Finding Hope in Integrative Care – National Pain Report

By Cynthia Toussaint.

Thank you, Ed Coghlan, for your follow up piece to the Los Angeles Times op-ed about women in pain often getting the its all in your head misdiagnosis.

In my opinion the only way out of this labyrinth of medical abuse is to walk away from the western healthcare model and turn to self-management and integrative care.

When I read Emily and Gracies stories, I was actually relieved because we women in pain have come so far since I became ill with CRPS in 1982. It took me 13+ years to get a diagnosis and 15 years to get care.

Cynthia Toussaint

Always a self-advocate, I saw over a hundred doctors and was dismissed with a plethora of insults, including youre making up the pain to get secondary gain from your attentive partner, you have stage fright, you have tendonitis from Mars, youre folding up your contracted arm with your mind just the way one levitates oneself and the classic, youre only a woman anyway, it doesnt really matter just shoot yourself in the head.

We women in pain lose most everything, including a chance for a cure, due in large part to this abuse. I lost my beloved career as a performer, my family and friends ran for the hills, my 37-year partner and I couldnt marry as I would have lost my healthcare benefits, we couldnt have a baby. I lost the chance to live a moment of my life without severe pain and fatigue and I lost the chance to walk more than 100 feet without a wheelchair. To this day Im housebound and unable to drive.

On top of all this loss was associated depression and anxiety, and the last thing I needed were doctors spewing cruelties while disregarding my pain. These doctors stain our psyches so severely, few of us are able to fully recover, reinvent ourselves and move on with a different life.

Ive said it many times before, and Ill continue saying it. When it comes to high-impact pain, the western healthcare model is a broken disaster chocked full of abuse, ignorance and clinically-induced trauma.

This system focuses on surgeries, procedures and medications, most of which make us sicker. In my case, they broke my arm, gave me severe pelvic pain, put me on an infusion drug that almost killed me and insisted on giving me an intra-thecal pump, two spinal cord stimulators and ketamine infusions. This is but a partial list.

I finally found better care and wellness about 15 years ago when I walked away from traditional care and saw my first integrative medicine doctor. When Dr. Brodsky walked in, I was ready for battle, strongly making my case for not wanting the many procedures, drugs, etc. When he stated that he didnt believe in invasive care, I knew Id made my way home.

Dr. Taw has since taken over and his respective bedside manner is wonderful treatment in and of itself. He listens mindfully and after I describe a problem in detail he asks me what I think we should do. Dr. Taw then shares his ideas about life-style balance and stress management. We truly work as a team. No discrimination, no gender-based dismissal, no God complex. In fact when I call Dr. Taw (which is infrequent), he gets on the phone with me. Thats the key to the integrative medicine model these are MDs trained in traditional and alternative care who place the patient front and center. These doctors know pain and fatigue conditions as most women in pain end up migrating there after the western model has left them sicker for years, even decades.

While Emily and Gracies stories remind me that weve come a long way, theres still much work to do. At For Graces September Change Agent Pain Summit: Part One, well gather men and women in pain and their caregivers to discuss barriers to care and possible solutions. Well highlight the NIHs National Pain Strategy, one that promotes the integrative care model as best practice.

The day will be like a big focus group and everything we glean will be shared with healthcare thought-leaders, legislators and the media at our 2018 Summit: Part Two where well work to implement the National Pain Strategy in California.

Join us to be a part of the collective voice of people in pain and their caregivers. There is a better way.

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Finding Hope in Integrative Care - National Pain Report

University launches Public Health Advisory Task Force in response to COVID-19 – Vanderbilt University News

Susan R. Wente, interim chancellor and provost (Vanderbilt University)

Interim Chancellor and Provost Susan R. Wente has established a new Public Health Advisory Task Force to serve as a resource for the university during the COVID-19 pandemic. While the university continues to use the latest public health information from the CDC, state and local health departments and Vanderbilt University Medical Center, this new task force will provide new, further support for protecting the safety, health and well-being of all individuals in the Vanderbilt community.

In this time of unprecedented circumstances for our university, the nation and the world, we are fortunate to have public health and infectious disease experts on our faculty. I will look to the new Public Health Advisory Task Force for input on our continued efforts in monitoring, anticipating, preparing and responding to the ever-evolving COVID-19 situation, Wente said. I am grateful for the expertise provided by the individuals on the task force and appreciate their dedication and support for the university during this time.

The collective expertise of the task force will help in developing recommendations on further protocols and best practices for the university in the COVID-19 environment, including advising on reversal triggers for when to reopen research labs, return to campus offices, restart in-person classes and more.

The committee, chaired by Linda Norman, dean of the School of Nursing and Valere Potter Menefee Professor of Nursing, also will seek to partner with other higher education institutions to leverage trans-university expertise.

Working with my fellow members of the task force, we plan to look closely at how the national and local COVID-19 situation is changing and to support the university in ensuring that every member of the Vanderbilt community is able to live, work and learn in a safe and healthy environment, Norman said. Vanderbilt has long been a leader in the medical sphere, and our committee members come from a broad range of backgrounds and fields. I look forward to beginning our work to support faculty, staff, students, postdoctoral scholars and extended community members throughout the COVID-19 pandemic.

The Public Health Advisory Task Force members are:

The task forces ex officio members are:

To stay informed on updates and announcements from the university related to COVID-19, please visit vu.edu/coronavirus.

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University launches Public Health Advisory Task Force in response to COVID-19 - Vanderbilt University News

Medicine And Metaphor – HuffPost

I am an equal opportunity doubter.I doubt the teachings of my own conventional medicine, knowing how readily we succumb to the transgression of close-mindedness, welcoming only news ensconced within the confines of our native comforts and conventions.I doubt the teachings of so-called Complementary and Integrative Medicine (CIM) as well, having seen them wander into the realm known pejoratively as woo, and perpetrate the opposing transgression: a mind so open that brains flop out.

We should be on guard against both.The idea, though, that there can be no legitimate ideas expressed in a language we happen not to speak- is utter nonsense.In the biomedical world, it is commonly espoused nonsense.

As I reflect on my recent commencement addresses for Bastyr University, which confers, along with various bachelors and masters degrees in quite conventional disciplines and doctoral degrees in naturopathic medicine, degrees in Acupuncture & East Asian Medicine, and Ayurvedic Sciences- my thoughts keep turning to the confluence of medicine, and metaphor.A metaphor, then, seems best suited to introduce my meaning: everything said in Japanese is not diminished for want of expression in English, or Chinese, or French.Japanese, or Russian, or Latin for that matter, can address all of the same concepts- but will only ever do so with their entirely distinct lexicons.

We should note that every lexicon can be used well or badly, in the service of eloquence or gibberish.Just so, every approach to medicine and alleviating the bruises, abrasions, and lacerations induced by the slings and arrows of outrageous fortune.

Staunch medical conventionalists are apt to oppose alternatives on principle, noting their deviation from science.But it seems to me that argument is overlooking something quite fundamental.Traditional systems of medicine are less about enumerating pathways and specifying mechanisms than they are about pattern recognition and the application of metaphor.They can be entirely consistent with science, without using its language.To use another metaphor: there is more than one way to mishandle the combination of baby and bathwater, and we seem collectively committed to exploring them all.

