StemCell Therapy

Whole grains may be better for your health, but figuring out which products are healthier by relying on whole grain labels can actually make it difficult to make healthy choices.

A new study found that these labels on cereal, bread, and crackers can be confusing for people trying to make smarter food choices.

The report published in the journal Public Health Nutrition detailed a survey of 1,030 U.S. adults. The participants were shown photos of real and hypothetical products with food labels. They were asked to identify healthier options for the hypothetical products or assess the whole grain content of the real products.

A significant number of respondents had the wrong answer for which product was healthier.

Our study results show that many consumers cannot correctly identify the amount of whole grains or select a healthier whole grain product, Parke Wilde, PhD, study author and professor at the Tufts University, said in a statement.

The authors wanted to find out if there was a strong legal argument that whole grain labels are misleading. Evidence could back up a movement for increased labeling requirements.

I would say when it comes to deceptive labels, whole grain claims are among the worst, added co-author Jennifer L. Pomeranz, an assistant professor of public health policy and management at New York University in New York City.

The labeling of whole grains has been a source of confusion and deception for a long time, said Dr. Amy Burkhart, an integrative medicine physician and registered dietitian based in Napa, California. Many brands use the term whole grain and others to influence customers purchasing decisions by creating a healthy product facade.

The term whole grain means that all portions of the kernel are included in the product, Burkhart explained.

The blurring of lines begins here, she said. The product only has to contain 51 percent whole grain ingredients to use the term whole grains.

For example, a label can say whole grain but up to 49 percent of the product may include processed grains.

There are whole grains and refined grains, said Vicki Shanta Retelny, RDN, a consultant for Northwestern Memorial Hospital in Chicago. Whole grains contain three parts: the bran, germ, and endosperm layers. Refined grains have been stripped of the bran and the germ layers and, in turn, are devoid of fiber, iron, B-vitamins, fatty acids, and antioxidants, which are inherent in the whole intact grain.

Refined grains are white flour products that may be enriched or fortified with vitamins and minerals to provide nutritional value.

Whole grains that are wheat-based contain gluten. Wheat-free grains are typically gluten-free unless there is cross-contamination during processing of the grain, Retelny said.

According to the U.S. Department of Health and Human Services and the U.S. Department of Agricultures 2015-2020 Dietary Guidelines for Americans, half of all grains consumed should be whole grains. Getting enough whole grains has been linked with lower risk of heart disease, type 2 diabetes, and cancer.

The most common types of whole grains that contain gluten include wheat, barley, rye, and spelt. Gluten-free whole grains include corn, oats, brown rice, quinoa, buckwheat, brown rice, sorghum, teff, millet, and amaranth, Burkhart said.

Ancient grains such as farro and spelt are those that have not been changed by modern breeding methods over the last several hundred years. Nonwheat ancient whole grains include sorghum, quinoa, and millet, she noted.

This doesnt mean they are necessarily more nutritious but they do require a lower amount of pesticides and water to be grown which is beneficial to the planet, Burkhart said.

As part of the survey, the packages on the hypothetical products either had no front-of-package whole grain label or were marked with multigrain, made with whole grains, or a whole grain stamp. The packages on the real products displayed the actual product markings, including multigrain, honey wheat, and 12 grain.

When looking at the hypothetical products, people had to answer if they thought the product was healthier. For the real products, they were asked to assess the whole grain content.

Of the hypothetical products, 29 percent to 47 percent incorrectly identified the healthier item. Specifically, they had the wrong answer 31 percent of the time for cereal, up to 37 percent for crackers, and 47 percent for bread items.

Of the real products that were not mostly composed of whole grains, 43 to 51 percent of respondents overstated the whole grain content depending on the products.

Researchers found 41 percent overstated the grain content for multigrain crackers, 43 percent for honey wheat bread, and 51 percent for 12-grain bread.

However, respondents more accurately identified the whole grain content of an oat cereal that mostly included whole grain.

While experts find the labeling standards by the Food and Drug Administration confusing, other groups have pushed for more transparency.

The Whole Grains Council, a nonprofit consumer advocacy group, has created three stamps to guide consumers but they are not on all products.

Companies must apply to use the stamp. The 100 percent stamp includes products where all grains are whole grain and the product contains at least 16 grams of whole grain per serving. The 50 percent stamp means that 50 percent or more of the grains in the product are whole and the product contains at least 8g of whole grain per serving. The basic stamp means the item contains at least 8 grams of whole grain per serving, Burkhart explained.

Terms such as wheat, semolina, durum wheat, organic flour, stoneground, multigrain, fiber, and cracked wheat may or may not be whole grains.

When youre buying a whole grain product, such as bread or crackers, look for the first ingredient to be a whole grain ingredient such as whole grain flour or whole wheat flour, said Amy Gorin, MS, a registered dietitian nutritionist in New Jersey. Many whole grain products are made with whole grains but dont contain them as a primary ingredient.

On bread labels, for example, the first ingredient should be whole grain flour, whole wheat flour, or another whole grain ingredient. It should not, for example, be enriched wheat flour.

The fiber content on the nutrition label is another giveaway whole grain products are likely to be good or excellent sources of fiber, Gorin said.

Retelny advises her clients to focus on the ingredients list of a product for the word whole before the grain. For example, look for whole wheat or whole oats instead of enriched wheat or oats, because those are refined versions of the grain, she said.

Just because its a brown bread doesnt mean its whole grain, Gorin said.

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Whole Grain Labels Confuse People Trying to Pick Healthy Options - Healthline

News

Even people who experienced mild infection may have long-term symptoms.

Once the most severe phase of COVID-19 infection has passed, many patients experience long-term issues.These patients often describe themselves as long-haulers or as having long-COVID.As the number of Australians diagnosed with COVID-19 has grown, so too has the number of patients with post-acute issues.This has led many GPs to seek information on how to best manage these ongoing concerns. Melbourne-based GP Associate Professor Vicki Kotsirilos, founding Chair of the RACGP Specific Interests Integrative Medicine network, is one of them.I actually thought about that last week when I read an article about long-term effects [of COVID-19], she told newsGP.I thought, Okay, what will I be advising my patients?Associate Professor Kotsirilos says it is totally understandable that robust clinical guidelines are not yet in place to help GPs manage patients with long-term sequelae of COVID-19.COVID-19 is a new disease and it takes a while for health authorities to prepare clinical, treatment and even practice guidelines, she said.I dont think weve been slow to provide that information. In fact, if anything, I think the RACGP and health authorities have been excellent.That said, Associate Professor Kotsirilos says it is imperative GPs are provided with more detailed information when it comes to specific clinical guidelines on helping manage potential long-term effects, such as the hypercoagulable state seen in some patients.We clearly do need better and quicker clinical guidelines for us to access, she said.It is important for GPs to know the best evidence-based treatments in those situations from a long-term perspective.A new article, published in The BMJ on 11 August, explores management of post-acute issues in COVID-19 patients; though the authors acknowledge there are not yet definitive, evidence-based recommendations for management.We therefore used a pragmatic approach based on published studies on SARS and MERS, early editorials and consensus based guidance on COVID-19, a living systematic review, early reports of telerehabilitation (support and exercise via video link), and our own clinical experience, they wrote.According to the article, which is directed at primary care practitioners, approximately 10% of people remain unwell beyond three weeks after diagnosis with COVID-19.Post-acute COVID-19 long COVID seems to be a multi-system disease, sometimes occurring after a relatively mild acute illness, the authors wrote.They say such patients can broadly be divided into those who may have serious sequelae, such as thromboembolic complications, and those with a non-specific clinical picture, mainly characterised by symptoms such as fatigue and breathlessness.The authors define long-COVID as extending beyond three weeks from the onset of first symptoms, while chronic-COVID is defined as extending beyond 12 weeks.The authors list the symptoms of post-acute COVID-19 as:

On the other hand, severe breathlessness may require urgent referral. The following management principles apply:

Associate Professor Vicki Kotsirilos says clinical guidelines are needed to help GPs manage patients with post-acute symptoms of this infection.

