Friday, May 29, 2009

Hello Everyone,

There's been a lot happening at Naturopathic Family Care this month and we don’t expect that to change much in the near future! One of the biggest changes that will be happening soon is a name change. Soon, we’ll be transitioning from Naturopathic Family Care to Longevity Medical Health Center. We’ve decided to make this switch because in the past 5 years our office has expanded to include doctors who focus on more than just family medicine. Of course we still have great docs who offer family medicine, but our office is also home to doctors who focus in particular areas. Some of the areas in which our doctors are considered experts include oncology, women's health, pain and mucsuloskeletal medicine, environmental medicine and detoxification, as well as men's health. We wanted our new name to more accurately describe what we have to offer at the clinic. Other than a name change nothing else will change, we'll continue to have the same great doctors and provide the same great services!

We've teamed up with Our Organics to now offer fresh, certified organic produce right at our office! Beginning on July 17th we will be offering organic produce on every other Friday afternoon from 5-7PM. Our Organics will be delivering two different box sizes of produce, with the items changing with the season. The larger box, which will easily provide for a family of four is reasonably priced at $60. A smaller box costs $40 and will supply a couple or small family with all the fruits and veggies they can eat for two weeks! Just try to get those kind of prices at an organic grocery store! In order to reserve your fruits and veggies call Our Organics at (602)-550-0330, or visit their website at here.

During the month of June we’ll be offering two “Free BIA Days.” During these two days it will be possible to come into the office and receive a BIA for free!!!

The BIA is a great way to get a large overview of your body. Measurements such as %lean body weight, %fat mass, resting metaboilic rate, body mass index, and total body water are all determined with this fast and easy test. We frequentlay use this test to monitor people who are taking advantage of our First Line Therapy programs. These programs provide guidance on therapeutic lifestyle medicine and are used for conditions such as diabetes, high cholesterol, weight control, and hypertension.

The Free BIA Days are going to be the 19th and 26th of June. If you want to take advantage of this offer please call the office and tell them which day you would prefer. The BIA is non-invasive, totally pain free, and the whole procedure only takes about 15 minutes. Call today to reserve your spot!!

We've got a great selection of articles to share with you this month:

Hypothyroidism by Shahrzad Orona, NMD
Adrenal Fatigue by Phranq Tamburri, NMD
Alcohol and Longevity? by Dr. Ross Kerievsky, DC, NMD
Weight Loss and Aging Metabolism by Dr. Marianne Marchese, NMD
New Hope for Autoimmune Disease by Marie Niechwiadowicz, NMD
Pollution Reflections by Raushanah Najeeullah, NMD


Hypothyroidism
Shahrzad Orona, NMD


Do you hear of low thyroid symptoms and think that the majority apply to you? You may have heard of this recently on the Dr. Phil Show. Low energy, easy weight gain, cold hands and feet and hair loss are just a few of the symptoms that are often associated with sub-optimal thyroid functioning. You have experienced these symptoms, and even asked your doctor test your blood for thyroid function knowing for sure that you are hypothyroid (low thyroid). Then, you are told that your thyroid is normal, but you just don’t know how this could be possible as you still feel the symptoms.

Many people experience this scenerio, usually because the only blood test the doctor ordered is simply checking the level of your thyroid stimulating hormone or TSH. The TSH level indicates how the brain perceives the body’s thyroid hormone levels. When your brain perceives that your body has low thyroid hormone levels it produces more TSH to tell your body to make more thyroid hormones. When your brain perceives that your body has adequate or high levels of thyroid hormones it produces less thyroid stimulating hormone. Measuring only TSH levels also has other problems, as there is debate over the optimal range of TSH. Although labs generally set the range between 0.45 and 4.5, many doctors are now finding this range too broad and are using other more narrow ranges.

So what is a person to do? My recommendation for obtaining a complete thyroid assessment would be:

A questionnaire to rank your symptoms, and a complete health history.

Blood testing: TSH, total and free T4, total and free T3, reverse T3, T3Uptake. T3 and T4 are both hormones that are produced by the thyroid gland, and both can have a major impact on how a person feels.

Possibly testing your thyroid antibodies depending on your risk of autoimmune disease

Thyroflex test- this non-invasive test calculates thyroid function based on the speed and duration of your reflexes. This test is what Dr. Phil presented on his recent show. To see a short clip of this episode click here.

Urinary iodine test- insufficient levels of iodine in the body have been associated with abnormal thyroid functioning. Low iodine levels have also been associated with condition such as breast cancer. For more on this see NFC cancer blog at http://www.cancernd.com/

Treating thyroid problems is a large part of my practice, and if you feel that you may have a problem with thyroid function I would be happy to help you investigate this.


Adrenal Fatigue
Dr.Phranq Tamburri, NMD


Adrenal fatigue is a common health condition that affects millions of people. The adrenal glands are important because they give us energy, allow our bodies to adapt to stress, maintain a healthy weight, help regulate blood pressure and contribute to hormone balance in the body. The adrenals can develop dysfunction when we are under prolonged periods of stress or experience an isolated episode of major stress. Stress comes in many forms, both physical and psychological. The main sources of physical stress are pain, inflammation, blood sugar dysregulation or an illness like a severe respiratory infection. Psychological stresses are often associated with living in a fast paced society with very little leisure time to rest and rejuvenate. When the level of stress exceeds our body's ability to cope then adrenal fatigue develops.The symptoms of adrenal fatigue can vary but the most common ones are: fatigue, difficulty losing weight, lack of concentration, muscle or joint pain, frequent colds and flu, mood changes and insomnia. Adrenal dysfunction may also worsen hormone related conditions like symptoms of PMS, menopause, or for many of my specific male patients, andropause.

Your adrenal function can be assessed with a simple salivary test called the Adrenal Stress Index test, in which the daily cortisol rhythm is mapped out and compared to a normal curve. Based on the test results and your specific symptoms, an individualized treatment plan can be developed to help restore optimal adrenal function. Treatment may include nutritional IVs, oral supplementation with vitamins C, E and B vitamins, adrenal glandular extracts, and herbs that help tonify and restore the adrenal glands. It is also important to utilize stress management techniques to help mitigate the effects of stress.

Although healthy adrenals are the key to improved energy and vitality, many books or alternative practitioners too frequently and prematurely make this diagnosis so make sure that you are properly assessed by your physician to rule out other more serious disease that may have similar symptoms.
If you suspect that you might have adrenal dysfunction make sure you ask us about testing.


Alcohol and Longevity?
Ross Kerievsky, DC, NMD


There has been a lot of conflicting data over the past few years regarding whether alcohol consumption is a health benefit or a health risk. Unfortunately, there is still a debate on the subject. Recent data suggests that depending on if you are a male or female can indicate whether alcohol consumption is a health benefit or a risk.

A recent study from of the April 30th The Journal of Epidemiology and Community Health reported that drinking a half a glass of wine daily for men increased longevity by 5 years. More studies are needed however. For best results avoid boxed wine!

Benefits were attributed to the actual alcohol consumption as well as the benefit specifically from wine. Unfortunately, the benefits seen in males do not seem to be the same in females. Other reports show a potential increase in incidence of breast cancer with the addition of alcohol. Hopefully more studies will shed light on this topic in the future. To see the study click here


Weight Loss: The aging metabolism
Marianne Marchese, NMD


Ever feel like you’re fighting a losing battle to shed pounds not matter how much you exercise or how well you eat? You may be losing the battle at a cellular level. Your body is built to store fat and later use the stored fat for energy. As you age and your metabolism slows down not only do you burn less fat but the food you eat is more likely to be stored as fat instead of being used to fuel your body.

Food is fuel

The primary nutrients in foodstuff can be classified as fats, proteins or carbohydrates that are used to fuel the body. Metabolism is the way the cells, organs and tissues in our bodies handle those kinds of fuels. As metabolism slows, the primary thing that seems to occur is that mitochondria in the cells slow down with age. As we age, we are subject to muscle wasting. Since muscle burns more energy than fat if you do nothing about your loss of muscle with age, it will take you longer to burn off a candy bar at age 60 than at 20.

How to slow the slowing

Dr. Marchese has developed a treatment plan to address the slowing metabolism at a cellular level. Along with a comprehensive nutrition and exercise plan she assists the cells to ramp up the mitochondria. This is done with a simple sugar that increase the energy molecule ATP in the body, an extract of the skin of the red grape that increases enzymatic activity and mitochondria, and the reduced form of a naturally occurring antioxidant that is present in every cell of the body that increases cellular activity.

Other causes of weight gain

In addition to aging and slowing metabolism, hypothyroidism and insulin resistance can cause weight gain and make losing weight difficult. This is why it is important to have a complete medical work-up to determine the cause of weight gain. Treatment for hypothyroidism and insulin resistance are mainstays of Dr. Marchese’s practice.


If you are having trouble losing weight, making changes in your diet or getting started on an exercise program, Dr. Marchese can help.


New Hope for Autoimmune Disease
Marie Niechwiadowicz, NMD


When patients are first diagnosed with an autoimmune condition, a common initial response is confusion. “I like my thyroid (or insert appropriate organ) – why doesn’t my immune system?” The cause of this internal power struggle remains unknown. Current theories point to viral infections as the etiology. What is even more worrisome is that once you have one autoimmune disease your likelihood of developing another one increases exponentially. Celiac and Hashimoto's Thyroiditis go hand in hand. More than eighty different diseases are classified as autoimmune conditions. In conventional medicine, treatment has been limited to immunosuppressant drugs. Alternative medicine offers more options with supportive treatments such as acupuncture, nutritional support, IV therapies, and herbal medicine. A new use for an old drug offers another powerful option that may reverse the autoimmune process. This is low dose naltrexone therapy.

Since 1980, therapies developed by a neurologist may cure or at least slow the process of autoimmune conditions. Neurologist Dr. Bernard Bihari started using low dose naltrexone on his Multiple Sclerosis patients in New York City. His research showed that low dose naltrexone stopped cell death of oligodendrocytes which produce myelin, prevented the inhibition of glutamate transporters, prevented excitatory neurotoxicity on neurons, and reduced inflammation in neurons. In short, MS, which is a progressive disease process that is characterized by demyelination of neurons, was being reversed. Low dose naltrexone has also been given for some cancers and HIV with promising results. At high doses, naltrexone is conventionally used for opiate drug addiction. It is classified as an opiate agonist. The dosage for addiction is 50-300mg a day.

The cells of the immune system have several types of opiod receptors and naltrexone in low doses blocks mu opiod receptor decreasing the immune systems responsiveness to antigens. The balance between delta/mu receptors lead to competent immune system that recognizes self from non-self. Naltrexone increases Th1 and decrease Th2 cytokine production, decreases IL-4 production and increase IL-2 and interferon gamma levels. Low Th1 levels increase the production of auto reactive T lymphocytes and of auto antibodies. What this means is naltrexone gets your immune system to stop seeing you as the enemy.

Low dose naltrexone therapy has been successfully used to reverse the autoimmune disease process in Hashimoto’s Thyroiditis, Lupus, Rheumatoid Arthritis, and Multiple Sclerosis. Patients typically notice symptomatic improvement within a month. After 3-6 months of treatment, autoimmune antibodies are considerably lower and sometimes undetectable. Treatment is 1.5mg to 3mg of naltrexone taken before bed. At this low dose naltrexone has no known side effects. In conjunction with supportive therapies, low dose naltrexone is a powerful weapon to combat autoimmune diseases.


Pollution Reflections
Raushanah Najeeullah, NMD
My precious little angel, also known as my son Phoenix, has had a bothersome cough for the last 2 weeks or so. Being a good mother/doctor, I took his temperature, listened to his lungs and watched him like a hawk. Other than this annoying little cough he was perfectly fine. A very pretty basic and gentle kid-sized cough treatment involving botanicals and homeopathy definitely gave him some relief but this cough just wouldn’t quite go away.

Remembering the Naturopathic Principle of ‘Discover and Treat the Cause’, I decided to try a little experiment. It was mother’s day weekend so I took a trip to Sedona; a beautiful canyon only 120 miles away from but roughly 3,000 feet above the heavily polluted metro Phoenix area where we live. Low and behold, the coughing ceased for almost the entire time we were in Sedona and started again upon our return to Phoenix (the city, not my son).

The high pollution days and constant ‘Brown Cloud’ seen over Maricopa county can take a terrible toll on respiratory health especially in the very young and elderly. Of the 25 most ozone-polluted cities in the country, Phoenix ranks 9th. According to the American Lung Association’s "State of the Air 2005" report, over 2.6 million, or 79%, of Maricopa county's residents are at high risk for respiratory complications due to air quality. Increased air pollution can cause cough, eye and throat irritation, shortness of breath and brain fog in otherwise healthy individuals.
Asthma sufferers in particular may see an aggravation of symptoms during this time.

Asthma is an inflammatory condition of the bronchial and bronchiolar airways found in the lower respiratory system. It causes narrowing of the airways, swelling to the lining of the airways, and increased mucus production. Symptoms commonly seen are wheezing, difficulty breathing, cough, a feeling of discomfort in the chest, and shortness of breath with activity.

There are steps you can take to alleviate the symptoms of air pollution. HEPA air filters and plants that clean the air are very effective at cleaning the air in your home. It is also important to remove your shoes as you enter a home. You can track pesticides, herbicides, and other substances through a living area if you did so much as walk across a treated lawn. There are also therapeutic options to address preexisting conditions such as asthma. Homeopathy, NEAT (Natural Elimination of Allergy Therapy) and constitutional hydrotherapy are just a few options you can discuss with your doctor.

Tuesday, April 28, 2009

Swine Flu Update!

Hello Everybody,

We have been receiving many calls from people looking for more information about the swine flu. On April 26th, our recently departed Governor, and newly appointed Secretary of Homeland Security, Janet Napolitano, declared swine flu a public health emergency. She likened this declaration similar to those given when a hurricane is approaching. “It might not actually hit,” she stated “but (declaring an emergency) allows you to take a number of preparatory steps.” President Obama has called this action an “abundance of caution.”

As of today, there are 65 confirmed cases of swine flu in the U.S., with the vast majority of these cases being mild. So far, there has been only a single death which has confirmed to be the result of swine flu. This was a 23-month old child from Texas.

By comparison, seasonal influenza causes 35,000 deaths in the U.S. annually. The World Health Organization has stated that there have been several deaths attributed to the swine flu in Mexico.

There have been no cases reported in Arizona.

The symptoms of swine flu are indistinguishable from seasonal flu. These symptoms include fevers of greater than 100 degrees F (37.8 degrees C), and a cough and or sore throat, muscle aches, and possibly vomiting and diarrhea. Due to the fact that the symptoms of swine flu are so similar to seasonal flu, it is impossible to differentiate the two by symptoms alone. People who have recently traveled abroad, especially to Mexico, are encouraged to see their doctor. Tests for swine flu are available and are easily collected using a nasal swab. If you have a fever over 101 degrees F, and any of the symptoms listed above it would be a good idea to have a visit with your doctor.

You cannot contract swine flu from eating pork. The virus can be transmitted from pigs to people, and people to pigs. Human-to-human transmission of the virus is also possible, and this is thought to occur the same way that seasonal influenza spreads. Transmission of the virus may occur through the coughing or sneezing of an infected person. Transmission may also occur by touching objects with the flu virus on it and then touching their mouth or nose.

What you should do:
1. Be diligent about hygiene. Wash your hands frequently. I'm a big fan of the Citricidal Soap we carry at the office.
2. Use a Kleenex when you cough or sneeze. Then wash your hands again.
3. Try to avoid sick people. If your around sick people- wash your hands.
4. If you feel ill, stay home. This goes for your kids too. Wash their hands.

Prevent it!
There are many things that you can do from a Naturopathic standpoint that will help keep your immune system ready should it be needed. Many of you are undoubtedly familiar with Acute Immune, one of our favorite immune stimulators. We also have recently seen great results using Ultimate Defense Plus, a new anti-viral supplement that has been shown to inhibit viral cell attachment. Don’t forget about good old vitamin C! Taking 500mg every 3-4 hours is a great way to stimulate your immune system.

For more information about the swine flu check out the CDC’s website at:
http://www.cdc.gov/swineflu/

Thursday, April 23, 2009

NFC April Newsletter

Hello Everyone!

This month we have a great group of articles to share with our readers.

What you need to know about red meat by Dr. Ross Kerievsky, ND, DC
Custom Sublingual Immunotherapy by Dr. Jake Psenka, ND
Facial Acupuncture Rejuvenation by Dr. Marie Niechwiadowicz, NMD
Light Exposure and Prostate Cancer Risk by Dr. Pharanq Tamburri, ND
Vitamin D Fast Facts by Dr. Raushanah Najeellah, ND(Preceptor)
Hay Faver- by Dr. Marianne Marchese, ND
The Thyroid-High Cholesterol Link by Dr. Shahrzad Orona, ND

We've scheduled some great free lectures in the next couple of weeks. Please see the headings on the right side of this page for topics and dates. Also, if there is a specific topic that you would like to suggest for future lectures, please let us know.

Our online pharmacy is continuing to expand, with more and more items being added everyday. It is now possible to have your supplements delivered to your door with just a few clicks of your mouse! Check the online store (nfcpharm.com) frequently for discounts and specials.

As always, thank you for being a valued friend of Naturopathic Family Care. If you are interested in learning more about any of the topics/treatments in this newsletter please contact our office.


Red meat and processed meat intake linked to higher risk of cancer and cardiovascular disease death. Ross Kerievsky, DC ND

A new study from the Archives of Internal Medicine was just released comparing health of approximately 550,000 participants. They looked at the dietary choices of participants aged 50-71 and their red, processed and white meat consumption levels. “Red meat included all types of beef and pork such as bacon, beef, cold cuts, hamburgers, hotdogs, steak, and meats in pizza, lasagna, and stew. Processed meats could include either red or white meats in the form of sandwich meats or cold cuts as well as bacon, red meat and poultry sausages, and regular hotdogs and low-fat hotdogs made from poultry.”

All participants that ate high amounts of red and processed meats were noted to have the highest rates of death from cardiovascular disease and cancer. The study also showed that 11-16% of deaths could be avoided by participants changing their intake behavior of these types of foods.

In my opinion, this study highlights the ongoing issue I discuss with my patients on a daily basis. Your food consumption greatly affects your risk and genetic expression for developing cardiovascular disease and cancer. A diet high in fruits, vegetables, whole grains, legumes and low in red and processed meats is what I recommend to all my patients.


Customized Sublingual Immunotherapy by Jake Psenka, ND

It’s about this time of year when Phoenix starts to cook. As the temperature starts to soar, the pollens and grasses which cause so many Phoenicians to get allergies begin drying out and blowing away. Arizona used to be the place where allergy sufferers were sent to get relief from their itchy eyes, runny noses, and sneezes. Those days are long gone. As many of us know, the allergy season in Arizona seems to get everybody.

There are a ton of allergy remedies available for those in need. At NFC we offer several therapies such as Natural Elimination of Allergy Treatment and AllergyEasy. These techniques are both safe and effective, but unfortunately there are some people who’s allergies continue to be a problem despite using these therapies.

Now, a new allergy treatment is available which uses the latest in allergy science to provide allergy sufferers with an effective and customized treatment. This new treatment uses a blood test to determine what each patient is allergic to. This test analyzes immunoglobulins which are substances that are made by the body in response to aller-gens. By measuring and analyzing these immunoglobulins it is possible to determine what allergens are causing the most problems. Trees, grasses, pets, molds, pollens- it’s possible to test for them all.

Once the allergens are identified a special and individualized oral medication can be made to treat each person’s specific allergies. This oral medication is called Sublingual Immunotherapy, or SLIT. SLIT has been found to be just as effective as allergy desen-sitization shots, without the pain. Additionally, SLIT has been found to be extremely safe and effective.

Sublingual immunotherapy works like this: a glycerin-based solution is made which contains a dilute concentration of the allergens which cause allergy symptoms. When this solution is administered sub-lingually (under the tongue) the solution will be absorbed by the blood vessels in the mouth. When used correctly this solution will cause the body to build up an immunity against the offending allergens, and voila no allergy symptoms. This is the same concept used by allergy shots, but this works without the shot! For more information on this great new therapy contact Dr. Jake.


Acupuncture Facial Rejuvenation by Dr. Marie Niechwiadowicz, NMD

Are you looking for an alternative to botox and restylane? Do you want to improve the overall muscle tone to your face? Are you looking to soften lines? Facial acupuncture has been safely practiced for decades as an alternative to more invasive cosmetic procedures.

A facial acupuncture treatment starts with an initial evaluation of not just yourskin but your overall well-being. Factors such as diet, hydration, sleep, and hormone balance are evaluated. During the treatment, 50-60 ultra-fine sterile needles are inserted in the areas being treated. The needles are retained for 20 minutes. Often micro-current electrical stimulation is applied. The needles may be dipped in specific homeopathic solu-tions prior to insertion.

Facial acupuncture works by causing micro-trauma to the area. The skin responds by depositing collagen to the area. The overall effect is a "plumping" that reduces lines and increased skin tone. Many people feel an overall sense of well-being and relaxa-tion after treatments.

A course of 10 treatments -- usually 2 treatments a week for 5 weeks is standard. Many patients see results after the first treatment. After the series of 10 treatments is complete, a once a month maintenance treatment is necessary for upkeep. Mature skin that has been well maintained responds best to cosmetic acupuncture. To find out more about acupuncture facial rejuvination please call our office.


Turn Off the Lights by Dr. Pharnq Tamburri, ND
New research provides more supporting evidence that exposure to light at night in-creases rates of prostate cancer.

Data was collected from a database of the International Agency for Research on Cancer on male cancer incidence in 164 countries. Higher rates of prostate cancer occurred in countries with higher levels of exposure to nightly artificial light. Researchers alluded to several theories that could explain the increased incidence of prostate cancer due to nighttime light exposure, including suppression of melatonin production, suppression of the immune system, and an effect on the body's biological clock due to confusion be-tween night and day. Adding to this research are previous studies linking Vitamin D de-ficiency with cancer, particularly prostate cancer. The link to the current study is that Vitamin D is created in the skin during proper light exposure hence adding to ones im-portance for not only sun exposure but perhaps suggesting certain amounts or rhythms of daylight we need. Regardless of the cause, there appears to be a link between can-cer and nighttime light exposure. Consider more normal sleep schedules, light dimmers at home including the TV, candle light if appropriate, and sheer blinds to allow your house to 'breath in' sunlight in natural sun rhythms rather than whenever you open thick blinds.


Vitamin D Fast Facts by Dr. Raushanah Najeellah, ND(preceptor)

NPR recently broadcast a report on Vitamin D. It informs us that the FDA Recom-mended Daily Intake (RDI) of Vitamin D is 200-600 IUs (international units) per day but new research indicates a dose of at least 1000 IUs per day is needed to be beneficial. The RDI can be achieved by exposing 30% of skin to sunlight for 30 minutes for fair skin, 45 minutes for darker skin.
In actuality, the therapeutic dose of Vitamin D is between 1,000-10,000 IUs per day. The appropriate dosage depends on the condition being addressed as well as the level of two forms of vitamin D that can be measured in the blood, 25-hydroxyvitamin D [25(OH)D] and 1,25-dihydroxyvitamin D [1,25(OH)(2)D]. 25-hydroxyvitamin D level is used most often to assess and monitor vitamin D status.

Vitamin D can be used in the treatment of a wide variety of conditions. Deficiency has been linked to autism, autoimmune conditions such as lupus and Hashimoto’s thyroiditis, cancer, chronic pain, depression, diabetes, heart disease, osteoporosis, hyperparathyroidism, hypertension, and chronic skin conditions
Very few foods in nature contain vitamin D. The flesh of fish (such as salmon, tuna, and mackerel) and fish liver oils are among the best sources. Small amounts of vitamin D are found in beef liver, cheese, and egg yolks. Supplementation is usually in the form of liquid drops or capsules.


Hay Fever by Marianne Marchese, ND

Spring brings welcome relief from the cool winter months. But for some, it marks the beginning of allergy season and the miserable array of symptoms that accompany it. 35million people in the U.S. suffer from a condition called allergic rhinitis, or seasonal allergies.

Typical symptoms include itching of the nose, roof of the mouth, pharynx and eyes. Sneezing, and clear watery discharge from the nose soon follows. Headaches and irri-tability may also be present. Coughing and asthmatic wheezing can develop as the season progresses. Dark circles under the eyes, known as ‘allergic shiners,’ are a hall-mark of the condition.

Hay fever is the common name for seasonal allergies. It is an allergic condition triggered by windborne pollens and mold spores. Plants blooming in the spring look and smell nice but can be triggers for some folks. Air pollution, high winds and dust can make symptoms worse.

If you are not certain what triggers your allergies Dr. Marchese offers an affordable blood test looking at IgE and IgG antibodies to different outdoor allergens.

Prevention
1. Keep an eye on the weather. Pollen counts are lowest on rainy, cloudy, and windless days. Hot, dry, and windy weather signals greater pollen and mold distri-bution and thus increased allergy symptoms.
2. Avoid or limit activity between 5:00am and 10:00am, when pollen is usually released.
3. While indoors and driving, keep the windows closed and the air conditioning on to prevent pollen from drifting into your house or car.
4. Avoid moist, shady areas, compost piles, and greenhouses.
5. Don’t linger around freshly mowed lawns.
6. Avoid gardening on warm or windy days
7. Don’t hang your clothes or sheets out to dry. Pollens and spores may rest on them.

Conventional treatment options include anti-histamines, decongestants, and corticosteroid nasal sprays.

Claritin is a popular anti-histamine that is now available over the counter. However, many of these come with side effects.

Naturopathic treatment options include;
Vitamins
Herbs
Homeopathy
Nutritional supplements
Bioflavonoids.

Although these supplements can be effective for many individuals, other will need to work more closely with their naturopath to identify triggers, enhance immune response and decrease allergic reactions. Make an appointment with Dr. Marchese now to curb your allergy suffering.


The Thyroid-High Cholesterol Connection by Dr. Shahrzad Orona, ND

A high blood cholesterol level may be an indication that the thyroid gland is underactive rather than the result of poor dietary habits. The American Association of Clinical Endocrinologists (AACE) claims that after diet, thyroid disease is the most common secondary cause of high cholesterol. About one-quarter to one-half of patients with underactive thyroids will have high cholesterol levels. Cholesterol levels can be lowered just by diagnosing and treating the thyroid disease. A survey released by the AACE shows that fewer than half of the adults who had been diagnosed with high cholesterol knew if they had ever been tested for thyroid disease. Everyone with a high cholesterol level should be screened for thyroid disease.

Tuesday, February 24, 2009

NFC March Newsletter

Hello Everyone!

Our doctors have written some great articles for this month's newsletter.

Buy the Organic Strawberries - Dr. Psenka
The Wet Socks Treatment- Dr. DiCampli
New Test Available for Prostate Cancer- Dr. Tamburri
The Vitamin D and Pain Connection- Dr. Kerievsky

Also, our online pharmacy is up and running! We've added dozens of our most popular pharmacy items, and are adding more daily. Visit nfcpharm.com to have all your supplements shipped right to your door!


Strawberry Bummer- Dr. Psenka
Who doesn’t love strawberries? I could probably eat my weight in strawberries on any given day. Strawberry rhubarb pie, strawberry shortcake, strawberry preserves they’re fantastically delicious no matter how you eat them. Unfortunately, not everything about strawberries is good. It has long been recognized that strawberries are one of the most heavily contaminated foods we eat. Strawberries, along with apples, cherries, and peaches have been on the “10 Most Contaminated List” for a long time.

I decided to look into what was contaminating the strawberries after paying five bucks for a pint at Whole Foods. My daughter can plow through a pint in about 3 minutes and they happen to be one of her favorite foods. Paying five bucks was a hard pill to swallow considering that I grew up down the road from a strawberry farm. I wanted to find out exactly what it was that made the organically grown berries so much better, were they really worth twice the price?

Here’s what I found: There are currently 371 pesticides approved by the Environmental Protection Agency for use on strawberries (Kind of makes the name Environmental Protection Agency sound like an oxymoron, eh?) Growers of conventional strawberries may use methyl bromide, chloropicrin, Captan, malathion, Diprom, Kelthane, and Avermectin to bring a crop of strawberries to market. The highlights of these pesticides include:

1. Methyl bromide (aka. bromomethane) a soil sterilizer. Was supposed to be phased out of use according to the Montreal Protocol. In the US it has been granted a “critical use” exemption for use on certain crops including strawberries. Respiratory, kidney, and neurologic effects are of the greatest concern to people. No cases of severe effects on the nervous system from long-term exposure to low levels have been noted in people, but studies in rabbits and monkeys have shown moderate to severe injury.

2. Chloropicrin (aka PS) is currently used as a fumigant, but made it’s first appearance as a chemical warfare agent. It is sometimes used to kill vertebrates such as rabbits. Chloropicrin is a highly dangerous and toxic chemical. At concentrations above 1.1 ppm (that’s parts per million), chloropicrin irritates the eyes; between 1 to 3ppm can also cause excessive crying. Above 4ppm will limit a person's ability to participate in work or activity. A one minute exposure to chloropicrin above 15ppm can cause respiratory damage.

3. Captan, a fungicide. The EPA has this chemical classified as a “probable human carcinogen.” Enough said.

4. Malathion- This one is particularly interesting for Phoenicians, as it is used in mosquito control programs. You know, it’s sprayed from those helicopters that fly over the city at night....Currently labeled as “insufficient data to classify as a carcinogen” by the EPA. Animal studies suggest otherwise. Interesting study in April, 2008 issue Environmental Health Perspectives showed that dietary intake of organopesticides was the major source of exposure in young children. See the whole article here.

5. Dibrom (aka Naled)- this is another little beauty developed by the wonderful people who brought you chemical warfare. Originally used as a nerve agent, it can effect reproductive health and development, is toxic to aquatic organisms, and is a ground water contaminant. Spelled backwards is “morbid.”

After reading about the chemicals that are used for growing conventional strawberries, I decided to do my best to only eat organic strawberries. Additionally, there is no way that I can ever feed either of my kids something that is tainted with chemicals born from chemical warfare and known carcinogens.

I sometimes make jokes with patient about how pretty soon there won’t be anything left to eat. It’s turning out that this really isn’t a joke. The good news is that the locally produced organic food movement is gaining speed. Phoenix has several great farmer’s markets during the week. For a listing of all the markets look at the link on the right side of your screen.


Wet Socks Treatment- Dr. DiCampli
Cold/flu prevention at home.....WET SOCKS!

It sounds strange, but it works. What is it? Well, take a pair of thin cotton socks, saturate them with COLD water, and wring out. Next, get ready for bed and slip them on. Finally put DRY wool socks over the wet socks and crawl into bed for a good nights sleep and wake rejuvenated. Why do you want to do this to yourself? Because it is one of the easiest ways to stimulate your body's immune system while you are sleeping and it is fabulous for removing stagnation (stuffy nose, runny nose, head pain, cough, and just about any other symptom that goes with a cold/flu) Use it to prevent sickness during cold and flu season or use it nightly if you have a cold/flu. Children surprisingly love this hydrotherapy technique because it makes them feel so great! So TRY it and see for yourself what wet socks can do for you and your entire family.


Important and Promising Recent Finding For Prostate Cancer Assessment- Dr. Tamburri
The 2/11/09 issue of Nature announced that a potentially new urine test may help determine the severity of prostate cancer. Read the article here This test would be a crucial addition to the current testing of the faulty PSA and help contribute to decreasing unnecessary biopsy. Although numerous molecules were tested for their correlation to more severe prostate cancer variants (high chance for metastasis), the one which was highlighted is called sarcosine. Sarcosine is a derivative of the amino acid glycine. Some NFC patients may be familiar with this common amino acid given as a powder as a natural treatment for anxiety. The only new conventional laboratory test for prostate cancer released in the last few years (available at Naturopathic Family Care) is the Prostate Cancer Antigen 3 (PCA3) molecular test. A sarcosine adjunct test would be fantastic for the integrative patient to better determine the best treatment options, whether natural or conventional. This study will take years to better analyze its correlation to metastatic disease however once it is available it will be incorporated into our Advanced Prostate Cancer Assessment Program.

Vitamin D deficiency and pain? Is there a link? Dr. Kerievsky
New research is showing a wide range of problems associated with low levels of Vitamin D. I currently have been recommending all my patients over 40 be screened for Vitamin D deficiency due to the increased risk for developing cancer, heart disease as well as other conditions. Research is also indicating that people with unexplained muscle or bone pain should be screened for Vitamin D deficiency. A study of 150 children and adults with unexplained muscle or bone pain showed that almost all of them had Vitamin D deficiency. A simple blood test of 25 (OH) hydroxyvitamin D can be done to determine if you have low levels of Vitamin D. Please contact our office if you are concerned about your Vitamin D levels and are suffering with chronic pain.

Saturday, January 17, 2009

January 2009 NFC Blog

Hello Everyone,

We hope that 2009 is treating you all well so far! In this issue of the NFC blog we've got a ton of great things to share. Here's a taste of what's going on in January:

1. NFC Health Stimulus Check- make sure you get yours!

2. Natural and Bio-Identical Hormones as seen on Oprah- NFC style

3. Prolotherapy: The treatment for sprains and strains.

4. Cholesterol Truth in Advertising

5. Pharmacy News- Yes! We have your supplements, our pharmacy is ONLINE!


Scroll down to read more about all these great topics

The Naturopathic Family Care Health Stimulus Check

We've decided to try something new at NFC this year. We're issuing a $20 Health Stimulus Check to everyone who reads our blog. This $20 is our way of saying an enthusiastic thank you to all the great people we see at the clinic. Readers can use this $20 bucks towards office visits or items from our pharmacy. Remember the wise words of Benjamin Franklin "an ounce of prevention is worth a pound of cure." Keep your family healthy by visiting your friendly neighborhood Naturopath. Just print out the Health Stimulus Check on the right side of the page and bring it with you to the clinic.


Should Women Replace Their Hormones?

It was big news this week when Oprah Winfrey offered a expose on the benefits of bio-identical hormone therapy for women. Many women are familiar with the idea of hormone replacement to treat menopausal symptoms, and some women have heard of bio-identical hormone replacement. Oprah's experts offered a great review of the topic including research suggesting that the use of bio-identical hormone replacement could promote significant advantages for women. Oprah's expose also highlighted the importance of hormone education for women considering hormone replacement. At NFC we have two doctors who have been treating women with bio-identical hormone replacement for years. Dr. Marianne Marchese is a nationally recognized expert in women's health and hormone therapy. Dr. Sharhzad Orona has been treating with bio-identical hormones for years at NFC.
If you have ever wondered if hormone replacement was right for you come in and talk with one of our docs. To see what Oprah had to say about hormone replacement follow this link.

New Treatments for Old Injuries

Whether we make a definitive New Years’ resolution or not, most of us have the goal of improving our fitness level -- be it taking a daily walk, improving our race split time, or playing with our grandkids. At some point a variation of the phrase “if it weren’t for my bum knee/shoulder/back, I could do a lot more” comes out of our mouths. Most of us have old injuries that may limit or downright prohibit activity. We have worn out tendons, ligaments, cartilage, etc. and we don’t like the invasive option of surgery. Prolotherapy often is the solution. (click here for a thorough history and explanation of prolotherapy

Do you roll your ankle every time you take a hike? Does your knee click when you are playing basketball? Does playing with the grandkids leave you with a backache? These are all signs of an unstable joint. Barring frank ruptures or tears, prolotherapy can improve the integrity of the joint, increase stability and strength, and reduce pain. Prolotherapy has given many professional athletes a competitive edge, limited injuries, and increased the length of their active career. As a physician I have had the privilege of treating many of these athletes. I was trained at the Hackett Hemwall Foundation started in the 1960’s by Dr. Gus Hemwall who was mentored by Dr. George Hackett the pioneer of prolotherapy. A young C. Everett Koop, former US Surgeon General, was one of his patient success stories.

At NFC, prolotherapy is not a stand-alone solution. After a thorough history and orthopedic exam, we will determine what structures are involved. The injection solution is customized to your specific injury. Most patients need a series of injections to rebuild the joint. Supportive treatments of acupuncture, electrical-stimulation, massage, exercise rehabilitation, and chiropractic care are all part of a comprehensive plan to optimize your fitness.


When it Comes to Cholesterol, Don't Believe the Hype

It seems that if you ever watch prime time television you'll have the pleasure of viewing several health related commercials. One of my least favorites these days has to do with a well-know breakfast staple offering a cholesterol lowering challenge to people who consume this food for breakfast. The commercial states that when people eat this cereal for an entire month they can see an 8 to 10 point drop in their cholesterol levels.

Well, as great as an 8 to 10 point decrease in cholesterol is, it's probably not the cereal. Last week a patient came in to see me who had his cholesterol drawn on two consecutive days. Both times that his blood was drawn it was early in the morning, and both times he was fasting for the test. When the results came back there was a difference in total cholesterol of 15 points. Fifteen points in a single day beats the pants off of 10 points per month don't you think? The moral of the story is that laboratory values can change significantly in 24 hours, and it might have absolutely nothing to do with your breakfast cereal.

However, if you are attempting to lower your cholesterol and triglyceride levels, then eating a high fiber diet with foods like oatmeal is a smart idea. Many different research studies have proven the benefits of eating a high fiber, low fat diet. One diet that seems especially good for many health concerns such as high cholesterol (aka hypercholesterolemia) is the modified Mediterranean diet. This diet has also been found to be good for other conditions such as high blood pressure, elevated blood sugar, and insulin resistance. At NFC we have been incorporating this diet into our First Line Therapy programs with great success. First Line Therapy is both a research-based treatment and preventative health program. The program consists of combining the Mediterranean diet and exercise with supplementation designed to help with specific conditions. Naturopathic Family Care has recently been recognized as a National Center of Excellence due to our success in helping people with chronic conditions get their health back with therapeutic lifestyle change.

If you have an interest in learning more about our First Line Therapy programs please call our office. Our NFC Health Challenges are another way that people can become familiar with our programs. For information about our next Health Challenge see the link to the right.


Your Supplements Are On The Way

Beginning this week the Naturopathic Family Care pharmacy will be available as on online store. Some of the products in our pharmacy are so popular that we often have a difficult time keeping our shelves stocked. Using this online store will ensure that you have the supplements you want when you need them. So far we have both Metagenics and Neuroscience products on the site, and we will be adding more all the time. Your orders will be shipped directly from the manufacturer and should never take more than a week to arrive on your doorstep.

In order to use the site a short registration process is required. Registering only takes about a minute, and rest assured that your information is safe, and that we will NEVER give out any of your information to anyone. To visit our new online store visit
www.nfcpharm.com

Tuesday, December 30, 2008

Happy New Year!

Hello Everyone,

Can you believe that we're closing in on the end of 2008?

With the New Year just around the corner many people will begin thinking about their New Year's resolutions. Despite our best intentions many of us have a difficult time following through with our resolutions. Dr. Adam Kerievsky, NMD, L.Ac., will be hosting a free lecture on how bring success to your health resolutions in 2009. "Dr. Adam," as he is known around the office is a wealth of information, and as both a Naturopathic Physician and a licensed Acupuncturist he has great information to share. This free lecture is being held at Naturopathic Family Care on Thursday, January 8th at 6:30 pm. More details about this and our other upcoming lectures can be found HERE

Special Event coming to Phoenix!

On January 10th, 2009 Dr. Peter D'Adamo, ND author of the Blood Type will be in Phoenix lecturing on How the Blood Type Diet and Naturopathic medicine can help people be healthier and live longer.

This lecture is open to both health professionals and the public and will certainly be full of great information. This event is sponsored by the Arizona Naturopathic Medical Association, and the complete details of the event, as well as reservation instructions, can be found by following this LINK.

Be sure to watch your mail for the Naturopathic Family Care Health Stimulus Check!

Wednesday, December 3, 2008

NFC December Newsletter



Don’t Take a Deep Breath.....

In 2005 the American Lung Association gave Maricopa County the lowest possible grade for air quality. Our air received this poor grade because it was determined that 79% of Maricopa County residents are at high risk for respiratory complications due to air quality.

We’ve all seen the “Brown Cloud” that enshrouds our city. On weekday mornings the smell of exhaust in central Phoenix can be nauseating. There are even times when it’s impossible to see the buildings of downtown from atop South Mountain.

Our air has turned it’s current shade of brown due to the presence of tiny particles of carbon and from nitrogen dioxide gas. This stuff comes from burning fossil fuels- cars, generators, lawn mowers. There has even been speculation from the U.S. Environmental Protection Agency that large-scale animal farms, like those in the SW part of the valley, may be significant contributors to air pollution.

So what can we do about it? Well, at this point we all still need to drive our cars. However, we should consider buying cars cleaner burning engines the next time we’re in the market, and walking or biking instead of driving when we need to make a trip to the corner store.There are also simple solutions to improving the quality of the air inside of your home. First, and air filter is a great idea. At NFC we have several Austin Air Health Mate Plus filters, and we have been really pleased with their performance. These machines filter both gasses and particulate matter from the air, which is an important thing to look for in any good air filter.

Also, growing indoor plants can help to clean the air of gasses and chemicals. According to NFC doctor Marianne Marchese, ND- our environmental medicine specialist- there are some types of plants which are particularly effective for this purpose. Through researching studies completed by NASA, Dr. Marchese recommends the following plants to clean your air:


Mass cane (Dracaena massangeana)
Pot mum (Chrysanthemum morifolium)
Gerbera daily (Gerbera jamesonii)
Warnecki (Dracaena deremensis “Warneckei”)
Ficus (Ficus benjamina)

Adding just one or two small plants probably won’t make a huge difference in your indoor air quality, but a few larger plants may. It’s a known fact that the bedrooms are often the most polluted rooms in a home, and they are also where we spend the most time. So, adding an air filter and putting some greenery in your bedroom is a great idea.

Interestingly, what you eat may effect how your body deals with toxic effects of the Brown Cloud. At a recent presentation at the AACR cancer prevention research conference it was suggested that smokers could drastically reduce their risk of developing cancer by eating more broccoli. By eating 4.5 servings of cruciferous vegetables PER MONTH the chances of developing lung cancer were reduced by 22-50%. Wow.

So, because we’re all inhaling noxious gasses everyday as a result of being Maricopa County residents, eating more broccoli, cauliflower, Brussel sprouts, and kale is a wise idea. These vegetables have some pretty powerful effects, from helping the liver to metabolize and excrete toxins, to converting potentially harmful hormones into their least active forms- think estrogen and breast cancer.

Of course maintaining a healthy lifestyle is a sure fire way to decrease the chance of getting any of the most prevalent chronic diseases plaguing society today. In fact, of that 79% of us (over 2.6 million) that are in danger of experiencing respiratory problems due to our air pollution, those with the highest risk are people with diabetes, cardiovascular disease, asthma, and bronchitis. Diabetes and cardiovascular disease are both preventable diseases. Exercising, eating right, and reducing stress are all scientifically proven to both prevent and treat these conditions.

The NFC Health Challenge

If you’re new to healthy living, looking for a way to assess your health, or curious about how to prepare tasty and healthy foods then this month’s NFC Health Challenge is for you. On Saturday, December 6th we will be hosting our monthly meeting where participants will receive cholesterol, blood sugar, bio-impedance analysis (BIA), and blood pressure screenings, a full explanation of the meaning of their results, and a customized diet and exercise plan. Additionally this month we will be joined by chef Rachel Albert-Matesz. Chef Rachel has taught more than 800 whole foods cooking classes and had more than 200 articles published in national magazines. She’s the author of The Ice Dream Cookbook: Dairy-Free Ice Cream Alternatives with Gluten-Free Cookies, Compotes & Sauces and co-author of The Garden of Eating A Produce-Dominated Diet & Cookbook. She developed 130 recipes for two cookbooks by best-selling author Barry Sears, including Zone Meals in Seconds. As we're discussing everyone's lab values Chef Rachel will be making and passing around healthy foods for us to enjoy.

This is a fantastic opportunity to learn about healthy living and healthy cooking. Call the office now for more information about this special event as space is limited. Here's the number 602-493-2273

Prince of the Prostates

Our very own Prince of the Prostate, Dr. Phranq Tamburri, ND has recently published his second article article for Naturopathic Doctor News and Review. Dr. Tamburri's article, titled "The Revolution in Prostate Cancer Management," has been extremely well received, and has further solidified his position as one of the top ND urologists in the country.

Dr. Tamburri uses a doppler ultrasound to evaluate prostate. This technique allows Dr. Tamburri to get accurate data about the size of the gland, the size and location of any suspicious tissue, and the blood flow in and around the prostate. This information is of great importance to men with prostate issues. This is especially true as the reliability of standard PSA testing has recently come into question. For more info on Dr. Tamburri please see his biography on the main NFC webpage.

Have a great day,

Jake Psenka, ND