Some Vitamins Do Work From The Outside-In

Women's worries about wrinkles, dark spots and other aging skin concerns aren't all vanity, a new poll reveals.

Forty-two percent of women ages 50 to 59 believe they need to look young to be successful at work, according to a recent poll by Penn Schoen Berland.

"Increasingly, both men and women have anxiety about looking older, but the good news is that science has developed natural tools to help us look younger longer," say Drs. Rick and Arlene Noodleman, the husband-and-wife physician team at Silicon Valley's Age Defying Dermatology, (www.agedefy.com), national leaders in medical and cosmetic dermatology and integrative medical treatments.

Something we all battle daily is damage from free radicals, a term that has entered the public lexicon with little understanding by most people.

"Free radicals are oxygen molecules that have lost electrons through oxidation, making them unstable. If your body doesn't have enough antioxidants to stabilize them and render them harmless, they can damage cell membranes, which eventually breaks down the proteins that support and plump the skin," explains preventive medicine specialist Dr. Arlene Noodleman.

"We're bombarded by free radicals every day", she says. "We produce them when we metabolize food and even when we breathe. They're also in the environment - diesel exhaust, air pollution, UV radiation (from the sun) and cigarette smoke are all major producers."

"What's worse, those free radical oxygen molecules are always looking to stabilize themselves by swiping electrons from stable molecules, which creates even more free radicals," says dermatologist Dr. Rick Noodleman.

"We have lots of natural defenses against free radicals, but as we age, we begin to lose them," he says.

Some vitamins are antioxidants, meaning their molecules provide electrons that stabilize the free radicals.  Clinical studies have found that certain of these are effective in preventing damage, or correcting damage such as reducing wrinkles and dark spots.
In certain cases, "taking your vitamins" means applying them on your skin so they can work from the outside-in, the physicians say.

• Vitamin A - "There is significant scientific evidence that the form of vitamin A called retinoid, when applied topically, can treat damage caused by sun exposure," says Dr. Arlene Noodleman. "It can soften fine lines and wrinkles and lighten dark spots." In one study, subjects had significantly fewer fine wrinkles after applying a prescription-strength retinoid cream (0.1 percent isotretinoin) once a day for 36 weeks. "Of the over-the-counter retinoid products, Retinol appears most effective", Dr. Noodleman says.

• Vitamin C - "Vitamin C applied topically is much more effective than taken orally", says Dr. Rick Noodleman. "That's because vitamin C is relatively unstable -- it quickly oxidizes when exposed to air and in certain other conditions. So, to get the full benefit, you would need it in much greater amounts than you would normally consume in a tablet. You can get that benefit by using a topical formulation," he says. "Look for 'stable' vitamin C of the L-ascorbic variety, which offers the best protection against sun damage", he states. "It reduces lines and wrinkles, protects against sun damage, and encourages production of collagen, one of the proteins susceptible to free radical damage. Importantly, collagen makes up 75 percent of our skin and gives it support and volume."

• Vitamin B3 - "As a 'damage corrector', test-tube studies have shown that vitamin B3 boosts collagen production and clinical studies have shown that it reduces dark spots", says Dr. Arlene Noodleman. In one significant study, 50 Caucasian women applied a 5 percent vitamin B3 solution to one side of their faces every day for 12 weeks. They had a marked reduction in dark spots, redness and yellowing, and increased elasticity.

The two doctors advise that, for best results, people should buy these topical vitamin products at concentrations that have proved effective - and use them for the length of time recommended.

About Drs. Rick and Arlene Noodleman

Dr. Rick Noodleman, a board-certified, Stanford-trained dermatologist, is an expert in the medical and surgical management of skin disease, aging skin, and advanced cosmetic techniques. Dr. Arlene Noodleman, board-certified in preventive medicine and fellowship-trained in integrative medicine, is a healthy aging expert who focuses on the whole person and strategies that facilitate the body's innate healing response. Together, Drs. Noodleman created the Revercel cosmeceutical and neutraceutical product line (www.revercel.com), which includes products containing vitamins in the amounts and forms scientifically proven to be effective. They include Eye Perfection and Intensive Repair Serums with Retinol and Vita-C Emulsion.

Nature Photographer Shares 3 Tips for Getting
Out of the Grind and Into Well-Being

By a large margin, Americans hate their jobs, according to a recent Gallup poll, which found 70 percent of the work force is either completely disengaged from or thoroughly despises their work.

