TriVita VitaJournal - December 2015 - Canada by TriVita

experience wellness ®

DECEMBER 2015

WHAT’S WEIGHING ON YOUR WELLNESS? Brittany Stam, M.D.

Pg. 12

ON THE LABEL? IT’S IN OUR BOTTLE William Wheeler, Ph.D. Pg. 8

KEEP YOUR BONES & JOINTS MOVING Daniela Radulescu, M.D. Pg. 6

PURSUING WELLNESS

Believe in whole-person wellness! What can help keep illness and disease away? There is no better way than optimal Michael R. Ellison Founder of TriVita

wellness! That may sound like a paradox, but it truly is a part of the secret to living a quality life and minimizing the effects of illness.

reater wellness for all is truly what we are passionate about. And it is not because my wife Susan or I have always had great health or perfect health. Thirteen years ago Susan was diagnosed with breast cancer. Her answer to a very aggressive form of cancer was to have treatment and yes, to turn to her best defense in the future and to intensify her wellness program. She is such a wellness advocate. Her diet changed, her supplements became more targeted, her fitness became focused, and her attitude was not that of a victim but that of a victor, with gratitude to live with wellness and a belief that God would help her live out her life purpose! We believe one of the most powerful things you can do is to believe and trust in how awesome your Creator designed your body, with its amazing systems to promote living well! It is our belief that when you honor your body (your Temple) with the right balance of nutrients and nurturing, you release the healing power within

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for whole-person wellness. We see it every day at the TriVita Wellness Center. Oh yes, our medical doctors offer treatment when disease is diagnosed, but the focus is to get to whole-person wellness! I love the description from the Wellness Center’s Dr. Bernitt. He says, “The goal is not simply to get the person to ‘safe,’ but to healing through the It is our belief that when personalized balance of nature and nurture you honor your body designed to stimulate (your Temple) with the the healing response right balance of nutrients of the body. The body and nurturing, you release is amazing and has the ability to heal itself the healing power within through awareness, for whole-person wellness. empowerment, and balance of nurturing and nutrients. The potential of a healthier human life in the dynamic of their environment is unlimited.” I trust you will be filled with hope and faith for the wellness you desire for your life. As we close out this year and prepare for the incoming new year of 2016, may you reflect on how you may release the healing power within you for whole-person wellness. The 10 Essentials for Health and Wellness are simple but such profound descriptors of how to integrate nutrient and nurturing habits into your daily life. Imagine a world, your world, with the idea of pursing whole-person wellness! Not focused on conditions and symptoms of illness but the feelings of joyfulness, gratitude, love, vitality and energy. The scriptures say, “You are wonderfully designed.” May you and those you love have a wonderful Christmas, and may your New Year be filled with whole-person wellness!

wish you this HOLIDAY SEASON, and a HAPPY & HEALTHY 2016! WE

JOY & PEACE

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. 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.

Esmeralda Garcia TriVita’s Director of Research & Development, Esmeralda holds a Master’s Degree in Applied Biosciences and has over six years’ experience in research, development and quality control for over-the-counter products and nutraceuticals.

MEDICAL & SCIENTIFIC ADVISORY BOARD 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. 1- 800 -344 - 8797

DECEM BER 2015 | 3

- Thoughts from THE EDITOR

Here’s to your wellness in 2016! It’s hard to believe that 2015 is coming to a close. As we wrap up another hectic holiday season, it might be a good time for you to reflect on what the past 11 months have brought. Perhaps you made some health goals that didn’t quite come to fruition and you’re ready to make more significant strides to improve your health in 2016. 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

riVita is here to help you accomplish your wellness goals, and we want to equip you with all the information you need. As you know, we made a big move earlier this year in our monthly catalog and on TriVita.com to feature our products in health categories. We are committed to expanding our online content by creating even more product information to improve your understanding of what our products were formulated to do. We know that you have choices when it comes to nutritional supplementation so we want to educate you as to how our products are manufactured, what the ingredients are known for, as well as offer product videos and the latest science and trends in the nutraceutical industry. Because we will be expanding our content online, we will no longer be creating a monthly VitaJournal. There are many innovative advancements in our future and we hope that you will be as excited as we are. Our mission of sharing wellness has never changed; we just want to direct your attention online where we are better able to get the latest quality information to you in a more thorough, faster and effective way. While many older people might be leery about going online or feel intimidated, there are many avenues available that offer instruction for little or no cost. Check out the article on Baby Boomers & Technology on page 22. I know my own in-laws, who are in their late 80s, are very tech savvy and it makes me smile to read their comments on Facebook as they witness what is going on in the lives of their kids and grandkids. Back by popular demand in December is our holiday tiered savings where you can take up to $40 off your order. Why not give loved ones a gift of wellness by sharing TriVita products? Celebrate the season with joy and wellness!

Pam Molenda, Editor Pam@TriVita.com

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

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THE DOCTOR IS IN

Keep moving: maintaining your bones, joints and muscles By Daniela Radulescu, M.D.

