Focus on Health - June 2014

Focus On Health

Men’s Health

plus:• Sun Safety

• Nutrition• Supplements

• Relaxation and more

A SUPPLEMENT TO TIMES BEACON RECORD NEWSPAPERS

JUNE 19, 2014

PAGE S2 • FOCUS ON HEALTH • JUNE 19, 2014

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3Dgoes

New studies show that 3D Mammography can increase the detection of the most harmful forms of cancer by 40%, while decreasing the number of unnecessary callbacks by up to 40%.

We offer 3T Wide-bore MRI at every office, which provides up to 10 times the resolution and speed of many scanners

still in use today. 3T MRI enables us to visualize complex organs, like the prostate, with unprecedented detail.

ZWANGER-PESIRI

Stony Brook•E. Setauket•Smithtown•Patchogue•Medford•W. Islip•Lindenhurst•Massapequa•Merrick•Elmont•Hicksville•Plainview

3T & 1.5T Wide-bore MRI • 3D Mammography (Tomosynthesis) • Low-dose CT • Digital X-rayPET/CT • Nuclear Medicine • Biopsy • DEXA Bone Density • Fluoroscopy • Ultrasound

Z - W - A - N - G - E - R516631 w w w. z p r a d . c o m

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JUNE 19, 2014 • FOCUS ON HEALTH • PAGE S3

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Focus on Health

What’s inside…

TIMES BEacon rEcord nEWSPaPErSPUBLISHER Leah S. Dunaief

GENERAL MANAGER Johness Kuisel

EXECUTIVE EDITOR Rachel Shapiro

EDITOR Heidi Sutton

ADVERTISING DIRECTOR Kathryn Mandracchia

ART/PRODUCTION DIRECTOR David R. Leaman

ART AND PRODUCTIONJanet FortunaBeth Heller MasonWendy Mercier

INTERNET STRATEGY DIRECTOR Rob Alfano

BUSINESS MANAGER Sandi Gross

BUSINESS OFFICE Meg Malangone

CIRCULATION MANAGER Courtney Biondo

SUBSCRIPTION MANAGER Terri Caruso

Times Beacon record newspapers are published every Thursday. Address: PO Box 707, Setauket, NY 11733. Telephone: 751–7744. Email address: [email protected]; fax: 751–4165; website: northshoreoflongisland.com. Entire contents copyright 2014.

4 . . . . . . . . . . New treatment for varicose veins

5 . . . . . . . . . . . Natural ways to reduce acid reflux

6 . . . . . . . . . . . How to keep your family safe in the sun

7 . . . . . . . . . . . Cosmetic surgery gaining popularity in men

9 . . . . . . . . . . . Make a donation to good health

10 . . . . . . . . . Prostate cancer research update

11 . . . . . . . . . Health benefits of dark chocolate

12 . . . . . . . . . . Eating clean: a simpler approach to nutrition

13 . . . . . . . . . Identifying narcolepsy

14 . . . . . . . . . Foods to supplement men’s workouts

16 . . . . . . . . . Pediatric oral healthcare update

17 . . . . . . . . . How to save on prescription drug costs

18 . . . . . . . . . Five important nutritional supplements

19 . . . . . . . . . Relaxation techniques to calm your nerves


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Focus on Health

Varicose veins affect more than 30 million adults in the U.S. aged between 18 and 70, with

women twice as likely as men to develop the condition. These veins bulge and rise above the skin’s surface. They are often unattractive, uncomfortable and could cause further medical problems. Now, specialists at The Stony Brook Vein Center at Stony Brook Medicine have a new nonsurgical approach to rid patients of their problem veins.

Varithena, a polidocanol injectable foam, is the first and only FDA-approved foam for the treatment of incompetent veins and visible varicosities of the great saphenous vein, GSV system. Varithena also improves the symptoms and the ap-pearance of these troublesome veins.

“Varithena sets a new standard for the treatment of both the symptoms and the appearance of varicose veins,” says Antonios P. Gasparis, M.D., professor of surgery, Vascular Surgery Division, Stony Brook University School of Medi-cine and director of The Stony Brook Vein Center at Stony Brook Medicine. “It provides comprehensive therapy for

the widest range of varicose veins — in-competent GSV, accessory saphenous veins, and visible varicosities of the GSV system both above and below the knee.”

Treatment with Varithena is a mini-mally invasive, nonsurgical procedure that only requires an ultrasound ma-chine and standard medical supplies. Dr. Gasparis uses a small needle to in-ject the foam straight into the vein. The foam displaces blood from the vein to be treated and then causes the vein and the inner lining of the vein to close. This procedure requires no anesthesia or se-dation. Varithena is even less invasive than current therapies which require thermal energy to injure the vein wall.

“Patients undergoing treatment with Varithena can return to normal activi-ties and work following the procedure,” said Gasparis.

Post-treatment, the patient will be re-quired to wear compression stockings for two weeks. Patients are encouraged to walk around the same day with mini-mal restrictions. For more information, visit stonybrookmedicine.edu.

Photo from SBU Dr. Antonios P. Gasparis

New treatment for varicose veins


Peter A. Klein, MD, FAAD Adam J. Korzenko, MD, FAADDavid I. Silverstein, MD, FAAD

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Port Jefferson Station, NY 11776

Now In-Network with Magna Care and Health RepublicMost Insurance Plans Accepted

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We would like to congratulate Dr. Richard Miller on his retirement and thank him for

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Focus on Health

Acid reflux is one of the more com-mon, not to mention painful, side effects of gastroesophageal reflux

disease, or GERD. There is no cure for acid reflux, but there are ways to manage the condition and prevent permanent damage to the esophagus.