"Since the 2008 economic crisis, millions of Americans have been hit hard in most aspects of their lives - their homes, their jobs, their personal lives. I was one of them," says Noelle M. Meade-Izzi, whose busy lifestyle in the corporate world, combined with the market crash and other negative forces, had been crushing her sense of well-being.

"Somehow, that was all changed by the tiniest bird known to man - a hummingbird I eventually named Artemis. She was building a little nest right next to my balcony. Witnessing her small yet heroic efforts to complete the nest for her chick and then raise it to maturity, all on her own, helped nurse me through a healthy and spiritual transformation."

Meade-Izzi, author of "The Hummingbird That Answered My Heart's Calling," (http://noelle-meade.squarespace.com) offers tips for those who are open to experiencing life's everyday miracles?seeing the extraordinary within the ordinary--in the midst of the stressors and strife that seem to inundate our lives. "Get in touch with your inner hummingbird," she says ...

· Find your Artemis: Meade-Izzi was at a low point in her life when she saw the little hummingbird - a species so tiny, many people never notice it. At one point, she heard the audible fluttering of wings outside her bedroom screen slider early in the morning. It was the hummingbird, who seemed to be summoning her. After following her to the nest, Meade-Izzi discovered Artemis' chick had hatched. "Did she really intend to show me what happened?" she asks. "I think so; we'd developed a palpable bond throughout the entire nesting process." Nature is everywhere and abounds with beauty and inspiration - you just have to look for it.

· Don't fear the quiet: Waking up before you're ready, making the coffee, rushing to work and getting inundated with complaints, getting stuck in traffic on the way home and, oh yeah, you have to stop at the grocery store ... Rinse and repeat on Tuesday. Sound familiar? Workdays don't have to be a grind! "Many of us have gotten so accustomed to incessant chatter in our lives - from our mobile smartphones to what's inside our own heads - that we don't know how to respond and appreciate silence," Meade-Izzi says. There are many ways to silence the chatter, which offers surprising renewal and fresh perspectives, she says. From meditation to yoga to simply enjoying the sound of rain on your roof, make time for quiet.

· Focus on empathy: It was the focus on something extraordinarily small and completely other than herself - Artemis - that helped Meade-Izzi find her deeper self. "Obsessing over what I didn't like in my life did not help me affect positive change - in fact, it made things worse," she says. Empathy helps us hurdle the very tall walls of our ego and puts us in the shoes of someone else and what their experience must be like. In turn, we gain perspective on our own unique lives and find them more manageable."

About Noelle M. Meade-Izzi

Noelle Meade-Izzi is a nature photographer by hobby and a professional graphic designer for the marketing and advertising industries. Her work has been recognized by the American Advertising Federation's (AAF) prestigious Addy Creative Awards for design excellence, including a Best in Show. Her experience featured in her book, "The Hummingbird That Answered My Heart's Calling," was featured in the United States Humane Society (USHS) publication, "All Animals."

PEORIA, Ill. (Aug. 1, 2013) ? While many volunteers generously responded to the emergency  call for blood donations from the American Red Cross in July, donors of all blood types, especially O negative, A negative and B negative, are still needed this summer. Blood products are being distributed to hospitals almost as quickly as donations are coming in.

Blood and platelets are needed for many reasons. Accident and burn victims, heart surgery patients and organ transplant recipients, as well as those receiving treatment for cancer or sickle cell disease, may depend on lifesaving transfusions. In fact, every two seconds a patient in the U.S. needs a blood transfusion.

The Red Cross, on behalf of the hospitals and patients it serves, appreciates all those who take the time to help save lives. Visit redcrossblood.org or call 1-800-RED CROSS to learn more and schedule an appointment as soon as possible.

Upcoming blood donation opportunities:

Carroll County

Aug. 16 from 12-6 p.m. at St. Wendelin's Catholic Church, 102 S. Linn in Shannon, Ill.

Aug. 19 from 12-5 p.m. at First Presbyterian Church, 502 Third St. in Savanna, Ill.

Aug. 23 from 1-6 p.m. at Church of God, 816 S. Clay in Mount Carroll, Ill.

Henry County

Aug. 21 from 7 a.m. to 12 p.m. at Kewanee Hospital, 1051 W. South St. in Kewanee, Ill.