FatigueFatigue is a common complaint following infection with COVID-19.It has also been called the most common and debilitating symptom in [ICU] survivors.A letter to the editor published in Medical Hypotheses on 27 June highlights the potential for a post-viral syndrome to manifest following COVID-19.After the acute SARS episode some patients, many of whom were healthcare workers, went on to develop a chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME)-like illness, which nearly 20months on prevented them returning to work, the authors of the letter wrote.We propose that once an acute COVID-19 infection has been overcome, a subgroup of remitted patients are likely to experience long-term adverse effects resembling CFS/ME symptomatology such as persistent fatigue, diffuse myalgia, depressive symptoms, and non-restorative sleep.The authors of the BMJ article say they found no published evidence on the efficacy of either pharmacological or non-pharmacological interventions on fatigue after COVID-19.Associate Professor Kotsirilos says she would advise patients experiencing fatigue to address lifestyle and behavioural factors.Ensuring that they eat well, that they rest, theyre cared for by other people, go to bed early for a good nights sleep and a graded exercise program, she said. It would be just like [management strategies for] patients suffering post-viral fatigue.Chest painThis is another common symptom after acute COVID-19, and clinical assessment should follow similar principles to that for any chest pain.Where the diagnosis is uncertain, or the patient is acutely unwell, urgent cardiology referral may be needed for specialist assessment and investigations (including echocardiography, computed tomography of the chest, or cardiac magnetic resonance imaging), the BMJ authors wrote.Ventricular dysfunctionThe authors advise intense cardiovascular exercise must be avoided for three months in all patients after myocarditis or pericarditis.Meanwhile, athletes are advised to take 36 months of complete rest from cardiovascular training followed by specialist follow-up.ThromboembolismIt is now recognised that COVID-19 can cause a hypercoagulable state with increased risk of thromboembolic events.The authors say many hospitalised patients receive prophylactic anticoagulation.Recommendations for anticoagulation after discharge vary, but higher risk patients are typically discharged from hospital with 10 days of extended thromboprophylaxis, they wrote.If the patient has been diagnosed with a thrombotic episode, anticoagulation and further investigation and monitoring should follow standard guidelines.It is not known how long patients remain hypercoagulable following acute COVID-19.Associate Professor Kotsirilos would like further detailed information for GPs on this topic, including whether the best anticoagulant in this situation is warfarin or another blood thinner, such as low-dose aspirin.That is important for GPs to know, she said.Clinical guidelines are required to help us keep up-to-date with evidence-based appropriate treatments such as the role of blood thinners when to prescribe them and for how long.Neurological sequelaePatients with serious complications such as stroke, seizures or encephalitis should be referred to a neurologist.Meanwhile, non-specific symptoms such as headaches, dizziness and brain fog require supportive management and symptom monitoring.Brain fog is a particularly common symptom reported by patients who describe themselves as long-haulers.Associate Professor Kotsirilos says measures that can help a patient manage fatigue are also applicable for brain fog.Brain fog has been seen with other post-viral chronic fatigue syndromes, she said.With brain fog, its all about resting, avoiding the computer, letting the head or brain rest, not returning to work too quickly, exercise especially outdoors for fresh air but gradually.Other measures include ensuring adequate sleep, reducing stress and eating well.Mental healthWhile a minority of patients may benefit from referral to mental health services, it is important not to pathologise the majority, the authors wrote.Patient organisations emphasise wellbeing, mindfulness, social connection, self-care (including diet and hydration), peer support, and symptom control.Associate Professor Kotsirilos agrees these measures can assist with mental health issues. However, she says regular check-ins with a GP and a mental health care plan may also be important if patients are not coping.Holistic management of the patientAssociate Professor Kotsirilos believes GPs are ideally placed to help manage COVID-19 patients with post-acute issues.When patients have suffered from COVID-19 infection and are suffering long-term effects like chronic fatigue, GPs are in a great position to validate their symptoms, reassure them, explain to them that it is a new disease, were only just coming to understand it, but it is common to get post-viral fatigue, brain fog and other symptoms, she said.GPs play an important role in helping patients make a full recovery post COVID-19 infection.She says GPs can also use this opportunity to discuss lifestyle measures, exercise, reducing stress and avoiding harmful substances like excessive alcohol and smoking.The BMJ authors agree primary care practitioners are in an ideal position to ensure ongoing patient care for those with post-acute symptoms of COVID-19.From the limited current evidence, we anticipate that many patients whose COVID-19 illness is prolonged will recover without specialist input through a holistic and paced approach, they wrote.GPs can also offer their patients much-needed reassurance throughout this process.Patients, many of whom were young and fit before their illness, have described being dismissed or treated as hypochondriacs by health professionals, the authors wrote.In these uncertain times, one key role that the primary care practitioner can play is that of witness, honouring the story of the patient whose protracted recovery was unexpected, alarming, and does not make sense.Log in below to join the conversation.

The RACGP Awards recognise outstanding achievements and exceptional individuals for their contribution to general practice. Visit theRACGP websitefor more information, or to nominate a GP or GP in training.

coronavirus COVID-19 long-COVID

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newsGP - Managing post-acute issues in COVID patients: What GPs need to know - RACGP

By Deepak Chopra,TM MD and Menas C. Kafatos, PhD

As we go about everyday life, we are embedded in a mystery no one has ever solved. The mystery was voiced by one of the most brilliant quantum pioneers, Werner Heisenberg: Not only is the Universe stranger than we think, it is stranger than we can think. (There are variants of the quote that use reality for universe, and the remark has also been attributed to other famous scientists, but the gist is always the same.)

If we take this remark seriously, it turns out to be truer today than it was in 1900 when the quantum revolution began and the revolutionary new theory of quantum mechanics was put together. How can reality be stranger than we could possibly think? Look at the framework of your life. You pick up your morning coffee, and instantly you are acting in space and time. Your perception of the cup in your hand depends upon the five senses as communicated through the brain. You can think about anything you fancy as you sip your coffee.

These might not seem so mysterious, but there is one mystery after another nested inside everyday experience. Science can reach no consensus on the following:

Where did time come from? Why do properties of physical objects have their origin in invisible waves of probability of observation? Where does a thought come from? How did matter transform into mind? Is consciousness solely a human trait or is it everywhere in the universe?

The pioneers of quantum physics werent the first to ask such questions, but quantum physics got to the nub of how the physical universe is constructed. Everything in existence emerges from ripples in the quantum field, and underlying these ripples is an invisible or virtual domain that goes beyond spacetime, matter, and energy. In the virtual domain, the universe and everything in it is a field of infinite possibilities, and yet the virtual domain cannot be observed directly. As a result, contemporary physics can take us to the horizon of reality, the womb of creation, but it cannot cross the boundary between us and our source of existence.

Almost all the recent models that have gained popularity, including superstrings, the multiverse, and dark matter and energy, exist in so-called mathematical space, or Hilbert space, in recognition that they are not going to yield direct empirical evidence that can be perceived with our senses. Astrophysics had already gotten used to the fact that just 4% of the created universe is accounted for by the matter and energy visible to the eye or to telescopes. With dark matter and energy added in, most of what we see is not really what the universe consists of.

Leaving the technicalities aside, it has become far more difficult to foresee that the human mind can fully comprehend the nature of reality when so many crucial aspects are beyond the setup that our brains can grasp. The thinking mind needs the brain in order to operate, and the brain is a creation in spacetime consisting of matter and energy, that are in spacetime. We wear mind-made manacles. When this fact dawned on the late Stephen Hawking, he ruefully conceded that scientific models might no longer describe reality in any reliable or complete way.

When we discussed these issues in our book, You Are the Universe, the title reflected another approach entirely. Instead of founding the universe on physical things, however small, or even ripples in the quantum field, which are knowable only through advanced mathematics, reality can be grounded in experience. Everything we call real is an experience in consciousness, including the experience of doing science. Mathematics is a very refined, complex language, but there is no language, simple or complex, without consciousness.

The vast majority of scientists will continue to engage in experimentation and theoretical modeling without this venture into metaphysics, which is a no-no word in science (a famous put down when things get to speculative is Shut up and calculate). But it was quantum physics that brought the mystery of reality into the laboratory in modern terms, even though Plato and Aristotle also wondered about what is real.

A younger generation has proved more open-minded, and a growing cadre of cosmologists now hold to the notion of panpsychism, which holds that mind is built into reality from the start. This is a huge turn-around from the view that mind evolved out of matter here on Earth as a unique creation. The fact is that nobody in the physicalist camp could explain how atoms and molecules learned to thinkcreating mind out of matter was dead on arrival, even though the vast majority of scientists still hold on to this view as an assumption or superstition.

Ironically, to say that reality is stranger than we can think isnt confined to the queer behavior of atoms and subatomic particles. You cannot think about consciousness, either, any more than the eye can see itself or the brain know that it exists (without cutting through the skull to seethe brain from the outside). A fish cannot know that water is wet unless it jumps out of the sea and splashes back down again. We cannot think about consciousness without a place to stand outside consciousness, and such a place doesnt exist in the entire cosmos.

The source of space isnt inside space; the source of time isnt in time. Likewise, the source of mind isnt inside the mind. The ceaseless stream of sensations, images, feelings, and thoughts that run through your mind are the products of consciousness. Consciousness itself has no location. It is infinite, without dimensions in space and time, unborn and undying. Can you really think about such a thing as consciousness? And yet you know without a doubt that you are conscious. This is what allows us to make peace with reality being too strange to think about.

We can simply drop the strange part. Reality can be founded on knowing that you exist and that you are aware. Existence is consciousness. If science is dedicated to the simplest, most complete explanation of things, existence = consciousness is the simplest and most complete explanation. There is no need for religious or spiritual beliefs in order to accept this foundation for reality, since it is based on what science has arrived at. By removing our outdated allegiance to things existing independently of consciousness, the basis of reality can be seen clearly. In our everyday life we navigate with existence and consciousness at our side, indivisible, secure, inviolate, and unchallengeable. A whole new future may spring from accepting this simple but awe-inspiring fact.

DEEPAK CHOPRATM MD, FACP, founder of The Chopra Foundation, a non-profit entity for research on well-being and humanitarianism, and Chopra Global, a modern-day health company at the intersection of science and spirituality, is a world-renowned pioneer in integrative medicine and personal transformation. Chopra is a Clinical Professor of Family Medicine and Public Health at the University of California, San Diego and serves as a senior scientist with Gallup Organization. He is the author of over 89 books translated into over forty-three languages, including numerous New York Times bestsellers.His 90th book, Metahuman: Unleashing Your Infinite Potential, unlocks the secrets to moving beyond our present limitations to access a field of infinite possibilities. TIME magazine has described Dr. Chopra as one of the top 100 heroes and icons of the century.

Menas C. Kafatos is the Fletcher Jones Endowed Professor of Computational Physics at Chapman University. Author, physicist and philosopher, he works in quantum mechanics, cosmology, the environment and climate change and extensively on philosophical issues of consciousness, connecting science to metaphysical traditions. Member or candidate of foreign national academies, he holds seminars and workshops for individuals, groups and corporations on the universal principles for well-being and human potential. His doctoral thesis advisor was the renowned M.I.T. professor Philip Morrison who studied under J. Robert Oppenheimer. He has authored 334 articles, is author or editor of 20 books, including The Conscious Universe, Looking In, Seeing Out, Living the Living Presence (in Greek and in Korean), Science, Reality and Everyday Life (in Greek), and is co-author with Deepak Chopra of the NY Times Bestseller You are the Universe (Harmony Books), translated into many languages and at many countries. You can learn more at http://www.menaskafatos.com

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The Spread of 'Stranger Than We Can Think' - SFGate

A Sino-U.S. collaborative study has demonstrated that acupuncture regulates inflammation by activating pro- or anti-inflammatory signaling pathways, while mitigating cytokine storms in mice with systemic inflammation, the study authors reported in the Aug. 12, 2020, edition of Neuron.