Many people rely on proton-pump in-hibitors, or PPIs, to keep acid reflux at bay. PPIs are among the more commonly pre-scribed medications for acid reflux, and while they may be beneficial for short-term treatment of acid reflux, the U.S. Food and Drug Administration recently cautioned against prolonged use of PPIs. Many acid-stopping medications can inhibit nutrient absorption, reduce resistance to infection and may cause vitamin deficiencies. They also have been shown to increase the risk of bone fractures and dementia.

Rather than taking medication, some people might be able to make certain life-style changes to relieve acid reflux.

Pay attention to the foods you eat. Acidic foods, such as tomatoes, citrus fruits and even raisins, can increase the amount of acid in the stomach. Choose foods that are less likely to aggravate symptoms and can alleviate pain and flare-ups. Foods that will absorb acid are safe bets. For example, oatmeal is a filling, hearty food that can

combat acid problems. Stick to lean poultry that is baked, broiled or grilled. Remove the fatty skin, as it may cause digestive issues.

Use natural digestion enhancers. Re-member those homespun remedies Mom used to whip up when you had an upset stomach? They can be equally effective for acid reflux. Ginger root has long been used to calm the stomach. Ginger can be made into tea or added to recipes and smoothies. Fennel, a licorice-flavored vegetable, may improve stomach function. Some people like to eat it after a meal to aid digestion. Parsley has been used as a medicinal herb to settle the stomach for thousands of years. Parsley can add flavor to meals and serve as an attractive garnish.

Stock up on apple cider vinegar. Apple cider vinegar has uses beyond flavoring in favorite recipes. It also can soothe acid reflux symptoms. It’s believed the vin-egar plays a role in maintaining healthy bacteria in the stomach, and that this bacteria eases digestion. Try mixing one teaspoon of apple cider vinegar into four ounces of water to drink before, during or after a meal. Apple cider vinegar also can be spread on salad.

Practice portion control at meal-time. Overindulging at mealtime can cause intestinal discomfort, which may

contribute to acid reflux. Opt for more frequent and smaller meals instead of larger infrequent ones. Also, remain up-right for two to three hours after eating to promote good digestion.

Elevate your head. If acid reflux symp-toms tend to strike at night or while you are lying down, elevating your head in bed can help. Use pillows to prop yourself up or find another way to keep your head el-evated until symptoms subside.

Shed some pounds. Many doctors rec-ommend weight loss to alleviate acid re-flux. Losing 10 to 15 pounds can decrease pressure on the stomach and the lower esophageal sphincter, which is the muscle at the band of the stomach and esophagus.

Quit tobacco products. Smokers have a higher incidence of GERD than non-smokers, so quitting smoking may help alleviate acid reflux symptoms. Even if stopping smoking has minimal effect on your acid reflux, it will still improve your overall health.

Drink more water between meals. Water hydrates the body and flushes out toxins that can build up in the di-gestive tract. Water also may help dilute stomach acid. However, do not drink tons of water with a meal, as this may stimulate the stomach to produce more

acid to maintain digestion. Chewing gum when water is not available can stimulate saliva production. Saliva is naturally alkaline and can counteract the overproduction of acid.

Natural ways to alleviate acid reflux

Stock photoBefore reaching for medication, consider a few lifestyle changes to alleviate acid reflux.


Congratulations to Dr. Howard Brand named to Castle Connolly’s Guide to Best Doctors

NY Metro Area in Endocrinology 1992–2014And Congrats on your oral presentation at the

International Congress of Endocrinology June 2014

Sound Endocrinology2500 Nesconset Hwy Bldg 3C Stony Brook, NY 11790

Dr. Howard BrandBoard Certified in Endocrinology & Clinical LipidologyDr. Monika DattBoard Certified in Endocrinology

Dr. Theofanis MitsinikosBoard Certified in Endocrinology Dr. Nicoleta IonicaBoard Certified in Endocrinology

LouAnn Holden, NP, CDE (certified diabetes educator)

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Do You Have Psoriasis?Volunteer For

a Study!Looking for people ages 18 years and older to participate in a clinical research study testing an investigational medication. This study is being conducted at DermResearchCenter of New York, located in Stony Brook, New York.

Who: People ages 18 and older with stable plaque psoriasis

What: An investigational topical medication or placebo (inactive substance) for 28 days 6 clinic visits over the course of 12 weeks All participants seen by a board certified doctor No cost for study related drugs and procedures Qualified participants will be compensated for time and travel

Where: DermResearchCenter of New York Stony Brook Medical Park 2500 Route 347, Building 22A Stony Brook, NY 11790

Elyse Rafal, M.D.For more information, Please Call 631-689-1900

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Focus on Health

After the long, cold, snowy win-ter, everyone is looking forward to a day at the beach, an after-

noon by the pool or just catching a few rays in the backyard. Maribeth Chitkara, M.D., assistant professor of clinical pediatrics and pediatric hospi-talist, Stony Brook Children’s Hospital, is one of Long Island’s most committed advocates for summer safety and skin cancer prevention. She says there is a right way and a wrong way to enjoy the summer, and is now sharing all the steps to keep families safe.