Aug. 21 from 12-5 p.m. at Kewanee Hospital, 1051 W. South St. in Kewanee, Ill.

Aug. 28 from 2-6 p.m. at First Christian Church, 105 Dwight St. in Kewanee, Ill.

Mercer County

Aug. 20 from 11:30 a.m. to 5:30 p.m. at VFW Hall, 106 SW Third Ave. in Aledo, Ill.

Aug. 26 from 3-6:30 p.m. at First Christian Church, 20th and Main Street in Keithsburg, Ill.

Aug. 28 from 2-6 p.m. at Alexis Community Center, 204 W. Palmer Ave. in Alexis, Ill.

Scott County

Aug. 30 from 10 a.m. to 1 p.m. at Hy-Vee, 4064 E. 53rd St. in Davenport, Iowa

Whiteside County

Aug. 20 from 1-5:15 p.m. at River Bend Senior Center, 912 Fourth St. in Fulton, Ill.

Aug. 21 from 2-6 p.m. at American Red Cross, 112 W. Second St. in Rock Falls, Ill.

Aug. 22 from 4-7 p.m. at American Red Cross, 112 W. Second St. in Rock Falls, Ill.

Aug. 27 from 1-5:15 p.m. at River Bend Senior Center, 912 Fourth St. in Fulton, Ill.

Aug. 28 from 10 a.m. to 2 p.m. at American Red Cross, 112 W. Second St. in Rock Falls, Ill.

The need is constant. The gratification is instant. Give blood.®

How to donate blood

Simply call 1-800-RED CROSS (1-800-733-2767) or visit redcrossblood.org to make an appointment or for more information. All blood types are needed to ensure a reliable supply for patients. A blood donor card or driver's license or two other forms of identification are required at check-in. Individuals who are 17 years of age (16 with parental consent in some states), weigh at least 110 pounds and are in generally good health may be eligible to donate blood. High school students and other donors 18 years of age and younger also have to meet certain height and weight requirements.

About the American Red Cross

The American Red Cross shelters, feeds and provides emotional support to victims of disasters; supplies about 40 percent of the nation's blood; teaches skills that save lives; provides international humanitarian aid; and supports military members and their families. The Red Cross is a not-for-profit organization that depends on volunteers and the generosity of the American public to perform its mission. The Red Cross is supported in part through generous financial donations from the United Way. For more information, please visit redcross.org or visit us on Twitter at @RedCross.

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'Don't Just Wait for It to Happen,' Says Former Executive

Happiness isn't a state of being, says former Johnson & Johnson executive Lynda Wallace; happiness is something happy people do.

"Some may say that mimicking people is not good enough - that simply wearing Michael Jordan's jersey doesn't make you Michael Jordan - and they're right. But if you behave more like Jordan in his playing years, including practicing, competing, and working out, then you'll be that much better as a basketball player, and more like Mike," says Wallace, a certified positive psychology coach and the author of "A Short Course in Happiness: Practical Steps to a Happier Life," (www.lyndawallace.com), which topped Amazon's Self-Help Best Seller list.

Wallace describes four steps we can all take to live happier lives:

• Focus on the Positive: If you have only five minutes a day to dedicate to becoming a happier person, here's a great way to spend it. Each night, before going to bed, write down five things for which you feel grateful. As you write your list, take a moment to reflect on each item. Call up a picture in your mind and experience your gratitude in a heartfelt way. This is a great way to jump start gratitude, optimism, and kindness, all of which have enormously positive effects on our happiness.

• Cope Effectively with the Negative: Wallace quotes Thich Nhat Hanh, who said, "Don't wait until you have no more suffering before allowing yourself to be happy." Negative experiences are a part of every life. We do best when we are able to acknowledge and accept the difficult emotions that come with the experiences, see what they have to teach us, and then use coping skills such as reaching out to others, gaining perspective on our troubles, and actively engaging in the things we do that give our lives meaning.

• Develop Strong Relationships: No matter how much we may enjoy and need our time alone, the fact remains that we are an intensely social species, and that meaningful connections with other people are essential to happiness. In fact, research makes it clear that the single most important characteristic of very happy people is that they have trusting relationships at the center of their lives. Wallace says that those relationships may be with romantic partners, family members, or friends; it doesn't much matter. "What matters is that we take the time and trouble to nurture and appreciate our most important relationships, and that we don't allow other priorities to crowd out our focus on them."

