Food for Life: Protein Powered Food

If you have 15 minutes, then you have enough time to whip up a filling and muscle-building bowl of Lemongrass Turkey Quinoa. Featuring ground turkey (leaner than most cuts of meats and rich in selenium) and quinoa (naturally gluten-free, a complete protein with iron, B-vitamins, magnesium, phosphorus, potassium, calcium, vitamin E and fiber), this simple meal choice is perfect post-workout or at any mealtime.

And speaking of food, the FDA recently updated its food labeling requirements to assist consumers in making better informed food choices. Check out the changes here.

IPC Team Profile: Provider Changes

Speaking of our excellent providers, it is with great sadness that we must say goodbye to our naturopath, Dr. Wiggins. Dr. Wiggins has provided services to patients of all ages at Innovative Primary Care for nearly five years. Dr. Wiggins will be moving back to her homebase of Alaska, where her family has been missing her. We wish her the best and thank her for her dedicated services to the patients of Innovative Primary Care.

Our Naturopath offerings continue with two team members. Dr. Xan Simonson joined our team in March and focuses on pain relief and other offerings. Dr. Cynthia Romero will be joining us later this month. Stayed tuned for more information about Dr. Romero in our July newsletter.

Healing Therapies: Safe Sun Protection

Despite what the temp reads in your car, the sun can do its damage hot or cold. As people begin to think of sunscreen more, it's also important to consider what you don't know can hurt you as well. IPC prides itself on "digging into" information about the products you use for your health and wellness. Same goes for your sunscreen.

Sunscreens come in a variety of formulas and strengths, yet many are more damaging to our bodies by what they do and don't contain. Environmental Working Group (EWG) has been researching the efficacy of sunscreens and making recommendations for the best protection for the past 10 years. So before you head to your corner drugstore, check out EWG's 2016 Sunscreen Guide to find out what might be lurking in your favorite brand of sunscreen.

And, of course, slather the right ones on.

Spotlight on Wellness: Men's Health

Regardless of age, studies show that men are 24 percent less likely than women to visit the doctor on a regular basis. In the spirit of Father’s Day, we encourage dads to give themselves the gift of health with regular check ups and conversations with your physician. For men over the age of 50, consider the following from the Agency for Healthcare Research and Quality:

  • You could very well save your life if you get a screening test for colorectal cancer. Research now shows that 45 percent of colorectal cancers in the US are preventable each year through diet, staying at a healthy weight and being physically active. Tests such as a stool test or a colonoscopy can detect this cancer. While this might make you squeamish, avoiding it could be a life or death matter. Talk with your provider to determine the best steps for you. (And don’t forget the exercise.)
  • If you’ve been a smoker (smoked 100 or more cigarette’s in your lifetime), talk to your provider about being issues you might need to pay attention to. We don’t believe in screening for screening sake, we do know that some key screenings might be able to address a worsening issue.
  • Get screened for diabetes (high blood sugar) with a blood test if you have high blood pressure or take medication for high blood pressure. And keep in mind the foods you eat, even the ones you don’t believe have sugar, are likely processed as sugars (grain products, cereals, crackers and chips) and can add to issues you may be experiencing.
  • Have your cholesterol (lipids) and prostate specific antigen (PSA) checked regularly with a blood test. High blood cholesterol increases your chance of heart disease, stroke and poor circulation. A low PSA can lead to many quality of life issues.
  • Have your blood pressure checked at least every two years. High blood pressure can cause strokes, heart attacks, kidney and eye problems and heart failure.
  • If you are younger than 65 or were born between 1945 and 1965, a Hepatitis C Virus and HIV screening is recommended.
  • Keep up to date on proper immunizations such as an annual flu shot. Every 10 years consider a shot for tetanus, diphtheria, and whooping cough – especially if you’re a grandpa around newborns. If you are 60 or older, get a shot to prevent shingles. If you are 65 or older, get a pneumonia shot.

Additional items to keep in check as you cross the 50-year-old threshold include lung cancer, obesity and depression.

Innovative Primary Care can conduct preliminary screenings for many of these items during an annual wellness exam. Starting in July, we will have a phlebotomist who can conduct lab draws within the office for your convenience.

Husbands, Dads, Uncles, Brothers and Sons, we want you healthy and invite you to schedule a visit today with any of our providers. If you feel more comfortable with a male provider, Dr. Chinwah and Physician’s Assistant Todd Schuster, are usually available for appointments within the week you call.

Travel Plans Require More Than Just Filling Up Your Tires

School is nearly out and the hotter days of summer are nearly here. If you’re getting ready to head out to escape the heat, we thought we’d share a few tips to help you get your health and wellness ready for that time away.

Depending on the length of your stay away, your destination, and the state of your health, you might want to get in for a quick check with your Provider. At least, consider the following tips:

  • If you have any chronic health conditions, think through your current medications and any active symptoms that may have an impact on your itinerary. Consider packing a Travel Health Kit that contains anything you need to manage your chronic conditions or over the counter medicines you prefer. They may not be available where you’re headed.
     