Acupuncture provides a convenient and widely familiar example.Modern, randomized trials suggest the value of acupuncture for select conditions.But the placement of needles did not originate with randomized trials, or modern approaches to biomedical science.It is, presumably, a product of trial, error, and observation over a considerable expanse of time.Traditional Chinese Medicine is called traditional for good reason.

Descriptions of acupuncture in its native lexicon are unscientific.There is reference not to neurons, action potentials, or dermatomes- but to qi (energy, or life force) and meridians (the channels through which qi flows).

Such language is unsettling to science, because it is perceived as an alternative to it.But it need be no such thing, any more than the sun was an alternative to Juliet.Metaphor does not undo what it describes any more than a prism unmakes the sunlight it refracts into an arcade of colors; it translates it.It re-expresses it.It tells the same tale, but in another language.

Juliet, clearly, was not the sun- but we understood the connotations of Romeos impassioned verse just the same.Similarly, the movement of ions across the cell membranes of neurons and of neurotransmitters across synapses need not be qi for qi to be a traditional, observation-based description of just such phenomena.There need be no meridians in neuroanatomy, or connecting the ankle bone to the shin bone, for the descriptive language of meridians to reflect something genuine about anatomical and physiological linkages.

Two quite disparate authorities suggest the relevance of metaphor to medicine: Richard Dawkins, and Aristotle.

Dawkins, long the Simonyi Professor for the Public Understanding of Science at Oxford University, elevated metaphor to a scientific art form.In cases like The Blind Watchmaker, he has written entire books predicated on a unifying metaphor to propagate understanding of the subtleties of evolutionary biology.He has, rightly, opposed the potential for quackery and woo in unsubstantiated medical practice, but is no more qualified to dismiss the results of RCTs than any of us.Just as not all that glitters is gold, not all that is expressed in unscientific language is ineffective when put to the tests of science.

In his Poetics, Aristotle refers to the genius of poets as an eye for resemblances, the capacity to see similarities in dissimilars.I will defer to him and others on the genius of poets, but drawing on my 25-or-so years of patient care, invoke the same claim on behalf of clinicians.

No clinician has a crystal ball to know in advance what a given treatment will do to, or for, a given patient.What we have, at best, is an eye for resemblances- a capacity to see prior patients and populations for whom outcomes are known in the guise of the new patient before us.The more adroitly we manage to narrow the gap between the one for whom the future is uncertain, and the many for whom certain outcomes are historical- the more reliably we choose our remedies, and the better the outcomes they produce.The best clinicians have an eye for resemblances, too, and this is among the arts ineluctably conjoined to the science of medicine.

There are no alternative facts; there are only alternatives to facts.There is no place in enlightened understanding for faith in things refuted by science.The earth revolves around the sun, not vice versa. The Earth is over 4 billion years old, not less than 4 thousand.We are here through the agency of evolution and natural selection, not clay and prestidigitation.Vaccines count among the greatest of advances in the history of public health and are not causally implicated in autism.

But Juliet was the sun.Our most reliable friends are our rocks, and our shoulders on which to lean or cry.No man is an island.We are captains of our fate.The road less traveled makes all the difference.

The person with pain unattenuated by gabapentin is sure to be unimpressed by the putative mechanisms of action.The person with pain resolved thoroughly by acupuncture is as sure to be unconcerned about them.If a mind too open is Scylla, then a mind too closed is Charybdis.The best prospects for the best outcomes for the most people lie along the route that avoids them both.

There are, in other words, other ways of describing things.Ultimately, the metaphors of medicine must align with the science of it or they should be rejected; but they need not sound the same.There could be room in heaven and earth, and the diverse philosophies residing therein, for both qi and saltatory conduction. After all, a rose by any other word- in English, or in Japanese, or French, or Hindi- would presumably smell as sweet.

What we've got here dividing us is, often, that famous failure to communicate.

Senior Medical Advisor, Verywell.com

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Medicine And Metaphor - HuffPost

Aspire Regenerative Medical Director Featured on New Podcast – PR Web

Aspire Regenerative

SAN DIEGO (PRWEB) February 27, 2020

Dr. Ryan McNally, the medical director of Aspire Regenerative, is the featured guest on Dr. Hanisha Patels natural health podcast, Mahan Health. The episode, New Year, Younger You?, focuses on the latest developments in medicine and technology that promote aging well and gracefully. It is currently available on all major podcast platforms.

During the lively and informative episode, Dr. McNally shares his expertise in the field of regenerative medicine and how it can help rejuvenate healthy tissues. The ultimate goal of these therapies is to slow down the progression of aging and prolong overall wellness. Subjects that Dr. McNally explores during the podcast include stem cell therapy, platelet-rich plasma (PRP) therapy, and products derived from fetal tissue found in cord blood, placental tissue, and perinatal fluid. One of the most promising new areas of regenerative medicine that Dr. McNally discusses is stem cell derived-exosome therapy, which uses the part of a cell that is rich in growth factors.

Dr. McNally is responsible for guiding the vision of Aspire Regenerative, a state-of-the-art facility in San Diego that delivers integrative and technologically advanced medical care. He also oversees the development and implementation of science, research, and technology at Aspire. Dr. McNally is a licensed naturopathic doctor with multiple certifications in regenerative medicine, aesthetics, and injection therapies. In addition, he is a faculty member at the Academy of Integrative Health and Medicine and an adjunct faculty member at Bastyr University California, where he formerly served as chief medical officer. A sought-after speaker at conferences and universities, Dr. McNally also publishes articles in peer-reviewed professional journals and frequently serves as a guest expert for podcasts, magazines, and newspapers.

About Aspire Regenerative: Aspire Regenerative is a state-of-the-art medical practice offering personalized regenerative treatments and integrative therapies to help patients reach their goals and achieve the best possible results. We have reinvented medical care by incorporating the principle of cell and tissue regeneration, which translates to youthful and vibrant function. Our in-depth expertise and collaboration with researchers allow us to integrate innovative technology into individualized patient care with therapies that are safe and effective. For more information, visit https://aspireregenerativehealth.com/.

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Aspire Regenerative Medical Director Featured on New Podcast - PR Web

UM science teams need public’s help to advance to the Sweet 16 round of the STAT Madness tournament – University of Michigan Health System News

Three Michigan Medicine-led projects have advanced to the second round of STAT News annual STAT Madness competition a bracket-style tournament to find the best innovations in science and medicine

In this #Breakthru32 round, the U-M teams are up against Stony Brook University, the Fred Hutchinson Cancer Research Center and Notre Dame University.

Our teams are asking for your support to advance to the Sweet 16 round and ultimately to the finals.

Below are descriptions of the U-M projects and links to vote for them directly.

Pancreatic cancer treatment resistance:A team led by Costas Lyssiotis, Ph.D. in the Rogel Cancer Center and Department of Molecular & Integrative Physiology, made the bracket for a study that shows why pancreatic cancer cells stubbornly resist treatment with a common chemotherapy drug. It could pave the way to better treatment options.

Vote: michmed.org/PanCan32

Liquid biopsy technology:A joint Engineering/Rogel Cancer Center team led by Eusik Yoon, Ph.D. with former Rogel director Max Wicha, M.D., is in the competition for their work to develop a way to separate cancer cells out of blood samples taken from patients, so they can be tested for genetic signatures that could guide treatment.Vote for this entry here.Read more about the work, published in Nature Communications, here.

