resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Pain Is Only a Piece of the Puzzle
More often than not, when a patient presents to the office, it is for a pain complaint: headache, neck pain, low back pain, sciatica, carpal tunnel, etc.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
February, 2013, Vol. 13, Issue 02
Supplementation: Is It Necessary?
By Keri Marshall, MS, ND
Your need to supplement or fortify your diet depends on many factors. If everyone ate a healthy diet full of fruits, vegetables, whole grains, organic dairy products and cold-water fish every day, there may not be a need to supplement the diet with vitamins and minerals.If everyone got plenty of exercise outside with regular exposure to sunlight, there may not be a need to supplement the diet. Unfortunately, this just isn't the case. Our busy lives prevent us from eating the diet we wish we could and from getting exercise outside, often leaving us depleted of vital nutrients.
Keeping your immune system strong and resilient by maintaining a proper diet, nutrition and exercise can be hard for any massage therapist, as well as for their clients. For those whose dietary needs are not being met, supplementation can be of great support to maintain optimal health. If your health is compromised or your vitality is depleted by stress or illness, then you may also be able to benefit from specific supplements.
The question is, just how many people are using dietary supplements regularly to maintain health? According to an October 2012 survey by the Council for Responsible Nutrition (CRN), 68% of American adults now take dietary supplements, with multivitamins being the most popular. Forty-nine percent of all adults report taking multivitamins, with 71% of supplement users reporting that they take a multivitamin in general, and 53% report taking a multivitamin daily. While the majority of supplement users take a multivitamin, at least 23% are taking a fish oil supplement.
What Do We Really Need?
Our bodies require essential nutrients and vitamins every day in order to function normally. Without them, our bodies begin to accumulate molecular and biochemical byproducts, such as free radicals, that may cause damage to our cells. The human body is hardwired with innate mechanisms to repair itself and return to homeostasis if fed a variety of nutrients to keep the engine running. Giving the body the nutrition it needs to carry out these functions can have a significant impact on delaying the aging process and achieving a longer, healthier and happier life.
One of the most important things you can do for your health is to eat a variety of fruits and vegetables every day. In fact, you should aim for between seven to nine servings a day. But ... not everyone eats even close to this amount of healthy plant matter and, as a result, may have difficulty obtaining all of the vitamins and minerals they need to maintain optimal health.
Many of us have heard the cliché that we should eat from the rainbow, but may not really understand what it means. Fruits and vegetables come in a wide range of colors and each of those individually colored foods has a unique phytochemical profile with an array of nutrients. For example, blue and purple foods are rich in an antioxidant nutrient called anthocyanins, which help support heart health and optimize immune function. Orange fruits and vegetables contain carotenoids, which help the eyes, heart, mucous membranes and promote healthy joints.
Most Americans are not getting enough fruits and veggies and follow more of what we call "The Western Diet," which is high in "bad" fats, sugar, white flour products and fried foods. It does not provide a variety of foods nor does it provide nutritionally dense foods. And, for some with lactose intolerance or other food intolerances, vital nutrients may be limited unless there is dietary supplementation.
Conventionally grown foods today are also to blame for providing fewer nutrients than they used to due to poor soils and growing processes. So, you may be trying to eat all the right things, yet still come up short because the foods are not as nutrient-dense as you might assume.
Even more worrisome is 100% of the vitamins and minerals we eat, either through food or supplementation, are not absorbed by the body. The excess gets removed via urine and other means of excretion. Because of all of these factors combined, I would absolutely recommend to my patients that they take a daily multi-vitamin/mineral supplement.
What About Fat?
The typical Western diet is highly deficient in omega-3s, or healthy fats, in large part because people choose to eat foods — often unknowingly — that are concentrated with omega-6 fats. And omega-3 rich foods are often difficult to find. Refined and processed foods, many cooking oils, dressings and overconsumption of corn and soy are the main culprits for increased levels of omega-6 fats in the diet. In and of themselves, omega-6s are not unhealthy, they're just over-consumed, and omega-3s, found primarily in cold-water fish, are under-consumed.
Omega-3s are considered "essential" because they are required for optimal health but cannot be produced by our bodies and, therefore, must be consumed daily through diet or supplementation. All fatty acids we consume reside in our cell membranes, where they impact every biological process in our bodies — such as cell division, circulation and blood pressure. Omega-3s are clinically proven to support the body's natural anti-inflammatory response, which in turn optimizes heart, brain, metabolic, joint and tissue health. With adequate intake of omega-3s, cells function properly, and overall health is supported.
Achieving balanced intake of these fats is important because omega-6s are pro-inflammatory and omega-3s are anti-inflammatory. It is vitally important to ensure balanced intake by limiting omega-6 foods and taking a quality omega-3 fish oil supplement, along with eating a healthy diet including fish. The typical Western diet works against this goal and, as a result, most people do not obtain the suggested daily minimum of 500 mg eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). Consumers are searching for a solution to correct this deficiency and purified fish oil supplements are a safe and effective source of these essential omega-3s.
Key to the success of any delivery system for supplementation is palatability. Fishy smell, taste or aftertaste are common deterrents to continued daily use. Research shows that fish oils only smell unpleasant when oxidation has started to degrade the oils' lipids, causing rancidity. Rancid lipids may also contain free radicals that can damage proteins, DNA, and ultimately the cells in the body. Utilization of oxygen-free processing methods, such as the patented systems used by some high-quality companies, protects the oils from oxidation and guarantees an exceptionally fresh product that tastes great and will encourage continued use.
Vitamin D is another nutrient that many people lack, in part because of excessive use of sunscreen, but also because people tend to spend less time outdoors than they used to. Most people can make enough vitamin D by spending at least 15 minutes a day outside, without sunscreen, with a good amount of skin exposed. What this means in practical terms is going for a walk outdoors in shorts and a T-shirt or tank top, without first applying sunscreen. Not everyone can do this for a variety of reasons, although with the exception of seasons and inclement weather, everyone should try to spend at least 15 minutes a day outdoors, weather permitting. The fresh air and bonus of getting exercise are also vitally key to optimal health.
The reality, though, is many of us live in places where we cannot wear shorts year round. For people who live in the beautiful Northwest, sometimes the sun does not shine for weeks on end. In cases such as this, Vitamin D can be a very important nutrient to supplement. I recommend getting a baseline test done by your primary care physician before beginning supplementation, because you then have a baseline number to track for progress. A baseline number also allows you to determine how much you may need to supplement. A recent CRN survey indicates that up to 22% of people take Vitamin D supplements daily to fortify their diet.
How To Choose
But, more than anything, people are easily confused as to how to choose the best quality dietary supplement. Products that are third-party tested are superior to those that aren't. When taking a supplement, you want to be assured that what it says on the label is, in fact, what is in the supplement. Be sure that the company is adhering to Good Manufacturing Practices (GMP) to ensure compliance with industry quality standards and required testing.
Finally, review the ingredients. With a small amount of education, you can spot which are quality products and which are not. Avoid unnecessary binders, fillers, preservatives and additives. Most company websites will help you discern if they have gone out of their way to produce a superior product and if you don't see it, don't be afraid to ask the company for proof of quality. Quality and absorption are key to making sure you get your money's worth to optimize your health!
Dr. Keri Marshall is a licensed Naturopathic doctor who specializes in pediatrics, women's medicine and chronic disease management. A published author and media favorite, Dr. Marshall appears regularly as a scientific and nutrition expert on national radio and TV. She is Chief Medical Officer for Nordic Naturals.
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