  • Plan for an adequate supply of prescription medications. Depending on the length of your trip, you may need to schedule refills or bring extra doses in case your return plans are delayed. Your medications may not be available at your destination and counterfeit drugs are a major problem in many developing countries, not to mention on cruises and other get-a-ways. Always pack your medications in the original container AND in your carry-on bag – not checked luggage – in case your luggage gets lost in transit. Review with your physician the timing of your medications while away. For some medications, the next scheduled dose may correlate to when you last took it, not the local time.
     
  • Make note of key health information. Carry this information, including your health conditions, current medications and food or drug allergies, with you at all times. If possible, get it translated into the destination language.
     
  • Schedule vaccinations needed for your particular travel locale or for general health. (see “Healing Therapies” below for more on this.)

It’s always a good idea to also verify coverage with your health plan to make sure you are covered wherever your travels may take you.

Get those bags packed. Make sure exercise is on your itinerary right along with the rest, relaxation and sight-seeing you may have planned. Happy Travels.

Excerpts of this article were obtained from Getting Ready for Travel Season.

 

Healing Therapies: Travel Vaccines

Depending on where you travel this summer, there may be recommended vaccinations to add a layer of health protection. It usually takes at least two weeks for your body to build an adequate immunity to vaccines. Keep in mind that traveling to more exotic destinations may require vaccinations or prophylactic medications against diseases, such as typhoid, hepatitis A and malaria, not typically seen in developed countries.

Though we’ve been hearing a lot of warnings about the Zika virus, any bug bite can have adverse effects. The major concern with Zika for non-pregnant travelers is bringing the disease back to the U.S. (or any other country where it doesn’t yet exist). Therefore, planning for preventative measures such a bug-repellents and sufficient clothing is highly recommended.

If your travel plans give you any concern for your health needs, call us for a visit with your Provider. Or start by checking the “Traveler’s Health” section of the Centers for Disease Control and Prevention’s website. In addition to general travel notices, you can select your travel destination and receive detailed recommendations for the vaccines pertinent to that area.

Supplement Support: Pump up the Nutrition

An especially important factor to consider when traveling is your immune system. Anyone with a compromised immune system should take extra precautions in advance of travel, but even for those of us who may only be traveling to another state, prepping your system is always a good idea.

Here are a few considerations for your “what to pack” list. Click on any of the carefully-vetted supplements below to learn more about how they might prep your body for travel!

  • Liquid D3 - Support for bone, breast, prostate, cardiovascular, colon and immune health in an easy to use liquid form.
     
  • Magnesium Citrate - Magnesium is essential in the metabolism of macronutrients, energy production and the utilization of calcium, phosphorus, sodium, and potassium.
     
  • Nutrient 950 - Complete hypo-allergenic, nutrient rich, highly bioavailable multi-vitamin, multi-mineral and trace element supplement.
     
  • Probiotic Plus - A comprehensive probiotic with the pre-biotic Inulin, to help establish healthy colonies at a more successful rate.
     
  • Pterostilbene Supreme - Useful supplement for individuals wishing to consume a powerful combination of antioxidants and vitamin D for cardiovascular health or longevity support.
     
  • Selenium - Antioxidant for immune system support.
     
  • Spectrum 2C - Comprehensive, hypoallergenic, multiple vitamin supplement with minerals. 
     
  • Super EFA - A unique and highly-concentrated blend of pharmaceutical-grade fish oil along with plant sterols to specifically assist in overall cardiovascular health, particularly in reducing high cholesterol levels. 
     
  • Zinc - Zinc is needed for the functioning of over 300 different enzymes and plays a vital role in a large number of biological processes. 

Feel free to visit our office to learn more about the featured supplements or ask your IPC Provider for more details at your next visit. You can place an order through our website or by calling us at 480.776.0626. Payment is required at the time the order is placed.

Food for Life: Simple and Tasty Protein and Greens

As the days heat up, the words “simple” and “healthy” resonate with all of us when thinking about the meals we might plan. Getting good quality protein and dark leafy greens are an “every season” search.

From the blog of from Michelle Dudash, RDN, Cordon Bleu-certified chef and author of Clean Eating for Busy Families, here is a 5-Ingredient Lemon Chicken with Spinach. Who can argue with this dish? It’s got plenty of protein and a double serving of dark leafy greens, which are loaded with beta carotene and also plentiful in vitamin C, folate and iron.

If you’d like to add a pop of color to the meal, consider the Twice-Baked Sweet Potato with Feta.

The bonus: this item contains more than 400 percent of your recommended daily Vitamin A intake.

IPC Team Profile: Dr. Xan Simonson

Please join us in welcoming IPC's newest Provider.

Playing doctor as a youngster wasn't just child's play, it was foreshadowing for a career in healthcare. Dr. Xan Simonson followed her passion starting with getting her EMT license by the ripe old age of 18. Yet her healthcare path wasn't a straight one. She diverged from studying medicine post-college and became an educator for 25 years with a focus on science. But when confronted with the needs of her aging and ill parents, Dr. Simonson returned to her passion of medicine and became a certified NMD or Naturopathic Medical Doctor.

More on Dr. Simonson

Food for Life: Non-irritating and Brain Boosting Food Options

One of Dr. Levitt's most trusted sources for dietary inspiration is Dr. David Perlmutter, a Board-Certified Neurologist and Fellow of the American College of Nutrition. Dr. Perlmutter is convinced that the path to a healthy brain is through a healthy gut.