Vote: michmed.org/LiquidBiopsy32

Effects of intense stress on DNA:A team led by Srijan Sen, M.D., Ph.D., of the Depression Center, Department of Psychiatry and Michigan Neuroscience Institute, showed that new doctors DNA ages six times faster than normal during their first year of residency, thanks to the intense stress of their training. The research, published in Biological Psychiatry, has implications for understanding vulnerability to depression;vote for this entry hereandread more about it here.

Vote: michmed.org/DNAStress32

You can also view the entire bracket of the 32 remaining teams from across the country, each selected for a piece of important research they published in 2019. Anyone can vote for a winner in each matchup in the bracket, multiple times a day. Voting to enter the Sweet 16 round ends Saturday at 11:59 p.m.

The field of competitors will narrow week by week until the final two teams are standing right at the end of basketballs March Madness in early April.

A Michigan Medicine team studying tinnitus took home the top prize last year. Help us bring the title back to Michigan for a second year in a row.

Another Michigan Medicine team also made it to the Round of 8 in STAT Madness 2018 with an entry focused onantibiotic-resistant microbes in nursing homes. In the first year of the tournament, U-M researchers who study themicrobes that inhabit human lungsmade it to the final round.

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UM science teams need public's help to advance to the Sweet 16 round of the STAT Madness tournament - University of Michigan Health System News

An Exclusive With Dr. Sailaja Reddy on Building Immunity Through Diet and Exercise In Response to Coronavirus – India New England

WALTHAM, MAINDIA New England News today announced that it will release an exclusive video interview with Dr. Sailaja Reddy, MD on Friday on building immunity through diet and exercise in response to Coronavirus and other infectious diseases.

Immunity, says Dr. Reddy, is a defense system that has biological structure and process within humans that protects against diseases.

Dr. Reddy is a board certified physician in internal medicine who has developed integrative approaches to care for chronic medical conditions.

Our body builds immunity through healthy lifestyle. Diet, genetics and environment play a major role, says Dr. Reddy, adding that one should change lifestyle in order to build immunity.

A diet that is nutrient rich, with low sugar, good quality protein and less processed will strengthen your immune system, says Dr. Reddy. The latest science suggests that being fit boosts our immune systems, and that even a single workout can amplify and improve our ability to fight off germs.

Dr. Reddy also talks about: What is COVID-19 virus? How is it different from seasonal flu and previous pandemics? What step you can take for possible exposure? What are the three most important cooping skills during this stressful period?

Stay tuned for the interview. If you have any question regarding Coronavirus and Indian diet, please email to: Editorial@MishraGroup.com .

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An Exclusive With Dr. Sailaja Reddy on Building Immunity Through Diet and Exercise In Response to Coronavirus - India New England

Keck Foundation gives $1 million to WSU researchers studying how sleep affects the brain – WSU News

By Josh Babcock, College of Veterinary Medicine

Cant sleep? Cant think clearly? Feel depressed? It may not be what you think.

The bacteria residing inside of you outnumber your own cells 10:1 and affect sleep, cognition, mood, brain temperature, appetite, and many additional brain functions. Yet we lack an understanding of how they do it, explained James Krueger, PhD, MDHC, Regents Professor at the WSU College of Veterinary Medicine, Department of Integrative Physiology and Neuroscience.

With a $1 million grant from the W. M. Keck Foundation, Krueger and colleagues at Washington State University and the University of Massachusetts Amherst (UMA) will explore whether variations in brain levels of bacterial fragments can account for lifes sleep/wake and 24-hour cycles, known as circadian rhythms.

The sleep research is led by Krueger and the circadian rhythm portion of the project is led by Associate Professor Ilia Karatsoreos, PhD, at UMA, who was formerly at WSU and a co-investigator on the study.

The award builds on nearly 40 years of cutting-edge sleep research. In the early 1980s, Krueger isolated a sleep-promoting molecule from brains of sleep deprived rabbits and from human urine. Its chemical structure was a muramyl peptide a building block component of bacterial cell walls.

At the time of the discovery, it was difficult to measure small amounts of muramyl peptides. As a result, determination of the brains muramyl peptide levels and whether they correlated with sleep-wake cycles or with circadian rhythms was shelved. Now, improved measurement technologies and the W. M. Keck Foundation funding enables this work to be done.

Further, WSU researchers will determine if sleep loss results in increased levels of muramyl peptides in the brain; a predicted result based on the 1980s work.

The UMA researchers will use models of simulated jet lag, a way to transiently disrupt our circadian (daily) rhythms. Disruption of these rhythms is associated with multiple changes including sleep, cognition, and body temperature. They will determine if muramyl peptide levels in the brain correlate with such changes.

When jetlagged, many of the normal bodily functions are out of synchrony with each other. This is a consequence of altering circadian rhythms, Karatsoreos said. By looking for changes of bacterial products in the brain, we anticipate we will discover new approaches to treat jet lag, and possibly the desynchrony of physiological functions that occurs with old age.

A third goal of the W. M. Keck funded work will be to determine how brain muramyl peptides elicit sleep. Our minds are an outcome of a bacteria/human symbiosis, Krueger said. Expanding this concept by determination of how such disparate species talk to each other will transform our views of cognition, psychiatric disorders, consciousness including sleep, and our understanding of what it means to be human.

Based in Los Angeles, the W. M. Keck Foundation was established in 1954 by the late W. M. Keck, founder of the Superior Oil Company. The Foundations grant making is focused primarily on pioneering efforts in the areas of medical research, science and engineering and undergraduate education. The Foundation also maintains a Southern California Grant Program that provides support for the Los Angeles community, with a special emphasis on children and youth. For more information, please visit www. wmkeck.org.

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Keck Foundation gives $1 million to WSU researchers studying how sleep affects the brain - WSU News

A Western multidisciplinary healthcare facility in the heart of Kyiv – Kyiv Post

International Multi-Profile Clinic is committed to providing professional, compassionate and evidenced-based health care in a clean, modern, multidisciplinary, multilingual and multicultural environment in Ukraine.

The mission of the IMP Clinic is to provide our patients with innovative medical services applying the Western standard of medical care, delivered by English, Spanish, Portuguese, Swedish, Arabic, Farsi, Hindu, Turkish, Ukrainian and Russian-speaking medical staff.

We are specialists in serving embassies, multi-national corporations and the expatriate community and offer international medical escorts and evacuations.

What makes the IMP Clinic different from the many other clinics in Kyiv?

The American futurist and social engineer have known worldwide, Jack Fresco, who recently passed away at the age of 101, took the view that science is the unification of all human knowledge geology, astronomy, anatomy, meteorology and many others are not separate from one another.

The same is true in medicine. There are so many wonderful specialists in the world, but they treat only a small piece of the human body. What we seek to create at the IMP Clinic is a new generation medical center entirely based on family medicine, which in Ukraine is an undeveloped specialization compared to other Western countries.

International Multi-Profile Clinic views Family Medicine as the future of medical practice; it unifies all medical knowledge in one setting. A good family physician treats their patients as a whole: body, mind and soul, using evidence-based, integrative medicine because in our opinion all methods are good if they help a patient to be healthy.

