6 Powerful, natural supplements for healthier living!

What did people use before the creation of modern medicine? Ancient Egyptian priest-doctors used moldy bread as antibiotic thousands of years before Fleming discovered penicillin. They also made sure that their laborers were fed a diet rich in radish, garlic and onion, which modern researchers have found to be extremely rich in Raphanin, Allicin and Allistatin-- also forms of natural antibiotics that would help prevent outbreaks of disease in crowded places such as work camps. Advancements such as these, not only in the Ancient Egyptian civilization, but also in the Greek, and Roman empires have been the building blocks for the amazing progressions in medicine we see today.

Lately it seems as if we are reverting back to our ancestral roots by beginning to look into natural means of healing. Western medicine is starting to shift towards the use of herbal remedies as alternatives to synthetic drugs. Most pharmaceuticals have a historical base in natural medicine where many are initially derived from herbal extracts. Therefore when deciding what to take when it comes to a person’s overall health; most people choose supplements over prescription drugs.

The definition of the word “supplement” is something added to complete a thing, make up for a deficiency, and to extend or strengthen the whole. Here is a list of many popular supplements (including those available at avecinia wellness center in Fresno, CA including a brief description that may give you a better understanding of the many benefits these tiny capsules provide.

• Evening Primrose Oil is used for conditions affecting women’s health, such as breast pain associated with the menstrual cycle, menopausal symptoms, and premenstrual syndrome (PMS) as well as maintaining and promoting healthy skin. Learn more about the benefits of Evening Primrose Oil. During March, Evening Primrose Oil is on sale at avecinia for just $16.85 for 1300 MG 90.

• Probiotic 225 has 225 billion CFU’s (concentrations of healthy bacteria), one of the highest concentration of is a potent bio-therapeutic agent ideally suited for the most challenging gastrointestinal tract cases. Effective in treating diarrhea, bloating, improve symptoms of irritable bowel syndrome and more. Learn more about the benefits of Probiotic and Lactobacillus. During March, Probiotic 225 is on sale at avecinia for just $40.47 per 15.

• Orthomega is fish oil that supports a healthy heart, skin, joints, eyes and immune system. These capsules also help to elevate mood and concentration in children. Orthomega is a powerful supplement that can significantly reduce your cholesterol, triglycerides and lowers blood pressure. This powerful concentration of EHA (420 mg) and DHA (300 mg) means you only have to take 1 tablet a day instead of 2-4. Less fishy burps, easier to maintain and cheaper in the long run. Learn more about the benefits of fish oil and Omega 3.  During March, Orthomega is on sale at avecinia for $18.12/60 ct or $31.09/120 ct.

• CoQ-10 contributes to energy production and good health by supplementing the energy requirements of the body. These capsules have the ability to increase cellular energy production and greatly benefits cardiovascular health. CoQ10 has been shown to help prevent heart failure, particularly after a recent heart attack. Learn more about the benefits of CoQ10. During March, CoQ10 is on sale at avecinia for $31.99/60 ct.

• Diaxinol contains Biotin and Chromium and Gymnema. Biotin aids with the break down of fats and carbohydrates and with glycolysis in the liver and pancreas. Chromium helps facilitate the uptake of glucose into cells and Gymnema decreases the absorption of sugar from the intestine. This potent combination can significantly reduce blood sugar levels, especially when taken with other diabetes medication. During March, Diaxinol is on sale at avecinia for $30.33/60 ct or $58.20 for 120 ct.

• Chondro-Flx contains the protective agent Glucosamine Sulfate which is a building block of both cartilage and joint fluids and Chondroitin Sulfate. Oral doses are shown to bolster the function of cartilage acting as a natural shock absorber for the joint. This is an effective formulation for Osteoarthritis. Glucosamine has not shown to affect the blood sugar levels of type 2 diabetics but blood sugar should be monitored closely. During March, Chondro-Flx is on sale at avecinia for $31.00/90 ct or $54.03 / 180 ct.

As always, it is recommended that you discuss with your primary care provider if the use of supplements would be a positive step in the right direction towards healthier well-being.


Our March blog (part 1 and part 2) were written by Dania Abdul-Resoul, an intern at avecinia wellness center.  Dania is a pre-physical therapy student at Cal State Fresno.


