Should You be Gluten Free?

By Dr. James D. Krystosik

Grains, once considered the staff of life, have recently been getting a bad rap. In fact, millions of Americans think that eating grains that contain gluten will put them on the road to gluten hell. Are they right? Let’s look at the facts. Harmful reactions to food are common; harmful reactions to gluten are not as common. Still gluten creates ill health for more than 20 million Americans.

Distinguishing the various types of reactions to gluten is important to anyone’s health. There are three types of reactions that can occur to gluten or any food: 1) Allergy 2) Intolerance 3) Sensitivity.

1. Allergy
There are two types of allergic reactions to food. Both types trigger an immune system response—Immediate Response and Delayed or Hidden Response. An immediate allergic reaction to a food usually occurs within minutes or up to three hours after exposure to the reactive food. An example is an immediate allergy to peanuts in which a person may develop hives or worse, their airways become inflamed and breathing is impaired. Immediate allergies are rare. According to health experts, less than 1% of the population has this type of allergy. On the other hand, experts believe delayed food allergies are very common. In fact, some experts believe up to 75% of doctor’s visits are linked to hidden food allergies. A delayed or hidden food allergy can occur anywhere from three hours or up to three days after exposure to the reactive foods. Dr. James Braley, a medical doctor and author of “Food Allergy & Nutrition Revolution” says that over 150 diseases and 100 symptoms are linked to delayed food allergies in the medical literature. I’ve tested thousands of patient’s blood samples for hidden food allergies and I can assure you that
Dr.Braley is right. Finding out if your health problems are linked to hidden food allergies could change and possibly even save your life.

2. Intolerance
Food intolerance, including intolerance to gluten, can cause some of the same symptoms as food allergies; however, it is not an allergy. Unlike a food allergy, food intolerance does not provoke or activate the immune system. Simply put, the body just does not like the food. Other examples of food intolerance are milk lactose intolerance, food poisoning, reaction to food additives, emotional stress (the thought of food makes you sick), and irritable bowel syndrome. Mistakenly, many people believe their symptoms are triggered by gluten, but in reality, their symptoms may in fact be provoked by the above underlying causes. Therefore, getting a correct diagnosis is important. Unfortunately, most doctors are not trained in the proper diagnosis of this type of reaction to food.

3. Food Sensitivity
This type of reaction to a food is a variation of the first two. Food sensitivity may or may not trigger an immune system response. Sensitivity to gluten is a prime example of this type of reaction. There are two types of gluten sensitivity: celiac disease and non-celiac gluten sensitivity. Celiac disease is an autoimmune disease that affects 3 million people, 1 out of every 100. Yet less than 1% of people with celiac are diagnosed with the illness. Autoimmune disease sufferer’s immune system literally attacks their body’s own healthy cells by mistake. Gluten sensitivity in celiac disease damages the lining of the small intestines, triggers inflammation, and causes nutritional deficiencies. Celiac disease affects many organs and systems of the body including the brain, heart, lungs, liver, digestive system, immune system and more. A review an article in the New England Journal of Medicine listed 55 diseases linked to celiac disease. Canker sores, fatigue, anemia, recurrent illness, osteoporosis, heart disease, cancer, ulcerative colitis, Crohn’s disease, lupus, multiple sclerosis, psoriasis, and almost all other autoimmune diseases are among the symptoms and diseases listed. Celiac is often called the “big masquerader” because it can be the cause of many symptoms and diseases yet it sneaks past the doctor’s consideration. Most physicians are unaware that the symptoms of celiac go way beyond
digestive disturbances like gas, bloating, and diarrhea. Lastly, non-celiac gluten sensitivity is much more common, 17 million people have it, and less than 1% realizes it’s the cause of their health problems. It does not cause damage to the lining of the intestines; therefore, it is not an autoimmune disease. However, non-celiac gluten sensitivity sufferers can experience the same symptoms and diseases associated with celiac disease.

