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® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Page 1: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three
Page 2: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

®Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three times the $714 billion spent in 1990, and over eight times the $253 billion spent in 1980. Stemming this growth has become a major policy priority, as the government, employers, and consumers increasingly struggle to keep up with health care costs. [1]

In 2008, U.S. health care spending was about $7,681 per resident and accounted for 16.2% of the nation’s Gross Domestic Product (GDP); this is among the highest of all industrialized countries Absent reform, there is general agreement that health costs are likely to continue to rise in the foreseeable future.  (Kaiser Family Foundation)

Page 3: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

®09 Rank

Drug Maker $$$(B) Use

1 Lipitor Pfizer 7.55 Cholesterol

2 Nexium AZ 6.30 Acid Reflux

3 Plavix BMS 5.58 Blood thinner

4 Advair GSK 4.67 Asthma/COPD

5 Serequel AZ 4.15 Depression/Anxiety

6 Abilify BMS 3.99 Depression/Anxiety

7 Singular Merck 3.73 Asthma/COPD

8 Actos Takeda 3.41 Diabetes

9 Embril Amgen 3.25 Auto-Immune

10 Epogen Amgen 3.20 Anemia (often from kidney failure)

Page 4: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Enalapril-Hypertension

Toprol-Angina Pravachol-

Cholesterol Zetia-Cholesterol Levothyroxine-

Thyroid Prevacid-GERD

Effexor-Depression Dicyclomine-

Depression Flonase-Allergies Pulmicort-Asthma Serevent-Asthma Nebulizer-Asthma Fosamax-

OsteopeniaIs this what healthcare has become?

Page 5: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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$1230 per month

Page 6: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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…what about our kids

Page 7: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Page 8: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Dr. Amy Harvey THEN NOW

Page 9: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Page 10: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Page 11: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Patient’s health started as an “F” (disease care). In just 8 Weeks, moved to a “C”.

Page 12: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Page 13: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

®Changing HabitsChanging Habits

WHY (attitude)

HOW(skill)

WHAT(Knowledge)

Page 14: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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LOVE = SUPPORT + CHALLENGE

Page 15: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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The idea is to die young as late as possible (Ashley Montagu)

Do you make regular deposits in your “health” savings account

Page 16: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Chiropractic Fitness Nutrition Meditation Massage

Page 17: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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You need 3.5 hours per week in the office You need 3.5 hours per week in the office 30 – 60 minutes for massage30 – 60 minutes for massage 2 one hour sessions with trainer (weights + cardio)2 one hour sessions with trainer (weights + cardio) 2 chiropractic adjustments per week (15 minutes)2 chiropractic adjustments per week (15 minutes) 2 appointments nutrition consults2 appointments nutrition consults 2 meditation classes2 meditation classes

60 min (3 separate) cardio sessions outside office60 min (3 separate) cardio sessions outside office Time to shop, plan, and cook your mealsTime to shop, plan, and cook your meals 10 min @ day meditation (schedule 2 meditation classes)10 min @ day meditation (schedule 2 meditation classes) 5 min @ night to review & record in log & plan for next day5 min @ night to review & record in log & plan for next day

Page 18: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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1. You live your life through your Nervous System

2. Chiropractic removes interference to that Nervous System

Page 19: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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It is criticalIt is critical that the that the messages from the messages from the brain travel up and brain travel up and down the spinal down the spinal cord, through the cord, through the spinal openings, and spinal openings, and reach the body reach the body systems without systems without interference.interference.

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No decline with age is as dramatic or potentially more significant than the decline in lean body mass

30 minutes of exercises/day decreases your chances of Cancer by 50%

J Nutr 127:990S-991S (1997)

BODY FAT LEAN MASS

EXERCISE------------->

Page 21: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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High Intensity Interval Training

0%10%20%30%40%50%60%70%80%90%

100%

1 3 5 7 9 11 13 15 17 19

Time (minutes)

% o

f M

ax

imu

m H

ea

rt

Ra

te

You will be responsible to do Three 20-30-minute cardio sessions You will be responsible to do Three 20-30-minute cardio sessions each week on your own. If weight loss is a goal, perform these each week on your own. If weight loss is a goal, perform these cardio sessions as soon as you wake up, on an empty stomach. cardio sessions as soon as you wake up, on an empty stomach.

