February 2011 Archives
It comes down to human nature. It's not good, it's not bad. It just is. It's a search to find the means to do whatever one wishes, regardless of the consequences. In medicine, I'm speaking of the never-ending, well-known, far and wide quest to discover "THE" cure, "THE" diet, "THE" pill, or "THE miracle". In today's society, advertisers and marketers have convinced us that their panacea to years of abuse to the body will produce fast and effortless results with money back guarantees. We are bombarded by the media's brilliant catering to this primitive, gluttonous quest with their use of mindless brainwashing techniques, empty promises, and assurance that a "pill for every ill" is the answer.
These messages develop into a cultural norm to "pop a pill, erase the symptoms, and keep on going". This can create a block for those in the Integrative Health fields. For Naturopathic Doctors whose philosophy is dedicated to finding the true cause of a disease or symptom, we are aiming for healing over fixing. In our training, we are taught to honor nature's time to heal. Our messages speak of working with the body, not against it. These quiet voices can be easily drowned out by the millions of dollars spent on advertising quick cure-alls with sexy marketing campaigns.
I have to admit that it does get discouraging to exist in a health care system that bases decisions on speed, time, and cheap band aids. Furthermore, if one doesn't fit in with what everyone else believes in conventional medicine, they are deemed "crazy" or "quacks", regardless of science or clinical results produced.
It's part of my job as a doctor, teacher, and guide, to shine the light on the misguided notion that true healing and natural support for the body can also create instant relief and escape from organic body symptomology. Yet, this task can get daunting, when even integrative healthcare is catering to the mass media market of miracle "natural" cures. Today's patient is well informed, and I'm grateful, it keeps me on my toes. The problem is there are many unreliable sources that don't reflect valid research and scientifically sound conclusions upon which people are making their decisions.
So, I've learned not to get on this roller-coaster. Why?? Because nutrients are not drugs, they are what feed the body. Everyone eats different diets, creating different deficiencies, different makeups, and different biochemistries. This makes ONE miracle cure all through a vitamin, supplement, or herb impossible. For example, Vitamin D in someone with an autoimmune disease, such as lupus, could trigger an overactive and detrimental immune response. On the other hand, for someone with breast cancer, it could be the missing nutrient to signal the receptor sites to turn on apotosis, or death of damaged cells. Still, even amongst lupus and breast cancer patients, there isn't one rule for one disease in any type of medicine.
Clinical decisions must be based on review of the scientific evidence, patient symptoms, specific biochemistry, and lab results. Just as side effects from medications differ amongst different people, side effects from nutrients can occur in different people for different reasons. Therefore, it makes me nervous to think of those self-prescribing related to symptomology based on one article reading or one media of "scientific expert".
Dr. Hyman, a leader in Functional Medicine, talks about the effects of treating symptoms over causes:
JUST BECAUSE YOU'RE TREATING your symptoms doesn't mean you're healthy. If you think your doctor is controlling your health problems because he or she has prescribed medication for them -- well, you couldn't be more wrong!
That's because doctors are very well-trained to treat symptoms and diseases, but NOT to address the underlying imbalances that perpetuate illness.
That's like taking the batteries out of a smoke detector instead of trying to find the fire.
On the other hand, I am always interested in ALL of someone's symptoms, because they are the clues to deeper imbalances. Once you find those deeper imbalances and correct them, the symptoms go away.
This approach is called systems medicine, because it looks at all parts of the body, not just one organ.
Unfortunately, much of conventional medicine doesn't work that way.
This is one reason why I decided to study systems biology and functional medicine. Along with my Naturopathic Philosophy of treating the specific cause of a disease, this approach provides a biochemical, genetic, and systematic framework unique to the individual. Philosophy, science, and mind-body medicine unite in this perfect balance of training in Naturopathic and Functional Medicine. My mentors inspire me every day to learn more, read more, and keep up with the current research and ancient wisdom, whilst not forgetting the individual in favor of biochemistry. It helps me distinguish which sexy nutrient of the time is helpful, hurtful, or hype based on each individual's needs expressed before me.
