Lifestyle Medicine in Action
A monthly publication of the American College of Lifestyle Medicine
March 2011
Quick Links to Articles
President's Desk
News in Lifestyle Medicine
CME: New Online Course
CME: Healthy Kitchens
CME: Art & Science of Health Promotion
CME: Behavioral Medicine
CME: Food as Medicine
CME: Tools for Healthy Change
Research Summaries
Opinion Articles and Resources
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ACLM Officers

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Welcome New Members

(In Alphabetical Order)

John Caccavale, PHD, MSCP
Executive Director, National Alliance of Professional Psychology Providers
Garden Grove, California

Steffen Hitzeroth, MD
Medical Director Occupational Health, Procter & Gamble Service GmbH
Wiesbaden, Germany

Joe Raphael, DrPH, MBA, MFT, MACP, CHES
Chief Executive Officer, Wellness Integrated Lifestyle Solutions
La Canada, California

Rose Sakamoto, RN, MSN, ANP-C
Advanced Nurse Practitioner, Doctoral Student in Preventive Care
Diamond Bar, California

Holli Smith, MS, MSW, CHES
Wellness Specialist, WellnessSaves Center for Lifestyle Medicine
Washington, Pennsylvania

Amy Surface, PA-C
Physician Assistant, Cascade Heart (Cardiology)
Vancouver, Washington

CME Calendar

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

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


Welcome to this issue of Lifestyle Medicine in Action.

Looking for Research Grant Opportunities?
Here is a page that may be of interest:

Coming Soon:

We are being asked about conference recordings.
These are not yet available, but we expect to be able to share information about this very soon.

pdPresident's Desk

Lifestyle Medicine 2011 

in San Antonio was truly a high time for Lifestyle Medicine.  From constructive workshops, to progressive ACLM board actions, to inspiring plenary sessions, to educational concurrent sessions, and a vigorous members meeting - time was spent connecting, learning, reviewing and planning for Lifestyle Medicine next steps.  I was inspired to see the rapidly growing interest in Lifestyle Medicine by all segments, evidenced by medical leaders, practicing physicians, and health care entrepreneurs.  Hearing Surgeon General Regina Benjamin's desire to work with ACLM in the future was clearly a high point - what I sense is one of many to come in the future. 


The ACLM board took several distinct forward-moving actions.  

We established two new committees.   


The first was a young physician/resident/student section.  We need ways of helping those early in their careers who are passionate about Lifestyle Medicine to feel like ACLM is their home.  Our new young physician board member, Tim Arakawa, has volunteered to help nurture the development of these resources. Many students and others are already contributing ideas and energy towards this development.  Thank you!   


The second significant board action was to create a new committee tasked with developing ACLM guidelines and policies.  As discussed in a previous President's column, we are frequently asked about where we stand on certain issues.  We feel it's time to compile evidence based responses to these types of questions.  We already have some members committed to working in this area, but ACLM is your organization, so we look forward to more volunteers joining this committee.


Two other significant ACLM board discussions involved work that came out of our already working committees.   


The Development and Fundraising Committee put a lot of work into determining ACLM's stance regarding working with industry.  After significant research and reviews, they recommended that ACLM follow the American Medical Association's policy on interacting with potential sponsors and collaborators.  The board approved this recommendation, giving us a foundation to clearly and cleanly develop future relationships.   


Also, the Conference and Education Committee recommended development of a Lifestyle Medicine Certification system.  This is a core need for our specialty and something we've discussed for several years.  The time now seems to be right to collaborate with ACPM in the creation and positioning of such a certification.  Look for more about this in the future.


A final significant action taken in San Antonio was for ACPM to formally accept ACLM's request to become one of its academies.  Although at this time this action does not change the day-to-day functioning of ACLM in any way, we're confident that the formalized association will provide future opportunities, and will keep the two professional organizations with a Lifestyle Medicine focus working collaboratively, not competitively.    


Wayne Dysinger, MD, MPH
Lifestyle Medicine Update

It is an exciting time to be on the cutting edge of the Lifestyle Medicine movement! The pace of progress is increasing rapidly. This month we are sharing with you some of the highlights of that progress as they happened in and around ACLM's annual conference Lifestyle Medicine 2011. 


