Lifestyle Medicine in Action
A monthly publication of the American College of Lifestyle Medicine
February 2011
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Welcome New Members
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Stephanie Mazal, MMS, PA-C
Emergency Medicine Physician Assistant with a passion for educating people on the importance of diet and lifestyle.
Columbus, Ohio
Chidi Ngwaba, BSc, MBBS
General and Lifestyle Practice
Conducts lectures and seminars on Lifestyle Medicine.
Kent, United Kingdom
Willie H. Oglesby, MSPH, PhD, FACHE
Assistant Professor of Health Policy & Management, Kent State University, College of Public Health
Kent, Ohio
Charles C. Richards, MD, FACN
Retired Anesthesiologist
Lifestyle and Wellness Consultations
Riverview, Florida
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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.
Food as Medicine
June 9-12
Washington, DC
Tools for Promoting Healthy Change June 24
Boston, Massachusets
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| Greetings! |
Welcome to this issue of Lifestyle Medicine in Action. Thank you to all our members who have renewed their membership for 2011. If your renewal date is January 1, 2011 this may be your last issue. Please renew your membership today!Earn FREE membership in ACLMby helping us grow by four new members in one 12 month period. Simply have them give your name when they answer "How did you hear about ACLM?" in the membership form. |
 President's Desk |
I want to thank each of you for participating in the ACLM elections over the last month. I'm grateful for all of our highly qualified candidates, for the engagement of our membership in helping to fill the available positions, and for our current board and staff as they carried out the logistics of the elections. I'd like to thank the three members who are leaving our board for their service energy over the last several years.
Matthew Lederman, MD has been actively involved not only in board activities, but also in connecting ACLM to Whole Foods Market where he is currently serving as a medical advisor.
Ron Stout, MD has been a prime mover in helping to connect ACLM to ACPM and in keeping the LM movement engaged and productively directed.
Greg Steinke, MD was our first young physician board member, and has regularly contributed to ACLM discussions and initiatives. Thank you to Matt, Ron and Greg!
I'm also pleased to introduce our three new board members.
Irene Willingham, MD is both a neurosurgeon and a registered dietician who runs Aeon Health, a lifestyle health company headquartered in Dallas, TX. She is passionate about changing our health care infrastructure in ways that can assist patients in choosing appropriate lifestyle change and creating viable practice models for lifestyle medicine. We look forward to tapping in to Dr. Willingham's energy and experience.
Wesley Youngberg, DrPH is ACLM's first fellow and a preventive care practitioner who runs a private practice in Temecula, CA. Dr. Youngberg is returning to ACLM's board. We appreciate his willingness to continue to bring his significant talents and skills to the national LM movement.
Timothy Arakawa, MD, PhD is our newest young physician board member. Dr. Arakawa is currently an internal medicine resident in Kettering, OH. He plans to next complete an endocrinology fellowship to maximize the educational and scientific foundation for a future career founded in LM. We're grateful for his willingness to share his time and energy with ACLM.
It's wonderful to see ACLM moving forward. As a reminder, a year ago when I became ACLM president I set forth three goals:
- Make ACLM an organization that will involve members, a place where they can help fulfill their professional agendas. This is happening in many ways, but most obviously in our committee structure which is functioning at a higher level than ever.
- Develop our collaborators and partners. This is also moving forward strongly, both with ACPM and multiple other professional and commercial LM organizations.
- Move special initiatives forward. We are also seeing success here, the most significant being the publication of a set of Lifestyle Medicine competencies in the July 14, 2010 issue of JAMA.
We have grown notably in the last year from an organizational, connectivity and progress point of view. Thank you to each of you for helping to make that happen. I look forward to seeing you at Lifestyle Medicine 2011 in San Antonio, TX February 16-19.