There also exists the issue of when one has many symptoms, many medications, and many supplements. What interactions exist between these and even one medication and a few supplements? The answer is still not conclusive from even the most highly sought after and well known integrative doctors. Dr. Leo Galland expressed the complicated interactions of herbs, drugs, and nutrients in his seminar on Nutrient-Drug Interactions from the Institute of Functional Medicine.
Here are just a few examples:
1. The supplement curcumin can have anti-inflammatory synergism with resveratrol, but can be antagonized when taken with another supplement, N-acetyl cysteine (NAC). It also has a complicated dose response with green tea.
2. Vitamin E and statins are not a good mix. Furthermore, vitamin E reduces coQ10.
3. St. John's Wort can stimulate the liver detoxification pathway CYP3A4, resulting in decreased blood levels of many medications. It can also act as a dose dependent inhibiter or stimulator of intestinal drug clearance via P-gp. This results in drug interactions with 50% of medications cleared by these pathways.
Therefore, playing with biochemistry is like tinkering with your car without any knowledge of mechanics. Most people wouldn't dream of fixing their car when it's broken down by just throwing the latest cool engine degreaser in it and thinking they did a good job. So, why do we treat our cars better than our body? Furthermore, let me caution those who haven't studied the effects of various nutrients and their role in the body. The result can be a game of supplement roulette with our body's biochemistry. At best, a symptom may be suppressed, but was the cause treated? At worst, interactions can occur, depleting the body more, and creating more issues.
Next week I'm going to highlight a nutrient that lost it's one decade of fame recently. Soy.
Leo Galland, MD. Drug-Supplement Interactions: the Good, the Bad and the Uncertain. IFM Symposium: Spotlight on Gut-Brain-Skin Theory. Institute for Functional Medicine. www.functionalmedicine.org
Pubmed. Search terms "soy and health" http://www.ncbi.nlm.nih.gov/pubmed?term=soy%20and%20health
Hyman, M. Why Treating Your Symptoms is a Recipe for Disaster. February 19 2011. http://drhyman.com/why-treating-your-symptoms-is-a-recipe-for-disaster-3520/?utm_source=Publicaster&utm_medium=email&utm_campaign=drhyman%20newsletter%20issue%20#13&utm_term=Read+more
Jeff Moss and David Brady. Nutrient Roundtable. DFH. February 2010.
Balk E, Chung M, Chew P, et al. Effects of Soy on Health Outcomes. Summary, Evidence Report/Technology Assessment: Number 126. AHRQ Publication Number 05-E024-1, August 2005. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/clinic/epcsums/soysum.htm
What we eat affects our body chemistry. I'm sure that this statement comes as no surprise to those who follow integrative medical blogs. Research abounds on the negative health effects of processed foods, especially in the area of Trans fats. Trans fats are biochemically manipulated unsaturated fatty acids. They are found primarily in chemically altered foods, such as anything packaged, frozen, taken out, or in candy, cakes, and cookies. "Partially hydrogenated" oils are one common term used to describe the presence of these oils on food labels. The easiest way to avoid trans fats are to eat fresh, organic foods which require time and preparation (vs. instant gratification and "Nuking").
Although the result of this form of mass food production is longer shelf life and more convenient fast foods, the "food" is devoid in essential nutrients and phytochemicals and in their place exists harmful fillers, additives, food dyes, colorings, sugar, and artificial sweeteners. These chemicals not only cause nutrient depletion, but also create a cycle of addiction from an imbalance in the satiety, absorption, and digestive cues in the body. The result is a nation of obese Americans fed on addictive and chemically laden food. We are truly a nation of "sick, starving fat people."