For daily updates on news, information and more on health care and wellness, join avecinia wellness center's facebook page and follow avecinia on twitter . avecinia wellness center is Fresno's premier integrative medicine and wellness center. We combine internal medicine and primary care with health management, weight management, acupuncture, aesthetics (Botox, Juvederm, Radiesse, Obagi and more) and massage therapy for a holistic approach to health. We use a robust electronic health record program and patient web portal to enhance our delivery of services and to help our patients reach their optimal well-being. To learn more, visit www.avecinia.com. If you are looking for a primary care doctor in Fresno or the Central Valley and would like to become a part of the avecinia family, visit our website and click on new patient registration. Let Dr. Unaiza Hayat and/or Ali Kunkel, MPA, PA-C, become your trusted guides. Our Aesthetic, Weight Management, Acupuncture, Health Management and Massage Therapy services do not require us to be your primary care physician. Learn more at www.avecinia.com.We look forward to meeting you!

Your Health is Your Wealth! Managing the costs of healthcare.

How to make more money by investing in yourself "The greatest wealth is health!"   I'm sure you've heard of that famous quote by Virgil.  In the past year, the health care debate was mentioned almost every day in the news and became part of our daily conversation.  As the economy tumbled, the costs of health care became even more apparent.  Job loss meant health insurance loss.  Employers started cutting costs by shifting health insurance costs to employees.  For the first time, people had to start including healthcare in their budget.  For a nation in which 1 in 3 individuals is overweight,  1 in 5 is obese and 1 in 10 have diabetes, these direct health care costs are expensive.  In a difficult economy or economic situation, you might be saying to yourself "Well, if I go see the doctor 2-3 times this month, that is going to cost me $300-$400 this month! I don't have that money!"  What we don't seem to realize is that if we don't invest in our own healthcare now, these costs are only going to rise. The perfect scenario to demonstrate the importance of investing in one's own health is a diabetic patient.  Here are just some of the statistics that show how expensive having a disease can be: The average health care costs for treating a diabetic patient is $10,000 a year (United Health Care); The average person with diabetes spends up to $900 a month for syringes, supplies, medicine and doctor's visits (The Cost of Diabetes); and The 15 year risk for a heart attack for a person with poorly controlled diabetes is 16.9%.  The costs over that period: $271,000 (The High Cost of Diabetes also a great website to see what happens if you don't take care of yourself; Your $15-$25 co-pay investment today will give you a $271,000 return "tomorrow"). Now, what does this mean to you?  Well, if you are a diabetic patient, or someone that has other chronic disease such as high cholesterol, hypertension, or hyperthyroidism (which are other expensive diseases), what could you do if you suddenly had $900 a month to do whatever you wanted or needed to do instead of spending on medicine, supplies and doctor's visits? Adding $900 a month to your monthly net income isn't a gimmick or get rich quick scheme. It can be done. Let's look at our diabetic patient example (based on an actual patient):   Prior to taking a proactive step, patient would come in every 2-3 weeks regularly or would only come in once every 3 months for medication renewal.  Diabetes Medication alone cost him $500 a month; After agreeing to work with us to help him,  the patient came in 4 times in the 1st month to jump start his plan which required initial longer, complex visits- Office Visit Avg $125- total $500 For the next 3 months after month 1, once the plan was in place and patient was proactively participating, we were able to reduce his visits to once a month. The once a month visits were to review his labs, check progress and start taking patient off of the diabetes drugs he no longer needed. At end of Month 2, patient reduced A1C to 5.7.  Office Visit Avg- $100, total for 3 months- $300 In month 4, patient had lost significant weight and maintained his A1C at 5.7 and was no longer on any diabetes medication.  Office Visit - $100.  Savings from reduction in medication- $500. Month 5's appointment was 3 months after month 4. Patient no longer had to have regular, complex office visits. Office Visit - $100 Next office visit in Month 8- $100  Next office visit, Month 11- $100  Total: $3,2000 Office Visits- $1,200 Medicine- $2,000 Total if patient decided not to invest in his health: $6,300 to $6,500 Office Visits- Range from $300 to $500 Medicine - $6,000 As this comparison shows, by investing in your health, you can save 50% or more just in your first year.  Imagine compounding the savings, or worse, the expense! Sure at first it may seem like it cost a lot more to do something about your health, but do the math, or talk to us about helping you do the math!   We think you are worth the investment. We hope you do too! As always, if you have any questions, feel free to email me at aamer@avecinia.com.  If you would like to put together a plan, contact Colette Vaquilar, our Patient Specialist, at billing@avecinia.com.  She will be happy to help you invest in your health!  For daily updates on news, information and more on health care and wellness, join avecinia wellness center's facebook page (facebook.com/avecinia) and follow avecinia on twitter (twitter.com/avecinia4health). avecinia wellness center is Fresno's premier integrative medicine and wellness center. We combine internal medicine and primary care with health management, weight management, acupuncture, aesthetics (Botox, Juvederm, Radiesse, Obagi and more) and massage therapy for a holistic approach to health. We use a robust electronic health record program and patient web portal to enhance our delivery of services and to help our patients reach their optimal well-being. To learn more, visit www.avecinia.com. If you are looking for a primary care doctor in Fresno or the Central Valley and would like to become a part of the avecinia family, visit our website and click on new patient registration. Let Dr. Unaiza Hayat and/or Ali Kunkel, MPA, PA-C, become your trusted guides. Our Aesthetic, Weight Management, Acupuncture, Health Management and Massage Therapy services do not require us to be your primary care physician. Learn more at www.avecinia.com We look forward to meeting you!