• Pursue Meaningful Goals: "When I first began studying the positive psychology research," says Wallace, "one of the biggest surprises for me was just how important goal pursuit is to happiness." Goals focus and motivate us. They increase our resilience by giving us reasons to keep going following setbacks. And they give us a highly gratifying sense of purpose, forward motion, and meaning.
"One of the most important things to understand about goals is that making progress toward them actually contributes even more to our happiness than achieving them does. So it's important that we choose our goals well. Pursuing them doesn't have to be easy or entirely pleasant. In fact, we gain the most happiness from working toward goals that demand a lot from us. But they do need to fit well with who we are and what we value."

About Lynda Wallace

After 20 years as a highly successful executive with Johnson & Johnson, where she was responsible for a $1 billion portfolio of businesses including Band-Aid, Neosporin and Purell, Lynda Wallace changed careers to pursue her passion. She now helps individuals and groups apply proven insights and techniques to achieve greater happiness and success in their lives, families, careers, and businesses. She meets with local clients in her office in Montclair, NJ, and with clients from around the world by phone or at in-person engagements. Lynda holds an MBA from the Wharton School of the University of Pennsylvania and is a certified positive psychology coach. She is also a sought-after speaker and the author of the No.1 Amazon Self-Help Best Seller "A Short Course in Happiness: Practical Steps to a Happier Life." More information is available at her website: lyndawallace.com.

This free workshop will cover the latest information on cancer treatment, sideeffect management and the psychosocial aspects of living with cancer. Highlights

include :

• The Rise of Personalized Cancer Care

• Cancer Prevention Innovation

• Targeted Therapies

Featured speaker:

• Susannah Friemel, M.D.

Date: Thursday, September 5th, 2013

Time: 5:30 Dinner, 6:00 Presentation

Location: Gilda's Club, 1234 East River Drive, Davenport, Iowa

For more details and registration, call Gilda's Club at (563) 326-7504
Psychological abuse can be as damaging to the psyche as physical abuse can be to the body, yet little is written about this common problem, which is typically the precursor to physical abuse. According to the National Coalition Against Domestic Violence (NCADV), 95 percent of men who physically abuse their intimate partners also psychologically abuse them.

Psychological abuse consists of impairing the mental life and impeding mental development. It creates distorted beliefs, taught by the abuser, about the world. Those beliefs become ingrained in the victim's mind and can interfere with the flexibility that needed to constantly assess the environment and respond appropriately. Knowing the signs of psychological abuse may save women from the physical abuse that so often follows.

I experienced psychological abuse through the eyes of a child -- part of the stories I share in "Believe in the Magic: Let the Tenacity of Mattie Fisher Inspire You," (www.mattiefisher.com), the story of my mother's remarkable journey.

I watched as my father systematically and maliciously attempted to drive my mother crazy. He would constantly move car keys and other items from the places she normally kept them. He would then pretend to find them in odd places, like the refrigerator. After playing the hero for a month or so, my father would start insulting my mom with degrading remarks.

After months of psychological warfare, with her mental state sufficiently weakened, my father would begin the physical abuse. For the rest of her life, my mother was inconsolable and shaky whenever something went missing.

Signs of psychological abuse include :

• Your partner uses finances to control you.
• He often threatens to leave.
• She seeks to intimidate using looks, gestures or actions.
• He smashes things.
• Your partner seeks to control you by minimizing, denying and blaming
• He makes light of the abuse and does not take your concerns about it seriously.
• You are continually criticized, called names and/or shouted at.
• She emotionally degrades you in private, but acts charming in public.
• He humiliates you in private or public.
• They withhold approval, appreciation or affection as punishment.

Effects of psychological abuse on the victim, from the Center for Relationship Abuse Awareness:

• A distrust of his or her own spontaneity
• A loss of enthusiasm
• An uncertainty about how she is coming across
• A concern that something is wrong with him
• An inclination to reviewing incidents with the hopes of determining what went wrong
• A loss of self-confidence
• A growing self-doubt
• An internalized critical voice
• A concern that she isn't happier and ought to be
• An anxiety or fear of being crazy
• A sense that time is passing and he's missing something
• A desire not to be the way she is, e.g. "too sensitive," etc.
• A hesitancy to accept her perceptions
• A reluctance to come to conclusions
• A tendency to live in the future, e.g. "Everything will be great when/after ..."
• A desire to escape or run away
• A distrust of future relationships

If you answered yes to even one, you may be in an abusive relationship. Get help!
Call the National Domestic Violence Hotline at 1-800-799-SAFE, or the National Sexual Assault Hotline at 1-800-656-HOPE.

