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In the Unlikely Event of an FDA Recall ... No News Has Been Good News
East Asian herb product manufacturers have practiced impeccable diligence by complying with current Good Manufacturing Practices (cGMP) and providing the practitioner community certificates of analyses that detail laboratory testing results for things like heavy metals and toxic elements.
Safety First, Protecting the Patient: A Herbal Certification Program by the NCCAOM
The acceptance of acupuncture and Oriental (East Asian) medicine in the U.S. has made tremendous strides over the last 30-plus years. AOM/TCM is no longer "alternative or complementary" medicine. Yet, as acupuncture has become more mainstream, acceptance of herbal medicine has lagged behind.
The Opioid Crisis: "Let's Roll!"
Sept. 11, 2018 will mark the 17th anniversary of the horrific terroristic attack on the U.S. Whenever I think about that day, I am reminded of the heroes on Flight 93 who took action to keep the airliner away from Washington, D.C., by making it crash into the ground near Shanksville, Pa.
A Functional Approach to Type 2 Diabetes
Diabetes is recognized as one of the top chronic illnesses plaguing our society today. Here are some quick statistics on the prevalence of both diagnosed and undiagnosed diabetes:
News in Brief
Chiropractic Takes Leap Forward in France; New ACA President Named; Sherman College Responds To "Choosing Wisely" Recommendations; R.I. DCs Speak at Medical CE Event.
The Veteran's Choice Program & Your Claims
Q: I have recently begun treating veterans under the Veteran's Choice program. I am getting paid just fine for acupuncture codes and evaluation and management services but have been denied all physical medicine codes including infra-red heat 97026, massage 97124 and manual therapy 97140.
Preparing for the Opioid Patient: The Future of the Acupuncture Profession
In the future there will be many more clients with opioid addictions in acupuncture practices. Acupuncture is being promoted as an excellent resource to help with recovery from opioid addiction.
Fixing a Major Practice Hurdle in Wisconsin
Wisconsin Gov. Scott Walker has signed Assembly Bill 834, legislation repealing the requirement that DCs wishing to practice in Wisconsin score higher on Part III and Part IV of the NBCE examination than is required in most other states.
Lancet LBP Series: Relevance to the Chiropractic Profession
The Lancet Low Back Pain Working Group consists of a team of leading international experts on back pain from different professional backgrounds and from countries around the globe. The group published a series of three papers in The Lancet on March 21, 2018, and have subsequently received significant media attention. Here is a summary of the relevant data from these three important papers.
The Pain of Chemotherapy: A Case Study
The primary reason for presenting this case study and patient is to review the pain relief response she experienced from micro-current electro-acupuncture for taxane induced neuropathy.
Standard Process Unveils Nutrition Innovation Center
The North Carolina Research Campus, a 350-acre research center in Kannapolis, North Carolina, just north of Charlotte, is a research collaborative that includes university, corporate and community partners.
Renew Your Passion: The National
It's another August day in Florida with temperatures reaching almost 90 degrees. The sun is shining through the tall windows of the Hyatt Regency Orlando on all the attendees at The National by the Florida Chiropractic Association.
Corporate Chiropractic (Pt. 2): The Dark Side
In a previous DC article (May issue), I tried to make the case that the trend of corporations and franchises delivering chiropractic care might actually be positive.
Practicing Tai Chi Between the Seasons: Balancing the External and Internal Environments
Each morning for the past week, I have found myself to be a bit more tired than usual. There were nights when I went to bed a little late and nights I went to bed early, but it didn't make a difference.
The Spirit of the Points: The Pericardium Meridian (Part 2)
As indicated in part one of this series, the vast majority of our patients, regardless of the presence of physical symptoms, are also imbalanced at the levels of mind and spirit. The ancient Chinese knew that to treat the whole person, all levels must be taken into account so that complete balance and harmony can be achieved.
Leave Acupuncture to Acupuncturists
Colorado acupuncturists are desperately fighting to reverse a recent decision — the passing of HB18-1155 — that adds dry needling to physical therapists' scope of practice. You can support Colorado acupuncturists by signing their Change.org petition here.
Mineral Nutrition for Athletic Performance and Recovery
Research on sports, exercise, and mineral nutrition has been ongoing for decades. It is widely held that strenuous exercise can increase the need for minerals.
VA and Medicare Billing: Case of the Missing Modifier
Indeed, the Veterans Administration is paying directly to chiropractors for care under the VA Choice or PC3 Program. There are currently two administrators for this program: Health Net for the northeast and TriWest for the southwest (approximate geographic regions).
Text Neck: Assess and Adjust
A common presentation in a chiropractic clinical practice is the patient with neck pain and stiffness. Patients usually report limited range of motion on rotation of the head and neck.
Legos Lead to New Patients
It's time to examine a different way of envisioning the marketing and promotional flows in your office. This 10,000-foot perspective I like to call your practice's "marketing Legos." Much like the Legos we all played with as kids – now you get to sort them out in practice!
A Report From the 3rd Annual ASA Council Congress
This past March the American Society of Acupuncturists (ASA) was proud to hold its third annual ASA Council Congress in Denver, Colorado.
The Gut/Brain Relationship: Exploring Brain Diseases
Several thousand years ago ancient Chinese doctors stressed the importance of a healthy diet, and leading a healthy lifestyle as the primary ingredient to maintaining health.
Art of the Associateship: Success Is in the Finances
Finances are an important part of any business relationship. Money serves as the fuel for all business operations and ultimately the long-term success of owners, employees and customers. This is especially true in the world of health care.
Give Obesity the Attention It Deserves: Practice Pointers
During my earlier years in practice, I first became aware of the obesity problem in New Mexico because of an offer to star in a movie.
Low Back Rehab: Hip Mobility
The strength of chiropractic physical rehabilitation is first and foremost CMT, closely followed by our appreciation of a whole-body approach to balancing the entire kinetic chain.
K2: The Supplement for Your Anti-Aging Treatments
While aging as a whole is inevitable, some aspects of aging may actually be caused by a simple vitamin deficiency. That's right – wrinkles, stiff muscles and decreased athletic performance can all be symptoms of just one micronutrient deficiency: vitamin K2.
NIH Agenda: How Will More Drugs Help?
National Institutes of Health (NIH) Director Francis Collins announced in April that his agency will be partnering with drug manufacturers to address the opioid and pain crisis. The project is known as the Helping to End Addiction Long-Term (HEAL) Initiative.
A Five-Step Plan for Marketing the Sale of Your Practice
We spend so much time and energy educating ourselves to be successful practitioners that many of us never stop to consider what comes next. What happens if you have a great practice but you need to move, are getting burned out, or are simply ready to retire and try something else?
A Model for Integrative Health in the U.S.
This past March I met Dr. Benjamin Kligler, national director for the Integrative Health Coordinating Center of the Veterans Administration (VA), at an Integrative Health and Wellness Congressional Caucus briefing, where he presented on the VA health care system.
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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