One of the most overused systems of our body is the musculoskeletal system. Even if we are not all enthusiastic about physical activity, we do use our bones, muscles and joints for movement, support, shape and other essential processes.

ones, joints and muscle are living tissues that rebuild constantly throughout our lives. Let’s look at the skeleton: Up until about age 30, the body produces more bone than it loses. But after 30 years of age, people start to lose bone faster than it is replaced. And this process accelerates even more with age, especially in postmenopausal women.

One common example is changes in the vertebral spine, our main mechanism for posture. The spine is made up of bones called vertebrae. Between each bone is a gel-like cushion called a disk. The middle of the body (trunk) becomes shorter as the disks gradually lose fluid and become thinner. Vertebrae also lose some of their mineral content, making each bone thinner. The Tr i V i t a . c o m

spinal column becomes curved and compressed. Bone spurs caused by aging and overall use of the spine may also form on the vertebrae. Bones become more brittle and may break more easily. Overall height decreases, mainly because the trunk and spine shorten. Joint changes As for the joints, tissues affected by age and wear are both the cartilage and surrounding tissue. The cartilage gets thinner and certain components of the cartilage can also change (degenerative changes). All these make the joints less functional and more prone to damage, such as when the surfaces of the joint do not slide over each other as well as they used to, or when the entire joint becomes stiff and rigid leading to limitations in the range of movement, or conditions like osteoarthritis and rheumatoid arthritis. Muscle loss The loss of muscle (sarcopenia) is a process that also starts around 30 years of age and progresses with age. In this process, the amount of muscle tissue and the number and size of muscle fibers gradually decrease, leading to a gradual loss of muscle mass and strength. This mild loss of muscle strength places increased stress on certain joints (such as the knees) and may predispose a person to arthritis or falling. How to keep moving So how do we address these musculoskeletal issues? It’s all about lifestyle changes. Let’s talk exercise Exercise can prevent many agerelated changes to muscles, bones and joints—and even reverse these changes! It’s never too late to start living an active lifestyle and enjoying the benefits:

1- 800 -344 - 8797

• Exercise can make bones stronger and help slow the rate of bone loss. • Seniors can increase muscle mass and strength through muscle-strengthening activities. • Physical activity in later life may delay the progression of osteoporosis. Exercise is recommended on most days of the week, but a minimum of three times per week is shown to have a proven impact on muscle loss. Be sure to check with your doctor before beginning a new exercise program, especially if you haven’t been very active for a while or have a chronic disease. Vitamins and minerals supplementation Calcium is the most important mineral involved in bone loss. Increasing calcium intake may help maintain bone strength, may help prevent tooth loss in seniors, and recent studies even show additional benefits in reducing blood pressure and cholesterol levels. Along with calcium, Vitamin D also helps to protect against osteoporosis. To absorb calcium efficiently, an adequate amount of Vitamin D must be present.

Vitamin D is normally made in the skin after exposure to sunlight, but is available as an individual supplement and is included in most multi-vitamins and some calcium supplements. Milk and other dairy products are the richest sources of calcium and Vitamin D. Before you decide to start any supplements it is advisable to discuss it with your doctor. Nutrition and exercise together have a synergistic effect that helps combat aging, increases strength and promotes well-being. Never give up on your body, and in turn it will not give up on you. This article is intended for educational purposes only.

References: Effects of Aging on the Musculoskeletal System, MSD Manual, Alexandra Villa-Forte, MD, MPH Nutrition’s Role in Sarcopenia Prevention, Becky Dorner, RD, LD, and Mary Ellen Posthauer, RD, LD, CD Today’s Dietitian, Sep 2012 Aging changes in the bones - muscles – joints, Robert Hurd, MD, Professor of Endocrinology and Health Care Ethics, Xavier University, Cincinnati, OH.

See Bone, Joint & Muscle Support section in our catalog and online

Let’s talk diet There is a lot of research proving that once we age we need to pay even more attention to a balanced diet with plenty of fiber. It is also important to increase our protein intake; studies suggest that an increase in protein intake at each meal is more beneficial than a large amount of protein once per day.

DECEM BER 2015 | 7

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.

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

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). Current Good Manufacturing Practices (cGMP) These practices ensure the identity, strength, quality and purity of nutritional supplements by requiring

that manufacturers of medications and supplements adequately control manufacturing operations. This includes establishing strong quality management systems, obtaining appropriate quality raw materials, establishing robust operating procedures, detecting and investigating product quality deviations and maintaining reliable testing laboratories. Specific GMP measures may include identity testing of each herb and also performing a microbiological count to make sure that there are no contaminants in any product. Manufacturers are required to undergo a series of “checks and Tr i V i t a . c o m

balances” throughout the entire process from concept through production to ensure quality. Extensive documentation needs to be created for every production stage. TriVita has voluntarily adhered to these practices for many years. This industry-leading commitment to quality helps guarantee that every supplement with the TriVita label is safe and effective. 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 to an ingredient’s quality and purity, it is immediately rejected. For our herbal ingredients, we use thin-layer 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.