Another thing that makes IMP Clinic unique is the team of multi-disciplined, multilingual and multicultural physicians, nurses and healthcare workers who use an integrated approach to restore health and quality of life to our patients. We work closely with international and local insurances providers. Our ultimate goal is the prevention of disease, diagnosis and treatment of illness, the promotion of wellness and increases in patient functioning and quality of life.

This is what makes our clinic unique.

imp-clinic.com

Kyiv, 44 Yevhena Konovaltsia street

044 499 68 33

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A Western multidisciplinary healthcare facility in the heart of Kyiv - Kyiv Post

Column: Nutrition for a Healthy Heart | South Lake Tahoe – South Tahoe Now

By Amy Smith, FNP, NBC-HWC

Besides being known for bringing candy hearts and lots of snow, February is National Heart Health Month. Heart disease is identified as the leading cause of death in both men and women by the Centers for Disease Control. In addition to screenings that can be done to monitor your hearts health, there are fundamentals of following a preventative heart health lifestyle that can help prevent heart disease and maintain heart health. In addition to not smoking, regular exercise, stress management, it is possible to significantly reduce your risk of heart disease by incorporating heart healthy foods in your everyday diet.

Eating foods known as phytosterols can lower LDL, or, "bad cholesterol. These include Brussels sprouts, peanuts, almonds and wheat germ. Foods that produce nitric oxide as a metabolite by-product can lower blood pressure and keep the lining of the blood vessels healthy; beets and kale are great sources of this beneficial metabolite. Also good for your blood vessels (and gut health) are fermented foods, like yogurt, kimchi and sauerkraut. Magnesium-rich foods like almonds, cashews, pumpkin seeds and sunflower seeds can help maintain a healthy heart rhythm and reduce blood pressure. Anti-inflamatory foods like mushrooms, red grapes, apples, blueberries, salmon and sardines are beneficial as well.

Besides eating a variety of whole foods packed with phytosterols, supplementing with Co-enzyme Q-10 is beneficial to heart and blood vessel function. This also reduces the risk of heart attack and improve cholesterol levels. It is always recommended to talk with your care provider, cardiologist or an integrative medicine practitioner prior to starting any specific supplementation plan.

Healthy fats from an omega-rich diet provides anti-inflammatory benefits and may reduce cholesterol levels. The skinny on fats is to eat sources of monounsaturated fats such as olives, avocados, and extra-virgin olive oil; and polyunsaturated fats from sockeye salmon, sardines and tuna.

Again, it is always recommended to talk with your care provider, cardiologist or an integrative practitioner prior to starting any supplementation. For more information about cardiology services available through Barton Health, visit bartonHealth.org/cardiology. And to schedule an appointment with an integrative medicine practitioner to learn more nutrition and other heart-healthy lifestyle choices, call 530.539.6620. Heres to your heart this February, and throughout the year.

Amy Smith, FNP, NBC-HWC is an integrative medicine practitioner and primary care provider at the Barton Center for Orthopedics & Wellness.

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Column: Nutrition for a Healthy Heart | South Lake Tahoe - South Tahoe Now

Cannabis in India: is the country on the precipice of a new era of treatment? – Lexology

Indias relationship with cannabis dates back to c. 2000 BC when it was described by religious scholars in the ancient Vedas texts as one of the five sacred plants. Despite the countrys long history of cannabis use, the plant is still illegal except for in government-authorised premises that produce and sell bhang (which can be either ground cannabis balls or a drink made by mixing cannabis in milk), or for research and medicinal purposes.

In this article, we summarise the different verticals of the cannabis industry, before discussing the regulation of cannabis in India, and whether it should be legalised.

What is cannabis?

Cannabis refers to a group of three plants with psychoactive properties, known as cannabis sativa, cannabis indica, and cannabis ruderalis. The plant contains more than 120 components known as cannabinoids. The most understood cannabinoids found in a cannabis plant are cannabidiol (CBD) and Tetrahydrocannabidiol (THC). THC is a controlled substance and has psychotropic ingredients in it which gives the user a high. CBD is non-intoxicating and has a number of lawful uses including for medicine, beauty products, furniture and fuel. Marijuana and hemp are both varieties of the cannabis plant, but are different in a number of ways. Most significantly, while marijuana can contain up to 30% THC, hemp contains much less (the threshold being set on a country-by-country basis).

The cannabis industry

The legal cannabis industry (comprising medical cannabis, recreational cannabis, pharma products incorporating specific cannabinoids, and the wellness industry) is currently one of the fastest growing industries in the world. According to a report by Grand View Research Inc., the global legal marijuana market is predicted to reach USD $146.4 billion by the end of 2025. For India, with a history of cannabis use in traditional Indian medicine (notably pain management), a population of approximately 1.4 billion, and a growing middle-class, the potential market for cannabis products is huge.

Medicinal cannabis is one of the fastest emerging markets globally. The key focus for the medical cannabis industry is the research and development of new and existing products, technologies for cultivation, extraction and manufacturing, delivery mechanisms, genetic composition of cannabis and combinations of cannabinoids, and ultimately research and trials regarding the efficacy and safety of medical cannabis for treatment of particular conditions or illnesses. Clinical trials are the most common method used to assess the safety and efficacy of a new drug and regulatory bodies use their results to decide whether a new product can be launched in their jurisdiction. To date, the lack of global clinical trial evidence is one of the main barriers to widespread adoption of cannabis by prescribing clinicians. This is true in India. Although the Indian Institute of Integrative Medicine (IIIM) has been granted permission by the government to grow cannabis for medical purposes in collaboration with the Tata Memorial Hospital in Mumbai, regulatory approval is still being sought to proceed with the trials.

A number of promising Indian cannabis start-ups have arisen in recent years, some of whom are collaborating in order to grow in the domestic market. These start-ups are generally focusing on medicines, cosmetics, textiles, accessories and foods. One of the most promising is Boheco (the Bombay Hemp Company), which is backed by high-profile investors including Google Indias managing director Rajan Anandan, and Ratan Tata of Tata Sons. The company is agro-based and intends to reimagine the future of Indian agriculture and sustainable living with hemp. It is also a major supplier of raw material to fellow start-ups, Hempster and B.E. Hemp.

Regulatory framework

Cannabis is misunderstood legally and industrially in India. Under the Narcotic Drugs and Psychotropic Substances (NDPS) Act of 1985, trade and consumption of both cannabis resin (charas) and the bud (ganja), are illegal and anyone found with them could be imprisoned for up to 20 years. There is also a strict ban on both marijuana and hemp production in India. Although some powers are given to the state government to grant licenses to cultivate cannabis under certain circumstances (such as for research and medicinal use), relatively few research organisations have obtained them. In fact, only the Uttar Pradesh and Uttarakhand regions, which are both in northern India, have received hemp cultivation licences.

The Indian cannabis market has gathered significant attention recently, with various activists/NGOs filing court petitions demanding legalisation of cannabis. They argue that the medicinal benefits of cannabis are hard to ignore, and the ideal climatic conditions for cannabis cultivation have the potential to boost the Indian economy and create millions of jobs. One of these NGOs is the Great Legalisation Movement (GLM), which is working to legalise the use of cannabis for medical and industrial purposes in India. In the summer of 2019, the Delhi High Court admitted a writ petition filed by GLM seeking decriminalisation of cannabis under the NDPS. The next date in the petition is 5 February 2020.

