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AGE MANAGEMENT & WELLNESS PROTOCOL By Dr. Tachmes
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ISSUE #40 | 10/04/12
BY ANTHONY JAPOUR, MD
O UIF ZFBS MJGF FYQFDUBODZ XBT POMZ UP ZFBST 5PEBZ UIF MJGF FYQFD tancy is 100 years or more! Along with the trend toward increasing longevity PWFS UIF MBTU POF IVOESFE ZFBST UIF HMPCBM QPQVMBUJPO IBT JODSFBTFE GSPN POF CJMMJPO BU UIF EBXO PG UIF UXFOUJFUI DFOUVSZ UP OFBSMZ TFWFO CJMMJPO QFPQMF MJWJOH PO earth today. So how does a modern Health and Wellness Program look today?
Image Credit: Copyright Alex Zhernosek FFMSTUDIO.COM - Shutterstock.com
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Anthony Japour, MD is a post-graduate trained and former HIV/ AIDS Researcher and Assistant Professor at Harvard Medical School. Presently Dr. Japour is a Health & Wellness Physician at Elite Medical Group at the Mt. Sinai Medical Center campus. You can schedule an appointment to see Dr. Japour at aj@elitehealth.com 10 | wire magazine | issue #40, 2012 | www.wireweekly.com | facebook | twitter
"T XF NBZ MFBE NPSF BDUJWF BOE QSPEVDUJWF MJWFT PWFS UIF DPVSTF PG UJNF QSFQBSJOH for good health begins today. Moreover, as we see limits of medical technology in TVTUBJOJOH PG HPPE IFBMUI QFPQMF NVTU EFDJEF GPS UIFNTFMWFT XIBU EFåOFT IFBMUI BOE XFMMOFTT 8JUI UIBU JO NJOE FBDI QFSTPO JT UIFSFGPSF SFTQPOTJCMF GPS NBLJOH choices about their health and well being according to goals. 5IF 8FMMOFTT *OWFOUPSZ 'JHVSF XXX XFMMQFPQMF DPN XBT DSFBUFE CZ XFMMOFTT QJPOFFS +PIO 8 5SBWJT .% .1) XIP PQFOFE UIF åSTU XFMMOFTT DFOUFS JO UIF 6 4 JO BGUFS DPNQMFUJOH IJT QSFWFOUJWF NFEJDJOF SFTJEFODZ BU +PIOT )PQLJOT 5XFMWF EJNFOTJPOT PG IFBMUI QSPWJEF UIF GPVOEBUJPO PG UIF 8FMMOFTT *OWFOUPSZ " 8IPMF 1FSTPO "TTFTTNFOU JODMVEFT B TFSJFT PG XFMMOFTT TUBUFNFOUT TVDI BT i* QSP tect myself from safety hazards by wearing seatbelts, using smoke detectors in my IPNF OPU SJEJOH JO B WFIJDMF XJUI B ESVOL ESJWFS FUD w 5IFTF BSF GPMMPXFE CZ IPX USVF UIF TUBUFNFOU JT BOE IPX TBUJTåFE ZPV BSF XJUI BOTXFST ZPV QSPWJEF HJWJOH a sense of your motivation to change. The Program offers guidance and tools to transform your new awareness into lifestyle change and a renewed sense of health and wellbeing. *O (FOF 4UPOFhT JOUFSOBUJPOBM CFTU TFMMFS Secrets of People Who Don't Get Sick 8PSLNBO 4UPOF QSPåMFE QFPQMF BOE UIFJS iTFDSFUTw UP OPU HFUUJOH TJDL
HEALTH & WELLNESS
THE WELLNESS INVENTORY
MAINTAINING OPTIMAL HORMONE LEVELS NATURALLY 5FTUPTUFSPOF SFQMBDFNFOU JT B IPU UPQJD PO MPDBM UBML TIPXT NFO T NBHB[JOFT BOE B QPQVMBS TVCKFDU BSPVOE UIF XBUFS DPPMFS XJUI NFO *O SFDFOU ZFBST JU IBT CFDPNF NFEJDBMMZ BDDFQUFE UP HJWF NBMFT UFTUPTUFSPOF SFQMBDFNFOU UP CPPTU UIFJS vitality and overall health. Studies show that low testosterone causes a variety of lifestyle diseases including heart disease and diabetes. So the question is, does IPSNPOF SFQMBDFNFOU QSFWFOU EJTFBTF BOE BDU BT UIF GPVOUBJO PG ZPVUI
Figure 1 5IFTF JODMVEF TVDI UIJOHT BT HPPE HFOFT DIJDLFO TPVQ 7JUBNJO $ ZPHB TQJSJUVBMJ UZ MJGUJOH XFJHIUT BOE XIBU * EFTDSJCFE BT UIF IFBMUI CFOFÃ¥UT PG QSPCJPUJDT 8IFSFBT BOUJCJPUJDT BSF VTFE UP LJMM CBDUFSJB QSPCJPUJDT CSJOH HPPE CBDUFSJB JO UIF CPEZ BOE IFMQ TUJNVMBUF BOE TVQQPSU UIF CPEZhT JNNVOF TZTUFN 0OF VOJGZJOH PCTFSWBUJPO Stone made is that whatever it is that they did about it they made a daily commit ment. 1IBSNBDFVUJDBMT QMBZ BO JNQPSUBOU DPNQPOFOU GPS TFSJPVT JMMOFTTFT TVDI BT )*7 )FQBUJUJT $ BOE DBODFS BNPOH PUIFST )PXFWFS * BN B TUSPOH CFMJFWFS JO QSFWFO UJWF BQQSPBDIFT UP NBJOUBJO PQUJNBM IFBMUI UISPVHI CFIBWJPSBM NPEJÃ¥FST FYFSDJTF OVUSJUJPO MJGF DPBDIJOH SFTU MJGF MPOH MFBSOJOH BOE TPDJBM DPOOFDUFEOFTT 1SFWFOUJPO IBT MPOH CFFO QSPWFO UP CF JNQPSUBOU JO IFBMUI BOE XFMMOFTT " HPPE FYBNQMF JT IBWJOH ZPVS UFFUI DMFBOFE BU MFBTU FWFSZ TJY NPOUIT UP QSFWFOU HVN EJT FBTF BOE DBWJUJFT 4FWFSBM TQFDJFT PG CBDUFSJB UIBU DBVTF HVN EJTFBTF IBWF CFFO GPVOE JO QMBRVF JO UIF BSUFSJFT PG UIF IFBSU 8IJMF B EJSFDU DPSSFMBUJPO CFUXFFO HVN disease and heart disease is still being studied, regular dental care may benefit your heart as well.