A simple blood test and comprehensive questionnaire can identify if you have an allergy, intolerance or sensitivity to gluten or any other food. When doctors fail to identify reactions to gluten or any other foods, it creates needless suffering and death for millions of Americans. Symptoms or diseases caused by reactions to foods cannot be cured with medication. They can only be cured by eliminating the foods that aren’t right for your body.

The take home message: Your health problems may be caused by the food on your plate. I tell my patients the food they put in their mouth is a life or death decision. Food is medicine. It is your best medicine. However, just remember, “One person’s food is another person’s poison.”

Call for an appointment at 440.519.1766.

Dr. Krystosik is a board certified chiropractic family physician with an undergraduate degree in clinical nutrition. He is the author of five books on nutrition and natural medicine, including his best seller “Carbs from Heaven Carbs from Hell.” Dr. Krystosik is a nationally known speaker and the host of the radio program “The Other Side of Medicine.” He has a private practice in Northfield, a southeast suburb of Cleveland.

You Don’t Have to Face Your Problems Alone


Mind-Body Connections
sarahBy Sarah Toman, Ph.D., Owner

At therapeutic Associates of Medina, we promote psychological, emotional and physical balance by providing psychotherapy, counseling, coaching, therapeutic massage and reiki in a calm, peaceful, and safe environment. A stress-filled life can manifest itself as feeling overwhelmed, anxious, or depressed and can appear in the physical body as muscle tension, headaches, or fatigue. In the past decade, Western medical practices have been incorporating more Eastern approaches. As well, psychotherapists have been blending traditional counseling with mindfulness, meditation, relaxation, visualization and Reiki. We believe that all living things consist of energy and that out-of-balance energy can create emotional and/or physical symptoms. In promoting mind-body health, we will help you find an emotional and physical approach that works best for you. To learn more about  Therapeutic Associates of Medina or to schedule an individual counseling session with Dr. Sarah Toman, please call 330-607-1560 or visit

maggieReiki with Maggie Kimble

Achieving a physical/spiritual/emotional balance can be enhanced through the natural healing energy of Reiki. In our universe is a vital, living energy force that can be used as a tool for health and healing. For over 2000 years this energy, sometimes called Chi, has been utilized in both the martial arts and in the healing arts. In the early 1900s, Dr. Mikao Usui of Japan developed The Usui System of Natural Healing, or Reiki (ray-kee). Maggie Kimble, licensed massage therapist and Reiki Master, trained in the Usui system, can introduce you to this healing energy through individual sessions or training classes.

A typical Reiki session involves gentle or no touch. Clothed, you either sit in a chair or lay on a massage table, while the Reiki practitioner places their hands on or near your head, shoulders, torso, stomach, back, and feet for approximately 3 to 5 minutes at each position. The Reiki energy will flow to where the body needs it the most and can accelerate your own, natural ability to heal the mind, the body and the spirit.

Maggie teaches three levels of Reiki training so that you, too, can be attuned to the healing energy. Your training could be used to help yourself or to help others. To schedule an individual appointment with Maggie or to register for a training class, you can contact her at 440-655-3927.

FOR KIDS: January 25th (a parent must be present; snow day – 2/8/14)
FOR ADULTS: March 1 (Anyone 13 and older; snow day – 3/22/14)

marySupporting Women

Increased self-understanding and personal growth can be experienced through the process of sharing and listening. Dr. Mary Ball has been leading a Women’s Support Group that meets for 90 minutes, every other Monday evening at Therapeutic Associates. This ongoing group provides an opportunity to experience support and to connect with other women, through the exploration of concerns in a safe and caring environment. The fee is only $10 per meeting, often making it more accessible than individual psychotherapy. For more information about joining the Women’s Support Group or to schedule an individual appointment with Mary, you can contact her at 330-591-4873 or

dogLibby Joins the Medina County Schools Crisis Response Team

Liberty (LIbby), “co-therapist” at Therapeutic Associates, recently completed the two day training to be a member of the Medina County Schools Crisis Response Team. The team currently consists of 60 human members, trained in Critical Incident Stress Management, and two dog members. Team members are available to provide crisis intervention and crisis response to the Medina County Schools. Lori Hogue (Medina County ESC) and Liz Swartz (Medina County Career Center) are co-chairs of the organization and Gayle Telford (Buckeye Schools) is the coordinator of training. Libby is hoping that absolutely no school crises occur, but she is ready to respond if the students need her support. She is good at offering love, comfort, attention, and providing listening ears to students and school personnel. And she really likes hugs.