Sincerely, Wayne Dysinger, MD, MPHPresident |
Practice Spotlight: Atlanta Lifestyle Medicine
Jennifer Rooke, MD, MPH
|  ACLM Member Jennifer Rooke Pioneers Lifestyle Medicine Practice Dr. Jennifer Rooke is actually doing what most physicians only dream of doing. She is providing medical care that makes a difference, instead of the same old medical services that leave the lifestyles that underlie many medical problems untouched. She has established her own Lifestyle Medicine clinic - Atlanta Lifestyle Medicine - in a historic building in midtown Atlanta, in an area with several large medical practices and minutes from two major hospitals. In September 2009 her younger brother had a stroke and the need for lifestyle medical interventions hit her personally. She decided to stop practicing Occupational Medicine and start a Lifestyle Medicine practice. In May of 2010, the practice officially opened for business. Pearls of Wisdom
"Listen to patients and don't overwhelm them with technical information."
"Not everyone is ready to make changes; you have to meet people where they are."
"Listening to patients is actually much harder than it sounds. In the beginning I had to constantly fight the urge to jump in and tell them what I think is wrong with them and what they need to do about it. This is still a work in progress."
"Patients also have an expectation that the doctor will tell them what to do or give them a pill or prescription, or supplement, to solve their problem. I have the impression sometimes that they are not quite sure what to think about a doctor who tells them that their health problems stem from the foods they are eating and that she will help them to make the necessary changes."
For the complete article, please click here
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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 2011For 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 fees are 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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CME Opportunity: Food as Medicine
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The Center for Mind-Body Medicine presents:
Food as Medicine
Professional Nutrition Training Program
June 9-12, 2011
Washington DC area
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CME Opportunity: Institute of Lifestyle Medicine
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Lifestyle Medicine: Tools for Promoting Healthy Change
June 24, 2011 in Boston, Massachusetts
More information
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| Research Summaries | + This symbol denotes highly applicable information for Lifestyle Medicine Practices.
The following presented by Medpage Today
+Diet Guidelines Tweaked -- No Big Changes (CME/CE)
The federal government has issued the first update in five years of its "Dietary Guidelines for Americans" -- but despite broad recognition of the U.S. obesity crisis, the update left the major cornerstones of the guidelines largely intact.
+Warmer Houses May Increase Obesity (CME/CE)
In recent decades, residents of affluent Western countries have increasingly been turning up room temperatures in winter -- a practice that may be contributing to the obesity epidemic by turning down the body's own thermostat, researchers suggested.
Race Affects Obesity Counseling (CME/CE)
African Americans who are obese generally receive less counseling for diet and exercise -- regardless of their physicians' race, according to national population-based data.
+Counseling Aids Sleep in Older Insomniacs (CME/CE)
A short course of behavioral therapy for people with insomnia -- counseling in person and by phone -- improved the seniors' sleep for up to six months, researchers reported.
More ZZZs Linked to Healthier Kids (CME/CE)
Children who get more sleep, even if it's only "catch-up" sleep on weekends, may be protected against obesity and other metabolic problems, researchers suggested.
+School Lunches Weigh Heavily in Childhood Obesity (CME/CE)
Obese sixth graders pack on the pounds in much the same manner as their adult counterparts -- too much TV, poor dietary habits, and too little physical activity.
Bright Light at Night May Boost Breast CA Risk (CME/CE)
Sleeping with the lights on could increase the risk of breast cancer, results from a large 10-year observational study suggest.
Fruit, Veggies Cut Risk of IHD in Large Study (CME/CE)
People who want to significantly reduce their risk of dying from ischemic heart disease may do well to greatly increase their daily intake of fruits and vegetables, a large prospective European study suggests.
Sitting Too Much May Have Serious Consequences (CME/CE)
Couch potatoes beware -- spending too much time sitting in front of the television or computer may increase the risk of cardiovascular events, or even death, researchers found.
Risk Factors Go Up When Folks Sit Down, and Vice Versa (CME/CE)
Sitting around too much is associated with a worsening of several cardiometabolic risk factors, an analysis of U.S. National Health and Nutrition Examination Survey (NHANES) data revealed.
Exercise, Brain Volume Linked in Older Adults (CME/CE)
Aerobic exercise may help older adults improve their memory, researchers reported.