Heart Healthy for American Heart Month

Heart Health

From the beginning of time, the heart has held, well….. a special place in our heart. The ancient Egyptians believed the heart was where the soul lived, where wisdom came from, where memory was stored and where emotions sprang forth.  It was considered the most important of the body’s organs.   The ancient Greeks had similar beliefs about the heart.  Yet now, cardio-vascular disease is the number 1 cause of death globally (approximately 29% of all global deaths http://www.who.int/mediacentre/factsheets/fs317/en/) and the leading cause of death for both men and women in America.  In 2006, more than 1 in 4 Americans   died of heart disease.  In 2010, heart disease cost the United States approximately $316.4 billion in health care services, medications and lost productivity.  In California, the leading cause of death (35%) is due to Heart Disease and Stroke.

 

However, just as the ancient Egyptians and Greeks valued the heart, you can too.  February is American Heart Month and it’s the perfect time for a heart tune-up! Our health blog this month will help you recognize the risks and symptoms of heart disease and give you simple, easy to follow tips to help you become heart healthy! And if you are planning on being at the Central Valley Go Red For Women Fashion Show and Luncheon (Friday, February 11, 2011 https://ahafresno.ejoinme.org/MyEvents/20102011CentralValleyGoRedLuncheon/tabid/234136/Default.aspx) stop by our booth to say hi!

Risks

High cholesterol, high blood pressure, diabetes, cigarette smoking, elevated Body Mass Index or BMI (overweight or obesity) and physical inactivity are major risk factors for heart disease.  The best way to mitigate all of the risk factors for heart disease is by addressing elevated BMI  (being overweight/obese) and your first step in addressing that risk is by… well, taking a few steps.  Reducing your weight by just 10% can significantly decrease your blood pressure, lower your blood cholesterol and reduce your risk of diabetes.

   

Symptoms

It can be difficult to “catch” cardio vascular disease because the build-up of cholesterol or rise in high blood pressure is usually gradual.  It is usually at the time of an event (such as a heart attack) that a person knows they have a disease. The most common symptom or sign of cardiovascular disease is angina or chest pain. You may feel tightness, burning, or swelling in your chest with angina.  However, these symptoms can also occur with heartburn, so you must consult your health care provider if they occur.  If you are also having heart palpitations, dizziness, nausea and excessive sweating, it is more likely to be a cardio vascular event such as a heart attack.

During a heart attack, symptoms may last 30 minutes or longer and are not relieved by rest or oral medication.

To learn more and print a handy symptom guide, visit Mayo Clinic’s Heart Disease Symptom Guide.

If the symptoms are severe, immediately call 911.

Prevention - So how do you get started on a heart healthy lifestyle?

1.       First, speak with your primary care provider about your concerns! 

a.       At avecinia wellness center, we have a strong history of addressing our patient’s heart health issues and can work with you to develop a heart healthy plan.  We also partner with other great health and wellness providers, such as Fitness Studio 108, to help you get the most comprehensive attention to your heart;

b.      We offer many resources on our website and facebook page.  You can also log on to your Patient Portal and research any of the questions you may have.

2.       Use the web to learn more!

a.       If you don’t know where to go, visit our “Your Health” link on our Facebook page for a list of trusted resource.

b.      Or  visit one of these health related web resources:

                                                                   i.      The American Heart Association’s Tools for Your Heart Health site

                                                                  ii.      The Centers for Disease Control and Prevention Heart Disease site

                                                                iii.      The Mayo Clinic Heart Disease site

                                                                iv.      The California Heart Disease and Prevention Program site

c.       Use the web to track your progress. Keeping a log is a proven way of remembering where you started, how you’re doing and measuring  your success.  The American Heart Association has a several different progress trackers here.

3.       Get your friends and family involved!

a.       The more, the merrier. Having the support of friends, family and loved ones makes it easier to overcome any challenges and more fun to celebrate the achievements!