Dr. Amen and colleagues recently concluded that a high Body Mass Index (BMI) wasn't just a health risk, but a brain risk. Specifically, his study linked obesity to changes in brain patterns. In those with a higher bmi, there was less blood flow to the prefrontal cortex, a portion of the brain connected to executive function, planning, and impulse control. There was also less nutrient circulation to the anterior cingulate gyrus, the gear shifter. Furthermore, the authors concluded how other studies reported that adipose tissue was linked to inflammation, an underlying factor in many chronic diseases.
The results of this study must be interpreted as an association and not causative. We are not able to determine whether premorbid problems in the prefrontal cortex lead to increased impulsivity and subsequent obesity or whether being overweight or obese directly causes brain changes. Both scenarios may be true. The fact that we used a healthy brain group and specifically excluded ADHD or other behavioral disorders argues against the premorbid hypothesis, but other studies have shown an association between ADHD and obesity (8,9). Still other authors report that adipose tissue directly increases inflammatory cytokines which may have a negative effect on brain structure and function (15).
The previous quote is enough to make this clinician and integrative health care practitioner pause and think, "are most of our chronic diseases linked by the everyday choices of what we put in our mouth?"
A recent study published on PLoS reported on the link between trans-fat food intake (TFA) with inflammation, depression, and cardiovascular disease. The study looked at how pro-inflammatory cytokines not only affected specific brain chemicals such as tryptophan (a precursor to serotonin), Brain Derived Neurotrophic Factor (BDNF), and other brain neurotransmitters, but also caused an increase in LDL levels of cholesterol, a cardiovascular disease (CVD) risk factor.
Thus, since depression is associated with modifications in proinflammatory cytokines and also with endothelial cell signaling cascades alteration  (endothelium is responsible for the synthesis and secretion of BDNF , ), some detrimental biological modifications caused by TFA with respect to CVD risk could also be responsible for a harmful effect of TFA on depression risk. To our knowledge, the association between TFA and depression risk had not been reported before. Our results support a relationship between fat subtypes and depression which may parallel the well known effects of the quality of lipid intake on CVD risk 
If these determental internal, systemic, and mood effects of processed foods isn't enough to get one to reconsider the Twinkie, ho-hos, and diet coke diet, Dr. Mark Hyman, MD, may convince some through their external effect. Specifically, Dr. Hyman explains how both diary and sugar can lead to acne through their impact on insulin, hormonal, and inflammatory pathways (interestingly enough, there's even a hormonal shift from raw, organic milk):
Many have suggested a diet-acne link, but until recently it has not been proven in large clinical studies. Instead dermatologists prescribe long-term antibiotics and Accutane, both of which may cause long-term harmful effects. In 2009, a systematic review of 21 observational studies and six clinical trials found clear links. Two large controlled trials found that cow's milk increased both the number of people who got acne and its severity. Other large randomized prospective controlled trials (the gold standard of medical research) found that people who had higher sugar intake and a high glycemic load diet (more bread, rice, cereal, pasta, sugar, and flour products of all kinds) had significantly more acne. The good news is that chocolate (dark chocolate that is) didn't seem to cause acne.
The dietary pimple producing culprits--diary and sugar (in all its blood sugar raising forms)--both cause spikes in certain pimple producing hormones. Dairy boosts male sex hormones (various forms of testosterone or androgens) and increases insulin levels just as foods that quickly raise blood sugar (sugar and starchy carbs) spike insulin.
This leads to the question; is it a genetic disposition and a resultant biochemical imbalance in neurotransmitters that causes one to reach for foods to self-medicate resulting in weight gain? Or, does one who is chronically ill and obese become depressed because of the inflammatory cytokines effects on hormonal pathways, leading to neurotransmitter imbalances? Also, where does an environmental cue fit in? In his book, Love and Survival, Dean Ornish concluded that isolation is the number one risk factor, independent of all other factors, to cardiovascular mortality. The ever ending story of what came first, the chicken or the egg.