Lifestyle Medicine 2011

ACLM President-Elect, Liana Lianov, MD, MPH (left)

ACLM President Wayne Dysinger, MD, MPH (podium)

Photo courtesy Board of Director's member Ernie Medina, DrPH, MPH  

Thank-You ACPM
We especially wish to convey a big thank-you to the American College of Preventive Medicine (ACPM). While we have worked with them the last couple years on the Lifestyle Medicine track, this was the first year that we had a much more substantial role and a resulting offering that could appropriately be called Lifestyle Medicine 2011. Thank-you Mark Johnson, ACPM Immediate-Past President, and Mike Barry, ACPM Executive Director, and all the others who made this possible.

ACLM-ACPM Affiliation
We also want to announce to you that ACLM is now formally affiliated with ACPM. This is the result of a year long process that began with both boards voting to pursue a formal affiliation to better enable Lifestyle Medicine to progress and become established as a valuable and legitimate entity in medicine. This affiliation is designated as an "academy." The process took some time and doing because ACLM is not, and never will be, a typical "academy." ACLM remains an autonomous organization with its own governance, decisions, finances, etc, but the two organizations can collaborate more closely in promoting Lifestyle Medicine. We all need to pull together to really bring Lifestyle Medicine into the prominence that it deserves.

We thought the best way to give you both a bird's-eye view and an insider perspective was to have the current, future, and past ACLM President's share the highlights of Lifestyle Medicine 2011 and things that happened around it from each of their perspectives.


 For the complete article please click here  

New Online Course: Lifestyle Medicine: Osteoporosis 

The Institute of Lifestyle Medicine

Lifestyle Medicine: Osteoporosis

by Michelle Tollefson, MD

Click HERE Learn More
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

Napa, California

Speakers include:
  • David M. Eisenberg, MD
  • Walter C. Willett, MD, DrPH
  • Edward M. Phillips, M.D.

More information: www.healthykitchens.org/
CME Opportunity: American Journal of Health Promotion

21st Annual Art & Science of Health Promotion Conference
Capturing the Wisdom of Practice and the Rigor of Research -
Discovering the Best Health Promotion Strategies

March 21 - 25, 2011
Intensive Training Seminars: March 21 -22, Core Conference: March 23-25
The Broadmoor, Colorado Springs, Colorado

Link to Conference Website

CME Opportunity: Society of Behavioral Medicine
Society of Behavioral Medicine
April 27-30, 2011
Washington, D.C.

CME Opportunity: Food as Medicine

The Center for Mind-Body Medicine presents:

Food as Medicinephoto

Professional Nutrition Training Program

June 9-12, 2011

Washington DC area


CME Opportunity: Institute of Lifestyle Medicine 

Lifestyle Medicine: Tools for Promoting Healthy Change

June 24, 2011 in Boston, Massachusetts

More information 


Research Summaries  
+ This symbol denotes highly applicable information for Lifestyle Medicine Practices. 

The following presented by Medpage Today


+Docs Can Help More in Weight Loss CME
Office-based strategies for long-term weight loss and maintenance remain challenging and disappointing, and more efforts by clinicians are needed, researchers reported.

+Obesity Program for Kids Has Lasting Benefits CME 
Obese children who completed an intensive, family-based weight-management program designed for inner city kids maintained the benefits for a year, according to results of a randomized trial.

+Kids' IQ Takes a Hit With Poor Eating Habits CME
Children who eat a diet high in fat, sugar, and processed foods at age 3 appear to have slight decreases in IQ later in childhood, a longitudinal study from England found.

+Fiber-Full Diet Lengthens Life CME 
Getting lots of dietary fiber appears to reduce the risk of dying -- particularly from cardiovascular, infectious, or respiratory diseases -- according to a large observational study.

+Rise in PSA Slowed by Pomegranate
Prostate cancer patients had a six-month gain in PSA doubling time when treated with pomegranate extract, according to data reported here.

+Berries Keep Parkinson's at Bay CME
The tiniest fruits may pack a big punch against Parkinson's -- berries were associated with a decreased risk of the disease among those who ate the greatest amounts, according to an analysis of data from two large prospective cohort.