About Dee Louis-Scott

Dee Louis-Scott is the author of "Believe in the Magic: Let the Tenacity of Mattie Fisher Inspire You," (www.mattiefisher.com), the story of her mother's remarkable journey. Louis-Scott retired after working 30 years as a federal employee. She has a Bachelor of Science degree in business administration. Scott has co-chaired the Black Family Technology Awareness Association's Youth STEM Fair for nine years; its mission is to encourage studies in the Science, Technology, Engineering and Math curriculum in urban communities. Twenty years since the death of her heroic mother, Mattie Fisher, Louis-Scott honors her life, which was experienced in a time in American history when it was a double-curse to be a black woman.

Burr (R-NC): "The dumbest idea I've ever heard of"

Coburn (R-OK): "intellectually dishonest"  

McCain (R-AZ): "shenanigans"

Shelby (R-AL): "it's foolish"

Washington DC - When Senator Chuck Grassley sent a letter to Senate Majority Leader Harry Reid last week warning that he would block a continuing resolution that would keep the federal government open after September 30 unless Obamacare was defunded, he probably didn't expect a barrage of friendly fire in response from fellow Republicans who have called his threats everything from "terror politics" to "intellectually dishonest" to "really dumb."

Jeremy Funk, Comm. Dir., Americans United for Change: "We get it.  Senator Grassley really, really wants to make it legal again for insurance companies to deny care to kids born with a 'pre-existing condition', drop people when they get seriously sick, and charge women more than men for premiums -- so much so that he is willing to shut down the government and disrupt services for millions unless he gets his way.  But Grassley's latest attempt to strip away Obamacare's new consumer protections that are already working to lower premiums is so beyond the pale and counterproductive that even many of his Republican colleagues are condemning it."

A Growing Chorus of Republicans Urging Grassley to Release the Political Hostage, Don't Shut Down the Government:

 

  • U.S. Sen. Tom Coburn (R-OK): "It's a terribly dangerous and not successful strategy. You're going to set an expectation among the conservatives in our party that we can achieve something that we're not able to achieve. It's not an achievable strategy. It's creating the false impression that you can do something when you can't. It's a denial of reality mixed with a whole bunch of hype to promote groups and individuals who are saying, 'I'm going to give you hope' for something that we can't do," Coburn said. "The underlying premise is intellectually dishonest. ... Creating false expectations and being less than honest about how you're going to do this is the worst of politics." [Washington Examiner, 7/29]
  • U.S. Sen. Richard Burr (R-NC): "No, I think it's the dumbest idea I've ever heard of... Listen, so long as Barack Obama's president, the Affordable Care is gonna be law... I think some of these guys need to understand that, you shut down the government, you better have a specific reason to do it that's achievable. Defunding the Affordable Care Act is not achievable by shutting down the federal government. At some point, you're gonna open the federal government back up, and Barack Obama's gonna be president, and he won't have signed the dissolution of the Affordable Care Act." [Think Progress, 7/29]
  • U.S. Rep. Tom Cole (R-OK), Deputy Majority Whip:  Condemned the idea as "the political equivalent of throwing a temper tantrum" and accused Senate Republicans of "blackmail."  Cole: "Shutting down the government is a suicidal political tactic. Eventually it will be reopened, but the president will not have capitulated and you will have discredited yourself and along the way you will have hurt the American people," Cole (R-Okla.) said Monday on MSNBC's "Now with Alex Wagner." // "The only way Republicans will lose the House is to shut down the government or default on the debt," the Oklahoma Republican told Politico. "Shutting down the government is not in the best interests of the American people and it makes you look politically irresponsible." "I'm not inclined to jeopardize the crown jewel, and the House of Representatives is the crown jewel in this election cycle." [Newsmax, July 26; Twitter, 7/24; Politico, July 29]
  • John McCain (R-AZ): Obamacare repeal is "not going to happen" and that the American people would not stand for political "shenanigans" that tie a government shutdown or a hike in the debt ceiling to the health law. [Washington Post, 7/22]
  • U.S. Rep. Peter King (R-NY): "There's no reason to be threatening to bring down the government, let's make this work get spending cuts we need but the American people get turned off with the threat of terror politics." [Political Wire, July 28]
  • U.S. Sen. Richard Shelby (R-AL): "it's foolish" not to fund the government. [Huffington Post, 7/26]