The study also found that the acupuncture site, intensity and timing determined how it affected response, which has important implications for acupuncture use in inflammatory diseases and as adjunctive cancer therapy.

Acupuncture was further shown to influence how mice coped with the aberrant immune system reaction of cytokine storm due to rapid excessive release of pro-inflammatory cytokines.

Our study provides an insight into how acupuncture can drive distinct autonomic pathways and modulate inflammation in acupoint-, stimulation intensity- and disease state-dependent manners, said study leader Qiufu Ma, a professor in the Dana Farber Cancer Institute and the Department of Neurobiology at Harvard Medical School.

Cytokine storms are a characteristic of inflammatory diseases, notably bacterial or viral infections causing sepsis, an organ-damaging, often-fatal inflammatory response.

Cytokine storms can also be caused by excessive inflammatory responses to traumatic tissue injury, some surgeries, and cancer immunotherapies such as immune checkpoint inhibition, but currently there are no FDA-approved treatments for severe cytokine storms, noted Ma.

For cancer patients receiving immunotherapy who develop inflammatory side effects, milder symptoms might be relieved by corticosteroids, which have their own side effects, he said.

In COVID-19 patients, early pilot studies have suggested using an antibody against the cytokine, interleukin-6 (IL-6), but larger clinical trials are needed to confirm the efficacy and safety of this approach, he told BioWorld.

A traditional Chinese medicine technique, acupuncture has become increasingly integrated into Western medicine, particularly for treating chronic pain and gastrointestinal disorders.

It involves mechanical stimulation of acupoints, supposedly triggering nerve signaling and affecting the function of internal organs corresponding to those acupoints, but acupunctures basic underlying mechanisms have not been fully elucidated.

In their new study, Ma and his research team investigated the use of electroacupuncture stimulation (ES), in which ultra-thin electrodes offer better control of stimulation intensity than traditional needles.

The researchers investigated two cell types secreting the neurotransmitters known to be important inflammatory mediators: adrenal gland chromaffin cells, the main producers of adrenaline, noradrenaline (NA) and dopamine, and peripheral NA neurons.

To determine the precise role these cells play in inflammatory responses, the researchers used a novel genetic tool to ablate chromaffin cells or NA neurons.

We genetically introduced the human diphtheria toxin receptor (DTR) selectively to molecularly defined sympathetic cells, such as those marked by expression of neuropeptide Y (NPY), explained Ma.

Injecting a modified diphtheria toxin that does not cross the brain-blood barrier can selectively ablate DTR-expressing cells, creating mice lacking both NPY-expressing chromaffin cells and NA neurons, or those with a more selective ablation of NPY-expressing chromaffin cells via injecting low-dose toxin only into the adrenal gland.

That allowed inflammatory response comparison in mice with and without those cells, to determine their role in modulating inflammation. The markedly different responses then identified those cells as key regulators of inflammation.

Hind-limb administration of low-intensity ES to mice with a bacterial toxin-induced cytokine storm was shown to activate the vagus-adrenal axis, inducing dopamine secretion from chromaffin cells.

We used the induction of a neuronal activation marker to show that low-intensity ES activated hind-brain vagal efferent neurons, which are known to innervate thoracic and visceral organs and tissues, said Ma.

We then showed that low-intensity ES could reduce cytokine storms and promote survival, and that these ES effects were lost in mice with transected vagal efferents or in those with ablation of NPY-expressing adrenal chromaffin cells, suggesting involvement of the vagal-adrenal anti-inflammatory axis.

Specifically, treated animals had more than 50% reductions in the cytokines, tumor necrosis factor-alpha (TNF-a), IL-6 and IL-1b, than untreated controls, and prolonged survival rates of 60% vs. 20%, respectively.

In addition, the vagus-adrenal axis was shown to be activated by hind-limb ES, but not by that using abdominal acupoints, demonstrating the importance of acupoint selectivity in driving specific anti-inflammatory pathways.

Treatment timing was also found to be critical, with high-intensity abdominal stimulation producing markedly different outcomes, depending on when treatment occurred.

For example, animals treated before developing cytokine storm had lower levels of inflammation during subsequent disease and their survival increased from a range of 20% to 30% to a range of 70% to 80%.

Conversely, those treated after disease onset and during the cytokine storm peak experienced worse inflammation and more severe disease.

Together, those findings suggest that ES could be a versatile treatment modality, from adjunct therapy for sepsis to targeted treatment of site-specific inflammation, such as in inflammatory intestinal diseases.

Acupuncture might also help modulate inflammation due to cancer immune therapy, which can trigger cytokine storms, and is currently used in integrative cancer treatment to help patients tolerate treatment side effects.

However, before considering any therapeutic use, those findings must be further confirmed in animals and humans, optimal ES parameters must be defined and its safety established.

Safety

High-intensity ES can drive spinal-splenic noradrenergic sympathetic neuronal pathway, potently reducing inflammation if performed before cytokine storm induction, said Ma.

However, after the first cytokine storm wave has peaked, high-intensity ES can exacerbate inflammation and increase fatality rates, due to altered NA receptor profiles in immune cells switching from anti-inflammatory to pro-inflammatory dominance.

As such, high intensity ES may be associated with unforeseen safety issues, but fortunately low intensity ES is sufficient to drive the vagal-adrenal axis and safely attenuate inflammation in a disease state-independent manner, Ma said.

In the future, he said, inflammation modulation needs to be fine-tuned, since excessive suppression could reduce the ability of the immune system to fight with infection, necessitating future human studies to optimize stimulation parameters.

More here:
Acupuncture shown to regulate inflammation in mice - BioWorld Online

Kayla Brim laughed when she learned it could take 10 days to get her COVID-19 test results back. I thought, Okay, well, within 10 days I should be fine, she remembers.

That was on July 2. More than a month later, Brim is still far from fine.

Prior to the pandemic, the 28-year-old from Caldwell, Idaho, juggled homeschooling her two kids with her work as a makeup artistshe was supposed to open her own salon in July. Now, she suffers daily from shortness of breath, exhaustion, excruciating headaches, brain fog, neuropathy, high blood pressure and loss of taste and smell. She feels like a little old lady, completely knocked out by simple tasks like making lunch for her children. Shes working just enough to help pay the bills and the lease on her empty salon, but she has no idea when shell be able to work full-time again, and no idea how she and her husband will manage financially if she cant. Half of my day is spent trying to sleep, and the other half of it is trying to pretend like Im okayand I dont know when Ill be okay, Brim says.

This is long-haul COVID-19. Even young, healthy people can become long-haulers (as many call themselves), left unable to work, lead a normal life or, some days, get out of bed. The consequences for each individual can be devastatingand at scale, theyre staggering. Over time, long-haul coronavirus may force hundreds of thousands of people out of work and into doctors offices, shouldering the double burden of lost wages and hefty medical bills for the indeterminate future. To treat them, the health care system may have to stretch already-thin resources to the breaking point.

Its going to be an impending tsunami of patientson top of all the [usual] chronic care that we do, says Dr. Zijian Chen, medical director of the Center for Post-COVID Care at New York Citys Mount Sinai Health System, one of the countrys only clinics devoted to caring for patients in the aftermath of coronavirus infection. At some point it becomes very unsustainablemeaning, the system will collapse.

When most people think of COVID-19, they imagine two possibilities: a flu-like illness that clears on its own, or a life-threatening condition that requires ventilation and a hospital stay. Its not hard to see how the latter scenario leads to long-term damage. Mechanical ventilation is incredibly hard on the lungs, and days or weeks spent sedated in a hospital bed can sap physical and mental strength. In a small study published in 2011, nearly all the participants who needed intensive treatment for a severe lung injury reported decreased physical ability and quality of life five years after leaving the hospital. Some took years to return to work. Hospitalized coronavirus patients may face a similar fate.

But with COVID-19, its not just the sickest who face a long road back. A July 24 report from the U.S. Centers for Disease Control and Prevention (CDC) found that, out of about 300 non-hospitalized but symptomatic COVID-19 patients, 35% were still experiencing symptoms like coughing, shortness of breath and fatigue up to three weeks after diagnosis. (By contrast, more than 90% of non-hospitalized influenza patients fully recover within two weeks.) Recovery from COVID-19 can be a drawn-out process for patients of all ages, genders and prior levels of health, potentially leading to prolonged absence from work, studies, or other activities, the report noted.

The CDCs surveyors only checked up on people a few weeks after they tested positive for coronavirus, but emerging evidence suggests a large subset of patients are sick for months, not just weeks, on end. Dr. Michael Peluso, who is studying long-term COVID-19 outcomes at the University of California, San Francisco, says about 20% of his research participants are still sick between one and four months after diagnosis.

Kayla Brim with her family, outside their home in Caldwell, Idaho, on Aug. 11. Brim has been sick with COVID-19 since early July.

Angie Smith for TIME

The implications of that problem are enormous. If even 10% of the more than 5 million (and counting) confirmed COVID-19 patients in the U.S. suffer symptoms that last this long, half a million people are already or could soon become chronically ill for the foreseeable future.

When Mount Sinai opened its Post-COVID Center in May, the hospital advertised it as the first in the country; since then, a handful of others have opened in states including Colorado, Indiana and Illinois. Mount Sinais clinic was modeled after the practice the hospital opened to treat survivors of the 9/11 terrorist attacks. Its very similar. Its a new group, and they need special care, Chen says. The biggest difference, he says, is the size of the group. Significantly more people have survived COVID-19 than were directly affected by 9/11. Mount Sinai has only scratched the surface of that demand, treating about 300 people so far. The wait time for new patients extends into October.

The challenge for doctors like Chen is that nobody really knows why long-haul COVID-19 happens, let alone how to treat it. Other viral diseases with long-term symptoms, such as HIV/AIDS, offer some clues, but every day in the clinic is essentially uncharted territory. One hypothesis is that the virus persists in the body in some form, causing continuing problems. Another is that coronavirus pushes the immune system into overdrive, and it stays revving even after the acute infection passes. But at this point, its not clear which theory, if either, is right, or why certain patients recover in days and others suffer for months, Peluso says.

