Lifestyle Medicine in Action A monthly publication of the American College of Lifestyle Medicine
December 2010
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Welcome New Members
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Stephen Armistead, MD, MPH Family Medicine Physician, Bay Family Medicine Panama City Beach, Florida
Shealynn Buck, MD Owner and Founder, Prescription to Thrive, LLC Decatur, Georgia
Damian Folch, MD Private Practice Family Physician Chelmsford, Massachusetts
M. Walter Johnson, MD Retired Medical Director and Instructor, Alaska Native Health Service Homer, Alaska
Julie Kennison Student, Creighton University, Exercise Science Major Omaha, Nebraska
Eli Kim, MD Executive Health Physician, Florida Hospital Institute for Lifestyle Medicine Celebration, Florida
Claudia Morales MPH Candidate, University of Colorado Denver Boulder, Colorado
Tisha Titus, MD, MPH Assistant Professor, Department of Family and Preventive Medicine (Clinical Tract) Emory University School of Medicine Atlanta, Georgia
Jessica Wolfe, PhD, MPH Principal and Founder, BluePond WellnessTM LLC, Wellesley, Massachusetts
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| CME Calendar |
February 16-19, 2011 San Antonio, Texas
Healthy Kitchens, Healthy Lives March 17-20, 2011 Napa Valley, California
21st Annual Art and Science of Health Promotion Conference March 21-25, 2011 Colorado Springs, Colorado The Healthy People 2011 March 8-9, 2011
Society of Behavioral Medicine April 27-30, 2011 Washington, D.C.
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| Greetings! |
Welcome to this issue of Lifestyle Medicine in Action. Early Bird Registration has been extended for Lifestyle Medicine 2011Coming SOONIncentives for attracting new members to ACLM. Watch for an email announcement this month. |
President's Desk |
One of the questions that comes up in my mind, and I'm sure many others, is "How do I know if I'm a high quality, state-of-the-art, Lifestyle Medicine practitioner?" In most health care professions there are boards, licenses, and other systems that help clarify and define required specialty knowledge and skill sets. Lifestyle Medicine is new enough that we don't yet have those systems.
Even so, Lifestyle Medicine physicians do have several measurement tools by which they may gauge themselves.
First, we do have ACLM as a professional society. ACLM screens applicants rigorously - membership within ACLM gives some credence to LM competencies. If you're reading this column, you're probably a member.
Second, through ACLM we have our monthly newsletter, and starting in January the bimonthly American Journal of Lifestyle Medicine. These publications provide up to date, evidence based, state of the art content on LM knowledge and skills as well as reviews of what other LM practitioners are doing. Reading these can help assure LM professionals they are where they need to be.
Third, we now have the LM competencies published in the 7/14/10 issue of JAMA. Although brief, these 15 competencies provide a consensus based foundation for the leadership, knowledge, assessment, management and community skills a LM provider should possess to fully practice.
A final place to gauge and ensure LM competencies is through the Lifestyle Medicine annual meetings. LM 2011, February 16-19, in San Antonio, Texas is to date our largest and most productive LM meeting. Featured will be topics such as: The Comparative Effectiveness of Different Diets, The Role of Sleep in Chronic Disease, Update on Physical Activity, and Psychosocial Determinants of Chronic Disease. There will also be skill builders like: Developing Group Visits, and Lifestyle Medicine Clinical Practice Tools. There will be nationally known speakers such as Dean Ornish, David Katz, and William Dietz representing LM from both the practice and research perspectives. And guess what, early bird registration has just been extended until December 20 J. Registration and the conference program can be accessed at: http://www.lifestylemedicine.org/lifestylemedicine2011 .
We hope that not only will you attend, but that you'll also invite all your colleagues. This will truly be a high point for those passionate about LM, and a chance to gauge, learn, network and develop your LM competencies.
Sincerely, Wayne Dysinger, MD, MPHPresident
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Practice Spotlight: Timothy Arnott, MD, ABFM
|  The "why" of Lifestyle Medicine for the holiday season.
Julie's Story (Julie enthusiastically shared her story and authorized the use of her name)
When Julie first picked up the phone to call Dr. Arnott, she had been bed-ridden for almost seven years. Weak and wracked with pain, she struggled to make it out of bed long enough to take a shower, or, with the help of her husband, to her next doctor's appointment.