Madhya Pradesh, the second largest state in India, decided to legalise the cultivation of cannabis for medicinal and industrial purposes in November 2019. As one of the poorest states in the country, it is hoped that the legalisation will attract new businesses to the fore.

Comparison with other countries

The deregulation of cannabis for medical purposes has led to significant recent interest and investment in the medical cannabis market in the UK and Europe. Germany legalised cannabis for medical use in 2017, which seems to have influenced other EU member states. Portugal, Denmark, Poland and the UK have now changed their regulations concerning medical cannabis. In November 2019, two cannabis-based medicines used to treat epilepsy and multiple sclerosis were approved for use by the NHS in England.

Canada, Uruguay and eleven states in the US have legalised the production, manufacture, export, import distribution, trade and possession of cannabis exclusively for medical and scientific purposes. Luxembourg, who have already legalised cannabis for medicinal purposes, wish to relax their laws further to become the first European country to legalise cannabis production and consumption.

Conclusion

Cannabis laws in India are outdated and require long-awaited reconsideration. Although legalisation is still some way off, the rising number of cannabis and hemp start-up companies, and the growing popular support for the plants legalisation, is encouraging. Considering the medical and economic reasons in favour of legalising cannabis, it may not be long before the Indian government unlock the full potential that legalisation would bring.

Shantanu Sinha is a partner with over a decades experience in corporate finance. Rohit Fogla is a dual-qualified solicitor who has been admitted as an advocate to the High Court in India and as a solicitor in England and Wales.

Hill Dickinson has expertise in healthcare, regulatory, commodities, international trade and corporate (including capital markets) law which uniquely positions us to advise businesses on regulation, licencing, research, manufacturing, distribution, capital raising, M&A and joint venture transactions in the medical cannabis and CBD/wellness industries.

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Cannabis in India: is the country on the precipice of a new era of treatment? - Lexology

Rehab Programs Will the Following Numbers Help You Choose One? – Eurweb.com

*Once youve admitted you have an addiction, the next step you need to do is go to rehab. Should you go online at taking a look at the statistics, the numbers may scare you off. However, it would help if you looked into all your possibilities of healing your addiction.

How much time will you spend in regular rehab centers?

Not all conventional rehab centers are the same, so here are the most important to mention:

Theprogramis focused on changing the lifestyle through a program lasting for some time (71 days or so). The program is relying on the use of peer counselors, and not much on medications or medical staff.

It ensures great medication and counseling, in a short amount of time (typically 31 days).

These programs are focusing more on counseling and less on medication. People with addiction still live in their homes, and programs last for 164 days, give or take.

As the name suggests, it focuses on the use of medications for easing out the transition from using to not using. It also includes psychological treatments. Most of the time, it lasts almost 230 days.

What are the costs?

With the variety of approaches and methods, it makes perfect sense that there are differences in the costs too.

It is around $3,000, with more than 50% of the patient completing the procedure and only 21% of them being able to sober after five years.

You will pay $3,200 for inpatient treatment (give or take). More than 70% of the patients will also complete the procedure, and 20% of them will no longer abuse for at least five years.

Typically, you pay around $2,000 for rehab. However, only 33% of the patients can go through the program entirely, and less than 20% of them will stay sober for five years.

Its the most affordable option, and people pay around $1,000 for a program of this kind. More than 40% of the patients will actually complete the application, and less than 20% (18%) will remain sober after five years.

Should you look into holistic rehab?

As youre checking the numbers, you may quickly notice that the rate of success isnt the most impressive for either of the conventional rehab programs.

Therefore, it makes perfect sense why people look for alternative programs that have promising results. Enrolling in a holistic rehab is going to give you the possibility to heal on a spiritual, emotional, and physical level. For a holistic vantage point, the addiction isnt a disease, but as a sign of several unbalances in your system, explains Johnny Tabaie (calledJohnny The Healer by his patients) of The Holistic Sanctuary.

Many of the methods and therapies used within a holistic rehab program are defined as an alternative to complementary medicine. Therefore, some insurance companies will recognize the benefits and ensure reimbursement for them.

Even if the holistic rehab programs look appealing to many, they still throw some off due to the steep price. For instance, inpatient treatment can range from $200 to $900 per day. Should you go with an outpatient program, you may pay somewhere from $100 to $500 per session. In Tabaies exclusive center, prices can exceed $3000 per day, but youll enjoy nothing short of cutting edge treatments.

The location, the quality of amenities, the variety of methods, and the peculiarities of the programs can change the price. Still, holistic rehab programs are being counted as a dependable and efficient method to heal your addiction.

Is holistic rehab a dependable option?

The National Center for Complementary and Integrative Health states that 4 in 10 adults in the United States are using complementary and alternative medicine. The trend is expanding as more and more rehab centers are created, and more and more people choose them over the conventional rehab programs.

With holistic methods focusing on identifying the primary cause of addiction, the alternative rehab programs are aiming to improve well-being and not address just ones behaviors or symptoms.

Having said that, keep in mind that holistic approaches shouldnt focus on addictive behaviors, but address a comprehensive set of aspects leading to the addiction of the patient.

Is it expensive to abuse drugs?

Many factors are affecting the efficiency of a rehab program, and you cannot always connect the cost with the success rate.

According to a report that theOffice of National Drug Control Policyhas published, the monthly spending for cocaine is around $800, whereas heroin is almost $1,500. One using marijuana will pay a bit over $200 every month, whereas methadone is over $600 per month.

On the other hand, the spending for drug-related health care is only $30 (give or take), whereas the average monthly expenditure for lost wages related to drugs is only 63 cents.

Should you drive under the influence, youre going to have to pay more than $10,000 for court fines, attorney fees, insurance increases, lost wages, DMV fees, and so on. And thats only when it happens for the first time.

Jail time is the scariest scenario, and drug-related prison sentences start from 87.2 months. Are all of these numbers scary enough?

How should you choose your rehab program?

It seems that the state and federal governments are spending more than $15 billion (dont forget about the $5billion that come from the insurers) on services related to substance abuse. However, measuring the efficiency of all programs is still a tricky matter.

Truth be told, there arent many programs to provide precise data about their efficiency. As a matter of fact, many facilities dont let outside researchers to have any studies or to analyze patient completion, relapse state, or follow-up states. Many of the facilities are private, so its challenging to use a standard guideline for evaluating efficiency. Moreover, every rehab program has a particular philosophy, which only makes the comparison more difficult.

The Commission on Accreditation of Rehabilitation Facilities (CARF) is a non-profit organization that will provide accreditation to rehab centers. A facility has to meet several requirements for achieving a CARF accreditation.

However, it all depends on the options you have and the size of your wallet. Should you have tried and failed to overcome addiction with a conventional rehab program, it wouldnt be a bad idea to look into the holistic alternatives. Just do your homework before enrolling!

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Rehab Programs Will the Following Numbers Help You Choose One? - Eurweb.com

Bid Good Bye To Constant Acidity With These 10 Home Remedies Suggested By Our Expert – Doctor NDTV

Acidity is a sign of poor digestive system which can be quite discomforting. Lifestyle coach Luke Coutinho says that instead of popping up antacids every time you get acidic, you should work towards treating it naturally. Here are some home remedies for acidity that actually work.