Fatal CHD Risk Soars With Obesity CME
The risk of fatal coronary events in men increased significantly with the severity of obesity -- independent of traditional coronary heart disease risk factors -- according to a new analysis of a large intervention trial.

+Adverse Effects Weigh Heavily in Patients' Drug Decisions CME
Adverse effects hold greater sway than the magnitude of potential benefits on older patients' willingness to take drugs for primary prevention of cardiovascular disease, researchers found.

+Sugary Drinks Could Boost BP CME
Patients with hypertension may have to start watching their sugar as well as their salt, new research suggests.

+Diet Soda Tied to Vascular Risk, With Caveats CME
LOS ANGELES -- Drinking diet soda -- but not regular soda -- was associated with a greater risk of stroke, MI, or vascular death in an older, multiethnic cohort, researchers found.

Cancer Risk Found in Radiation from Heart Studies CME
The risk of cancer increased significantly in patients exposed to low-dose ionizing radiation from cardiac imaging after myocardial infarction (MI), Canadian investigators reported.

+Teens Notice but Ignore Fast-Food Calorie Info CME
Posting calorie information does not appear to have any effect on what children and adolescents choose to eat at fast-food restaurants, a small study suggests.

+Learning to Adapt Not Helpful for Chronic Fatigue Patients CME
Patients with chronic fatigue syndrome who participated in programs aimed at helping them overcome their symptoms improved more than those whose treatment was intended to help them adapt to the limitations of the disease, a large randomized trial found.

Strokes, Eye Disorder May Go Hand in Hand CME
LOS ANGELES -- Hemorrhagic stroke appears more likely with advanced age-related macular degeneration (AMD), perhaps because of common underlying risk factors, a population-based study showed.

Senses Stoke Stroke Recovery CME
In a study suggesting sensory stimulation soon after a stroke could speed up recovery, researchers discovered that tickling rats' whiskers helps them recover from ischemic stroke.

+Zinc Works, but Exerts Price in Fight Against Colds CME
Although zinc may be helpful in treating and preventing the common cold in otherwise healthy individuals, the benefits come at the expense of some side effects, a Cochrane review showed.

+Pesticides Linked to RA, Lupus Risk CME
Women's risk of developing autoimmune rheumatic disease increases incrementally according to the frequency and duration of their exposure to insecticides, a large observational study suggested.

The following presented by Web MD

+Low Vitamin D Linked to Allergy Risk in Kids
Children who don't get enough vitamin D may be at increased risk of developing allergies, new research indicates.

Less Cholesterol in Eggs, USDA Says
Cholesterol in eggs has dropped in the past decade, according to a new analysis by the U.S. Department of Agriculture.

+Eating Trans Fats Linked to Depression
Eating too much trans fat, long known to raise heart disease risk, can also boost your risk of depression, new research suggests.

The following presented by Medline

+Study Examines Reasons Some Black Men Avoid Doctors
Physicians reportedly don't provide practical advice on how to make needed lifestyle changes. 

Busy Social Life May Stave Off Disability in Elderly
Seniors who are more socially active are less likely to become disabled, researchers say.

Obesity, Bum Knees Robbing Seniors of Good Years: Study
Obesity and osteoarthritis of the knee are robbing millions of older Americans of an average of 3.5 years of life in which they might otherwise be feeling healthy and free of chronic pain, new research finds.

+Pedal Your Way to Better Health, at Work
A mini exercise bike that can be used while working at a desk could help improve the health of office workers and others with sedentary jobs, according to a new study.

+Overweight Kids Who Exercise Improve Thinking, Math Skills: Study
When overweight, sedentary kids start to exercise regularly, their ability to think, to plan and even to do math improves, a new study suggests.

+The More Mom Works, the Heavier Her Kids Get: Study
As if working mothers don't have enough to feel guilty about, a new study suggests that the more time they spend working, the heavier their children become.

+Kids' Rising Obesity Rates Due to Bad Habits, Not Genes: Study
Poor eating and activity habits, not genetics, are the underlying causes for most cases of adolescent obesity, new research suggests.

Self-Drawings May Reveal Hidden Eating Disorders
The way women draw themselves may help reveal whether they have an eating disorder, researchers suggest.

+How much vitamin D do pre-teen girls need?
In the winter, pre-teen girls may need more vitamin D -- either from diet or supplements -- to have healthy bones, a new study says.

