Massage Intervention and Treatment of Carpal Tunnel Syndrome | June 4, 2022
Date: June 04, 2022 (Saturday) Time: 10:00 AM – 4:30 PM | Hours: 6.0 | Instructor: Ed Bolden, LMT
Description: This 6-hour course is designed to train the Licensed Massage Therapist in the massage interventions and treatment of Carpal Tunnel Syndrome. The course will review the anatomy, physiology, and pathology of Carpal Tunnel Syndrome and provide specific interventions and treatment techniques. Indications, contraindication, and benefits, as well as areas of concerns and safety, will be discussed.


Information about COVID-19
Information about the coronavirus COVID-19
We would like to reassure students, staff, parents and visitors to the School that we are following the latest advice from the Department for Education and Public Health England on the coronavirus COVID-19.
As the guidance changes regularly, please click on one of the links below to see the latest information and guidelines:
COVID-19: guidance for educational settings - https://www.gov.uk/government/publications/guidance-to-educational-settings-about-covid-19
Coronavirus (COVID-19): latest information and advice - https://www.gov.uk/guidance/coronavirus-covid-19-information-for-the-public
If your child is displaying any of the symptoms of coronavirus (see NHS for details: https://www.nhs.uk/conditions/coronavirus-covid-19/) please phone 111. Alternatively, you can contact the new Department for Education coronavirus helpline which is available to answer questions about COVID-19 related to education. Staff, parents and young people can contact the helpline by telephone on 0800 046 8687 or by email, email@example.com. The opening hours are 8am to 6pm (Monday to Friday)


Lister hospital is a district general hospital and part of the East and North Hertfordshire NHS Trust. The hospital has a series of general wards supported by critical care and provides services such as urology, radiology and pathology. The hospital joined the NHS Forest in 2013 when they took part in tree planting on NHS Sustainability Day.
We planted a copper and a purple birch on NHS Sustainability day 2013, which were very kindly paid for by Dalkia. As we had a few initiatives running on the day, we managed to get our local MP, Steven McPartland to get involved.
In the pictures are Steven McPartland, Mick Riley from Dalkia, and Stephen Posey, the Trust's Director of Strategic Development.
The hospital planted 18 trees as part of NHS Sustainability Day 2015 on the 26th March.


The First Aid at Work course should last at least 18 hours, excluding breaks.
On completion of training, successful candidates should be able to;
-understand the role of the first aider including reference to the use of available equipment and the need for recording incidents and actions;
-understand the importance of basic hygiene in first aid procedures;
-assess the situation and circumstances in order to act safely, promptly and effectively in an emergency;
-demonstrate how to administer first aid safely, promptly and effectively to a casualty who is unconscious and/or in seizure;
-demonstrate how to administer cardipulmonary resuscitation promptly and effectively;
-demonstrate how to administer first aid safely, promptly and effectively to a casualty who is wounded or bleeding and/or in shock;
-administer first aid safely, promptly and effectively to a casualty who is choking;
-provide appropriate first aid for minor injuries;
-recognising the presence of major illness and applying general first aid principles in its management.
In addition, candidates should be able to demonstrate the correct management:
-soft tissue injuries;
-injuries to bones including suspected spinal injuries;
-burns and scalds;
-eye inuries including how to irrigate an eye;
-sudden poisoning and anaphalylactic shock.
To help facilitate a move to a shorter course, the syllabus should only include those elements important to the effective provision of first aid in the workplace. Within this framework, it is important that anatomy, physiology and medical aspects etc, are kept to a minimum. Therefore, the new course should provide more emphasis on essential practical elements and less emphasis on theory.
As alluded to above, the syllabus reflects a trade off between the need to be relatively specific and the need to maintain a degree of flexibility so the course can be tailored to the needs of the employers/the audience.
With this in mind, it is suggested that for the first aid management of major illness, first aiders should be able to recognise when an individual has a serious medical condition, whatever the cause, and should be able to apply general first aid principles in managing it. Placing more emphasis on specific medical conditions may suggest that the first aider will need to attempt a ?diagnosis? when dealing with a medical emergency. First Aiders should not be expected to make a diagnosis of a specific illness.
Where someone suffers an asthmatic attack, heart attack or stroke(examples of medical conditions commonly covered in current first aid at work course), while first aiders should apply general principles, there is little they can do in terms of applying procedures that would be specific to any of these conditions prior to the availability of medical expertise. Therefore the amount of detail provided on individual medical conditions should be kept to a minimum.


A surgical mask is a loose-fitting, disposable device that creates a physical barrier between the mouth and nose of the wearer and potential contaminants in the immediate environment.
Level 1 face masks are ideal for:
- General use in public.
- Procedures involving low levels of spray and spatter.
- Orthodontic treatment with little or no spray.
- Hand instrumentation with little moisture or spray.
- Fluoride treatments
- Basic lab work
Certifications/Approvals: FDA, CE
ASTM Level 1 Standard: CE / EN14683:2014 / YY0469-2011


As we know a way out always exists. That is the thing the scientists and doctors working in the field of searching for erectile dysfunction medication (erectile dysfunction is another name for impotence) have always believed in. They were performing experiments in the field over and over again, trying different approaches to find the solution to the problem of erection and didn’t give up. And finally their perseverance and hard work gave results. Their researches resulted in the creation of medication capable of handling the problem of erectile dysfunction. This medication now, as the years of its successful work in the field go by, is known to be real help for those who feel unconfident within the closed doors of their bedrooms. It is Viagra we are talking about. Its effectiveness is proved by the fact that this medication is the first to be prescribed by a doctor who as just made a diagnosis – erectile dysfunction.
There are a few things for a man aiming at using Viagra to remember. This medication is used along with sexual stimulation to achieve the expected result. It shouldn’t be combined with alcohol. Another “No” should be said to fat food as it may lessen the effect from the pill. Viagra is taken only in the case of need – there is no treatment course for this type of medication. Produced in the form of a small pill it is taken once for 24 hours. Bear in mind that this dose mustn’t be increased not to cause complication – though buy avodart works in a very private sphere of its patient’s life it remains being a medication and should be treated this way.
Our drug store makes it easy to buy Viagra online – you can find all the necessary information below.


The law and HIV
Whenever a person tests positive for HIV in South Australia, the medical practitioner has a duty to notify the South Australia Health Department. Any information about this result must be carried out in confidence, in a face to face consultation. If partners in a relationship are tested, they must be counselled jointly and they receive the results of their test in a joint consultation.
As a person living with HIV, under South Australian legislation, doctors, dentists, hospitals and other health care providers cannot refuse to treat you because of HIV. This is discrimination in the provision of services, and is prohibited under both state and federal law. You are entitled to receive medical treatment like anyone else.
Your medical healthcare providers must explain to you or your representative, details and consequences of taking any medical treatment as well as the risk of any proposed medical treatment; the likely consequences of not taking the treatment; and any alternative treatment or actions that might be reasonable, under section 15 of the Consent to Medical Treatment and Palliative Care Act 1995 (SA).
If you are 16 years and over, you are also entitled to make decisions about your own medical treatment which includes the right to refuse treatment, under section 6 of the Consent to Medical Treatment and Palliative Care Act 1995 (SA). Anyone who is living with HIV who intentionally transmits HIV to another person, is liable under civil and criminal law.
Discrimination & HIV
While HIV discrimination is not specifically stated to be unlawful under state or federal law, it is covered under state law on the grounds of ‘impairment’ and under federal law on the grounds of ‘disability’. It is unlawful to discriminate against someone due to their impairment or disability and therefore a person living with HIV who is treated less favourably than a person who does not live with HIV, can make a complaint of discrimination to the Equal Opportunities Commission under the Equal Opportunities Act 1984 (SA). Under Federal law, the Disability Discrimination Act 1992 (Cwlth) defines the term ‘disability’ to include people living with HIV or AIDS.
Blood or Organ Donation
While there is no legislation in South Australia prohibiting the donation of organs or blood by people living with HIV, it is common practice not to accept organ donation and blood from people living with HIV.
Disclosure & HIV
Some people choose to tell people (disclose) that they are living with HIV before having sex. Other people choose not to disclose. This choice is an individual one. Even though there are no specific laws in South Australia that require people living with HIV to disclose their status to sexual partners, however under section 37 of the Public and Environmental Health Act 1987 (SA) people living with HIV must “take all reasonable measures to prevent transmission of the disease to others”.
Reasonable measures would most likely include the correct use of condoms, the use of HIV treatments to achieve and sustain an undetectable HIV viral load, sterile injecting practices and PrEP.
Employment & HIV
While it is unlawful for an employer to ask applicants or employees to test for HIV, there are some situations where you are required to disclose you are living with HIV. These exemptions include healthcare workers living with HIV, who are required to follow national guidelines when performing exposure prone procedures such as surgeries; and the Australian Defence Force which is exempted from laws prohibiting discrimination on the ground of disability in connection with employment, engagement or appointment in the Defence Force. All Australian Defence Force applicants will be tested for HIV and serving members will be tested at certain times, such as being posted or returning from overseas.
Travel & HIV
People living with HIV who travel overseas will need to take some extra precautions, depending on the destination. Some countries restrict the entry, residence and stay of foreigners who are living with HIV. These travel restrictions change regularly, and it is recommended people living with HIV check The Global Database on HIV related travel restrictions for updates. It is also strongly recommended that people living with HIV check the Australian Department of Foreign Affairs and Trade website Smartraveller.
Immigration & HIV
It is recommended that people living with HIV who wish to immigrate to Australia or apply for permanent Australian residence, consult with an experienced immigration lawyer or seek advice from a specialised legal centre such as the HIV/AIDS Legal Centre. All applicants for permanent residence in Australia will be tested for HIV (among other tests) in order to meet the ‘Health Requirement’ to be granted a visa. There is no automatic exclusion on people living with HIV and a considerable number of people living with HIV have succeeded in obtaining permanent residence in Australia.
Sources for this page include the HIV Justice Network | South Australia, ‘HIV/AIDS and the law in South Australia, A resource for workers’, HIV and viral hepatitis disclosure | SA Health, The Global Database on HIV related travel restrictions, Travel and Migration | AFAO, and HIV/AIDS Legal Centre (HALC).
What do I need to know?
- Women living with HIV (WLHIV) can lead normal, happy, healthy sexual relationships like anyone else.
- With the support of their doctors, WLHIV are able to use a number of strategies to bear their own children without passing HIV from mother-to-child.
- WLHIV can benefit from the support of other women living with HIV. Contact PLSA for more information.