Overeating and keeping huge gap between meals can increase acidity

Acidity is a symptom of indigestion. It is referred to the burning pain or heart burn you experience shortly after eating food. Acidity occurs when the stomach acid flows back up into the food pipe. Regular acidity must not be taken lightly. No matter how convenient it is, popping up antacids every time you get acidic is not healthy. Taking antacids whenever you get acidity may offer you temporary relief, but in the long run, they can harm your health, says lifestyle coach Luke Coutinho in one of his recent posts on Instagram.

Getting acidity regularly can lead to gastroesophageal reflux disease (GERD). This can make you have bad breath, burning sensation in chest, sore throat, difficulty in swallowing and other serious complications if it is left untreated for a long time.

To avoid constant acidity, try to avoid keeping long gaps between meals in an irregular fashion. Try to have your breakfast, lunch and dinner at the same time every day. Keeping long gaps in between meals makes your body go into stress mode and increases acid production.

Pancreas is not designed to digest food late at night. And whenever you do that, it leads to acidity and indigestion, says Luke in the video.

Also read:Home Remedies For Stomach Acidity: There Herbal Teas Might Help

Avoid overeating as much as you can in order to prevent chronic acidity.

Overeating can increase risk of acidityPhoto Credit: iStock

Eating food at a fast pace does not give enough time for food to break down properly. This leads to larger chunks of food getting into stomach, which increases acid production for breaking down the food. Thus, always chew your food properly in order to keep acidity at bay.

Excessive intake of tea and coffee can also be a reason why you are excessively acidic. Having tea or coffee on an empty stomach is another reason why you may get acidity.

If you smoke and drink alcohol regularly, then it is quite likely for you to be acidic.

Sleeping immediately after eating can be very harmful for your body. A gap of 2 hours is essential between your dinner and bed time.

Spicy food may not be suitable for people who get regularly acidic. Cut down on it till the time you experience lesser acidity.

Also read:Top 5 Perks Of Eating Spicy Food

Taking up fad diets that restrict you from eating certain food groups. Some of these foods are alkaline in nature and help in preventing acidity. Make sure you consume a balanced diet in order to prevent getting acidic every now and then. Fad diets can be the reason for your constant acidity.

If you feel stressed and anxious all the time, then it may also be the reason why you are getting acidity.

Constant stress may also be the reason why you get acidity regularlyPhoto Credit: iStock

Also read:4 Amazing Benefits Of Cinnamon For Skin You Cannot Miss

Apple cider vinegar can be helpful for people who produce less acid than requiredPhoto Credit: iStock

Also read:Effects Of Beetroot Juice On High Blood Pressure And Other Benefits You Can Count On

Exercise regularly and sleep well to keep digestion issues at bay. The idea is to live a healthy lifestyle in order to be healthy and prevent indigestion and its symptoms like acidity, bloating and constipation.

(Luke Coutinho, Holistic Lifestyle Coach - Integrative Medicine)

Disclaimer: This content including advice provides generic information only. It is in no way a substitute for qualified medical opinion. Always consult a specialist or your own doctor for more information. NDTV does not claim responsibility for this information.

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Bid Good Bye To Constant Acidity With These 10 Home Remedies Suggested By Our Expert - Doctor NDTV

New year, new you: Could intermittent fasting be the key to weight loss? – WKYC.com

LYNDHURST, Ohio New year, new you? You may be working toward a healthier lifestyle this new year and theres a specific style of weight loss gaining popularity.

I definitely think it could be the new thing and the thing I like about it is that its not just a fad diet, explains Cleveland Clinic Center for Integrative and Lifestyle Medicine, Registered Dietitian Nutritionist, Anna Kippen.

I consider to be a fad diet anything that cuts out entire food groups, is unrealistic and promises unlimited eating and incredible amounts of rapid weight loss, and that is not this.

Kippen is referring to intermittent fasting. What she calls an umbrella term for various diets that cycle between fasting and non-fasting over defined sets of time.

Two very popular types are 16:8 and 5:2.

16:8 is sixteen hours a day of fasting and eight hours a day eating, done seven days a week.

Were better off eating the majority of our calories during the time of day were most active, she says.

7am to 3pm is really a good time frame and really no later than 10am-6pm ideally.

During fasting hours you still have water, black coffee or plain tea.

This is something that works for a lot of people because its not necessarily limiting our portions, changing our diet drastically. It works within what you already do but it is important that you eat a healthy balanced diet during your feeding hours, Kippen explains.

5:2 is another popular option. Youre eating a healthy balanced diet five days out of the week. The other two youre eating 25-percent of your calories which Kippen says is about 600 calories a day for men and 500 for women.

This is just a method that a lot of patients love because its not really necessarily something that requires them to follow through every single day, they get to choose which days they do it, she says.

Try not to chose fasting days the same as exercise days, we tend to get hungrier when we exercise, youre less likely to be successful.

So is it safe long term?

Kippen says the jury is still out.

We do have a lot of studies that show it is effective for weight loss, she explains.

Kippen says, studies have shown improvements in insulin resistance, decreased blood sugars, decreased cholesterol and decreased blood pressure.

Theres a lot of benefit that were seeing but ultimately its very, very limited especially in humans. The majority of our studies are actually in animals which dont always apply humans.

She says the biggest thing to know is that those with chronic conditions, like diabetes or eating disorders, should not be trying intermittent fasting. She suggests anyone interested in this change reach out to a doctor and dietitian.

Diet and nutrition is very personalized and I think its a lot more individualized than people realize. What works for one person would not work for someone else, she explains.

If youre someone who likes to get drinks and dinner a couple of times a week with your friends this is going to significantly alter your lifestyle and it may not be worth the weight loss for you.

No matter what she recommends vegetables calling them a weight loss miracle. They are high in fiber, low in calories and carbs.

"Going on diets just simply does not work, that's what we know," Kippen explains.

"Any changes we make if we don't feel they're sustainable they're likely not going to be successful in terms of keeping the weight off."

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New year, new you: Could intermittent fasting be the key to weight loss? - WKYC.com

How The 4-7-8 Breathing Technique Can Help You Relax And Get To Sleep – Coach

The idea of harnessing the power of your breath to help you deal with stress or get to sleep at night is absolutely fantastic on paper, but its not so easy to do in practice. We all know a few deep breaths can settle us down at times, but there are certainly more benefits to be unlocked with the breath if you use established techniques like the 4-7-8 breathing exercise.

For more information about the 4-7-8 breathing technique and the benefits it can bring, Coach spoke to Stuart Sandeman, founder of Breathpod, which offers breathing workshops for individuals or groups.

You breathe in for a count of four, hold the breath for a count of seven, then exhale for a count of eight. Its a breathing technique that will activate the parasympathetic state [putting your body in a state of rest], so its a very effective pattern for anyone to reduce anxiety. It moves you into that calm, relaxed state.

Even within one cycle youll notice the effect. Using 4-7-8 drops your respiratory rate to one breath every 19 seconds, so around three breaths a minute.

A doctor named Andrew Weil, who founded the Arizona Centre for Integrative Medicine at Arizona University, created the 4-7-8 breathing technique. He claimed that if you practise it you fall asleep in 90 seconds, which is a bold statement! But in my experience it has been very effective, and I use it as a go-to for a lot of people with sleep issues.