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Americans United for Change is a 501c4 issue-advocacy organization established in 2005 to beat back President Bush's effort to privatize Social Security and has been working ever since to advance a progressive agenda in Congress including health care reform, reversing climate change, Wall Street reform, protecting Medicare/Medicaid/Social Security from benefit cuts, minimizing gun violence, and requiring millionaires and big corporations to pay their fair share in taxes.
Pioneering Psychotherapist Shares Strategies for Managing Anxiety & Maintaining Emotional Wellness

Unlike many of the most important events in one's life - graduation, marriage, having a child - almost no one anticipates a cancer diagnosis.

This year, nearly 239,000 U.S. men will be diagnosed with prostate cancer and more than 232,000 women will learn they have breast cancer, according the American Cancer Society. Over their lifetimes, nearly half of all men can expect a cancer diagnosis, and more than a third of women.*

"Thankfully, we now have many tools for detecting cancers early and treating them successfully. But learning you have cancer remains one of life's most frightening and stressful experiences," says cancer psychotherapist Dr. Niki Barr, author of "Emotional Wellness, The Other Half of Treating Cancer," (canceremotionalwellbeing.com).

"Developing ways to help patients address their emotional well-being throughout their medical journey, still lag behind medical advances, but physicians and psychologists recognize that healing improves when both the physical and emotional needs of patients are served."

In her years of clinical practice working exclusively with cancer patients and their loved ones, Barr developed an Emotional Wellness Toolbox that patients stock with what Barr has found to be the most effective tools.

Here are some of her tools for managing anxiety - a normal and emotionally healthy response to a cancer diagnosis, but one that can spiral out of control.

• Catch your anxious thoughts. Stop anxious thoughts - thoughts about fear, unease and worry -- before they lead to anxiety. Start by writing your thoughts down on individual note cards and identifying the first one that's leading to you feeling anxious.  Then the next one. When you've identified all of your anxious thoughts, go back to the first one and, on the card, write a new thought that will not make you feel anxious. It should be a thought that is confident and empowering. Continue down the list and do the same for each anxious thought.

• Erase 'what if' thinking. What if the cancer has spread? What if the treatment doesn't work? One 'what if' leads to another and often spirals into anxiety. Be aware when you start asking 'what if' and instead ask yourself, "Is this thought helping me or hurting me?" and "Is this thought moving me forward or backward?"

• Ground yourself. Interrupt a chain of anxious thoughts by focusing on details around you. Look at the color of the walls in the room you're in; take in the pictures on the walls, the books on the shelves and the titles on their spines; look at the person you're talking to, the color of their eyes, the clothes she's wearing. Being very focused on external details can derail anxious thoughts.

• Use distraction. Choose a favorite place and visit it. Absorb everything about it - the colors, smells, any people involved, the sounds, tastes, how it feels. Build it up very clearly in your mind, going over and over it, so it can become a distraction tool. When you're waiting for a medical test or procedure, undergoing a procedure, or any other time you need to "be" somewhere else, call up your distraction and visit.

Other tools for your box include meditation CDs that use guided imagery; favorite music CDs; and a journal to record your thoughts and feelings.

"Being able to manage your anxiety enables you to move forward through cancer whether patient, caregiver or family member," Barr says.  "Don't tell yourself you can't handle whatever you're going through. Yes, you can ... five minutes at a time."

*The data does not include non-melanoma skin cancers, the most common diagnosis.

About Niki Barr, Ph.D. (@NikiBarrPhD)

Niki Barr, Ph.D. founded a pioneering psychotherapy practice dedicated to working with cancer patients in all stages of the disease, along with their family members, caregivers and friends. In her book, she describes an "emotional wellness toolbox" patients can put together with effective and simple strategies, ready to use at any time, for helping them move forward through cancer. Dr. Barr is a dynamic and popular speaker, sharing her insights with cancer patients and clinicians across the nation.