Dr. Perlmutter has made many recipes available that offer gluten free and low glycemic index (GI) options. Though Dr. Perlmutter does not directly address IBS in his work, many of the recommended foods are compatible with those recommended for individuals experiencing IBS.

We've selected a Chardonnay Baked Fish to recommend this month. Pair this with the Roasted Artichoke, and you've got a mighty healthy and sensitive-friendly meal.

Bon appetit!

Supplement Support: Digestive Aids

"I like it when my stomach is upset," said nobody. If you have discussed irritable stomach issues with your Provider, it's likely they recommended one or more of the Digestion Detox & Regularity supplements offered by Innovative Primary Care. Click on any of the carefully-vetted supplements below to learn more about how they might aid in comforting your stomach.

Candida Stat - CandidaStat supports the body's natural system in maintaining friendly flora and a healthy yeast balance.
DGL Plus - DGL Plus® is a combination of herbal extracts designed to support a healthy gastrointestinal tract and helps in preventing acid reflux and heartburn.
L Glutamine Powder - In the gut, glutamine maintains healthy integrity of the intestinal tract and enhances the protective mucosal lining. 
Probiotic Plus - A comprehensive multiple strain probiotic with the pre-biotic Inulin, to help establish healthy colonies at a more successful rate. 
Similase - Similase GFCF provide enzymes that are active across a broad pH range in the digestive tract, so it helps break down foods and relieves occasional gas, bloating, and constipation. 

Feel free to visit our office to learn more about the featured supplements or ask your IPC Provider for more details at your next visit. You can place an order online or by calling us at 480.776.0626. Payment is required at the time the order is placed.

Healing a Hurting Belly

If you have irritable bowel syndrome (IBS), you are not alone - IBS is common with worldwide prevalence estimated at 9% to 23%. Yet many people remain undiagnosed and unaware that their symptoms indicate a medically recognized disorder.

You may have IBS if you experience any of these conditions: abdominal pain, constipation or diarrhea, hypersecretion of colonic mucus, flatulence, nausea or anorexia, and varying degrees of anxiety or depression. While many other conditions may mimic the symptoms of IBS and should be ruled out by your provider, there are several things you can do to decrease discomfort and symptoms right now.

Innovative Primary Care providers share four important tips that may allow those experiencing IBS symptoms to experience some relief.

#1 Increase dietary fiber
Dietary fiber and complex carbohydrates (foods found in their whole form that have not been refined) are useful in normalizing bowel function. Patients with diarrhea may be aggravated with the initial introduction of dietary fiber. The best types of fiber to include are water-soluble fiber found in vegetables, fruits, oat bran, guar, legumes (beans and peas), and psyllium seed powder. Though wheat and other grains are an excellent form of fiber, they aren't appropriate for anyone with allergic conditions.

#2 Eliminate allergic/intolerant foods
Research shows a high correlation between patients with IBS and food allergies and/or single or multiple intolerances.  Roughly two thirds of patients have some type of food intolerance or allergy.  Therefore, it is imperative that patients address these causes and eliminate the offending agents.  There are a variety of tests that may be used but the gold standard of testing involves the use of a six-week elimination diet, during which time a hypoallergenic diet is followed.  After 6 weeks, foods are reintroduced one at a time every 3 days.  If you are interested in participating in a six-week elimination diet, please speak with your provider first.

#3 Address psychological components
Most patients with IBS complain of some mental/emotional problems such as depression, insomnia, fatigue, and anxiety.  Increased contractions of the colon have been shown to occur in patients with IBS in response to stressful situations.  Various methods of treatment that may be helpful include biofeedback, short-term individual counseling or guided imagery. Suggested IBS relaxation techniques can be found here.

#4 Include use of herbal/nutritional therapies
Research has found a number of botanical and nutritional supplements helpful in the treatment of IBS.  Peppermint oil has been used to inhibit GI contractions and relieve abdominal pain and gas.  Additional herbs that have been used to treat the symptoms of IBS include chamomile, valerian, rosemary, slippery elm, and lemon balm. Nutritional supplements such as glutamine, beta-carotene, and zinc aid in the healing of the intestinal mucosa are also important to include in the treatment of IBS.

Finally, and most importantly, your diet will affect IBS symptoms. We suggest include the following foods in your diet:

  • Baked apples
  • Potatoes
  • Steamed/baked vegetables all kinds                              
  • Brown rice
  • Millet                           
  • Oatmeal
  • Soy beans, split peas, lentil
  • Kidney beans
  • Spelt flour products               
  • Oat bran

    Conversely, there are numerous foods you may have already learned impact your IBS. We urge you to consider avoiding these items:
     
  • Raw foods                                                  
  • Vinegar       
  • Spicy foods, peppers (red & black)                                                  
  • Coffee, black tea     
  • Alcohol                                                        
  • Mustard      
  • Cheese                                                        
  • Milk              
  • Beef                                                             
  • Pork
  • Wheat flours (includes white flour)                                                
  • Sugar and sugar desserts

    For more tips on everything from how to support a partner experiencing IBS to help for children with IBS, visit the International Foundation for Functional Gastrointestinal Disorders.