8FMM JUT OPU UIBU TJNQMF #JMM $PSUSJHIU UIF $00 BOE 8FMMOFTT %JSFDUPS PG &MJUF #JP'JU BU &MJUF )FBMUI IBT XPSLFE TJEF CZ TJEF XJUI EPDUPST GPS UIF MBTU ZFBST BENJOJTUSBUJOH IPSNPOF SFQMBDFNFOU UIFSBQZ BOE DSFBUJOH IPSNPOF SFQMBDFNFOU QSPUPDPMT $PSUSJHIU JT UIF BVUIPS PG 5IF 4USFTT 3FTQPOTF %JFU B CPPL UIBU UFBDIFT B IPSNPOF CBMBODJOH EJFU BOE UIF NFEJDJOBM QVSQPTF PG GPPE XF DPOTVNF )F FYQMBJOT i8IFO B QBUJFOU BU &MJUF )FBMUI IBT B MPX UFTUPTUFSPOF UFTU * XPSL IBOE JO IBOE XJUI UIF NFEJDBM EPDUPST JO PSEFS UP USVMZ BOBMZTJT UIF QBUJFOUT SFTVMUT .PTU EPDUPST XJMM MPPL BU UIF UPUBM UFTUPTUFSPOF BOE EFQFOEJOH PO UIF MFWFM XJMM make the decision to treat. At Elite Health we do things a little differently. We OFWFS USFBU QBUJFOUT XJUI POF MPX UFTU SFTVMU 8F XBOU UP TFF 8): UIF UFTUPTUFSPOF JT MPX 8F BMTP XBOU UP LOPX 8): UIF QBUJFOU JT TZNQUPNBUJD 8IFO MPPLJOH GPS that WHY factor we will look at the following. t .BOZ QBUJFOUT DBO CF TZNQUPNBUJD PG MPX UFTUPTUFSPOF XJUI B OPSNBM 5PUBM 5FTUPTUFSPOF MFWFM 5IJT IBQQFOT XIFO UIF UFTUPTUFSPOF HFUT CPVOE BOE UIF CPEZ DBOOPU VTF JU 4JNQMF CMPPE UFTU NFBTVSJOH TFY IPSNPOF CJOEJOH HMPCVMJO BOE B UFTUPTUFSPOF DBMDVMBUPS XJMM HJWF VT B DMFBS QJDUVSF .BOZ UJNFT UIJT DBO CF åYFE UISPVHI QSPQFS EJFU t .BLJOH TVSF UIBU UIF QBUJFOU JT HFUUJOH RVBMJUZ TMFFQ FBDI OJHIU 4MFFQ "QOFB JT B NBKPS DBVTF PG MPX UFTUPTUFSPOF "U &MJUF XF IBWF IPNF TMFFQ TUVEJFT UP SVMF UIJT PVU 8F NFBTVSF IPX UIF CPEZ JT IBOEMJOH TUSFTT BOE SFDVQFSBUJOH t 8F SFWJFX UIF QBUJFOU T DVSSFOU EJFU *U T WJUBM UP IBWF B EJFU UIBU LFFQT UIF CPEZ JO B QPTJUJWF OJUSPHFO CBMBODF TP XF DBO SFDVQFSBUF PO B EBJMZ CBTJT This is a key for healthy testosterone levels. t 8F SVO TFWFSBM UFTUT PO UIF QBUJFOU UP TFF IPX UIFJS CPEZ IBOEMFT TUSFTT CPUI BU SFTU BOE EVSJOH BDUJPO 5IJT BMMPXT VT UP CVJME BO FYFSDJTF QSPHSBN UP IFMQ UIF QBUJFOU T CPEZ UP CFDPNF BOBCPMJD OBUVSBMMZ JODSFBTJOH UIF UFTUPTUFSPOF levels. t 8F XJMM FWBMVBUF JG XF DBO BEE TPNF TJNQMF TVQQMFNFOUT UIBU XJMM OBUVSBMMZ JNQSPWF UIF QBUJFOU T CJP BWBJMBCMF UFTUPTUFSPOF
Image Credit: Copyright holbox - Shutterstock.com
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11 | wire magazine | issue #40, 2012 | www.wireweekly.com | facebook | twitter
#JMM BMTP NBLFT JU DMFBS XIFO EPJOH )35 UIFSF JT OP POF NFUIPE UIBU JT SJHIU *U T JNQPSUBOU UP UFTU UIF QBUJFOU FWFSZ XFFLT UP NBLF TVSF UIF USFBUNFOU JT HJWJOH UIF QBUJFOU PQUJNBM IPSNPOF MFWFMT -JGFTUZMF GBDUPST TVDI BT UIF QSPQFS EJFU BOE FYFSDJTF QMBZ BO BMM JNQPSUBOU SPMF JO IPX UIF )35 XJMM XPSL )FBMUIZ IPSNPOFT are the key element for longevity and a lower biological age. As Bill Cortright TBZT i*U EPFTO U NBUUFS IPX PME ZPV BSF JU POMZ NBUUFST IPX XFMM ZPVS CPEZ QSP EVDFT FOFSHZ *O PUIFS XPSET ZPV DBO CF ZFBST PME BOE JG ZPV BSF QSPEVDJOH FOFSHZ MJLF B ZFBS PME XIP DBSFT w
HEALTH & WELLNESS
BY ANTHONY JAPOUR, MD Image Credit: Copyright Dash - Shutterstock.com
SUNSHINE STATE, SUNSHINE VITAMIN 4VSQSJTJOHMZ FWFO UIPVHI XF MJWF JO UIF 4VOTIJOF 4UBUF XJUI MPUT PG TVO FYQPTVSF NBOZ PG VT BSF FJUIFS 7JUBNJO % JOTVGåDJFOU PS XPSTF 7JUBNJO % EFåDJFOU 5IBOLGVMMZ B TJNQMF CMPPE UFTU DBO EJBHOPTF UIF QSPCMFN BOE * IJHIMZ SFDPNNFOE ZPV HFU B 7JUBNJO % MFWFM DIFDLFE PO ZPVS BOOVBM QIZTJDBM FYBN " OPSNBM MFWFM PG WJUBNJO % JT defined as a 25OHD concentration greater than 30 ng/mL, however a value closer to 50 ng/mL may be better. 