Plus, just as theres huge variation in acute COVID-19 symptoms, not all long-term patients have the same issues. A researcher from the Indiana University School of Medicine in July surveyed 1,500 long-haulers from Survivor Corps, an online COVID-19 support group. They reported almost 100 distinct symptoms, from anxiety and fatigue to muscle cramps and breathing problems. A JAMA Cardiology study published in July suggested many recently recovered patients had lingering heart abnormalities, with inflammation the most common.

Some long-term COVID-19 patients have abnormal test results or damage to a specific organ, giving doctors clues as to how they should be treated. But for others, theres no obvious reason for their suffering, making treatment an educated guessing game. We dont know why they [still] have symptoms. We dont know if our techniques are working, Chen says. We dont know if theyre going to get back to 100%, or 90%, or 80%.

With little evidence, some doctors turn coronavirus long-haulers away or try to convince them their symptoms are psychological. Marcus Tomoff, a 28-year-old in Tampa, Fla. who is in his second month of debilitating fatigue, back and chest pain, nausea and anxiety after a bout of coronavirus, says he hasnt been taken seriously by friends or even his doctors. Several times Ive cried in front of my doctors and they say, You need to deal with this, youre young, he says.

The haphazard testing system in the U.S. has further complicated patients searches for care. Mount Sinais Post-COVID Center, for example, only accepts patients who tested positive for COVID-19 or its antibodies, and Chen fears potential patients who couldnt get tested or got false-negative results may be falling through the cracks. The best he can do right now is refer them to specialists and hope they find a doctor who can help.

For 46-year-old Andrea Ceresa, getting better is a full-time jobminus the paycheck. Ceresa had to stop working as a New Jersey dental office manager after she got sick in mid-April with what she and her doctors believe was COVID-19. (She tested negative for the virus and its antibodies, but her doctors think they were false negatives.) More than 100 days later, shes in regular contact with her primary care physician, an integrative care doctor and a rotating cast of specialists who she hopes can treat her lingering gastrointestinal problems, hearing and vision issues, weight and hair loss, heart palpitations, migraines, brain fog, neuropathy, fatigue, nausea and anxiety. She cant get into post-COVID programs without a positive test result, so shes cobbling together her own care team.

Ceresa has paid for her own health insurance through the federal COBRA program since she stopped working, which has put her in a precarious financial state. I have a stack of bills and I just am starting to open them now, she says. Im definitely, at this point, going to be in the hole thousands of dollars. Im collecting unemployment. I know Im going to have to go on disability. Even then, she says, it may not be enough to pay her bills.

There may soon be a lot of patients like Ceresa, says Dr. Bhakti Patel, a pulmonologist at University of Chicago Medicine who studies the long-term effects of critical care. Patel says patients with long-term issues after surviving coronavirus may face a number of obstacles. Patients who remain too sick to return to work (or who are unemployed due to the economic climate) may lose employer-sponsored health insurance at the moment they need it most. Younger patients who do not qualify for Medicare but need public insurance will likely be funneled toward Medicaid, which Patel says is already over-stretched. The services long-haul coronavirus patients may needlike physical therapy and mental health carecan be difficult to access, especially via public insurance networks like Medicaid, Patel says. That bottleneck will only get worse if more people need public aid.

As patients with an emerging disease, long-haulers also need an intensity of outpatient care and expertise, that goes beyond what the average primary care physician can offer, Peluso says. Very few doctors are experienced in treating long-haul symptomsand even among those who are, experienced is a relative term. This wasnt a specialty three months ago, says Chen.

People who cant get into a dedicated post-COVID program may need to try a slew of specialists before they find one who can help, an expensive and tiring game of trial-and-error. (Thats assuming patients can get appointments with specialists like pulmonologists and neurologists, who are often few and far between outside of densely populated areas.) The sickest long-haul patients may also require pricey and difficult-to-access rehab or in-home care, on top of other medical costs. If a family member has to give up work to become a caregiver, that can also have serious economic consequences.

Some long-haulers will likely have to file for disability benefits, a byzantine system of its own thats at risk of becoming overwhelmed. From 2008 to 2017, only about a third of people who applied for disabled-worker benefits in the U.S. were initially approved, according to Social Security Administration (SSA) data. It can be especially difficult for patients without a clear diagnosis or cause of illness, since SSA requires claimants to provide objective medical evidence of an impairment.

With few other resources available, thousands of long-haulers have sought help from virtual support groups like Survivor Corps and Body Politic, where members talk about their symptoms and celebrate signs of recovery. Programs like COVID Bootcamp 101, an online rehab series run by the nonprofit Pulmonary Wellness Foundation, are also trying to fill gaps in care. The scientific community is doing its best to catch up, but Chen says the government may need to help develop long-term solutions that address the economic consequences of long-term coronavirus symptoms, like a medical safety net program (as it has done for HIV/AIDS patients) or financial assistance for COVID-19 patients (as it did for 9/11 survivors).

Without clear answers about what happens next, all doctors can offer the public is yet another plea to take coronavirus seriouslybecause right now, the only surefire way not to become a long-hauler is to not get COVID-19 at all.

That doesnt help people like Ceresa, though. After more than 100 days of feeling sick, Cersa says shes still baffled this happened to her, an active and healthy woman whos been a vegan for decades. She stayed home all April except for a couple trips to the grocery store and still had her life destroyed by the virus. She cant work, sing in her band or plan her wedding after getting engaged a few weeks before the pandemic hit. She tries to comfort herself by thinking about ways it could be worseit could be cancerbut the truth is, things are bad. You try to be hopeful and think somehow, miraculously, youre going to be better, and it doesnt happen, she says. I cant imagine living like this for another day, let alone the rest of my life.

At this point, no one knows if shell have to.

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Write to Jamie Ducharme at jamie.ducharme@time.com.

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Some Coronavirus Patients Are Reporting Symptoms That Last Months. Nobody Knows Exactly How to Treat Them - TIME

This article was originally published here

Breast Cancer Res Treat. 2020 Aug 9. doi: 10.1007/s10549-020-05859-0. Online ahead of print.

ABSTRACT

PURPOSE: To define the prevalence and risk factors of anxiety and examine rates and predictors of psychotherapy and integrative medicine service use in breast cancer survivors on aromatase inhibitors (AIs).

METHODS: Observational study of patients with histologically confirmed stage 0-III hormone receptor-positive breast cancer taking a third-generation AI at the time of enrollment. Patients completed self-report measures of anxiety and utilization of psychotherapy and integrative medicine services at a single time-point. We used multivariate logistic regression analyses to identify factors associated with anxiety and receipt of anxiety treatment services.

RESULTS: Among the 1085 participants, the majority were younger than 65 years of age (n = 673, 62.0%) and white (n = 899, 82.9%). Approximately one-third (30.8%) reported elevated anxiety ( 8 on the anxiety subscale of the Hospital Anxiety and Depression Scale). Of patients with elevated anxiety, only 24.6% reported receiving psychological counseling, 25.3% used integrative medicine services, and 39.8% received either type of treatment since their diagnosis. Patients with an education level of high school or less were less likely to receive psychological counseling (AOR, 0.43, 95% CI 0.19-0.95) and integrative medicine services (OR 0.30, 95% CI 0.12-0.72) than patients with higher levels of education.

CONCLUSIONS: Anxiety is common in breast cancer patients treated with AIs yet the majority of anxious patients do not receive evidence-based treatment, even when these treatments are available. Better systematic anxiety screening and treatment initiation are needed to reduce disparities in care by education level.

PMID:32772224 | DOI:10.1007/s10549-020-05859-0

Link:
Receipt of psychological counseling and integrative medicine services among breast cancer survivors with anxiety - DocWire News

One of the many untold effects of the COVID-19 pandemic is the toll it is taking on patients without COVID. During the initial wave of COVID cases, staying home was universally urged to protect people from exposure to the infection, but, in the process, many people ignored serious medical issues that should have sent them to their provider or an emergency room. One survey found that almost one-third of people admitted to delaying or avoiding emergency care even though they needed it. While access and affordability continue to be a huge problem in healthcare, many today are wondering if it is safe to see the doctor for routine visits yet.

Join Kris Kington Barker as she hosts the program from homeamid concerns about the spread of theCOVID-19 virus. She will be speaking with Susan Polk, owner of Susan Polk InsuranceAgency and Lindsey Faucette,DO, FAAFP, Chief Medical Officer at SLO Health-Family and Integrative Medicine as they discuss how COVID-19 is impacting healthcare access, utilization and insurance coverage for non COVID care.

You are invited to listen, learn and participate in the conversationtoday, Thursday, between 1-2 pm. Call in and be part of the discussion at(805) 549-8855 or email questions to voices@kcbx.org.

Broadcast date: 8/13/20

Central Coast Voices is sponsored by ACTION for Healthy Communities in collaboration with KCBX and made possible through underwriting by Joan Gellert-Sargen.

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Central Coast Voices: COVID-19 and its impact on non COVID care - KCBX

Your doctor diagnoses you with high blood pressure, orders various tests and sends you home with a prescription to keep it under control.

Thats the old-school model of a typical healthcare experience.

UCI Health, with its emphasis on evidence-based integrative health, is new-school, with world-class specialists who treat the immediate symptoms of heart disease and other conditions, as well as the mind and spirit of patients.

In addition to running traditional tests, integrative health doctors and nurses also conduct sophisticated diagnostic assessments and examine patients health history and lifestyle in depth including diet, exercise habits and other factors to devise a treatment plan.

Its a whole-person approach, says Dr. Ailin Barseghian, who specializes in preventive cardiology and integrative heart health at UCIs Susan Samueli Integrative Health Institute.

An assistant clinical professor in the School of Medicine, she is one of many physicians who will be offering this integrative approach to wellness at UCI Health Newport Beach, a multispecialty medical office opening in August in the Newport Center business complex surrounding Fashion Island.