“There are three things everyone needs to know about sun safety,” said Dr. Chitkara, “Number one is, there is no safe level of sun exposure.” Dr. Chitkara reminds, if you are outside, you need sunscreen, period. “The re-cent claims that it is important to spend short periods in the sun unprotected in order to get vitamin D are medically unfounded,” said Dr. Chitkara, “be-cause we cannot separate out the ben-efits of sun exposure from the damage it can cause. I recommend getting your vitamin D from foods and supplements, not the sun.”

Most people know that it is impor-tant to use a sun protection factor of 30 or higher, but what they may not real-ize is that they also need a sunscreen that protects against ultra-violet rays as well as UVB. “When choosing sunscreen, look for a broad spectrum product that protects against both,” said Dr. Chitkara.

Recent studies suggest that the or-ganic compound oxybenzone may

have some harmful long-term effects. “We don’t know definitively, but check the ingredient list on the back of your sunscreen bottle and use an alterna-tive if possible.” Other ingredients to look for are zinc and titanium dioxide. Each offers superior protection because they actually form a physical barrier to harmful rays.

Her second sun safety tip is to know how to be appropriately protected. She says you need to apply a minimum of one ounce of sunscreen every several hours. “This is much more than most people typically use,” said Dr. Chitkara. “I recommend putting on a full layer of sunscreen 20 minutes before you leave the house, then a second layer once you get to the beach or the pool. Think of it like painting a wall. You need a base coat to start, then another coat for full and even coverage, then spot touch-ups to finish off.”

And the third? She says to dress your children in swim shirts, so as to pro-tect your child’s upper arms, shoulders, back and chest without having to con-tinuously apply sunscreen. “These types of shirts typically offer a universal pro-tection factor of 50 or higher, and are particularly effective if your child is in and out of the water all day.”

“Stony Brook is deeply committed to awareness, prevention and screen-ing of skin cancers,” said Dr. Chitkara, adding that Stony Brook has collabo-rated with local and national organi-zations dedicated to the promotion of sun-safe practices and the prevention of skin cancer.

Don’t get burned this summer: how to keep your family safe in the sun

Stock photo

TO SUBSCRIBEPlease call 631.751.7744

or Subscribe on line atnorthshoreo� ongisland.com


It’s Spring...Are AllergiesKeeping Your Family Indoors?

INDIVIDUALIZED TREATMENT FOR CHILDREN & ADULTS

Seasonal Allergies • Asthma • Food AllergiesSinus Conditions • Hives • Cough

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Most insurances accepted

Serving you in two locations

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Focus on Health

Cosmetic surgery gaining popularity in menCrow’s feet, dilated blood vessels,

brown spots -- men don’t like the signs of aging any more than

women do. In the past few years, more men have opted for cosmetic procedures than ever before.

In 2012, more than a million men opted for cosmetic treatments such as injections that relax facial wrinkles as well as other nonsurgical procedures, according to the American Society of Plastic Surgeons. To turn back the clock, they are choosing nip- and-tuck procedures, soft tissue fillers, li-posuction, eyelid surgery, rhinoplasty, and lasers or intense pulsed light procedures.

One of the more popular choices is anti-wrinkle treatment. Since Botox received Food and Drug Administration approval back in April 2002, it and its successors have become the drugs of choice in wrinkle reduction. These treatments are a derivative of the botulinum toxin, the same bacteria that causes botulism. Botulinum toxin is one of the more powerful neurotoxins dis-covered. Because it deadens nerve impulses and relaxes muscles, it is widely used to relax the face in areas where wrinkles are prevalent, thus reducing the appearance of wrinkles as well.

The types of facial lines that are most often treated with these products are the

ones that appear when one is frowning or squinting. Frown lines, wrinkles on the forehead, crows feet and the like are fre-quent treatment areas. Areas on the lower half of the face are sometimes treated, but it’s controversial due to the risk of damag-ing important facial nerves.

It is important to weigh the risks as-sociated before making the commit-ment to the treatments. Furthermore, it is important to visit a qualified cosmetic specialist, dermatologist or cosmetic surgeon for the administration of any botulinum toxin.

These procedures are relatively safe when administered by a skilled person. They are known to temporarily erase wrinkles for 3 to 6 months. Many people find a boost in self-esteem after receiv-ing a treatment. Many others have got-ten compliments about looking younger or happier, especially if wrinkles created an angry or sad expression to the face. Injections are less expensive than other cosmetic surgery.

As with any drug treatment, there are side effects that may negate the benefits of treatment. These can include drooping of eyelids, swelling, redness or bruising at injection sites, and infections. Faces also may lack emotions and limit a person’s ability to communicate effectively.

It’s when the botulinum toxin spreads outside of the treatment area where severe side effects can occur that might be life threatening. These include all-over muscle weakness, hoarseness, loss of bladder con-trol, problems swallowing or breathing and other side effects.

Because this is a medical procedure, it is important to have a medical professional administer the product in a medical set-ting. “Botox parties,” where an unskilled technician performs the injections can be risky for all involved.

Stock photoAnti-wrinkle treatments are becoming more popular among men.

• • • • • • • • • • • • • • • • • • • • • • • • • • • • •news on demandnorthshoreo� ongisland.com

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Dr. Steven Reichman has worked extensively with Sleep Apnea patients and continues to provide outstanding results.

Dr. Reichman is one of the few doctors invited into the famous “Sleep Roundtable” and maintains extensive training in the management of Sleep Apnea.

Don’t suffer through sleepless nights due to snoring and poor breathing…there is hope and you are not alone.