Walking really is an underrated activity. Not only does putting one foot in front of the other get you from A to B efficiently, but walking also has a major positive impact on your physical and mental health. This is true whether you're walking on hard pavement or in the wild.
Physical benefits of walking
Put on your shoes and go for a walk. It's a simple activity that keeps your body in shape without the hard strain of running, which is especially important if you have problems with your knees, ankles or back. Walking can also improve your posture.
Plus, if you walk at a good pace, you'll get your heart pumping, which has many health benefits, according to the American Heart Association. A study published in the British Journal of Sports Medicine found that those who followed a walking programme experienced significant improvements in blood pressure, cholesterol, pulse at rest, weight and body fat.
Walking is good for your mental health
The physical benefits of walking are obvious, but do you know how good it is for the mental? Research shows that putting on your shoes and getting moving can counteract stress, depression and anxiety, especially if you walk in nature.
Walking also gives a positive 'boost' to your mood and memory. In fact, researchers find that a short 12-minute walk boosts confidence and makes you more jovial, energetic and alert. It also affects creativity, which, according to a Stanford University study, can be boosted by as much as 60% from walking.
Which walking shoes to choose?
No doubt about it then. Just do it and walk more! Walk to work and to the kindergarten in your everyday life, go for a walk in town or in the forest and walk with others. But remember to use the right shoes. Many shoe racks are stocked with trainers, but these are for running, not walking. That's exactly why we at ALFA have developed the Step collection.
Step - ALFA
It's mainly about how the last is constructed. The step shoes are designed according to how your foot moves when you walk. With more room for your toes and a rounded front and back sole, you're guaranteed more comfort and a more stable and balanced step, which is better for your body. The pressure of the step is distributed correctly in the legs and does not put extra pressure on the spine.
«If you wear shoes that are too soft, or shoes that are meant for running, you put more pressure on your spine. With very soft shoes, you won't feel it in your feet, but over time it will affect you because it puts too much shock through your spine. Therefore, you should wear shoes with more stability.»
Mike Friton, Shoe innovator
The shoes you choose affect your step and the movement of your whole body. A shoe with too much cushioning may feel comfortable on the foot, but what many people don't think about is that it puts more strain on the spine, which can cause problems over time. That's why the firmness of the sole of Step shoes is a happy medium between comfortable cushioning in the right places and a shape that gives your foot stability and confidence as you walk.


For The Tea Lovers
Health Perks Of Tea
Boosts The Immune System
Green tea improves the variety of “regulative T cells” in the body, which are vital for the immune system, according to study from the Linus Pauling Institute at Oregon State University. “When completely comprehended, this can offer a simple and safe method to assist manage autoimmune problems and address various diseases,” study analyst Emily Ho, an associate professor at the college, said in a statement. The research was released in the diary Immunology Letters. The analysts specifically concentrated on the green tea compound EGCG, which is a kind of polyphenol. They said that the substance could work by means of epigenetics– affecting expression of genes– rather than “changing the underlying DNA codes,” Ho stated in the statement.
If you’re thirsty, tea can do the technique for hydration– even though it includes caffeine, according to a 2006 review in the European Diary of Clinical Nutrition. “Researches on caffeine have found very high dosages dehydrate and everyone assumes that caffeine-containing beverages dehydrate. But even if you had a really, truly strong favorite or coffee, which is rather difficult to make, you would still have a net gain of fluid,” research analyst Carrie Ruxton, of Kings College London, told BBC News. The researchers composed in the review:.
It is a typical perception is that caffeine-containing beverages trigger a bottom line in fluid and might lead to dehydration. Once more, numerous of the researches investigating this have used high dosages of caffeine, frequently as a bolus. When caffeine is given in by doing this, there is certainly evidence of a diuretic result but this is not pertinent to normal use of caffeine-containing refreshments where the caffeine would be consumed with 200-250 ml of fluid.
May Lower Danger Of Heart Disease.
The same European Journal of Clinical Nourishment evaluation showed that drinking three or more cups of tea per day is connected with a lower risk of coronary heart problem, possibly because of the amount of anti-oxidants discovered in tea. The College of Maryland Medical Center also reported that research has actually shown that green tea and black tea have atherosclerosis-preventing effects, although the FDA has yet to permit teamakers to declare that green tea can impact cardiovascular disease threat.
Might Reduce Growths.
Scottish analysts discovered that applying a substance in green tea shrinks tumors in lab tests. The compound is a flavanoid, called epigallocatechin gallate. “When we used our technique, the green tea extract decreased the size of many of the tumors every day, in some cases eliminating them altogether,” study analyst Dr. Christine Dufes, senior lecturer at the Strathclyde Institute of Drug store and Biomedical Sciences, stated in a statement. “By contrast, the remove had no result at all when it was delivered by various other ways, as each of these tumors remained to expand.”.
Possible Prostate Cancer cells Treatment.
Who understood that green tea and gold could be so effective versus cancer? University of Missouri analysts discovered that the two worked in tandem to battle prostate cancer cells growth cells. Green tea compounds were the distribution system, bringing the contaminated gold nanoparticles to the lumps. The gold was then able to eliminate the cancer cells, ABC Information showed. The study, published in the journal Proceedings of the National Academy of Sciences, showed that this approach had the ability to decrease growth size by 80 percent in computer mice, HuffPost UK reported.
Enhance Operating In Old Age.
Drinking green tea might assist you work better– meaning you do not require help doing standard activities like bathing or dressing– as you age, according to a research in the American Diary of Clinical Nutrition. The study, which consisted of 14,000 adults ages 65 and older over a three-year duration, revealed that the ones who consume the most green tea had the best functioning in aging compared with those who drank the least. “Green tea usage is significantly related to a lower danger of occurrence functional impairment, even after modification for possible confounding aspects,” analysts concluded in the study, published in the American Diary of Clinical Nourishment.
Lowers Blood Pressure.
Drinking black tea can a little decrease blood pressure, according to a study in the Archives of Internal Medication. Reuters reported that individuals drank either black tea, or a non-tea refreshment that had similar caffeine levels and taste, for six months, thrice daily. The researchers found that those appointed to drink the black tea had a slight reduction in blood pressure, though insufficient to bring someone with high blood pressure back into a safe zone, Reuters reported. “Those are little modifications and are nothing like what you would see if you took a blood pressure decreasing medication,” Dr. Joseph Vita, of the Boston University Institution of Medicine (who was not associated with the research), informed Reuters.
Aids Weight Loss.
Drinking green tea can help you reach your weight loss goals, according to a study in the Journal of Nutrition. Scientist discovered that drinking five cups a day is related to weight loss, especially in lowering belly fat, Health.com showed.
The Health Perks of Tea.
Discover exactly how tea can assist you lose weight, battle disease and beautify your feet!
Up Next: Tea Bag Wisdom
“Love, compassion and kindness are the anchors of life.”.
“Feel great, be good and do great.”.
“We do not bear in mind days, we bear in mind moments.”– Cesare Pavese.
“Work, however always remember to live.”.
“Be happy so long as breath is within you.”.
“Bliss is a continuous state of mind, undisturbed by gain or loss.”.
“Live and let live.”.
“Be so delighted that when others take a look at you they end up being pleased too.”.
“To be healthy: consume right, walk right and talk to yourself right.”.
“Let your manners promote you.”.
“Recognize that you are the truth.”.
“Combat for your opinions, however do not think that they contain the entire fact, or the only fact.”– Charles A. Dana.
Up Next: Iced Tea Recipes
Mint Iced Tea.
Get the Mint Iced Tea recipe from Food52
Mango Iced Tea.
Rhubarb Iced tea.
Apple Ginger Mint Iced Tea.
Meyer Lemon Jasmine Iced Tea.
Agua De Jamaica (Hibiscus Tea).
Arnold Palmer, 3 Ways.
Lady Fenton’s Iced Rooibos Tea.
Orange-Earl Grey Iced Tea.
Get the Orange-Earl Grey Iced Tea dish
Hibiscus-Pomegranate Iced Tea.
Get the Hibiscus-Pomegranate Iced Tea dish
Get the Summertime Tea recipe
Thai Iced Tea.
Up Next: Other Ways To Use Tea
Chinese Marbled Tea Eggs.
Green Tea Soba Soup With Shrimp & & Shiitakes
. Get the Green Tea Soba Soup with Shrimp & & Shiitakes recipe
Tea-Smoked Roast Chickens.
Get the Tea-Smoked Roast Chickens recipe * Duck likewise takes particularly well to tea-smoking.
Tea Poached Salmon With Fragrant Brown Rice.
Tea-Smoked Tofu With Pepper And Pork (Yan Dou Fu Gan Zhao Cai).
Get the Tea-Smoked Tofu with Pepper and Pork recipe
Matcha Tea Mousse Pies.
Green Tea Fortune Cookies.
Get the Green Tea Fortune Cookies dish
Mint Matcha Chocolate Chip Shake.
Get the Mint Matcha Chocolate Chip Shake dish.
Yerba Mate Frozen Latte.
Get the Yerba Mate Frozen Latte recipe