The emphasis on integrative health at the new clinic, located at 2161 San Joaquin Hills Road, is being spearheaded by UCI Health cardiologist Shaista Malik, executive director of the Susan Samueli Integrative Health Institute and founding associate vice chancellor for integrative health at UCIs Susan and Henry Samueli College of Health Sciences.

UCI Health Newport Beachs services will include integrative cardiology, gastroenterology, dermatology and pain management, along with such therapies as acupuncture, massage, naturopathic medicine, mindfulness and yoga.

Reducing risk factors

With advanced testing and other supportive treatments, Barseghian says, we can personalize care for each individual and help reduce their risk factors for cardiovascular disease.

To be sure, traditional cardiologists also recommend that patients improve their diets, exercise a certain number of times each week and make other lifestyle changes, she says, but with integrative cardiology, we work as a team that includes an exercise specialist, a dietitian and other therapists to help guide people.

With a patient who has high blood pressure, for example, the goal is to get to the root of the problem, Barseghian explains: We assess nutrition and fitness, as well as sleep patterns and any possible stressors such as whether someone is going through a divorce or a difficult time on the job to see if theres an underlying cause. We might also try acupuncture, which studies show can lower blood pressure if a regular regimen is maintained.

Whats different about UCI Health Newport Beach, she adds, is that specialty care and most integrative health services are available in one location. The clinic is 7,000 square feet and will employ 13 non-provider staff members, with about five providers working each day.

Its certainly a unique resource in this area, Barseghian says. Some of these complementary therapies, like acupuncture, arent new. Were just including them when it comes to assessing the overall health of our patients.

Dedicated physicians

Barseghian, who graduated from New York Medical College, did most of her training at UCI. She completed an internal medicine residency and cardiovascular disease fellowship at UCI Medical Center, followed by a fellowship in interventional cardiology at Lenox Hill Heart and Vascular Institute in New York City.

Shes been on the faculty at UCI for five years and currently is seeing patients at the Susan Samueli Integrative Health Institute in Costa Mesa, UCI Health Tustin and the UCI Health Cardiovascular Center in Orange.

When I did my general cardiology training here, she says, I linked up with Dr. Malik. She had already started the preventive cardiology program, and I focused my training on that. She was my mentor.

Stress management, Barseghian notes, is an important element of integrative cardiology.

For instance, she says, its not uncommon to see blood pressure or a heart rate change based on stressors, especially prolonged or situational stress. And those are hard to manage with traditional pharmaceutical therapy, because the stressor still can surpass the medication benefit. So the focus then becomes finding ways to manage that stress to avoid a surge in blood pressure.

I love my work, Barseghian continues. In medicine, the biggest drive is your connection with your patients and having the opportunity to help and guide them. As an interventional cardiologist, I put in stents and treat heart attacks, and I see the disease progression. Being able to concentrate on prevention from the integrative standpoint just gives me more tools beyond the traditional pharmacological one.

The rest is here:
Treating mind, body and spirit - UCI News

RENO, Nev. Nevada ENT and Hearing Associates announced Aug. 3 that Dr. Keely Chevallier joined the Reno-based practice.

According to an Aug. 3 press release, Dr. Chevallier, a Nevada native, comes from David Grant Medical Center at Travis Air Force Base, where she served as an Active Duty Air Force officer for four years, most recently as the Officer in Charge of the combined ENT, Audiology and Speech Language Pathology Clinic, and the Surgical Champion for the Hospitals Informatics Steering Committee.

She served a tour in Afghanistan in 2018 as the only NATO forces ENT in the country. During this time, she took care of patients including U.S. Service Members, NATO forces and Afghan troops, providing care for traumatic injuries, respiratory failure and all diseases of the ears, nose, and throat.

Dr. Chevallier received a Bachelor of Arts in integrative biology from University of California, Berkeley. She received her Doctor of Medicine degree from University of Colorado, School of Medicine in Aurora, Colorado and completed her residency in Otolaryngology/Head and Neck Surgery at University of Utah Hospital in Salt Lake City, Utah.

Dr. Chevallier has been a member of the Alpha Omega Alpha Medical Honor Society since 2009 and has been board certified with the American Board of Otolaryngology since 2017.

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People: Keely Chevallier joins Nevada ENT and Hearing Associates - Northern Nevada Business Weekly

Cannabis with THC levels over 10 per cent became the strongest predictor of success in treating migraine- and headache-related pain.

For the first time, researchers have focused on dried cannabis flower as treatment for headaches and migraines.

Published in the Journal of Integrative Medicine, the study examined, in real time, the associations between different product characteristics and changes in symptom intensity following cannabisuse.

Interestingly, results showcased that flower was, indeed, effective for migraines, but the specifics of the cannabis plant (gender, age and combustion methods) may decrease effectiveness.

One key finding determined that cannabis with tetrahydrocannabinol (THC) levels over 10 per cent became the strongest predictor of success in treating migraine- and headache-related pain with cannabis.

Additionally, the C. indica strain offered greater success with individuals in the study over its C. sativa counterpart. Overall, for those seeking migraine relief and for healthcare professionals looking to treat those who have headaches, the study could be an important conversation starter for better outcomes against pain.

Results of the study offer insight into how cannabis looks to not only alleviate, but could eliminate, migraine pain for some users. With more than 94 per cent of users experiencing symptom relief within two hours, the study has brought to light deeper conversations around cannabis role in pain and quality-of-life for those experiencing headache-related disorders.

The research joins another study that looked into the prolonged use of cannabis for individuals who suffer migraines. Published in May in Brain Sciences, the study found that frequent cannabis use decreased migraine frequency.

Another study found that frequent cannabis use decreased migraine frequency. / Photo: iStock / Getty Images PlusiStock / Getty Images Plus

These findings indicate that MC [medical cannabis] results in long-term reduction of migraine frequency in more than 60 per cent of treated patients and is associated with less disability and lower anti-migraine medication intake.

Cannabis and CBD have attracted interest in migraine treatments in the last few years with organizations looking to alternative medicine to offer a needed solution for those who dont want to use opioids.

The Migraine Research Foundation gave Dr. Nathaniel Schuster from the University of California San Diego funding for his research on cannabis in 2018. Additionally, the American Headache Society and the American Migraine Foundation have both expressed the need for more research around cannabis and CBD for migraine relief.

The FreshToast.com, a U.S. lifestyle site that contributes lifestyle content and, with their partnership with 600,000 physicians via Skipta, medical marijuana information to The GrowthOp.

Want to keep up to date on whats happening in the world of cannabis?Subscribeto the Cannabis Post newsletter for weekly insights into the industry, what insiders will be talking about and content from across the Postmedia Network

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What a new study reveals about cannabis and migraines - The GrowthOp

Yoga improves symptoms of generalized anxiety disorder, a condition with chronic nervousness and worry, suggesting the popular practice may be helpful in treating anxiety in some people.

Led by researchers at NYU Grossman School of Medicine, a new study found that yoga was significantly more effective for generalized anxiety disorder than standard education on stress management, but not as effective as cognitive behavioral therapy (CBT), the gold standard form of structured talk therapy that helps patients identify negative thinking for better responses to challenges.

Generalized anxiety disorder is a very common condition, yet many are not willing or able to access evidence-based treatments, says lead study author Naomi M. Simon, MD, a professor in the Department of Psychiatry at NYU Langone Health. Our findings demonstrate that yoga, which is safe and widely available, can improve symptoms for some people with this disorder and could be a valuable tool in an overall treatment plan.

For the study, 226 men and women with generalized anxiety disorder were randomly assigned to 3 groupsCBT, Kundalini yoga, or stress management education, a standardized control technique.

After three months, both CBT and yoga were found to be significantly more effective for anxiety than stress management. Specifically, 54 percent of those who practiced yoga met response criteria for meaningfully improved symptoms compared with 33 percent in the stress education group. Of those treated with CBT, 71 percent met these symptom improvement criteria.

However, after six months of follow-up, the CBT response remained significantly better than stress education (the control therapy), while yoga was no longer significantly better, suggesting CBT may have more robust, longer-lasting anxiety-reducing effects. The results were published online August 12 in JAMA Psychiatry.

The study involved an evidence-based protocol for CBT treatment of generalized anxiety disorder, including psychoeducation, cognitive interventions (focused on identifying and adapting maladaptive thoughts and worrying), and muscle relaxation techniques.

Kundalini yoga included physical postures, breathing techniques, relaxation exercises, yoga theory, and meditation and mindfulness practice.

The stress management education control group received lectures about the physiological, psychological, and medical effects of stress, as well as the antianxiety effects of lifestyle behaviors, such as reducing alcohol and smoking, and the importance of exercise and a healthy diet. Homework consisted of listening to educational material about stress, nutrition, and lifestyle.

Each treatment was administered in groups of 3 to 6 participants, over weekly 2-hour sessions for 12 weeks with 20 minutes of daily homework assigned.

According to researchers, generalized anxiety disorder is a common, impairing, and undertreated condition, currently affecting an estimated 6.8 million Americans. While most people feel anxious from time to time, it is considered a disorder when worrying becomes excessive and interferes with day-to-day life. CBT is considered the gold standard first-line treatment. Medications, including antidepressants and sometimes benzodiazepines, may also be used. Yet, not everyone is willing to take medication, which can have adverse side effects, and there are challenges with accessing CBT for many, including lack of access to trained therapists and long waitlists.

Many people already seek complementary and alternative interventions, including yoga, to treat anxiety, says Dr. Simon. This study suggests that at least short-term there is significant value for people with generalized anxiety disorder to give yoga a try to see if it works for them. Yoga is well-tolerated, easily accessible, and has a number of health benefits.

According to Dr. Simon, future research should aim to understand who is most likely to benefit from yoga for generalized anxiety disorder to help providers better personalize treatment recommendations.

We need more options to treat anxiety because different people will respond to different interventions, and having more options can help overcome barriers to care, she says. Having a range of effective treatments can increase the likelihood people with anxiety will be willing to engage in evidence-based care.