Her story began twenty-five years earlier with pain and fatigue that no one could, at first, diagnose. She was put on prednisone for her severe asthma, but Julie saw more than fifteen doctors before she learned that she had fibromyalgia, a condition that she had never heard of before her diagnoses. She was put on narcotics for the fibromyalgia, and more medications were given to counter the side effects of the prednisone. Julie's life twisted into a downward cycle of medication side effects, pain, exhaustion, and desperation.
For a few years, she tried to keep up with her work, but increasingly she found herself unable to leave home. Then she lost the strength to move around their home, and finally it became difficult to even get out of bed without assistance. Her loving husband moved his mortgage brokering business to their home so he could care for her. Together they continued to search for help, seeing more doctors, receiving only more prescriptions.
Dulled by a regimen of about 25 prescriptions including opiates, anti-depressants, anti-anxiety medications, sleeping aids, and prednisone, hope had finally been renewed by an encounter with a friend, who also had fibromyalgia. Julie wondered how her friend looked so healthy. The friend advised her to call Dr. Arnott.
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Dr. Arnott describes his private practice in Paradise, California as a standard primary care practice with a focus to inform and motivate patients to make "needed lifestyle changes that will reduce their dependence on the medical profession and pharmaceutical industry."
For the complete article, please click here
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Corrections to last month's Practice Spotlight
| The inspiring story about President-Elect, Liana Lianov, MD, MPH, has been improved by some additions and edits, and can be found on our website here: lifestylemedicine.org/lianov
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CME Opportunity: Lifestyle Medicine 2011
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American College of Lifestyle Medicine,
in cooperation with American College of Preventive Medicine present Lifestyle Medicine 2011
Save $100 by registering early!Advance Registration Rates apply through November 30
Speakers and topics include:
Dean Ornish, MD William H. Dietz, MD, PhD Linking Personal Responsibility, Economics, and Policy to Change Lifestyle BehaviorsJohn L. Caccavale, PhD, MSCP, ABMP Comparative Efficacy of Lifestyle Practices for Certain Chronic Conditions, Comparison of Medications with Lifestyle Medicine
Robert Ross, Ph.D., FACSM Timothy Church, MD, MPH, PhD Evidence-based Update of Exercise in Clinical Practice
Virginia F. Gurley, MD, MPH Kristen L. Knutson, PhD Role of Sleep in Chronic DiseasesFor more conference listings, CLICK HERE
ACPM is handling reservations for ACLM members as well as ACPM members. You do not need to be a member of ACPM to register for the ACLM conference.
CME is included in the cost of the conference for ACLM and ACPM members.
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CME Opportunity: Healthy Kitchens, Healthy Lives
| Healthy Kitchens, Healthy Lives A Leadership Conference Bridging Nutrition Science, Health Care, and the Culinary Arts
March 17-20, 2011 at The Culinary Institute of America at Greystone Speakers include:
- David M. Eisenberg, MD
- Walter C. Willett, MD, DrPH
- Edward M. Phillips, M.D.
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CME Opportunity: American Journal of Health Promotion
|  21st Annual Art & Science of Health Promotion ConferenceCapturing the Wisdom of Practice and the Rigor of Research - Discovering the Best Health Promotion StrategiesMarch 21 - 25, 2011Intensive Training Seminars: March 21 -22, Core Conference: March 23-25The Broadmoor, Colorado Springs, ColoradoLink to Conference Website
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CME Opportunity: Society of Behavioral Medicine
| Society of Behavioral Medicine THE 32nd ANNUAL MEETING & SCIENTIFIC SESSIONS April 27-30, 2011 Washington, D.C.

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Research Summaries
| + This symbol denotes highly applicable information for Lifestyle Medicine Practices.
The following presented by Medpage Today
Alpha-Carotene Tied to Lower Mortality Risk (CME/CE) People who consume high levels of alpha-carotene -- which is found in several vegetables -- may live longer, researchers found.
+CHEST: Lower Lung Capacity Has Link to Antioxidants (CME/CE) Chronic obstructive pulmonary disease (COPD) patients who eat a diet deficient in antioxidants may be putting themselves at risk for worsening lung function, researchers found.
AACR-CP: Exercise Cuts Odds of Endometrial Cancer (CME/CE) Women who get at least 150 minutes of moderate-to-vigorous exercise per week may reduce their chances of getting endometrial cancer, regardless of their body mass index, researchers found.
+Glycemic Control Better With Combined Exercise (CME/CE) Compared with remaining sedentary, a combination of aerobic and resistance training reduced hemoglobin A1c levels in patients with type 2 diabetes, the randomized HART-D trial showed.