Do you struggle with losing weight? Have you tried countless diets and different forms of exercise yet still feel like nothing’s changed?
You may be an excellent candidate for semaglutide injections.
Here at Houston Injections, we offer semaglutide to promote weight loss. We’ve seen great success in our patients and encourage anyone struggling to lose weight to consider semaglutide.
Continue reading to learn more about semaglutide and its benefits.
Semaglutide is an FDA-approved drug, originally developed to treat type 2 diabetes and obesity, and falls into the category of glucagon-like peptide-1 (GLP-1) receptor agonists.
This medication works by imitating the action of the GLP-1 hormone naturally released in the gastrointestinal tract after eating. One of the main functions of GLP-1 is to stimulate insulin production in the body, decreasing blood glucose levels (sugar).
Moreover, when there are higher levels of GLP-1 in the body, it interacts with areas of the brain that help to suppress appetite and create a sensation of fullness – this can lead to reduced feelings of hunger and ultimately aid in weight management.
Individuals taking semaglutide receive a weekly injection, reducing their appetite and causing them to eat less. In addition, semaglutide can promote the production of hormones that stimulate weight loss and boost one’s metabolism.
Patients typically start seeing the effects of the drug set in between eight and 12 weeks after starting injections. The amount of weight an individual loses depends on several factors, such as the types of foods they choose and their level of physical activity.
Before receiving semaglutide injections, you must schedule a consultation with one of our doctors — this will allow us to assess your overall health, medical history, and weight loss goals. It will also help us determine if you are an appropriate candidate for semaglutide injections.
Once we determine if you’re a candidate for semaglutide, we’ll schedule a time for you to come in to administer your first injection.
Semaglutide injections must be administered weekly. Doses typically start at .25 milligrams; however, we may decide to increase the dosage depending on your body’s response over time.
There are several reasons why semaglutide is increasing in popularity. Below are a few of the benefits of this form of weight loss treatment.
Here at Houston Injections, we want to help you begin your weight loss journey. If you think semaglutide might be a good form of treatment for you, give us a call today to learn more.
Ready to get started? Book your consultation with us today!


for Vision Science
Welcome to the AI4VS LAB!
The Artificial Intelligence for Vision Science (AI4VS) Laboratory is led by Professor Kaveri Thakoor and is located at the Columbia University Irving Medical Center (CUIMC).
The goal of the AI4VS Lab is to develop human-vision-inspired AI to automate the analysis of biomedical images to augment and work in tandem with the abilities of medical experts to expedite the detection of eye diseases, such as glaucoma, age-related macular degeneration, and beyond.
Research FOCUS AREAS
We develop AI that is robust to data collected at multiple locations. See some of our projects which achieve accurate glaucoma and AMD detection from multiple locations or using multiple imaging modalities such as OCT and OCTA.
We develop AI in such a way that the mechanisms behind its decision-making can be understood by clinicians. See some of our projects using expert eye tracking and statistical odds ratio analysis to corroborate AI mechanisms.
We develop AI systems which perform accurately even on data collected with low-cost, portable imaging systems. See our proof-of-concept work which aims to enable a broader population to gain access to sight-saving technology.


It’s hot and Mirth has it! Download FHIR today.
FHIR® – Fast Healthcare Interoperability Resources – represents a major opportunity to fast-track healthcare data interoperability. This next generation standards framework (created by HL7) can help drive better healthcare quality, patient access, and use of health information.
We’re excited to announce that the Mirth FHIR “Technology Preview 2,” designed to accelerate the development and adoption of the new standard, is available for download now. Start FHIR today!*
Use the new “FHIR Listener Connector” to:
- Get your feet wet and start learning about FHIR
- Begin hosting FHIR interfaces with Mirth® Connect
- Provide feedback and drive the evolution of our FHIR support
In addition, a User Guide and example channel is available on our public Wiki page.
HL7 and FHIR are the registered trademarks of Health Level Seven International.


Non surgical face lift by using high frequency ultrasound is a revolutionary, non-invasive treatment designed to fight the signs of aging in our skin by stimulating the body’s natural production of collagen. The collagen in our skin helps it to stay firm, toned and elastic. Sadly, as we age, our collagen levels decrease, causing the skin to lose elasticity and succumb to the effects of gravity, allowing our skin to sag as it is pulled downward. High frequency of ultrasound uses the safe power of ultrasound to trigger our skin to create new, fresh collagen that can stand up to gravity and give the face and neck a firm, uplifted look.
You may see and feel some skin rejuvenation results immediately after the procedure; however, the true results will become visible over the next two to three months, as your skin naturally begins to produce new collagen and rejuvenates itself. Some patients have reported continued rejuvenating results for up to six months after the procedure.


Dr MJ Rowland-Warmann is the founder and lead clinician at Smileworks Liverpool. She is a dentist, and holds Masters degrees in Orthodontics and Aesthetic Medicine. Her practice is limited to non-surgical aesthetics with a special area of interest in the management of dermal filler complications using ultrasound, accepting national and international referrals for the resolution of filler-related incidents. She lectures on dermal filler complication management and founded the Smileworks HUB, a training academy for medical professionals to advance their skills in aesthetic medicine and ultrasound. She is a speaker for Clarius Mobile Ultrasound, GE Healthcare and Galderma. Dr Rowland-Warmann is an advocate for greater safety in aesthetics and has been widely published in industry and national media to raise standards within aesthetics.


Phentermine 30mg can be accessed in 37.5 mg and 30 mg tablets. Normally, this drug is meant to be used for short-term needs. Usually, the efficiency of this drug is enhanced when it is used in conjunction with a proper diet and habit.
This drug should only be taken in the morning because it can cause insomnia if used in the evening particularly following supper.
Use of Phentermine 30mg can result in an increase in blood pressure and heart rate. Make sure that you exercise caution when under this medication. Inform your health care provider in case you continue to experience an increased heart rate for sometime after using the drug.
Patients who have experienced addictions to any medications or psychotic disorders should avoid using Phentermine 30mg. In addition, those suffering from high blood pressure should never use Phentermine 30mg.
Drug interactions with Phentermine 30mg are possible. For this reason, make sure that you inform your doctor before you start taking Phentermine 30mg.
See more about this topic
Because the effects of Phentermine 30mg usage on pregnant women are not yet clear, pregnant mothers cannot use this medication.
Phentermine 30mg can cause dependency and therefore, it is meant for short term use only.


Aloe vera — everybody knows it as that gel-like substance that you rub on burnt skin. But it’s also an edible succulent plant that contains a plethora of beneficial properties. It has been consumed as a juice for millennia in India and the South Americas.
Aloe vera comes from a family of succulent plants from the genus Aloe. The thick, gooey juice is inside the “leaves” of the aloe plant, from which it can be squeezed or scooped. It grows most abundantly in tropical climates, which is why its traditional uses usually hail from equatorial regions of the world.
In this blog post, I’m going to share with you a few of the primary benefits of aloe vera juice.
1. It’s packed with nutrition
Yes — the aloe vera plant is a nutritional powerhouse. Aloe vera juice could theoretically be consumed as a multivitamin to avoid vitamin deficiencies. Primarily, aloe vera contains vitamins B, C, E and folic acid. It is one of the only plant sources of vitamin B-12. It also contains small amounts of:
2. Aloe is extremely hydrating
Hydration is obviously an important aspect of human health, and vital organs can’t operate without proper hydration. The aloe plant is very dense with water, which becomes obvious when you break it open and see its gel-like internal consistency.
An aloe vera juice is particularly useful after extreme exercise, when the body is especially in need of hydration. It can even help to rid the body of lactic acid, the substance responsible for muscle pain after exercise.
3. Liver and kidney function
This follows on from the hydrating properties of aloe vera juice. They kidneys and the liver are the primary detoxifying organs of the body, and adequate hydration helps to support the functions of these organs.
The better hydrated you are, the more you can help your liver and kidneys to function at their best.
4. Aloe is alkaline!
A body with a low (acidic) pH is more susceptible to disease than an alkaline body. And unfortunately, the majority of foods that make up the US diet are extremely acidic. Adding alkaline foods such as aloe to your diet can increase the pH of the body, and therefore make it less susceptible to disease.
If you’re wondering what some other alkaline foods are, here are a few:
- Root vegetables
- Leafy greens
- Nuts and seeds
5. Digestive benefits
Aloe vera contains a number of different enzymes which can assist the body to digest sugars and carbohydrates. This is important because when a body has issues digesting food, it also does not get the full nutritional benefit of food. So keeping a healthy digestive system makes the body better able to absorb nutrients, and also less likely to get constipation, diarrhoea or other gut issues.
Drinking aloe can also help maintain moisture levels in the intestines. It can help to normalize gut bacteria levels, keeping the gut and intestinal flora balanced. This is also important for maintaining good digestive health.
Finally, aloe is a great home remedy for constipation and even IBS. There is preliminary research that indicates that aloe vera can reduce the symptoms of IBS, probably because it protects the lining of the stomach and lubricates the intestines.
Well – this is only 5 of the benefits of aloe vera juice. But there are plenty more! In fact, aloe vera juice isn’t just for ingesting. It can also be used on the skin to reduce sunburn or even as a beauty product for clearer skin. Aloe should be a staple plant in everybody’s garden!


At Mid-America Technology Center Practical Nurse Program you will find high-quality adult educational opportunities. Our exceptionally committed faculty and staff have developed a program that is designed to meet the needs of a diverse student body. Our Practical Nursing students learn in an environment that features state-of-the-art technology including spacious laboratories that mimic the hospital setting. Our patient simulation training along with classroom and off-campus supervised clinical experiences provide students with a strong foundation in which they may build their nursing careers. Our industry-driven educational experience prepares students to provide quality healthcare after graduation. This adult program is a full-time course that begins in August and ends with graduation in June. Applications for admission are accepted from February until April each year with specific deadlines. For admission information please call (405) 449-3391.


