands after petting your animal.

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A P R I L 2 0 1 5 | 23

- The Magnificent HUMAN BODY

The immune system

ake a tour of the human body with our Magnificent Human Body series. This month, learn about the immune system, made up of cells, proteins, organs and tissues that help protect the body from infection. A gut feeling When many of us think of the immune system, white blood cells and other blood-bound players come to mind. Surprisingly, the human gut plays a more prominent role in your body’s defense system: there are more immune cells in your intestines than in the entire rest of your body.1

Is your glass half full? If so, this cheerful outlook may do your body good: A University of Kentucky study found a link between optimism and improved immune response. When optimism decreased, so did the body’s immune response.2 A shot in the arm Inoculation, the precursor to vaccination, originated in China over 1,000 years ago in an effort to battle smallpox. The idea was to infect someone with a mild version of the disease to develop immunity. Vaccines work by imitating an infection (without causing one) so the body is prepared to battle it in the future. The first smallpox vaccine was successfully tested in 1796 by English Doctor Edward Jenner. Soundly ridiculed, it wasn’t until 30 years after his death that mandatory smallpox vaccination was instituted in England and Wales.3,4 24 | V I T A J O U R N A L

The medicine of laughter Though you may not want to substitute laughter for antibiotics, cracking up does appear to give your immune system a boost. In a study of 33 healthy women, laughter-inducing humor improved natural killer cell activity (white blood cells that can kill virus-infected cells and tumor cells).5 Gesundheit! Recent research from the Massachusetts Institute of Technology shows that when you sneeze or cough, the potentially infectious droplets that exit your mouth and nose do so in a type of gas cloud. This “cloud” enables some particles to travel much farther than previously estimated; some remain airborne long enough to reach ceiling ventilation systems.6 All the more reason to use a tissue! References: 1 Oregon State University. (2013, September 16). Gut microbes closely linked to proper immune function, other health issues. ScienceDaily. Retrieved February 10, 2015 from www. sciencedaily.com/releases/2013/09/130916122214.htm 2 Segerstrom, S.C., & Sephton, S.E. (2010). Optimistic expectancies and cell-mediated immunity: The role of positive affect. Psychological Science, 21, 448–455. doi: 10.1177/0956797610362061 3 Edward Jenner (1749-1823). Brought to Life: Exploring the History of Medicine, Science Museum, London. Retrieved from http://www.sciencemuseum.org.uk/broughttolife/ themes/diseases/~/~/~/~/~/link.aspx?_id=8277A9D80DEA4C87BAF015EC4415F70A&_z=z 4 Vaccination. Brought to Life: Exploring the History of Medicine, Science Museum, London. Retrieved from http://www.sciencemuseum.org.uk/broughttolife/themes/diseases/~/~/~/~/link.aspx?_id=3BA1A686F22A4EB6BF9358D51DB384EF&_z=z 5 Bennett M.P, Zeller J.M., Rosenberg L., et al (2003). The effect of mirthful laughter on stress and natural killer cell activity. Alternative Therapies in Health and Medicine, 9, 38-45. 6 In the cloud: How coughs and sneezes float farther than you think (2014). MIT News, Massachusetts Institute of Technology. Retrieved from http://newsoffice.mit.edu/2014/ coughs-and-sneezes-float-farther-you-think

Tr i V i t a . c o m

FIT FOR WELLNESS

Exercise for a stronger immune system

ant a great way to help your immune system fight off infections, as well as lower your risk of disease? Just boost your daily activity. That’s right: Exercise actually improves your immune system. Any time that you are physically active, it raises your heart rate and pushes blood through your body. The fresh blood brings oxygen to the cells and pushes out the stale blood. This keeps your cells healthy and ready to fight off invaders like the flu virus your co-worker is spreading around the office.

Jolene Goring, Fitness Director at the TriVita Wellness Center, is a best-selling author and expert in health and fitness. A contributing writer to Redbook magazine, she is a Board Certified Holistic Nutritionist. 1 - 8 0 0 - 9 9 1 - 7 11 6

Staying strong against sickness There are three main ways that the body gets rid of toxins and waste: sweating, breathing and elimination (using the toilet). If the waste elimination channels are efficient, then the body can usually fight off the bugs. But if your body is congested, it will be much more susceptible to getting sick, because it has a harder time flushing out the cold or flu virus. These 3 tips can help you stay strong: 1. Work up a sweat. As our largest organ, our skin is very effective at sweating out toxins. Choose activities that you enjoy, and ideally

sustain that activity for 30 minutes AFTER you start to sweat. 2. F ocus on your breathing.* Yes, deep breathing counts as exercise when it comes to immunity! Any time that we are physically active, it forces our body to take in more oxygen, resulting in deeper breaths. Whatever activity you’re enjoying, focus on taking deep breaths to help the new oxygen get to the far areas of the lungs. 3. De-stress. Physical activity helps our bodies let go of stress. And less stress means more energy available to fight off any “bugs” that may be lurking around you. *What is deep breathing? Sit or lie down. Breathe in for a count of three; hold it for a count of three; breathe out for a count of three; hold it for a count of three. As you get more comfortable, increase the counts to four, then five and finally six counts for an advanced breathing exercise.