                                                                   i.      Take a 30 minute family walk together at least every other day.  Use the time to unwind, connect, and encourage family fitness.

                                                                  ii.      Cook dinner together.  Having more meals at home saves lives and money -Food at restaurants usually have higher fat content and portions are much larger than necessary.  Cooking at home allows you to control the amounts of fats, oils, and sugars used.  It’s also a great way to learn and teach healthy eating habits.  Here’s a great link to heart healthy cooking:  WebMD

                                                                iii.      Share your plan with your family.  Let them know you are serious so they can help you on the difficult days and keep you on track.

Ready to get healthy?

We recognize it may not be easy to take the first steps necessary to live a heart healthy life. But it’s not impossible.  To see how incorporating physical activity and a healthier diet can change your life, view this report by Christina Lusby of KSEE 24 on Bob Tharp.  Bob lost over 80 pounds, has his diabetes under control, and is saving $500 a month all by incorporating physical activity and a proper diet into his routine with the guidance of avecinia wellness center.  Bob and avecinia are now working on developing a diabetes management support group for Fresno and Central Valley residents. We plan on having our first, free meeting in March!  To learn more about our program or join the mailing list, email us at wellness@avecinia.com with Diabetes Support Group in the subject line.

Get started today though by at least having an honest conversation with yourself, your loved ones, and your primary care provider on why you want to become heart healthy!

Medicare's Annual Wellness Visit

Healthcare Reform was a hot topic in 2010 and continues to be as we start the new year!  There are many benefits introduced by the reform and one very important one that is set to start January 1^st, 2011 is Medicare’s new Annual Wellness Visit!  You may be asking yourself, “What is an Annual Wellness Visit?”   and  “Is it worth it for me to come in when I’m not sick?”- the answer to the second question is easy- YES!  If you want to know what an Annual Wellness Visit is, read on!

The Annual Wellness Visit  is Medicare’s answer to providing a preventive (or well check) visit with a few extras that research has found helps you live healthier, happier lives. AND IT’S ALL FREE for Medicare patients (if you have a Medicare Advantage plan, verify with your insurance provider that they too will cover your co-pay and deductible for Medicare’s Annual Wellness Visit)!  Prior to enacting this new law and benefit, Medicare did not cover the physical portion of a preventive visit and only covered certain screening tests.  More importantly, it did not give physicians and their patients a chance to sit down and talk about their general health, well-being and what the future may hold.  Now, by scheduling and attending your Annual Wellness Visit when you are not sick, you can get the following along with a wellness visit:

1. Measurement of individual height, weight, Body Mass Index (“BMI”) , blood pressure (“BP”), and other routine measurements as deemed appropriate, based on the beneficiary’s medical/family history;
• Measuring your BMI, blood pressure and other vitals gives us a quick picture of your current health.  We can tell if you are at risk for diabetes, cardiovascular disease and other health concerns just by a few simple, but vital, pieces of information.
2. Establishment of individual’s medical, family and social history;
• Knowing your most up to date family, medical and social history helps us determine if there are genetic or other reasons your risks may be greater than the average person.
3. A list of prescription medication;
• By reviewing your current list of medications, we can make sure you are not being prescribed too many medications or medications that have negative interactions with each other.  Our Athenahealth Electronic Health Record program will in most cases have a current list of medications if you have been getting them from a pharmacy and using your insurance.
4.  Establishment of a list of current providers and suppliers that are regularly involved in providing care to the individual;
• Knowing who else you are seeing and for what health issues allows us to better coordinate your care and get in touch with the right physician if we need to.
5. Detection of any cognitive impairment that individual may have (review of risk of depression, mood disorders, Alzheimer’s, etc.);
• A simple questionnaire helps us determine if there might be potential  mental health issues we should plan for while we can. 
6. Review of individual’s functional ability and level of safety;
• This will help us make sure that you are not in any danger of hurting yourself.
7. Establishment of a list of risk factors and conditions for which more intervention is recommended or is under way;
• Knowing and understanding the health risks you may be facing can save you the trouble of unnecessary visits to the hospital or even worse when it is too late.
8.  Personalized health advice and possible referral/follow-up for other covered preventive services such as weight-loss consultation, smoking cessation, diabetes management consultation; cholesterol management consultation, high blood pressure consultation, fall prevention and/or nutrition.
• Medicare realizes the importance of prevention and along with providing for a free Annual Wellness Visit, is also offering free services designed to help prevent, manage and reduce the most common health concerns for patients your age.
9. Establishment of a written screening schedule/checklist for the next 5-10 years as recommended by the United States Preventive Services Task Force;
• Knowing when to get proper screening is just as important as knowing what types of screening you may need.
10. (Not a part of the Annual Visit as of 1/3/2011 but it is a discussion we recommend you have with your primary care physician during your Annual Wellness Visit)Voluntary advanced care planning if desired (verbal or written information regarding the patients wishes in case an injury or illness  causes the patient to be unable to make health care decisions at that point)
• This is an important but often over-looked aspect of your health and well-being.  Knowing what you would like done, or not done, when it comes to important health decisions is good for your family, your provider and you.  Why wait until you can’t make that decision to have someone else make it for you?