Bone Health and Osteoporosis Prevention

Got bone health? There are quality ways to get it and we urge our patients to tune in to how to make sure your bones stay healthy or you can at least slow down the bone loss that comes with aging.

In midlife, bone loss usually speeds up in both men and women. For most women, bone loss increases after menopause, when estrogen levels drop sharply. In fact, in the five to seven years after menopause, women can lose up to 20 percent or more of their bone density. Osteoporosis happens when you lose too much bone, make too little bone, or both.

While age, family history, low body weight and broken bones or weight loss can all contribute to the risk for osteoporosis, there are many things we can do to keep our bones healthy and strong.

Dr. Levitt is not a fan of milk. Instead she believes there are better ways to make sure you eat a well-balanced diet rich in calcium and vitamin D. Explore a wide range of foods that are good sources of calcium, including:

  • Tofu
  • Soy milk
  • Green leafy vegetables (e.g., broccoli, brussel sprouts, mustard greens, kale)
  • Chinese cabbage or bok choy
  • Beans/legumes
  • Tortillas
  • Sardines/salmon with edible bones
  • Shrimp
  • Orange juice (calcium fortified)
  • Nuts/almonds
  • Non-fat yogurt
  • Dates, figs, and raisins    
  • Carob flour
  • Black strap molasses      
  • Sea vegetables

Calcium supplementation should be combined with vitamin D to increase absorption. Good sources of vitamin D include egg yolks, saltwater fish, liver, and milk with vitamin D.

How much calcium you need will vary depending on your age and other factors. The National Academy of Sciences makes the following recommendations regarding daily intake of calcium:

  • Women and men 19 to 50 years: 1,000 mg per day
  • Women and men over 50: 1,200 mg per day
  • Males and females 9 to 18 years: 1,300 mg per day
  •  Pregnant or nursing women up to age 18: 1,300 mg per day
  •  Pregnant or nursing women 19 to 50 years: 1,000 mg per day

In addition to dietary modifications, the following preventative measures can minimize the chances of developing osteoporosis:

  • Get plenty of physical activity. Like muscles, bones become stronger with exercise. The best exercises for healthy bones are strength-building and weight-bearing, like walking, climbing stairs, lifting weights, and dancing. Try to get 30 minutes of exercise each day.
  • Avoid alcohol. Alcohol decreases intestinal calcium absorption and vitamin D levels and it is also associated with hip fractures due to an increased number of falls.
  • Avoid coffee or black tea. Coffee and tea increase urinary and fecal calcium excretion.  Heavy caffeine drinkers (more than cups of coffee/tea per day) are twice as likely to suffer hip fractures.
  • Avoid smoking. The bone mineral content of smokers is 15-30% lower in women, and smokers are twice as likely to have osteoporosis as non-smokers.
  • Prevent falls. Falling down can cause a bone to break, especially in someone with osteoporosis. But most falls can be prevented. Check your home for dangers like loose rugs and poor lighting. Have your vision checked. Increase your balance and strength by walking every day and taking classes like Tai Chi, yoga, or dancing.

Osteoporosis is called the “silent disease” because bone is lost with no symptoms. If you are concerned about your bone density, please speak with your Innovative Primary Care provider about a bone mineral density test or supplements you might consider adding to your diet to ensure you are receiving the proper amount of calcium.

For more information on Bone Health and Osteoporosis, please visit:

February is Heart Health Month: This Chandler Resident Is Thankful She's Here To Celebrate It

By Nancy Woodward

As a 48-year-old woman, mother and tech executive, everyday has been a gift and everyday has been a struggle since my heart attack and stent placement in June of 2014. While I feel very blessed to have beaten the odds and to still be able to be in the lives of my family and those I care about, being a heart attack survivor requires diligent daily effort to take care of my health, my heart and make sure I have an appropriate balance of priorities in my life.
 
In the spring of 2014 I started to have pain in the right side of my neck and head. The headaches and neck pain went on for a few months. Sometimes I'd have shortness of breath, feel lightheaded and experienced increased fatigue. I don't remember having any significant chest pain during this time. Then one day everything dramatically increased in severity and I had my son take me to the hospital. The doctors did tests on my head and neck, but found nothing wrong. The doctor asked my permission to do additional tests on my heart. Some doctors may have sent me home at that point, but my doctor was determined to find out what was going on.

After a series of additional tests, it was determined that I had a 99% block in my left anterior descending artery or LAD, often referred to as a widow-maker. I had survived a heart attack that could have easily resulted in death. Shortly thereafter, the doctors placed a stent in my artery and told me the rest of my arteries look incredibly good, and that if I took care of myself, I should enjoy a long life. Being only in my forties, relatively healthy, and having never smoked or drank alcohol in my life, the doctors were baffled how my heart attack could have happened.
 
Shortly after the heart attack, I spent a tremendous amount of time researching information to better understand my condition and what I could do to prevent any further damage to my heart. First, I found a wonderful cardiologist, and together we have worked on keeping me healthy with a combination of medication, diet and exercise. I went back to school and got certified as a Plant-Based Professional and learned how to cook food that is nutritional and heart smart. With a history of heart disease in our family through me and my former husband, I spent time with my children helping them understand how important it is for them to keep their hearts strong too through appropriate diet and exercise. I also got involved with the American Heart Association as a Go Red Ambassador to help other women understand the shocking statistics of heart disease in our country, and that there are things they can do to protect themselves.
 