Call 631.751.6666 today for your COMPLIMENTARY Sleep Consultation and start your very affordable journey to Sleep Wellness and Total Body Health!

Dr. Reichman is a member of The American Academy of Dental Sleep Medicine; A member of The American Dental Association,

A member of The New York State Dental Association and a member of The Suffolk County Dental Society.

Call 631.751.6666 for a no charge review of your medical insurance benefits.

Dr. Steven Reichman, D.D.S. 2500 Nesconset Hwy 6A • Stony Brook, NY 11790

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Other convenient locations

Rockville Centre – Main Offi ce – 516-764-724677 North Centre Ave # 202

Great Neck – 516-764-7246600 Northern Blvd # 113

Commack – 516-764-7246353 Veterans Memorial Highway # 303

Dr. Jacob Rauchwerger, renowned for his innovative

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Dr. Rauchwerger is board-certifi ed in anesthesiology and

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Focus on Health

Charitable giving means different things to different people. While some associate donations with

money, clothing or other tangible goods, donations also can include vital parts of our bodies.

Blood: Blood transfusions and supple-mentation are vital to treating injured patients. Blood also is necessary during routine surgeries. Having an adequate blood supply at the ready can be a matter of life and death for a person in dire need of a transfusion. In the United States, the American Red Cross reports that a blood donation is needed every two seconds. Blood is perishable, and the need is con-stant. Red blood cells only have a shelf life of 42 days and platelets just five days, so supply must be replenished constantly.

Blood can be donated whole or as plas-ma or platelets. Plasma is the yellow fluid in which blood cells are suspended. Platelets are smaller than white or red blood cells and help the blood to clot. Many blood collection centers will tell you that O blood type is in the highest demand because O blood, particularly O-negative, is compat-ible with all blood types. But it also is the blood type in the shortest supply.

Organs: The organization Donate Life

America says nearly 120,000 men, women and children currently need lifesaving or-gan transplants, and every 10 minutes an-other name is added to the national organ transplant waiting list. In addition to organ transplants, tissue transplants can save lives.

Certain organs and tissues can be trans-planted from living donors, including kid-

neys, liver lobes, lungs, and bone marrow. The National Living Organ Donors Foun-dation Inc. says a living organ donation can mean a more perfect match for the re-cipient, a longer transplant life and fewer medications. Living donors give patients an alternative to waiting months or years on transplant lists.

Men, women and children also can do-nate their organs upon their death. Driv-ers can declare their intentions to donate their organs by filling out information on the backs of their driver’s licenses, and in-dividuals also can declare such intentions in their wills.

Hair: Cancer patients facing radiation and chemotherapy treatments may lose their hair. Losing one’s hair can affect self-esteem. Certain organizations accept do-nations of human hair, which they fashion into wigs for those who have lost their own hair to cancer and other diseases. Burn victims also benefit from hair donations. The organizations Locks of Love and Wigs For Kids are two not-for-profit groups providing hair replacement solutions for those affected by hair loss. The cosmetic company Pantene has their own “Beauti-ful Lengths” donation program that also accepts hair donations.

In order to donate to most organizations, a minimum hair length is needed and hair should be free of permanent color, bleach or other chemical treatments. Check with the organization for a full list of guidelines.

Giving a gift of health by way of a blood, organ or hair donation can make a last-ing difference in another person’s life.

Make a donation to good health

Stock photo Blood supplies are at critical levels. Making a donation can help save a life.


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■ Individualized, expert care. Our group of experienced and dedicated physicians, are all experts in their field offering the latest in the diagnosis and treatment of urologic diseases and conditions for men, women and children.

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Focus on HealthInflammation in prostate may reduce cancer risk

Doctors at the North Shore-LIJ Health System have discovered that increased inflammation in

the prostate may predict reduced risk for prostate cancer.

Prostate cancer is one of the most common cancers in men, with an es-timated 240,000 new cases diagnosed every year – it kills approximately 30,000 men annually. The prostate is a small gland that produces f luid that nourishes and transports sperm. When the cancer is detected early while still confined to the prostate gland, there is a much better chance of successful treatment – according to the American Cancer Society, a five-year relative survival rate is 100 per-cent when prostate cancer is detected early and there is no sign that the can-cer has spread outside of the prostate.

Previous studies have found that chronic inf lammation contributes to several forms of cancer – an estimat-ed 20 percent of adult cancers can be attributed to chronic inf lammatory conditions. To evaluate if inf lamma-tion in the prostate increases the risk of cancer in the gland, Daniel Moreira, M.D., a urologist at the North Shore-LIJ Health System, and his colleagues conducted a clinical trial.

They conducted a retrospective analysis of the REduction by DUtaste-ride of PCa Events, or REDUCE trial, including 6,238 men ages 50 to 75 who had increased prostate inf lammation with a negative biopsy (no cancer). They then underwent two more biop-sies – one at two years and another at four years.

At both two- and four-year inter-vals, the doctors found that those par-ticipating in the study who had higher levels of prostate inf lammation also had a lower risk of prostate cancer. These findings show that biopsies in prostates that are free of cancer and have high inf lammation may indicate

a lower risk for getting prostate can-cer in the future.

“Because we have shown that in-f lammation has a predictive value, it should be routinely evaluated in pros-tate biopsies,” said Dr. Moreira. “Also, this research shows that patients showing inf lammation at an initial biopsy may be evaluated by their phy-sician differently from with patients without inf lammation at an initial biopsy given their risk of subsequent cancer detection is lower.” For more information, visit northshorelij.com.