Psychotherapy and Counseling with Children, adolescents and adults
Women’s Support Group • College Admission Coaching • Therapeutic Massage • Reiki • Energy Work • Workshops

Call 330.607.1560 • 315 West Liberty Street, Medina •

While Everyone Else is Trying to Change the Shape of their Body, Clinical Apothecaries Will Help You Clean and Sharpen Your Mind.

By Jeffrey A. Potter, R.Ph.

There is a deep spiritual void at the heart of this high tech civilization because it is the first in all history that does not know who it is or why it is. Many of us cannot answer the three great questions: Where did I come from? Why am I here? and Where am I going?

Are you caught up in the pursuit of absolute efficiency? Could it be that this fast paced world is actually causing more harm to our brain? Perhaps what we need to do is slow down a bit while we transition into this next year and spend some time REFLECTING on the three questions above. While many others are going to focus on the physical image of themselves, we should focus on that which is more important; our MENTAL & SPIRITUAL FITNESS.

Mental fitness and acuity are dependent on our spirituality, lifestyles, social habits, nutrition, hormonal decline, inflammation, stress, psychological health, and the accumulation of harmful substances that through poor metabolism become toxic to our brain and our body.

Age-related memory decline is expedited by those things listed above. That being said, how can we improve our memory, mental acuity and alleviate psychological issues like fear, depression and anxiety? It would be nice if there was a simple answer but that isn’t the case. Every one of us has our own unique set of issues that need to be remedied. And that’s where Clinical Apothecaries is able to help because of our calling to help those in most need. We have studied this area as thoroughly as possible this past year and now we are equipped to help you. Those of you who are long time clients know that we conduct our research long before we offer or encourage any product.

Clinical Apothecaries has developed a new series of seminars and presentations, focusing specifically on the Mental & Spiritual Fitness of those in need. The series will initiate on Saturday, January 11, 2014.

To find out more about our LIFE CHANGING program or if you would like to register for our inaugural seminar please call our office at 330-721-7949 to save your seat. Military families will receive an exclusive discount.

The Future of Wound Care is Now

By Dr. Habib J. Khoury

Today, the successful outcome in the healing of chronic wounds is dramatically increased through the use of Hyperbaric Oxygen Therapy (HBOT). This promising procedure involves breathing 100% pure oxygen at increased atmospheric pressure to increase the amount of oxygen delivered to the body’s tissues. This technique helps chronic wounds heal from the inside out and can reduce the time it takes for healing to occur.

Hyperbaric Oxygen Therapy involves the use of a unique, see through chamber in which the patient lies comfortably while being continuously monitored by a highly trained clinical hyperbaric technician. While the air we normally breathe contains approximately 21% oxygen, during HBOT a patient breathes in pure oxygen at atmospheric pressures up to six times the norm. Breathing pure oxygen causes the red blood cells to become oxygen saturated and the increased air pressure causes blood plasma to carry 15 to 20 times the normal amount of healing oxygen to the body’s tissues.

Increasing oxygen to the body is instrumental in healing for several reasons:
• It helps new blood vessels grow in bone and soft tissue, which provides more oxygen-rich blood to the affected area;
• It decreases the swelling (edema) around a wound site allowing blood and oxygen to fl ow more freely;
• It increases the ability of white blood cells to fight infection by killing bacteria; and,
• It forces some gas, gangrene and some “flesh eating” bacteria into dormancy due to their inability to survive in oxygen rich environments.