Mindfulness is very in and could just help your A1C and your waistline.

How many of us eat dinner in front of the nightly news, or lean over the newspaper while we sip our coffee at breakfast? How many of us walk, talk or drive while eating? The answer is almost everyone. And when we're finished eating, all too often we realize we ate more than we'd planned. Diabetes or no, overeating is not good for blood sugar control or weight management. But how do we make a change ? from mindless eating to mindful eating ? when our lives are too busy to stop and smell the risotto?

What is it?
A recent trend in psychology, mindfulness has become the latest "it" phrase in the nutrition world too. Mindfulness has its roots in Eastern philosophy and, broadly, it is simply adopting greater awareness. In Eat What You Love, Love What You Eat with Diabetes (New Harbinger Publications, 2012), co-author Megrette Fletcher, MEd, RD, CDE (and co-founder of The Center for Mindful Eating), says, "mindful eating is eating with intention and attention. Intention is to address hunger and cravings, and attention is being aware of how food tastes and our change [in] hunger and fullness." For some, it might mean a greater awareness of food and for others it might be simply slowing down while eating.

Conscious and Conscience
Heather Nielsen, co-founder of Transforming Diabetes (a website that provides diabetes health care services and support), participated in a mindful eating exercise where she was asked to take a small bite of food (a raisin, piece of fruit, or trail mix), and to employ a variety of senses (taste, smell, listen) to mindfully notice this food item. "We were encouraged to let it sit in our mouths, move it around with our tongue, noticing texture and taste before biting slowly into it, and continuing to observe what happened at each moment." Nielsen says this exercise showed her how unconscious she'd been with food. "I realized how diabetes had taken me away from the appreciation of food as food, and led me to see food as carbs or calories."

The Science
Although mindful eating is not a "diet," studies show that weight loss may be a ripple effect. Jean Kristeller, PhD, of Indiana State University, has created a program called Mindfulness Based-Eating Awareness Training (MB-EAT). The 10-session program has been shown to reduce binge eating and give participants a greater ability to use hunger and satiety cues to self-regulate food choice and eating behavior. Another study at Duke University suggests that mindful eating can prevent weight regain in subjects after 15 months.

Weight management has not been an issue for Nielsen, a busy working mom, but she feels that incorporating mindful eating has helped with her diabetes management and maintaining a healthy weight. "I'm eating more intuitively, less emotionally, and am more likely to take in just what I need."

Becoming a mindful eater doesn't mean you have to buy a yoga mat, sit cross legged, and hum every time you feel hungry. It just means, simply paying attention to what you put in your mouth.

A Starter Kit*

Experts suggest starting gradually with mindful eating, eating one meal a day or week in a slower, more attentive manner. Here are some tips to help you get started:

  • Set your kitchen timer to 20 minutes, and take that time to eat a normal-sized meal.
  • Try eating with your non-dominant hand; if you're a righty, hold your fork in your left hand when lifting food to your mouth.
  • Use chopsticks if you don't normally use them.
  • Eat silently for five minutes, thinking about what it took to produce that meal, from the sun's rays to the farmer to the grocer to the cook.
  • Take small bites and chew well.
  • Before opening the fridge or cabinet, take a breath and ask yourself, "Am I really hungry?" Do something else, like reading or going on a short walk.

*Adapted from "Mindful Eating May Help with Weight Loss," Harvard Medical School, Harvard Health Publications, HEALTHBeat, July 6, 2011. http://www.health.harvard.edu/healthbeat/mindful-eating-may-help-with-weight-loss

Recommended Reading

  • Eat What You Love, Love What You Eat With Diabetes by Michelle May, MD and Megrette Fletcher, MEd, RD, CDE
  • Eating Mindfully: How to End Mindless Eating and Enjoy a Balanced Relationship with Food by Susan Albers, PsyD
  • Mindful Eating, a Guide to Rediscovering a Healthy and Joyful Relationship with Food by Jan Chozen Bays, MD
2 Doctors Say Unrecognized Airway/Breathing Issues are
Prompting Facial Changes and a Host of Chronic Problems

What's it like to be an English bulldog? More people are finding out, say integrated health specialists Dr. Michael Gelb and Dr. Howard Hindin.

"A bulldog's airway passages are quite restricted because of the shape of its face, and they are often especially vulnerable to illnesses such as cardiac disease and cancer," says Dr. Michael Gelb of The Gelb Center in New York (www.gelbcenter.com), a holistic dentist known worldwide for pioneering integrative treatments.

