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Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
October, 2013, Vol. 13, Issue 10
Nutritional and Supplement Needs Differ with Gender and Age
By Tina Beaudoin, ND
Life is significantly more complicated than it was just a few decades ago and knowing what to eat and what to supplement can be confusing. According to the National Health and Nutrient Examination Survey (NHANES), more than half of Americans report taking one or more supplements.In terms of nutrition and supplementation, there are some universal guidelines, as well as some variations in recommendations based on gender and age. Proteins, fats and carbohydrates are the three basic macronutrients of our diet that should be enjoyed in balanced proportions during meals and snacks. Balance in most endeavors is beneficial and the right balance of certain macro- and micronutrients can change with age, gender and activity level.
Most people think about protein being essential to build strong muscles, but adequate protein intake also influences the production of antibodies, hormones, enzymes, clotting factors and brain chemistry. Protein needs, in terms of grams/kilogram/day, are highest in infants and gradually decrease as age increases. Pregnant and lactating women, as well as athletes, have increased metabolic needs that require additional protein intake.
In private practice, I have many patients that either skip breakfast altogether or opt for just a bagel or muffin. If you aren't able to consume more than a quick carb at breakfast, a protein shake or protein bar is a great way to get what you need to start the day right. Eating a simple carbohydrate at breakfast will give you a brief bump in energy as glucose is quickly released into the bloodstream. The adage, "all that goes up must come down" holds true in this situation. After the initial bump in energy, you then feel a sharp drop in blood sugar, which leaves you feeling tired and lethargic. Having a balanced meal that includes some protein and fats ensures a more gradual release of glucose and nutrients that gives you more consistent energy.
I wouldn't want anyone calling me a "meat head" on the playground, but I would be just fine with receiving the title "fat head." Fats and cholesterol are the essential building blocks of neurons, the individual cells of the nervous system. The recommendations around fat intake vary with age. Children between the ages of 1 and 3 have the highest AMDR (Acceptable Macronutrient Distribution Range) at 30% to 40% of calories per day of total fat. The AMDR is established based on reducing the risk of developing chronic disease while providing adequate intake of essential nutrients. Infants and toddlers have especially high needs for adequate fat intake to support healthy development of their brain and nervous system.
Omega-3's are polyunsaturated fatty acids that have been found to be an especially beneficial fat to both the young and old. Adequate DHA has been shown to offer cognitive benefits during pregnancy and early childhood development. Brain and retinal maturation are optimized with adequate DHA availability during fetal development and infancy. DHA has also been found to be of benefit to elders by providing resistance to the deleterious effects of aging and stress on the brain. Unfortunately, the typical American diet does not provide adequate intake of omega-3's and therefore does not offer an optimal supply of DHA for brain health. Eating a diet rich in walnuts, ground flax, wild-caught fatty marine fish and soybeans will help you enjoy the benefits of this healthy fat. Adding a daily omega-3 supplement is a great option to maintain adequate levels and help ensure that you keep your quick wit and cognitive abilities as you age.
Folate and zinc are great examples of how micronutrient requirements can differ between the sexes. It is not surprising that pregnant women have increased intake needs across the board of most macro and micronutrients. Folate is especially important during fetal development to ensure complete development of the nervous system and decrease the risk of neural tube defects.
The recommendations around zinc increase as you age with slight variations between the sexes. Teenage boys and adult men should consume 11mg daily of zinc daily, which is slightly more than teenage girls at 9mg daily and adult women at 8mg daily. Zinc is not only essential to immune function and our sense of taste and smell, it is vital to the sexual development and fertility of males. Research studies have shown that zinc supplementation produced positive changes in sperm quality and function. Supplementing or a targeted increase of zinc-rich foods (e.g., oysters, pumpkin seeds, and lamb) should also be a consideration for anyone taking thiazide diuretics or ACE-inhibitors, as these medications increase the amount of zinc lost in the urine. If you opt to supplement with zinc for an extended amount of time, you need to add 1-2 mg/day of copper for every 15-30 mg/day of zinc to avoid zinc-induced copper deficiency.
Whether discussing macro or micronutrients, our nutrient needs vary somewhat with age and gender. Eating a whole-food, nutrient-dense diet is a great way to ensure you have what your body needs to stay healthy and vital. Working with a licensed nutritionist or your family doctor can offer additional guidance on which nutrients should not be overlooked to ensure optimal health. When diet is not optimal, there is a growing body of research that has shown how specific supplementation can offer a variety of benefits. Remember that when you look down at your plate, be sure to enjoy a balanced meal with a colorful assortment of vegetables, proteins and healthy fats.
Dr. Beaudoin is a Medical Educator for Emerson Ecologics, a distributor of professional nutritional supplements to healthcare practitioners. She also enjoys maintaining a naturopathic family practice and is the president of the New Hampshire Association of Naturopathic Doctors. She can be reached at
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