There are a few things that are at work. Youre using the diaphragm to breathe, and getting the benefits of diaphragmatic breathing in terms of calming the body and moving into a parasympathetic state. Then the breath hold allows carbon dioxide to increase, and when you start to increase that youre pushing the body to balance out its pH. Often people who are anxious, or stressed and hyperventilating go the opposite way.

Absolutely. If somebody is hyperventilating you give them a paper bag to breathe the carbon dioxide back in. You can do that by slowing the breath down and adding the hold. Thats how the carbon dioxide builds up, as well as slowing everything down and moving the body into a rest and digest state.

I often get clients to use it if they have IBS. A lot of times IBS and other stomach issues are linked to stress. Stress is a fight-or-flight response in the body, a sympathetic response. If the body is sympathetic the body is responding like its an emergency, all the blood flow goes to the muscles and it puts everything else on airplane mode. Those who are stressed tend to find the digestion isnt getting the attention it needs. Practising techniques like 4-7-8, which induces a parasympathetic state, will allow the digestion to start working more efficiently.

It comes down to ratios. In laymans terms, every in-breath increases your heart rate and your blood pressure. Every out-breath does the opposite, the heart rate and blood pressure go down. So in essence every in-breath switches us on slightly, and every out-breath switches us off. When your increase your in-breaths because youre stressed, you hit this on switch.

If you balance in-breaths and out-breaths through something like box breathing where you breathe in for four, hold for four, out for four you balance on and off. Its actually very good for accessing a balanced state. Youre balancing your heart rate variability, the space between the beats. Its how you access flow, or get in the zone, if you like.

With 4-7-8 you exhale for twice as long as you inhale, and by doing this youre hitting the off switch. In fact, if you cant remember 4-7-8 then just exhale for double the time. If you do that, youre going to get a similar effect, a parasympathetic response. The extra part of the 4-7-8 is holding the breath for seven, which is what sends the carbon dioxide up.

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How The 4-7-8 Breathing Technique Can Help You Relax And Get To Sleep - Coach

Integrative Medicine | UNC Medical Center | Chapel Hill, NC

When you want a holistic approach to health care that incorporates complementary and alternative medicine (CAM) techniques with conventional medicine, choose UNC Medical Center. We bring together research, knowledge and practice, so you can count on finding safe, effective integrative medicine options to help you feel your best.

Take advantage of a wide range of prevention, wellness and treatment services, including:

Your doctor can help you decide which techniques are best for you.

You may benefit from incorporating complementary and alternative medicine into your treatment plan if you experience:

When daily stresses challenge your ability to cope, ease any resulting physical and emotional discomforts with mindfulness techniques. In our mindfulness-based stress- and pain-management programs, youll learn how to recognize the warning signs of stress reactions and relax in ways that enhance your bodys natural adaptive and healing abilities. Mindfulness techniques have been shown to deliver lasting benefits for people with irritable bowel syndrome (IBS), heart disease, migraine headaches, anxiety, depression and some autoimmune diseases.

Find a mindfulness program to meet your needs at UNC Medical Center.

Options include:

To register, call our Mindfulness Program at the Program on Integrative Medicine at 919-966-8586 or go to our website.

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Integrative Medicine | UNC Medical Center | Chapel Hill, NC

6 all-natural strategies for fighting a cold this winter – Vogue India

A throbbing throat. A nose thats somehow equal parts congested and runny. A rapid-fire succession of gesundheit-worthy sneezes.

No matter what foreboding signs of the common cold come first, the reflexive need to eradicate them in one fell swoop is only naturalwhat with ubiquitous, heavily stocked medicine aisles bombarding you with promises of instantaneous, multi-symptom relief. But the clean medicine movement, which encourages a more natural, 360-degree approach to prevention and healing, is gaining tractionand not without good reason. So before filling your basket with over-the-counter medications, or begging your doctor for a preemptive Z-Pak prescription, it may be worth attempting a gentler holistic approach as the first line of defense.

Typical OTC remedies target symptoms like a cough, cold, headache, but dont target the root issues and sometimes further depress the immune system, explains integrative medicine physician Taz Bhatia, M.D., citing the example of antihistamines, which dry up drainage but then lead to sinus or ear infections since the drainage gets thicker and harder to expel. Natural remedies can have fewer side effects with less exposure to harmful chemicals, as well as can treat the root issue to keep you healthier in the long run.

Every individual is different, and a doctor should advise on when its time to actually break out the proverbial big guns. But in the spirit of more holistic healthcare, Bhatia lays out an easy beginners guide to naturally warding off the basic cold this winter.

How a viral infection is going to play out in the days, or even weeks, that follow its onset is largely influenced by how actionable you are in the first 24 hours. Taking it easy and upping hydration to flush a virus out are, indeed, essential, but Bhatia also recommends incorporating astragalus, a traditional Chinese herb; elderberries, a flavonoid-rich fruit; reishi, a staple healing mushroom; or antioxidant-rich vitamin C (in the range of one to two grams), which are all believed to boost the immune system, into the mix. The minute you start feeling symptoms, take one of these every couple of hours, she instructs.

To clear congestion, Bhatia recommends a saline spray that uses salt water to cleanse the passages. Another popular vehicle for nasal rinsing to battle a cold, or just to wash out sinuses and improve the quality of breath, is a teakettle-like neti potjust be sure the water is distilled before it passes through your nasal cavities. One more way to loosen up blockages is by steaming with anti-inflammatory essential oils such as lemongrass, eucalyptus, rosemary, and oregano. Theyre natural antihistamines that do not dry up drainage too aggressively, she assures.

Consider tapping the super-herb slippery elm (the inner bark of a native North American tree), which is often mixed in powder form (no more than one tablespoon) with water or tea to form a mucilage that lines the length of the gastrointestinal tract and aids digestion. It coats the throat and helps to alleviate pain, explains Bhatia, adding that marshmallow rootand umcka can be similarly beneficial treatments. As for the old-fashioned, tried-and-true approach of honey and whiskey? Thats not one I recommend, laughs Bhatia.

Even I have been guilty of staving off a cold, jumping back into work or travel too quickly, and then dragging one out for days, admits Bhatia. The reality is that there are no shortcuts: Drinking enough water64 ounces of fluid per day, adding six to eight ounces for every additional cup of dehydrating coffee, alcohol, or sodais essential for getting rid of a bug and so is getting enough sleep and maintaining a healthy diet to regenerate the immune system.

Yes, even if youre dealing with a flu. Antibiotics dont treat the flu, insists Bhatia. They should only be used to treat flu sequelae, better known as pneumonia, or ear infections. Otherwise, they can depress the immune system by putting a greater burden on the gut microbiome and increasing the occurrence of candidiasis, a fungal infection caused by an overgrowth of yeast thats an epidemic today. That being said, if symptoms including vomiting, painful congestion, or intense headaches persist, see a doctor to be sure something more serious isnt going on.

The best way to avoid getting sick in the first place is to take extra precautions before you are exposed to a bug: Washing your hands with soap frequently, cleansing your most common touch points (i.e. your smartphone or computer keypad), and living an overall healthy lifestyle, from daily exercise to a healthy diet to scheduling time for rest and sleep, can go miles toward a happier, healthier winter.