Page 22: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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3 to 1 ROI3 to 1 ROI

You will be soreYou will be sore

DO NOT COME TO OUR OFFICE DO NOT COME TO OUR OFFICE TO EXERCISE ON AN EMPTY TO EXERCISE ON AN EMPTY STOMACHSTOMACH..

Page 23: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Highly recommended & sold at front desk

Page 24: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Massage is not a luxury, it is a necessity. Communicate with your massage therapist

Page 25: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Page 26: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Page 27: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Page 28: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Page 29: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Page 30: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Protein

Carbohydrate

Fat

Page 31: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

®Carbohydrates (40%)Carbohydrates (40%) Protein (30%)Protein (30%) Fat (30%)Fat (30%)

4 cal/gram4 cal/gram 4 cal/gram4 cal/gram 9 cal/gram9 cal/gram

30 grams30 grams ++ 20 grams20 grams ++ 10 grams = 290 calories10 grams = 290 calories

Size of FistSize of Fist Size of PalmSize of Palm Size of ThumbSize of Thumb

Bread, pasta, riceBread, pasta, rice Beef, chicken, fishBeef, chicken, fish Oils and butterOils and butter

Veggies, FruitsVeggies, Fruits Eggs, cottage cheese,Eggs, cottage cheese, Nuts, seeds n Nuts, seeds n avocado avocado

& beans& beans Greek Yogurt, & beansGreek Yogurt, & beans

NO HFCSNO HFCS Reduce fatty proteinsReduce fatty proteins NO PARTIALLYNO PARTIALLYHYDROGENTAED OILS HYDROGENTAED OILS

Go organicGo organic Avoid ‘fat-free’ unless Avoid ‘fat-free’ unless dairydairy

Page 32: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Glycemic Index is a physiological measurement of carbohydrate quality: Ideal is 55 or less

Page 33: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Glycemic Index of FruitsLow GI Moderate GI High GI

Strawberries Blueberries BananaTangerine Orange WatermelonTomato Grapes CantaloupeCherries Kiwi PineappleApple Kumquats DatesApricot Mango RaisinsBlackberries MulberriesCranberries PomegranateGrapefruit PapayaGuavaRaspberriesLemonLimePeachPearPlum

Glycemic Index VegetablesLow GI Moderate GI

Asparagus String beans ArtichokeBean sprouts Beans, dried Sweet CornBean, green Brussels sprouts Green peasBroccoli Chives SquashCabbage Collards CarrotsCauliflower Eggplant Pinto beanCelery Kale YamChickpeas Leeks Sweet Chard, Swiss Okra potatoesCucumber OnionEndive PeppersLettuce PimentoLentils TurnipRadish Navy BeansSpinachWatercressLima BeansSoy beansSplit peasKidney beansBlack Beans

Page 34: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Low glycemic index

Taken 2x/day

Proven to reduce cholesterol and triglycerides and increase HDLs by 25% more than just diet alone (Nutrition & Metabolism, 2008 5:29)

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Page 36: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Nutrition Facts: Calories 290 CaloriesTotal Fat 9 g Total Carbohydrate 31g Dietary Fiber 5g Protein 22g

Understanding Food Labels

Page 37: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

® Plan your meals

Eat 5 meals each day, of which 2 meals will consist of an Ultrameal shake.

A meal will consist of 1 protein, 1 carbohydrate and 1 fat portion

During the first week, your carbohydrate choice can only be from the low glycemic vegetables (see page 51 in manual)

After the first week, when choosing your carbohydrate, you are allowed a pasta or grain with your breakfast and lunch only. In other words, this must be consumed prior to 1:00pm.

Use your hand as a guide for portion control.

Drink water every day; Consume ½ your body weight in ounces; e.g. if you weight 150 pounds, consume at least 75 ounces each day.

Rediscover your kitchen and cookbooks.

Caffeine is OK; No more than 2 cups per day. No artificial sweeteners!