+Cutting Pollution May Help the Heart (CME/CE)
In a small town with air heavily affected by residential wood-burning, the use of high-efficiency portable air (HEPA) filters was associated with improved endothelial function in healthy adults, Canadian researchers found.
+Fish Oil Has Benefits in Heart Failure (CME/CE)
Supplementation with omega-3 polyunsaturated fatty acids improved left ventricular function in patients with mild-to-moderate chronic heart failure due to dilated cardiomyopathy, a randomized, placebo-controlled trial showed.
+Deeper Depression Diminishes Outcomes in HF (CME/CE)
Heart failure patients whose depression worsens over time are more likely to have poorer outcomes, researchers say.
Depression Plus Diabetes Raises CV Death Risk (CME/CE)
The coexistence of depression and diabetes confers a high mortality risk on middle-age women, particularly for death from cardiovascular disease, a prospective study showed.
+Light Therapy May Brighten Up Depressed Seniors (CME/CE)
Literally shining a light on a darkened mind may help older patients with major depression -- with three weeks of home-based light therapy producing a significant improvement in mood and sleep, according to the results of a Dutch randomized trial.
Road Noise Revs Up Stroke Risk (CME/CE)
Living near a noisy road appears to predict higher stroke risk, particularly for older adults, Danish researchers found.
+Antioxidants May Boost Male Fertility (CME/CE)
Prenatal vitamins may be a good idea for men as well as women, according to a Cochrane review that found that antioxidant supplements may boost fertility for men.
Add a Mile to Walk Off Diabetes Risk (CME/CE)
Walking more not only wards off weight gain in middle age but also helps prevent or delay diabetes, a population-based study in Australia affirmed.
+Walking May Lower Mortality Risk in Prostate Cancer (CME/CE)
Prostate cancer survivors can literally walk themselves to a lower risk of dying of the disease -- with some men achieving an almost 50% lower mortality risk, data from a large cohort study showed.
+Increased Activity Helps in OA (CME/CE)
Increasing physical activity over two years can improve function and even walking speed among adults with osteoarthritis of the knee -- regardless of their level of activity, a large prospective study found.
+Get Seniors Moving to Prevent Falls (CME/CE)
Exercise should be a part of all interventions to prevent falls among older adults in the community, according to updated guidelines from the American Geriatrics Society (AGS).
+Low Vitamin D Common With Lung Disease (CME/CE)
Most patients with interstitial lung disease -- particularly those with autoimmune-related connective tissue diseases -- may have insufficient vitamin D, a single-center study showed.
Recipe for Healthy Eating Not Easy to Stick To
Americans appear to be taking in public health messages about eating healthier, but the question remains as to whether they're really digesting them, a new survey shows.
The following presented by Medline Plus
Fast Walkers May Have More Years Ahead of Them Simply measuring how fast older people walk may provide a glimpse into how many years they have left.
+Food Diary a Great Tool for Losing Weight, Expert Says
The pen may be mightier than the scale when it comes to losing weight, experts have found.
+Changing Parental Behavior May Help Obese Kids Lose Weight
Obese children whose parents took classes on the importance of healthy eating and exercise lost weight and kept it off for the next two years, according to a new Australian study.
Overweight Young Adults Often Have Overweight Friends, Sweethearts
The results "suggest if [overweight young adults] have more social contacts trying to lose weight, they have greater intentions to lose weight" as well.
Tooth Loss May Be Linked to Memory Loss
Compared with participants who still had many of their natural teeth, those with fewer or no teeth were much more likely to have experienced some memory loss or have early-stage Alzheimer's disease.
+Stress-Reduction Therapy May Help Heart Disease Patients
A stress management program based on cognitive behavioral therapy may reduce the risk of heart attack, stroke and death in patients with heart disease, Swedish researchers report.
+Yoga's Spiritual Balance May Boost Health
Research has found that yoga can help people who are dealing with health problems as wide-ranging as back pain, chronic headaches, sleeplessness, obesity, neck aches, upset stomach, anxiety, depression and high blood pressure, said Sat Bir Singh Khalsa, an assistant professor of medicine at Harvard Medical School and an associate neuroscientist in the Division of Sleep Medicine at Brigham and Women's Hospital in Boston.