Photo from North Shore LIJDr. Daniel Moreira


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Focus on Health

Many people associate healthy eating with foods that may not be so tasty. While desserts are

not often considered the healthiest course of a meal, dark chocolate, when enjoyed in moderation, can be healthy.

Dark chocolate can benefit the brain, heart and even teeth. Researchers have discovered just why dark chocolate packs such a healthy punch. Otherwise indi-gestible portions of the chocolate are con-verted by microbes in the digestive sys-tem. In turn, the chocolate is transformed into anti-inflammatory compounds.

Researchers found that digestion in the stomach produces long molecules called polyphenolic polymers. These molecules are too large to cross the walls of the stom-ach to be used nutritionally. However, when the polyphenolic polymers meet lactic acid and microbes that inhabit the human co-lon, the polymers ferment and can be bro-ken down further. These smaller molecules are then used by the body. The resulting material is anti-inflammatory and can pre-vent certain conditions, including cardio-vascular disease, from developing.

One of the pitfalls of dark chocolate is the sugar and fat content of a candy bar, which can overshadow the health ben-efits. But those who consume the major-

ity of their dark chocolate in the form of unsweetened cocoa powder can avoid such consequences.

Roughly two tablespoons of cocoa pow-der per day can produce the desired anti-inflammatory benefits, and cocoa powder can be mixed into drinks, sprinkled over oatmeal and consumed in many other ways. Full-sugar, full-fat dark chocolate

bars and pieces should be enjoyed spar-ingly, although they are better for your health than milk or white chocolate.

Interest in dark chocolate for its medi-cal benefits has led researchers to study the efficacy of its anti-inflammatory com-pounds. A study is already underway to see if pills containing the nutrients in dark chocolate can replicate the many health

benefits, including helping to prevent heart attack and stroke. The pills are so concentrated they would be the equiva-lent of eating numerous dark chocolate bars, but without the negative side effects. The goal of the study is to see if chocolate can provide significant medical benefits without forcing consumers to eat so much sugar and fat. The study will be sponsored by the National Heart, Lung and Blood Institute and Mars Inc., maker of M&M’s and Snickers bars.

The candy company has patented a way to extract flavonols from cocoa in high concentration and put them in cap-sules. Mars and some other companies sell cocoa extract capsules, but with less active ingredients than those that will be tested in the study. Some participants will get flavorless, coated pills that con-tain the cocoa flavonols, while others will be given a placebo.

In addition to anti-inflammatory prop-erties, dark chocolate contains several chemical compounds that have a positive effect on mood and cognitive health. Chocolate contains phenylethylamine, or PEA, the same chemical your brain cre-ates when you feel like you’re falling in love. Taking dark chocolate supplements may help a person’s mind and body.

Health benefits of dark chocolate

Stock photoCocoa powder-derived pills may be used in the future to treat various health ailments.


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Focus on Health

Eating clean: Taking a simpler approach to nutrition

Tetrasodium pyrophosphate? Azodicarbonamide? Sodium ben-zoate? Most people will agree that

you shouldn’t need a chemistry degree to read and understand what goes into your favorite foods. A simple glance at the average ingredient label, however, can be a confusing sight. This begs the question: If you can’t pronounce it, should you be eating it?

One of today’s top food trends focuses on efforts to eat clean, which means select-ing only foods that are made from simple, wholesome ingredients. If you want to clean up your family’s diet and take a sim-pler approach with the foods you buy, con-sider these three tips for eating clean.

Read and understand ingredient labels. Checking the ingredient label is the easiest way to know which food products are clean and which are not, so make it a habit to check the label for every product while shopping, especially when shopping for breakfast foods that often-times are heavily processed. Because it’s the most important meal of the day, seek products that use fewer ingredients, all of which you recognize.

What ingredients should be red flags? The top ingredients to avoid include: artifi-cial or chemical preservatives or additives (such as sodium benzoate, potassium sor-bate and calcium propionate), artificial fla-vors, artificial colors, artificial sweeteners or sugar substitutes (such as sucralose /or aspartame) and hydrogenated fats or oils (sources of trans fat).

Look for positive marketing. Terms like “premium” and “naturally raised” might sound nice, but in reality, they can be misleading. These types of terms are not regulated, so any food producer can use them loosely. Be aware of fancy packing and meaningless claims so you can make an educated choice instead.

In addition to looking at the ingredient label, it’s smart to pay attention to what is being promoted on the front of packag-ing. Look for food products that advertise no artificial preservatives, flavors, colors, trans fats or sweeteners. Food makers who choose not to use these types of ingredi-ents will typically take steps to highlight their absence from foods by advertising it on the front of products.

Focus on fresh and frozen. Fresh, whole foods are a great way to eat clean, of course. Produce from a local organic farm is hard to beat. But in our often-busy schedules, eating and preparing fresh foods isn’t al-ways possible. That’s why frozen options are smart alternatives. For example, fro-zen vegetables and fruits often provide superior flavor as compared to what you’d find in the produce section. That’s because processors typically freeze these foods us-ing IQF technology (individually quick-frozen) that preserves flavor, freshness and nutritional quality.

Frozen entrees and snack products can also be good solutions for busy families. While many frozen foods are stacked with artificial ingredients, there are clean op-tions available at most grocery stores.