Along with Dr. Simon, other authors of this study are Stefan G. Hofmann of Boston University; David Rosenfield at Southern Methodist University in Dallas; Susanne S. Hoeppner and Eric Bui of Massachusetts General Hospital, Harvard Medical School in Boston; Elizabeth A. Hoge of Georgetown University Medical Center in Washington, D.C.; and Sat Bir S. Khalsa of Brigham and Womens Hospital, Harvard Medical School in Boston.

Funding for the work came from the National Center for Complementary and Integrative Health grants R01 AT007258 and R01 AT007257 to Dr. Simon and Dr. Hofmann.

Ashley WelchPhone: 212-404-3511ashley.welch@nyulangone.org

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Yoga Shown to Improve Anxiety, Study Finds | NYU Langone News - NYU Langone Health

According to latest research report on Global Health Coaching Market report provides information related to market size, production, CAGR, gross margin, growth rate, emerging trends, price, and other important factors. Focusing on the key momentum and restraining factors in this market, the report also provides a complete study of future trends and developments in the market.

The Health Coaching report contains all the details of the expected market dynamics and new market opportunities due to the COVID-19 outbreak. Stratagem Market Insights tried to cover all the market analysis of annual economic growth in the latest report on the Health Coaching market.

According to analysts, the growth of the Health Coaching market will have a positive impact on the global platform and will witness gradual growth over the next few years. This report study incorporates all the market growth and restraining factors along with the important trends mentioned between 2020 and 2025.

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Global Health Coaching Market Segmentation by Application:

Global Health Coaching Market Segmentation by Product:

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This section of the report identifies various major manufacturers in the market. It helps readers understand the strategies and collaborations players are focusing on fighting competition in the marketplace. The comprehensive report gives a microscopic view of the market. The reader can identify the manufacturers footprint by knowing about the manufacturers global revenue, the manufacturers global price, and the manufacturers production during the forecast period.

The major manufacturers covered in this report:

Regional Insights of Health Coaching Market:

In terms of geography, this research report covers almost all major regions around the world such as North America, Europe, South America, Middle East, Africa, and the Asia Pacific. Europe and North America are expected to increase over the next few years. Health Coaching markets in the Asia-Pacific region are expected to experience significant growth during the forecast period. Advanced technology and innovation are the most important characteristics of North America and the main reason why the United States dominates the world market. The Health Coaching market in South America is also expected to expand in the near future.

Years considered for this report:

Important Facts about Health Coaching Market Report:

Questions Answered by the Report:

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Global Health Coaching Market Potential Growth, Share, Demand and Analysis of Key Players- Research Forecasts to 2025 - Express Journal

By Deepali Singh

Are acidity and constipation causing you discomfort? Experts list a few self-help techniques to get respite

All that late-night bingewatching and midnight snacking has not only caused our sleeping patterns to go haywire, but its also one of the reasons for more and more people complaining about stomach-related ailments.

A sedentary lifestyle coupled with irregular eating hours and poor dietary patterns are reasons enough for the rise in several tummy issues such as bloating, acidity and constipation, says Dr Roy Patankar, gastroenterologist and director of Zen Multi Speciality Hospital, Chembur.

With limited physical activity, lesser access to fresh vegetables and fruits, increase in consumption of junk food, late-night snacking and anxiety related to Covid-19, peoples lifestyle has undergone a major change in these times, says Dr Patankar. If there are serious symptoms such as black coloured stool, weight loss, vomiting or unexplained pain that lasts for too long or the problem persists for more than 48 hours, then we suggest tele-consultations with the doctor. However, before you rush to the doctor, a few self-help techniques might come in handy to keep your digestive system in top order.

Eat right

Apart from keeping a whole lot of health problems at bay, a nutritious diet consisting of vegetables, fruits, nuts, seeds and whole grains are recommended to keep your stomach in order too. To combat acidity issues, Luke Coutinho, holistic lifestyle coach, Integrative Medicine suggests alkaline foods such as cucumber, fennel seeds, coriander seed tea and kokum infused water. He also suggests lukewarm water for constipation problems and adequate fibre, as that helps form the bulk of the stool. Certain spices such as asafoetida, cumin, and bishops weed are known to have carminative properties; they reduce the gas-forming ability of food, he adds. Abstaining from excess tea and coffee is a good idea as it makes our system acidic, he adds. While including raw food is good, overdoing it in the name of fibre isnt advised, as it can irritate the walls of our digestive system. Sugar and junk foods also alter the ratio of good and bad bacteria in the gut and feed the bad bacteria. They can also cause inflammation of the gut linings, he adds.

With the rainy weather being a good excuse to binge on fried snacks, a common scenario is to reheat the oil for cooking. But reheating the oil again and again can generate a lot of free radicals thereby leading to inflammation or exacerbating already existing inflammation, and therefore, should be avoided, says Coutinho.

At times, overdoing the good stuff may also lead to trouble. According to Dr Patankar, consuming large quantities of raw garlic and ginger which some people have been doing to strengthen their immune system can also play havoc with the digestive system.

Some basic rules

Drinking adequate amounts of water and focusing completely on meals without multi-tasking are also good habits to inculcate for a healthy digestive system. Coutinho also suggests smart fasting to reset your digestive system. It gives our digestion space and opportunity to heal, cleanse, and recover, he adds. By far, a lifestyle change of 12-hour gap between dinner and next days meal is one of the most effective lifestyle changes ever made for acidity, constipation, bloating and indigestion.

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THAT FIRE IN YOUR BELLY - Mumbai Mirror

In addition to low-glycemic fruits and veggies, as part of your balanced diet, it's important to include plenty of fiber and a variety of macronutrients.

"Getting enough fiber each day is essential for healthy blood sugar levels," says Frances Largeman-Roth, RDN, nutrition expert and author of Smoothies & Juices: Prevention Healing Kitchen. "Adults should get 25 to 35 grams each day, but most of us fall short. If you spread it out to five meals (including snacks) a day, that's 5 grams of fiber per meal."

However, if you're struggling to maintain a consistent nutrient intake (fiber or otherwise), one great solution is a greens powder, which includes dried, powdered forms of various vegetables, fruits, and other nutritious ingredients.* One study found that adding a vegetable powder to a high-carbohydrate diet helped buffer the short-term glucose and insulin response.*

mindbodygreen's organic veggies+, in particular, was designed to help support healthy blood sugar. In addition to a number of nutritious leafy greens and veggies, it features a fiber blend of flaxseed and inulin.

"It also provides cinnamon bark, which promotes healthy blood sugar balance by slowing the breakdown of carbohydrates during digestion,*" Jessica Cording, M.S., R.D., CDN, previously told mindbodygreen. In fact, some studies suggest that cinnamon promotes healthy blood sugar by increasing insulin sensitivity, or making insulin more efficient at moving glucose into cells.*

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3 Expert-Backed Ways To Support Healthy Blood Sugar Levels - mindbodygreen.com

Monsoons are a relief after the scorching summer, however, they can bring in a lot of menaces if not managed well. As is with every seasonal change, our bodies try to adjust to the new temperature, and hence, knowing how to prepare oneself is necessary. Speaking about monsoons, especially parts of the country that receive heavy rainfall, a necessary focus becomes immunity, as the transition from summer to monsoon can make it particularly vulnerable. It also increases the chance of getting affected by water-borne diseases such as typhoid, diarrhoea, dysentery, Hepatitis A and E, jaundice, food poisoning, malaria, dengue, certain fungal infections and more.

In light of this, one thing needs to be kept in mind at all times, ie. gut equals immunity. This is the cornerstone of your defence system. Its said that 80 percent of your immunity depends on your gut health, the strength of which depends on an overall lifestyle, and not just a single food item or supplement.Here are some things one must take care of to boost their gut health and bolster immunity:

Avoid consuming raw, green leafy vegetables like spinach, lettuce, cabbage, Brussel sprouts, and others during the monsoon, as they carry a high risk of contamination. Monsoon is also the breeding season for many insects and worms, and they tend to lay eggs on the leaves of plants, so avoid consuming raw leafy greens at any cost. Also, apart from the risk of ingesting pathogens, raw vegetables can upset the digestive system, especially for those who are susceptible to stomach troubles.

*Thoroughly washing of fruits and vegetables is a must in every season, but specially in monsoons, because you never know what we might accidentally consume along with it. You can buy a chemical-free, safe vegetable and fruit-washing solution, or make one on your own.

*Consume seasonal foods during monsoon. This is true of all year round but monsoon is a crucial period. Consume a diet thats local as the fruits and vegetables have certain properties that offer benefits for that particular season. For instance, mangoes available in summer help boost immunity for the upcoming monsoons.

*Make use of common kitchen spices to boost immunity such as turmeric, cumin, ginger, garlic, cloves, basil leaves, and black pepper. You can brew them into tea, make a concoction or a water infusion, or simply add these to your daily cooking.

*Feed your gut good bacteria (probiotics) as well as prebiotics, to maintain a healthy gut microbiome. Prebiotics are necessary too, although, they are often undercooked. Prebiotics serve as food for the probiotics. Good examples of these are garlic, apple, asparagus, apple cider vinegar,and raw banana.

*In case you contract a stomach infection, it may be necessary to include a good quality probiotic supplement that your healthcare expert can recommend.

The author is a Mumbai-based holistic lifestyle coachIntegrative Medicine

Originally posted here:
Be careful of these water-borne diseases during monsoons - The New Indian Express

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Bengaluru: Two studies released this week, one led by Indian researchers from JNU, brought back a theory that first emerged in the early days of the pandemic that BCG vaccination may be linked to reduced Covid-19 transmission and mortality.

One of them, published in the journal Cell Death and Disease on 8 July, was carried out by an international team of researchers. It was led by researchers from the JNU School of Computer and System Sciences, in collaboration with colleagues from the universitys Special Centre for Molecular Medicine and School of Computational and Integrative Sciences, besides those from Italy, China and the US.

The second study, published in PNAS on 9 July, was carried out by American researchers.