Smoking Scenes in Movies Light Up Smokers' Brains
Seeing a character in a movie light up a cigarette triggers smokers' brains to plan the same motions, new research shows.
The following presented by Web MD
+5-a-Day 'Not Enough' Fruits and Vegetables
We're all urged to eat five servings of fruits and vegetables a day, but new research finds eight servings may be needed to cut the risk of dying from heart disease.
Green Tea May Help Prevent Alzheimer's Disease
Regular consumption of green tea may offer protection against Alzheimer's disease and other dementias and may also slow growth of cancer cells, new research indicates.
+Added Sugar May Raise Cholesterol in Teens
All that added sugar in the diets of typical teens could increase their risk for heart disease, a new study suggests.
Kids' Lifestyle Changes Bring Later Heart Health
Encouraging children to make healthy lifestyle changes before they reach adulthood, including regular exercise and not smoking, can help lower the children's blood cholesterol levels and potentially reverse their risk of developing heart disease as they age.
+Vitamin E and Fatty Acids May Ease PMS
A supplement containing vitamin E and essential fatty acids may help reduce symptoms of premenstrual syndrome (PMS), Brazilian researchers report in Reproductive Health.
+Tai Chi May Prevent Falls Among Seniors
Updated guidelines from the American Geriatrics Society and the British Geriatrics Society recommend interventions such as the slow-motion Chinese martial art tai chi along with medication reviews to help prevent falls among the elderly.
Music Gives Brain Natural Buzz
Researchers found that listening to music releases the neurotransmitter dopamine in the brain and sends pleasure signals to the rest of the body.
The following presented by Diabetes in Control
Preventing Diabetes: All We Have to Do Is Ask!
Studies from around the world have firmly established that diabetes can be prevented or delayed with lifestyle modification or pharmaceutical interventions in patients with IFG/IGT.
+Disease-Management Programs Shown to Improve Diabetes Care
The findings showed that disease-management programs are more effective than usual care in reducing glycated hemoglobin levels in diabetic patients with poor glycemic control.
+Veggie Diet Best for Kidney Patients
Sharon Moe, MD, of Indiana University in Indianapolis, and colleagues reported that, "Even though they ingested the same amount of phosphorus, patients on the vegetarian diet had lower serum phosphorus levels as well as other markers of improved phosphorus metabolism."
+Vinegar Reduces Postprandial Glycemia
The study by the Arizona State University researchers concluded that, "The antiglycemic properties of vinegar are evident when small amounts of vinegar are ingested with meals composed of complex carbohydrates."
The following presented by AMEDNEWS
Respiratory problems linked to tobacco smoke migrating through multiunit housing
Persistent respiratory symptoms in children could be due to tobacco smoke that migrates through the walls and ventilation systems of multiunit buildings, the lead author of a new report said.
The following presented by Medscape (login required)
+Mediterranean Diet May Slow Cognitive Decline With Age Older adults who stick close to a traditional Mediterranean diet (MedDiet) experience slower rates of cognitive decline as they age, new research suggests.
+Trans-Fats Linked to Increased Depression Risk Consumption of trans-unsaturated fatty acids (TFAs or trans-fats) has been linked to a significantly increased risk for depression. On the other hand, olive oil, monounsaturated fatty acids (MUFAs), and polyunsaturated fatty acids (PUFAs) appear to have a protective effect and lower depression risk, new research suggests.
+Brief Dietary Assessment Tool Validated in Clinical Setting An 8-item brief dietary assessment may prove efficient for learning about a patient's current diet and has been validated in the clinical setting, a new report suggests.
Consistent Exercise Linked to Lower Risk for Death From Colon Cancer Add another study to the body of literature that says exercise is good for you, especially with regard to modifying cancer risk and outcomes.