Nearly 50,000 women died of a heart attack in 2014.
 
It does require effort each and every day, yet the blessing of being alive and being here for my family is worth the focus I have now. The wake-up call I had because of my heart attack has caused me to re-evaluate my priorities in my life, and create a more essential-based balance. Now I recognize and fully embrace the belief that taking care of my health is an essential way that I can give back to others in this life, especially those that I love.

Learn about Heart Health Tips you can incorporate into your daily routine.

Heart Health Tips

You might think that getting fit and boosting your heart health means spending hours upon hours at the gym, sweating and getting on machines that look more like torture devices than anything that’s going to help you. Well, I’m here to tell you that’s not true. In fact, reaping the heart-healthy benefits of exercise doesn’t have to take a huge time commitment – nor does it have to be torturous. It can actually be quite fun!

Here are five fitness tips to get your ticker healthy and happy:

1. Start with activities you love

If you’ve had problems making exercise a regular part of your life, then I imagine you only think of exercise as something you have to do in the gym. But that’s just not true! Things like walking, dancing in your living room, bowling and even cleaning the house can count as exercise as long as you’re getting a little out of breath when you’re doing them.

So sit down and make a list of all of the active things you do and find a way to make at least one of them a part of your day, every day. Then, after a few months of making those activities habits, try new ones or more traditional workouts like a group exercise class.  As you get in the habit of being active and start to get more fit, you might just be amazed and what activities you like.

2. Embrace the power of 10

Think you can’t get heart-health benefits from just 10-minute bouts of activity? Think again. Ten minutes of walking three times a day has been shown to lower blood pressure more effectively than a longer 30-minute bout of walking. Something as simple as walking before work, over lunch and after dinner is a fabulous way to squeeze in exercise – no gym required!

3. It’s not just about cardio

When people think of heart-healthy exercise, they generally think of aerobic or cardio activities like jogging. But did you know that strength training (think lifting weights or doing bodyweight exercises like push-ups and lunges) can improve the health of your ticker, too?  When you lift weights at a moderate intensity, you get your heart rate up. This means that you’re working both your muscular system and your cardiovascular system. And when you make your muscles stronger, you make your body stronger, which helps everything. So definitely do some resistance training a few times a week.

4. Use exercise to de-stress

Stress plays a critical role in heart health, and exercise is great at kicking stress to the curb. Learn to see exercise not as something that you have to do, but instead as something you want to do because it makes you feel good. While most workouts will pump up your feel-good endorphins, workouts like yoga, Pilates and Tai Chi are especially good for de-stressing and improving the mind-body connection. Try ’em!

5. Support your efforts with a healthy diet

Working out – as awesome as it is – is only part of the heart-health equation. Eating a nutritious diet that’s rich in fruits, veggies, whole grains, lean proteins and healthy fats is key to overall health, along with helping to give you the energy you need to power through those workouts and your everyday life.

The original article can be found here. Jennipher Walters is the co-founder of FitBottomedGirls and has several fitness credentials under her belt: She is an ACE-certified personal trainer, health coach, and advanced health and fitness specialist, and an AFAA-certified group exercise instructor. She has also written for numerous online publications including Shape magazine, Yahoo! Shine, SparkPeople, and Diets in Review. 

Healthy Resolutions 2016

Happy 2016. The New Year is here. Gyms are bustling with new members. Exercise and yoga classes are filled up. More people are sporting a Fitbit to count their steps. These are just some of the ways we kick off a new calendar year.

On the outside chance that you are still considering what to add, or subtract, from your daily routines, we thought we’d offer a few ideas cultivated from experts in their fields. Pick one or more and jump into the year with the gift of health and wellness.

Set intentions for the new year.

Don’t get trapped in the typical “I want to lose weight” resolution. Instead, think about what you want to add in. Adding things like more fruits, vegetables and healthy oils to your plate and meal plans are a more positive way to shift your eating habits. Think about your meals as fuel to allow you to go about your day and pursue your interests. Cleanse your kitchen for a clean start. Get rid of the sugars, bad carbs and the processed items. But don’t “pitch” the food - donate to the local food bank.

Start your day – each day - with a few minutes of meditation and a few quality yoga poses. It can help you reinforce those intentions you’ve set for the new year ahead.

Add 30 minutes to an hour more of sleep to your routine, especially if you’re one of the millions who don’t get enough sleep each night. In fact, schedule your bedtime and the time to wind down leading up to it. Not only does this help support quality sleep, but it impacts your stress and weight loss.

Just like you plan for your day, include exercise in your schedule. Not because it’s about your weight – it’s about your overall health. The impact is great: reduce your risk of various inflammatory and degenerative conditions, including type 2 diabetes, depression, high blood pressure, coronary heart disease, arthritis, osteoporosis, fibromyalgia, chronic back pain and even low libido. New research is showing that aerobic exercise actually changes the expression of our DNA! And it helps our body’s production of antioxidants while reducing inflammatory mediators and amping up detoxification pathways. The solution is not just a supplement – it’s about getting your body moving and all the various health impacts of that. For women, you need exercise with some impact to build your bones. And we could go on. Instead, get up and get outside while it’s enjoyable.