Tini's Jus Asam Kunyit
Tini's Tamarind Turmeric Juice is freshly made with natural ingredients without preservatives.
Tamarind Turmeric juice comes packed with lots of nutritional benefits.
Rich source of antioxidants
To begin with, the juice is a rich source of antioxidants. Antioxidants help in protecting the body from the devastating effects of free radicals. They boost the overall health as well as the immune system to ensure that the body is well prepared to fend off any attacks by the free radicals.
Good for weight loss
Many people, especially those with type 2 diabetes usually need to lose a lot of weight to lower their blood sugar levels. Tamarind juice is very effective in the fight against weight gain. It also has certain chemicals which inhibit enzymes from storing fats in the body thus helping to reduce the instances of weight gain.
Due to the anti-inflammatory properties of tamarind, its juice can be used to treat inflammatory bowel conditions such as Cohn’s disease and ulcerative colitis. Its sourness also helps in keeping stomach ulcers as well as stomach acids at bay.


As we strive to provide the right care to the right patient every time, we are also dedicated to being responsive to your individual needs and those of your loved ones.
The entire Box Butte General Hospital team understands and appreciates the sacred trust you have placed in us by allowing us to care for you and your family.
Our intention is to merit your continued confidence through this strong commitment to service and clinical excellence that has been our hallmark since 1976.
The Latest News from BBGH
The BBGH Board of Trustees February meeting included a report on the recent Change Health cyberattack and a budget review.
Congratulations to our March Employee of the Month!
Congratulations to our Employee of the Year!
Congratulations to our February Employee of the Month, Purchasing Assistant Mindy Pfannenstiel!


DONATION TO AUCKLAND WESTPAC RESCUE HELICOPTER TRUST
13 May 2022
In May 2022, Auckland Cranes once again donated $5,000 to the Auckland Westpac Rescue Helicopter Trust. This donation will provide much needed support and care for a patient requiring urgent critical care.
The Helicopter service provides a professional, efficient, emergency air ambulance, search and rescue service and is staffed full-time by a highly experienced flight crew consisting of pilots, intensive care paramedics, pre-hospital and retrieval medicine doctors and air crew officers.
In 2021, 1,239 rescues were conducted. So far in 2022, 407 rescues have taken place. Auckland Cranes is honoured to provide ongoing support to sponsor these rescue missions.
If you are interested in supporting or donating, head to: https://www.rescuehelicopter.org.nz/


I was talking to two ladies in my clinic. One had flawless skin, looked young and beautiful at the age of 35. The other lady had an uneven skin tone, wrinkles, pigmentation, under eye bags and looked 45. While talking to them, I found out that they were twins. So why the difference? The one who looked 25 at the age of 35 followed a healthy diet, exercised, did not smoke, drank rarely , used a sunblock always and took care of her skin. The other lady was a chronic smoker and drank often. She ate a lot of junk food and never took proper care of her skin.
Skin is the largest organ of the body. It is made up of the outer epidermis & inner dermis. The epidermis has a number of layers of cells called keratinocytes & pigment cells called melanocytes. The dermis contains blood vessels, sebaceous or oil glands, sweat glands, nerves; all of which are bound together by elastin & collagen fibres. Factors like pollution, sun rays, stress, irregular food habits, smoking, drinking alcohol and inadequate sleep contribute to skin damage, eczemas, allergies & premature aging of skin.
Basic skin care does not involve use of expensive cosmetics and toiletries. One just has to follow a very simple regimen for skin care. While, this may sound obvious, it’s surprising to see how many people ignore such simple steps, that could lead to a great skin.
Diet: A diet rich in proteins, high fibre, antioxidants and low glycemic index does wonders for the skin. All brightly coloured fruits and vegetables are rich in antioxidants. One should avoid too much sugar, processed dairy products (except yogurt), alcohol, preserved food & smoking. 2 litres of water keeps the skin hydrated.
Exercise: About 30 minutes of aerobics, walking, jogging or cycling at least five times a week is essential for a healthy skin. Exercise increases circulation and the flow of nutrients to your skin.
Sleep : Regular sleep optimizes the natural secretion of human growth hormone to promote cell turnover and collagen production. It also prevents formation of dark circles.
Stress busters : Activities like yoga and meditation help keep stress in check, which reduces the release of stress hormones that worsen conditions like hair fall, eczema, rosacea etc.
Sun Protection: UVA & UVB rays could be harsh on the skin. Apart from sun tan, one may develop sun allergies, increased pigmentation, freckles, premature aging & even skin cancers. It is important to wear a broad-spectrum sunscreen that protects against both UVA and UVB rays with an SPF of 30 or higher, even on cloudy days, and re-apply every two to three hours if you are outdoors. People with oily skin should use a gel based sunscreen to prevent clogging of pores & formation of blackheads or whiteheads.
Steps to Daily skin care: Cleansing, toning(optional), moisturizing, protection from UV rays.
The surface of the skin contains oil, dead cells, sweat, grime, dirt, grease & pollutants. If this is not removed, the skin looks dull. Cleansing is an important part of skin care. Use warm water to loosen dirt and clogged pores. Use a dime-sized bit of cleanser, then rinse with cool or lukewarm water. At bedtime, make sure to take off your makeup with a proper makeup remover. Avoid bar soaps as they tend to dry out the skin. Choose a creamy cleanser if you have dry skin & a clear cleanser if you have oily skin. Be careful not to cleanse too often as this will alter the pH of the skin and cause dryness.
Toners are meant to remove all remaining traces of oil, makeup and dirt. Only those with oily skin need to use toners. Avoid toners in winter.
For the skin to look healthy & glowing, its uppermost layer called stratum corneum should contain more than 10% of the total water content of the body. Thus, comes the role of a moisturizer. People with dry to normal skin should use a moisturizer twice a day after cleansing. Those with oily skin should use an oil free moisturizer once a day. A moisturizer should be applied on a moist skin surface in order to trap the moisture in the skin.
Many so-called anti-wrinkle, rejuvenating and cell renewal creams are essentially, just good moisturizers. They reduce flakiness by making the stratum corneum cells stick together and make the skin appear smoother by plumping up the cells. The smoother surface also allows more light to be reflected, so the skin looks brighter and less dull
It’s not too late to start your skin care now!
Dr Jaishree Sharad is a renowned cosmetic dermatologist practicing in Mumbai. She is the Vice President of the Cosmetic Dermatology Society of India & a consultant to many of the Bollywood fraternity. Follow her @jaishreesharad


For now, I just want to ask the obvious questions begged by this Charles Karauthammer column. He writes:
This inconvenient truth comes, once again, from the CBO. In an Aug. 7 letter to Rep. Nathan Deal, CBO Director Doug Elmendorf writes: "Researchers who have examined the effects of preventive care generally find that the added costs of widespread use of preventive services tend to exceed the savings from averted illness."Clearly. But then isn't the correct adjustment to at least fund population-wide preventive care for those diseases where the benefits outweight the costs? That is, fund the screenings for diseases that occur with higher frequency and also have sufficiently high late-stage treatment costs. Maybe there are none that meet this criteria - I dont know. But an out-of-hand dismissal seems, well, dismissive. From CDC and private research, we have a pretty good idea of how common various conditions are in a given population.
Think of it this way. Assume that a screening test for disease X costs $500 and finding it early averts $10,000 of costly treatment at a later stage. Are you saving money? Well, if one in 10 of those who are screened tests positive, society is saving $5,000. But if only one in 100 would get that disease, society is shelling out $40,000 more than it would without the preventive care.
Also, if preventive care is instead restricted to sub-populations (maybe this is unacceptable to some people), then we can increase the positive/population ratio by selecting into higher risk populations. We do this informally by telling women there's no need to get a mammogram until your 30s (at least) because occurrence of breast cancer is so low among teens and young adults. In the same way, we could fund heart disease preventive care for say those over 40 (or 30 if you have a family history of heart disease), but not 20-year olds with no known risk factors.
I would think somewhere in either of those criteria would be a preventive care regime that passes the cost-benefit muster. Maybe the data says otherwise...