+Vitamin D May Accelerate Recovery From Tuberculosis in Certain Patients
In patients given standard treatment for tuberculosis (TB), adjunctive vitamin D significantly hastened sputum culture conversion in participants with the tt genotype of the TaqI vitamin D receptor polymorphism, but not in the whole study population, according to the results of a multicenter, randomized, double-blind, controlled trial reported online January 6 in The Lancet.
+Lower, Not Higher, Doses of Folic Acid May Reduce Homocysteine Levels
Doses of folic acid higher than 0.2 mg/day may not be needed to lower homocysteine levels, according to the results of a randomized, dose-finding trial reported in the January issue of the American Journal of Clinical Nutrition.
Red and Blue Berries and Vegetables May Prevent Hypertension
Fruits and vegetables that are rich in anthocyanins--such as blueberries, strawberries, and blood oranges--may help prevent the development of hypertension, new research suggests.
Green, but Not Black, Tea May Reduce Risk for Coronary Artery Disease
Available data do not support a protective role of black tea against coronary artery disease (CAD), but limited data support a tentative association of green tea intake with a lower risk for CAD, according to the results of a meta-analysis reported online January 19 in the American Journal of Clinical Nutrition.
Too Much TV Ups Risk of Death, Cardiovascular Events
People who spend two hours or more a day in front of a screen during their leisure time--primarily watching television--have more than double the risk of cardiovascular events over four years compared with those who spend less than two hours a day in front of a screen, even after adjustment of the findings for physical activity, new research shows.
+Cognitive Behavioral Therapy Decreases Risk for Recurrent Cardiac Events
In patients with coronary heart disease, cognitive behavioral therapy (CBT) appears to be associated with lower rates of recurrent acute myocardial infarctions (AMIs) and coronary heart disease events, according to new research.
+Combined Internet and Telephone Intervention May Facilitate Smoking Cessation
Combined Internet and telephone treatment of smoking cessation outperform static and dynamic Internet interventions, according to the results of a 3-group, randomized controlled trial reported in the January 10 issue of the Archives of Internal Medicine.
Parental Smoking Ups BP of Kids Aged Four and Five
The preschool children of smokers have a 20% increased risk of having blood pressure in the highest normal value even after other risk factors are adjusted for, new research from Germany shows.
+For the First Time, Sunscreen Shown to Reduce Melanoma
Melanoma in adults might be preventable with the regular use of sunscreen - that is, with the daily application to the head, neck, arms, and hands, according to Australian researchers who conducted a rare randomized controlled trial of sunscreen use.
+Industry Debuts New U.S. Food Labels, Critics Pan
U.S. grocers joined with food and drink makers to unveil a new system on Monday for putting nutritional information on packages ahead of plans from U.S. regulators, who have called for clear and accurate labels to help fight obesity.
+Exercise May Improve Irritable Bowel Syndrome
People with irritable bowel syndrome may be able to find some relief by getting regular exercise, a small clinical trial suggests. |
Links to Opinion Articles, Practice Advice and Patient Handouts
| The following presented by AICR
Is There an Anti-Inflammation Diet? Anti-inflammation is the latest buzz term among diet books and eating advisors. There is a growing body of research suggesting inflammation increases the risk of many chronic diseases, including some types of cancer.
Coach's Corner: New Year; New Fitness
If your New Year's resolution involves becoming more active, you may feel a little overwhelmed about where to begin. Even if you haven't been active before, we have one simple message: It's Never Too Late.
The following presented by KevinMD
Take responsibility for your own health
An excerpt from More Health Less Care: How to Take Charge of Your Medical Care and Write Your Own Personal Prescription for Lifelong Health.
The following presented by WebMD
Dieting Is Out; Healthy Eating Is In
After years of obsessing about weight loss, first shunning high-fat foods and then high-carb ones, it seems Americans are giving up formal diets in favor of healthy eating and wholesome foods.
Healthy Hearts in Mediterranean Lands? Maybe Not
''The paradox is that traditional foods of the Mediterranean diet (olive oil, fruits, vegetables, legumes, fish) are more expensive than junk or fast food, so the social classes with lower purchasing power have more difficulty following the traditional Mediterranean diet."