Second-hand smoke ups risk of abnormal Pap test
Another reason second-hand smoke is bad: there's a chance it can damage the tissues in a woman's cervix, putting her at higher risk for cervical cancer, a new study suggests.

The following presented by NIH

+NIH study finds two pesticides associated with Parkinson's disease
New research shows a link between use of two pesticides, rotenone and paraquat, and Parkinson's disease. People who used either pesticide developed Parkinson's disease approximately 2.5 times more often than non-users.
The following presented by Medscape (login required)

+Community-Based Interventions May Preserve Mobility in Older, Obese Adults
Community-based weight loss and physical activity programs may help preserve mobility in older, obese adults in poor cardiovascular health, according to the results of a translational, randomized controlled trial reported online January 24 in the Archives of Internal Medicine.

+Obesity Independently Associated With CHD Death
A new analysis of the landmark West of Scotland Prevention Study(WOSCOPS)has shown, for the first time, that obesity per se is associated with an increased risk of coronary heart disease (CHD) death.

+Optimistic Heart Disease Patients Have Better Outcomes
Patients with coronary heart disease who expect they will do well despite their diagnosis live longer than their pessimistic counterparts, according to a new study published online February 28 in Archives of Internal Medicine.

Don't Give up on Folic Acid--It Might Work in Primary Prevention
A possible explanation for why lowering homocysteine with folic acid has not shown benefit in reducing ischemic events, when genetic studies appear to have identified homocysteine as a causal risk factor for heart disease, may be related to the use of aspirin or other antiplatelet agents, according to the authors of a new analysis.

+Antipsychotics Rapidly Boost Cardiovascular Risk
The risk for cardiovascular disease in people with psychosis increases after their first exposure to antipsychotic drugs, according to new research published online February 7 in the Archives of General Psychiatry.

+U-Shaped Curve for Sleep Duration and Cardiovascular Disease
Both short and long duration of sleep are predictors or markers of cardiovascular outcomes, a new review suggests.

+CBT and Exercise Therapy Safe, Effective for Chronic Fatigue Syndrome
Cognitive behavioral therapy (CBT) and graded exercise therapy (GET) are safe and moderately effective treatments for chronic fatigue syndrome when added to specialized medical care, according to the largest randomized trial of both treatments to date.

+Exercise Alone Is Effective for Atraumatic Rotator Cuff Tears
A physical therapy program can effectively treat most patients who present with atraumatic full-thickness rotator cuff tears and shoulder pain, without the need for surgery, researchers announced here at the American Academy of Orthopaedic Surgeons (AAOS) 2011 Annual Meeting.

+Important for Cancer Survivors to Follow Nutrition Advice
Cancer survivors are rapidly increasing in number. There are now an estimated 12 million in the United States, comprising 4% of the total population, compared with only 3 million in 1971.

+Memory Training Shows Promise in Substance Abuse Treatment 
Neurocognitive training that targets working memory can significantly reduce "delay discounting," the tendency to devalue future rewards and punishments, in adults addicted to stimulants, new research suggests. 

+Elimination Diet May Improve ADHD Symptoms
In a group of young children with attention-deficit/hyperactivity disorder (ADHD), nearly two-thirds who followed a restricted elimination diet experienced a significant reduction in ADHD symptoms and oppositional defiant behavior. Going off the diet led to relapse.

+Isoflavones May Reduce Insomnia Symptoms in Postmenopausal Women
Isoflavones may reduce insomnia symptoms as well as hot flashes in postmenopausal women, according to the results of a controlled, double-blinded study reported in the February issue of Menopause.

+Metabolic Syndrome Linked to Cognitive Decline in Older Adults
In a study of generally healthy adults 65 years and older, those with metabolic syndrome were significantly more likely than those without to experience a decline in cognitive function during the next 4 years, independent of previous cardiovascular disease, depression, or APOE4 genotype.  

Simple Steps to Prevent Common Cancers
About a third of some of the most common forms of cancer could be prevented through healthy diet, physical fitness, and limiting alcohol intake, the American Institute for Cancer Research and the World Cancer Research Fund say in a new report.  