7JUBNJO % JOTVGåDJFODZ JT EFåOFE BT B 0)% DPODFOUSBUJPO PG UP OH N- UP ONPM - 7JUBNJO % EFåDJFODZ JT EFåOFE BT B 0)% MFWFM MFTT UIBO OH N- ONPM - 4VO FYQPTVSF JT UIF NPTU DPNNPO TPVSDF PG 7JUBNJO % CVU TVOTDSFFO XJUI 41' PS NPSF MJNJUT 7JUBNJO % BCTPSQUJPO GSPN UIF TVO 8IZ JT 7JUBNJO % JNQPSUBOU 7JUBNJO % JT B GBU TPMVCMF WJUBNJO UIBU JT JOWPMWFE JO BMNPTU FWFSZ QSPDFTT UIBU PDDVST JO UIF CPEZ #VU UIF NPTU JNQPSUBOU KPC GPS WJUBNJO % JT UP NBJOUBJO B IFBMUIZ MFWFM PG $BMDJVN BOE 1IPTQIP SVT OBNFMZ UP GPSN TUSPOH CPOFT 5PHFUIFS XJUI $BMDJVN 7JUBNJO % BMTP QSPUFDUT VT GSPN EFWFMPQJOH 0TUFPQPSPTJT "NPOH JUT PUIFS SPMFT JO UIF CPEZ UIF WJUBNJO BJET JO QSPNPUJOH DFMM HSPXUI SFEVDJOH JOýBNNBUJPO JNQSPWJOH JNNVOF GVODUJPO BOE CSBJO IFBMUI 3FDFOU TUVEJFT TVHHFTU UIBU 7JUBNJO % NBZ BMTP IFMQ QSPUFDU ZPV GSPN IJHI CMPPE QSFTTVSF TPNF UZQFT PG DBODFS BOE TFWFSBM BVUPJNNVOF EJTFBTFT " QVCMJDBUJPO JO The Journal of Clinical Endocrinology and Metabolism GPVOE UIBU NPOUIMZ TVQQMFNFOUBUJPO XJUI *6 PG 7JUBNJO % JO )*7 QPTJUJWF ZPVUI TFFNFE BEFRVBUF UP USFBU WJUBNJO % JOTVGåDJFODZ How to get more Vitamin D? Although very few foods are naturally rich in vitamin D, it can be found in cod liver oil, fatty fish, egg yolks, cheese and fortified NJML 5IF WJUBNJO DBO BMTP CF QSPEVDFE XIFO UIF TVO T VMUSBWJPMFU SBZT LJTT UIF TLJO XIJDI USJHHFS B DBTDBEF PG FGGFDUT UIBU ZJFME WJUBNJO % *U T TBJE UIBU NJOVUFT PG TVO FYQPTVSF CFUXFFO UIF IPVST PG B N BOE Q N UXJDF B XFFL XJUIPVU TVOTDSFFO JODSFBTFT 7JUBNJO % MFWFMT If you are diagnosed with Vitamin D deficiency you might consider a EBJMZ OVUSJUJPOBM TVQQMFNFOU PG *6 QFS EBZ * SFDPNNFOE SFDIFDLJOH 7JUBNJO % MFWFMT BGUFS NPOUIT PG TVQQMFNFOUBUJPO UP TFF ZPVS QSPHSFTT
Age
Male
Female
Pregnancy
Location
0–12 months*
400 IU (10 mcg)
400 IU (10 mcg)
1–13 years
600 IU (15 mcg)
600 IU (15 mcg)
14–18 years
600 IU (15 mcg)
600 IU (15 mcg)
600 IU (15 mcg)
600 IU (15 mcg)
19–50 years
600 IU (15 mcg)
600 IU (15 mcg)
600 IU (15 mcg)
600 IU (15 mcg)
51–70 years
600 IU (15 mcg)
600 IU (15 mcg)
70 + years
800 IU (20 mcg)
800 IU (20 mcg)
3%"T GPS WJUBNJO % BSF MJTUFE JO CPUI *OUFSOBUJPOBM 6OJUT *6T BOE NJDSPHSBNT NDH *OTUJUVUF PG .FEJDJOF 'PPE BOE /VUSJUJPO #PBSE %JFUBSZ 3FGFSFODF Intakes for Calcium and Vitamin D. Washington, DC: National Academy Press, 2010. 12 | wire magazine | issue #40, 2012 | www.wireweekly.com | facebook | twitter
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%*453*#65&% &7&3: 5)634%": */ .*".* 5)& #&"$)&4 "/% '035 -"6%&3%"-& t 5)& -0/(&45 36//*/( 8&&,-: 0/ 4065) #&"$) “LIKE” US
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ISSUE #20 | 05/17/12
COVER STORY: LIVING WITH HIV: NOT A DEATH SENTENCE, A LIFE SENTENCE
FLORIDA RANKS FIRST
in the country in the number of people diagnosed with HIV (6,120 in 2009). Florida ranks first in the country in the rate of new HIV diagnoses per 100,000 (2009). Florida ranks third in the country in the rate of new AIDS diagnoses per 100,000 (2009). Florida ranks second in the country in the rate of HIV prevalence (2008). Florida ranks fourth in the country in the rate of AIDS prevalence (2008). Miami ranks first in the country in the rate of new HIV diagnoses per 100,000. (2010) Miami ranks second in the country in the rate of new AIDS diagnoses per 100,000 (2010) Florida has the third longest ADAP (AIDS drug assistance program) waiting list in the country. (Facts from Care Resource)
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LIVING WITH HIV:
NOT A DEATH SENTENCE, A LIFE SENTENCE By James Cubby he facts are shockingly clear, HIV and AIDS are still infect ing and killing thousands of people a day, but the good OFXT JT UIBU JU T OPX B NBOBHFBCMF EJTFBTF i*U T TBE UIBU QFPQMF CFMJFWF UIBU JU T B EFBUI TFOUFODF w TBZT %S 4UFWFO Santiago, Medical Director for Care Resource, a nonprofit, mul UJDVMUVSBM DPNNVOJUZ CBTFE "*%4 TFSWJDF PSHBOJ[BUJPO i5PEBZ JU T B NBOBHFBCMF EJTFBTF *O TPNF XBZT JUT FBTJFS UP NBOBHF UIBO EJBCFUFT w 8JUI UIF SFQPSUT PG B OFX ESVH UIBU XJMM QSF vent HIV infection in healthy people there is hope, however, BDDPSEJOH UP UIF $FOUFST GPS %JTFBTF $POUSPM BOE 1SFWFOUJPO there are approximately 1.2 million people in the United States MJWJOH XJUI )*7 JOGFDUJPO BOE JO BSF VOBXBSF PG UIFJS JOGFD tion. In fact, Care Resource has shared a report that states that FWFSZ NJOVUFT TPNFPOF JO UIF 6 4 JT JOGFDUFE XJUI )*7 The war against