Stock photo


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Focus on Health

With busy schedules, it’s inevi-table to feel sleepy once in a while. But habitually falling

asleep during the day while watching TV, reading a book, or in the middle of having a conversation could be a sign of a serious sleep disorder known as narcolepsy.

Narcolepsy is a sleep disorder that in-volves the brain’s inability to regulate sleep-wake cycles normally. It affects an estimat-ed one in 2,000 people in the United States, with symptoms typically appearing in early adulthood. Yet it is estimated that 50 per-cent or more patients with narcolepsy have not been diagnosed.

“The symptoms of narcolepsy are not well-recognized, which can lead to mis-diagnosis,” says Dr. Aatif M. Husain, pro-fessor of neurology at Duke University Medical Center. “By becoming aware of the symptoms of narcolepsy, individuals can have more informed conversations with their doctors, which may help lead to quicker diagnosis.”

A recent study, in which researchers evaluated health care data of more than 9,000 narcolepsy patients compared to 46,000 controls, shows that people with narcolepsy are more likely to suffer from depression, anxiety and other conditions

including sleep apnea, stroke and heart failure compared to the general popula-tion. There are five major symptoms of narcolepsy. Talk to a doctor if one or more sound familiar.

Excessive daytime sleepiness - The pri-mary symptom of narcolepsy, this symp-tom is characterized by the inability to stay awake and alert during the day resulting in unplanned lapses into sleep or drowsines. EDS is present in all people with narcolepsy.

Cataplexy (muscle weakness with emotions) - A sudden, brief loss of muscle strength triggered by strong emotions like happiness, laughter, surprise, or anger.

Sleep disruption - Frequent periods of waking up during sleep.

Sleep paralysis - A brief inability to move or speak while falling asleep or waking up.

Hypnogogic hallucinations - Vivid, dream-like events that occur when falling asleep or waking up.

These symptoms vary from person to person and not all five symptoms must be present for a narcolepsy diagnosis. It is also important that family and friends under-stand these symptoms, as they may observe them and encourage their loved ones to seek medical advice sooner.

Wake up to why you might be tired all the time

Stock photo


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Focus on Health

Diet and exercise go hand-in-hand for adults looking to reduce their risk for heart dis-

ease and cancer. A great workout rou-tine is made even better by a healthy diet, and a healthy diet is even more effective when paired with an active lifestyle.

While that’s certainly not revela-tory, men and women might be sur-prised to learn they have different nutritional needs, so a diet that might satisfy women’s needs will not neces-sarily do the same for men.

When tailoring their diets, men should be sure to include nutrients that prevent prostate cancer and help them maintain muscle mass. The right nutrients also can help men boost their immune systems, pre-vent bone loss and strengthen their cardiovascular systems. While many foods provide nutritional benefits to both men and women, the following are some foods that can be especially beneficial to men.

* Bananas: Rich in potassium, ba-nanas can aid in protein metabolism, boost the immune system, help with the formation of red blood cells and help the nervous system operate at optimal capacity. Bananas are a great source of vitamin B-6, and because they’re so easily portable, bananas make a great midday snack or preworkout bite to eat on your way to the gym.

In addition to providing ample potassium, bananas also are rich in magnesium, and diets rich in both po-tassium and magnesium can reduce a person’s risk of stroke. Though wom-en suffer more strokes each year than men, the National Stroke Association notes that is likely because women live longer than men and stroke typi-cally occurs at older ages.

Stroke incidence is higher in men than women at younger ages, so men, especially those with a family history of stroke, should include bananas in their diet.

* Broccoli: Broccoli can help men reduce their risk of heart disease and cancer, the No. 1 and No. 2 killers, re-spectively, of men 35 and older. Broc-coli is a great source of a phytochemi-cal known as sulforaphane, which can help men reduce their risk for both prostate and colon cancer. Broccoli also may help men lower their lev-els of homocysteine, an amino acid linked to an increased risk of stroke.

* Soybeans: Soybeans can be an integral part of a diet that is low in saturated fat and cholesterol, and such diets can help men reduce their risk of heart disease. In addition, soy-beans contain a substantial amount of

isof lavones, which promote a healthy prostate and lower men’s risk of pros-tate cancer. Men should consider soy products such as soy nuts, soy milk and soy cheese to increase the nutri-tional value of their diets.

* Oysters: Oysters are widely con-sidered a delicacy, but few may know that oysters also make for a healthy addition to a nutritious diet. That’s because just a few oysters per day can deliver the recommended daily intake of zinc, a powerful antioxidant that research has shown can protect men against the kind of cell damage that leads to prostate cancer. Men may also experience improved sexual function by including more zinc in their diets, as research has shown that zinc can help improve sperm counts.

* Whole grains: Whole grains are rich in fiber, vitamins and minerals, which can help men improve heart health, build muscle and maintain a healthy weight. Whole grains that are rich in soluble fiber, such as oatmeal, are strong sources of B vitamins that help men lower their low-density li-poprotein, often referred to as “bad” cholesterol. Whole grain products that contain at least three to five grams of fiber per serving can pack a powerful punch for men looking to improve the nutritional value of their diets.

Men and women benefit differently from various nutrients, vitamins and minerals, and men might be surprised to learn just how healthy certain eas-ily prepared foods can be.

Foods to supplement men’s workouts

Stock photoStudies have shown that broccoli can

help men reduce their risk for heart disease and cancer.