Exercise May Block Colds (CME/CE) Being fit -- or at least a perception of being fit -- appears to be associated with a reduction in upper respiratory tract infections, researchers found.
+Depression, Diabetes Linked in Women (CME/CE) The link between diabetes and depression in women runs both ways, researchers reported. In a large prospective study, the risk of incident diabetes was increased for women with depressed mood, and the risk was higher if they were on antidepressant.
AHA: Vitamin D Levels Tied to Fatal Stroke in Whites, But Not Blacks (CME/CE) Vitamin D deficiency does not appear to confer an increased risk of fatal stroke among blacks -- in contrast to findings among white populations, according to an analysis of U.S. population data.
AHA: Docs Don't Discuss Drug Interactions (CME/CE) Although nearly half of older adults take some kind of herbal or dietary supplement, most of them don't tell their healthcare provider -- or are not even asked about supplement use, researchers reported here.
+AHA: Fish Oil Flops in Afib Trial (CME/CE) Treatment with high-dose prescription omega-3 supplements (Lovaza) failed to demonstrate any advantage over placebo in preventing recurrence of episodes of atrial fibrillation, researchers reported here.
AHA: Teens Reap Rewards of Less Salt (CME/CE) Teens may have worse health -- now and in the future -- because of high salt consumption and may reap rewards from cutting a half tablespoon of salt from their diet daily, researchers here found.
AHA: Too Much Sleep May Raise Stroke Risk (CME/CE) Women who get more than 10 hours of sleep a night may increase their risk of incident stroke, researchers said here.
+AHA: Eyelids Hold Clue to Heart Disease (CME/CE) Looking a patient square in the eye appears to give doctors an insight into the health of the patient's heart.
Heart Risk Increased With Weekend Benders (CME/CE) Men in Belfast, Northern Ireland, a city where heavy drinking on weekends is common, were far more likely to suffer cardiovascular events than Frenchmen -- whose overall alcohol intake may be higher but is spread evenly throughout the week.
Smoke Gets in Your Ears (CME/CE) Second-hand tobacco smoke exposure may boost risk of hearing loss, according to a population-based study.
+ACR: Lupus Worse With Smoking (CME/CE) Patients with systemic lupus erythematosus (SLE) who smoke are not only increasing their risk of cardiovascular disease -- which is already elevated -- but may also be making their lupus worse, according to a large study reported here.
+ASN: Pomegranate Juice May Help Dialysis Patients (CME/CE) Dialysis patients had significantly fewer infection-related hospitalizations during a year of regular consumption of pomegranate juice, data from a placebo-controlled clinical trial showed.
+Probiotics May Help Treat Acute Diarrhea (CME/CE) One way to battle diarrhea-causing gut bugs is to introduce even more gut bugs, two major reviews found.
+Probiotics May Help Kids With Stomach Viruses (CME/CE) Probiotics may be useful in the treatment of viral gastroenteritis and for preventing antibiotic-associated diarrhea in healthy children, but may be less effective for other diseases, according to a new clinical report from the American Academy of Pediatrics (AAP).
+AASLD: Vitamin E Resolves NASH (CME/CE) Vitamin E may help resolve nonalcoholic steatohepatitis (NASH) in children -- although it won't lower alanine aminotransferase (ALT) levels, researchers reported here.
+Music-Exercise Program May Help Elderly Avoid Falls (CME/CE) A music-based exercise program for the elderly led to improvements in gait and balance and reduced the incidence of falls, a Swiss randomized trial found.
+ACR: Sodas Boost Gout Risk in Women (CME/CE) Here in the home of Coca-Cola, researchers reported that consumption of fructose-sweetened sodas was significantly associated with newly diagnosed gout in the Nurses' Health Study.
Obesity in Youth Predicts More Severe Adult Weight Problems (CME/CE) Obese adolescents have a good chance of moving into the severely obese category by the time they reach their 30s, researchers found.
+WCIR: Childhood Obesity May Cause Early Heart Disease (CME/CE) The growing epidemic of childhood obesity could result in heart attacks and other cardiovascular events when those children hit their 30s and 40s, NHANES data suggested.
+Sleep Loss Hits Extroverts Harder (CME/CE) Sleep deprivation takes a heavier toll on the performance and alertness of people who are extroverts than it does on their introverted counterparts, according to results of a randomized clinical study.
+Online Behavioral Training Helps Weight Loss (CME/CE) Community-wide weight-loss campaigns can be enhanced by incorporating behavioral interventions delivered over the Internet at little cost, researchers in Rhode Island found.