AIDS is a battle that has not been won yet BOE UIFSF IBWF CFFO NBOZ DBTVBMUJFT "O FTUJNBUFE people with AIDS have died in the U.S. since the beginning PG UIF FQJEFNJD BDDPSEJOH UP "EWFSU JOUFSOBUJPOBM )*7 "*%4 Charity). *O XIFO UIF ĂĽSTU DBTFT PG "*%4 XFSF SFQPSUFE JO UIF 6 4 the cases rapidly increased, as did AIDS deaths. The numbers DPOUJOVFE UP HSPX ESBNBUJDBMMZ VOUJM XJUI UIF XJEFTQSFBE use of combination antiretroviral therapy. While people with AIDS are surviving longer and the numbers of those living with AIDS are steadily increasing, the disease is still out there. Re ports say that an estimated 21% of people living with HIV in UIF 6 4 BSF VOEJBHOPTFE 1SFWFOUJPO IBT BMXBZT CFFO B NBKPS weapon in the battle, acknowledging the infection and control ling it is one of the utmost concerns of health organizations today. The infected continue to spread the disease, unknowing that they have it, and many who are infected are in denial, not taking responsibility for their own life or the lives of others. 10 | wire magazine | issue #20, 2012 | www.wireweekly.com | facebook | twitter
At one time a HIV positive diagnosis was considered a death TFOUFODF MFBEJOH UP "*%4 5PEBZ JU T OPU B EFBUI TFOUFODF CVU JU T TUJMM OPU XFMDPNF OFXT i* N TDBSFE UP UFMM QFPQMF CVU ZPV IBWF UP BDDFQU JU w TBJE 2VJMWJP 3PESJRVF[ B ZFBS PME .JBNJ dancer who has been HIV positive for just over a year. Ro driquez, at first reluctant to go public with his news offered to TIBSF IJT TUPSZ i* UIPVHIU * XBT EPJOH UIF SJHIU UIJOH CZ QSPUFDU JOH NZTFMG * XBT JO B SFMBUJPOTIJQ BOE IBE VOQSPUFDUFE TFY w Not realizing that his partner had HIV, Rodriquez contracted the virus and it has changed his life. His relationship ended BOE IF XBT IFTJUBOU UP TIBSF UIF OFXT XJUI GSJFOET i*U T TDBSZ to tell people but you find out who your real friends are and GSJFOETIJQT HSPX TUSPOHFS w 1BSU PG UIF TUJHNB PG BO )*7 QPTJ UJWF EJBHOPTJT JT CFJOH TIVOOFE CZ GSJFOET GBNJMZ BOE XPSL i*U took me a long time to be able to talk about it without being FNPUJPOBM w TBZT 3PESJRVF[ 4UJMM IFBMUIZ 3PESJRVF[ EPFT OPU take any medications. Working as a waiter and a dancer, his financial history prevents him from qualifying for support from programs like Ryan White and AHF and without insurance he DBO U HFU B DBTF XPSLFS 3PESJRVF[ XIP SFDFOUMZ QFSGPSNFE with Dance NOW! Miami, remains hopeful and tries to keep IFBMUIZ i* N USZJOH UP TUBZ QPTJUJWF BCPVU CFJOH QPTJUJWF w 1JPOFFS 8JOUFS EBODFS DIPSFPHSBQIFS XIP DIPSFPHSBQIFE Reaching the Surface, a performance piece mixing contempo rary dance, spoken word and live music, offered to share his views on HIV/AIDS. Winter, who holds a Masters Degree in 1VCMJD )FBMUI BOE &QJEFNJPMPHZ IBT XPSLFE XJUI TFWFSBM BSUJTUT who have been infected and affected by HIV/AIDS – including Rodriquez who performed in Reaching the Surface and worked with health care programs like Alert Health and Care Resource. 8JOUFS IBT CFDPNF BO BDUJWJTU IPQJOH UP iTFSWF UIF DPNNVOJUZ by demonstrating that one cannot live in the shadow of unde
COVER STORY: LIVING WITH HIV: NOT A DEATH SENTENCE, A LIFE SENTENCE TFSWFE TUJHNB BT XFMM BT UIF TIBEPX PG JHOPSBODF w Winter, who has since left health care behind to focus more on dance, emphasizes the importance of educa tion, not just with those at risk but the whole world. i1FPQMF EPO U SFBMJ[F IPX IBSE JU JT UP HFU :PV DBO U HFU )*7 GSPN TPNFPOF CZ DBTVBM DPOUBDU w "T TPNF one who has worked in the health care system, Winter knows how difficult it can be to work the system but he BMTP TUSFTTFT UIF JNQPSUBODF PG HFUUJOH IFMQ i%PO U EP it by yourself. You need a case manager. Check out the programs like AHF (AIDS Healthcare Foundation), $BSF 3FTPVSDF BOE #PSJORVFO )FBMUI $BSF $FOUFS w Winter acknowledges the fact that medications are ex pensive and without insurance or a program like the Ryan White Foundation it is difficult.