This article was originally featured on Vogue.com

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6 all-natural strategies for fighting a cold this winter - Vogue India

PREVAC-UP to evaluate safety of three Ebola vaccines five years post-vaccination – Homeland Preparedness News

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The Partnership for Research on Ebola Vaccination (PREVAC) recently launched a new project called PREVAC-UP, which will evaluate three Ebola vaccine regimens for five years after vaccination.

The study will assess several factors within these treatments: their long-term safety, the durability of immune responses to them, and the effect of other infections on the immune response to vaccination. Vaccines will be evaluated by integrative statistical analysis of the immune response.

This program is expected to significantly impact Ebola prevention and control in adults and children in Africa, Dr. Yazdan Yazdanpanah, PREVAC Principal Investigator, said. The study will also strengthen the capacity for science relevant to the development and evaluation of new vaccines in sub-Saharan Africa.

Such work has been emphasized for PREVAC with the onset of the two worst Ebola outbreaks in history in just the past decade. There is an ongoing outbreak in the Democratic Republic of the Congo, which has killed 2,200 people and infected more than 3,300, and the West African outbreak of 2014-2016, which ended with 28,600 cases and 11,325 people who died, according to the Centers for Disease Control and Prevention.

The latter prompted drug trials which should see results from PREVAC later this year, focused on a World Health Organization (WHO) prequalified drug developed by Merck, Sharp & Dohme, Corp. and a two-dose vaccine regimen created by Janssen Vaccines & Prevention B.V. and Bavarian Nordic. Those studies tracked safety and immunogenicity over 12 months, using three different vaccination strategies built on the vaccines. In all, 2,802 participants were enrolled in the main phase.

PREVAC-UP is funded by the European and Developing Countries Clinical Trial Partnership, under the European Union, but is working together with host countries Liberia, Sierra Leone, Guinea, and Mali. It has also received funding from Inserm, the National Institute of Allergy and Infectious Diseases, the London School of Hygiene & Tropical Medicine, and the College of Medicine and Allied Health Sciences, University of Sierra Leone.

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PREVAC-UP to evaluate safety of three Ebola vaccines five years post-vaccination - Homeland Preparedness News

Integrative Medicine Clinic in Cape Coral, FL

Integrative Medical Approach

Integrative medicine places the patient at the center of a holistic approach to medical care. Patient's individual needs, risks, and goals are the main driving forces of any integrative therapy. Physicians practicing integrative medicine emphasize that treatment of every aspect of a person's health is crucial to the success of the healing process:

To request more information, please contact our Cape Coral integrative medicine clinic today! Call (239) 425-2900 or contact Root Causes Holistic Health & Medicine online.

Integrative medicine is a multi-disciplinary approach that combines the scientific advances and a variety of effective therapies to treat disease.

Integrative medicine combines conventional and complementary treatment options to achieve optimal health for the patient. It is based on the research which demonstrates that the human body has an innate healing mechanism. Illness occurs when the regenerative processes in the body are disturbed, and the body can no longer keep itself healthy.

Integrative medicine emphasizes the use of the least invasive treatment options necessary to bring the body to a healthy state.

Integrative medicine physicians focus on health optimization and often combine a variety of methods to optimize their patients' health:

To request more information, please contact our Cape Coral integrative medicine clinic today! Call (239) 425-2900 or contact Root Causes Holistic Health & Medicine online.

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Integrative Medicine Clinic in Cape Coral, FL

Brian Lewis MD – Integrative Family Medicine of Asheville

Brian was born in Greensboro, North Carolina, where he was active as a youthwitha mix of soccer and service organizations. He studied biology and chemistry at UNC-Chapel Hillwhere he received a science scholarship his sophomore year to study abroad in England.After his science curriculum was complete, Brianfocused the last two years of undergraduate on psychology, anthropology, and religious studies. During that time, he also volunteered as a teacherand coordinator of various non-profit organizations.

He deferred his acceptance at UNC-Chapel Hill School of Medicine to serve as a volunteer teacher for at-risk youth through Americorps. He continued his deferral for another year during which he apprenticed in two residential programs studying meditation, yoga, and Integrative Medicine.

In medical school, Brianco-founded the UNC-CH Integrative Medicine student group which organized educational seminars, retreats, and weekly classes. He facilitated regional events for students interested in Integrative Medicine, holistic living, and restoring humanism to medicine.

Between his third and fourth years of medical school, Brianreceived a grant for the comparative study of healing methodologies from the Himalayas. He then returned to complete medical school and continued his studies with a Masters in Public Health focusing on health care leadership, health education, and community-based clinics.

In the following years, he completed his Family Practice residency in Asheville, NC. After completing residency, Brianmodeled a faculty development fellowship centered on Integrative Medicine and worked with other residents across the country to provide affordable fellowships in Integrative Medicine. He continues to work with integrative practitioners to foster collaboration and innovative practice models for making Integrative Medicine accessible and sustainable. He has spoken regionally on topics ranging from systems biology to understanding the healthcare system, and has served as the medical director for regional Integrative Medicine conferences.

He is board certified in Family Practice as well as Integrative & Holistic Medicine. Brian has completed further studies in therapeutic nutrition, thyroid health, yoga, and Chinese Medicine. He views comprehensive lifestyle approaches as the foundation of sustainable healthcare.

Brianhas a deep love for the Appalachian Mountains and enjoys time in nature through hiking, gardening, biking, land restoration, and camping. He currently lives with his wife and daughter in West Asheville on a small urban homestead.

He is inspired to continue developing Integrative Family Medicine with Dr. Krisel and the IFMA team. He enjoys partnering with individuals and communities to create sustainable approaches for preventing disease and cultivating health. He is passionate about translating the research from Lifestyle Medicine into clinical practice in ways that are accessible and personalized to the needs of his patients.

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Brian Lewis MD - Integrative Family Medicine of Asheville

Integrative Medicine | Knight Integrative Medicine

Integrative Medicine is a novel approach to health care that engages both patient and practitioner in a therapeutic partnership dedicated to optimizing the patients health and healing. Its aim is to integrate modern technology with traditional values in treating the patient as a whole, recognizing that the subtle interactions of mind, body, spirit and community have a direct impact on vitality and well-being.1

Functional medicine is a subset of integrative medicine that is an evolution in the practice of medicine that better addresses the healthcare needs of the 21st century. By shifting the traditional disease-centered focus of medical practice to a more patient-centered approach, functional medicine addresses the whole person, not just an isolated set of symptoms. Functional medicine practitioners spend time with their patients, listening to their histories and looking at the interactions among genetic, environmental, and lifestyle factors that can influence long-term health and complex, chronic disease. In this way, functional medicine supports the unique expression of health and vitality for each individual.

Functional medicine involves understanding the origins, prevention, and treatment of complex, chronic disease. Hallmarks of a functional medicine approach include:

1 http://www.dukeintegrativemedicine.org/about-us/what-is-integrative-medicineAll copy defining functional medicine is from the IFM. 2008 The Institute for Functional Medicine http://www.functionalmedicine.org.Also as seen on Dr. Mark Hymans Website, chairman of the IFM.

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Integrative Medicine | Knight Integrative Medicine