+Being Too Clean Hazardous to Health (CME/CE) Trying to be too clean may backfire for young people's health, according to a study that suggests chemicals from antibacterial soaps and plastics depressed the immune system and caused allergies.
Smoking Among Blacks Linked to RA (CME/CE) For the first time, smoking has been linked with the development of rheumatoid arthritis among African Americans in a large case-control study.
The following presented by Amed News
Drug industry ties to doctors weaken as disclosure, gift rules spread Increased scrutiny of the potential conflicts of interest posed when physicians accept gifts and payments from industry -- combined with greater pay disclosure and a sputtering pharmaceutical pipeline -- have led to a significant drop in doctors' financial ties to drugmakers.
The following presented by Medline Plus
+Adding Monounsaturated Fats to Diet May Boost Heart Health The success of a low-cholesterol diet can be improved by adding monounsaturated fat (MUFA), which are commonly found in nuts, seeds, avocados, and oils such as olive oil, canola oil and sunflower oil, new research suggests.
Fish Oil Might Help Fight Gum Disease Eating even moderate amounts of omega-3 fatty acids, typically found in foods such as salmon and other fatty fish, may help ward off gum disease, new research suggests.
+Poor Diet May Make COPD Worse, Study Finds Certain vitamin deficiencies may lead to decreased lung function in people with chronic obstructive pulmonary disorder (COPD), which includes emphysema and chronic bronchitis, says a new study.
Mediterranean diet tied to reduced weight gain People who follow a diet typical of the Mediterranean region might dodge the added pounds that often come with aging, hints a new Spanish study.
The following presented by Web MD
+Cherries May Cut Risk of Gout Flare-ups People with gout may be able to cut in half their risk of recurrent attacks by eating about 20 cherries a day, preliminary research suggests.
Regular Exercise May Ward Off Dozens of Health Problems People who exercise on a regular basis not only can reduce their odds of becoming obese, but also cut their risk of developing about two dozen physical and mental health problems, a new review of more than 40 studies indicates.
Red Yeast Rice Supplements Vary in Potency The amount of active ingredients in red yeast rice supplements may vary widely, and some of the popular cholesterol-lowering products may also contain a toxic agent.
+Beet Juice Good for Brain Drinking beet juice increases blood flow to the brain in older people, a finding that suggests the dark red vegetable may fight the progression of dementia, a new study shows.
The following presented by Amed News
Feasting with Cruciferous for Cancer Prevention Research has long linked cruciferous vegetables with overall good health, along with cancer prevention. Now, new evidence presented at AICR's Research Conference last month helps explain why cruciferous vegetables may play a role in preventing cancer.
The following presented by Medscape (login required)
+Light Exercise May Delay or Prevent Osteoarthritis of the Knee Light exercise, such as walking, and avoidance of frequent knee bending appear to protect against the development of osteoarthritis of the knee in asymptomatic individuals with risk factors for osteoarthritis, whereas even moderately strenuous exercise can increase the risk, according to a study presented here at the Radiological Society of North America 96th Scientific Assembly and Annual Meeting.
More Drugs Do Not Always Mean Better Care: Studies Spending more on drugs does not always translate into healthier patients, a new study shows.
US Doctors Still Too Cozy With Drug Industry: Survey Doctors in the United States are still too cozy with drug companies, although they have managed to break some of those ties, U.S. researchers said.
High-Nitrate Diet May Be Good for the Aging Brain In older adults, a high-nitrate diet may help improve regional cerebral blood flow in key areas of the brain involved in executive function, according to results of a small study from scientists at Wake Forest University in Winston-Salem, North Carolina.
+Fruits, Vegetables Slow Kidney Disease Decline in Hypertensive Patients The addition of fruits and vegetables to a diet can help offset acid imbalances and reduce the worsening of kidney disease among patients with hypertension, according to research presented here at Renal Week 2010: American Society of Nephrology 43rd Annual Meeting.
Nutrient-Dense Diet May Reduce Risk for Low-Trauma Fracture A nutrient-dense diet high in vegetables, fruit, and whole grains may reduce the risk for low-trauma fracture, particularly in older women, according to the results of a retrospective cohort study reported online November 10 in the American Journal of Clinical Nutrition.
Fish Benefits May Outweigh Mercury Concerns It may be a red herring to worry over whether people who eat lots of fish may lose whatever heart benefits they might have gained because of an increased exposure to mercury, a new study shows.
Red Meat Linked to Esophageal, Stomach Cancer Risks Red-meat lovers may have a greater likelihood of developing esophageal squamous cell carcinoma (SCC) and gastric cardia cancer than people who limit their intake, a new study suggests.