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%JBHOPTFE XJUI )*7 ZFBST BHP 3JDIBSE #VSUPO +S a Miami Beach resident, actor and AIDS activist, vol unteered to share his story with the hopes that it might benefit someone. Burton, who is quite active in the Miami Beach community, proudly shares the fact of his NFEJDBM DPOEJUJPO BOE UIF GBDU UIBU IF T IFBMUIZ #VS UPO XBTO U BMXBZT UIF QJDUVSF PG IFBMUI BT IF JT UPEBZ IF XBT WFSZ TJDL JO UIF MBUF OJOFUJFT i* XBT XIFFMDIBJS CPVOE XJUI B OVSTF QVTIJOH NF EPXO -JODPMO 3PBE w Burton attests the new medications for his turnaround. Richard Burton Jr. i"GUFS NZ CPEZ BDDMJNBUFE UP UIF OFX NFEJDBUJPOT * XBT JOWJUFE UP B TUVEZ BU UIF 6OJWFSTJUZ PG .JBNJ w Burton has struggled with many health problems during the years, including liver failure, but has survived BOE DPOTJEFST IJNTFMG MVDLZ i* GFFM MJLF B TPMEJFS UIBU IBT XBMLFE UISPVHI B CBUUMFรฅFME TDBSFE BOE CSVJTFE ZFU TUSPOHFS * IBWF DPOUSJCVUFE UP UIF DBSF BOE BUUFOUJPO PG BO POHPJOH MJGF w -JLF NBOZ XIP รฅSTU XFSF EJBH OPTFE JO UIF FBSMZ ZFBST #VSUPO UIPVHIU JU XBT B EFBUI TFOUFODF i*U XBT UIF DPODFSO UIBU * XPVMEO U CF UIFSF GPS NZ GBNJMZ w TBZT #VSUPO BT UIF SFBTPO XIZ IF DIPTF UP รฅHIU GPS IJT MJGF i* TUBSUFE UBLJOH NFEJDBUJPOT ZFBST BHP *U NBEF NF GFFM XPSTF * WF CFFO PO B CSVUBM SFHJNF TJODF w 0GGFSJOH Wire Magazine before BOE BGUFS QIPUPT #VSUPO XBOUT UIF XPSME UP LOPX UIBU ZPV DBO U HJWF VQ i)*7 JT OPU B EFBUI TFOUFODF CVU B MJGF TFOUFODF :PV IBWF UP NBLF B MJGF QMBO UP UBLF DBSF PG ZPVSTFMG FWFSZ EBZ w #VSUPO WPMVOUFFST GPS several AIDS health organizations and is a member of the Miami Beach Community Health Center Support (SPVQ #VSUPO JT BEBNBOU BCPVU CFJOH WPDBM PO UIF TVCKFDU i:PV IBWF UP UPVHIFO VQ BOE HFU SJE PG ZPVS TJMMZ IBCJUT w #VSUPO BMTP DPOTJEFST IJNTFMG MVDLZ CFDBVTF JOTVSBODF UBLFT DBSF PG IJT NFEJDBUJPOT UIBU DPTU BQQSPYJNBUFMZ B ZFBS #VSUPO IBT UBLFO DPOUSPM PG IJT MJGF BOE IBT B QPTJUJWF BUUJUVEF BCPVU รฅHIUJOH UIF EJTFBTF i*U T BCPVU TBWJOH PVS PXO MJWFT BOE PVS CVEEJFT CFTJEF VT w While prevention is at the top of the list in the fight against HIV/AIDS, the facts are all too obvious that HIV infection continues. Education is so important. Doctors and health care workers report new cases daily BOE JU T TIPDLJOH UP MFBSO UIBU NPSF UIBO PG OFX JOGFDUJPOT BSF BNPOH UIF VOEFS TFU .BOZ QFPQMF TUJMM GFFM UIFSF T B TUJHNB UP CFJOH UFTUFE BOE BSF BGSBJE PG HFUUJOH UIFJS SFTVMUT i.BOZ QBUJFOUT TUJMM GFFM UIBU )*7 JT B EFBUI TFOUFODF w TBZT 4BNJ 4IBรฅH reported. $MJOJDBM "TTJTUBOU 1SPGFTTPS PG 1IBSNBDZ 1SBD Reported AIDS Casesii UJDF BOE -FBE )*7 "*%4 $MJOJDBM 1IBSNBDJTU at Walgreens, one of the many places where Number Currently Living with HIV (not AIDS) Number Currently Living with AIDS GSFF "*%4 UFTUT BSF BENJOJTUFSFE i"T B DMJOJDBM Number Currently Living with HIV/AIDS Cumulative AIDS Cases pharmacist, I have the opportunity to educate 140,000 them and provide them assurance that HIV is no 121,161 118,283 120,000 114,057 longer a death sentence. If a patient follows the 109,364 97,978 instructions provided by their healthcare provid 100,000 96,241 92,738 87,638 er, there should be no reason why they can 80,000 not live to their normal life expectancy. I have several patients who acquired HIV via perinatal 60,000 51,183 50,644 48,924 USBOTNJTTJPO BOE OPX UIFZ BSF ZFBST BOE 46,996 46,795 45,597 43,814 40,642 PMEFS 1BUJFOUT BSF MJWJOH MPOHFS BOE UIFSFGPSF 40,000 it is imperative that they adhere to their regi 20,000 men to achieve a continuous viral suppression. Maximal viral suppression results in lowering 0 of the transmission and therefore an important 2007 2008 2009 2010 QVCMJD IFBMUI DPODFSO w 11 | wire magazine | issue #20, 2012 | www.wireweekly.com | facebook | twitter