Reference: Exercise and immunity. MedlinePlus, National Institutes of Health. Retrieved from http://www.nlm.nih.gov/medlineplus/ency/article/007165.htm A P R I L 2 0 1 5 | 25

BEHIND THE LABEL

On a TriVita label? Then it’s in the bottle. By William (Bill) Wheeler, Ph.D.

Recent media reports have raised the question of whether herbal and dietary supplements actually contain the ingredients listed on the label. At TriVita, our unflinching commitment to quality means that if an ingredient is listed on the label, we guarantee that it’s in the bottle.

s head of TriVita’s Manufacturing Services Department, I am committed to ensuring that TriVita products meet the highest standards in quality assurance and control. To that end, we work only with suppliers and manufacturers dedicated to the same level of quality we demand. All must comply with the Current Good Manufacturing Practices (cGMP).

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. 26 | V I T A J O U R N A L

Quality ingredients, quality products A quality product begins with quality ingredients. We accept vitamins and minerals only from suppliers who have cGMP certification from a reputable independent organization. Our herbal suppliers must be certified to meet international standards or have SQF (Safe Quality Food) certification. Once we obtain the ingredients, they undergo rigorous scrutiny: they are tested for heavy metals, pesticides, herbicides and any other undesirable elements—both by us and our manufacturers. If there is any doubt of an ingredient’s quality and

purity, it is immediately rejected. For our herbal ingredients, we use thinlayer chromatography (TLC). This herbal identification technique gives us a “thumbprint” of the herbs; in other words, we know exactly what they are and which regions of the world they come from. This ensures that we use safe, completely unadulterated ingredients in our herbal supplements. Test, and test again How do we ensure quality final products? Testing and more testing. In addition to initial ingredient testing, all TriVita products go through mandatory third-party testing. And throughout the year, products are subject to random testing to further ensure quality and efficacy. Top-notch quality control processes are the backbone of TriVita’s Foundational Values, and key to ensuring that our Members have the best possible product experience. So when you read a TriVita label, rest assured that what you see is, in fact, what you get: a quality product that you can count on. Tr i V i t a . c o m

Are you taking the right multi-vitamin?

Vitamins are essential nutrients that your body needs to grow, develop and function normally. A well-balanced diet usually provides all of the vitamins required. However, most Americans don’t get enough vitamins and minerals in their daily diet.1-3 Now you can get the foundational nutrition your body needs in a convenient, once-a-day formula.

LEADING BRANDS

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VitaDaily features just what you WANT in a multi-vitamin:

Missing nutrients, like magnesium, potassium, lutein, choline and inositol

Convenient, once daily, easy-to-swallow tablets

Butylated hydroxytoluene (BHT), an artificial preservative Artificial colors (Blue 2, Red 40 and Yellow 5)

24 vitamins and minerals 1,000 IU of Vitamin D3 100% Daily Value (DV) of 19 nutrients No artificial preservatives or synthetic coloring agents

*Found in leading retail store brand multi-vitamins as of 11/14. Some information may apply to only one of the two leading brands in the comparison.

VitaDaily™ #30203 $14.99 MEMBER $13.49 BEST PRICE CLUB Best Price Club price available w/one or more products on auto-delivery.

CALL TOLL-FREE 1-800-991-7116 OR ORDER ONLINE AT TRIVITA.COM References: 1 Do you need a vitamin supplement? Good Samaritan Health System. Retrieved from http://www.gshleb.org/Main/HealthLibrary/64396.aspx 2 Multivitamins. Medline Plus. Retrieved from http://www.nlm.nih.gov/medlineplus/druginfo/meds/a682882.html 3 What vitamins and mineral supplements can and can’t do. WebMD. Retrieved from http://www.webmd.com/vitamins-and-supplements/nutrition-vitamins-11/help-vitamin-supplement

EMOTIONAL WELLNESS

Finances: The topic we don’t talk about By Mamiko Odegard, Ph.D.

e talk about sex. We talk about family. We talk about careers. But the one topic that sends us running for cover? Money. How much we make, how much we spend and how well (or not) we’re planning for retirement are top-secret topics in our culture, and the results can be damaging. Since April is Financial Literacy Month, and also the U.S. taxpayer deadline, it’s a good time to look at why this one taboo remains in place. Whether you honor this taboo or not (and if you don’t, you’re probably in the minority), consider this: the single most influential factor leading to divorce is typically money… or rather, conflicts over money. Married or single, we aren’t doing well with our financial futures, either: according to the Federal Reserve, fully 31% of nonretired Americans have absolutely no retirement savings or pension, and 19% are 55-64 with less time to save.