Sugary Drinks and Sodas Linked to Increased Diabetes, Metabolic Syndrome In the effervescent debate over whether sugary drinks may be upping rates of cardiometabolic diseases, those in favor of creative ways to limit consumption of sugar-sweetened beverages have some new ammunition.
+"Doctor in the Pocket" Aims to Increase Exercise in Overweight Youth An innovative mobile technology program called KNOWME Networks that shows promise in combating childhood obesity is being tested by Donna Spruijt-Metz, MFA, PhD, from the University of Southern California (USC), Los Angeles.
+Walking Slows the Progression of Alzheimer's Disease Walking might slow cognitive decline in both healthy adults and adults with mild cognitive impairment or Alzheimer's disease, according to a new study presented here at the Radiological Society of North America 96th Scientific Assembly and Annual Meeting.
Regular Physical Activity Significantly Reduces Depression Risk Participating in regular leisure-time physical activities of any intensity can lead to a decrease in depression, new research suggests.
+Daily Singing Reduces Dyspnea and Fatigue in COPD Daily singing exercises reduce dyspnea in patients with chronic obstructive pulmonary disease (COPD), according to research presented here at CHEST 2010: American College of Chest Physicians Annual Meeting.
Moderate Physical Activity May Reduce Postmenopausal Breast Cancer Risk Moderate physical activity may reduce postmenopausal breast cancer risk, according to the results of a prospective study in the October 25 issue of the Archives of Internal Medicine.
Dairy Products and Black Tea Deter Lung Cancer Milk and dairy products help deter lung cancer in smokers, whereas nonsmokers benefit from black tea, according to research presented here at CHEST 2010: American College of Chest Physicians Annual Meeting.
Heavy Smoking in Midlife Doubles the Risk for Alzheimer's Disease Heavy smoking in midlife more than doubles the risk of developing Alzheimer's disease (AD) and other forms of dementia 2 decades later, according to a new observational study reported online October 25 in the Archives of Internal Medicine.
No Doubt Now: Smoking Increases Risk for Breast Cancer Death In a prospective study of 2265 women with breast cancer, current and former smokers had a 39% higher rate of dying from breast cancer than never smokers.
Saturated Fatty Acid Intake May Increase Hip Fracture Risk in Women Saturated fatty acid intake may significantly increase hip fracture risk, whereas monounsaturated and polyunsaturated fatty acid intakes may decrease total fracture risk, according to results from the Women's Health Initiative reported in the October 27 online issue of the American Journal of Clinical Nutrition.
+High Dietary Fat Intake Associated With Low Sperm Quality A high intake of saturated and monounsaturated fat is associated with significantly low sperm concentration, whereas a high intake of healthier polyunsaturated fatty acids is associated with improved sperm motility and morphology, according to research presented here at the American Society for Reproductive Medicine 66th Annual Meeting.
+Exposure to Bisphenol A Linked to Reduced Semen Quality Exposure to bisphenol A (BPA) is linked to reduced semen quality and sperm count, according to the results of a study reported in the October 28 issue of the Journal of Fertility and Sterility.
+Alcohol Is More Harmful Than Heroin, Crack Alcohol is more harmful both to the individual and to others than heroin and crack, according to a new study published online November 1 in The Lancet.
Coffee Boosts Stroke Risk, Study Finds A cup of coffee can heighten the risk for ischemic stroke, particularly among infrequent drinkers, report researchers. Their study provides new information that may be useful in stroke prevention and is in line with what is already known about the physiologic effects of coffee.
Vitamin E Supplementation Increases Risk for Hemorrhagic Stroke: Meta-Analysis A meta-analysis of current relevant research provides more evidence of opposing effects of vitamin E on stroke subtypes.
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Links to Opinion Articles, Practice Advice and Patient Handouts
| The following presented by Medpage
COLUMN: Eat Your Fruits and Veggies Transcript: Hello and Welcome. I'm Dr. George Lundberg, and this is At Large at MedPage Today. Doctor, did you eat your fruits and veggies today? Two servings of fruit and three servings of vegetables each and every day?
BLOG: Doctor Patient ... So I found myself in the unfamiliar experience of being the patient. Instead of closing my mind and emotions to my own body, I had to frankly assess what I was doing to it. Standing on the scale was as frank of an assessment as I would ever want.