YK11 is one of the newest SARMS to be developed. Due to its infancy, Yk11 has never passed the preclinical development stage and has never been tested on animals or humans. YK-11 is a steroidal selective androgen receptor modulator (SARM) and myostatin inhibitor that was popularized because of its potential to induct supraphysiological levels of follistatin expression.
Myostatin is a type of myokine protein that is the main genetic component that regulates muscle growth potential. Theoretically, YK11 would increases levels of follistatin, a unique type of protein found in the muscle cells which binds to and inhibits the actions of myostatin in the body. More follistatin equals less myostatin, and less myostatin means more muscle. In vitro cellular studies conducted on YK11 confirm that it has an anabolic effect on muscle tissue which is mediated through androgen receptor activation and induction of Follistatin expression. It is a very interesting compound which may have some very promising applications we have yet to learn about.
YK11 is classified as a SARM because it has selective activation of the androgen receptor, but it has a chemical structure very similar to DHT (dihydrotestosterone). The term SARM is applied relatively loosely in this context. Personally, I would classify YK11 as a hybrid of a steroid and a SARM.
While there is a decent amount of anecdotal information to reference due to its popularity in the bodybuilding community, the data itself is fairly limited, as only a minority of individuals are logging their blood work consistently, and even fewer are getting extensive testing done to establish exactly what effects YK11 had on their body. The majority of YK11 users are reporting impressive increases in muscle growth, strength gains, improvements in body composition, with temporary suppression of natural testosterone production being the most common obvious side effect. With the exception of hair loss, reports of other side effects from YK11 are typically less prevalent than with the more mainstream very suppressive SARMs, and this may be due to its close resemblance to DHT.
10 mg per day is the most common YK11 dosage used in a performance enhancing context. Some users report using daily dosages as high as 30 mg per day and experiencing substantial gains in muscle mass with little to no negative side effects. Based on what we know, it would probably be unwise for a woman to use YK11 as it is a DHT derivative and has exhibited noticeable androgenic effects in men. The half-life of YK11 is unknown, so splitting the total daily dosage up into several micro-doses per day would likely yield better outcomes with more stable blood serum concentrations.
YK11 features a methyl ester which inhibits its hepatic metabolism. This makes it very orally bioavailable. The drawback of orally active methylated steroids is that they are liver toxic. The chemical structure and anecdotal reports suggest that YK11 exhibits at least some level of hepatotoxicity (liver toxicity). Recreational users should use an over the counter liver support supplement while using YK-11, and usage should not exceed 8 weeks.
“The highest dosage I ever used was 100mg of injectable YK-11 and 50mg of oral yk-11. I noticed extremely fast muscle growth. It was a similar feeling to taking a very high dosage of anadrol. It seems to plateau very quickly. I recommend using a very high dosage for only a couple of days. Typically, a 5-day blast. What’s interesting is that I notice that after the 5 days, I keep making gains even though I stopped taking the YK-11, which makes me hypothesize that YK-11 helps re-sensitize the androgen receptors.
The YK-11 muscle gains are so extreme that we never felt the need to give it to women because women already gained more muscle then they wanted off of LGD.
We don’t know if it’s better to use a low dosage for a long period of time or a high dosage for a short period of time. We will be conducting more experiments in the future.”
- Dr Tony Huge
“I’m very excited about YK11. It’s not a SARM. It’s not a steroid. It’s kind of like a weird hybrid of the two. It partly binds to the androgen receptor so other drugs can’t bind to it, which increases the affinity of the androgen receptor for other drugs, therefore increasing androgen receptor sensitivity. It also lowers myostatin by increasing follistatin. It’s methylated but anecdotal evidence shows no liver toxicity.
The oral version works great. It has a very short half-life. They use it as a pre workout in Kuwait. I got even better results from the injectable version. It’s the most extreme thing I ever took. The injectable version you only need to inject once per day.
Women should stay away from the oral form. I recommend a dosage of 2-5 mg/day for woman. Men can use either the oral or injectable form. I recommend 10-50mg/day for men.”
- Coach Trevor


If you have dreams of being a parent, it can be heartbreaking when starting a family proves more difficult than expected. Infertility affects many women, but that doesn't mean it is easy to cope with, especially when those around you are welcoming newborns and raising little ones.
At the Florida Institute for Reproductive Sciences and Technologies in Weston, our physicians understand the emotional toll of infertility, and we are here to help you through it. At our South Florida clinic, we will work with you to find ways to increase your chance of conception.
How do I know if I have infertility?
If you have been having regular intercourse without the use of a contraceptive for a year or more, this can be indicative of infertility. If you have been able to become pregnant but not carry to term, that can also indicate infertility.
What causes infertility?
Infertility in females is more common among those who are over the age of 35, have a medical condition such as endometriosis or uterine fibroids, or are underweight or obese. Substance usage, such as smoking or drug use, are also contributing factors.
Male infertility can be caused by a low sperm count, drug/alcohol use, obesity, sexually transmitted disease or sperm damage. Treatments or surgeries for other medical issues can also affect fertility.
Make sure to tell your physician at our South Florida office if either you or your partner is affected by any of the above.
What can I do about my infertility?
The first step will be some analysis by your physician at our South Florida office. This will likely include asking questions about your health and lifestyle, as well as running tests, such as ovulation tests and an ultrasound for the female, and a sperm analysis for the male.
From there, recommendations may include adjusting intercourse habits to increase chances of conception, taking a prescription medication, or undergoing medical procedures. If you have endometriosis or blocked Fallopian tubes, this could entail having corrective surgery. Other options include in vitro fertilization, in which the egg and sperm are obtained from both partners and fertilization is done in a lab.
There is no need to struggle in silence if you are suffering from infertility issues. Make an appointment with your physician at our South Florida office by calling 954-217-3456.
Dr. Minna Selub and Dr. Kimball Pomeroy, your physicians here at Institute for Reproductive Sciences and Technologies (FIRST) in South Florida provide LGBT-friendly surrogacy and reproductive services to couples and singles throughout the Weston, Orlando, Jacksonville, and Tampa areas. If you’re looking for a friendly, caring, and understanding team of professionals to guide you on your reproductive journey, we are here to help.
Surrogacy Services in South Florida
Gestational surrogacy is a form of assisted reproduction in which gay and lesbian couples work with a surrogate who will carry their baby or babies for them. Gay men also have the option of choosing an egg donor, whether anonymously or through a friend or loved one.
While sperm from only one man is needed to fertilize the egg, you may also discuss the possibility of using your sperm to fertilize half of the eggs and your partner’s sperm to fertilize the other half. This is something that we can discuss with you during a consultation at our South Florida office.
Assisted Reproduction for Lesbian Couples
Our office offers lesbian couples several options for starting a family. Along with surrogacy, other options include,
- Intrauterine Insemination (IUI): this is where the sperm is inserted directly into the uterus. The sperm donor maybe someone the couple or person knows or it might be an anonymous donor.
- In-vitro fertilization (IVF): hormones are administered to stimulate the ovaries to produce several eggs. These eggs are then retrieved once they are released and then fertilized with sperm to create embryos. Once the eggs have been fertilized, they will be inseminated into the uterus.
More and more lesbian couples are opting for Co-IVF because it allows them to both take part in this journey into parenthood. With Co-IVF, the eggs are taken from one partner, fertilized with a sperm donor and then inseminated into the other partner, who will then carry the baby or babies.
Along with these LGBT-friendly reproductive services, we also collect, freeze, and bank both sperm and eggs for individuals before undergoing sex reassignment.
Dr. Selub has been serving the LGBT community as a reproductive physician within south Florida since 1991, working with gay and lesbian couples and singles, as well as heterosexual couples and singles, to help them start a family through a wide range of reproductive and surrogacy services. Dr. Selub is a trailblazer in this industry, providing compassionate fertility care to the LGBT community before anyone in Florida was. Everyone is welcome at FIRST.
With an office in Weston, FL, Florida Institute for Reproductive Sciences and Technologies is able to provide patients from South Florida, including Jacksonville and Tampa, with reproductive options in a safe environment with knowledgeable and welcoming physicians. If you have questions about our LGBT-friendly surrogacy and reproductive services, call our office today at (954) 217-3456.
Find out what it takes to become an egg donor.
Are you interested in donating your eggs but unsure where to start? Maybe you have some questions about the process and you’d like to fully understand how egg donation works beforehand. Our South Florida physician Dr. Minna Selub of Florida Institute for Reproductive Sciences and Technologies in Weston, FL would be happy to walk you through the process. Here are some things you should understand about becoming an egg donor. Proudly serving patients from South Florida, including the Jacksonville and Tampa areas.
There are requirements for egg donation
Being able to provide couples that are struggling to have a family finally be able to create the family they’ve always dreamed of can be incredibly rewarding. A good candidate for egg donation will be,
- In good general and psychological health
- Be physically healthy and active
- Between the ages of 21 and 31
- Flexible working hours
You’ll need to come into the office regularly
Throughout the donation process you will need to come in for regular ultrasounds, exams and blood work. You may also need to undergo genetic testing. During your initial consultation with our fertility doctors will be able to explain what types of procedures you will need to undergo when you come into the office.
You will have anywhere from 8-10 doctor’s appointments during your cycle if you want to be an egg donor. During this time you will also be giving yourself daily fertility drug injections. Once the egg has matured, you will receive an injection that will stimulate ovulation so that Dr. Selub can then retrieve the egg through a minor outpatient procedure.
Interested in becoming an egg donor?
If you are interested in donation your eggs in South Florida email our office at [email protected] to let us know. We will provide you with a form to fill out and return to us. Once we’ve received your form we may ask you to come into the office for a screening to make sure that you are the ideal egg donation candidate.
Florida Institute for Reproductive Sciences and Technologies of Weston, FL, helps couples and individuals living in and around South Florida and throughout the Sunshine State get the fertility treatment they need. Call our office today at (954) 217-3456 to learn more about egg donations and the other fertility services we offer.
Recurrent pregnancy loss may make you wonder if you'll ever be able to expand your family. Fortunately, treatments provided by Dr. Minna Selub, your physician at Florida Institute for Reproductive Sciences and Technologies in South Florida may increase the likelihood that you'll carry your next pregnancy to term.
What is recurrent pregnancy loss?
Recurrent pregnancy loss (RPL) occurs if you've had two or more miscarriages before reaching 20 weeks of development.
What causes RPL?
RPL can be caused by:
- Genetic Abnormalities: RPL is often caused by chromosomal abnormalities that occur during fertilization. Although these abnormalities can happen at any age, they tend to occur more often in older women.
- Medical Conditions: Women who have certain conditions, such as autoimmune or blood-clotting disorders, thyroid disease, polycystic ovary syndrome, poorly controlled diabetes, or high blood pressure, may be at increased risk of RPL.
- Uterine Anatomy: Anatomical issues with your uterus can make it inhospitable for a developing fetus. Problems may occur if your uterus is abnormally shaped, you have fibroids or scar tissue, or your uterus is divided by a band of tissue called a septum.
- Lifestyle Factors: Your habits and lifestyle may also increase the chances of RPL. Smoking, recreational drug use, alcohol intake, consuming caffeine, or being overweight can all be factors if you've experienced recurrent miscarriages.
What treatment options are available to reduce the risk of RPL?
Treatment depends on the cause of RPL. If genetic abnormalities are an issue, your South Florida physician may recommend in-vitro fertilization (IVF). The procedure unites an egg and sperm outside the body before implanting the embryos into the woman's uterus. During IVF treatment, only healthy embryos are selected for implantation.
If your doctor suspects that a chronic illness or disease may play a part in RPL, increasing your chances of a successful pregnancy may involve monitoring and treating the underlying condition and possibly changing your medications.
Making a few changes in your life, such as losing weight or giving up alcohol, may be helpful if a lifestyle factor increases your RPL risk. Surgery may also be recommended to treat anatomic abnormalities in your uterus or remove fibroids, polyps, scar tissue, and adhesions.
Have you experienced recurrent pregnancy loss? Call Dr. Minna Selub, your physician at Florida Institute for Reproductive Sciences and Technologies in South Florida, today by dialing (954) 217-3456.
Find out if egg banking is a good option for preserving eggs for your future family.
Not ready to get pregnant just yet? If you aren’t planning for a baby anytime soon but would like the opportunity to get pregnant in the future you may be wondering whether egg banking is the right choice for you. During egg banking, our South Florida physician Dr. Minna Selub collects and freezes a woman’s healthy eggs for possible fertilization in the future. Florida Institute for Reproductive Sciences and Technologies is located in Weston, FL and serves patients from South Florida, including the Jacksonville and Tampa areas.
What is involved in egg banking?
As we mentioned above, egg banking is the process of preserving a woman’s eggs and possible fertility by retrieving eggs from her ovaries and freezing them for in-vitro fertilization (IVF) treatment in the future to increase the odds of getting pregnant.
During egg banking, the woman is given medication that will stimulate the ovaries to produce multiple eggs in one cycle. Then a minor outpatient procedure is performed to retrieve the eggs and then freeze them.
Who could benefit from egg banking?
There are many reasons why women today are considering egg banking. Freezing healthy eggs keeps them viable, allowing our patients the peace of mind to know that they could get pregnant in the future when it is right for them.
Furthermore, women who are currently undergoing radical and aggressive treatments such as chemotherapy or radiation may want to turn to our South Florida physician for egg banking to preserve healthy eggs for the future so they can start a family after they’ve finished their treatment. Women who have also been told that they have a diminished ovarian reserve may also choose to turn to egg banking earlier in life so that they can get pregnant later on.
However, it’s important to know that egg banking isn’t right for every woman. Women over 40 years old or women who have a significantly diminished ovarian reserve may not be a good candidate for egg banking. Furthermore, women under 30 years old still have many years in which they can conceive naturally and may not need to consider egg freezing until later in life.
If you are interested in learning more about egg banking and whether this could benefit your lifestyle and future family planning then call Florida Institute for Reproductive Sciences and Technologies in Weston, FL at (954) 217-3456 to schedule a consultation. We proudly serve patients from South Florida, Orlando and throughout the state.
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Care Coordination Update
Advance Care Alliance (ACA) is one of seven organizations to receive initial designation to begin operating as a Care Coordination Organization/Health Home (CCO) for people with intellectual and/or developmental disabilities (I/DD) on July 1, 2018.
CCO is a new model for coordinating all the community-based services and supports a person with I/DD may need with their medical and mental health services and providers. The primary goals of this transition are to offer a more holistic, comprehensive, and person-centered level of service and to ensure that all of a person’s providers—community-based/waiver, medical, and mental health—are aligned with his or her personal goals, preferences, and valued outcomes. Under this new model, Medicaid Service Coordination (MSC) will become an enhanced service called Health Home Care Management. Plan of Care Support Services (PCSS) will become Basic HCBS Plan Support. The New York State Office for People with Developmental Disabilities's (OPWDD) People First Care Coordination website provides more information and resources about this transition.
Once ACA begins operating as a CCO on July 1, 2018, we expect to provide services to more than 24,000 people with I/DD and their families across New York City, Long Island, and the Lower Hudson Valley.
ACA is a 501(c)(3) not-for-profit corporation dedicated to providing the support and services you or your loved one with I/DD need to lead an active, healthy and fulfilling life. ACA was formed by three provider networks—Alliance Care Network, Advance of Greater New York, and Long Island Alliance—who together represent over 100 well-established, not-for-profit agencies in downstate New York. ACA's agencies provide high-quality services to people with I/DD and their families, funded and overseen by the New York State OPWDD.
ACA Urgent Care Program
From 2015 through 2017, with support from the New York State Department of Health's Balancing Incentive Program (BIP) Innovation Fund, ACA piloted an Urgent Care Program. This program provided convenient, 24/7 urgent care assistance specifically for people with I/DD in Nassau and Suffolk Counties as well as in the Bronx, Brooklyn, Queens, and Staten Island.


The conference will feature didactic presentations on the most dynamic and clinically relevant GI topics, delivering emerging clinical developments and incorporating expert opinions on best practices for the diagnosis and management of patients with GI disorders. Presentations will include emerging data from recent publications and congress abstracts and their impact on current diagnostic and management approaches.
This activity has been designed to meet the educational needs of healthcare providers involved in the care of patients with gastrointestinal disorders.
Upon completion of this activity, participants should be able to:
Describe evolving patient management and treatment strategies for CLD and GI disorders.
Integrate significant advances in therapeutic and diagnostic modalities into clinical practice.
Apply the latest clinical research, including future therapies and their role in the context of the current clinical paradigm.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Cincinnati and the Gi Health Foundation. The University of Cincinnati is accredited by the ACCME to provide continuing medical education for physicians.
The University of Cincinnati designates this live activity for a maximum of 7.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
All faculty and staff involved in the planning or presentation of continuing education activities provided by the University of Cincinnati are required to disclose to the audience any real or apparent commercial financial affiliations related to the content of the presentation or enduring material. Full disclosure of all commercial relationships must be made in writing to the audience prior to the activity.
All additional planning committee members, the University of Cincinnati staff and the Gi Health Foundation staff have no relationships to disclose.
Learner Assurance Statement
The University of Cincinnati is committed to resolving all conflicts of interest issues that could arise as a result of prospective faculty members’ significant relationships with drug or device manufacturer(s). The University of Cincinnati is committed to retaining only those speakers with financial interests that can be reconciled with the goals and educational integrity of the CME activity.
The opinions expressed during the live activity are those of the faculty and do not necessarily represent the views of the University of Cincinnati. The information is presented for the purpose of advancing the attendees’ professional development.
Off-Label Disclosure Statement
Faculty members are required to inform the audience when they are discussing off-label, unapproved uses of devices and drugs. Physicians should consult full prescribing information before using any product mentioned during this educational activity.
Americans with Disabilities Act
The event staff will be glad to assist you with any special needs (ie, physical, dietary). Please contact us prior to the event at 1-973-520-1805.
Supported by an educational grant from AbbVie, Janssen Biotech, Inc., Pfizer Inc., Phathom Pharmaceuticals, Salix Pharmaceuticals, and Takeda Pharmaceuticals U.S.A., Inc.


Shoulder health is an often-overlooked facet of fitness that can lead to debilitating injury and long-term range of motion issues. The United States Bone and Joint Initiative reports that more than 75 percent of all injury-related healthcare visits in a given year are for musculoskeletal injuries. The complex components of the shoulder are especially susceptible to injury without intentional strengthening and close attention to proper form when exercising.
Common Shoulder Health Problems and Causes
The clavicle (collarbone), scapula (shoulder blade), and humerus (upper arm bone) are the bony parts of the shoulder. Connecting those bones and working the joint are a network of muscles, tendons, and ligaments. Working together, the arm and shoulder blade are meant to move smoothly and without pain or inconsistency. Leading causes of shoulder injury are related to shoulder blade dysfunction and thoracic spine (middle back) issues that lead to shoulder-related compensation and incorrect movement patterns.
When the muscles in the shoulder move in a way that isn’t natural due to compensation for a related problem, there is an increased risk for a shoulder injury. A functional movement screen includes overhead arm moves that can help a therapist or personal trainer identify and address dysfunctional movement patterns before an injury.
How Injury Happens
When you’re performing movements that target soft tissue, you’re working to increase range of motion through mobility while maintaining stable alignment of the shoulder bones. Proper form is also extremely important when performing any kind of overhead movement or weight-bearing exercise. If the movement isn’t aligned properly and well controlled, your body compensates by engaging muscles not meant to perform that work.
The goals of EXOS-recommended shoulder health exercises are:
- Maintain or achieve fluid movement of the shoulder blade through a balanced approach.
- Protect thoracic spine range of motion through controlled movement.
- Improvement of muscle strength to aid in proper performance throughout the shoulder’s full range of motion.
EXOS Fitness Specialists offer detailed instruction and feedback on using proper form when completing exercises, so we always recommend connecting with one of the Mercy Fitness Personal Trainers for a movement screen and at least a few training sessions for injury prevention when starting a new workout regimen or returning to workouts after injury or surgery-related physical therapy.
Targeted Shoulder Exercises
Protect yourself from injury by strengthening the muscles of the shoulder and thoracic spine range of motion with these targeted exercises from EXOS. If you can’t watch the video, download this helpful PDF to try the exercises, and make sure you’re using proper form through every motion. Sign up for personal training with an EXOS Fitness Specialist at Mercy Fitness for the ultimate approach to boosting performance, moving well, and preventing injury during workouts and everyday activities.


After 30 years of being a physical therapist in Evansville, I still have a passion for it and enjoy the opportunity to meet so many wonderful people. Owning the company gives me the luxury of providing one-on-one treatments at a reasonable charge, with a focus on listening to and working with my Evansville, Newburgh, and Boonville clients, and teaching them how to listen to their body.
In my experience, working as a team on your health increases our success.
Connie House, Physical Therapist Assistant and Owner
Being a private pay company allows our consumer approach to physical therapy. It allows you to speak to your physical therapist before committing, allows our physical therapists to set clear fees for their services, and ultimately gives you more control over your health. You get to evaluate your health after each physical therapy session and decide how many treatments you need to achieve Total Wellness. We encourage you to assess our physical therapy effectiveness and your progress with each session.


It has been six months since the last time I wrote about the ongoing pandemic. At that time the first vaccines were just beginning to roll out. I've been waiting to see how things would unfold, both in terms of the effectiveness of the vaccines, and any new information on what they are doing in and to our body before adding anything to what I provided before.
So far things have played out as I expected that they would. There is absolutely no doubt that—at least for now—mass vaccination has significantly slowed down the progression of the pandemic. Unfortunately, there is also growing evidence of potential negative health consequences resulting from the use of the mRNA and viral vector vaccines. Initially, my concerns were primarily regarding the potential for long-term reactions that would start showing up a year or two after administration of the vaccines. Aside from the typical acute reactions that can occur with any vaccine and the more serious anaphylactic reactions that seem to be more common with mRNA than other types of vaccines, what we are now also seeing are shorter-term reactions (blood clots, heart inflammation, capillary leakage, Guillaine-Barre syndrome, etc.) that could have been predicted had the vaccines been subjected to larger (more subjects), broader (more diverse subjects) and longer clinical trials.
One of my major concerns has been the increasing polarization that is occurring with regard to the pandemic and vaccinations. This includes a number of the fantastical conspiracy theories that are being propagated by some of the more extremely polarized people on the 'anti-vax' side of the spectrum. I am equally concerned about the 'pro-vax' camp demonizing anyone who chooses to look objectively at the issue rather than blindly follow the party line. Both sides are using fear to gather support and demonize anyone with a different point of view. It seems to be a sign of the times. This polarization is dividing families, friends, communities and countries. It is even dividing scientists and medical professionals. There are those among them who have genuine concerns about some of the choices being made by politicians and bureaucrats and are afraid to speak out because it could ruin their career. It's always a concern when it's not possible to have a clear open discussion about an issue. It also makes it very difficult for anyone who wants to make an informed choice. It's challenging enough given that there are still far more questions than answers. For anyone who is trying to figure out how to move in a good way with the uncertainty and risks associated with living during a global pandemic, it is not helpful that the fear factor is being ramped up by some people's attachment to particular ideologies. There's more to healing than statistics about how many people get sick, suffer severe symptoms, die and are vaccinated. What about our emotional state (fear, isolation, depression, grief), and the health of our families, communities, economies and the natural environment? This is a multi-layered challenge that necessitates our ability to work together for the greater good. If we are going to be able to move through this in a good way we need more compassion, empathy, respect, and open discussion—not polarization!
A bit more than a week ago one of my clients sent me some very valuable information. Finally, someone who has far more knowledge than me about the vaccines and the latest research regarding their efficacy and risks has been speaking out. That person is Dr. Byram Bridle. He is an Associate Professor of Viral Immunology in the Department of Pathobiology at the University of Guelph. He is not an anti-vaxxer by any stretch of the imagination. Part of his job is developing vaccines. Dr. Bridle is in a unique position to be able to interpret the ongoing information that is becoming available. I am very grateful that he has chosen to speak out at considerable risk to himself. He has been subjected to ongoing attacks and attempts to discredit him. Most of them are completely fabricated, but some are coming from other doctors and researchers. I have read many of the criticisms from his colleagues and so far they are baseless. They may sound logical and scientific to the less educated or anyone who has a lot invested in believing that his concerns aren't real, but they are either deliberately quoting him out of context or claiming that he is saying something that he isn't, or they are interpretations of the data that are inconsistent or don't make any sense. That doesn't mean that in the end his reasons for concern will turn out to be true, but they are valid concerns that need to be acknowledged and examined rather than denied or hidden. Fortunately, some of Dr. Bridle's colleagues have chosen to speak out in support of him as well.
Dr. Bridle's primary concern is that there is now enough evidence to suggest that the potential risks associated with giving mRNA and viral vector vaccines—the only vaccines that have been approved so far in many countries such as Canada and the US—to adolescents and children are greater than any potential benefits, both to them and to the general population. I am not going to attempt to summarize all of the valuable information that Dr. Bridle has provided. He has done an excellent job of providing a detailed summary of this information in his document COVID-19 Vaccines and Children: A Scientist's Guide for Parents. It is dense, but I strongly recommend that anyone who wants to educate themselves about COVID-19 and the vaccines that are currently available take the time to read it.
We are dealing with a new and urgent situation. It was inevitable that mistakes were going to be made. Decisions had to be made and a response put in place before we knew very much. I can only imagine how challenging that must have been for the people who had to make those decisions. However, from my perspective there was one major mistake that was made—at least in Western countries—that was completely avoidable. It seems very odd to me that, with the exception of a couple of Chinese vaccines, the mRNA and viral vector vaccines were available at least 8-9 months before any vaccines based on more conventional technologies. I am not going to speculate about why this happened, but I believe that using the pandemic as an opportunity to rush out vaccines based on untested technologies at public expense (and liability!) without having to subject them to the (under normal circumstances) required 6-8 year long-term studies doesn't make sense—even if in the end we learn that they are safe and effective. The end result is that a significant proportion of the global human population is now taking part in a massive study of the long-term safety and efficacy of previously untested vaccine technologies. It is my perspective that from the start government health agencies should have insisted that the major players in vaccine development stick to technologies that have been used for awhile and are better understood. They could have done that by telling the drug/biotech companies that they were not going to purchase any vaccines based on mRNA, viral vector or other new technologies.
There's nothing that we can do about the choices that have already been made. Nevertheless, the choice to implement a global vaccination campaign was the choice that made the most sense. The alternative would most likely have resulted in a much greater loss of life. We can only hope that the calculated risk that governments took—that any negative long-term health consequences of mRNA and viral vector vaccines will be less severe and easier to manage than an unrestrained COVID-19 epidemic—will turn out to have been a good decision. Only time will tell.
In terms of how to move with this on a personal level, there is little more that I can add to the recommendations that I made in my last post The Vaccination Controversy, Part 3: COVID-19. Since that time there has been some preliminary research supporting the use of some of the supplements that I recommended for the prevention and treatment of COVID-19. I was going to include some of that information in this post, but decided against it otherwise it might have taken me another month to complete it. Suffice to say that I still stand behind all of the recommendations that I made in my previous posts regarding the prevention and treatment of both COVID-19 and any potential side-effects of vaccinations.
I have no idea how many people implemented those recommendations partially or completely. What I can say is that everyone that I know of who implemented them completely that has not been vaccinated has not contracted COVID-19 so far (including some people who had members of their household contract the virus but they did not get it), and everyone that I know of who implemented them completely that did get vaccinated has not had any significant negative reactions to whatever vaccine they received so far. Every person and situation is unique. I can not guarantee that everyone will have equally beneficial results. All I can say is that, based on my experience, implementing those or similar protocols should significantly improve the outcome for most people regardless of what choices they make with regard to vaccinations.
Before I leave the topic of prevention and treatment protocols, there is one other issue that I would like to address. There are practitioners out there—mostly medical doctors—who are recommending the prophylactic use of antiviral or antiparasitic drugs (such as ivermectin and hydroxycholoroquine). The latter drugs are not recognized as antiviral. As far as I can tell there is very little good evidence that they are useful to prevent or treat the symptoms of COVID-19 and they are associated with significant potential side-effects. Nevertheless, some practitioners are recommending the use of these medications. In particular, some are recommending veterinary grade ivermectin which is relatively easy to obtain. Although there is a lack of good clinical research, it is possible that some of these practitioners are seeing good results in their practice. I get that. Most of what I recommend is also based on my clinical experience. Nevertheless, I recommend caution around this. In my recommendations for the treatment of COVID-19 I did not mention some potentially very effective antiviral herbs because they are quite potent and can be associated with some degree of toxicity if misused. They are not the kind of recommendations that I can make in a blog that could be read by anybody. From my perspective, those herbs should only be used under the supervision of an experienced practitioner who understands them. Nevertheless, I can almost guarantee that those herbs will be more effective than ivermectin and associated with significantly less potential for toxicity if used correctly. I can understand that MDs are typically not going to be recommending herbs because they don't understand herbs, and it is unlikely that anyone is going to do any good research on herbal treatments for COVID-19 because clinical studies are expensive and herbs can't be patented. There is very little potential for financial gain (at least by pharmaceutical company standards). Consequently, they are going to recommend drugs (and sometimes supplements) because that is what they know. If you are being treated by a doctor who has experience with and believes in the efficacy of ivermectin, at least you are under appropriate medical supervision. However, because it can be obtained as a veterinary drug, I am coming across people who are self-medicating with ivermectin whenever they experience any cold-like symptoms. That is risky. Stick to well-chosen herbs. They are safer and likely to be as or more effective. However, anyone who tests positive for COVID-19 and manifests severe symptoms should be hospitalized and they will be given the best antiviral treatments that are available and have proven effective over the course of the pandemic.
Sadly, I have even come across people recommending particular herbs for the treatment of COVID-19 based on false or misrepresented information. There are herbs that are likely to be effective—but there is no cure-all! Every case is different. I recommend a good degree of suspicion if anyone says that a particular herb is THE cure for COVID-19. In the case that was brought to my attention, based on my clinical experience the herb in question—for which there is very little research and none of it of any significant value—is almost certainly an antiviral herb (although it wouldn't be my first choice), but the potential benefits were blown way out of proportion and the rational behind the use of the herb as far as I can tell was complete nonsense. Not surprisingly, some of the proponents of the use of the herb were also propagating conspiracy theories that information about the herb was being suppressed by drug companies. I doubt that there are very many people who work for the pharmaceutical industry who have even heard of this herb—at least not in a medical context.
So, what about the people who still have chosen not to be vaccinated? They basically fall into two groups: those that have chosen to delay their decision until more information is available; and those who definitely do not want to get vaccinated. We can further break down the first group into people who still aren't sure and people who would prefer not to get vaccinated but are considering it due to family or peer pressure, or the concern that their freedom could be curtailed by the implementation of policies requiring people to be vaccinated in order to travel or participate in public events.
Initially, when people who wanted to get vaccinated asked me what vaccine I would recommend among those that were available, I told them that I really didn't like any of them but if they did not want to wait they might consider the Johnson & Johnson vaccine. That was based on two reasons. Firstly, although the viral vector vaccines are developed using a new, virtually untested (by normal standards) technology, based on my understanding at that time it seemed like their mechanism of action was closer to conventional vaccines than mRNA vaccines. The second reason was because the J&J vaccine only required one shot.
As we now know, it fairly quickly became apparent that viral vector vaccines are associated with a potential for blood clots. What concerned me the most was that these are not normal blood clots. They most likely are related to some kind of autoimmune reaction. That got my attention. Regardless of what the statistics are for the general population, any vaccine has the potential to alter the functioning of a particular person's immune system in a negative way. My concern with the mRNA vaccines based on how they work (and lack of data) was that there may be a greater potential for those vaccines to have a negative affect on immune function. When the blood clots started showing up for viral vector vaccines it was clear that they also seem to have a greater than normal potential to alter immune function in a negative way. Initially, I didn't understand why. It wasn't until I read Dr. Bridle's report (see above) that I realized that my understanding of the mechanisms of action of viral vector vaccines was somewhat inaccurate. The mechanisms of action of viral vector vaccines are actually more like mRNA vaccines than conventional vaccines and therefore (I believe) more likely to have a greater potential for negative long-term affects on immune function. That changes the vaccine landscape for anyone who is trying to decide what vaccine is most likely to be the safest.
For anyone who is still undecided about getting a vaccination there is a bit more that can be said. If you are concerned about the potential risks of mRNA and viral vector vaccines, there are some countries who have approved more conventional protein based or inactivated virus vaccines. There is concern with the quality of research for some of these vaccines as the manufacturers have not provided sufficient evidence to back up there claims. However, there are two inactivated virus vaccines manufactured in China for which the available data is strong enough that they have been authorized for emergency use by the World Health Organization. These vaccines are available in many countries. They are CoronaVac (manufacturer Sinovac) and BBIBP-CorV (manufacturer Sinopharm). The only concern that I have specifically regarding their ingredients is that they both contain aluminum hydroxide as an excipient. I am not a big fan of aluminum, but in the long run a couple of injections of a tiny amount is not that much of a concern unless someone is known to have severe acute reactions to aluminum. That being said, since the WHO authorization there is growing evidence that both of the Chinese vaccines may not be effective enough against the emerging delta variant. How the efficacy of each vaccine holds out as new variants continue to emerge is going to be an important factor in the coming months.
So far, for those of us who live in Canada, the US, Australia, New Zealand and most of Europe only mRNA and viral vector vaccines are available. For citizens of some of these countries it might be possible to travel to another country to obtain one of the other WHO approved vaccines. It is also important at this stage that the priority be given to the local population. We don't want the situation to arise where the locals aren't able to receive a vaccine as readily because more affluent foreigners are travelling there and willing to pay for them.
In some countries additional vaccines have been ordered (subject to approval) but have not been approved yet because their clinical studies have't progressed far enough to provide enough data to apply for emergency use. I don't know what the situation is for every country, but in Canada there are three additional vaccines that have been ordered. All of them are protein-based vaccines. The Medicago and Novavax vaccines are expected to apply for approval in Canada (and possibly in the US, at least for Novavax) in the third quarter of 2021 (July-September). Initially, the Sanofi vaccine was found to have low efficacy, so they had to reformulate. This has slowed down their studies. They are not expected to apply for approval until the fourth quarter of 2021. Both the Medicago and the Sanofi vaccines are using the GlaxoSmithKline adjuvant (additional ingredients to boost the effectiveness and preserve the vaccine). I do not have any major concerns about the ingredients of this adjuvant. However, I do have concerns about the Novavax vaccine because it contains lipid nanoparticles. There are reasons to be suspicious of vaccines that contain nanoparticles (another drawback of the mRNA and viral vector vaccines). As I have mentioned previously, nanoparticles were approved for use in many types of products before we understood how they behave in biological and ecological systems. We now know that they are accumulating in the environment and in plants and animals (including humans) but we still don't know what they do. As a result, I do not recommend using any products that contain nanoparticles (cosmetics, drugs, antimicrobial clothing, etc.) until they are better understood.
If you are concerned about receiving a vaccine based on a poorly tested technology and have not yet been vaccinated but are still considering it, you can either get one of the mRNA or viral vector vaccines and follow protocols similar to those that I have provided to minimize the potential for side-effects, or you can wait until other vaccines that are more likely to be safer become available (and also follow those protocols). At this point the most likely candidate will be the Medicago vaccine in Canada. In other countries the options are likely to be different. However, a word of caution. Anyone who gets vaccinated in order to travel should be aware that there is evidence that the risks of developing blood clots while flying are increased for anyone who has recently been vaccinated. It is probably best not to travel by air for at least two months after your second vaccination.
Once more I want to be clear that this is a numbers game that has very little meaning for the individual. Even if the risk of significant health consequences from contracting COVID-19, getting a particular vaccine, or for one vaccine compared to another is very low for the general population, although there are some known risk factors, ultimately we can never know how we are going to respond in any given situation until it happens. All we can do is do our best. As always, I recommend that you educate yourself with good sources of information but don't obsess on it. Then take a few deep breaths, calm your mind, and feel into what is the best choice for you. You'll probably need to do this multiple times. It's best if we are calm and humble. Fear and arrogance will almost certainly lead us astray.
Keep well. More to come as things continue to develop...


Vitamin C for depression
Several vitamin deficiencies can lead to stress, fatigue, low energy and symptoms of depression. If you are feeling a little low and think you might be depressed, ask your doctor if you could take some of these depression vitamins. B-complex as depression vitamins
B-complex vitamins are potent depression vitamins–they are essential for mental and emotional balance. They cannot be stored by the body and are also destroyed by caffeine, alcohol, nicotine and refined sugars (among other ‘destroyers’).
You need to replenish them with a daily diet that includes B-complex vitamins, or in some cases, take B-complex depression vitamins.
Vitamin B1 (thiamine): This helps the brain to convert blood sugar into fuel; without it, the brain runs out of energy. Thiamine deficiencies can lead to irritability, fatigue, anxiety, depression and even thought of suicide. It can also lead to insomnia, loss of appetite, memory problems and gastrointestinal disorders.
Vitamin B3 (niacin): Niacin deficiency was found to cause pellegra—a condition that produces dementia and psychosis, among other symptoms. To a lesser extent, it also causes anxiety, agitation, and physical and mental slowness.
Vitamin B5 (pantothenic acid): This is needed for the uptake of amino acids and acetylcholine, both needed to counter certain types of depression.
Vitamin B6 (pyridoxine): This is needed for the production of dopamine, serotonin and melatonin which are neurotransmitters associated with mood alleviation.
Vitamin B12: This vitamin is important in red blood cell formation. Deficiencies can lead to oxygen-transport problems, causing irritability, dizziness, weakness, mood swings, paranoia, hallucinations. confusion, mania, heart palpitations and shortage of breath.
Folic acid: This is needed for DNA synthesis and the production of SAM (S-adenosyl methionine).
Vitamin C as depression vitamins
Vitamin C deficiencies can lead to depression. You may need to supplement your body with vitamin C during times of stress, pregnancy, and lactation. During these times, your body’s need for vitamin C increases. Aspirin, birth control pills and tetracycline can also deplete the body’s supply of Vitamin C. If you are taking any of these, you may need supplements with Vitamin C. Consult your doctor about it.
The Food and Drug Administration Board does not regulate the manufacture and sale of vitamins; instead, it sets standards for Good Manufacturing Practices (GMP). Always buy a product from a manufacturing company that strictly complies to GMP, to ensure that the product contains the right amount of ingredients and dosage as indicated. This also assures you that the product does not contain any known contaminants. One of the best natural anti depressants available
Sam-e (S-Adenosyl methionine)
Sam-e is a nutrient which is produced naturally by the human body. Our bodies use an amino acid – methionine, which produces Sam-e.
Sam-e is a very important substance to us and is involved in many metabolic processes within our body.
A deficiency of vitamins B6, B12 and folic acid will deplete Sam-e.
How does Sam-e work as a natural anti depressant?
Sam-e is vital in the creation of important compounds found in the brain. Two of the most important of these are phosphatidylserine and neurotransmitters.
SAMe helps neurotransmitters bind to receptor sites.
This causes an increase in serotonin and dopamine activity. These are two very important compounds that strongly influence, improve and sustain our moods.
Phosphatidylserine is an essential nutrient for our cells. It is essentially important for nerve cells, where it is needed aggressively. This helps cells communicate with other cells by promoting and releasing neurotransmitters.
Government studies have indicated that Sam-e may work as a natural alternative remedy to help aid in depression and anxiety.
Tips on choosing the best natural anti depressants
Make sure you purchase pharmaceutical grade supplements. Governments and some independently operated companies have shown that many health supplements on the market harbor harmful contaminants or do not contain the amount of ingredients stated on the label.
Pharmaceutical grade supplements however, are manufactured to a very strict standard, in-fact, the same standards prescription drugs are.
Be wary with Sam-e, the nutrient is easily destroyed by the stomachs’ powerful acids. We believe it is important you consider using a enteric coated SAMe supplement.
Enteric coating allows the nutrient to pass through your stomach acids untouched, leaving the nutrient to directly enter the blood stream where it will go straight to work.