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References:

1 - 8 0 0 - 9 9 1 - 7 11 6

1 http://www.pcrm.org/health/health-topics/essential-fatty-acids 2 http://www.webmd.com/diet/healthy-kitchen-11/omega-fatty-acids?page=2 3 https://umm.edu/health/medical/altmed/supplement/omega6-fatty-acids 4 http://www.epax.com/pages/sustainable?open&qnfl=EcoVision 9

5 reasons to work out in winter By Jolene Goring

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

Now that swimsuit season is behind us, do you feel the urge to slack on your workouts? Don’t do it! Below, five reasons that you want to stick to your workout in the winter. 1. Break the winter woes. Many people suffer from mild seasonal depression during the winter. Adding physical activity to your day causes your body to release endorphins. Those endorphins are what make you feel that wonderful happy feeling after you have a good workout. Studies show that regular exercise can even help you sleep better, boost your selfesteem and reduce stress. 2. Carb cravings. When the weather gets cooler, we often turn to our favorite comfort foods. Most comfort foods are calorie bombs that are full of carbs. The more you work out, the less you will tend to crave these carbs. 3. Bulky clothes can hide bulges. When you spend all winter wearing “comfy clothes,” this can trick you into not realizing that an extra 5, 10 or more pounds have snuck up on you. While this type of clothing may be part of keeping you warm,

beware the hidden weight that you might not even notice until springtime. 4. That last minute trip to (insert your favorite beach or poolside destination!) If you get the chance to go somewhere with a warmer climate—that involves wearing a bathing suit or other warm weather clothing—avoid the last minute crash diet and crazy workouts. These are unsafe and can actually slow down your metabolism. Instead, maintain a regular fitness and healthy lifestyle plan so you will be ready for any spur of the moment trips. 5. Maintain a healthy lifestyle. If you eat right and work out on a regular basis during the summertime, notice how happy and energetic you feel. If you stop working out in the winter and give in to your comfort food temptations, notice how lethargic and down you feel. You don’t have to suffer from these seasonal fluctuations if you maintain a reasonably healthy lifestyle all year long. This will help you to look better and feel better all the time. Reference: http://www.webmd.com/depression/guide/exercise-depression 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

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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

Extra weight: weighing on your wellness

By Brittany Stam, M.D.

Year after year, data shows that the number one resolution we make is to lose weight.

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

t’s no surprise—many of us are not only overweight, but are obese, and risking diseases like diabetes, high blood pressure, elevated cholesterol, sleep problems and even cancer. So on the brink of a new year, don’t just make a resolution—make a change that will better your health for years. Obesity—the epidemic Over 60% of U.S. adult women are overweight, according to estimates from the National Center for Health Statistics of the Centers for Disease Control

and Prevention. Just over one-third of overweight adult women are obese. The prevalence of obesity is significantly higher among U.S. adults than among their Canadian counterparts. Not only is obesity common, but it’s expensive. Medical literature shows that the estimated annual medical cost of obesity in the U.S. was $147 billion in 2008 U.S. dollars; the medical costs for people who are obese were $1,429 higher than for people of normal weight. Tr i V i t a . c o m

Are you obese? to set realistic expectations as we Obesity is determined by BMI go into the new year. Research (body mass index). BMI is a shows that losing 10% of your person’s weight in kilograms body weight can significantly divided by the reduce your square of height risk of many of in meters. BMI these health BMI (body mass index) is an estimate concerns. This of body fat and is key because Underweight Below 18.5 a good gauge many people, of your risk for including many Normal 18.5–24.9 diseases that can of my patients, Overweight 25.0–29.9 occur with more set unobtainable Obese 30.0 and Above body fat. The weight loss goals higher your BMI, that end up in the higher your failure. risk for certain In one national study, for example, diseases such as heart disease, patients who lost a mere 7% of high blood pressure, Type 2 their total body weight reduced diabetes, gallstones and their risk for diabetes by 58%. A breathing problems. study in Finland found the same Given the health risks of obesity, no benefit with only a 5% weight wonder many of the conditions that loss. Similar results have been pose the biggest threat to women’s documented for high blood health are caused by obesity. These pressure and even sleep apnea. include heart disease (which kills So if your resolution for the more U.S. women than all forms of new year is weight loss, focus cancer combined), several types of on losing a little of the weight. cancer and diabetes. You don’t have to lose dozens With such serious medical of pounds to be healthier. Set consequences of obesity, we need a goal to lose 5% of your body

weight. Weight loss starts with lifestyle changes, so improve your diet and start to exercise. Talk to your healthcare provider to help set the eating and activity habits that are most appropriate. This will make your goal more obtainable. Over time, losing weight will gain you a lifetime of health benefits. This article is intended for educational purposes only.

References: http://www.cdc.gov/nchs/data/databriefs/db56.pdf Report of a WHO Consultation on Obesity (1998). World Health Organization. Identification, evaluation, and treatment of overweight and obesity in adults (2000). National Institutes of Health. Willett, WC, Guidelines for healthy weight. N Engl J Med 1999;341:427. Huang Z, Dual effects of weight and weight gain on breast cancer risk. JAMA 1997;278:1407. Obesity: Preventing and managing the global epidemic (2000). World Health Organization. See Weight Management Support section in our catalog and online

HEALTH CONSEQUENCES OF OBESITY IN ADULTS Stroke Sleep apnea and breathing problems Coronary heart disease High blood pressure High cholesterol Gallbladder disease Osteoarthritis Type 2 diabetes

Mental illness such as clinical depression and anxiety Some cancers (endometrial, breast, colon, kidney, gallbladder and liver) Infertility Low quality of life Chronic inflammation Body pain and difficulty with physical functioning

How well do you know your vitamins?