You may have 1 free day per week in weeks 2 thru 8.

Page 38: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

®PROTEINPortion Size: palm of hand; approximately 20-30 grams per servingEggs- 2 whole or 3 whites plus 1 whole eggFish- 3-5oz fresh or ¾ cup canned packed in waterLean meat - size of palm of hand Poultry – size of palm of handSoy/Legumes - 1 cup freshCottage Cheese- Skim or low-fat (3/4 cup)Ricotta Cheese- Skim or non-fat (1/2 cup)Yogurt- Low-Fat/Low Sugar (1 cup)

FATSPortion Size: index finger = 10 grams per servingOlive Oil - 2tspFlaxseed Oil- 2tspAvocado- 1 normal sliceNuts (almonds, hazelnuts, walnuts) - 10Seeds (flax, pumpkin, sunflower, etc) 1 tbspEggless Mayonnaise (from canola oil) - 1 tbspButter (use sparingly) - 2 tsp**Avoid Margarine because of trans fat

CARBOHYDRATES Portion Size: size of fist; keep portion size less than 30 grams per servingBread - Whole Grain (minimally processed) - 1sliceWhole -wheat Tortilla- 1 small100% Whole Wheat Pasta- ½ cupHigh fiber cereal - ½ cupBasmati or Brown Rice- ½ cupVegetables (low GI) - UnlimitedVegetables (moderate GI) - 1 ½ cupFruit (low GI) - 1 cupFruit (moderate GI) - ½ cup

CREATE YOUR MEALS

Page 39: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

®SAUSAGE EGG MUFFINS – MAKES 6 SERVINGS WEEK 1 RECIPE

Calories Protein Fat Carbs Fiber4 ounces turkey sausage 224 20 12 12 06 eggs and 6 egg whites 531 72 27 0 01 can (132 gram) drained sliced mushrooms 33 2 0 71 cup shredded cheese 330 18 28 01/2 cup diced onions n peppers (can use frozen)16 0 0 4 0

Total 1134 13 67 23 3 Total Per Serving 189 19 11 3.80.5

Net Carbs Per Serving 3.3

Preheat oven to 350 degrees. Coat a 6-cup large muffin tin with cooking spray or line withpaper baking cups. Remove sausage from casings and place in a nonstick skillet (along with peppers and onions if desired).  Cook sausage until no longer pink.  Remove from heat and let cool slightly. In a bowl, beat the eggs and then stir in mushrooms and sausage.  Divide mixture evenly into the muffin cups.  Bake for 17-20 minutes, until knife inserted in the

centercomes outs clean.  Let cool and then place in sandwich bags and refrigerate.  Microwave about 50 seconds and enjoy!!

Page 40: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Order online at Iccara Restaurant Deliveries Monday and Thursday

Page 41: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Breakfast 7 AM

Ultrameal 10 AM

Lunch 1 PM

Ultrameal 4 pm

Dinner 7 pm

Page 42: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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One gram (or more) of fish oils each day

Page 43: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Don’t think it, ink it Journaling

DOUBLES your results

Bring with you each visit

Weigh in once per week in our office and record in your log

got 8ww log?

Page 44: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Schedule Initial Exam w/ Doctor (even if you decide not to do 8WW)

Schedule with Dietician, meditation classes, and Chiropractic, exercise and massage appts

Get Blood Work (12 hr. fast): Additional Cost Read your manual…Read your manual…

Read your manual…Read your manual……………

Remove all temptations from your kitchen and pantry and get your family on board to support you. Tell them “it’s all about me for the next 8 weeks”.

Page 45: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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Week one not following only veggie rule

Needing more dietary guidance No planning Not doing cardio outside of office Not bringing in manual to review Not recording foods & exercise Not doing meditation

Page 46: ® Health care costs have been rising for several years. Expenditures in the United States on health care surpassed $2.3 trillion in 2008, more than three

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“Become less selfish and more self-less”

“To achieve personal meaning you must do something that points to

something, or someone, other than oneself, by giving yourself to a cause to serve or another person to love.”

Victor Frankl