Regardless if one eats junk because of a neurotransmitter imbalance or if a neurotransmitter imbalance is the result of an unhealthy diet, biochemical support through a healthy diet, lifestyle changes, and nutrients to treat the underlying cause of inflammation, all should be part of the treatment. Furthermore, functional neurotransmitter tests can aid the clinician to support patients so that they have the "willpower" to trump the urge to walk down the Twinkie and ho-ho aisle. Finally, individuals need to be treated as such, and biochemistry is different in everyone. This means that the latest and sexist nutrient in the media isn't going to be the cure-all to treat a symptom, it is only in treating the cause that true healing can occur...more on this next blog.
**the author reports no association with Twinkie or ho-hos.
Pubmd search for "trans fats and health". 1 of 425 articles. http://www.ncbi.nlm.nih.gov/pubmed?term=trans%20fats%20and%20health
Almudena Sánchez-Villegas, Lisa Verberne, Jokin De Irala, Miguel Ruíz-Canela, Estefanía Toled, Llouis Serra-Majem, Miguel Angel Martínez-González. Dietary Fat Intake and the Risk of Depression: The SUN Project. PLoS One Medicine. January 26, 2011. http://www.plosone.org/article/info:doi/10.1371/journal.pone.0016268
Hyman, M. Do Milk and Sugar Cause Acne? Drhyman.com. http://drhyman.com/do-milk-and-sugar-cause-acne-4079/?utm_source=Publicaster&utm_medium=email&utm_campaign=drhyman%20newsletter%20issue%20#12&utm_term=Get+the+story
Ornish, D. Love and Survival: The Scientific Basis For the Healing Power of Intimacy. 1998.
Kristen C. Willeumier, Derek V. Taylor, & Daniel G. Amen. Elevated BMI Is Associated With Decreased Blood Flow in the Prefrontal Cortex Using SPECT Imaging in Healthy Adults. February 10, 2011. Behavior and Psychology. Obesity (2011). http://www.nature.com/oby/journal/vaop/ncurrent/full/oby201116a.html. doi:10.1038/oby.2011.16
Bonus Link Update!
How Statins Harm Your Brain Function (Dr. Mercola)
As is often the case with pharmaceutical drugs, the side effects end up teaching us new things about how the human body works. When statins first hit the market, conventional medicine was unaware of the importance of cholesterol for proper brain function. Now, researchers believe that statins' adverse effects on cognition are due to cholesterol insufficiency.
Research also began to emerge in 2001 showing the importance of cholesterol in the formation of memories.
"Then we have... dolichols," Dr. Graveline says. "[W]hen a statin is used, it blocks the mevalonate pathway to get at cholesterol inhibition. It works very beautifully. But in so doing, it blocks CoQ10, dolichols, as well as other major biochemicals...
[D]olichol is one that most doctors have never even heard of before, but it just so happens that dolichols are almost as important as CoQ10 and cholesterol in cell processing."
In fact, dolichols are vital to a number of cellular processes, including:
- Glycoprotein synthesis
- Cell identification
- Cell communication
- Neurohormone formation
Dr. Graveline goes on to explain that dolichols influence all the hormones involved with your mental condition, including your emotions and moods. And if you do not have sufficient dolichol, your entire process of neurohormone production will be altered--with potentially devastating results.
"[T]here are thousands of reports of aggressiveness and hostility, increased sensitivity, paranoia, depression and homicidal ideation," Dr. Graveline says.
I have recently posted the Top Reads of the Month for February. Every month, I compile excerpts from my various on-line journal articles, newsletters, and practitioner blogs. The intention of these excerpts is to keep patients and blog lovers up to date on headlines from some of the top medical articles and health news from the current month. They also provide a good database for search items.
As many aren't going to read every article posted every month on the subjects of medication, health, and nutrition, the top reads give an overview of what I consider to be noteworthy and applicable for those interested in wellness. Below are highlighted excerpts from this month and I've included some my own comments. Enjoy!