We all know we need vitamins for good health, but how exactly do they function in the body? Find out with this handy guide to the 13 vitamins your body needs to grow and develop normally. Let’s start at the beginning: Vitamin A A group of fat-soluble compounds, Vitamin A is important for immune function, vision, cell growth, and proper functioning of the heart, lungs, kidneys and other organs. Found in: dairy products, fish oils, liver, carrots, sweet potatoes, spinach and kale Thiamine (B-1) Water soluble like all B vitamins, thiamine plays a crucial role in energy metabolism, meaning it converts the foods you eat into energy. It’s also important for the growth, development and function of cells. Found in: whole grains and fortified bread, cereal, pasta and rice, meat (especially pork), fish, beans, seeds and nuts. 14 | V I T A J O U R N A L

Riboflavin (B-2) Like thiamine, riboflavin is involved in energy metabolism and cellular function, growth and development. Found in: eggs, organ meats, lean meats, milk, green vegetables, and fortified grains and cereals. Niacin (B-3) Vitamin B-3 releases energy from the carbohydrates you eat and helps to keep the nerves, skin and digestive system functioning normally. Found in: yeast, milk, poultry, fish, lean meats, nuts, eggs and fortified foods. Pantothenic acid (B-5) Essential for growth, pantothenic acid aids in metabolism and plays a role in hormone and cholesterol production.

Found in: organ meats, fish, shellfish, milk products, eggs, avocados, legumes, mushrooms and sweet potatoes. Vitamin B-6 Vitamin B6 is needed for more than 100 enzyme reactions involved in metabolism. Found in: poultry, fish, organ meats, potatoes and other starchy vegetables Biotin (B-7) Another key player in metabolism. Found in: egg yolks, legumes, milk, nuts, organ meats, pork and yeast. Vitamin B-12 Vitamin B-12 is involved in brain and nerve function, helps your body make red blood cells and DNA, and much more. Tr i V i t a . c o m

Found in: animal products, including fish, meat, poultry, eggs, milk and milk products, and fortified foods. Folate (B-9) Your body uses folate to help make DNA and other genetic material, and for cell division. Found in: asparagus, Brussels sprouts, dark green leafy vegetables, oranges, nuts, beans, peas, grains and fortified grain products.

HELP PROTECT YOURSELF AGAINST B-12 DEFICIENCY

Vitamin C Vitamin C is used to form collagen; heal wounds and form scar tissue; and repair and maintain cartilage, bones and teeth. Found in: citrus fruits, cantaloupe, kiwi, mango, papaya, pineapple, strawberries, broccoli, Brussels sprouts, cauliflower, green and red peppers, and fortified foods. Vitamin D Best known for helping to maintain strong bones, Vitamin D is also needed by your muscles, nerves and immune system. Found in: fatty fish such as salmon, tuna and mackerel, beef liver, cheese, egg yolks and fortified foods. Vitamin E A fat-soluble nutrient, Vitamin E acts as an antioxidant, helps support the immune system and aids in cell function. Found in: vegetable oils, nuts, seeds and green vegetables. Vitamin K Fat soluble Vitamin K plays an important part in blood clotting, healthy bones and other diverse functions. Found in: spinach, kale, broccoli, lettuce, vegetable oils, blueberries, figs, meat, cheese, eggs and soybeans. References: https://ods.od.nih.gov/ https://www.nlm.nih.gov/medlineplus/ency/imagepages/18102.htm https://www.nlm.nih.gov/medlineplus/ency/article/002409.htm http://lpi.oregonstate.edu/mic/vitamins/pantothenic-acid https://www.nlm.nih.gov/medlineplus/ency/article/002410.htm http://www.nlm.nih.gov/medlineplus/ency/article/002404.htm

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

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

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

CALL TOLL-FREE 1-800-344-8797 OR ORDER ONLINE AT TRIVITA.COM Price good through 12-31-15.

1- 800 -344 - 8797

D E C E M B E R 2 0 1 5 | 15

Keep your holidays happy, healthy and safe

njoy a trouble-free season with these health and safety tips from the U.S. Centers for Disease Control and Prevention. Wash your hands Wash hands often to help avoid getting sick and spreading germs to others. Stay warm Cold temperatures can cause serious health problems, especially in infants and older adults. Stay dry, and dress warmly in layers. Manage stress Nothing can ruin the holidays faster than stress. Don’t over-commit, and try to keep work, home and play in balance. Get exams and screenings Consult your healthcare provider to determine which exams you and your family need—and when.

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Travel safely Don’t drink and drive; wear a seat belt every time you drive or ride in a vehicle; and always buckle children into the car using a child safety seat, booster seat or seatbelt according to his/her height, weight and age. Be smoke-free Avoid smoking and breathing other people’s smoke. If you smoke, quit today. Call 1-800-QUIT-NOW for help. (In Canada, call 1-866-366-3667 toll free.) Watch the kids Keep potentially dangerous toys, food, drinks, household items and other objects out of kids’ reach. Make sure toys are used properly.