Each year after your initial Annual Wellness Visit, your provider should follow up with you with another wellness visit where your list of medications, providers, risk factors are updated and your current health and well-being are re-evaluated.   If you can make your follow up wellness visit right after your Annual for the same day 12 months later, you won’t have to remember about making it later.  

What does this all mean for you/Why you should make an appointment for your Annual Wellness Visit?

A stitch in time saves nine.  This time honored adage has never been truer when it comes to your health and well-being.  Preventive medicine, that is medicine and services that help you from being sick or help you manage your current conditions so they don’t get worse, is the most important thing you can do to save your life, save your money, help your family,  and even help the overall health care system and the American economy.   For example, if during your Annual Wellness Visit, it is determined that you have or are at risk for Diabetes and then you take advantage of the free Diabetes Management services, you are more likely to control or not even get Diabetes.  Controlling or not even getting Diabetes can save you hundreds of dollars a month just in prescriptions.  We have had patients save over $500 a month by getting their Diabetes under control. If you don’t control your Diabetes and end up in the hospital because you need to be put on dialysis, your bill can be in the thousands.  That can be money in your pocket and money the hospital and government can save. 

Other benefits of getting your annual wellness visit and the yearly follow up are:

·         It’s an opportunity for you and your health care provider to discuss your health during a time when you are not in for a sick visit and therefore are not worried about  a how you’re feeling at the moment;

·         Planning out what visits you might need, based on your health condition and risk factors, in the beginning of the year can help you make sure you have the time to take care of the things you need to take care of;

·         It’s an opportunity have an open and honest discussion with family members (after your visit, you should meet with family members to discuss what you and your health care provider discussed during our annual visit such as your current health, risks, additional screenings that might be necessary, and what you would want done in case of an emergency);

·         IT’S FREE!

So make your appointment today!  You can call our office at 559-450-7299 to make an appointment or make an appointment request through the patient portal (go to www.avecinia.com, then click on “My Account” to access your patient portal).  When making an appointment, make sure you ask that it is for your Annual Wellness Visit (as long as you have not had your Welcome to Medicare Visit in the past 12 months or you are not new to Medicare within the past 12 months).  Your appointment will be for approximately 25-30 minutes (including time to fill out some questionnaires).  Although we have a list of your current medications, providers, family, personal and social history in our Electronic Health Record program, bring a list so we can confirm the information is accurate.  During your visit, you will be asked to complete a questionnaire that will become part of your Personalized Prevention Plane.  If you would like to fill this questionnaire out with the help of someone prior to the visit, just ask us and we can mail, email or fax it to you or you can download a copy from the Patient Portal under “Medical Forms” (the forms will be called Medicare Annual Wellness Visit Forms). 

 

We are excited that Medicare is offering this incredible, valuable opportunity for you without any cost to you! We highly recommend you make your Annual Wellness Visit appointment as soon as possible, or if your family member or loved one is with Medicare, have them make an appointment as soon as possible (or make it for them if you are their care taker).  See you soon!

For daily updates on news, information and more on health care and wellness, join avecinia wellness center's facebook page (facebook.com/avecinia) and follow avecinia on twitter (twitter.com/avecinia4health). avecinia wellness center is Fresno's premier integrative medicine and wellness center. We combine internal medicine and primary care with health management, weight management, acupuncture, aesthetics (Botox, Juvederm, Radiesse, Obagi and more) and massage therapy for a holistic approach to health. We use a robust electronic health record program and patient web portal to enhance our delivery of services and to help our patients reach their optimal well-being. To learn more, visit www.avecinia.com. If you are looking for a primary care doctor in Fresno or the Central Valley and would like to become a part of the avecinia family, visit our website and click on new patient registration. Let Dr. Unaiza Hayat and/or Ali Kunkel, MPA, PA-C, become your trusted guides. Our Aesthetic, Weight Management, Acupuncture, Health Management and Massage Therapy services do not require us to be your primary care physician. Learn more at www.avecinia.com We look forward to meeting you!