Boost Potassium Intake to Cut Stroke by 20%
The largest meta-analysis so far conducted examining the impact of potassium intake on cardiovascular outcomes has found that higher dietary consumption of this mineral is associated with lower rates of stroke and could also reduce the risk of coronary heart disease (CHD) and total CVD. 

+Lifestyle Counseling in General Practice May Prevent Further Weight Gain
Lifestyle counseling by nurse practitioners (NPs) or general practitioners (GPs) leads to similarly effective prevention of further weight gain among overweight and obese patients, according to 3-year results of a randomized controlled trial reported in the February 28 issue of the Archives of Internal Medicine. 

+Western Style Diets Linked to Kidney Dysfunction
A Western diet is associated with a greater likelihood of the development of microalbuminuria (excretion of small amounts of albumin to the urine) and rapid decrease in kidney function, according to a study published in the February issue of the American Journal of Kidney Diseases. 

+Dietary Sodium a Risk Factor for Ischemic Stroke
Sodium has already been linked to vascular disease, but a new study suggests that excessive intake may also heighten ischemic stroke risk.  

Links to Opinion Articles, Practice Advice and Patient Handouts
The following presented by Medscape (login required)

New Dietary Guidelines Could Reduce Cancer Risk
New dietary guidelines issued by the US Department of Agriculture (USDA) have taken aim at the growing waistlines of Americans. They have been welcomed by cancer experts, who believe that adherence to them could significantly reduce cancer risk.

Complementary and Alternative Medicine on the Rise
More Americans are turning to complementary and alternative medicine (CAM), including those who have trouble meeting the cost of conventional care, a study shows.

The following presented by KevinMD  

How powerful a few words can be in the exam room
What doctors say can remain with us. The words spoken in an exam room linger and can pop up in life unexpectedly again and again. Aren't there things a doctor has said to you that remain?

Change health behavior with a gentle nudge
Gentle nudges is a concept termed recently to describe a micro-choice movement that is beginning to carve out a sizable niche in the healthcare start-up space, and is gaining a lot of well deserved national attention.

Our health is worsening at a time when medicine has never been better
Now, the really bad news: diabetes and pre-diabetes rates are going to soar in the coming decade, according to the analysis, in part driven by the obesity crisis.

Exercise to prevent cancer
The next time you're on your couch contemplating whether to watch your favorite sitcom or get up and exercise, remind yourself that being active for at least 30 minutes every day can help reduce your chances of getting certain types of cancer.

Gastric bypass is not a short cut to treat obesity
GIB is no short cut; it's a surgical incision that may create a deep wound that will not heal.

Love is the secret ingredient to health
Last year's Mayo Transform 2010 symposium was a two-day excursion into the world of science, data, design, and the secret ingredient to health: love.

The following presented by Grassroots Health 


Vitamin D Supplement Doses and Serum 25-Hydroxyvitamin D in the Range Associated with Cancer Prevention 

Studies indicate that intake of vitamin D in the range from 1,100 to 4,000 IU/d and a serum 25- hydroxyvitamin D concentration [25(OH)D] from 60-80 ng/ml may be needed to reduce cancer risk.


The following presented by WebMD

Family Fitness Made Fun
Remember when childhood was synonymous with running, jumping, and playing games?

Exercise and Depression: Expert Q&A
Depression is draining. It can make any type of exertion -- going to the grocery store, cleaning up the yard, or exercising -- seem daunting.

How to Wreck Your Heart
When it comes to the heart's health, there are some things you can't control -- like getting older, or having a parent with heart disease. But there are many more things you can do to lower chances of sabotaging your ticker.

Five Unusual Ways to Prevent Heart Disease
You've heard it all before. Eat right. Exercise. Stop smoking. But now it's time to take that advice and finally figure out how to fit it all into your life.

Sunshine's Not Enough to Get Your Daily D
Here in the USA, three out of four Americans are vitamin D deficient. It's now becoming apparent that as we age, our ability to convert sunshine into vitamin D is somewhat impaired.

Getting Comfortable with Ginger
What a delicious, versatile and healthy addition to your diet ginger can be.

Group Wants Ban on 2 Types of Caramel Coloring in Sodas
Two types of caramel coloring used in some sodas and foods contain two carcinogens and should be banned, according to the nonprofit Center for Science in the Public Interest (CSPI).