Get your good oils. Start with more Olive Oil. The impacts are great on dementia, breast cancer, colon cancer, and type 2 diabetes. Add it into your smoothies, in your cooking, on your salads. Dr. Perlmutter agrees.

Watch where you shop and choose Organic Foods when you can. When you choose organic, you’re avoiding GMOs and avoiding glyphosate (the active ingredient in the weedkiller Round Up). The World Health Organization tells us that glyphosate is likely a human carcinogen, we have to take notice. Even more worrisome are newer studies showing that when glyphosate is combined with other ingredients to make commercial products, the toxicity may be increased as much as 1000 fold!

Hormone check: Get to the bottom of “feeling off” or not as energetic. A simple blood test can determine if your hormone levels are off and contributing to your feelings of lethargy, lack of sex drive, fatigue, depression and even weight gain. Then you can talk with your provider and determine if bio-identical hormone replacement therapy is the next best step. Patients report great success. Why not get your energy back for 2016? Read more about it here.

Stressssss – it’s an issue even after the holiday rush is over. Plan for a few “fixes” to tap into when your daily stress levels rise. Ideas in your “grab bag” of tricks could include: exercise – taking a walk to breath and clear your head whenever you get worked up. Get up and grab a piece of fruit or a few almonds to munch on. Maybe “take 10” and call a friend to lend your support to someone else in need. Helping others often lessens our own stress. Meditate. Focused breathing, clearing one’s head and giving yourself some love can do the trick. Other ideas might include keeping a bag of simple items in your car that – when offered to others – turn into a random act of kindness and fill your world with purpose. In fact, brainstorm with friends ahead of time to come up with ways to deal with your stress. After all, it takes a community.

Say “no” to others to say yes to yourself. When you put yourself first, you’re taking care of the most important person that, when healthy, can take better care of others. Ever wonder why the flight attendants tell you to put your oxygen mask on first, then help others around you? So...what actions from above are ensuring that you come first?

Ready, set – Happy and healthy 2016.

 

 

Supplement Support: Stress Management

While you're preparing for the holidays with all kinds of ingredients and goodies, we're suggesting a few to add to help you with the stress and strain of the season. Innovative Primary Care features several supplements that offer stress and immunity support, including a few we think it's worth you knowing more about - Lavela, Cortisol Manager and Phyto-ADR.

Lavela is a supplement made from Lavender Oil that promotes relaxation and calms nervousness. An individual's ability to respond to occasional anxiety has the potential to interfere with the enjoyment of life and even the ability to perform ordinary daily activities. In addition to lifestyle and behavioral modifications, adding key supplements to your daily regime can also play a role in supporting a balanced mood. Lavender is an herb that has been proven effective by leading researchers as a natural remedy for treating signs of anxiety. In a 2010 study published in the journal Phytomedicine, lavender oil was shown to be just as effective as the pharmaceutical drug lorazepam (Ativan). It also noted that lavender oil showed no sedative effects (a common side effect of lorazepam) and it had no potential for drug abuse or dependence. Other studies have confirmed the anti-anxiety properties of lavender as well as many other medicinal benefits, including:

  • restlessness, nervousness and insomnia
  • depression symptoms
  • painful and inflammatory conditions including migraines and joint pain
  • issues with agitation related to dementia

Take 1 softgel of Lavela daily with a full glass of water, or as recommended by your healthcare professional.

Cortisol is often referred to as the "stress hormone." Because of its central role as a "first responder" and its capability to modulate multiple critical physiological functions, cortisol is often seen as the bridge between stress and its health consequences. Variations of cortisol secretion can be an indicator of how well a body is coping with stress. IPC features Cortisol Manager to support healthy cortisol levels, which in turn can help reduce stress, relieve occasional sleeplessness and fatigue, and optimize immune system and neurological function.

Take 1 tablet before bedtime, or as recommended by your healthcare professional. Increase to 2 tablets during times of high stress. Cortisol Manager is safe for use every night.

Phyto-ADR helps your body adjust to stress by supporting the adrenal glands, which are responsible for the way your body behaves during times of stress. Healthy adrenal gland function is crucial to a number of physiological functions including glucose metabolism, stress adaptation, energy generation, stamina, and the immune response. Phyto-ADR is a vegetarian formula designed to provide wide-range herbal and nutritional support for the adrenal glands and healthy adrenal function.

Take 1 capsule every day between a meal, or as recommended by your healthcare professional.

Innovative Primary Care Updates

IPC is excited to invite you to see our new website to support your health and wellness. We hope this new resource will be valuable to our existing patients and clients, as well as help those looking for important insights on their health and the care they may seek.

At InnovativePrimaryCareAZ.com you will find quick links to IPC services and a summary of our practice. “About” is a more in depth look at the inspiration behind IPC and its founder, Dr. Sandra Levitt. “Providers” gives an introduction to all of our primary medical providers, as well as those who provide a variety of services that support your wellness. “Services” is an overview of what we offer. You might not be aware we offer bio-identical hormone therapy, hypnotherapy and other kinds of wellness services. “Resources” (Patient and Health) allow you to download office forms, connect to our patient portal and includes helpful integrative and natural health links. You can also find the last six editions of our newsletter here as well.