JUNE 19, 2014 • FOCUS ON HEALTH • PAGE S15©

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But my child still has lots of baby teeth, and his/her dentist didn’t mention anything, why can’t we wait until they are older to have them evaluated?

In addition to the reasons listed above, certain subtle bite problems will be better detected by an orthodontist. X-Rays taken at an orthodontic o� ce are aimed at evaluating jaw and tooth development, while x-rays at the dentist are better at looking for cavities. Some emerging problems are subtle, and through an early orthodontic evaluation, you are giving your child the best chance to correct these issues before they become more serious and di� cult to correct as they get older.

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Focus on Health

New recommendations for pediatric oral healthcare

Dental decay is the most com-mon chronic childhood dis-ease. More than 16 million

children in the United States alone suf-fer from untreated tooth decay, accord-ing to the U.S. Centers for Disease Control and Prevention. As more and more children develop cavities, new advice is being offered to those who care for young children’s emerging and established teeth.

The American Dental Association’s Council on Scientific Affairs has updat-ed its dental care guidelines for caregiv-ers. While it was once recommended to use water only or a nonfluoride tooth-paste to clean teeth of the very young, the CSA now recommends the use of fluoride toothpaste even for young chil-dren, saying parents and other caregiv-ers should brush their kids’ teeth with fluoride toothpaste as soon as the first tooth comes in.

“Approximately 25 percent of chil-dren have or had cavities before enter-ing kindergarten, so it’s important to provide guidance to caregivers on the appropriate use of fluoride toothpaste

to help prevent their children from de-veloping cavities,” said CSA chair Ed-mond L. Truelove, DDS.

The CSA recommends that caregiv-ers use a smear of fluoride toothpaste (or an amount about the size of a grain of rice) for children younger than 3 years old and a pea-size amount of fluo-ride toothpaste for children between the ages of 3 and 6 years old.

The updated guidelines are intended to provide children with the full benefit of cavity protection while limiting their risk of developing fluorosis, which is a mild discoloration of teeth usually ap-pearing as faint lines. Children should spit out toothpaste as soon as they are old enough to do so.

Caregivers also are urged to take their children to the dentist when the first tooth erupts or no later than a child’s first birthday. Semiannual or annual visits thereafter should be the norm.

Oral healthcare is important for people of all ages, including very young children with cavities. Learn more about preventative oral care by visiting ada.org.

Stock photoThe American Dental Association is now recommending fluoride toothpaste be used on children’s teeth as soon as they emerge.


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Focus on Health

Prescription drugs can be quite expensive, and even those who have health insurance often pay

more than they need to. According to a 2012 Consumer Reports Best Drugs poll on prescription drugs, Americans routinely take an average of four medica-tions per day, spending nearly $800 on drugs each year. Those who do not have health insurance may have to pay much more out of pocket.

As expensive as prescription medica-tions can be, there are still ways to save money on prescription drug costs.

Comparison shop: Believe it or not, drug prices vary depending on the time of the year and even the pharmacy. A person can shop around for the most affordable medication just like they would when buy-ing another product. Prescription drug apps enable you to search for discounts in your neighborhood.

Read your bill: Medical coding and billing is not always accurate. Employees entering codes may put in the wrong in-formation, inadvertently charging a per-son for the wrong medication. Treat your medical bills as you would any other bill and verify that the charges are correct. If you have any doubts, check the drug name with your doctor and then consult with

the pharmacy to see if an error was made.Opt for generic medications: Generic

versions of hundreds of brand-name pre-scription drugs are available and typically cost a lot less money. With a generic medi-cine you are not paying for marketing and advertising costs. These drugs are rou-tinely tested for efficacy and safety. There is really no reason to select a name-brand medicine over the generic alternative, even

when it comes to over-the-counter drugs. Ask your doctor on your script to check the box for the generic option.

Use a preferred pharmacy mail-order service: Certain insurance companies have negotiated discounts with mail-order pharmacies and pass on the savings to their members. Medicare and other gov-ernment-sponsored plans may offer the same type of deal, and consumers can save

a substantial amount of money by opting for mail-order service.

Consider big wholesalers for prescrip-tions: You may think of Costco or Sam’s Club as your go-to place to buy 30-packs of toilet tissue, but these retailers also of-fer discounts on prescription drugs. Even nonmembers are allowed to use these warehouses for their prescription drug needs. Big wholesalers could give you the best deal on your pills.

Skip the insurance sometimes: Con-sumer Reports says hundreds of commonly used generic medications can be purchased for around $10 for a three-month supply at various major chains. Program details vary, but consumers might be able to save a lot of money by using these programs and leav-ing their insurance cards in their wallets.

Opt for OTC: In many cases, an over-the-counter medication may be just as effective as a prescription drug. Talk to your doctor about trying an OTC remedy before a prescription is written. Ibuprofen may relieve arthritis pain, and diphen-hydramine could alleviate insomnia, all at a much lower cost than prescription drugs.

Prescription drug costs can add up. But there are a number of strategies consum-ers can employ to reduce the out-of-pocket expenditures on medications.

How to save on prescription drug costs

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Focus on Health

Most American's aren't consum-ing enough nutrients from their daily diet. Only 1 per-

cent of the population meets minimum standards of a balanced diet, according to a paper published in the American Journal of Clinical Nutrition. A well-chosen supplement can benefit many people, especially those who are dieting, older than age 50, pregnant or following an exercise regimen.

