An Individualized Approach to Weight Loss and Optimal Health

So you’ve made the New Year’s Resolution to lose weight through diet and exercise. Congratulations! So you are now about two months into your life changing program; how is it working for you?  Have you met your goals?  If you haven’t, are you becoming frustrated?  If things aren’t progressing as planned, we are here to help!  Clinical Apothecaries is pleased to welcome Marcy Cook, a Registered Dietitian, who is OUR solution to YOUR New Year’s Resolution!  Marcy is a licensed nutrition professional, who is here to lead you, guide you, and protect you (from misinformation and false advertising), as you move forward with your well intended lifestyle changes.

We all know that weight loss isn’t as easy as it sounds.  Every individual’s weight issues are very unique and need to be customized.  Although it may help, it’s not just a matter of cutting calories or eliminating fast food.  If you want to make this year THE YEAR that you finally succeed in your weight loss goals, you should schedule an appointment with our nutritionist, Marcy.  She has developed an individualized and comprehensive assessment that includes a very thorough review of your medical issues and any medications that you may be on, as well as your lifestyle and social habits.  Weight loss can also positively impact your heart health.

Our Clinical pharmacists, Jeff Potter and Jackie Mallett, are also very involved in Marcy’s program because as we age, diet and exercise alone may not be enough. As our body composition changes and hormones decline, so does our metabolism. This is true for both men and women.  Body Composition Testing analyzes your body in relation to fat, lean body mass, and water. More importantly, the information will help you to set realistic goals in terms of weight adjustment, eating habits and exercise.  A successful program must also include lifestyle changes and we can help you with that, too!

Declining levels or imbalances of our adrenal, thyroid, and reproductive hormones are also known to cause sleep disturbances, decreased libido, depression, fatigue, and stress. How do you know if hormones are playing a role in your symptoms? Will balancing your hormone benefit you? How do you know if hormones are affecting your weight loss? These are some of the questions Clinical Apothecaries is asked on a daily basis.  By working with your physician and other health care providers, we can help you find answers and solutions to these questions.

It is important to identify the problem area before selecting a treatment plan. This is achieved through saliva testing, which is the most reliable way to measure free, bioavailable hormone activity.  Most blood tests do not measure bioavailable hormone at the tissue level.  Saliva testing is an excellent way to objectively measure estrogens, progesterone, testosterone, DHEA and cortisol.  Blood spot testing can additionally measure your thyroid hormone function by observing TSH, free T4, free T3 (active thyroid) and TPO.  By analyzing this “symphony of hormones” it allows us to see a clear picture of your overall hormone health.

Are you taking any vitamins or supplements?  Would you like some guidance?  We carry quality, pharmaceutical grade vitamins and dietary supplements.  Stop in or call Clinical Apothecaries to schedule an appointment with our Clinical Pharmacists or Nutritionist.

Seek Professional Treatment for Foot Pain and Diabetic Foot Problems

By Neal A. Marks, DPM, FACFAS

Do You Have Unexplained Foot Pain?
If the bottom of your foot hurts when you stand, especially first thing in the morning, you may have Plantar Fasciitis. Pain usually occurs on the inside of the heel, near where your heel and arch meet. Pain may lessen after a few steps, but it comes back after rest or with prolonged movement. Most people describe intense pain in the morning or with walking after periods of rest.

The plantar fascia is a ligament-like band running from your heel to the ball of your foot that acts as an “arch support.” Plantar fasciitis is often caused by poor foot mechanics, an increase in activity, walking on hard services, ill-fitting shoes or trauma, or a combination of these conditions—your foot flattens too much and the fascia may overstretch and swell; or your foot flattens too little and the fascia may ache from being pulled too tight.

A bone spur could also develop. Bursitis may also develop if a swollen plantar fascia presses against a plantar bursa (fluid-filled sac between a ligament and a bone). This spur is the bodies “protective mechanism” to this stress. The size of a spur or the fact that you have one has no correlation with pain. The pain is caused by the bursitis or swelling.

You can reduce symptoms by losing any excess weight, avoid running on hard or uneven ground, and wearing proper shoes or house slippers that support your arch. Ice or anti-inflammatory medication may offer relief. Before the pain gets worse or other problems develop, contact us so we can help with pain and swelling. We offer a variety of short-term treatments such as: topical and oral medications, in-office injections, or a variety of foot exercises to help ease your pain. Long-term treatment may consist of a custom orthotics, which can be made from a casting of your foot. A custom orthotic can reduce the stress to the plantar fascia, thus resolving pain indefinitely.