Omega 3 Balance Related to Mood and Nervous System Communication (VitalChoice)
A recent article from VitalChoice highlighted the effects of fish oil on brain health. The following excerpt highlights how an omega balanced diet positively affects the nervous system by increasing neurotransmission and neuroplasticity:
The INSERM team fed mice a life-long diet imbalanced in omega-3 and omega-6 fatty acids.
They found that the resulting shortage of omega-3s and overload of omega-6 fats disturbed communication between brain cells (neurons).
Critically, this was the first research to show the omega-imbalanced diet virtually shut down their brain cells' CB1R cannabinoid receptors, which play a key role in between-cell communications (i.e., neurotransmission).
And the "neuronal dysfunction" induced by an omega-imbalanced diet was accompanied by depressive behaviors among the mice.
Among omega-3 deficient mice, the usual effects produced by cannabinoid receptor activation disappeared, along with the critical antioxidant effects exerted by the brain's cannabinoid compounds.
The researchers discovered that the omega-3 deficient diet impaired synaptic plasticity - the ability to form new connections in the brain - in at least two areas (prefrontal cortex and nucleus accumbens) involved in reward, motivation, and emotional regulation.
Fish & Brain Health Commentary
The above study highlighted further evidence from a 2006 study that reported the following:
First, the number of serotonergic neurons and synapses may be decreased as a result of omega-3 fatty acid deficiency in critical developmental periods.
Docosahexaenoic acid supplementation promotes neurite outgrowth (Calderon & Kim, 2004; Ikemoto et al., 2000; Innis et al., 2001), inhibits apoptosis (Kim, Akbar, Lau, & Edsall, 2000), and regulates the composition of polysialyated oligosaccharides (Yoshida et al., 2001), which are important to synaptoneogenesis. In addition, DHA promotes synaptic growth cone formation (Martin, Wickham, Om, Sanders, & Ceballos, 2000).
Furthermore, omega-3 deficiency decreases concentrations of nerve growth factor (NGF) by nearly 50% (Ikemoto et al., 2000). Thus, a DHA insufficiency could possibly lead to reduced numbers of serotonergic neurons and synapses.
Omega-3 fatty acid deficiencies in neurodevelopment, aggression and autonomic dysregulation: Opportunities for intervention. International Review of Psychiatry, April 2006; 18(2): 107-118
These above studies serve as examples in how the field of nutrigenomics, or how food affects our biochemistry through affecting gene expression, is rapidly expanding. Fish oil contains the vital fatty acids, DHA and EPA. Both are important components in neuronal growth and development in the brain and provide the essential components to an overall healthy diet.
Recently, the effects of fish oil have been somewhat controversial concerning dosages, components, and sources. One reason why many studies are conflicting in nutrition is the result of biochemical variation in individuals. These differences that exist within our DNA and metabolic profiles also provide an answer to why side effects of medicines vary in among people with the same diagnosis taking the same medication. (For more information on the downfalls of evidence based medicine and natural health, read my previous blog on evidence based medicine).
The fact is that unless someone is deficient in a nutrient, or can metabolize the medication provided effectively, any intervention can have unattended effects. In some instances, individuals do best with krill oil, in other situations, plant based forms of fatty acids are optimal. These unique variations in any individual's makeup is an essential reason why it is indispensible to consult with a practitioner who is trained in treating the cause of the symptom expression and who can determine what type and form of an nutrient would best serve the individual. Furthermore, functional metabolic testing can serve as a supportive component in the Naturopathic Philosophy of treating the individual, when the clinical picture is skewed by too many factors.
Are We Addicted to Food?
I've discussed in previous blogs how our biochemistry affects our cravings and how cravings affect our biochemistry. For example, if one has a low protein diet, dysbiosis, or an imbalance of neurotransmitters, one will have a hard time fighting sugar and carbohydrate cravings. Herein lies how biochemistry can trump the greatest intention at willpower.