When you’re creating your New Year’s Resolution list for 2016, don’t forget our “Supplements” resource - is a shopping cart for our carefully sourced, high-quality health supplements. Supplements can be found by health concern (health blood sugar levels, immune support, etc.) or in alphabetical order. We are still fine tuning this area and expect the sales process to be fully functional by the first of 2016.

News” is the place to find individual newsletter articles and other timely information to enhance your health.

Contact” provides our phone, fax, a map to our office and another connection to our patient portal.

The IPC team is very excited to offer this resource to our patients and we hope you will visit frequently for educational updates that aim to enhance your health and wellness. And don’t forget to connect with us on Facebook as well.

Spotlight on Wellness: Rising Above Stress Over the Holidays

'Tis the season for joy, family gatherings and a whole lot of seasonal stress. And we're not just talking the kind of stress that sets in when you're not sure if you have enough food for the family gathering, or if you forgot your favorite aunt on your list. We're talking the depression, headaches, anxiety and other issues that can set in during the holidays and throughout the winter months. And we're also talking very real health concerns that can quickly make you realize the gift of good health cannot be found under a tree or delivered by UPS.

At IPC we see stress and its impact on a regular basis. Stress a broad term with significant ramifications on a number of health conditions, including:

  • Heart disease and heart attacks
  • Digestive disorder flare-ups that can include symptoms of irritable bowel syndrome, Crohn's disease and ulcerative colitis
  • Skin conditions including psoriasis and shingles
  • Flare ups in immune disorders including multiple sclerosis and lupus
  • Pain that is more severe with issues such as arthritis, back pain, muscle spasms and other issues
  • Anxiety, depression, insomnia and the winter blues.

Though research is still being done to figure out how stress impacts the immune system, we know that the body produces an enzyme that protects cells. When the body is under stress, we pump out cortisol, a hormone that suppresses the protective enzyme for those cells. That makes us vulnerable to a variety of ailments.

While stress can be expected at work, at home and in life, challenging life events like divorce, death, and in this case, holidays, can bring on heightened levels of stress. Chronic stress can cause a variety of symptoms and can affect your overall health and well-being.

Stress hormones affect your respiratory and cardiovascular systems. You breathe faster in an effort to distribute oxygen and blood more quickly to your body core. If you have preexisting respiratory problems like asthma or emphysema, stress can make it harder to breathe. Stress hormones cause your blood vessels to constrict and raise your blood pressure. That’s good for short term moments when you need more strength and energy to take action. But if you have frequent or chronic stress, your heart is forced to work too hard for too long, raising your risk of hypertension, and stroke or heart attack.

If you’re looking forward to lots of holiday treats and mealtime celebrations, when under stress your liver produces extra blood sugar (glucose) to give you a boost of energy. Unused blood sugar is reabsorbed by the body. With chronic stress, your body may not be able to keep up with this extra glucose surge which can lead to an increased risk of developing type 2 diabetes.

Stress can affect the way food moves through your body, leading to diarrhea or constipation. The rush of hormones, rapid breathing, and increased heart rate can upset your digestive system and bring on heartburn or acid reflux, as well as trigger ulcers to act up.

Muscles can be impacted by stress as well. They can tighten up, which can lead to headaches, back and shoulder pain, and other aches. Relieving them with pain medication doesn’t help break an unhealthy cycle.

Stress is exhausting for the body and for the mind. It’s not unusual to lose your desire for sex. For men, the production of the male hormone testosterone may increase which could lead to a short-term higher increase of sexual arousal. Yet stress over the long term can impact a man’s testosterone level downward. Chronic stress can make the urethra, prostate and testes more prone to infection.

Women under stress might have irregular or no menstruation, or heavier and more painful periods. Women going through menopause might feel the physical symptoms more intensely.

Just like of the other health challenges, the immune system can be compromised with chronic stress. You set yourself up for more viral illnesses like influenza and the common cold, increases the risk of other opportunistic diseases and infections, and can make the recovery time from illness and injuries take longer.

Stress also impacts what goes on in our heads – anxiety, depression and even the winter or holiday blues. Getting a bit overwhelmed by fitting in all the “to do’s” for the holiday can be one thing. Not being able to break out of the feeling of overwhelm might be a cause for concern. Same goes for reoccurring headaches, excessive drinking and overheating, not sleeping and other additional stressors.

Here is your RX for the season’s stressors:

  • Exercise – get plenty of it. Daily even. If you can work in a 20 minute walk, a hike with family and friends, a trip to the gym, a yoga class or two a week, it will not only help your body, but your mind.
  • Practicing mindfulness or meditation. There is not a magazine lately that hasn’t included an article, and even more often, a cover story on the important impacts of meditation or practicing mindfulness. This, of course, helps you focus on breathing and being in the moment. Both can pay off for the way you experience your holiday rush.
  • Quality supplements. IPC offers Lavela, Cortisol Manager and Phyto-ADR to help you deal with your stress. Each supports challenges with stress and they have been vetted by IPC to not contain fillers or other harmful ingredients like many of those sold on many store shelves.
  • Gift of sleep. Give it to yourself nightly. Keep your schedule as regular as possible with set bed times. Drink plenty of water, flip off the TV and get some shut eye.
  • When you are up and away, make sure to plan time with friends and family, if it brings you joy. If you seek joy and laughter in another way, consider volunteering with faith groups or organizations like the Salvation Army, St. Vincent de Paul, Phoenix Rescue Mission or others. Often, giving of yourself can be powerful medicine.