The first study involved an assessment of a possible correlation between Covid-19 incidence and mortality with the BCG vaccine, which is primarily targeted at tuberculosis. It also sought to examine the preventive use of chloroquine, an antimalarial drug that has been touted as a potential coronavirus prophylactic and treatment.

While it found a potential correlation between a nations BCG policy and lowered disease incidence/mortality, it failed to find a statistically significant correlation with chloroquine.

The American study also found a potential correlation between BCG vaccination rates and Covid mortality, but the authors suggested further research into the subject.

Both journals are peer-reviewed, but PNAS allows authors to pick reviewers. The studies were both observational assessments based on existing data and not based on clinical trials. The authors themselves acknowledge certain limitations and experts have called for more research before a conclusive link can be proved.

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Also Read: Can BCG vaccine protect against Covid-19? Heres why the excitement needs to be tempered

The BCG vaccine has been in use since 1921, but works only for an average of 60 per cent of the population. Its use has reduced drastically after decades of vaccination drives the world over, including in the Indian subcontinent.

Today, it is proving inefficient against lung TB, the most common form of the disease in India, but there are studies underway to find a replacement.

But there is some evidence that BCG offers protection to some unrelated viruses like influenza.

The Cell authors classified countries into three groups on the basis of their BCG policy: Countries that never adopted universal BCG vaccination, ones that did but subsequently discontinued it, and ones that currently exercise it.

The authors reportedly found that the number of cases across different age groups was always higher for countries without a BCG policy. For adults aged over 45, vaccinated groups had significantly lower case rates. Vaccination rates did not seem to matter in children under 15 since disease incidence in this group was found to be low.

The PNAS study, too, noted that countries with no vaccination policy had a higher rate of deaths than those that did. Both studies claim that the case load was marginally lower even in countries with interrupted or irregular BCG drives.

The Cell team further speculates that the type of BCG vaccine strain used also plays a role, citing high prevalence despite vaccination in Brazil and Russia.

Many countries, including Germany, the Netherlands, Australia, and the US, have initiated trials of BCG vaccines aimed at controlling Covid-19. Immunologist Gobardhan Das, who participated in the Cell study, claims to be working on developing a revamped BCG vaccine for Covid-19.

Also Read: We need to take a break from real-time updates on the Covid vaccine trials. BCG is a far cry

Many observational studies have suggested a link between BCG and Covid-19, but experts in immunology and BCG have called for more research.

It is true that India has had several decades of safe experience with BCG, which has a proven safety record, is inexpensive, and easily available, said Dr S.P. Kalantri, an epidemiologist and medical superintendent at Kasturba Hospital in Wardha, Maharashtra. But using only observational ecological studies to find a pattern with BCG is problematic.

Ecological studies are observational assessments where existing data is analysed, retrospectively, based on geography, and conclusions drawn from them usually form the basis for further studies.

Intuitively, it seems natural that there is a cause and effect relationship, but what holds true for a country does not hold true for communities or individuals, Kalantri said. In epidemiology, he added, this is called an ecological fallacy.

Kalantri said there are other factors that could contribute to Covid-19 data being the way it is, the most important of which is the average age of the population. The average age of most BCG countries, he added, is lower than that of non-BCG nations.

We know that incidence and mortality is age-specific. As age advances, prevalence and mortality also goes up. In the face of such factors, we shouldnt fall into the trap of concluding that the disease pattern is because of BCGs effects, he added. We need proper randomised controlled trials to show statistical significance, he said.

Said Madhukar Pai, epidemiologist at McGill University, Canada, Several countries now have rapidly escalating Covid-19 outbreaks, including Brazil, India, Russia, Mexico, Peru, Chile. And they all routinely give BCG at birth. So, it is dangerous to make conclusions in such a dynamic situation. We simply cannot act on these ecologic correlations and must wait for randomised trials on BCG and Covid-19.

The study authors also noted their own limitations.

The Cell study only included data from middle- and high-income countries.

The PNAS study stated that the data is difficult to review because of broad differences between countries in socioeconomic status, demographic structure, rural vs urban settings, time of arrival of the pandemic, number of tests and criteria, etc.

Also Read: Why the fight over a coronavirus vaccine will be intense, irrational and even nasty

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Peer-reviewed JNU study among 2 that link BCG & Covid again, but some experts not convinced - ThePrint

Close your eyes, breathe in deeply and exhaleThe Graf Center for Integrative Medicine has re-opened with enhanced safety measures.

Now, more than ever, we can all use some integrative medicine. Give yourself the break you need and focus on your wellness. Englewood Health is committed to your safety. Weve implemented important new procedures and precautions at the Graf Center for Integrative Medicine to ensure your safety and comfort and reduce your stress.

The Graf Center offers evidence-based care in a spa-like setting. Now, booking an appointment is easier than ever. Well take pre-payment over the phone and email you any forms to complete, prior to your appointment. When you arrive at the Graf Center, youll wait in your car (instead of a waiting room) until were ready for your appointment. Then, well call you on your cell phone and invite you to come inside.

Our therapists will greet you at the front desk and immediately take you to a treatment room. Hand sanitizer and wipes are available in your room and youll be able to place your personal belongings in a clean plastic bag. Masks and gloves are worn by our staff and available for patients, as needed. After each patient, we immediately change and remove the linens, then use enhanced cleaning procedures to sanitize the room before the next patient. Weve also extended the time between appointments allowing ample space to limit exposure and ensure thorough cleaning. Follow up appointments are conveniently booked by phone.

Services available include:

Take the time to de-stress. Make an appointment today by calling the Graf Center for Integrative Medicine at 201-608-2377.

The Graf Center for Integrative Medicine is Englewood Hospitals wellness center. Our mission is to partner with patients and our community on the path to health and well-being.

Graf Center services promote recovery and empower you to live a healthy lifestyle. We offer:

Weve designed many services for people facing an illness. But anyone can benefit from integrative medicine. If youre looking to make positive lifestyle changes for your physical, mental, and social well-being, we invite you to:

Also, like us on Facebook and Instagram or join our email list to get updates and health and wellness tips.

Integrative medicine combines traditional and complementary therapies. Our coordinated approach supports healing and addresses all aspects of health. Well work with you to tailor a plan to help:

Integrative medicine refers to the use of conventional and complementary therapies together in a coordinated and evidence-based way, to facilitate the healing process. In integrative medicine, we consider the patient as a whole person and develop a plan for healing that addresses all aspects of health.

Dr. Tracy Scheller, medical director of integrative medicine

When you enter the Graf Center for Integrative Medicine, youll be struck by its spa-like feel (take a photo tour). Though it doesnt feel like a hospital, we are fully part of Englewood Health. Our team members are all licensed or certified, and we are overseen by a medical doctor. So you can trust us for safe, evidence-based care.

Unlike alternative medicine (a non-mainstream approach used instead of conventional medicine), we may use non-mainstream therapies together with conventional medicine. If you seek Graf Center services while being treated fora health issue, we will work with your own doctor to help tailor a treatment plan. Above all, your safety always comes first.

Original post:
Graf Center for Integrative Medicine | Englewood Health

Jul 9, 2020 11:00 AM ET

iCrowd Newswire Jul 9, 2020

Laurel, Md. The Natural Care Center (NCC) at Maryland University of Integrative Health is now offering some free telehealth services amid the COVID-19 pandemic. The NCC is equipped with wellness practitioners and supervised student practitioners all of whom are focused on holistic, relationship-focused health and wellness.

With digital communication becoming the new normal, MUIH is prepared to provide virtual services. Clients can work with our wellness practitioners for Acupuncture, Naturopathic Medicine, Nutrition, and Yoga Therapy for a small fee. Supervised student practitioners will provide Acupuncture, Chinese Herbal Medicine, and Yoga Therapy services free of charge.

Using their holistic foundation and principles, MUIHs student practitioners as well as the wellness practitioners are equipped with the knowledge to virtually instruct their clients through traditional physical contact wellness activities such as Acupuncture. While the needles are part of Oriental Medicine, there are many other aspects that include nutritional recommendations, meditation practices, movement practices, and lifestyle recommendations that accompany them.

The acupuncturist can also instruct the patient in self-acupressure with specific points to enhance the experience based on the Oriental Medicine diagnosis for that individual. The rapport between patient and practitioner also has a healing effect, using words as needles.

The NCC is ready and able to serve as a health and wellness resource during these times. We are committed to providing the community with uninterrupted care, holistic health tools, and relationship-centered attention to our clients, said Michelle McNear, Ph.D., Director of the Natural Care Center at MUIH.

During these fast-paced and uncertain times, MUIH remains committed to our mission of providing our community with relationship-focused, holistic health, and wellness solutions. Our students and practitioners are well-equipped to handle this remote treatment model while providing the same level of care and comfort that has made us one of the leading institutions for integrative health, said President and CEO, Marc Levin.

For those individuals interested in telehealth services provided by the NCC at MUIH, please call 410-888-9048 ext. 6614 or email at [emailprotected].

About Maryland University of Integrative Health (MUIH)

Maryland University of Integrative Health (MUIH) is a leading academic institution focused on the study and practice of integrative health and wellness and one of the few universities in the U.S. dedicated solely to such practices. Deeply rooted in a holistic philosophy, its model for integrative health and wellness is grounded in whole-person, relationship-centered, evidence-informed care.

Since 1974, MUIH has been a values-driven community educating practitioners and professionals to become future health and wellness leaders through transformative programs grounded in traditional wisdom and contemporary science. MUIH has more than 20 progressive, graduate degree programs in a wide range of disciplines, offered on-campus and online.

In the on-campus Natural Care Center and community outreach settings, MUIH provides compassionate and affordable healthcare from student interns and professional practitioners, which delivers more than 20,000 clinical treatments and consultations each year. For more information visit http://www.muih.edu.