Toxics Leaching from Plastic Food Packaging
Plastic bags, plastic bottles, plastic-lined cans - it's tough to find a food that isn't packaged in plastic.

The following presented by AMA

Teaming up for wellness, prevention -- and saving money
When I was a medical student, I never dreamed that my work as a physician would have anything to do with the federal budget or the cost of health care to the nation. Yet that's exactly what's happening today as we find ourselves trying to figure out how to help Americans with preventable diseases and chronic conditions help themselves.

The following presented by Diabetes in Control 

Study Reveals How Omega 3's Work in Preventing Several Forms of Blindness
A follow-up study from Children's Hospital Boston, now reveals exactly how omega-3's provide protection, and provides reassurance that widely used COX-inhibiting drugs like aspirin and NSAIDs don't negate their benefit.

Nitrates in Spinach Counteract Components of Metabolic Syndrome
Nitrates reduce oxygen consumption during physical exercise; however, they are also of potential significance to diseases involving mitochondrial dysfunction, such as diabetes and cardiovascular disease.

Resource Articles and Websites: 

Online Tool from WebMD: 

Fiber-o-Meter Dietary Fiber Calculator
Find the fiber content of more than 7,000 foods.

Resources from Berkeley Wellness Alerts:

Cholesterol: Size Matters
 Why do some people with certain levels of LDL ("bad") and HDL ("good") cholesterol develop heart disease, while others with the same levels do not? A key factor may be the size and density of the cholesterol particles.

Should You Go For Goji?
Goji berries have found their way into juices, energy bars, snacks, and teas. Are they really the greatest of all "superfoods," as marketers claim?

Thinking Outside the Cookie
If your only experience with figs has been as cookie filling, you're missing out. Here's what's healthy about figs.

Resources from MayoClinic.com

Anxiety: A cause of high blood pressure?
Anxiety doesn't cause long-term high blood pressure (hypertension). But episodes of anxiety can cause dramatic, temporary spikes in your blood pressure.

Nuts and your heart: Eating nuts for heart health
Eating nuts helps your heart. Discover how walnuts, almonds and other nuts help lower your cholesterol when eaten as part of a balanced diet.

Dietary fats: Know which types to choose
Most foods contain several different kinds of fat, and some are better for your health than others are. You don't need to completely eliminate all fat from your diet. In fact, some fats actually help promote good health. But it's wise to choose the healthier types of dietary fat, and then enjoy them - in moderation.

Carbohydrates: How carbs fit into a healthy diet
Carbohydrates aren't bad, but some may be healthier than others. See why carbs are important for your health and which ones to choose.

Healthy diet: End the guesswork with these nutrition guidelines
You're trying to eat a healthy diet, but you're not sure how much of which nutrients to get. Just what constitutes a healthy diet? With the different or even conflicting nutritional advice you may come across, it's no wonder you're uncertain.

Oral health: Brush up on dental care basics
Your smile depends on simple dental care habits, such as brushing and flossing. But are you using the right techniques? Follow these steps to protect your oral health.

Fitness tips for menopause: Why fitness counts
Menopause is an important milestone in a woman's life. Use it as a reminder to take good care of yourself. Start by considering these fitness tips for menopause.

Barriers to fitness: Overcoming common challenges
Sticking to a regular exercise schedule isn't easy. After all, there are plenty of potential hindrances - time, boredom, injuries, self-confidence. But these issues don't need to stand in your way. Consider practical strategies for overcoming common barriers to fitness.

Aerobic exercise: Top 10 reasons to get physical
Regular aerobic activity - such as walking, bicycling or swimming - can help you live longer and healthier. Need motivation? See how aerobic exercise affects your heart, lungs and blood flow. Then get moving and start reaping the rewards.

Weight training: Improve your muscular fitness
Weight training can help you tone your muscles, improve your appearance and fight age-related muscle loss. Better yet, weight training doesn't take as long as you might think.

Resource from National Institutes of Health

Dietary Supplement Fact Sheet: Vitamin D
What is vitamin D and what does it do? How much vitamin D do I need?

contact us: admin@lifestylemedicine.org
Contributing writers:
Marc Braman
Wayne Dysinger
Kathy Cater
American College of Lifestyle Medicine
fax: 971-983-5384

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