Dr. Hindin of the Hindin Center for Whole Health Dentistry (www.hindincenter.com) partners with Dr. Gelb in a multidisciplinary approach to treating chronic disease affecting millions of Americans.

"Our faces are becoming more like a bulldog, with smaller mouths, bigger tongues, misaligned teeth and bigger necks - all of which changes the structures of our mouths and makes breathing significantly more difficult," Dr. Hindin says.

The doctors say that's creating a health crisis.

They say these issues are often associated with Airway, Breathing and Sleep (ABSleep):

• ADHD and other children's issues: Ninety percent of our brains are developed by age 12. Obstructions and even increased effort in breathing cause children to have sleep disorders, and the effect is a range of related problems, from attention deficit hyperactivity disorder, to obesity and diabetes. The good news is that much of this is preventable - at 6, 18 and 30 months of age, doctors can predict children who are likely to develop behavioral and cognitive disorders due to poor breathing. Treatment is often complex and requires a team approach. Removal of tonsils and adenoids are among preventative measures, along with palatal expansion and myofunctional therapy. Additionally, early intervention can improve the shape of a child's face, lips and smile.

• TMJ: As our faces are becoming pushed in and our mouths are getting smaller there is increased pressure on the TMJ as well as increased muscle tension and clenching.

• Sleep apnea: People with sleep apnea can stop breathing hundreds of times each night. Each time this happens, the brain triggers the person to awaken, ever so slightly, in order to resume breathing. Up to 90 percent of people with obstructive sleep apnea have not been diagnosed, according to the American College of Physicians. Sleep apnea is just one of the disorders that can have serious lifelong consequences. But the causes are easily corrected. Children who snore loudly are twice as likely to have learning problems and are more likely to develop behavior problems and ADHD.

• Chronic headaches: Morning headache is one sign of obstructive sleep apnea. As the face is pushed in, nasal breathing is obstructed and mouth breathing results in a forward head posture. This puts a strain on the muscles and nerves at the base of the neck which increases headache.

• Other sleep disorders: You do not need to have apnea to have a sleep disorder that will interfere with performance and health. Snoring, restless leg syndrome and simple daytime drowsiness can be a signal that you are not getting the proper quantity and quality of restorative sleep. If you are suffering from chronic pain, inflammation, poor performance or behavior problems, consider looking into airway-breathing treatment.

About Michael Gelb, D.D.S., M.S.

Dr. Michael Gelb is an innovator in airway, breathing, sleep, and painful TMJ disorders pioneering Airway Centric. He has studied early intervention for sleep disordered breathing (SDB) specializing in how it relates to fatigue, focus, pain and the effects all of these can have on family health. Dr. Gelb received his D.D.S. degree from Columbia University School of Dental and Oral Surgery and his M.S. degree from SUNY at Buffalo School of Dental Medicine. He is the former Director of the TMJ and Orofacial Pain Program at the NYU College of Dentistry and is currently Clinical Professor in the Department of Oral Medicine and Pathology at the NYU College of Dentistry. He is a co-inventor of the NORAD, or Nocturnal Oral Airway Dilator appliance that reduces snoring by positioning the patient's tongue and jaw so that airways stay open. He co-founded the Academy of Physiologic Medicine and Dentistry (APMD) and a non-profit to prevent the proliferation of chronic disease in the U.S. based on airway, sleep and breathing awareness, research and education.

About Howard Hindin, D.D.S.

Dr. Howard Hindin is trained in all aspects of general dentistry. Since the 1990s, his practice has also focused on cosmetic dentistry, temporomandibular joint disorders and craniofacial pain. He is a graduate of New York University College of Dentistry. An acknowledged pioneer in the relationship between dental issues and whole body health, Dr. Hindin is President (2000-present) of the Foundation for the Advancement of Innovative Medicine (FAIM). He is also an active member of the American Academy of Pain Management, American Academy of Cranio Facial Pain, American Academy of Dental Sleep Medicine, Academy of General Dentistry, American Dental Association, International Academy of Oral Medicine and Toxicology, and the New York State Society of Acupuncture for Physicians and Dentists and is the co-founder of the American Association of Physiological Medicine and Dentistry (AAPMD).

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