Kionne S. Johnson Communications Manager [emailprotected]

Keywords:COVID-19, Pandemic, Health, Healthcare, Wellness, Therapy, Acupuncture, Health Education, Telehealth

Here is the original post:
Maryland University of Integrative Healths Natural Care Center is providing telehealth services amid the COVID-19 pandemic. - Reported Times

TORONTO, July 08, 2020 (GLOBE NEWSWIRE) -- CB2 Insights Inc. (CB2 or the Company) (CSE: CBII; OTCQB: CBIIF), will be hosting its Q1 2020 earnings call on Wednesday, July 15, 2020 at 9:00 a.m. Eastern Daylight Time (EDT).

CB2 will issue a press release and file its interim financial statements and interim Quarterly Management Discussion and Analysis (MD&A) for the quarter ended March 31, 2020 (the Q1 2020 Filings) after the close of markets on July 14, 2020.

Conference call details:

A replay of the earnings call will be available on the companys website 24 hours after the call takes place.

Submitting Questions:

Those interested in submitting questions for the earnings call can do so by emailing investors@cb2inisghts.com prior to the start of the call. CB2 Insights will attempt to answer all questions submitted, however some questions may not be answered during the call due to time constraints.

The Company looks forward to providing additional discussion on its Q1 2020 Filings, as well as providing an update on the business and preliminary expectations for Q2 2020. Further, the Company will update shareholders on its future outlook and plans for growth in the coming quarters.

About CB2 Insights

CB2 Insights (CSE:CBII OCT:CBIIF) CB2 Insights is a healthcare services and technology company, working to positively impact patient health outcomes. Our mission to mainstream alternative health treatments into traditional healthcare by recognizing the need for patient treatment diversity, and the impacts of integrating alternative and conventional medicine. The Company works primarily to roster and treat patients who are seeking alternative treatments due to the ineffectiveness of conventional medicine, and the inability to find support through their existing care network, or in some cases, inability to access a primary care network. Medical services offered by the Company are defined as Integrative medicine, where we work to understand the real world evidence for the safety, impact and effectiveness of medical treatments including plant based medicines that often lack sufficient research and therefore adoption by conventional healthcare providers.

To support patient care and positive health outcomes, the Company is also focused on advancing safety and efficacy research surrounding alternative health treatments by monitoring and assessing Real-World Data (RWD) and providing Real-World Evidence (RWE) through our proprietary technology, data analytics, and a full service contract research organization.

The Companys primary operations are in the United States, with application to its insights, technology and research services deployed in other International markets including Canada, United Kingdom and Colombia.

The Companys disciplined operating model, allows patients to receive access to care in a time efficient and cost-effective manner. Utilizing virtual telehealth and over 30 physical brick and mortar clinics, the Company currently treats over 100,000 patients across 12 States. Utilizing proprietary technology and data analytic platforms, the Company is able to monitor, study and assess a variety of healthcare treatments and products for the safety, efficacy and effectiveness. The Company believes it is well positioned to be the research and technology partner of choice for multiple stakeholders including Big Pharma, Life Sciences, Regulatory Bodies and Payors within the traditional and integrative medical industry.

Forward Looking Statements

Statements in this news release that are forward-looking statements are subject to various risks and uncertainties concerning the specific factors disclosed here and elsewhere in CB2s filings with Canadian securities regulators. When used in this news release, words such as "will, could, plan, estimate, expect, intend, may, potential, believe, should," and similar expressions, are forward-looking statements.

Forward-looking statements may include, without limitation, statements regarding the Companys unaudited financial results and projected growth.

Although CB2 has attempted to identify important factors that could cause actual results, performance or achievements to differ materially from those contained in the forward-looking statements, there can be other factors that cause results, performance or achievements not to be as anticipated, estimated or intended, including, but not limited to: dependence on obtaining regulatory approvals; investing in target companies or projects which have limited or no operating history and are subject to inconsistent legislation and regulation; change in laws; reliance on management; requirements for additional financing; competition; hindering market growth and state adoption due to inconsistent public opinion and perception of the medical-use and recreational-use marijuana industry and; regulatory or political change.

There can be no assurance that such information will prove to be accurate or that management's expectations or estimates of future developments, circumstances or results will materialize. As a result of these risks and uncertainties, the results or events predicted in these forward-looking statements may differ materially from actual results or events.

Accordingly, readers should not place undue reliance on forward-looking statements. The forward-looking statements in this news release are made as of the date of this release. CB2 disclaims any intention or obligation to update or revise such information, except as required by applicable law, and CB2 does not assume any liability for disclosure relating to any other company mentioned herein.

No securities regulator or exchange has reviewed, approved, disapproved, or accepts responsibility for the content of this news release.

Read more:
CB2 Insights to Host Q1 2020 Earnings Call on July 15, 2020 - GlobeNewswire

Get to know Internist Dr. Umbrine Fatima, who serves patients in Clarence, New York.

(YorkPedia Editorial):- New York City, Jul 10, 2020 (Issuewire.com)Recognized as a reputable, board-certified internist, Dr. Fatima strives to help patients live their best and achieve their individual health and wellness goals. She is the owner & operator of My Health 360, a membership-based premier concierge internal medicine practice which also offers medical esthetic procedures in Clarence, New York.

Patients suffering from diabetes, high cholesterol, high blood pressure, arthritis, hormone imbalance, chronic pain, obesity, or other chronic conditions can turn to My Health 360 for premium care. A firm believer in taking a holistic approach to care, Dr. Fatima focuses on each patient as an individual instead of just treating their medical condition(s). She uses personalized, alternative, and lifestyle strategies were needed to enhance ones quality of life.

From health to wellness, the doctor and her team of skilled professionals offer the following services: aesthetics, concierge care, cosmeceuticals, deprescribing, genomic testing, hair products and treatments, iCARI Data Wallet, pain management, and weight management.

Aesthetics: Helping patients to look and feel rejuvenated using simple, minimally invasive solutions, Dr. Fatima and her expert esthetic team offer botox, fillers, herbal facial serums, hair loss treatments, and nonsurgical face-lifts. They strive to help each patient achieve desired effects, including tighter, lifted skin; younger looking skin; better facial symmetry; restored facial volume; and fewer skin creases and folds.

Concierge care: My Health 360 Concierge Care offers an old-fashioned direct patient-physician relationship with premium medical care at an affordable membership fee of $1,500 per person per year, which entitles members up to four medical visits per year, including some lab tests. House visits, if deemed medically necessary, may be available for an additional cost.

Cosmeceuticals: Cosmeceuticals are cosmetic products and treatments with therapeutic properties that improve the look and health of ones skin well after their application. With a holistic and integrative approach to care, Dr. Fatima combines traditional medical treatments with alternative therapies to improve overall health and wellness. Utilizing cosmeceuticals, the goal is to help each patient meet their esthetic goals, while also caring for the underlying cause of their individual beauty concerns.

Deprescribing: Dr. Fatima and her colleagues offer deprescribing strategies to optimize medication regimens or reduce the number of medications patients take in favor of healthy lifestyle changes. They will review a patients symptoms, medical history, medication list, and advise on possible interactions and adverse effects one may be experiencing with recommendations to deprescribe if needed. The goal of deprescribing is to maintain or improve quality of life.

Genomic testing: From a simple cheek swab, Dr. Fatima and her experienced team access copious amounts of genomic data (DNA makeup, biochemistry, metabolism, and more) and analyze broad or specific areas of concern. They deliver personalized, actionable information, providing patients with evidence-based roadmaps for effective dietary and lifestyle interventions based on their unique genetic and biochemical needs.

Pain management: Chronic pain management at My Health 360 involves treatments that ease long-lasting pain without addictive opioids or invasive surgery. Dr. Fatima reviews each patients symptoms and medical history completes an exam and may use blood or imaging tests to diagnose the cause of their pain and develop personalized chronic pain treatments with a goal to restore quality of life naturally.

Weight management: Weight management at My Health 360 is a medically supervised program with proven success that helps patients achieve or maintain a desirable weight and lower their risk of chronic diseases. Alongside her team, Dr. Fatima uses sophisticated methods, including genomics-guided lifestyle modifications, to guide treatment decisions which may be based on hormone levels, food cravings, nutrient utilization, metabolism, thyroid function, biochemistry, and other genetic factors. By doing so, she develops personalized diets and exercises plans to get patients on track with a healthy lifestyle.

With over two decades of experience in her field, Dr. Fatima earned her medical degree from DOW University of Health Sciences in Pakistan. Upon relocating to the United States, she completed her residency in internal medicine at NewYork-Presbyterian Queens.

Following her education, she became board-certified in internal medicine by the American Board of Internal Medicine (ABIM). The ABIM is a physician-led, non-profit, independent evaluation organization driven by doctors who want to achieve higher standards for better care in a rapidly changing world.

A physician informaticist with an extensive background in health informatics and data analytics consulting, Dr. Fatima is the President and Founder of Health Information Technology Consultants, Inc. She combines her clinical and informatics experience to help healthcare organizations implement technologies that balance best security practices and efficient clinical workflows with a focus on patient safety while minimizing physician burnout. To date, she has successfully led many health information technology projects to support business needs of healthcare organizations throughout North America.

Licensed to practice medicine in New York and Florida, Dr. Fatima is also the Medical Director of Capacity for Development of Mentally Disabled Adults through SASINC.org. She is a Fellow of the American College of Physicians (FACP) and a Certified Professional in Healthcare Information and Management Systems (CPHIMS).

Internal medicine is the medical specialty dealing with the prevention, diagnosis, and treatment of adult diseases. Physicians specializing in internal medicine are called internists. They manage and prevent common and complex diseases by providing comprehensive care and promoting overall well-being.

In addition to English, Dr. Fatima speaks Urdu and Hindi.

Learn More about Dr. Umbrine Fatima:

Through her findatopdoc profile, https://www.findatopdoc.com/doctor/81722926 or through My Health 360, https://myhealth360.net/pages/about-us

About FindaTopDoc.com

FindaTopDoc is a digital health information company that helps connect patients with local physicians and specialists who accept your insurance. Our goal is to help guide you on your journey towards optimal health by providing you with the know-how to make informed decisions for you and your family.

See the original post here:
Umbrine Fatima, MD, FACP, CPHIMS, an Internist with My Health 360 - York Pedia