Dr. Mamiko Odegard has over 30 years’ experience as a psychologist/college instructor. Best-selling author of “Daily Affirmations for Love,” the specialist in love and relationships is based in Scottsdale, AZ. 28 | V I T A J O U R N A L

Why such a touchy subject? By avoiding talking about or thinking about the reality of our financial situations, we could be heading for trouble. Why are finances such a touchy subject? Several powerful factors might include: • Strong family beliefs and rules that talking about money is taboo. • A belief that income and assets define your success as a person. • Concern that if you’re affluent and you talk about your wealth, others

will perceive you as arrogant—or cultivate your company just because of your money. • Concern that if your means are modest and you talk about financial lack, others will look down on you. These mindsets can keep money-talk “in the closet,” but it shouldn’t stay there. Here are tips to be more honest about money with yourself and (if you have one) your partner: 1. Set a budget for each month’s spending and stick to it (naturally, your partner has to agree to the same arrangement). 2. Be transparent about your buying and saving habits: save receipts, keep a journal, whatever will keep cash flow out in the open. 3. Live within your means. Buying on credit or being in the red every month certainly leads to stress, anxiety and depression. 4. Educate yourself on ways to spend less, get out of debt and start saving. References: Anderson, J.D. 2001. Financial Problems as Predictors of Divorce: A Social Exchange Perspective. Proceedings for the Western Region Home Manangment/Family Economics Educator. Report on the Economic Well-Being of U.S. Households in 2013. July 2014. Board of Governors of the Federal Reserve System. Retrieved from http://www.federalreserve.gov/econresdata/2013-report-economic-well-being-us-households-201407.pdf

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SPIRITUAL WELLNESS

Relationship troubles? T.H.I.N.K. first By Chaplain Donna Kafer

“My dear brothers and sisters, take note of this: Everyone should be quick to listen, slow to speak and slow to become angry, because human anger does not produce the righteousness that God desires.” ~ James 1:19-20

od, in His infinite wisdom, has created us to seek out relationships with others, forming bonds that can be both fulfilling and enjoyable. Sometimes, though, these same great relationships can become unrecognizable when a major conflict develops.

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 has a third book in progress. 1 - 8 0 0 - 9 9 1 - 7 11 6

Whether we’re faced with disagreements among family, friends, coworkers or with a spouse, treading the shallow waters of discord can be challenging and stressful. How many of us have known dear friendships and loving marriages that have ended in dissolution because of major conflicts and disagreements? So many so, that most of us marvel any have survived at all. Is there anything we can do? Yes! There is a great acronym that is very helpful when in a conflict. If remembered, it may help pull us out of the fire and save us much grief. It uses the work “THINK,” an acronym devised by old-time English Preacher Allan Redpath: When in the midst of a disagreement, we should ask ourselves this question: Are my responses True, Helpful, Inspiring, Necessary or Kind? If we can’t respond within these guidelines, or say yes to any

of the above, then perhaps it would be best for us to remain quiet until we can gather our thoughts and composure. Admittedly, this concept may seem implausible to us, especially when dealing with a person who’s being unreasonable and contentious. When reacting in the heat of the moment, we may even feel like retaliating, even though we know it’s not right or reasonable. Accusations, hurtful barbs and unnecessary comments always do more harm than good, so to think before we speak is very wise indeed. It’s easy to see, then, how frustrating it is for others when our own behavior thwarts any chance of reconciliation. The key, of course, would be to have the acronym firmly secured in our thinking long before we’re faced with a difficult confrontation. I believe our heavenly Father deals with us in much the same way—thank goodness! I always think about how patient and longsuffering the Lord has been with me. Where would I be without His tender love, mercy and grace? Thanks be to God that I am a work in progress and He has given me ample room to grow. Perhaps this will be a great aid in helping us deal with those times when our relationships become strained. A P R I L 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.

Mamiko Odegard, Ph.D.

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.

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

Donna Kafer, Chaplain Jolene Goring, Wellness Center Director of Fitness Samuel Grief, M.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 active TriVita 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 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 Auto-Delivery. 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 1-800-991-7116.

These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease. 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.

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

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