Handle and prepare food safely Remember these simple steps: wash hands and surfaces often; avoid cross-contamination; and cook foods to proper temperatures and refrigerate promptly. Eat healthy and be active Enjoy the holidays the healthy way by limiting fats, salt and sugary foods. Be active for at least 2.5 hours a week and help kids and teens be active for at least one hour a day. Reference: http://www.cdc.gov/family/holiday/

Prevent injuries Most residential fires occur during the winter months, so be careful to never leave fireplaces, space heaters, stoves or candles unattended. Have an emergency plan and practice it regularly. Tr i V i t a . c o m

FEEL VITAMIN C’S FULL POTENTIAL WITH DR. LIBBY’S VITAL C™

If you only take Vitamin C once in a while for immune health, you may be missing out on its full benefits. Vitamin C can help you look great, be active, stay healthy and more. 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 Powder

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Call toll-free 1-800-344-8797 or order online at TriVita.com Prices good through 12-31-15. 17

EATING FOR WELLNESS

Why Vitamin C is so essential By Christa Orecchio

We need Vitamin C to live. I consider it one of the most important, versatile vitamins for the human body.

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

aving enough Vitamin C helps us make collagen, the main protein found in skin, hair and nails. It assists our bodies in making energy and adapting to stress, which helps protect our precious adrenal glands and life force. Vitamin C is also a powerful antioxidant, which protects our cells from premature aging and oxidative damage while providing a gentle daily detox. According to the Mayo Clinic, the top four uses for Vitamin C backed by scientific evidence are:

Vitamin C deficiency (scurvy) While scurvy is uncommon these days, it is caused by a lack of Vitamin C in the diet. Reducing the risk of the common cold As we are heading into the dead of winter, it’s important to state that Vitamin C reduced the risk of developing colds by roughly 50% in people under physical stress or in extreme conditions. So bottom’s up with your fresh or coldpressed orange juice or other Vitamin C-rich foods.

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Iron absorption enhancement Vitamin C has been proven to improve absorption of iron or iron supplements taken by mouth. I always recommend using food as medicine and combining your red meat or spinach (both high in iron) with Vitamin C, such as adding tomatoes to your red meat or orange wedges to your salad. Urinary tract infection Vitamin C has been known to decrease the risk of developing urinary tract infections. As you can see, almost everyone could benefit on some level by adding more Vitamin C to their diet, either in the form of food, supplements, or both. 5 foods with more Vitamin C than an orange Keep in mind that one medium-sized orange contains about 83 mg of Vitamin C. 1. C amu camu berry This wondrous Amazonian berry takes the entire cake with 480 mg per teaspoon. It’s difficult to find these in their raw fruit form so I always have the powder stocked and ready to load into my morning smoothies. 2. Red bell peppers Following camu camu at number two, one cup of red bell pepper contains 190 mg of Vitamin C. These are great to add to a stir-fry, eaten raw on salads or served with hummus as a snack. 3. K iwi fruit This little green gem contains 137 mg of Vitamin C per cup (which is about two medium-sized kiwi). 4. Cauliflower One small head of cauliflower contains 128 mg of Vitamin C. 5. Papaya Papaya is fifth but deserves honorable mention considering it contains more Vitamin C than an orange and is loaded with beneficial enzymes. It weighs in at 96 mg per cup. It’s an easy addition to a smoothie or yogurt. While camu camu can be found online or at the health food store, the rest of these items are widely available in any grocery store, making it easy to give yourself a daily boost of Vitamin C and energy!

THE CAMU VITAMIN C SMOOTHIE Prep time: 5 minutes | Serves 1 1 cup frozen organic berries 1 cup unsweetened almond or coconut milk 1 scoop protein powder 1 tablespoon ground flaxseed 1 teaspoon hemp seeds 1 teaspoon raw organic coconut oil 1 teaspoon camu camu powder

TROPICAL BREEZE Prep time: 20 minutes | Serves 2-4 2 small kiwi, cut into bite-sized chunks 1 cup papaya, cut into bite-sized chunks 1 cup plain 2% Greek yogurt ¼ cup dried coconut flakes Optional: drizzle with raw honey and sea salt Place all ingredients into a bowl, mix and serve!

Reference: http://www.mayoclinic.org/drugs-supplements/vitamin-c/evidence/hrb-20060322

See Immune System Support section in our catalog and online

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D E C E M B E R 2 0 1 5 | 19

VITAMIN D UPDATE

Vitamin D supplements help build muscle in postmenopausal women – Cleveland, Ohio Vitamin D supplementation can increase muscle strength as much as 25% in postmenopausal women, compared to women who don’t take Vitamin D. That was the finding of new research presented at the 2015 Annual Meeting of The North American Menopause Society (NAMS). In the double-blind, placebo-controlled trial, those who didn’t take Vitamin D actually lost an average 6.8% of muscle mass, and were nearly two times as likely to fall. “While this study is unlikely to decide the debate over Vitamin D, it provides further evidence to support the use of Vitamin D supplements by postmenopausal women in an effort to reduce frailty and an increased risk of falling,” said NAMS Executive Director Wulf H. Utian, MD, PhD, DSc(Med). http://www.eurekalert.org/pub_releases/2015-09/tnam-vds091715.php