Spotlight on Wellness: Diabetes Awareness

By Melissa Coats, ND

November is National Diabetes Awareness Month. The statistics of this disease are alarming. There are nearly 30 million children and adults with diabetes in the U.S. and another nearly 90 million whom are pre-diabetic and close to becoming Type II diabetics. Understanding diabetes and its connection with your diet are key to prevention.

There are two types of diabetes: Type I and Type II. Both involve your body's production of or sensitivity to insulin, a key hormone necessary for survival. Type I diabetes usually is diagnosed earlier in life; it occurs as a result of the body's inability to produce insulin due to an autoimmune response that damages the beta-cells of the pancreas. Beta-cells are the cells that secrete insulin. Type II diabetes is usually diagnosed after the age of 40 and is often associated with obesity, high blood cholesterol and triglycerides, and hypertension. Type II diabetes is characterized by the body's insensitivity to insulin. Insulin is a carrier molecule for sugar (glucose) in the body. It facilitates the passage of glucose from the blood stream to the cells where glucose is used to fuel the cells. Insulin also plays a role in storing excess glucose as fat and has some influence on appetite receptors in the brain. Both Type I and Type II diabetics suffer from blood glucose abnormalities. A lack of insulin or insulin insensitivity can cause high blood glucose (hyperglycemia). On the other hand, a surge in insulin via an insulin injection or from the pancreas secreting too much insulin to try to override insulin insensitivity can cause low blood glucose (hypoglycemia).

Recurrent periods of hyperglycemia cause many harmful symptoms and eventually can lead to death from any number of degenerative diseases. Hyperglycemia damages the heart, liver, and kidneys, affects nerve signals and sensation in the limbs and causes cell degeneration. Episodes of hypoglycemia (low blood glucose) cause irritability, irrational behavior, and can result in unconsciousness, often called the "diabetic coma".

Diet has always played a very important role in the management of diabetes, as food is the source of glucose in our bodies. However, the types of diets recommended have changed over time and what you were told when you were first diagnosed may have change. Because of the higher likelihood for diabetics to develop heart problems and kidney failure, doctors once prescribed low-fat, high complex-carbohydrate diets targeting the symptoms. Dietary fats were considered to be the primary cause of heart and kidney problems. However, controlling blood glucose levels on this type of diet is very difficult. Diabetics, even on a strict low-fat, high complex-carbohydrate diet experienced a daily roller-coaster of too high and too low blood glucose levels.

In order to alleviate these symptoms and to control blood glucose levels, the current dietary recommendations involve high protein amounts and very little carbohydrate intake now often referred to as "Paleo" vs. "Atkins" which was similar in some ways some years back. On a high protein/low carbohydrate diet, some type II diabetics have been able to completely reverse their symptoms and eliminate the need for insulin or other medication. While on this diet, Type I diabetics, who will always need insulin, can exert much greater control over the amounts of insulin they inject as well as over their blood glucose levels at all times, improving their health and quality of life. Diabetes treatment may include insulin, hyperglycemic medications, diet and exercise. Weight loss and exercise can and usually do increase insulin sensitivity.

This short list of food suggestions can help you make the changes necessary for a healthy diet.

Eat More of these items:

  • Organic veggies- asparagus, avocados, broccoli, brussel sprouts, spinach, peppers, mushrooms, summer squash, zucchini, lettuce, spring mix, cauliflower, eggplant, cabbage
  • Homemade soups, plain yogurt, cheese in moderation, whole cream, unsweetened milk alternatives like coconut, almond, soy
  • Use stevia to sweeten things, not agave as it may be natural, but still spikes your sugars
  • Snack on a handful of raw nuts
  • Protein- lean meats, grass fed and finished beef in moderation, fish- wild caught

Avoid these items:

  • Sugar: artificial sweeteners, sugar alcohols, agave, and honey, cookies, ice cream, pastries
  • Starches: beans, beets, carrots, corn, potatoes
  • Fruits and fruit juices
  • Dairy products: milk, low-fat yogurts, or sweetened yogurts
  • Grains: bread, pasta, cereal, pancakes, waffles, rice (white and brown), crackers, things made from white flour
  • Pre-packaged foods: microwave meals, snack foods, commercially prepared soups (these have tons of salt, and usually a lot of sugars/carbs)

    Working on eliminating a lot of the foods that spike your blood glucose will help you get it under control and this will help prevent more of the long term damage, require less medication, and help you prevent spikes and drops in your glucose throughout the day. Remember to consult with your physician as you make changes and figure out what works best for your body.

    For a list of the best foods to buy organic, visit the Environmental Working Group for the Shopper's Guide to Pesticides in Produce that reveals the "dirty dozen" and the "clean fifteen."

Additional resources and references for this article: