The FDA has recently lifted warnings about the diabetes drug AVANDIA. There were concerns about heart safety and strong prescribing restrictions were instituted in 2010.
Recent studies from DUKE have shown that AVANDIA DOES NOT increase the risk of heart disease when compared to other diabetes medications like metformin and glimepiride. This is important because it reintroduces to us another effective agent in the treatment of diabetes. Avandia is not for everyone and before trying it, the patient should be aware that it may cause leg swelling and weight gain.
So now the big question is, what happens to all the class action suits advertised on TV by those advertising lawyers in 2010? Just another reason health care costs so much more in the US than other countries.
David Maloney is a licensed Physical Therapist Assistant and Certified Power Plate Trainer. Unlike the trainers you find in fitness clubs, he is specially trained as a PTA. He is under the direct supervision of Dr. Jill Rose, our Director of Physical Therapy. He completed his PTA training at the State College of Florida. David provides MAXhealth patients with hands-on, personalized therapy and education. He provides therapeutic treatment for joint and muscle pain and rehabilitation after an injury, surgery or illness. David utilizes Power Plate technology to provide uniquely effective fitness training to improve patients’strength, endurance and balance. David and his family moved to this area from Chicago in 2010. He enjoys being able to golf here year round.
Call our office to schedule a complimentary demonstration of the Power Plate and bioDensity machines. See how they can benefit you!
Most insurances are accepted, including Medicare and most Medicare Replacement products. Please check with your insurance company to ascertain if our office participates with your insurance. You may also contact our office for more information.
We are here to offer you and your loved ones the greatest gifts of all! These gifts NO ONE would want to return!
Call and schedule any one or more of our many wellness services. Someone will be delighted – maybe you!!
• Nutrition Consultation by our Kaizen Registered Dietitian
• Massage Therapy : Neuromuscular, deep massage, Swedish massage, and trigger point massage by our Kaizen Massage Therapist
• Excercise and rehabilitation on bioDensity and Power Plate machines (15 to 20 minute session equals an hour workout in the gym): Supervised by Kaizen Certified Fitness Trainer
• Balance Therapy using state of the art computerized vestibular testing
Give tbe gift of a healthy lifestyle at Kaizen Total Wellness
Fitness and Fatness Independently Linked With CVD Risk Factors
February 6, 2012 (Columbia, South Carolina) — Maintaining or improving current fitness levels, as well as not packing on the fat pounds, are both independently associated with a lower risk of developing hypertension, metabolic syndrome, and hypercholesterolemia in healthy adults, research shows.
“We know that people who exercise will lose weight and improve their fitness, but in the real world, some people don’t lose weight even though they might gain some fitness,” Dr Duck-chul Lee (University of South Carolina, Columbia) told heartwire . “Some of these people might stop exercising because they expected to lose weight and haven’t, but this study shows that they should also be aware about their changes in fitness. Even though they don’t lose weight, if they increase their fitness, they can offset some of the negative effects of being overweight.”
The results of the study, an analysis of the Aerobics Center Longitudinal Study (ACLS), a prospective study of individuals who received preventive medical examinations, are published online February 6, 2012 in the Journal of the American College of Cardiology.
Fitness and Fatness Both Important
To heartwire , Lee noted that fitness and fatness are two variables that consistently change over time in individuals and that there are many diverse combinations of fitness and fatness in US adults. In fact, the “fit-fat” paradox has been demonstrated in some studies, showing that improvements in fitness can eliminate the harmful effects of fatness and suggesting that fit but fat individuals might not develop health problems.
In the ACLS analysis, 3148 healthy subjects underwent three medical examinations, with fitness levels assessed using maximal treadmill testing and fatness documented with body-mass index (BMI) and skinfold measurements of percentage of body fat. During a six-year follow-up after the second medical examination, 752 subjects developed high blood pressure, 426 developed metabolic syndrome, and 597 developed hypercholesterolemia.
Individuals who maintained or improved their fitness levels had a 26% and 28% lower risk of developing hypertension, a 42% and 52% lower risk of developing metabolic syndrome, and a 26% and 30% lower risk of developing elevated levels of LDL cholesterol, respectively. These reductions were observed after adjustment for potential confounders and baseline fitness levels.
For those subjects who got fatter in follow-up, as measured by percentage of body fat, they had a 26%, 71%, and 48% higher risk of developing hypertension, metabolic syndrome, and hypercholesterolemia, respectively, when compared with individuals who lost weight. Similar results were observed when BMI was used as the criterion for fatness levels.
Every 1-MET improvement in fitness was associated with a 7%, 22%, and 12% lower risk of developing hypertension, metabolic syndrome, and hypercholesterolemia, respectively, while every unit increase in percentage of body fat was associated with a 4%, 10%, and 5% increased risk of developing the cardiovascular risk factors.
“In the real world, people change their fitness levels or fatness over time,” said Lee. “Fitness and fatness, not the baseline levels, but the changes over time, are both independently important to reduce cardiovascular disease risk factors.”
Attenuating the Adverse Effects of Weight Gain
In joint analyses, the researchers found that patients who had stable or increasing amounts of fatness in combination with loss of fitness had significantly higher rates of cardiovascular risk factors when compared with the reference group, that being individuals who gained fitness over time and lost fat. They did observe that losing fitness regardless of fat changes and getting fatter irrespective of the change in fitness levels were associated with a higher risk of developing metabolic syndrome. The adverse effects of getting fatter were attenuated slightly if fitness was maintained or improved, while declines in fitness could be offset by reductions in body-fat percentage.
“Maintaining or improving fitness levels and preventing fat gain are both important, independent of the changes of each other,” said Lee. “Second, we found that the ideal combination is to improve fitness and prevent fat gain, but as long as individuals maintain fitness and fatness, they are not likely to be at higher risk of cardiovascular disease risk factors. Losing weight and gaining fitness is very challenging to the general population, but maintaining fitness and fatness are less so and more doable.”
Kaizen Total Wellness offers in house dietary services combined with our own fitness trainers and our unique high tech gym consisting of the POWER PLATE and BIODENSITY machines.
Give us 30 minutes twice a week to show you what we can do for your health.
Many people have heard about the DASH diet but few actually know what it is.
DASH stands for Dietary Approaches to Stop Hypertension. It emphasizes eating fruits, vegetables and low-fat dairy products. These foods are rich in calcium, potassium and magnesium which may help lower blood pressure.
Notice how this does not mention SALT. Salt is only a minor contributor to high blood pressure in most patients. The problem is that we eat too much of it. Please note that DASH also says nothing about Carbohydrates, but remember how fattening they are.
The sample DASH diet would include:
1. 6 servings of grains (preferably WHOLE GRAINS)
2. 4 servings of veggies
3. 4 servings of fruits
4. 2 servings of low fat or fat free dairy
5. 3-5 ounces of lean meats,poultry or fish
6. 1 tsp. oils (olive oil, please!)
7. 1/2 cup beans, 1/3 cup low salt nuts (avoid honey roasted, please)
8. limit sweets, like frozen yogurt to 3 times/week.
For more information, and to tailor this to your individual needs, please make an appointment with our Certified Dietitian.
KAIZEN TOTAL WELLNESS – (941)315-6182
LAKEWOOD RANCH, FLORIDA 34202
December is a peak month for heart attacks, in part due to binge drinking, which can lead to heart attacks and even death, especially among people who already have underlying medical conditions.
When people binge drink, they dehydrate themselves and deplete their bodies of necessary electrolytes. The heart can go into atrial fibrillation, which occurs when the upper chambers of the heart quiver instead of contracting regularly and allow the blood to pool inside the heart.
Then, people sit down for a big meal, and their blood pressure shoots up. In some cases, the heart can’t handle all the strain and goes into cardiac arrest.
This can be especially dangerous for people who aren’t necessarily “drinkers,” but choose to imbibe during the holidays, because it can be a shock to their system.
To minimize your risks of a heart attack this season, you should avoid excessive eating and drinking, and try to pre-hydrate the day before a big party. Make sure to get in plenty of sodium and potassium.
You can get help – encouragement and motivation – call Kaizen Total Wellness
At Kaizen Total Wellness, we offer a healthy alternative to gimmicky weight loss plans.We utilize registered dietitians to teach our patients how to eat right-not how to starve or live with hunger. We are also aware that controlling appetite can be very hard (this is why up to 95% of all people who have lost weight put it all back on within one or two years). Our board certified physicians are experienced in prescribing FDA approved medications (Phentermine, Qysmia, Topamax, Belviq, Naltrexone, etc) and all patients are monitored very closely by the doctor.
Do you feel like you are getting weaker as you get older and have you been told that you are losing bone density? Declining muscle strength and decreased bone density is a huge problem for people as they age leading to osteoporotic fractures, immobility, and a general decline in quality of life. The good news is a new piece of exercise equipment strengthens bones and muscles and doesn’t take hours of working out.
Maintaining and improving bone density can be accomplished through hormone optimization coupled with optimal intake of vitamin D and calcium. But building stronger bones and muscles also takes effort. It takes exercise. It takes the bioDensity™ exercise equipment.
The bioDensity™ device is a unique piece of exercise equipment that assists in building muscles and improving bone density in as little as 5 minutes a week. That’s right – 5 minutes a week. Plus you can use this exercise equipment in street clothes. How does the bioDensity™ device accomplish that?
To build stronger bones and muscles both must be subjected to stress or loads. The higher the load the more muscles and bones will adapt becoming stronger as the result. The bioDensity™ device enables an individual to produce neuro-muscular loads several times body weight by exercising muscles isometrically in optimal biomechanical positions for ideal results. Clinical studies show a 4.5% increase in bone density after 3 years of exercising on the bioDensity machine. This represents a significant increase in bone density.
The bioDensity™ machine also stimulates development of larger myofibrils within muscles. Bigger myofibrils mean one can generate more muscle power and strength. And, improved strength has been shown to occur after a single exposure of biomechanical overload on the bioDensity device. Improved muscle strength and power minimizes the potential for falling – a leading cause of osteoporotic fractures.
The bioDensity™ machine is safe as all loads are self-applied by the individual and performed within each person’s comfort zone. A training session consists of 4 exercises or load exposures that stimulate biomechanical adaptive changes in the major muscle groups and corresponding bones.
Call for a free demonstration of the bioDensity machine with one of our certified Kaizen Total Wellness trainers. (941)315-6182
Publish date: NOV 19, 2013
by Donnaa Marbury
Physicians’ relationships with insurance companies are becoming even more strained during Affordable Care Act (ACA) implementation. UnitedHealth Group is one of the first insurance companies to drop thousands of physicians from their network, according to the Wall Street Journal.
UnitedHealth, one of the top healthcare insurance companies in the country, is cutting at least 15% of physicians from its network in 10 states due to “significant changes and pressures in the healthcare industry” by the end of 2014, according to the Journal. Most of the cuts target physicians in the Medicare Advantage Program. UnitedHealth chief executive officer Jack Larsen bought full-page newspaper ads across the country explaining their decision, which disrupts thousands of patients, who may have to scramble to find new physicians in the next few months.
“We are working to collaborate with a more focused network of physicians to help us provide higher quality and more affordable healthcare coverage to meet the needs of our members, and help them get more from their health plan benefits,” Larsen said to the New York Post. “This work has become even more urgent in light of the severe funding reductions for Medicare Advantage plans that have come from Washington.”
Forbes.com is reporting that UnitedHealth is the first of many insurance companies that will be making cuts to their networks in the upcoming years as Medicare reimbursements continue to shrink and physicians are unwilling to take pay cuts. Aetna is also reported as warning of a massive decrease in its physician network due to shrinking Medicare reimbursements.
Karen Ignagni, president and CEO of America’s Health Insurance Plans, says that the instability in the healthcare insurance industry now affects everyone involved. “Changing the rules after health plans have already met the requirements of the law could destabilize the market and result in higher premiums for consumers,” Ignagni said in a press release. “Premiums have already been set for next year based on an assumption of when consumers will be transitioning to the new marketplace. If due to these changes fewer younger and healthier people choose to purchase coverage in the exchange, premiums will increase in the marketplace and there will be fewer choices for consumers.”
Are these cuts the product of another broken promise made by President Barack Obama concerning the ACA? Obama promised that people who liked their doctor would be able to keep their doctor. But ultimately that will depend on whether their doctor is still available in their healthcare insurance network.
From 7 million to 12 million people have lost their original coverage from their insurance companies due to ACA regulations, according to ABC News.
The government has recently proposed removing trans fats from all foods (they finally got something right!) However there is another harmful ingredient in fried foods: ACRYLAMIDE. Acrylamide is a chemical that forms in many plant-based foods during high-temperature cooking, such as frying or baking. It is often found in French fries, cereals, crackers and many other food products. The FDA has found that high levels of acrylamide can increase the risk of cancer in animals – and many experts believe the risk likely translates to humans as well. If you are going to eat fried foods, some studies show that foods fries in oil used over and over again have an increased risk of oxidative stress on the body, which increases the risk of heart disease and cancer.
So if you need your fast food fix, it is actually safer to eat at noontime than late at night.
Common injuries suffered by golfers include inflammation or other damage to the elbow, hip, lower back or shoulder. These injuries usually result from either repetitive overuse or from traumatic overexertion.
Taking certain precautions can reduce your chance of experiencing these injuries.
Failing to properly prepare prior to play leaves the body vulnerable to the stresses applied to it by the rapid acceleration and deceleration of a full golf swing. Hitting a few (but not too many) short to medium-length practice shots helps prepare the muscles and joints for play. Properly stretching before, after and between rounds is important to improve flexibility. A golf exercise program helps develop stamina and strengthen protective muscles and tissues. A skilled physical therapist can provide a good strengthening and stretching program.
Golfers often become dehydrated while playing or practicing and are usually not aware of the fluid deficiency. Drinking plenty of water, even when not thirsty, reduces the chance of tissue damage; however, drinking caffeine, soft drinks or alcohol will accelerate dehydration.
A day or two of rest between rounds allows the body time to recover from the demands of frequent play. Extended rest and application of ice are necessary for recovery from painful conditions. Discontinue play if an injury occurs during a round. Seek medical attention if the condition persists.
Poor mechanics often lead to injury. Reducing swing speed, improving posture and correcting biomechanics usually result in fewer injuries as well as lower scores. A good golf instructor can provide valuable swing analysis and lessons to improve posture, swing speed, body control, sequencing, rotation and balance.
Smarter golfing is safer golfing.