Low D levels linked to chronic pain in fibromyalgia patients – Taipei City, Taiwan In an analysis of 12 studies, researchers at National Taiwan University found a positive association between low Vitamin D levels and fibromyalgia patients with chronic widespread pain (CWP), they reported in the journal Pain Physician. The studies included 1,854 fibromyalgia patients and 7,850 participants without the condition. The mean age ranged from 32 to 51 years. After adjusting for factors such as gender, sunlight exposure, social status, smoking status, alcohol consumption, physical activity levels and the use of supplements, scientists found the link between D levels and CWP. They suggest more research is necessary to clarify the relationship between the two. http://www.painphysicianjournal.com/current/pdf?article=MjQyMQ%3D%3D

D supplementation may have positive impact on Crohn’s disease – Dublin, Ireland Vitamin D supplementation may impact the intestinal barrier dysfunction associated with Crohn’s disease and play a role in the treatment of the condition, according to research from St. James Hospital in Dublin, Ireland. In the study, 27 Crohn’s disease patients in remission were given either 2,000 International Units (IU) of Vitamin D or a placebo daily for three months. Scientists found that those who took Vitamin D were more likely to maintain their intestinal permeability than those in the placebo group. Increased permeability is a measure of gut leakiness, which is shown to predict and precede a relapse. http://www.news-medical.net/news/20150613/Vitamin-D-supplementation-may-affect-intestinal-barrier-dysfunction-associated-with-Crohns-disease.aspx 20 | V I T A J O U R N A L

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

Are you part of the digital age? Growing numbers of seniors, defined as those 65 or older, are going digital. For those who have been slow to embrace today’s technology, there’s good news: assistance with technology is widely available, many times free of charge.

o just how many seniors have adopted today’s technology? According to Pew Research Center findings, 59% of seniors report going online, and 47% say they have a high-speed Internet connection at home. About 77% of older adults have cell phones, although it’s interesting to note that only 18% have a smartphone. The majority of older adults with cell phones opt for more basic devices. However, about 27% of seniors own a tablet or e-reader, or both. When broken down by age and income, the numbers shift drastically: 68% of Americans in their early 70s go online, while that number drops to 47% among those 75-79 years old. Among seniors who make more than $70,000 per year, 90% go online; only 39% of those who earn $30,000 or less go online. Getting help with today’s technology Older adults can face a variety of barriers when it comes to technology, including physical limitations, skepticism about technology’s benefits and difficulty learning new technologies. If you or someone you know could use help with today’s technology, consider these options for incorporating technology into your life:

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Local classes and workshops Contact your local library, senior center or other community center about technology classes and workshops that may be available in your area. Free tutorials Technology tutorials on subjects ranging from computer basics to social media are available free of charge at gcflearnfree.org, courtesy of Goodwill Community Foundation. How-to books Visit your library or book store to find how-to books covering a wide range of technology subjects. Simple software If you want a simplified computer experience, free software is available at the non-profit eldy.eu. Once installed, your desktop will feature six large buttons that make computer use easier: you’ll be one click away from email, the Web and more. This software works on both PCs and tablets. Reference: http://www.pewinternet.org/2014/04/03/older-adults-and-technology-use/ Tr i V i t a . c o m

Why a healthy gut equals a healthy brain Could the health of our digestive systems control the health of our brains? Absolutely, says one neurologist.

riting in a recent online magazine, David Perlmutter, M.D., contends that the microbiome (the bacteria that live in the intestines) plays a major role in how well our brains work—or don’t. Science has known for some time that the microbiome is involved in detoxification, inflammation, nutrient absorption and other body functions. As Dr. Perlmutter shares in ExperienceLife.com, however, the microbiome also affects mood, libido, perception and thought clarity. “Put simply,” he writes, “nearly everything about our health—how we feel both physically and emotionally— can hinge on the state of our microbiome.” Dr. Perlmutter is a board-certified neurologist and associate professor at the University of Miami’s Miller School of Medicine.

This emerging area of medical science is getting a lot of attention. In fact, the gut/brain connection is considered so important that the National Institute of Mental Health spent more than $1 million to research the topic. Just as the brain can send signals to the stomach (like butterflies, when we’re nervous), the gut can signal the brain when it’s working well—or in trouble. Author of two books on brain health, Dr. Perlmutter contends that the single most important factor about gut/brain health may be food. “Food matters enormously,” he asserts, “trumping other factors that we may not be entirely able to control.”

Reference: https://experiencelife.com/article/healthy-gut-healthy-brain/

DR. PERLMUTTER SUGGESTS THESE FIVE STEPS TO ENHANCE THE BRAIN BY IMPROVING THE GUT: Eat probiotics. Whether through foods like yogurt and sauerkraut or through supplements, consume the live bacteria and yeast that support digestive health. Eat prebiotics. These “feed” helpful gut bacteria. Feed on raw garlic, cooked and raw onions, leeks, chicory and jicama. Go for fiber and lower carbs. Whole veggies and fruits help the gut do its work, while high-sugar/low-fiber foods don’t. 1 - 8 0 0 - 9 9 1 - 7 11 6

Drink clean water. Avoid chlorine and other contaminants, as well as plastic water bottles. Within reason, enjoy dark chocolate, coffee and wine; black tea and green tea are beneficial.

- Science AND TRENDS

Too much, too little sleep leads to low-grade inflammation – Joensuu, Finland Those who sleep less than six hours or more than 10 hours per night are more likely to suffer from low-grade inflammation than those who sleep 7-8 hours per night, say researchers from the University of Eastern Finland. The study involved 2,682 men living in Finland who were part of the Kuopio Ischemic Heart Disease Risk Factor (KIHD) study, a study that has been ongoing since 1984. The study was also the first to analyze the association between sleep duration and micronutrient concentrations, and found a link between high copper levels and long sleep duration. High copper levels have been associated with pro-oxidative stress. http://www.uef.fi/en/-/uutta-tietoa-elimiston-lievan-tulehdustilan-vaikutuksesta-youneen

Survey shows consumers understand supplements fill nutrient gaps – Washington, DC Most consumers understand that nutritional supplements are intended to fill in nutrient gaps and are not a replacement for an unhealthy diet, according to a survey conducted on behalf of the Council for Responsible Nutrition (CRN). Survey results, published in Nutrition Journal, showed that 90% of respondents agreed that supplements of calcium and/or Vitamin D can help meet nutrient needs when diet alone fails to provide adequate intake. About 80% agreed that dietary supplements should not be used in place of a healthy diet or lifestyle habit, and 82% agreed that if considering a high dose, single nutrient, one should consult their healthcare provider. Dickinson A et al. Nutrition Journal, 2015; 14: 66.

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Mediterranean diet may reduce breast cancer risk – Pamplona, Spain Eating a Mediterranean diet supplemented with four tablespoons per day of extra-virgin olive oil reduced the risk of breast cancer by 68%, compared to a low-fat diet, said researchers in JAMA Internal Medicine. In the study, more than 4,000 women were assigned to eat a Mediterranean diet with extra olive oil, a Mediterranean diet supplemented with mixed nuts or a low-fat diet. Following the women an average 4.8 years, scientists found that the extra olive oil significantly reduced the risk of breast cancer. Although a reduced risk was also noted among those who ate the diet with nuts, it wasn’t statistically significant. Toledo E et al. JAMA Intern Med., 2015. doi:10.1001/jamainternmed.2015.4838

Go to bed earlier, worry less – Binghamton, NY People who sleep for shorter periods of time and go to bed late often experience more negative thoughts than those who keep more regular hours, it was reported in Cognitive Therapy and Research. Researchers at Binghamton University recruited 100 college students to complete several questionnaires and two computerized tasks to determine how much the students worry, ruminate or obsess about something—and to determine their sleep schedules. “Making sure that sleep is obtained during the right time of day may be an inexpensive and easily disseminable intervention for individuals who are bothered by intrusive thoughts,” said researcher Jacob Nota. http://www.binghamton.edu/mpr/news-releases/index.html?id=2238

Evidence of link between stress and Alzheimer’s disease – Gainesville, FL A stress-coping hormone boosts production of proteins that play a role in Alzheimer’s disease, according to new research from the University of Florida. Using a mouse model and human cells, scientists found that stress triggers the release of a hormone called corticotrophin releasing factor (CRF), which in turn increases the production of protein pieces called amyloid beta. These pieces clump together and initiate the brain degeneration that leads to Alzheimer’s. The findings add “detailed insight into the stress mechanisms that might promote at least one of the Alzheimer’s pathologies,” said researcher Todd Golde, M.D., Ph.D. www.sciencedaily.com/releases/2015/09/150916125515.htm

Activity may keep the aging brain fit – Champaign, IL Older adults who engage more often in daily activity had fewer age-related changes in their brain’s white matter (fibers that allow communication between brain regions), than those who spent more time sitting, say researchers at the University of Illinois at Urbana-Champaign. In the study, 88 participants wore accelerometers for a week so researchers could precisely measure daily activity, and underwent two types of brain imaging: one looked at structural integrity and the other looked for age-related changes in white matter. “We hope that this will encourage people to take better care of their brains by being more active,” said lead researcher Agnieszka Burzynska. https://news.illinois.edu/blog/view/6367/204521

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EMOTIONAL WELLNESS

ULTIMATE LOVE: THE ACT OF FORGIVING YOURSELF

By Mamiko Odegard, Ph.D. Much has been written and spoken about the importance of forgiving others. When you carry anger, your body and mind become affected. You may be more likely to experience tension headaches, increased blood pressure, heart disease, and difficulty sleeping and relaxing. It could also lead to guilt, shame, anxiety, sadness and stress.

L 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

etting go of the anger you hold toward others who have harmed you or caused you emotional pain is important for your physical and emotional well-being. However, instead of forgiving others first, the ultimate act of forgiveness begins with you. You may have been taught to think of the other person first... to meet their needs and wants. Therefore, it’s natural that you may believe that you “should” forgive others at your expense. You think that forgiving others is the right thing to do... but what about you? You’re in pain, criticizing yourself, and feeling unworthy to be forgiven—creating an even bigger cycle of self-sabotage and preventing productive action to nurture and protect yourself. When you forgive others before yourself, you can feel sometimes like the victim or martyr, because you think you have released your resentment or anger, yet still feel disempowered. You might have been hurt by someone’s words or actions, yet

you still unconsciously carry resentment that becomes replayed over and over each time a loved one, co-worker, or friend continues his or her behavior. The result: you feel victimized over and over. So how do you forgive yourself first? Just like the old year ending, it’s time to say goodbye to the mistakes and regrets you’ve accumulated: • Conduct a personal inventory and write down your regrets; •N ow write a loving letter to yourself, honoring the person you are and freeing that perfectionist voice that has kept you captive; •C onduct a ritual to symbolically let go and embrace the new you, filled with full acceptance and love. May your New Year and life be filled with hope of the dreams to come as you claim the greatness within. Tr i V i t a . c o m

SPIRITUAL WELLNESS

THE HOLIDAYS: TIME TO REFLECT AND BEGIN ANEW

“The Lord is my shepherd, I lack nothing. He makes me lie down in green pastures, He leads me beside quiet waters, He refreshes my soul. He guides me along the right paths for His name’s sake”. ~ Psalm 23:1-3 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

he holiday season has once again descended upon our hearts and homes, bathing us in a wave of eager anticipation. We take pause through the shiny tinsel and trim, over steaming mugs of hot chocolate, to consider the impact of the past year on our lives. Not only how we were affected by the changing world scene, but by our spiritual well-being as well. If we discover the year has been one of significant growth, we’re happy, but if we realize we’ve spiritually sputtered out, we’re not so joyful. If the latter’s the case, we should regroup and be encouraged that God will help us to begin anew. In fact that’s what He does best: He helps us start over again. We can also be equally encouraged through the Scripture’s promises that God will lead us to a spacious place of rest and refreshment if we’ll look to Him for shepherding. For He loves to take us to Himself to nurture and carry when we’re weary from striving. Our challenge in the coming new year is to let go of all of yesterday’s unfulfilled dreams, the unkept personal promises and

the resolutions left forlornly unresolved. Instead we hearken our hearts to listen for the Father’s voice as He calls us onward in our walk with Him. We determine not to tarry too long in unmet, unrealistic expectations, realizing that by over-staying our welcome we lose sight of the possibilities that do exist in the approaching year. If disappointment and regret seem to nip at our heels as we approach the threshold of the new year, we should step boldly through the open door of the future and shut the past securely behind us. Through conviction and determination we can say leave the past and allow the Lord to show us the way we should go. We can stay strong throughout the new year by resolving to spend more time reading the Bible, connecting with others and praying. This all works together to build up our faith reserves, never leaving us below or even close to empty in our faith “tank.” We can simply rely on Him, never forgetting His sacrifice or His mercy. That’s one great reason to celebrate this season of faith. D E C E M B E R 2 0 1 5 | 27

FINANCIAL WELLNESS

Key to retirement success Start talking… and listening Ready for some horse trading? If you’re part of a couple nearing retirement age, that’s exactly what you may need to do. Many retirement experts recommend that couples have a heart-to-heart talk long before deciding on retirement plans.

e may imagine summers spent fishing on a quiet mountain lake. She may want to spend lots of time with the grandchildren and volunteering for favorite charities. Couples who have different ideas about retirement need to be totally frank with each other, and decide what’s really important to them. You should always negotiate in good faith and be realistic about your financial situation, according to the U.S. Department of Labor. Some couples may have the financial resources to do everything on their “wish list,” while others may need to tighten their belts and downsize expectations. A key area of discussion is the ideal time to retire. One spouse may want or need to work a little longer while

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the other one is ready to retire earlier. A reputable financial advisor may help you make the right decision. It all comes down to talking it through until both you and your spouse are satisfied. Everything should be up for discussion, including retirement expectations, your “needto–do” list vs. your “want-to-do” list and how you plan to divide up responsibilities.

Talking points Here are some suggestions for negotiating your retirement dreams: • Create a long list of possibilities for retirement and go through them together and decide which ones are most important. Possible areas of discussion: where you want to live and desired proximity to loved ones.

• Prune down your retirement dream list. This is where “giveand-take” and negotiating is important, because few couples can possibly do everything on that list. • Create time to listen to each other. That also means taking time to do something that the other person likes, which in turn will help reinforce the bonds of closeness. • Tell your spouse how much you appreciate what they’re doing. That may be as simple as complimenting them on their garden or letting them know how much you enjoy certain activities like biking together. Reference: http://www.dol.gov/ebsa/publications/nearretirement.html Tr i V i t a . c o m

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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. 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

Jolene Goring, Wellness Center Director of Fitness Donna Kafer, Chaplain Christa Orecchio, Certified Clinical Nutritionist Daniela Radulescu, M.D. Brittany Stam, M.D William (Bill) Wheeler, Ph.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. 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.

These statements have not been evaluated by the Food and Drug Administration. 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 10:00 p.m., EST. The CARE Center is closed on Saturday and Sunday. Order online 24/7 at TriVita.com.

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