In an excerpt from Mark Hyman's Newsletter, Dr. Hyman reviews the science behind the cycle of failed willpower:
Here are some of the scientific findings confirming that food can, indeed, be addictive (ii):
1. Sugar stimulates the brain's reward centers through the neurotransmitter dopamine exactly like other addictive drugs.
2. Brain imagining (PET scans) shows that high-sugar and high-fat foods work just like heroin, opium, or morphine in the brain.(iii)
3. Brain imaging (PET scans) shows that obese people and drug addicts have lower numbers of dopamine receptors, making them more likely to crave things that boost dopamine.
4. Foods high in fat and sweets stimulate the release of the body's own opioids (chemicals like morphine) in the brain.
5. Drugs we use to block the brain's receptors for heroin and morphine (naltrexone) also reduce the consumption and preference for sweet, high-fat foods in both normal weight and obese binge eaters.
6. People (and rats) develop a tolerance to sugar--they need more and more of the substance to satisfy them--just like they do for drugs of abuse like alcohol or heroin.
7. Obese individuals continue to eat large amounts of unhealthy foods despite severe social and personal negative consequences, just like addicts or alcoholics.
8. Animals and humans experience "withdrawal" when suddenly cut off from sugar, just like addicts detoxifying from drugs.
9. Just like drugs, after an initial period of "enjoyment" of the food the user no longer consumes them to get high, but to feel normal.
Who is Dr. Sarah LoBisco?
Dr. Sarah LoBisco has been involved in wellness for over 8 years. Her experience includes mentoring with holistic practices throughout New York, Vermont, and Connecticut and receiving extensive training in a variety of healing modalities.
Sarah has studied the use of essential oils, herbal therapy and whole food supplements for a variety of health conditions. She is a graduate of the accredited four year post-graduate program in naturopathic medicine at the University of Bridgeport in Connecticut. This program includes 1300 hours of clinical experience along with a demanding scientific curriculum comparable to conventional medical training.
Sarah has passed her national licensing board exams which consisted of questions regarding clinical diagnosis, laboratory methods, pharmacology, nutrition and natural healing methodology. She holds her license in Vermont, as New York State does not currently recognize Naturopathic Doctors as primary care physicians. Sarah is also certified in Applied Kinesiology and holds a BA in psychology from SUNY Geneseo.
Recently, Sarah has received 37.25 American Medical Association Continuing Education Units through the Institute of Functional Medicine (IFM). The Applied Functional Medicine in Clinical Practice coursework is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for all physicians
Sarah believes in listening to her clients and working with them in order to facilitate wellness. She uses her background of Naturopathic, Functional, and Conventional medicine, along with her training in essential oils, herbs, whole food supplements, mind-body medicine and psychology to form an integrated approach to each individual client.
Currently, Dr. LoBisco has a private consulting practice in Ballston Spa, NY. She also writes for the board licensing Council of Naturopathic Medicine and lectures on integrative medical topics for medical professionals. To start a private consultation series with Dr. LoBisco contact her at 518-339-4788 or email her office at firstname.lastname@example.org
There can be a great difference between making purchases online and at a brick and mortar store.
If there is a malfunction on an airplane flight, we are warned to put our own oxygen mask on first. It's only when your oxygen is fully replenished that you can be available to help others. In our society, there are so many mixed messages about the importance of giving and self-sacrifice. Just as the ads for weight loss follow the death by chocolate eating extravaganza, we may get the message that taking care of others is a black and white line of selfishness vs. sainthood. What's even more concerning is the message that it's selfish and lazy to slow down and just be. What happened to the concepts of balance, rest, and self-care?
I hear from those I work with that they don't consider slowing down, because if they do pause, all hell will break loose. This insight was addressed in my Course in Ease class on Monday, and served as a personal eye-opener on how much our society is programmed into a speed of overdrive. I have learned for myself, from all of my patients, and my knowledgeable mentors, that the law of kinetics applies to our lives as well as to our cars and inanimate objects of affection. In other words, running on empty and propelling through life will eventually create some bumps, bruises, or breakdowns in our overall health.