Don’t try to guess or self-diagnose! Seek the help of a podiatrist to be sure of the medical diagnosis and to begin a program of treatment.

Warning Signs of Diabetic Foot Problems
If you are diagnosed with Diabetes, looking at your feet is necessary every day. Remember, any injury to the foot or break in the skin is potentially serious to a person with diabetes. So, look at your feet every day, especially between the toes. If poor vision or arthritis makes it hard for you to do this yourself, have someone look at your feet.

Notify your Podiatrist at once if you see:
• Puncture wounds
• Cuts or scrapes that do not heal
• Ingrown toenails
• Corns or calluses
• Problems due to poorly fi tting shoes
• Discoloration, pain, redness or swelling
• Redness with streaks or color changes in feet
• A burning sensation gets worse
• Increased swelling in your feet
• Drainage on your socks

If you have any of these signs, contact your podiatrist right away. It is our policy to attend to the immediate needs of our diabetic patients. Waiting one day can lead to complications, which are why we can be reached during off hours. We train all our diabetic
patients about self-care, provide foot maintenance, and can even recommend footwear.

Diabetes affects an estimated 18 million people in the United States. Diabetics are at a greater risk in developing problems with their feet than non-diabetics. It is very important to have your feet examined by a Podiatrist regularly. Diabetics may qualify for diabetic shoes and insoles with their insurance.

About the Doctors
Neal A. Marks, DPM, FACFAS
Dr. Marks is Board Certified by the American Board of Podiatric Surgery and is a Fellow with the American College of Foot and Ankle Surgeons. Dr. Marks obtained a Bachelor of Science Degree in Biological Science from The Ohio State University and obtained his medical degree at the Ohio College of Podiatric Medicine. With over 20 years’ experience, Dr. Marks is affiliated with the Cleveland Clinic Health System – Fairview Hospital, University Hospital Health System, and Richmond Heights Hospital.

Heather A. Craig, DPM
Dr. Craig is Board Certified by the American Board of Podiatric Surgery. Dr. Craig obtained a Bachelor of Science Degree in Biology and attended graduate courses at Bowling Green State University. Dr. Craig graduated from podiatry school and received extensive surgical training at more than ten hospitals and surgical centers. She treats patients with a variety of foot and ankle problems and performs in office surgeries as well as outpatient, hospital-based surgery. Dr. Craig is affiliated with the Cleveland Clinic Health System – Fairview Hospital, University Hospital Health System – St. Vincent Charity Hospital.

Pre- Natal Massage

By Veronica Brooke, Owner

At no other time can appropriate bodywork have a greater positive impact than during pregnancy. When we begin to visualize pregnancy as far more than a physical state, and see it as a profound emotional, mental, and spiritual process, clearly massage can be of great beneŠfit to the pregnant mother. Women have long been blessed with the amazing ability to in• influence the state of their bodies with their thoughts and feelings, and conversely, often to their dismay, to allow their physical appearance or state of health to determine how they feel about themselves as individuals.

During pregnancy, the enormous in•flux of hormones combined with weight gain, altered body shape, and biophysical discomforts caused by increased blood volume and a shifting center of gravity, all contribute to many pregnant women feeling downright uncomfortable, emotionally and physically.

Pre-natal Massage can provide an excellent means not only for relieving bodily stress, but also for helping the expectant mother deal with emotional fears and concerns. When a woman feels integrated and healthy in her body and mind, she will likely manifest a more
positive birth experience.

Consistently high quality and ongoing client-therapist relationships that focus on developing an extensive knowledge of your therapeutic needs as an individual. These have been the cornerstones of our approach to massage therapy for over a decade.

Your comfort is our greatest concern. We offer warm blankets, a heated massage table, moist heat compresses, and a tranquil environment complemented by soothing music. It is essential to discuss with your therapist any concerns you have about your treatment at any time during your massage. We do, however, discourage other talking during your treatment, so you can relax and focus on your experience.

Our convenient location just off I-90, over 20 therapists, and flexible hours–as well as the expertise and years of clinical experience of our massotherapists–ensure that you will both enjoy and beneŠfit from your massage. Your well-being is too important to settle for the “fast food” approach to medical massage offered by franchise operations.