These five supplements should be on everyone's shopping list:

Multiple vitamin: Nutrients are sup-plied as teams in food, so if your diet is low in one nutrient, it's a sure bet it's low in others, too. A multiple is a convenient, inexpensive way to supply a balance of nutrients, while avoiding secondary de-ficiencies that result when you take too much of one nutrient and crowd out an-other. For quality’s sake, stick with the major brands or with a product with the USP (U.S. Pharmacopeia) quality seal that guarantees high standards.

Calcium and magnesium: You need calcium to keep your bones, skin, nerves and muscles in shape, while magnesium is critical for coping with stress, main-taining a healthy heartbeat and blood pressure. Unless you include at least three servings daily of calcium-rich milk products or fortified soymilk, and lots of magnesium-rich soybeans, nuts and wheat germ, you should supplement these two minerals.

Calcium and magnesium are best ab-sorbed and used when supplied in a 2:1 ratio of calcium to magnesium. You get some of these minerals in your diet, so you only need to fill in the gaps by taking a supplement with 500 milligrams of cal-cium and 250 milligrams of magnesium, if your multiple is low in these minerals.

DHA omega-3: If you don't consume at least two servings a week of fatty fish (think salmon, mackerel or herring), then

take an omega-3 supplement. You need at least 220 milligrams of the omega-3 DHA, and possibly up to 900 milligrams a day to help support brain health. A re-cent study from the University of Oxford found that supplementation of 600 mil-ligrams of omega-3s, and DHA (doco-sahexaenoic acid) in particular, was as-sociated with longer sleep duration - 58 minutes of more sleep per night - in a subset of children, compared to placebo.

Omega-3s are important for women who are pregnant or nursing. DHA is a building block of a baby's brain. In fact, 97 percent of the omega-3s found in the brain is DHA. A vegetarian and sustain-able source of DHA from algae can be found in supplement form. Look for the life's DHA logo on the packaging to know you're getting a vegetarian source.

Vitamin D: If you are an adult and your multi-vitamin or calcium supple-ment does not have at least 1000 IU of vitamin D, then consider a separate sup-plement since you can't get enough from food. Optimal intake is associated with lowered risk for muscle weakness, gum disease, diabetes, insulin resistance, ar-thritis, multiple sclerosis, hypertension, and certain cancers, including colon, breast, pancreas and prostate cancers.

Vitamin E: Vitamin E functions as the main fat-soluble antioxidant, pro-tecting cells, tissues and organs from damage. It also contributes to healthy blood flow by regulating the opening of blood vessels and preventing cholesterol from building up on blood vessel walls. The research continues to show other roles for this essential nutrient, such as a recent study that showed vitamin E may positively impact functional perfor-mance among participants with mild to moderate Alzheimer's disease.

Before incorporating any supplement into your diet, check with your health care provider.

The 5 nutritional supplements that should be on everyone’s shopping list

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Focus on Health

Since 2007, the American Psychological Association has commissioned an annual nation-wide survey to examine the state of stress across

the United States and understand its impact. The 2013 survey found that people continue to experience what they feel are unhealthy stress levels, with 42 percent of adult respondents reporting that their stress levels have increased over the past five years. In addition, 44 percent of survey respondents feel they aren’t doing enough to manage their stress, painting a potentially troubling future for people who cannot find better and healthier ways to manage their stress.

While those figures marked a slight improvement from the previous year’s survey, it’s apparent that stress is still a considerable concern for people throughout the United States.

Though many people unfortunately regard stress as an inevitable side effect of adulthood, it’s impor-tant that men, women and even children avoid char-acterizing stress as simply a byproduct of a difficult or successful life and career. Even momentary stress, often referred to as “acute stress,” like the kind that appears when stuck in a traffic jam, can have a poten-tially devastating impact on overall health. According to the American Institute of Stress, acute stress causes an increase in heart rate and stronger contractions of the heart muscle, and some medical professionals have suggested there is a link between repeated episodes of acute stress and heart attack.

Regular use of relaxation techniques to reduce stress can help to counteract the effects of long-term stress, which the National Center for Complementary and Alternative Medicine notes can contribute to depres-sion, digestive disorders, headaches, high blood pres-sure, and insomnia. While it’s always best for anyone, and especially those people with heart disease, epilepsy, certain psychiatric conditions or a history of abuse or trauma, to consult their health care provider before at-

Stock photoMeditation can reduce stress.

Relaxation techniques to calm your nerves

tempting to address their stress on their own, the fol-lowing are two popular relaxation techniques that may help relieve stress in a healthy way.

Meditation: There are many types of meditation, but in general people who meditate employ certain tech-niques when meditating. These techniques may include maintaining a specific posture or finding a quiet, dis-traction-free location to meditate. Many practitioners of meditation choose to recite a positive mantra that they repeat throughout their session. While many peo-ple question the effectiveness of meditation, research has suggested that routine meditation sessions can alter the brain’s neural pathways and make a person more capable of combatting stress.

Yoga: Yoga has grown increasingly popular in recent years, and much of that can be traced to the multitude of health benefits that have been linked to this typically low-impact practice of the mind and body. The NC-CAM notes that studies have suggested yoga is effec-tive at lowering heart rate and blood pressure and can even relieve anxiety and depression. Those are benefi-cial side effects for sufferers of stress, which over time can contribute to high blood pressure and arrhythmia (abnormal heartbeat) and even cause people to worry too much about minor things or suspect bad things are about to happen.

For more information about stress and coping techniques, visit atapa.org.


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Focus on Health - June 2014