Conquering Diabetes: How To Wean Off of Diabetes Medication One of my greatest pleasures in life is to help patients achieve remission of their type 2 diabetes. This means their blood sugar levels have become normal in the absence of any diabetes medication.
Americans Say Their Diet Is Healthy, but Is It?
Close to 90% of Americans say they eat a healthy diet, but their penchant for sugary foods and drinks suggests otherwise.
The following presented by American Heart Association
Population-wide reduction in salt consumption recommended
The American Heart Association today issued a call to action for the public, health professionals, the food industry and the government to intensify efforts to reduce the amount of sodium (salt) Americans consume daily.
The following presented by Medline Plus
U.S. Aims to Make School Lunches Healthier
Trying to fight the growing child obesity epidemic, new federal guidelines proposed Thursday focus on making school lunches healthier.
Resource Articles and Websites:
Resources from Berkeley Wellness Alerts:
An "Energy" Glut
Typically marketed as dietary supplements, "energy drinks"-such as Red Bull, 5-Hour Energy, and Wired-are a fast-growing billion-dollar industry.
The Missing Enzyme
Lactose intolerance-the reduced ability to digest milk sugar (lactose)-is not as hard to cope with as many people think.
The Sunny Side of Eggs
Eggs have a bad reputation because of their high cholesterol level. But, in fact, eggs do not raise blood cholesterol in most people-and they may even be good for your heart in some ways.
Tea Tree Oil--Not Your Standard Oil
Tea tree oil is promoted as a "natural" remedy for cuts, burns, insect bites, athlete's foot, and many other skin disorders, particularly acne. Does it deliver?
Kegel Exercises: A Secret to Share
Kegel exercises were developed by Dr. Arnold Kegel in the 1940s to help women regain bladder control after childbirth and menopause. But that's not all that Kegel exercises may be good for.
Do Active Men Need More Protein?
If you're a man who likes to exercise vigorously, do you need extra protein? What about the type and timing of the protein you eat-does that matter?
Wholly Macaroni!
Whole-grain foods have many health benefits. One good way to boost your intake is to switch to whole-grain pasta.
Ginger For What Ails You?
Besides its use in cooking around the world, ginger may have medicinal qualities. But does it really reduce nausea, ease arthritis, or have other health benefits?
Resources from MayoClinic.com
Calcium and calcium supplements: Achieving the right balance
If your diet is light on calcium, calcium supplements can help you meet the new daily recommendations. Get the scoop on choosing a calcium supplement.
Weight loss: Assess your readiness to change
Your weight-loss success depends in large part on your readiness to take on the challenge. If you jump in before you're ready, your weight-loss plan may buckle under the first challenge. Use these questions to assess your weight-loss readiness.
Diabetes prevention: 5 tips for taking control
Changing your lifestyle could be a big step toward diabetes prevention - and it's never too late to start. Consider these tips.
Food allergies: Understanding food labels
Food labels list food allergens to help you avoid an allergic reaction. Here are the top eight food allergens listed.
Exercise helps ease arthritis pain and stiffness
As you consider starting an arthritis exercise program, understand what's within your limits and what level of exercise is likely to give you results.
Seasonal affective disorder treatment: Choosing a light box
Light therapy boxes can offer an effective treatment for seasonal affective disorder. Features such as light intensity, safety, cost and style are important considerations when you buy a light box.
Bladder control problems in women: Lifestyle strategies for relief
Lifestyle changes may improve your bladder control problem or enhance your response to medical treatments. Find out about these strategies for improving bladder control.
Insomnia treatment: Cognitive behavioral therapy instead of sleeping pills
Insomnia is a serious disorder, and effective insomnia treatment can be crucial to getting the sleep you need. Until fairly recently, there were few safe, effective, nondrug insomnia treatments.
5 medication-free strategies to help prevent heart disease
You can prevent heart disease by following a heart-healthy lifestyle. Here are five strategies to help you protect your heart.
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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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