KEY STEPS TO GETTING PROPER HIV TREATMENT IN MIAMI: Contact Care Resource and request that they assign you a case manager to assist you with treatment 3510 Biscayne Boulevard Miami, Florida 33137 305.576.1234 If Care Resource is not able to assist you with treatment contact the Ryan White Foundation and request they assign you a case manager to assist you with treatment Office of Grants Coordination Ryan White Program 111 NW 1st Street, 19th Floor Miami, Florida 33128 305.375.4742 Walgreens also has a special program to assist you with treatment. Doctorโ s Office That Provides Very Good Treatment at Reasonable Prices in Miami Beach: Wohlfeiler, Piperato & Associates www.wpamedical.com 305.538.1400 1613 Alton Road, Miami Beach, FL 33139
The following centers offer services to people with HIV/AIDS who live in Miami-Dade County: Acciรณn: 305.672.1704 Body Positive: 305.576.1111 Cure Aids Now: 305.375.0400 HRS: 305.377.5022 Health Crisis Network: 305.751.7751 HAPMO: 305.374.8422 HOPWA (OCS): 305.795.1562 Legal Services of Miami: 305.576.0080 Lesbian/Gay/Bisexual Center: 305.531.3666 Lock Towns (moving): 305.623.0590 Miami Heart Institute (Spec. Imm. Unit): 305.674.3147 P.E.T. Center: 305.538.0525 PWAC: 305.573.6010 Planned Parenthood: 305.441.2022 S.H.E. Center for Women: 305.895.5555 Veterans Administration (Spec. Imm. Clinic): 305.324.3267 Village South: 305.573.3784
COVER STORY: LIVING WITH HIV: NOT A DEATH SENTENCE, A LIFE SENTENCE Every healthcare worker, pharmacist or doctor interviewed stressed the importance of seeking JNNFEJBUF NFEJDBM DBSF i'JSTU BOE NPTU JNQPSUBOU BMXBZT TFFL NFEJDBM DBSF GSPN BO )*7 TQFDJBMJTU w TUBUFE 4IBĂĽH i:PV DBO HP PO UIF "NFSJDBO "DBEFNZ PG )*7 .FEJDJOF T XFCTJUF and locate an expert in your area. The second key person in your care is a medical case manager. You must have a case manager to help you apply for various State and Federal GVOEJOH BWBJMBCMF 5IFSF JT OP SFBTPO GPS B QBUJFOU UP CF )*7 JOGFDUFE JO UIF 6OJUFE 4UBUFT PG America and be without HIV therapy. Depending on their income, they can qualify for straight .FEJDBJE .FEJDBSF QBSU # "%"1 "*%4 %SVH "TTJTUBODF 1SPHSBN 1"1 NBOVGBDUVSF T QB UJFOU "TTJTUBODF 1SPHSBNT PS DP QBZNFOU BTTJTUBODF QSPHSBNT 1MFBTF BMXBZT NBLF TVSF ZPV IBWF B DBTF NBOBHFS TP ZPV DBO CFOFĂĽU GSPN BMM PG UIFTF TFSWJDFT w .JDIBFM ,BIBOF Southern Region Bureau chief for AIDS Healthcare Foundation stressed that the most important TUFQ BGUFS EJTDPWFSJOH UIBU ZPV BSF )*7 QPTJUJWF JT iUP HFU JOUP DBSF BT TPPO BT QPTTJCMF XJUI B DPNQFUFOU EPDUPS UIFZ MJLF BOE USVTU 5IF EPDUPS BOE UIF QBUJFOU OFFE UP IBWF B iQBSUOFS JO DBSFw BUUJUVEF w 0G DPVSTF USFBUNFOU JT OFDFTTBSZ CVU ,BIBOF BMTP TUSFTTFT UIF JNQPSUBODF PG iHFUUJOH UFTUFEw JO UIF ĂĽHIU BHBJOTU )*7 "*%4 i)*7 JT BU FQJEFNJD MFWFMT UISPVHIPVU UIF 4PVUI and this is an area where there is significant stigma attached to the disease and a lack of providers. The most important strategy is to test as many people as possible for HIV, identify those who are positive and get them into care. 20% of people living with HIV do not know UIFZ BSF QPTJUJWF BOE UIBU JT SFTQPOTJCMF GPS PG UIF OFX JOGFDUJPOT 5IF POMZ XBZ UP manage this disease is to expand testing programs and link those who are positive into care. 5IJT ZFBS ")' QMBOT UP UFTU QFPQMF JO 'MPSJEB w 8JUI B EJTFBTF UIBU IBT CFFO BSPVOE TJODF UIF QVCMJD TIPVME CF NPSF JOGPSNFE BOE educated with the facts about HIV/AIDS. When asked what was the reason that South Florida numbers were higher than anywhere else in the country, the doctors were mostly at a loss for BOTXFST i" MPU IBT UP EP XJUI DPOUJOVFE EFOJBM w TBJE %S 4BOUJBHP i5IFSF BSF MPUT PG NJOPSJ UJFT FOHBHJOH JO VOQSPUFDUFE TFY #J TFYVBMT TUJMM FOHBHF JO MPUT PG VOQSPUFDUFE TFY 5IFSF BSF B MPU PG ZPVOH QFPQMF XJUI 45%T .Z QBUJFOUT BENJU UP IBWJOH VOQSPUFDUFE TFY 1FPQMF EPO U SFBMJ[F UIBU HFUUJOH BO 45% JODSFBTFT ZPVS DIBODFT PG HFUUJOH )*7 w 'MPSJEB SBOLT ĂĽSTU JO UIF country in the number of people diagnosed with HIV and first in the country in the rate of new )*7 EJBHOPTFT QFS %S 4BOUJBHP CFMJFWFT UIF SFBTPO GPS UIJT JT EFOJBM CJ TFYVBMT XIP FOHBHF JO VOQSPUFDUFE TFY BOE NJOPSJUJFT XJUI B MBDL PG FEVDBUJPO BOE EFOJBM i.BOZ NJOPSJ