In relation to medicine, these breakdowns are equivalent to symptoms which most likely have been suppressed by medications, supplements, or addictive patterns. One of the reasons I became a Naturopathic Doctor is to help ease the fear that body signals are enemies that need to be attacked. Instead, these symptoms serve as a flashing light that something needs to be addressed. My job is to decode the cause of these cues, not simply cover the body's dashboard with duct tape and wait until the engine needs to be replaced.
Preventative medicine and true health care requires a different commitment than disease care. It requires patience and stopping as the body realigns and re-adjusts. That's why follow ups are essential as one heals. As the body grows stronger, its need for different nutrients changes and that requires changing supplements or diet. This is determined one step at a time. Similar to fixing a car, when healing the body, if one part of the process is incorrectly replaced or glazed over, it will affect how the whole system runs.
For example, in detoxification; you never know just how much is under the surface, until you look under the hood. Dosages and supplements that work for one may need to be altered for the comfort of another's individual's biochemistry and unique genetic profile. For some, symptomology, tuning into the body and conventional lab work provide all the cues necessary. For others, running functional tests that determine vitamin insufficiency, food sensitivities, neurotransmitters balance, inflammation, hormonal balance, and microbial ecology of the gut are needed.
Whatever the method, rest is an essential component for everyone to heal properly. Much evidence in the literature exists on the benefit of sleep. Furthermore, an overactive lifestyle can put one at risk for many diseases. One study in Cancer Causes Control reported that:
Empirical data has increasingly supported the hypothesis that higher risk of breast cancer in industrialized countries is partly due to increased exposure to light at night. Studies of tumor biology implicate melatonin as a potential mediator of this effect.
Unfortunately, what traditional medicine will likely do with this information is simply prescribe melatonin and not address the underlying cause, a manic society on overdrive. Unless the behavior itself is the changed, three months later, the same patient will be back in my office, or at a colleague's office with the same symptom.
For me, the honor and privilege of working with someone as they heal and progress, is one of the most rewarding and inspiring adventures I shall ever hope to witness. I am simply a facilitator who aids in the realization for a patient that they hold all their own healing power.
For various references in journals and publication on sleep, Dr. Mercola has written the following article as a resource: http://articles.mercola.com/sites/articles/archive/2010/10/02/secrets-to-a-good-night-sleep.aspx
Holden, Robert. Success Intelligence. HayHouse, Inc. NYC: 2005.
Jasser SA, Blask DE, Brainard GC.
Cancer Risk (Breast) and Circadian Rhythm: Light during darkness and cancer: relationships in circadian photoreception and tumor biology (abstract). Cancer Causes Control. 2006 May;17(4):515-2
Circadian Rhythm, sleep, and disease: Body Clock Regulates Metabolism, Study Shows
ScienceDaily (Mar. 19, 2009) http://www.sciencedaily.com/releases/2009/03/090312140840.htm
Gareau MG, Silva MA, Perdue MH. Pathophysiological mechanisms of stress-induced intestinal damage. (abstract) Curr Mol Med. 2008 Jun;8(4):274-81. PMID: 18537635
Darren Weissman: January 21st, 2010, Hayhouse Radio, Lifeline: Letting Go.
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As a New York State Licensed Aesthetician, New York State Licensed Nail Specialist, and the Director of Living Well Healing Arts Center & Spa, Reisa combines her love of spa services and healing arts to achieve optimum skin and nail health, create greater overall wellness and bring forth our optimal, individual beauty.
"I believe that the day spa should be an instant getaway; a place that is quiet without being stuffy, relaxed, elegant and yet entirely comfy. You should feel warm and welcome, surrounded by people who care about you and what they are doing. This is the environment we strive to create at Living Well Healing Arts Center & Spa. Here, you are never just the "next" number; we allow ample time for your services, offer a flexible schedule and can be reached after hours. After all, to me, spa craft is not really a business, it's a lifestyle."