Hyperbaric Oxygen Therapy can promote the healing of many types of chronic wounds. When certain underlying medical conditions exist, challenges in the care and treatment of chronic wounds require a multi-disciplined, individualized approach to care. At the Wound Care Center, we routinely treat the following chronic wounds when healing is inevitably compromised due to poor blood fl ow to the affected area.

Diabetic Ulcers: High levels of blood glucose prohibits the immune system from functioning properly. Damaged nerve endings in the extremities allow early onset skin lesions to remain unnoticed, which puts patients at high risk of developing non-healing and infected wounds.

Soft Tissue Radionecrosis (STRN): Tissue that has died as the result of radiation treatment. Radiation destroys normal cells as well as blood vessels in the jaw. This process is gradual and may not occur for weeks or months after radiation treatment.

Osteoradionecrosis (ORN): The counterpart of STRN, ORN refers to the death of bone as the result of exposure to radiation treatments.

Venous Skin Ulcers and Insufficiency: Often the result of damaged heart valves, blood backs up and pools in the legs. Swelling occurs, stretching the skin allowing for the creation of a skin split.

Pressure Ulcers (Bedsores): Typically occurring in individuals who are bedridden or those with limited mobility, these wounds are caused by prolonged, unrelieved pressure to the tailbone, heels, ankles and elbows.

Necrotizing Soft Tissue Infection: A minor cut or scrape allows bacteria to enter the body. As the bacteria grows it releases harmful toxins that kill tissue. In rare and severe cases, this bacteria is Streptococcus (the “flesh eating” bacteria).

The EMH Westlake Wound Care Center offers patients access to state-of-the-art outpatient clinical wound care. Our comprehensive approach to treatment utilizes the latest clinical tools, while maintaining steadfast clinical practices. Your individualized, comprehensive treatment program will take into consideration all wound care essentials such as hyperbaric oxygen therapy, specialized wound dressings, debridement, compression therapy, edema management, bio-engineered skin grafting, non-invasive vascular assessment, nutritional counseling and rehabilitation.

If you or someone you know has a wound that hasn’t healed and are experiencing increasing pain, redness, swelling or a foul odor, contact the Wound Care Center. No referral is required for a thorough evaluation by a member of our wound care team. The causes of wounds are complex. EMH Westlake Wound Care Center is the only facility in
Western Cuyahoga County to offer Hyperbaric Oxygen Therapy and the only facility with a unique team of medical personnel all dedicated to healing chronic wounds.

Whatever it takes for healing to occur, we are equipped and staffed to make it happen!

Dental Care for Older Adults

By Dr. Scott L. Rose

Older adults and senior citizens have different issues when it comes to dental care. As one gets older, there is the likelihood of having one or more chronic illnesses. Many of these affect oral health in a multitude of ways. Prescription medications also can have side effects. Over 400 medications can result in dry mouth. Some inhalers can cause fungal infections. Some seizure medications can cause gum inflammation and overgrowth. Many cancer drugs cause inflammation of the lining of the mouth. Metallic tastes or an alteration of tastes is another side effect of many medicines.

There is a direct correlation between oral health and diet. Good nutrition has a role in preventing tooth decay and gum disease, while the health of our teeth and gums helps determine the type of foods we can eat. Another issue seen in seniors is decreased dexterity or other physical limitations that hinder good hygiene. With time, dental restorations in adults deteriorate and breakdown, necessitating the need for replacement. Fixed incomes or other financial considerations often lead to pulling teeth instead of fixing them. Missing teeth lead to all kinds of eating and diet issues. Weight loss can make dentures loose and create sores. For many people, the above-mentioned problems can be overwhelming, frustrating, and depressing. But it doesn’t have to be that way.

I have found the most important thing in treating older adults is taking the time to listen to their concerns. Then it’s a matter of just matching the right treatments to meet their needs. The worst thing is to treat people with a cookie cutter/ one size fits all approach. That approach leads to failure, wasted time, and money. The key to successful treatment is finding a dentist who is there to work with you, not work on you.