The Five Causes of Fibromyalgia

By Dr. Timothy Weeks amd Dr. Amanda Weeks

Fibromyalgia affects more than ten million people in the US. Its symptoms include pain, fatigue, stiffness, headache, and digestive distress to name a few. Fibromyalgia affects the whole body. Fibromyalgia affects the whole body and as with most diseases it does not stem from a single cause. At Backbone of Health, Medina’s premier holistic health center, we treat the body naturally without the use of drugs or surgery. We are passionate about treating the cause of disease and dysfunction in the body, not the symptoms.The following are the causes of Fibromyalgia.


Food Allergies –
While food allergies can occasionally show up on blood tests, most are subclinical. Which means sensitivity exists enough to cause symptoms, but not enough to show on a test. When foods aren’t digested properly, the body launches an immune response which can result in systemic inflammation and pain like seen in fi bromyalgia. The
top four food allergens associated with fibromyalgia are wheat, corn, soy, and dairy.

Hormonal Imbalance – Hormonal Imbalance – Our endocrine glands are all interconnected. Stress, birth control, and poor diet can suppress the normal function of our hormones causing low energy, weight gain, and insomnia. The Salivary Hormone, Panel, which measures progesterone, estrogen, testosterone, FSH, LH, and cortisol is the only accurate way to test for hormonal imbalance. This is a test we do in our office.

Subluxations – If you have neck pain or headaches, this likely applies to you. Subluxation exists when a bone in the spine is misaligned with its normal curvature. When this happens, the body’s ability to heal itself is inhibited, causing discomfort and pain. We have found that most fibromyalgia patients have pressure on the base of the spinal cord from
the misalignment of the top three vertebrae. The only way to fix this is with a chiropractic adjustment.

Toxicity – According to the CDC, the average 30-year-old has 15 pounds of undigested food in their gut. Most Americans over 30 have liver congestion inhibiting normal detoxifi cation. Symptoms of liver congestion are excessive gas or belching, itchy skin, constipation (less than 2 bowl movements/day), and nausea, as commonly seen in fi bromyalgia patients. If you have any of these symptoms, chances are your body is having difficulty cleansing toxins. Proper cleansing programs are gentle and take time, and should only be done under the supervision of a chiropractor or holistic healthcare practitioner.
Nutritional DeŽficiencies – Nutrient Starvation is when your body consumes enough calories to survive, but not enough vitamins and minerals for proper organ function. Our organs need certain vitamins and minerals to function properly; for example, the thyroid requires iodine to produce thyroid hormone. The most common nutritional deficiencies in fibromyalgia patients are Vitamin D, zinc, iodine, B vitamins, and essential fatty acids. When these deficiencies are restored, the symptoms improve.

If you or someone you love is suffering from fibromyalgia or fibromyalgia-type symptoms, please call our offi ce for your free consultation today. We hope this article blesses you and leads you closer to healing.


Hearing Fish? A Story of Health, Time & Action

By Marvin Lewis, Au.D., Doctor of Audiology

We all want to improve our health. But we go about it in different ways with different time frames. When we are sick with a cold or headache, we want to get better very soon. If we are trying to lose weight, build muscle tone, or sharpen mental discipline, we accept a longer time frame to achieve that type of better health. Hearing health has both short and long-term time frames.

Since preserving hearing (not herring) has been in the press a lot lately, let’s make sure that it’s not misinterpreted as a way to treat hearing loss. A study reported in The American Journal of Clinical Nutrition states that if you eat two servings of fish a week (and fried fish at the fast food place doesn’t count), you lower the risk of experiencing hearing loss by 42% if you’re 50 years or older. Fish contains omega-3 fatty acids, a well-studied nutrient that delivers many health benefits. This change of diet is fine for LONG TERM ACTION. Remember, this is to prevent hearing loss. Ask your physician about omega-3 because it
isn’t good for some health conditions.

Some people believe this study means eating fi sh will help restore hearing that is already lost, using it as an excuse to delay treating their hearing. Sorry, but human hearing cells don’t grow back when damaged. If you already have nerve hearing loss (about 85% of losses are this type), the correct treatment is hearing aids. This is great because it is a QUICK TERM ACTION with lots of benefits within the first month of using them. Contrast this to a long-term disease treatment or surgery rehab that takes months or years to get
full benefits.

The point is, if you have good hearing, keep it in good shape by eating right and using hearing protection in noisy situations. If you already have hearing loss, do something about it right away – it doesn’t need to be a long-term action.

Call 216.642.8228 for a FREE appointment at our Beachwood office. CWJ readers will receive a discount AND an extra year’s warranty on most hearing aid models.