“HIV is not a death sentence, but a life sentence. You have to make a life plan to take care of yourself every day.� 3JDIBSE #VSUPO +S UJFT BSF EJBHOPTFE BOE BMSFBEZ IBWF "*%4 w 5IF NBKPSJUZ PG EPDUPST BOE IFBMUIDBSF XPSLFST agreed that education is key to stopping the HIV virus. Filmmaker Charlie David hopes his new documentary Positive Youth will help educate the NBTTFT iPositive Youth features four young people who bravely share their personal stories JO MJWJOH XJUI )*7 w TBZT %BWJE i5IFZ PGGFS B SBX VODFOTPSFE MPPL JOUP UIFJS EBJMZ MJWFT UIF TIPDL PG SFDFJWJOH BO )*7 QPTJUJWF EJBHOPTJT XIBU JU T MJLF PO UIF EBUJOH TDFOF CBUUMJOH TUJHNB within their work, social and family life, and coming to the realization that life is not over – UIFSF JT B GVUVSF GPS UIFN w 0OF PG UIF QVSQPTFT PG NBLJOH Positive Youth was to help change UIF QFSDFQUJPO PG IPX UIF XPSME WJFXT )*7 i)*7 USBOTNJTTJPO JT SBQJEMZ SJTJOH BNPOH PVS ZPVUI w BEET %BWJE i5IFSF TFFNT UP CF BO BQBUIZ UPXBSET JU BOE B TBGF TFY GBUJHVF HPJOH PO UIBU T TJNQMZ EBOHFSPVT 5IF DIBMMFOHF JT PG DPVSTF NVMUJGBDFUFE BOE EJGGFSFOU TPDJPFDPOPNJD racial and sexual orientations are riddled with their own unique complexities and potential USJHHFST * EPO U QSFUFOE UP LOPX UIF BOTXFST CVU XIBU * UIJOL JT QBSBNPVOU JT UIBU UIF EJTDVT TJPO JT TUBSUFE BOE QFSIBQT TQFBSIFBEFE CZ PVS ZPVUI w 8IFO BTLFE XIZ IF UIPVHIU UIF ZPVUI PG UPEBZ XFSF TP VOJOGPSNFE BCPVU )*7 %BWJE SFQMJFE i* UIJOL XF MJWF JO B TPDJFUZ UIBU T terrified to tell the truth or to cause unease or to potentially offend. So we place the blame on TDIPPMT XF QMBDF UIF CMBNF PO QBSFOUT XF QMBDF UIF CMBNF PO SPDL AO SPMM 8F WF TUSBZFE so far from an inclusive and supportive place for the human mind, body and spirit to thrive and are immersed in our individuality. The problem is that the youth infection rate is rapidly 12 | wire magazine | issue #20, 2012 | www.wireweekly.com | facebook | twitter
Below:
Austin Head
Above:
Charlie David
COVER STORY: LIVING WITH HIV: NOT A DEATH SENTENCE, A LIFE SENTENCE
DEALING WITH HIV-RELATED EXCESS ABDOMINAL FAT “Because of the lack of education on AIDS, discrimination, fear, panic, and lies surrounded me.�
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rising. The education and message driven campaigns are either absent or largely not effective. There are NBOZ JOEJWJEVBMT BOE PSHBOJ[BUJPOT EPJOH JODSFEJCMF XPSL BOE XF OFFE UP DPOUJOVF UP TVQQPSU UIFN *U T BMTP UJNF XF HJWF ZPVUI UIF WPJDF UIFZ EFTFSWF BOE MJTUFO UP UIF SFNFEJFT UIFZ TVHHFTU w "VTUJO )FBE B %+ FOUFSUBJOFS NVTJDJBO BQQFBSJOH JO Positive Youth, says he was prompted to participate JO UIF EPDVNFOUBSZ CFDBVTF PG UIF XPSME T JHOPSBODF PO UIF TVCKFDU PG )*7 FTQFDJBMMZ ZPVOH QFPQMF i5IF EJSFDUPS PG B MPDBM ZPVUI HSPVQ UPME NF UIBU UIFZ IBWF ZFBS PMET DPNJOH JO BOE UFTUJOH QPTJUJWF 5IFJS ZPVOHFTU TP GBS XBT BOE XIFO IF GPVOE PVU IJT SFQMZ XBT i8BT JU TPNFUIJOH * BUF w )FBE XIP XBT less open about his HIV status before Positive Youth now seems to be on a soapbox and is using his vis JCJMJUZ UP IFMQ HFU UIF XPSE PVU )F IBT DSFBUFE B XFCTJUF DBMMFE 1PTJUJWFMZ'SJTLZ DPN B TPDJBM OFUXPSL GPS QFPQMF UIBU BSF )*7 QPTJUJWF i*U T B QMBDF PO UIF XFC XIFSF UIFZ DBO üOE B TBGF TUJHNB GSFF DPNNVOJUZ TUBZ VQEBUFE PO )*7 BEWBODFNFOUT BOE NFFU PUIFST XJUI TIBSFE MJGF FYQFSJFODFT w 8IJMF )FBE IPQFT that Positive Youth XJMM IFMQ FEVDBUF UIF ZPVUI IJT DBNQBJHO EPFTO U TUPQ UIFSF i.Z IPQF BOE NJTTJPO is stopping this severe oversight and injustice in the education of our youths. We must bring to light the advances we have made with HIV, show that life does not end when diagnosed and update all those who NBZ TUJMM MJWF JO GFBS PS JHOPSBODF PG UIJT BGýJDUJPO UIBU UIJT JT OPU TPNFUIJOH UP CF BGSBJE PG PS JHOPSF CVU to conquer! I was not even born when HIV was discovered and yet, today, many people under 30 are XIPMMZ VOJOGPSNFE BCPVU )*7 w 8IFO UIPTF JOUFSWJFXFE XFSF BTLFE GPS BEWJDF UP TIBSF UIF VOBOJNPVT BOTXFS XBT QSFWFOUJPO i6TF QSPUFDUJPO UP QSFWFOU BMM EJTFBTFT w TUBUFE %S 4BOUJBHP i)FQ $ DBO CF USBOTNJUUFE TFYVBMMZ )*7 BOE )FQ $ o UPHFUIFS BSF UIF OVNCFS POF DBVTF PG MJWFS GBJMVSF w )*7 "*%4 JT TUJMM IFSF BOE UIF JTTVF TIPVME OPU CF ignored. The miracle drug is still a myth even though symptoms are controlled with fewer pills today. While 3JDIBSE #VSUPO +S BENJUUFE UP UBLJOH QJMMT B EBZ %S 4BOUJBHP SFWFBMFE UIBU TPNF PG IJT QBUJFOUT UBLF POMZ POF QJMM B EBZ CVU UIBU QJMM JT FYQFOTJWF i5IF POF QJMM DPTUT QFS EBZ w TBZT %S 4BOUJBHP 8IJMF medical breakthroughs are improving HIV/AIDS medications, there still is no cure. BBC News reported this week that a panel of US health experts is now backing a drug called Truvada, which will prevent HIV infec tion in healthy people. This pill, which will also be expensive, is not yet on the market. Austin Head, whose documentary Positive Youth NBLFT JUT UFMFWJTJPO CSPBEDBTU QSFNJFSF PO -PHP57 PO .BZ BU Q N IBE the best advice to share. Both Positive Youth BOE 1PTJUJWFMZ'SJTLZ DPN BSF TNBMM TUFQT UPXBSE UIF DIBOHF we need to make in the HIV education and prevention efforts. We have the tools to turn HIV around and stop it dead in its tracks. Unfortunately, with the estimated 1 million people in the US who have HIV, 20% EPO U FWFO LOPX "OE CZ UIF XBZ PG UIPTF NJMMJPO BSF IFUFSPTFYVBM 5IJT BGýJDUJPO BGGFDUT FWFSZPOF OPU KVTU UIF HBZ DPNNVOJUZ w "VTUJO XFOU PO UP TIBSF BEWJDF GSPN IJT GSJFOE .JUDI i,OPX ZPVS TUBUVT CVU also act as though everyone is positive by engaging in responsible sexual activity, and you will drastically SFEVDF ZPVS SJTL PG DPOUSBDUJOH BOZ 45% MFU BMPOF )*7 w 13 | wire magazine | issue #20, 2012 | www.wireweekly.com | facebook | twitter
EGRIFTAŽ is a new medication approved to help HIVinfect ed patients reduce their excess abdominal fat from the disease. 1) What are the benefits of EGRIFTAŽ? EGRIFTAŽ (tesamorelin for injection) is an injectable prescription medicine to reduce the excess abdominal fat in HIV-infected patients with lipodystrophy. It was approved by the FDA in November 2010 and was made available to patients in January 2011. 2) Is EGRIFTAŽ the only medication on the market that reduces HIV-related excess belly fat? Yes, EGRIFTAŽ is the first and only treatment indicated to reduce excess abdominal fat in HIV-infected patients with lipodystrophy 3) Are there any major side effects associated with EGRIFTAŽ? For full-prescribing information including side effects, you should visit www.egrifta.com/Patients/AboutEgrifta.aspx 4) What’s been the success rate of patients taking EGRIFTAŽ? In two separate clinical trials, at six months, EGRIFTAŽ reduced HIV-related excess belly fat by an average of 18% in the first trial, and by an average of 14% in the second. This reduction in visceral adipose tissue (VAT) showed an approximately 1-inch reduction in waist size. On average, patients on EGRIFTAŽ did not lose weight. Like HIV, HIV-related excess belly fat is a chronic condition, so people who used EGRIFTAŽ continuously for 1 year maintained their results over this time period. People who stopped using EGRIFTAŽ after 6 months had VAT come back. In clinical trials of EGRIFTAŽ, a greater percentage of people who took EGRIFTAŽ reported an improvement in belly appearance distress than people who did not take EGRIFTAŽ. 5) Is there any assistance available for patients who would like to take EGRIFTAŽ? With the availability of EGRIFTAŽ, EMD Serono launched both a co-pay and patient assistance program, in addition to the AXIS Center which provides dedicated reimbursement, teaching and adherence support for patients on EGRIFTAŽ. If you have been prescribed EGRIFTAŽ and have questions about product support, you can call the AXIS Center tollfree at 877.714.2947.