BLOG: A Physician Feeling Violated and Manipulated by Pharma Dr. Manoj Jain, an infectious-disease specialist in Memphis and adjunct assistant professor at the Rollins School of Public Health at Emory University in Atlanta, published a column in the Washington Post, "More rules are needed to curb drug firms'.
The following presented by KevinMD
Most doctors don't like prescribing pills by Melanie Lane, MD If there is a safe, natural, noninvasive solution to your problem, we'd prefer to use that.
How dietary guidelines can help prevent disease -by Stephen C. Schimpff, MD Most of the illnesses that occur today are chronic like diabetes, heart disease, cancer or kidney disease. These stay with us for the rest of our lives, are debilitating, and are expensive to treat.
Taking a multivitamin, vitamin D and fish oil every day There is very little doubt that if we eat the diet we were designed to eat and spend adequate time in the sun that we will get most if not all the nutrients we need.
The following presented by Bloomberg Businessweek
The Rise of the Power Vegans Steve Wynn, Russell Simmons, Bill Clinton and a comparable cast of heavies are now using tempeh to assert their superiority. A look at what gives.
The following presented by Amed News
+What new insurance provisions on preventive care mean for your practice "Everybody in the practice needs to have a heads-up about these changes because it touches so many parts of the practice."
The following presented byWeb MD
Make Your Walk a Workout How to start (and stick to) a walking program, whether you're new to exercise or already fit.
Exercising When You're Overweight When you're overweight or obese, working out can be uncomfortable in more ways than one. Here's help.
The Truth About Kale Gaining in popularity, kale is an amazing vegetable being recognized for its exceptional nutrient richness, health benefits, and delicious flavor.
Scared to Sleep These strategies may help take the dread out of going to sleep.
Public Health Funding Opportunity
Office on Women's Health Request for Applications: Women's Health Conference Support Projects
Resource Articles and Websites:
Resources from Berkeley Wellness Alerts:
Just a Little Bit of Sugar Excess sugar intake has been linked to the growing obesity epidemic and related illnesses. But how much is too much? Here are some guidelines.
Strontium and Your Bones There's plenty of scientific interest in strontium as a possible treatment for osteoporosis. Available as a prescription drug in Europe, strontium is sold only as a dietary supplement in the U.S. Is it ready for prime time?
Kegel Exercises: An Undercover Secret Developed by Dr. Arnold Kegel in the 1940s to help women regain bladder control after childbirth and menopause, Kegel exercises may help some men, too.
PMS: 9 Do's and Don'ts There's no agreement about what causes premenstrual syndrome. Proposed culprits range from nutritional deficiencies and hormonal irregularities to underlying emotional disorders. But here are some possible ways to get relief.
Cholesterol Busters? If you have high cholesterol, you may be tempted to try a "heart-health" supplement. Some have evidence to back their use, but others are questionable.
Resources from American Headache Society
Vitamin D, Migraine and HealthMedical Complications: Optimize Therapy! Printable Patient Article
Biofeedback and Relaxation Training for Headaches Printable Patient Article
Migraine and Obesity: What You Should Know! Printable Patient Article
Sleep, Insomnia and Migraine Printable Patient Article
Resource from FDA Consumer Health Information
Some "Lead-Free" Pottery Can Still Taint FoodThe Food and Drug Administration (FDA) says it has confirmed reports from local and state agencies that traditional ceramic pottery made by severalmanufacturers in Mexico-and labeled "lead free"-in fact contains lead.
Resources from MayoClinic.com
Vitamin D toxicity: What if you get too much? Vitamin D toxicity, also called hypervitaminosis D, is a potentially serious but treatable medical condition that occurs when you get too much vitamin D.
Too much vitamin C: Harmful? Vitamin C (ascorbic acid) is an essential nutrient. Still, it's possible to have too much vitamin C.
Yoga: Tap into the many health benefits Chronic stress can lead to a variety of health and emotional problems. Yoga can be an effective method to reduce stress and anxiety. See how to get started.
Yoga for kids: A good idea? Yoga for kids can be fun and relaxing. Understand what a typical yoga class for kids entails and how to pick the right class for your child.Yoga for kids: A good idea?
Resources from National Cancer Institute
Where To Get Help When You Decide To Quit Smoking Fact sheet with many useful links.
How To Handle Withdrawal Symptoms and Triggers When You Decide To Quit Smoking Fact sheet with many useful links.
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Contributing writers:Marc Braman
Wayne Dysinger Kathy Cater
American College of Lifestyle Medicine 971-983-5383 fax: 971-983-5384
612 Glatt Circle Woodburn, OR 97071
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