Health, Beauty & Fitness Fall 2024

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FALL 2024

Publishers

Sharon & Steven GoldStein

Associate Publisher

Brandon GoldStein

Editorial Director

JeSSica humphrey-cintineo

Art Director

BmG marketinG

Contributing Writers

Sheila M. ClanCy, MS, CheS

Jennifer Bonazzo PeterS

StaCie roSe

iryna ShCherBakov

audrey zona

BC Health, Beauty & Fitness is published by BC The Mag.

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Whether you need a routine visit with a primary care doctor or want to have something checked out by a specialist, the Englewood Health Physician Network has you covered. Our team of more than 600 providers welcomes patients at more than 100 office locations throughout northern New Jersey.

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Urgent Care available 7 days a week at 4 locations. No appointments needed. Safe and convenient access. Visit englewoodhealth.org/urgent

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To find a physician visit ehpn.org.

Englewood Hospital Imaging

Radiology and imaging services at several convenient locations. Visit englewoodhealth.org/imaging

A Letter from the Editor

Like much of the world, I was glued to my TV watching the Paris Olympics this past July.

As they came to a close, I could not help but think about how much I am going to miss the wholesome content: Simone Biles’ husband Chicago Bears safety Jonathan Owens cheering her on and taking notes – literally (He wrote down her scores with a pad and Mona Lisa pen from the Louvre); Flavor Flav sponsoring the USA women’s water polo team after learning players were working multiple jobs just to continue competing; and swimmer Katharine Berkoff winning the same medal in the same Olympic event her father did 32 years prior.

There was also the former Czech Olympian couple who called it quits to focus on their tennis careers that won the mixed doubles tennis gold together; the 58-year-old China born table tennis competitor representing Chile that made her Olympic debut; and the Egyptian fencer who competed at 7 months pregnant.

The sport was equally amazing. Did you notice Katie Ledecky and Sydney McLaughlin-Levrone being so far ahead that it looked like no one else was in the pool or on the track?

I could go on and on.

Here’s what I hope you learned from the Olympics, because I noticed there is so much more to them than earning a medal.

I hope you learned that someone else winning doesn’t take away from your success; that sometimes taking a break means you can come back stronger; that you can gracefully handle every victory and every defeat; that you are never too old or too young to chase a dream; that a true champion keeps trying no matter how long it takes or what obstacles lay in their way; that showing emotion is a form of strength.

I’m no Olympian, yet those are things I can get behind. Can you?

Three cheers for the red, white and blue, JeSSica humphrey-cintineo

Why Rest and Repair Really Matter

We live in a time where productivity is valued so greatly. Sometimes at the expense of our health and wellbeing. Productivity garners more glory than rest. But how can we produce our best work or be our best selves if we are not feeling so great? If we were to put a ship in the water and expect it to perform well, handle the waves and various weather, provide smooth sailing and get us safely to shore, we would unquestionably maintain the vessel properly and treat it with extreme care. Many of us bite off way more than we can chew, burn the candle, the midnight oil, skimp on sleep, multitask endlessly and expect an optimum outcome.

SLEEP MATTERS

According to experts, lack of sleep can lead to higher levels of stress, frustration and even anxiety. Elizabeth Blake Zakarin, an assistant professor of psychology (in psychiatry) and a clinical psychologist at the Columbia University Clinic for Anxiety and Related Disorders, has explained that “like our electronics need to be charged, sleep may recharge or reset the brain to optimize functioning.”

The National Institute of Neurological Disorders and Stroke asserts that sleep is as essential to survival as food and water. Without it, you cannot form

or maintain the pathways in your brain that let you learn and create new memories, making it harder to concentrate. Sleep is also essential to several brain functions, including how nerve cells or neurons communicate with each other.

STRESS, ANXIETY AND DEPRESSION

Plainly stated, chronic stress puts health at risk. And since lack of sleep can increase your stress levels, making you feel less calm and resilient, you’ll want to prioritize rest. Research has linked chronic stress to high blood pressure, anxiety, depression, digestive issues, headaches, muscle tension pain and

heart disease. According to John Hopkins Medicine, depression and sleep problems are closely linked. People with insomnia may have a tenfold higher risk of developing depression than people who get a good night’s sleep.

COGNITIVE FUNCTION

Sleep deprivation can also lead to diminished thinking and problem-solving skills, attention span, memory, patience, and ability to connect with friends and family, and can even impact physical health. A domino effect can occur when you take your eye off the ball and become exhausted. According to Dr. Daniel Amen of the Amen Clinics, Sleep rejuvenates all the cells in your body, gives brain cells a chance to repair themselves, helps wash away toxins and activates neuronal connections that might otherwise deteriorate due to inactivity.

MIND BODY CONNECTION

Since physical and mental health are so closely entwined, a deficiency in the rest and repair department can negatively impact several systems, including our digestive, immune and nervous systems. According to Dr. Amen, sleep deprivation has been associated with many other health risks, such as Type 2 diabetes, Alzheimer’s disease, Parkinson’s disease, stroke, psychosis, ADD and poor lifestyle choices.

According to the National Institute of Health, not getting enough quality sleep can also raise the risk of diseases and disorders ranging from heart disease and stroke to obesity and dementia. Dr. Marishka Brown, a sleep expert at NIH, explains that healthy sleep encompasses three major things: the amount of sleep, the quality and the adoption of a consistent sleep schedule.

MOOD FACTOR

Lack of rest can also leave us feeling foggy, disoriented, agitated, moody and cranky like a toddler who has been teething all night. Ever feel that you are the victim of a doom loop that plays out in your brain because you can’t think straight? This can

Negative thoughts can lead to more negative thoughts about anything and everything because we cannot break the cycle when operating on fumes. That kind of spiraling is even more stressful and exhausting. Parents of newborns are often so sleep-deprived that they lash out at their partners like snapping turtles. The struggle is real, and the brain-frazzle due to lack of rest makes it hard to think straight and stay on your game. This is why new parents are often advised to sleep when the baby sleeps.

SOUND ADVICE

Perspective is everything. When it comes to wellness, intentions matter. The good news is that you can set meaningful intentions regarding rest and hold yourself accountable. Set the alarm on your phone an hour before you would like to turn in for the night. This gives you a window of winding down time. Shoot for half an hour earlier each night until you eventually reach your desired bedtime. Create a calming environment for rest. Make sure the room in cool and free of stressors. If you need time to wind down before resting, why not afford yourself microdoses of “me time” throughout the day so you feel more contented at night and ready for rest? You have the power to make meaningful changes.

MINDFULNESS

Not all schedules are created equal, and sometimes, proper time for rest needs to be carved out and appropriately allocated. Ten minutes of mediation can be a game-changer. It allows your body and mind to cool down, regain composure and escape the fight-or-flight frenzy that can lead to health concerns.

Yoga can also create space within our minds and bodies that make us feel more at ease. Forest bathing or simply getting your butt into nature can help the parasympathetic nervous system do its magic. When we downregulate, focus on our breathing, and experience being in the moment, there is a type of reparative that happens and leaves us feeling more relaxed and regulated.

According to the Mayo Clinic, naps can help combat exhaustion. They offer many health benefits, such as relaxation, increased alertness, better moves, improved performance, quicker reaction time, better memory and reduced fatigue. Napping too late in the day can interfere with nighttime sleep, so it’s better to grab some shut eye earlier in the day. Making the naps short is also a good way to get some needed rest while avoiding grogginess, although young adults may benefit from longer naps.

Mindful eating is another surefire way to encourage sound sleep. Avoiding processed and fried foods,

too much sugar, alcohol, and inflammatory foods is part of a healthy lifestyle that promotes better rest. Creating clutter-free spaces is also a way to promote better rest. Consider soft pillows, soothing hues, quality bedding, a healthy mattress, air flow, house plants and creating comforting nighttime rituals.

BONUS POINTS

Getting the rest and repair you need has other beautiful benefits besides keeping you healthy and energized throughout the year. Many people get their best ideas when rested with time to unwind. Often, people look and feel their best when they get sufficient sleep. This can boost confidence and increase joy, which is transferable to others. Whether its beauty sleep you are after or wish to prioritize your wellbeing, the physical, mental, social and emotional benefits are endless! One of the most spectacular things about sleep is our ability to dream. When we rest and repair, we can fully realize those dreams – and in technicolor.

HOLY NAME CONNECT AND COLLABORATE

Holy Name held a networking event with their partner physician groups at Hasbrouck Heights Hilton. For more information, visit www.holyname.org.

Dr. Benjamin Rosenbluth, Dr. James Park, Dr. Richard Aronson

Dr. Gerald Portman, Laura Elia

Michelle Diaz, Dr. Igor Kofman, Brendan Maron

Mike Maron, Dr. Payal Shah, Dr. Ohan Karatoprak

Mike Maron, Amit Mody

Dr. James Park, Dr. Jae Hee Cho, Dr. Daniel Feghhi

Dr. Yadra Rivera, Michelle Diaz, Dr. Payal Shah

Dr. Nicholas Bevilacqua, Dr. Rehan Shamim

Dr. Jean Cho, Dr. Zankhana Raval, Dr. Erina Kunwar

Rosemary Tallaksen, Dr. Stephen and Michele Sherer

Dr. Christina Seo, Dr. Shalin Desai

Ashley Roskos, Dr. Kim Hewitt

Dr. Jen Lee, Dr. Jake Zarah, Dr. Jonathan Archer, Dr. David Ryu, Megan Brugna, Dr. Mina Shaker

Diane Triolo, Dr. Vikram Premkumar, Dr. Alexander Vitievsky, Mike Maron

Dr. Dennis Pfisterer, Dr. Zankhana Raval

Dr. Mina Shaker, Dr. Victoria Costales, Dr. Yikram Premkumar

Creating The Home, and Life of Your Dreams

Gina Avino Takes Her Interior Design Skills to a Healing Mastery

Strolling down Main Street in the heart of Ramsey you may have been curious when you passed “Soul Scents” – Gina Avino Artistic Designs. Upon my first visit to be introduced to this thriving business of 20-plus years, soothing energy quite literally swarmed around me when I stepped inside. Filled with an aroma of an array of calming essential oils combined with her most welcoming presence, this shop has that rare but sought-after element which makes all who enter simply want to stay. What struck me the most is this was not just a random little store of crystals and variety of gifts related. This metaphysical lover’s dream was packed not only with a multitude of feel-good pieces for all occasions, but the healing energy goes above and beyond just tangible items.

A graduate of Parsons School of Design and Former fashion designer of NYC, owner Gina Avino performs incredible reiki sessions amid soothing sound healing waves and chakra opening techniques. She incorporates the use of crystals and essential oils and truthfully, I was extremely blessed to experience a session firsthand. I walked out feeling newly centered, grounded with insight and even gained total clarity for a stressful situation I had hanging over me for months. My physical body felt tremendously relaxed as if I had just had a two-hour massage. The sessions are offered by appointment, right in her store on a soft and soothing table tucked back inside during the hours the shop is closed.

During my few minutes prior to the session, I even witnessed a young boy coming in simply to visit Gina and saw that Soul Scents is also a corner of solace for an anxious adult or child. Gina welcomes those of all ages for a peaceful and inviting shopping experience - but also the therapeutic sessions as well. Children and young adults are invited to come for what I would call from experience life-altering healing sessions.

Soul Scents is an authentic shop of a compelling healing realm through both fashion and special gifts – yet it is also a one stop shop for high-end interior design. This includes anything and everything from sourcing the most specific request of material for a pet-friendly couch to the most divine window treatments I believe I have ever seen on display.

Gina handles each room for her customers, one theme at a time for a range of projects based on the needs and desires of her clients. Whether you are looking to spice up your guest bathroom or completely turn around your entire home, Gina is the professional you have been waiting for. This is not solely because of her creative abilities. It is also because she has perfected delivering the exclusive trifecta in business which every client desires: a true listening ear, raw talent and top-notch execution. The outcome of course is always a win-win for the patron.

I don’t think I have ever met two women – Gina and a talented woman, Dawn, that assisted her – who could have been more laser focused on my receiving reiki on the deepest level. The pair breathed a nurturing essence while providing an empathetic healing that you will need to feel yourself to truly capture it all.

The beauty of the newfound aesthetics is then performed from a consultation one-on-one for you to describe your full vision to Gina to the full execution that surpasses your initial expectations. In addition, the bonus is your home now then automatically reflects the essence of good healing energy – like the old school Fung shui that has seemed to have dwindled in the last decade among home buyers and décor. However, Gina has brought this ancient tool to a whole other level.

She truly wants people to enjoy this process, which is notorious for being tedious or stressful, by taking the tension right out of the scenario. What is typically an anxiety driven progression becomes a seamless and even joyful path to loving both the esthetics and energy of your home. I’ve never seen such a unique and powerful businesswoman who has a keen eye for fashion but is also attentive to a clients’ proposed idea. She also manages to fully transform the energy of a living space, which will ultimately affect how you feel as a homeowner and what guests will most certainly sense when they join you there.

“I pride myself on making the interior design process a happy and joyful one. This is self-satisfying to me and truly rewarding for my clients. Regarding crystal energy and all healing fundamentals involved here, I feel that bringing peace and calm into someone’s life through positivity and within all facets of the business is so important. If I can just help a little bit and make even a small difference in someone’s life, well, that seems like all the world to me.”

As the fall season arrives, I highly recommend you consider saving time and energy or wow your friends and family by booking ahead for her holiday decorating services. There are several options with simply just Christmas tree adorning or designing pure holiday beauty for your entire home. She can achieve timeless and classic looks during the season or unique and extravagant, depending on your preference.

Furthermore, for your next get together or celebration, patrons can now book what she calls private “Goddess Parties” that take place right in her store. These are fabulous gatherings for any celebration or just for pure pleasure where friends can gather to learn all about the energy of crystals; enjoy reiki and tarot card readings; and discover more about the opening of your own chakras and how to align them.

Gina sums up her entire business model, which molds together the key elements within it but still upholds the core intention at the center of it all, by saying, “Our main objective of the crystals and all we do here is to help people through their anxiety and through their fears just getting through daily life with positivity. In addition, giving people confidence by teaching them to manifest the life they have been dreaming of, and how to go after it is the intention here. As far as the interior design aspect, when your environment is authentic to you, it immediately becomes your Zen. The space I help you produce becomes a part of your true self. And who wouldn’t want their home to feel this way? Our home is our place of solace, our retreat of safety at the end of the day.”

Gina Avino can be reached for holiday décor bookings; goddess party inquiries; healing appointments and interior design consultations at (201) 825 2232 or avinodesign@yahoo.com. The shop is located at 103 East Main St. in Ramsey. You may also visit her online at www.ginaavinodesign.com and Soulscents.info.

HEEL THE SOUL

The Englewood Health Foundation held the 10th Anniversary Celebration of Heel the Soul at Montammy Country Club. For more information, visit www.englewoodhealthfoundation.org.

Doris Marino, Linda Marinuzzi, Renee Arp

Michelle Tesser, Mel and Helen Stock, Joanne Erhlich, Scott Tesser

Warren and Kristen Geller Cori and Barry Levine

Sari and Blake Albom Neil and Amy Katz, Melissa Ehrlich, Benjamin Laub

Angella Stefanakis, Tracy Fishel

Elle Rubach, Lori Aroesty

Jacqueline Gillman, Samantha Silverman

Andrea and Steven Siegel, Leslie Sarakin

David and Casey Lerner, Corey Isdaner

Stephanie Sosnik, Judy Taub Gold

Jennifer Peykar, Bari Baron, Daniel Peykar, Blake Baron

Michael Gutter, Inderpal and Preeti Kohli

Warren and Kristen Geller, Karina Malyshev, Erica West

Samantha Silverman, Jill Baltimore, Lindsay Wormser, Ryan Baltimore

Social ENGLEWOOD HEALTH PHYSICIAN PARTNERS

Englewood Health held a Reception for their Physician Partners at Edgewood Country Club. For more information visit: www.englewoodhealth.org

Amy and Mark Shirvan, Dr. David Abramson, Karen Abramson

Clarice May Jacobson, Dr. Gregg and Deborah Lobel, Warren Geller

Dr. Celines Morales-Ribeiro, Dr. Joseph Kim, Dr. Jingjing Sherman

Dr. Ana Burga, Dr. Tracy Scheller, Dr. Jingjing Sherman

Inderpal Kohli, Dr.Ritu Suri

Dr. Jeffrey and Melanie Cohen

Carolyn Shapiro, Deborah Label

Dr. James and Sandra McGinty

Dr. Lawrence Davis, Ladan Boushehri Davis, Aleeza Nemirof, Dr. Dmitry

Steven Kaplan, Michael Gutter, Dr. John Stabile, Dr. Peter Symington

Dr. Peter Symington, Dr. Mikhail Tismenetsky

Michael Rhee, Warren Geller, Bonnie Rhee

Dr. Mikhail Tismenetsky, Dr. Alfred Steinberger, Dr. Marc Arginteanu, Dr. Omar Syed, Steven Kaplan, Michael Gutter, Dr. Peter Symington

Dr. James and Sandra McGinty, Aleeza Nemirof, Dr. Dmitry Nemirovsky, Kristin Geller

Dr. Joseph Kim, Dr. Jingjing Sherman, Dr.Linda Wang, Dr. Louis Jan

Lance Hutchins, Dr. Madhuri Bewtra, Dr. Adam Arnofsky, Susan and Daniel Zausner

Is Laughter The Best Medicine?

Laughing is fun. Giggling until your face is red, you have tears streaming down your face, and you are hunched over with your hands on your knees gasping for air is a sign that you are feeling lighthearted and having a good time. But can laughing be good for you too?

It turns out that laughter can be just what the doctor ordered when it comes to your health. The best thing about laughing is that it’s fun and it can usually put you in a good mood. Surprisingly though, there are actual scientifically proven benefits to having a good laugh. One of the best benefits of laughing is that it

can give you some stress relief. Many of us are busy running around from this activity to that activity, maybe not getting the right amount of sleep, and worrying about a variety of things. This can keep us in the fight or flight mode meaning our body senses stress and creates some reactions that, over time, can be detrimental to our health. Laughing can calm your nerves and decrease stress hormones; the gasping for air during a good laughing fit can increase your oxygen intake which will then decrease your heart rate and relax your muscles. Laughter triggers the release of endorphins, which promotes a sense of well-being and can actually temporarily relieve physical pain.

Besides the physical benefits, there are positive mental benefits to laughing. As previously stated, it relieves stress. It can put you in a better mood and it can calm the sense of anxiety or tension that can build up over days, weeks or months. It can add some fun, some levity, a sense of lightheartedness to a situation and can help put problems into perspective. There are social elements to laughing as well. It can create common bonds between people, enhances teamwork and helps people to take their guard down a bit which can invite conversations and help people get to know each other.

When we were kids we would laugh, giggle, smile, tell jokes and do silly things far more than we do as adults. Sadly, we don’t laugh nearly as much as we used to. We are sometimes looked down upon if we do or say something silly. We are taught to be serious and stoic as adults and sadly we have pushed that emotion and activity of laughing to the back of our brains.

Taking a break during your day to have a laugh can help you physically, mentally and emotionally. It can relax your muscles and help you bring in more oxygen and clear your head for a while which can help you to be more creative. As part of a healthy lifestyle laughter can have a place in your self-care practices. Try planning a game night, read a funny book or watch one of your favorite sitcoms to wind down after a tough day. As the saying goes, “laughter is the best medicine.”

BERGEN NEW BRIDGE MEDICAL CENTER

Bergen New Bridge Medical Center held their Legacy Dinner at Seasons. For more information, visit www.newbridgehealth.org.

Dr. Monica Dhingra, Dr. Srikanth Reddy

Dr. Navaid Khan, Dr. Gian Varbado

Dr. Ayme Frometa, Dr. Hanif Ramay

Marion Troise, Nick Laganella, Deborah Visconi, Joe Conte

Malika and Faiz Cheema Dr. Karine Aireptian, Deborah Visconi, Dr. Anna Harutyunyan

Dr. Monica Dhingra, Dr. Karine Aireptian

Dr. Vandana Kethini, Dr. Shahan Sibtain

Erica Schifffman, Dr. Yuliya Dementyeva

Dr. Mohammed Iqbal, Deborah Visconi Bergen New Bridge Medical Center Executive Leadership

Dr. Gian Varbaro, Katie Richardson,

Dr. Karine Airapetian, Dr. Sirkanth Reddy

Dr. Karine Aireptian, Deborah Visconi, Dr. Anna Harutyunyan, Dr. Sirkanth Reddy

Dr. Monica Dhingra, Dr. Mohammed Iqbal, Dr. Karine Aireptian, Dr. Srikanth Reddy, Dr. Asgar Hossain

Sukaina Rizvi, Mohammed Rahman, Terrence Wang, Tess Kukaj

Deborah Visconi, Donnalee Corrieri

Sunny With A Chance ofInspiration

Demarest resident Sadie Alfano, 17, launched a heartfelt initiative to support the Sharing Network Foundation through the creation of special sunflower stickers. Sadie designed the sticker to raise awareness about organ and tissue donation and to celebrate the remarkable 10-year anniversary of her cousin Cassidy McPartland’s lifesaving double-lung transplant.

Cassidy, now 21 and living in Franklin Lakes, was born with a brain tumor and, after years of chemotherapy and surgeries, was cancer-free. Unfortunately, the chemotherapy caused fibrosis of her lungs, necessitating a double-lung transplant. When her body rejected the first transplant, she underwent a second double-lung transplant. Today, Cassidy is a thriving college student who embraces life to the fullest, all thanks to the generosity of her organ donors.

In honor of Cassidy’s inspiring journey, Sadie created “Sadie’s Sunflower,” a vibrant rhinestone embellished sticker available for purchase on Stickerbeans.com. A portion of the proceeds from the sticker sales support the Sharing Network Foun-

dation, which supports the work of NJ Sharing Network, the federally designated non-profit organization responsible for the recovery of donated organs and tissue in the Garden State.

Sadie’s initiative began four years ago as her mitzvah project and has since continued to grow. Her mother, Alyssa Alfano, is one of the owners of StickerBeans, a company known for its fun and collectible bling stickers and helped integrate Sadie’s project with the company’s products. This collaboration has enabled Sadie to raise funds and awareness through a cause that is deeply personal to her.

“The sunflower sticker represents hope and renewal,” said Alyssa Alfano. “We are incredibly proud of Sadie’s dedication to this cause and grateful for the support that helps other families facing similar challenges.”

According to United Network for Organ Sharing (UNOS), there are over 100,000 Americans – nearly 4,000 of whom live in New Jersey – waiting for a lifesaving transplant. To learn more, get involved, and join the National Donate Life Registry as an organ and tissue donor, visit www.NJSharingNetwork.org.

Social NEW JERSEY FRIENDSHIP HOUSE

The NJ Friendship House held their 60th Annual Gala at The Venetian. For more information, visit www.njfriendshiphouse.org.

Joe and Liz Rucci Summi Guglani, Tara Hickson-Parks, Lisa Kramer, Diane Scriveri

Kathy English, Dinorah Dauria

Cody and Marie Fredrickson

Marily Gonzalez, Brian Fitzgibbons

Kathy Hedenberg, Tony and Marlene Laino

Mary Klie, Donnalee Corrieri

Edem and Janine O’Connor

Tamar Asayan, Colleen Kelly

and

Mala Spivack, Kathleen Demarest, Eileen Gruber

Anthony Guzzo, Dennis Mikula, Bob Kilroy, Jim Kirkos

Katie Kirkpatrick, Joanne McKendry, Audrey Newman, Douglas McKendry

Christine and Joe Simeone

Joe and Courtney Angelosante

Charles and Jennifer Matar

Rose
Patrick
Kelly Fox

Hypertrophic Cardiomyopathy 101 What Every Student-Athlete Should Know

You may find it difficult to wrap your mind around the idea of an energetic student-athlete with a cardiac diagnosis. Heart conditions may be more often associated with older individuals, but you might be surprised to learn hypertrophic cardiomyopathy is the most common condition responsible for sudden cardiac death in young athletes. In fact, it’s the cause of 40 percent of sudden cardiac death cases.

It’s estimated one in every 500 adults living in the United States has hypertrophic cardiomyopathy, according to the American Heart Association, but a significant percentage are undiagnosed. More than 80 percent of individuals who experience this condition show no signs or symptoms before sudden cardiac death. While sudden cardiac death is rare, it can occur during exercise or in its aftermath. That’s why it’s important for student-athletes and their loved ones to learn more about this condition and talk to a doctor about their risk.

With proper knowledge and the support of a skilled care team, it’s possible to manage hypertrophic cardiomyopathy with heart-healthy actions to prevent complications or worsening cardiovascular conditions like atrial fibrillation (a quivering or irregular heartbeat), stroke or heart failure. Hypertrophic cardiomyopathy awareness and education for athletes by the American Heart Association is made possible in part by a grant from the Bristol Myers Squibb Foundation.

What is hypertrophic cardiomyopathy?

Hypertrophic cardiomyopathy is the most common form of inherited heart disease and can affect people of any age. It’s defined by thickening and stiffening of the walls of the heart. The heart’s chambers cannot fill up or pump blood out adequately, so the heart is unable to function normally.

There are different types of this condition. Most people have a form of the disease in which the wall that separates the two bottom chambers of the heart (the septum) becomes enlarged and restricts blood flow out of the heart (obstructive hypertrophic cardiomyopathy).

However, sometimes hypertrophic cardiomyopathy occurs without significant blocking of blood flow (nonobstructive hypertrophic cardiomyopathy). The heart’s main pumping chamber is still thickened and may become increasingly stiff, reducing the amount of blood taken in then pumped out to the body with each heartbeat.

What are possible symptoms?

Symptoms can include shortness of breath; chest pain; heart palpitations; and fatigue. The severity of symptoms can vary, but if you experience them or if you have a family history of hypertrophic cardiomyopathy or sudden cardiac death, it may be a good idea to speak to your doctor about whether you have this condition.

For some people, symptoms can get worse and new symptoms can appear over time, resulting in people dealing with harsher effects and a diminished ability to do the activities they love. This decrease in functions can be one of the most challenging aspects of the disease. Keeping your health care team aware of any new or changing symptoms allows them to work with you to develop a plan to manage these symptoms and reduce their impact.

How is hypertrophic cardiomyopathy diagnosed?

Medical history, family history, a physical exam and diagnostic test results all factor into a diagnosis. A common diagnostic test is an echocardiogram that assesses the thickness of the heart muscle and observes blood flow from the heart.

If anyone in your family has been diagnosed with hypertrophic cardiomyopathy, other heart diseases or has been told they had thick heart walls, you should share that information with your doctor and discuss the need for genetic testing. Because this condition is hereditary, first-degree relatives, which include siblings and parents, should be checked.

Learn more at heart.org/HCMStudentAthlete.

Social CARL INSERRA LEUKEMIA FUND VIP COCKTAIL RECEPTION

The Carl Inserra Leukemia Fund Golf Outing held their annual VIP Cocktail Reception at White Beeches Country Club. For more information, visit www.carlinserraleukemiafund.org.

Joe Asaro, Jim Dorey, Anthony Ienna

Joe Padovano, Ryan Auld

Craig Tomat, Dave Wolf, Richard Chamberlain Jr., Carl Inserra Jr.

Frank Siclari, Vera Kovalski, Anthony Guzzo

David Perlin, Joyce Hendricks, Amy Perlin

Steven Pilavin, Richard Chamberlain, Kevin Walker, Benny Ewerton

Heidi Rispoli, Theresa Larsen Lina and Rich Colloca Tom Alvarez, Lindsey Inserra

Heather Thompson, Marie Tevis

Bonnie and Lawrence Inserra

Lawrence Inserra Jr., Larry Inserra

Frank Siclari, Kyle DuPont, Marie and Michael Inserra, Michael Inserra Jr.

Pat Sullivan, Craig Tomat, Gregory Schmidt, Eileen Sinatra, Rich Kunz

Kathy Davies, Larry Inserra

Carl Inserra Jr., Laura DuPont, Brad Smith

Flip Your Backyard Gatherings Into Gourmet Health Retreats

As the first sizzle hits the grill and the tantalizing aroma of barbecue wafts through the air, it’s clear that grilling season is upon us. As a health coach dedicated to helping people live their best lives in healthy bodies, I often get questions about how to make BBQ experiences healthier.

So, before you dive into those smoky, char-grilled delights, let’s talk about how to make your BBQ both a feast for the taste buds and a boon for your health.

As an evidence-based health coach, I’ve got some tips to transform your backyard gatherings into gourmet health retreats. Whether you’re flipping burgers or skewering veggies, these smart grilling strategies will ensure you enjoy every bite without compromising on nutrition. And stick around until the end for creative recipe ideas that will impress your guests!

Grilling can be ultimate fun and joy, and with a few mindful choices, it can also be a healthy experience.

The most common risk factors of grilling include:

• Overeating: People tend to overeat during such events, which is never a good thing.

• Overconsumption of Salt, Sugar, Alcohol, Charred Meat and Processed Food: While grilling is considered a healthy cooking method, some typical BBQ practices can compromise this.

• Dehydration from Heat and Alcohol

• Foodborne Illnesses: Caused by improper handling and undercooking of proteins.

• Insufficient Healthy Options

• Lack of Nutritional Balance

Before we jump into the tips on how to make your grilling experience healthier, let me introduce you to the concept of the Healthy Eating Plate. Created by the Harvard T.H. Chan School of Public Health, this concept is considered an elevated version of MyPlate. The main idea is that half your plate should consist of vegetables, a quarter of proteins and a quarter of grains, plus healthy fats. It also emphasizes the necessity of hydration and physical activity for overall well-being. This model is widely accepted as the most beneficial for our health.

By keeping the principles of the Healthy Eating Plate in mind, you can create a balanced and nutritious meal anytime and anywhere. Now, let’s dive into some practical tips to make your grilling season both delicious and health conscious.

Tips for a Healthier Fall Grilling Season

1. Maintain a Balanced Plate.

Maintain a balanced plate by following the Healthy Eating Plate concept, which ensures you get a variety of nutrients to support your overall health and well-being.

2. Choose Lean Proteins.

Choose lean cuts of meat like chicken breast, turkey, or fish. These are lower in saturated fats and can be just as delicious when seasoned well.

3. Marinate Wisely.

Use marinades made with olive oil, vinegar, lemon juice and herbs. Not only do they add flavor, but they also reduce the formation of potentially harmful compounds during grilling. But please be mindful of added salt and sugar.

4. Eat More Veggies.

Grill a variety of vegetables like bell peppers, zucchini, mushrooms, eggplants and asparagus for a colorful, nutritious and delicious addition to your meal.

5. Watch Portion Sizes.

Avoid overeating. Smaller, balanced portions can help manage calorie intake and promote a wellrounded meal, leaving you feeling better afterwards. And always pay attention to your body’s satiety signals.

6. Avoid Processed Foods.

Hot dogs, regular buns, processed cheeses and condiments are common sources of trans fats, preservatives, artificial flavorings, sodium and sugar. Use whole foods instead and always check ingredient lists for sneaky unhealthy ingredients. Such a small step as replacing a bun with a whole wheat or whole grain one might be a real game changer for your health.

7. Add Whole Grains.

Incorporate quinoa salad, whole grain buns, or brown rice. These are easy ways to add whole grains to your plate. Grilled corn can also be considered a grain, adding a delicious and nutritious element to your meal.

8. Control the Char.

Although charred bits can be tasty, they can also contain harmful substances. Avoid overcooking your food and watch for internal temperatures to cook foods thoroughly but without excessive charring.

9. Stay Hydrated.

Drink plenty of water, especially on hot days. Avoid sugary drinks (even those that claim to restore your hydration like Gatorade) and opt for infused water or herbal iced teas without added sugar; they are refreshing and will keep your tastebuds more receptive for tastes. If you choose to drink alcohol, chose in favor of dry wine and spritzes over sugary mixers, cocktails, beer or hard liquor.

10. Choose Fruits for Dessert.

Instead of classic desserts overloaded with fats and sugar, opt for fresh fruit selection. You can also make grilled fruits like peaches or pineapples. They’re delicious and much healthier.

And last but not the least - Be Creative.

Don’t stick to standard BBQ options like burgers, hot dogs and steaks. Experiment with different meats, fish, seafood and veggies. Try various marinades and seasoning blends to impress your guests.

Creative Grilling Ideas

Soy Ginger Grilled Chicken Thighs

Marinate chicken thighs in a mixture of soy sauce, tamari, mirin, ginger, garlic and onions. Place thighs in the marinade skin up so that they remain dry. Leave in the fridge overnight. Grill skin-side first for a few minutes, then flip and grill to perfection for a savory, flavorful dish.

Grilled Chili Pineapple

Slice fresh pineapple, sprinkle with chili powder and a touch of lime juice, then grill until caramelized for a sweet and spicy treat.

Grilled Veggie Salad with Yogurt Dressing

Grill a variety of vegetables such as bell peppers, zucchini and eggplant until tender. Toss with a creamy yogurt dressing infused with fresh herbs like mint and cilantro, adding some lemon juice and garlic powder for a refreshing and nutritious side dish.

With a Certificate in Nutrition and Healthy Living from Cornell University and additional health coaching education, Iryna Shcherbakov guides clients towards sustainable lifestyle changes. Drawing from her scientific research experience during her PhD in International Law, she adopts a comprehensive, evidence-based approach to personalized health coaching, specializing in natural weight loss and lifelong healthy habits. Iryna is a local resident of Bergen County, and you can connect with her on Instagram and Facebook and discover how her unique blend of knowledge can transform your health.

Social ENGLEWOOD HEALTH FOUNDATION

The Englewood Health Foundation held their Spring Breakfast Club at Montammy Country Club. For more information, visit www.englewoodhealthfoundation.org.

The Englewood Health Breakfast Club Committee

Bridgette Grant, Carrie Kakkanatt, Lindsley Capuano

Stephanie Cohn, Amalia Oelsner, Judi Feinberg

Ellen Parker, Hal and Ina Muchnick, Lori Greenbaum

Mary Beth Wilmit, Wendy Wu, Amy Rossman, Clarice May

Susan Zausner, Jaret Keller, Tara Halper

Sudakoff, Amy Shirvan, Sandy Sgambati

Alicia Messer, Shiri Redensky

Warren Geller, Chef Alex Guarnaschelli

Finkel, Robin Rogers, Sara Levison

Roni Katz, Kristen Geller

Lindsay Skulnik, Kasey Siegel

Jaime Braunstein, Marisa Menzel, Tiffany Hojo, Bridgette Grant, Viktoria Anske, Carrie Kakkanatt, Lindsley Capuano

Michael Gutter, Suellen Freeman

Diane
Catherine Carpenter, Amy Sausa
Tiffany Hojo, Marisa Menzel, Jamie Malkin, Jaime Braunstein
Debra

Go Meatless on Mondays

Getting back into a routine during the fall can be a struggle. Consider a schedule that dedicates more nights to long-term wellness with easy, nutritious recipes.

Registered dietitian Alexis Joseph recommends Meatless Mondays, which help her family create fruit- and vegetable-forward dishes with nutrient-dense ingredients. One ingredient to consider is California grown prunes from Sunsweet – a good source of vitamins and minerals that help maintain bone and heart health, keep you feeling full and are an all-natural source of fiber and healthy fat.

“Dedicating time each week to your overall nutrition with ‘Meatless Mondays’ will motivate you to add healthful staples like California grown prunes from Sunsweet to your diet and make getting back into a routine easier,” Joseph said. “It can also yield results. Research suggests eating 5-6 prunes each day may help prevent bone loss and improve risk factors for heart disease and inflammation.”

Consider Joseph’s Cauliflower Tacos with Peanut Sauce or Veggie Stir Fry for your next weeknight meal. Both spotlight California grown prunes as a substitute for unhealthy fats and sugars to reduce calories and increase health benefits without losing flavor.

Cauliflower Tacos with Peanut Sauce

Cook time: 30 minutes

Servings: 4

1 medium head cauliflower, chopped into florets (about 6-7 cups)

2 Tablespoons extra-virgin olive oil

1/2 teaspoon fine sea salt

8 tortillas

chopped green onions, for garnish prunes, for serving peanuts, for garnish lime wedges, for serving

Cabbage Slaw:

3 cups shredded red cabbage

1/2 cup shredded carrots

1/3 cup cilantro, chopped

2 Tablespoons fresh lime juice

1 teaspoon extra-virgin olive oil

2 teaspoons pure maple syrup

1/4 teaspoon fine sea salt

Peanut Sauce:

4 California grown prunes from Sunsweet

1/2 cup unsweetened non-dairy milk

1/3 cup natural salted peanut butter

3 Tablespoons reduced-sodium soy sauce

1 Tablespoon fresh lime juice

1/2 Tablespoon maple syrup

1 teaspoon minced ginger

1 teaspoon sriracha

2 Tablespoons water, plus additional for thinning (optional)

Preheat oven to 425 degrees Fahrenheit.

On large baking sheet, place cauliflower in single layer. Add olive oil and salt; toss well to combine. Roast 30 minutes, tossing halfway through.

To make cabbage slaw: In medium mixing bowl, add cabbage, carrots, cilantro, lime juice, olive oil, maple syrup and salt. Toss to combine; set aside to soften.

To make peanut sauce: In blender, blend prunes, milk, peanut butter, soy sauce, lime juice, maple syrup, ginger, sriracha and water until smooth. Taste and add more water, if desired.

Warm tortillas, fill with roasted cauliflower and top with slaw, peanut sauce, green onions, prunes and peanuts. Serve with lime wedges.

Veggie Stir Fry with Prune Teriyaki Sauce

Cook time: 15 minutes

Servings: 4

1 Tablespoon toasted sesame oil

1/2 large onion, diced salt, to taste, divided

3 cloves garlic, minced

1 Tablespoon minced ginger

2 cups shredded carrots

1 red bell pepper, sliced

1 medium zucchini, diced

8 ounces sugar snap peas pepper, to taste, divided

1/2 cup roasted salted cashews, plus additional for serving, divided

1 cup edamame

2-3 cups cooked jasmine rice, for serving

1/3 cup sliced green onions, for serving prunes, for serving

Prune Teriyaki Sauce:

1 cup canned pineapple, plus 1/4 cup pineapple juice

1/4 cup prunes (about 6 prunes)

6 Tablespoons reduced-sodium soy sauce

1 Tablespoon pure maple syrup

1 Tablespoon rice vinegar

1 garlic clove

1 teaspoon sriracha

In large skillet over medium heat, warm sesame oil. Once hot, add onion and pinch of salt; saute 5 minutes.

Add garlic and ginger; cook 30 seconds, or until fragrant. Add carrots, bell pepper, zucchini, snap peas and pinch of salt and pepper. Saute 10 minutes, stirring often, until veggies are crisp tender.

To make teriyaki sauce: In blender, blend pineapple, pineapple juice, prunes, soy sauce, maple syrup, rice vinegar, garlic and sriracha until smooth.

Remove veggies from heat and stir in 1/2 cup cashews, edamame and teriyaki sauce to coat. Season with salt and pepper, to taste, and serve on bed of rice garnished with green onions, prunes and additional cashews.

Weight Loss Drugs Aren’t Magic

Lifestyle Changes Are Key To Lasting

Health

So, you just started taking a GLP-1 inhibitor for weight loss, your results have become noticeable, and you love what you’re seeing in the mirror. As a longtime advocate for the kinds of lifestyle changes that last a lifetime, I am thrilled for you. These drugs have been game-changers for so many people who have been working towards their weight loss goals for years. They’ve truly become the number one motivator for my clients as they maintain their newfound healthy habits and continue to make the little changes that add up to big outcomes.

But since, at some point, you’re probably going to want to take a break from these drugs, it’s important for you to start now, building the healthy habits that will sustain and support your progress. Additionally, while you’re on these medications, there are a few dietary tweaks you can make that will ensure your body is losing the fat without diminishing your muscle mass.

Most importantly, as your calorie intake decreases while on the GLP-1 medications, it’s critical that you prioritize the consumption of sufficient protein every day. What do I mean by “sufficient?” Ideally 100 grams of protein for most women and 150 grams for most men. Your body uses protein for fuel and if you aren’t putting enough protein into your body, it will start looking for that fuel in other places, namely, your lean body mass.

But because it’s your muscles that most effectively burn calories, the last thing you want is to lose muscle in conjunction with, or worse, instead of, body fat. Especially since your muscles are the “metabolic Spanx” that make you look and feel lean and strong. And don’t forget, after the age of 30, humans naturally lose at least a pound of muscle each year, and as we age, it becomes more difficult to build muscle. So, as you plan your meals (I highly recommend consulting a nutritionist, dietician or coach to help you with this) incorporating lean animal or plant-based proteins

like chicken, fish, beans, cottage cheese, nuts, bone broth, whey protein powder, collagen powder or other high impact foods is a must.

What’s the natural companion to protein? You guessed it – it’s fiber. Fiber in the form of whole grains, fruits and vegetables is critical as you build your lifelong healthy habits. It will also help with constipation, one of the side effects some people have reported experiencing while taking GLP-1 medications. In addition to keeping you regular, dietary fiber helps keep your heart healthy and, not for nothing, fills you up so you don’t go looking for low impact, processed foods when you find yourself in need of a snack. One last thing, support your fiber intake by prioritizing hydration and making water your beverage of choice. Jazz it up with fruits, cucumber or mint, whatever it takes to make sure you’re getting your daily recommended requirements.

GLP-1 medications feel like a miracle, but due to the low number of calories your body will be consuming, these medications also tend to lower your basal metabolic rate. The good news is that they inhibit hunger and quiet “food noise” so you aren’t constantly either hungry, eating or thinking about what and when you’re going to eat next. The bad news is that your metabolism will slow down while on these meds, but once you wean yourself off the medications, your hunger will return, and you’ll need your metabolism to keep up.

To ensure that your metabolism will be ready to rev up to keep pace with your natural urge to consume more calories, now that you’re feeling better, lighter and more energetic, it’s a great time to incorporate weigh bearing exercise into your workout regimen a few times a week with the goal of turning it into a lifelong habit. Weight bearing exercises are intended to exhaust your muscle to failure, creating micro tears in the muscle that, when they repair themselves, strengthen and tone your muscles, making them more efficient at metabolizing energy and more resilient against future injuries. I recommend finding a trainer or coach who you trust to help you create a routine that inspires you, and who will be laser focused on your safety and comfort.

Finally, now is the time to focus on two of the most difficult lifestyle changes we can make. The first is breaking up with sugar. Sugar addiction is both insidious and pervasive. It’s an easy addiction to acquire and it’s very hard to break. But since your hunger will be curbed by your medications, take this time to cut sugar out of your diet. After 30-45 days, you will find that what was once tolerable or even “not sweet enough” will be unbearably sweet. Then, and this is the most important part, be mindful about how and when you reincorporate sugar into your life, especially now that you’ve proven you can live without it.

The second change is related – if you haven’t already, it’s time to make friends with food. Changing your mindset about food is hard work, particularly if you’ve traditionally considered food a frenemy at best. But while you’re on GLP-1 medications, every bite you take is important, so taking your time, appreciating and savoring your food is critical. Now is also the time when, absent the guilt and shame we often feel around calorie consumption, we can more honestly assess the way foods make us feel and then catalog the foods that make us feel powerful, energetic and strong. Making it a habit to intentionally assess your mindset now will help you make good food choices later.

I am so happy for you and proud of you for doing this work and using all the tools at your disposal to achieve your weight loss and healthy living goals. GLP-1s are a gift to so many of us who need a boost to see real change, the kind that will inspire and motivate us. Enjoy every second of this journey, but also make a reasonable plan to sustain your impressive progress forever. Best of luck to you!

Audrey Zona is a certified Eating Psychology Coach, wellness promoter and the founder of Zo Healthy. Connect with her at livezohealthy.com or on Instagram, @zo_healthy.

UPCOMING Events

Here, you’ll see a mix of in-person as well as virtual events hosted by Bergen County’s area hospitals. Make sure to register for in-person and/or virtual events.

• The Dumont 5K, hosted by the Dumont Community Group, will take place on Aug. 31. The race’s starting point is located at Dumont High School. A portion of the proceeds will be donated to Dumont families in need and in distress. For more information or to register, visit https://tinyurl.com/3uvwswxb.

• A series of free health screenings (blood pressure, BMI and pulse and stroke risk assessment) will be held as follows: Sept. 3 and 17, 11 a.m. to 2 p.m., ShopRite Hillsdale, 372 Broadway, Hillsdale; Sept. 10, 10 a.m. to noon, River Vale Farmers Market, 406 Rivervale Road, River Vale; Sept. 10, 1:30-3:30 p.m., Hackensack Meridian Pascack Valley Medical Center, 250 Old Hook Road, Westwood; Sept. 14 and 28, 10 a.m. to noon, Westwood’s Farmer’s Market, 250 Old Hook Road, Westwood; and Sept. 24, 10 a.m. to 12:30 p.m., CVS Westwood, 289 Broadway, Westwood.

• Parents, learn about cyberbullying and social media as it relates to your children on Sept. 10 from 5-6 p.m. virtually. To register, call 800-756-1282.

• In honor of Sepsis Awareness Month, learn the signs of sepsis on Sept. 12 from 10-11 a.m. at the Hackensack Meridian Fitness & Wellness Center, 87 Route 17 North, Maywood. Deaths could be prevented with early detection and treatment. For a full listing or to register, visit HMHforU.org/Events or call 800-756-1282.

• Join the Graf Center for Integrative Medicine and the Tenafly Nature Center for Heal and Hike, a transformative 90-minute experience designed to rejuvenate your mind, body, and spirit. This free program for adults combines a guided hike with the calming practice of meditation amidst the nature center’s serene beauty. Immerse yourself in the tranquility of nature while hiking through a canopy of towering trees, then connect with your inner self throughout a peaceful meditation session during which you can focus on the soft sounds of rustling leaves, singing birds, and gentle breezes. Dress comfortably, wear close-toed shoes, and bring a bottle of water to hydrate. The hike will take place on Sept. 15 from 10:30 a.m. to 12 p.m. at the Tenafly Nature Center, 313 Hudson Ave., Tenafly. Register here: https://tinyurl.com/5n8h2xau.

• Are you considering pregnancy or planning to have a baby? The journey to parenthood begins long before conception, and Hackensack Meridian Pascack Valley Medical Center in Westwood, is here to support you every step of the way. Their focus on preconception health and care ensures that you and your baby have the best chance at a healthy and positive pregnancy experience. Join them for their Baby Expo on Sept. 19 from 4-6 p.m. at Hackensack Meridian Pascack Valley Medical Center, 250 Old Hook Road, Westwood.

• Addiction impacts the entire person, including having powerful effects on their brain and behavior. Learn how treatment can save lives and help individuals and families transform. This webinar, scheduled for Sept. 24 from 6-7 p.m., will help listeners understand how to access treatment and the key principles of recovery. To register, call 800-756-1282.

• The 3rd Annual Men’s Health Event is scheduled for Sept. 21 from 9 a.m. to 3 p.m. at Hackensack Recreation Center, 116 Holt St., Hackensack. Join for free wellness screenings and education that is imperative to men’s health with a specific focus on prostate health.

• The 46th Annual Jack McKeown Memorial Ramsey Run feature 5-kilometer and 10-kilometer races. The Sept 21 event begins at the municipal pool on East Oak Street in Ramsey. For more information or to register, visit https://tinyurl.com/4a5zjmay.

• Learn how to eat properly to lower your cholesterol on Sept. 25 from 12-1 p.m. at the Hackensack Meridian Fitness & Wellness Center, 87 Route 17 North, Maywood. For a full listing or to register, visit HMHforU.org/Events or call 800-756-1282.

• Menopause can impact so many aspects of life and sleep is a big one! Join on Sept. 25 from 7-8 p.m. at the Ridgewood Public Library, 125 N. Maple Ave., Ridgewood, to learn about sleep health as your body changes. Register here: https://tinyurl.com/mpwn8fwz.

• A memory training course will take place on Oct. 3, 10, 17 and 24 from 1-3 p.m. at Hackensack Meridian Fitness & Wellness Center, 87 Route 17 North, Maywood. For a full listing or to register, visit HMHforU.org/Events or call 800-756-1282.

• Discomfort in our bodies may signal to us when we need extra care and even medical intervention. Join Valley Hospital to find out more about the signs that our heart may need closer attention and that it’s time to see a cardiologist. This event will take place Oct. 10 from 2-4 p.m. virtually. Register here: https://tinyurl.com/2snktvw5.

• This program – Parenting Puberty: Navigating Change Together – is tailored to equip parents and grandparents with essential skills and tips to guide children through the transformative period of puberty changes. Join virtually on Oct. 16 from 7-8 p.m. to hear from Merilyn Baby, DO Pediatric Endocrinologist. Register here: https://tinyurl. com/mus2ueyu.

The 411 on Medical Weight Loss

Today, there are many different options to lose weight, and the use of medications to aid in losing weight has become increasingly popular. We recently spoke with Naser E. Gharaibeh, MD, CPE, DABOM, NCMP, Medical Director of the Metabolic Medicine and Weight Loss Program for Valley Medical Group, about medical weight loss and how it works.

Q: What is medical weight loss?

A: Medical weight loss is the use of medications to aid in losing weight, but it is much more than just taking medication. The process of prescribing the medication is preceded by a thorough evaluation because the most important aspect of obesity management is to figure out the reason for the weight gain. The evaluation is followed by lifestyle interventions, such as meal plans and physical activity.

Q: Who could be eligible for weight loss medications?

A: The indications for taking a medication or considering medication for weight loss would be a body mass index of 30 and higher without comorbidities – the presence of two or more diseases or conditions in a patient – or a body mass index of 27 and higher with comorbidities, such as high blood pressure, diabetes, or obstructive sleep apnea.

Q: How do these medications work?

A: The first type of medications are stimulants, such as Phentramine or Lisdexamfetamine. These medications basically have a central action, so they work on the brain, but also have some cardiovascular effects, and they increase the metabolism. In a way, they suppress the appetite.

The newer and the more evolving medications are the ones that have a lot of talk about them right now. These are injectable medications, such as semaglutide and tirzepatide, which are branded as Wegovy and Zepbound. These medications have both central and gastrointestinal mechanisms of action.

The central action is a hypothalamic action where our centers for appetite send signals for you to feel hunger. So, they suppress that ability. The gastrointestinal effect slows down the transit of food from the stomach to the intestine, which can cause common side effects, which are mostly gastrointestinal, such as nausea and vomiting.

Q: How do surgery and medications compare?

A: I think the most important thing to know is there is no best option for treatment. Together with the patient and their loved ones, we have to choose the best treatment option according to the patient’s characteristics and goals.

Surgery continues to be the most cost-effective way for the management of obesity. It’s more intensive, but the weight loss is more rapid. It also requires a more extreme lifestyle modification.

Meanwhile, if not covered by insurance, some of the new medications can cost between $500 to $1,200 a month and are not always covered by insurance. Patients should be open to taking the medication long-term which is a challenge for some. With medication, the weight loss is more gradual, which is a relatively good thing when it comes to weight management. You are also not dealing with an irreversible change in the anatomy of the gastrointestinal tract and have relatively less restrictions in terms of lifestyle modifications. Obviously, increased physical activity and changes in diet are integral, regardless of the choice for management of obesity.

Grow HELPING YOUR CHILD

VALLEY GETS

IT.

Choosing the right pediatrician isn’t just important for your child –it’s vital for parents and caregivers, too. In addition to making sure your child is thriving and staying healthy, Valley, in partnership with Mount Sinai Kravis Children’s Hospital, provides the advice and answers you need to support your child at every age and stage.

Routine wellness visits

Sick visits

Vaccinations

Laboratory services

Lactation and feeding support

Screenings for hearing, vision, development, and mental health

Referrals to pediatric subspecialty care

Virtual visits

Evening hours

Shivani Shah, MD, Cecilia Godoy, MD, and Suzanne Bussetti, RN, MSN, CPNP, IBCLC

We’re honored that U.S. News & World Report has ranked Hackensack University Medical Center the #1 adult and children’s hospitals in New Jersey. Nationally Ranked — Top 50 in 8 Specialties:

J Urology #17 — Best program in NJ

J Pulmonology and Lung Surgery #22 — Only nationally ranked program in NJ

J Neurology & Neurosurgery #23 — Only nationally ranked program in NJ

J Diabetes & Endocrinology #25 — Only nationally ranked program in NJ

J Orthopedics #25 — Nationally Ranked

J Geriatrics #34 — Only nationally ranked program in NJ

J Cardiology, Heart & Vascular Surgery #41 — Best in NJ

J Cancer #44 — Best in NJ

To learn more, visit HackensackMeridianHealth.org/Rankings.

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