StemCell Therapy

Overview

Dr. Mahima Gulati is an endocrinologist in Danbury, Connecticut and is affiliated with University of Utah Hospitals and Clinics. She received her medical degree from Maulana Azad Medical College and has been in practice for 10 years. She is one of 8 doctors at University of Utah Hospitals and Clinics who specialize in Endocrinology, Diabetes & Metabolism.

25 Germantown Rd Danbury, CT 06810

Phone: (203) 794-5620

Endocrinologists treat disorders of the hormone-secreting glands that regulate countless body functions. These ailments include diabetes, thyroid ailments, metabolic and nutritional disorders, pituitary diseases, menstrual and sexual problems.

Subspecialties: General Endocrinology

Albert Einstein College of Medicine Residency, Internal Medicine, 20072010

University of Utah Fellowship, Endocrinology, Diabetes and Metabolism, 20102013

Maulana Azad Medical College Class of 2005

American Board of Internal Medicine Certified in Endocrinology, Diabetes and Metabolism

American Board of Internal Medicine Certified in Internal Medicine

CT State Medical License Active through 2016

UT State Medical License Active through 2014

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CMS Meaningful Use Stage 1 Certification, Allscripts Enterprise EHR, Allscripts 2013

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Its a shame that National Geographic has become part of a corporate empire that is not always consistent, to put it nicely, with data-based reality. Can NatGeo maintain its credibility and impact, when it is owned by a climate change denier (quoted for example as dissing folks as extreme greenies) who also has other verynon-scientificpriorities?

Theres been an increasing amount of discussion of the technology that could produce GM humans. This dialogue includes the new Hinxton Statement (my take on that here) and George Churchs quoted that Hinxton (which BTW did not call for a moratorium of any kind) was being too cautious nonetheless. Church is quoted:

seems weak on addressing why we should single out genome editing relative to other medicines that are potentially dangerous

Should we push pause, stop, or fast-forward on human genetic modification? asks Lisa Ikemoto.Is there a rewind or edit button too?

The NEJM published a new piece on stem cell clinics run amok and the lack of an effective FDA response. Sounds awfully familiar including the use of Wild West in the title, right? My gripe with these authors is that they didnt give credit where credit is due to those of us on the front lines of this battle and in particular to social media-based efforts to promote evidence-based medicine in the stem cell arena. Still, their message was on target.

Are men more likely to commit large-scale scientific fraud? Check out RetractionWatchs leaderboard.Of course the sheer number of retractions does not take into account the impact of any one or two given retractions that had a disproportionate toxic effect like the STAP pubs. Maybe another calculation to do is the # of citations to a retracted paper.

DrugMonkey talks about perceived scientific backstabbing.

The international stem cell policy and ethics think tank, the Hinxton Group, weighed in yesterday on heritable human genetic modification with a new policy statement.

The Hinxton statement is in many ways in agreement with the Baltimore, et al. Nature paper proposing a prudent path forward for human germline genetic modification, which came out of the Napa Meeting earlier this year.

However, while several of the Napa authors have now thrown their public support behind a clinical pause or moratorium on heritable human modification (e.g. Jennifer Doudnaas well asDavid Baltimore and Paul Berg in a later piece in the WSJ), Hinxton didnt explicitlyaddress either positively or negatively the question of a moratorium.

My initial reading of the Hinxton statement is that I mostly agree with it. In my own proposed ABCD planon human germline modification from earlier this year, however, I included at least a temporary clinical moratorium.

I also would have appreciated a more detailed risk-benefit analysis in the Hinxton statement. For instance, I didnt see a discussion of specific possible risks in their statement. Via myown risk-benefit analysis, I come to the conclusion that on the whole a temporary clinical moratorium has the potential for far more benefit than harm.

What would be the specific, possible benefits of a moratorium?

If the scientific community has united behind a moratorium on clinical use not only will that discourage rogue or potentially ill-advised stabs at clinical use, but also if a few such dangerous efforts proceed anyway (which is fairly likely) and come to public light, these unfortunate events will be placed in the appropriate context of the scientific community having a moratorium in place. Therefore, a moratorium both discourages premature and dangerous clinical use as well as putting potential future human gene editing clinical mishaps into the proper context for the pubic.

Another potential benefit of a moratorium is that it could discourage lawmakers from passing reactionary, overly restrictive legislation that bans both clinical applications and important in vitro research. It would give the politicians and the public the right sense that the scientific community is handling this situation with appropriate caution. If you dont think that a law on human germline modification is likely in the US, consider that conservative lawmakers have already proposed such a law be included as part of the pending appropriations bill and Congress a few months ago held a hearing on germline human modification.

Other benefits of a moratorium include that it would a) demonstrate to the public that the research community is capable of reaching consensus aboutimportant ethical issues and b) increase accountability within the research community. Any rogue researchers or clinicians who would violate the moratorium, even if it were not illegal for them to do so, would at least be subject to the disapproval and possible sanction of their professional peers or institutions. Without a moratorium in place, it is far less likely there would be these kinds of consequences.

What about risks to a clinical moratorium?The primary possible risk of a clinical moratorium is that it could, should human heritable genetic modification someday down the road be viewed as a wise course to pursue directly, impede clinical translation. This warrants discussion, but in my view the risk here is somewhat reduced by the possibility that continuing basic research develops a compelling case that a blanket clinical moratorium might no longer be needed.

The other risk here is that amoratorium on clinical use also might in theory discourage some potentially valuable pre-clinical research as well. In other words, some researchers may adopt the mindset that if they cannot get to their ultimate goal of making clinical impact, why do the preclinical studies? I expect that many researchers would instead go ahead and do the preclinical work with the expectation that a clinical moratorium could be lifted and in fact their own preclinical work might help build a case for moving beyond a moratorium.

I agreestrongly with Hinxton on the need for continuation of basic science on CRISPR and other gene editing technologies limited to the lab. In my view, we should have a nuanced policy though, whereby we support continuation of gene editing research in human cells and even in some cases human embryos in the lab under specific conditions (see again my ABCD plan for details), but in whichwe also put an unambiguous hold onclinical applications at this time.

In the absence of a framework that includes a clinical moratorium, we probably do not have the luxury of a reasonably long time frame (e.g. measured in a few years) for open discussionto sort things out carefully. To be clear, open and diverse discussion is crucial, but we just do not have a whole lot of time to do it as things stand today. Why? In the mean time absent a moratorium, I believe that some will go ahead and do clinical experiments on human germline editing. This would not only put individual research subjects at risk, but also pose dangers in terms of public trust and support to the wider scientific community. In a relatively permissive environment lacking a clinical moratorium, one or two instances of rogue researchers clinically using gene editing in a heritable manner could end up leading to a backlash in which even in vitro gene editing research is stymied.

Stemcentrx scientists working with targeted molecules that can kill some types of lung cancer. MIT Tech Review Image.

A stem cell biotech in the news this week was one thathad mostly flown under the radar previously.

Stemcentrx hasa focus on killing cancer stem cells as a novel approach to treating cancer. Antonio Regalado had a nice articleyesterday on the company. He reports that Stemcentrx has around a half a billion in funding. It is valued in the billions. These are very unusual figures for a stem cell biotech.

Stemcentrx isdeveloping novel cancer therapeutics such as antibodies that target cancer stem cells. Their development pipeline at least in part uses a model of serial xenograft tumor transplantation in mice.Cancer stem cells are also sometimes called tumor initiating cells (TIC). As a cancer stem cell researcher myself, I find Stemcentrx intriguing.

The company published an encouraging bit of preclinical data recently in Science Translational Medicinewith a team of authors including leading company scientist, Scott Dylla. In this paper the team presented evidence that they have a product in the form of a loaded antibody (conjugated to a toxin) against a molecule called DLL3 important to TIC biological function and survival. DLL3 is part of the Notch signaling pathway. Stay tuned tomorrow for my interview with Dr. Dylla.

They showed that this anti-DLL3 antibody,SC16LD6.5, exhibited anti-tumor activities in xenograft models of pulmonary neuroendocrine tumors such as small cell lung cancer. The company also has a clinical trial ongoing but not currently recruiting using this drug, and they have another trial for ovarian cancer based on antibody targeting as well.

SC16LD6.5 also exhibited some degree of toxicity in rats and a non-human primate model so thats a possible issue moving forward, but the toxic effects were at least partially reversible and when youre dealing with a deadly disease some toxicity for treatment is kind of to be expected.

Can Stemcentrx survive and hopefully even thrive as a company selling products that kill cancer stem cells? Well have a clearer picture on this in a few years, but in general biotechs of this type in this arena have a high failure rate. We need to keep in mind the long, sobering path ahead between these kinds of preclinical result and getting an approved drug to patients.

At the same time, this team has the money and talent to potentially succeed, and again, theres that half a billion in funding, which all by itself makes this stem cell biotech noordinary company. Theres another unique thing going on here: famed tech investor Peter Thiel is one of the major funders of the company.

Those of us in the cancer stem cell field have long been engaged in the debate overwhether these special cells exist in specific solid tumors and their functions in tumorigenesis. I believe they are present and important in some, but not all of such tumors. The controversial nature of TICs in lung cancer specifically makes SC16LD6.5 a high-risk, high reward kind ofproduct.

More weapons against lung cancer will be of coursea good thing and targeting cancer stem cells is an innovative approach. The company isrecruiting for many positions including scientists so if you are interested take a look.

I hope Stemcentrx succeeds and I look forward to reading more of their work as the years go by.

The winner of the inaugural Ogawa-Yamanaka Prize is Dr. Masayo Takahashi, MD, PhD.

According to the Gladstone Institutepress release, Dr. Takahashi was awarded the prize for her trailblazing work leading the first clinical trial to use induced pluripotent stem (iPS) cells in humans.

The prize, including a $150,000 cash award, will be given at a ceremony next week at the Gladstone on September 16. If you are interested in listening in, you can register for the webcast here.

Dr. Takahashi started the first ever human clinical study using iPS cells, which is focused on treating of macular degeneration using retinal pigmented epithelial cells derived from human iPS cells.

Congratulations to Dr. Takahashi for the great and well-deserved honor of the Ogawa-Yamanaka Prize.

As readers of this blog likely recall, Dr. Takahashi received our blogsStem Cell Person of the Year Award last year in honor of her pioneering work and that included a $2,000 prize.

Otherpast winners of our Stem Cell Person of the Year Award have gone on to get additional awards too.

The 2013 Stem Cell Person of the Year, Dr. Elena Cattaneo, went on to win the ISSCR Public Service Award in 2014 along with colleagues.

And our 2012 Stem Cell Person of the Year Award winner, stellar patient advocateRoman Reed, went on in 2013 to receive the GPI Stem Cell Inspiration Award.

The more we can recognize the pioneers and outside-the-box thinkers in the stem cell field, the better.

I recently ran a poll on my blog about how the FDA is doing on handling stem cell clinics.

There is substantial debate in the stem cell arena about how the FDA handles stem cell clinics ranging from the view that the agency is far too strict to excessively lenient.

The results of the poll reflect a great deal of dissatisfaction with the job that the FDA is doing on stem cell clinics.

Only 9% of respondents felt that the FDA is currently do things just about right.

While the top 2 answers were polar extremes, by a large margin the top answer was that the FDA was much too lenient.

Although Internet polls of this kind are not scientific, they can reflect sentiments of a community.

Read the original here:
Knoepfler Lab Stem Cell Blog | Building innovative ...

Long gone are the days when health care providers told people with arthritis to rest their joints. In fact, physical activity can reduce pain and improve function, mobility, mood, and quality of life for most adults with many types of arthritis including osteoarthritis, rheumatoid arthritis, fibromyalgia, and lupus. Physical activity can also help people with arthritis manage other chronic conditions such as diabetes, heart disease, and obesity. Most people with arthritis can safely participate in a self-directed physical activity program or join one of many programs available in communities across the country. Some people may benefit from physical or occupational therapy. A 2-page fact sheet summarizing physical activity for people with arthritis is available.

Regular physical activity is just as important for people with arthritis or other rheumatic conditions as it is for all children and adults. Scientific studies have shown that participation in moderate-intensity, low-impact physical activity improves pain, function, mood, and quality of life without worsening symptoms or disease severity. Being physically active can also delay the onset of disability if you have arthritis. But people with arthritis may have a difficult time being physically active because of symptoms (e.g., pain, stiffness), their lack of confidence in knowing how much and what to do, and unclear expectations of when they will see benefits. Both aerobic and muscle strengthening activities are proven to work well, and both are recommended for people with arthritis.

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Adults with arthritis should follow either the Active Adult or Active Older Adult Guidelines, whichever meets your personal health goals and matches your abilities. People with arthritis should also include daily flexibility exercises to maintain proper joint range of motion and do balance exercises if they are at risk of falling.

Follow the Active Adult recommendations if you are younger than age 65, have normal function and no limitations in your usual activities, and do not have any other severe chronic conditions such as diabetes, heart disease, or cancer.

Aerobic activity per week =

AND

Muscle strengthening activities at least 2 days per week.

Aerobic activity per week =

AND

Muscle strengthening activities at least 2 days per week.

Follow the Active Older Adult recommendations if you are older than age 65, have poor function and are limited in some of your usual activities, or you have other chronic conditions besides arthritis.

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Aerobic activity per week =

AND

Muscle strengthening activities at least 2 days per week.

Include activities that promote balance at least 3 days per week.

Aerobic activity per week =

AND

Muscle strengthening activities at least 2 days per week.

Include activities that promote balance at least 3 days per week.

What types of activities count?

Aerobic activities. Aerobic activity is also called "cardio," endurance, or conditioning exercise. It is any activity that makes your heart beat faster and makes you breathe a little harder than when you are sitting, standing or lying. You want to do activity that is moderate or vigorous intensity and that does not twist or "pound" your joints too much. Some people with arthritis can do vigorous activities such as running and can even tolerate some activities that are harder on the joints like basketball or tennis. You should choose the activities that are right for you and that are enjoyable. Remember, each person is different, but there are a wide variety of activities that you can do to meet the Guidelines.

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Examples of Moderate and Vigorous Intensity Aerobic Activities

Muscle strengthening activities. You should do activities that strengthen your muscles at least 2 days per week in addition to your aerobic activities. Muscle strengthening activities are especially important for people with arthritis because having strong muscles takes some of the pressure off the joints.

You can do muscle strengthening exercises in your home, at a gym, or at a community center. You should do exercises that work all the major muscle groups of the body (e.g., legs, hips, back, abdomen, chest, shoulders, and arms). You should do at least 1 set of 812 repetitions for each muscle group. There are many ways you can do muscle strengthening activities:

Balance activities. Many older adults and some adults with arthritis and other chronic diseases may be prone to falling. If you are worried about falling or are at risk of falling, you should include activities that improve balance at least 3 days per week as part of your activity plan. Balance activities can be part of your aerobic or your muscle strengthening activities. Examples of activities that improve balance include the following

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Stay flexible. In addition to the activities recommended above, flexibility exercises are also important. Many people with arthritis have joint stiffness that makes daily tasks such as bathing and fixing meals difficult. Doing daily flexibility exercises for all upper (e.g., neck, shoulder, elbow, wrist, and finger) and lower (e.g., low back, hip, knee, ankle, and toes) joints of the body helps maintain essential range of motion.

If you have arthritis, you should follow either the Active Adult or Active Older Adult recommendations, whichever meets your personal health goals and matches your abilities. You should do this activity in addition to your usual daily activity. You may notice that the recommended amount and type of activity are the same for the Active Adult and Active Older Adult except for the additional recommendation to include activities that promote balance. Read some additional details for the Active Older Adult below:

Prevent falls. Have you fallen in the past? Do you have trouble walking? If so, you may be at high risk of falling. Activities that improve or maintain balance should be included in your physical activity plan. Examples of activities that have been proven to help balance include walking backwards, standing on one leg, and Tai Chi. Some exercise classes offered in many local communities include exercises that are good for balance.

Stay active. Any physical activity is better than none. If you cannot do 150 minutes of moderate intensity activity every week, it is important to be as active as your health allows. People with arthritis often have symptoms that come and go. This may mean that one week you can do 150 minutes of moderate intensity activity and the next week you cant. You may have to change your activity level depending on your arthritis symptoms, but try to stay as active as your symptoms allow. Learn how to modify your activity with these tips for S.M.A.R.T. activity.

Adjust the level of effort. Some activities take more effort for older adults and those with low fitness or poor function. For example, walking at a brisk pace for a 23-year-old healthy male is moderate intensity, but the same activity may be vigorous activity for a 77-year-old male with diabetes. You should adjust the level of effort during activity so that it is comfortable for you. Find out how to measure your level of effort.

Talk to your doctor. If you have arthritis or another chronic health condition, you should already be under the care of a doctor or other health care provider. Health care providers and certified exercise professionals can answer your questions about how much and what types of activity are right for you.

How hard are you working? Moderate intensity activity makes your heart beat a little faster and you breathe a little harder. You can talk easily while doing moderate intensity activity, but you may not be able to sing comfortably.

Vigorous intensity activity makes your heart beat much faster and you may not be able to talk comfortably without stopping to catch your breath.

Relative intensity can be estimated using a scale of 0 to 10 where sitting is 0 and 10 is the highest level of effort possible. Moderate intensity activity is a 5 or 6 and vigorous intensity activity is a 7 or 8. The talk test is a simple way to measure relative intensity. In general, if you're doing moderate-intensity activity you can talk, but not sing, during the activity. If you are doing vigorous-intensity activity, you will not be able to say more than a few words without pausing for a breath.

Read more about measuring physical activity intensity.

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Safe, enjoyable physical activity is possible for most every adult with arthritis. The most important thing to remember is to find out what works best for you. At first glance, 150 minutes of activity per week sounds like a lot, but if you pay attention to the following tips you will be well on your way to getting the recommended amount of activity in no time!

Studies show that some increase in pain, stiffness, and swelling is normal when starting an activity program. If you have increased swelling or pain that does not get better with rest then talk to your health care provider. It may take 68 weeks for your joints to accommodate to your increased activity level, but sticking with your activity program will result in long-term pain relief.

Here is an easy way to remember these tips: Make S.M.A.R.T choices!

Start low, and go slow.

Many adults with arthritis are inactive, even though their doctor may have told them being active will help their arthritis. You may want to be more active but just dont know where to start or how much to do. You may be worried that using your joints and muscles may make your arthritis worse. The good news is that the opposite is true, physical activity will help your arthritis! The first key to starting activity safely is to start low. This may mean you can only walk 5 minutes at a time every other day. The second key is to go slow. People with arthritis may take more time for their body to adjust to a new level of activity. For example, healthy children can usually increase the amount of activity a little each week, while older adults and those with chronic conditions may take 34 weeks to adjust to a new activity level. You should add activity in small amounts, at least 10 minutes at a time, and allow enough time for your body to adjust to the new level before adding more activity. Click here for real life examples of how to progress activity levels safely.

Modify activity as needed.

Remember, any activity is better than none. Your arthritis symptoms, such as pain, stiffness and fatigue, may come and go and you may have good days and bad days. You may want to stop activity completely when your arthritis symptoms increase. It is important that you first try to modify your activity to stay as active as possible without making your symptoms worse. Here are some ways you can do this:

When your symptoms have returned to normal, slowly increase your activity back to your starting level.

Activities should be "joint friendly."

People with arthritis can do many types of moderate or vigorous intensity activities, some people with arthritis can even run marathons! If you are unsure of what types of activity are best for you, a general rule is to do activities that are easy on the joints like walking, bicycling, water aerobics, or dancing. These activities have a low risk of injury and do not twist or "pound" the joints too much. It is also important to pick a variety of activities that you enjoy, this will help keep you from getting bored and make it easier to stick with your activity plan.

Recognize safe places and ways to be active.

Safety is important for starting and maintaining your activity plan. If you are currently inactive or do not have confidence in planning your own physical activity, a class designed just for people with arthritis may be a good option for you. Some people with arthritis feel safer by starting an activity program in a class with a trained instructor and get support from and gain confidence by participating with the other people with arthritis. Local chapters of the Arthritis Foundation offer 2 classes, the Arthritis Foundation Exercise Program and the Arthritis Foundation Aquatics Program, in many communities. For a list of more exercise programs, click here.

If you currently do some activity or feel confident that you can safely plan your own activity program, you should look for safe places to be physically active. For example, if you walk in your neighborhood or a local park make sure the sidewalks or pathways are level and free of obstructions, are well-lighted, and are separated from heavy traffic.

Talk to a health professional.

You should already be under the care of a health care professional for your arthritis, who is a good source of information about physical activity. Health care professionals and certified exercise professionals can answer your questions about how much and what types of activity match your abilities and health goals.

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I dont do any activity now, how do I start?

Meet Jean, a 48-year-old grandmother.

Jean is 48 years old and has rheumatoid arthritis. Her doctor has told her to increase her physical activity because it will help her arthritis. Jean wants to be able to walk to and from the park and play with her grandchildren. Right now, she does not have the stamina to walk to the park which is only a 15 minute walk from her house. Jean is also not very confident she knows how to safely start and increase her activity level. She is worried she will make her arthritis symptoms worse.

Start low.

The nurse in Jeans doctors office told her about group exercise programs that are just for people with arthritis. There are classes every week at the community center close to Jeans neighborhood. Jean works full-time but doesnt have to start work until 10:00AM. She found out one of the classes, the Arthritis Foundation Aquatics Program (AFAP), meets at 8:00AM on Mondays, Wednesdays and Fridays. The class lasts for 60 minutes, which allows her enough time to shower, dress, and get to work on time. Jean went to the community center to sign up but was concerned she may not be able to do 60 minutes of activity at one time. The instructor assured her that the exercises can be modified and the instructors are trained to help each person work at their own level.

Go slow.

For the next 4 months, Jean attends the AFAP class 3 days per week. The first 4 weeks she cannot do all the exercises and has to take a lot of breaks, so she was working at a moderate effort for about 1015 minutes each class (3045 minutes of aerobic activity per week). By the 7th week, she can do 20 minutes per class and by the 3rd month she is up to 30 minutes (90 minutes of aerobic activity per week). Jean feels great and can tell she has more stamina. Over the next 4 weeks Jean slowly increases the time she is working at a moderate effort each class until she can do the entire 60 minute class without stopping (180 minutes of moderate aerobic activity per week).

Get advice.

Although Jean feels the AFAP has helped strengthen her muscles and given her more stamina, she now feels she should do more muscle strengthening exercises. For Christmas, her children gave her a gift certificate for 4 free sessions with a certified exercise specialist at a local fitness center. At her first session, she asked for instructions on how she can do muscle strengthening exercises at home. The fitness professional gave her some elastic resistance bands and showed her how to use them to strengthen all the major muscle groups of the body. Jean is now using the resistance and 2 days per week in addition to her aquatics classes.

I do some activity now, how can I safely increase my activity to gain more health benefits?

Meet Steve, an active 69-year-old retiree.

Steve is a 69-year old-retired accountant who has been physically active all his life but has been diagnosed with osteoarthritis in his knee. Now that he is retired, Steve has the time to increase his activity level even more. Steves goal is to increase his total activity per week and to do some vigorous intensity activity because he knows it is good for his heart and may reduce his risk of getting some cancers. Steve currently does 180 minutes of moderate intensity activity each week including

Adding more activity.

Steve wants to increase his total activity to at least 300 minutes per week of moderate intensity activity. He decides that without too much trouble he can easily add 1 more day of golf, adding 60 minutes of moderate intensity activity each week. Steves wife recently joined a local seniors tennis league and has been bugging him to play tennis with her. Steve hasnt played tennis in a long time so he signed up for 4 weeks of tennis lessons at the parks and recreation department in his town. After the lessons, he and his wife started playing doubles tennis 2 days per week for an hour each time (60 minutes of moderate intensity activity, 120 minutes per week). He continues to lift weights 2 days per week. Steve has successfully added 180 minutes of moderate intensity activity and now gets a total of 360 minutes per week.

Trading up to vigorous activity.

After doing this level of activity for 4 months, Steve wants to trade some of the moderate intensity activity he does for vigorous intensity activity. He decides that on 2 of the 3 days he uses the stationary bicycle at home, he will instead use the stair climber or elliptical machines at his fitness center. Because one minute of vigorous intensity activity equals about 2 minutes of moderate intensity, Steve plans to do 20 minutes on 2 days each week when he is at the gym. Steves activity program now includes

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Some soreness or aching in joints and surrounding muscles during and after exercise is normal for people with arthritis. This is especially true in the first 4 to 6 weeks of starting an exercise program. However, most people with arthritis find if they stick with exercise they will have significant long-term pain relief. Here are some tips to help you manage pain during and after exercise:

Signs you should see your health care provider:

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Read the original:
CDC - Arthritis - Physical Activity for Arthritis - Overview

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Personalized Medicine News -- ScienceDaily

Overview

Mayo Clinic's Complementary and Integrative Medicine Program offers wellness-promoting treatments that complement conventional Western medical care. We offer a range of services, including resilience training, meditation, massage therapy, acupuncture and herbal medicine.

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Resilience education and training will help you develop a resilient disposition and positive strategies to manage stress. Learn about resilience training.

A nationally certified massage therapist works with you and uses techniques based on the therapist's ongoing assessment and your goals. Learn about massage therapy.

You will be treated by a physician trained in acupuncture or a licensed acupuncturist who works under the supervision of a physician. Techniques include acupuncture with manual and electrical stimulation, acupressure and cupping. Learn about acupuncture.

You will learn how meditation can relax and rejuvenate the mind and body. It helps many people refocus and gain happiness and inner peace. Learn about meditation.

Appointments for Complementary and Integrative Medicine services are available to established Mayo patients. You will need a referral from a physician at Mayo Clinic in Rochester.

Sara E. Bublitz, L.Ac., acupuncturist

Susanne M. Cutshall, R.N., C.N.S.

Liza J. Dion, massage therapist

Alexander Do, L.Ac, acupuncturist

Nikol E. Dreyer, massage therapist

Debbie L. Fuehrer, L.P.C.C., clinical counselor

Amber E. Hammes, L.Ac., acupuncturist

Jennifer L. Hauschulz, massage therapist

Molly J. Mallory, L.Ac., acupuncturist

Crystal R. Narveson, massage therapist

Nancy J. Rodgers, massage therapist

Susan J. Veleber, L.Ac., acupuncturist

The Complementary and Integrative Medicine Program at Mayo Clinic was created in large part to address the challenges people face every day in deciding if or how to use integrative and alternative medicine. Mayo Clinic physicians conduct dozens of clinical studies every year to learn which treatments work, and they share that information with their patients and colleagues.

By identifying effective therapies and bringing them into clinical practice, physicians in the Complementary and Integrative Medicine Program help Mayo Clinic maintain its leadership position in providing excellent health care mind, body and spirit.

Read more about the Complementary and Integrative Medicine Research.

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Complementary and Integrative Medicine - General Internal ...

Integrative medicine is an approach to care that seeks to integrate the best of Western scientific medicine with a broader understanding of the nature of illness, healing and wellness. Easily incorporated by all medical specialties and professional disciplines, and by all health care systems, its use not only improves care for patients, it also enhances the cost-effectiveness of health care delivery for providers and payors.

A practical strategy, integrative medicine puts the patient at the center of the care and addresses the full range of physical, emotional, mental, social, spiritual and environmental influences that affect a person's health.By treating the whole person, both the patient's immediate needs as well as the effects of the long-term and complex interplay between a range of biological, behavioral, psychosocial and environmental influences are addressed. This process enhances the ability of individuals to not only get well, but most importantly, to stay well.

The defining principles of integrative medicine are:

The patient and practitioner are partners in the healing process.

All factors that influence health, wellness and disease are taken into consideration.

The care addresses the whole person, including body, mind, and spirit in the context of community.

Providers use all appropriate healing sciences to facilitate the body's innate healing response.

Effective interventions that are natural and less invasive are used whenever possible.

Because good medicine is based in good science, integrative medicine is inquiry-driven and open to new models of care.

Alongside the concept of treatment, the broader concepts of health promotion and the prevention of illness are paramount.

The care is individualized to best address the persons unique conditions, needs and circumstances.

Practitioners of integrative medicine exemplify its principles and commit themselves to self-exploration and self-development.

Gofor the report, "Integrative Medicine: Improving Health Care for Patients and Health Care Delivery for Providers and Payors"

Gofor the report, "The Efficacy and Cost-Effectiveness of Integrative Medicine"

Goto learn about The Summit on Integrative Medicine and the Health of the Public and listen to the presentations

Goto read stories from patients who have been helped with integrative medicine

Excerpt from:
Integrative Medicine - The Bravewell Collaborative

Integrative Medicine is an approach to medical care focusing on the whole person and recognizing the interactions of mind, body and spirit to optimize health and healing.

Integrative Medicine combines conventional western medicine with complementary treatments such as acupuncture, massage, yoga and stress reduction techniques, in an effort to treat the whole person and improve their quality of life.

Every year, millions of people see a health care professional for symptoms that diagnostic tests can't explain. In many of these patients, the cause of the illness is stress, particularly stress that isn't fully recognized. Managing stress is all about taking charge of your thoughts, emotions, and the way you deal with problems.

Jupiter Medical Center, in collaboration with the University of Massachusetts Medical Center's Center for Mindfulness, is pleased to offer Mindfulness Based Stress Reduction Classes (MBSR). This comprehensive, eight-week training in mindfulness meditation, is based on ancient healing practices that are designed to help you achieve health and well-being in the face of stress, pain or illness. To learn more about Mindfulness Based Stress Reduction, click HERE.

Our Integrative Medicine Program also offers meditation, yoga, tai chi classes and massage therapy.

Click HERE for our class schedule. Click HERE for class descriptions.

To learn more about our integrative medicine program, please call (561) 263-5775.

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Integrative Medicine - Jupiter Medical Center

Northwestern Medicine Osher Center for Integrative Medicineoffers a full range of complementary and integrative therapies.

Integrative Medicine has been called the new medicine but in many ways, it is a return to the original practice and philosophy of medicine. It emphasizes the relationship between the doctor and patient, the innate healing ability of the body and the importance of addressing all aspects of an individuals life to attain optimal health and healing.

Our complementary physicians and practitioners consciously blend the very best of conventional medicine, cutting-edge diagnosis and treatment with appropriate therapies. We strive to include therapies backed by scientific evidence to improve health and promote healing, while minimizing any side-effects or harm. All factors that affect health, wellness and disease are considered to promote optimal healing of the mind, body and spirit in all their complexity.

At theNorthwestern Medicine Osher Center for Integrative Medicine, we provide a unique healthcare experience. As soon as you walk through the entrance, you arewelcomed into a gentle healing environment. Your visit may begin with a board-certified internist who performs a thorough evaluation of medical conditions and suggests an array of integrative treatment options.

Specially trained complementary medicine practitioners also are available to provide a full range of therapies from diverse healing traditions. Physicians and practitioners work as colleagues and work in partnership to benefit your health.

Our physicians have training in both conventional and integrative medicine and are devoted to fostering integration of care between these diverse fields. We work with you to create your individualized treatment and lifestyle plan. Our other practitioners include trained specialists in acupuncture, massage, naturopathic medicine and health psychology.

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Osher Center for Integrative Medicine - Northwestern Medical ...

Carolinas Medical Center Family Medicine Residency was chosen in 2008 to be one of the eight original pilot sites for the Integrative Medicine in Residency (IMR) program developed by leaders in Integrative Medicine (IM) through the Arizona Center for Integrative Medicine at the University of Arizona. This program has now expanded to over 30 residencies in the US and Canada, serving as a national model for online, competency based education.

All of our Family Medicine residents are given dedicated time during their rotations over their three years of residency to complete this 200 hour online curriculum. This web-based curriculum is case-based and highly interactive.Including streaming video, assessment questions, and links to reference materials and research. The IMRs content contains both evidence-based conventional and complementary approaches to the management of medical problems common to Family Medicine.

Here at CMC Department of Family Medicine, the residents IMR learning is reinforced throughout their three years through experiential and group process-oriented activities, didactics, and direct patient care. We strive for an integrative approach to all our patients, providing them with patient-centered, holistic and evidence based care. Residents receive training in this in both their general continuity clinics as well as through their participation in our Integrative Medicine Consultation Clinic. Patients are referred to this clinic from both within the CMC family of clinics as well as from private providers throughout the community. This clinic is a teaching clinic which allows residents to work with patients under the guidance of our Fellowship trained faculty on an in depth Integrative Medicine approach to the patients medical condition or desire for general wellness.

The three-year IMR curriculum consists of Modules in the following areas:

Year One

Year Two

Year Three

All courses have an interactive core content and contain case studies allowing you to apply the new knowledge to patients encountered in family medicine. Content includes evidence-based conventional and complementary approaches to the management of the medical problems presented.

Throughout the curriculum, we will emphasize well-being and balance in residency; this interactive and experiential part of the curriculum will encourage residents to work on an individual plan to maintain well-being and balance while in residency.

For more information on the IMR program, view the following video.

Read the article, "Integrative Medicine in Residency Education: Developing Competency Through Online Curriculum Training." (PDF)

For further information regarding the IMR in general, please refer to the University of Arizonas College of Integrative Medicine website. For additional information regarding the Integrative Medicine curriculum at Carolinas Medical Center Family Medicine Residency, please contact Dr. Michele Birch.

Link:
Integrative Medicine > Family Medicine - Residency Programs

Cancer and its treatments can have major effects on the patient and those who are close to the patient. The Integrative Medicine Center works cooperatively with the primary oncology team to build comprehensive and integrative care plans that are personalized, evidence-based and safe to improve health, quality of life and clinical outcomes.

Our team can assist with choices you may face regarding integrative medicine. Richard T. Lee, M.D. and Gabriel Lopez, M.D. provide advice to patients who wish to incorporate integrative therapies into their conventional cancer care.

Social, mind-spirit and physical aspects of health will be explored during your visit at the Integrative Medicine Center.

For more information on research and education please visitthe Integrative Medicine Program.

An MD Anderson physician's order is required before scheduling any of the services listed below.

For additional information, please :

1. R1.2000 - a free standing facility east of the Main Building, near valet parking 2. Mays Clinic, 2 floor, near elevator T and the Gift Shop

Join expert instructors from Urban Harvest for a lesson on gardening basics.

Learn to plan, nurture, and harvest warm-season vegetables so that you can experience the benefits of gardening at your own home.

Thursday, September 17 12:00 - 1:30 p.m.

See flier for details.

Take advantage of our free cooking classes provided by an integrative oncology nutritionist.

Learn how to prepare tasty, whole food meals, that are beneficial to your health.

Call us today to reserve your spot at 713-794-4700

Class schedule in the current newsletter

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NEW Programs for Kids offered by Integrative Medicine:

Activities for pediatric inpatients and outpatients ages 3-12 years and their caregivers.

Read More

On August 11, 2014 the Integrative Medicine Center started a new service line: Exercise and Physical Activityconsultation.

Please contact our Center for more information at:

713-794-4700

Friends of Integrative Medicine exists to raise awareness within MD Anderson and the larger Houston community of the important role of integrative medicine in cancer prevention and in helping those with cancer live better and longer.

Become a member today for access to lectures and exclusive, member-only events.

Contact Kira Taniguchi for more information.

Oncology Massage may help patients address anxiety, relieve pain, decrease fatigue and improve sleep quality. We offer our services for MD Anderson inpatients, outpatients and for their caregivers.

Book your appointment today at 713-794-4700

Physician's order is required.

Learn more about Oncology Massage

The Celebration Singers is a choir program at MD Anderson that is open to cancer patients and their caregivers.

For more information about the choir or to sign up contactthe choir's director, Michael Richardson.

Read about Music Therapy at the Integrative Medicine Center.

Integrative Medicine Center offers acupuncture services for MD Anderson inpatients and outpatients.

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Integrative Medicine & Therapy Center | MD Anderson Cancer Center

At Providence we believe connected and integrated care honors health care modalities that our patients are using in our community. Since 2002, when Providence first opened our Integrative Medicine clinic, we have been using evidence-based medicine with regards to non-conventional therapies to help patients optimize their quality of life regardless of their health issues. We look forward to continuing to grow our program in order to meet the needs of our patients. Loch S. Chandler, ND, MPA:HA, MSOM, LAc

With an emphasis on positive and proactive health management, Providence Integrative Medicine Program offers an excellent complement to conventional medicine. As part of the multidisciplinary treatment model at Providence Health & Services, our naturopathic physicians work alongside a patients other care team members.

The goal of integrative medicine is to help patients achieve optimal health, even in situations where they simply dont feel well, but dont have a diagnosis. Providence Integrative Medicine Program providers use therapies that are supported by modern medical research. Our expert clinicians are trained to provide treatment that is current, safe and evidence-based.

Modern research supports the use of complementary medicine to treat conditions such as:

Because we take time to get to know you as a whole person, we are able to provide reasonable and appropriate naturopathic care that is tailored to your individual health needs.

Offerings include acupuncture, naturopathy and dietary counseling.

Nutrition, exercise and natural medicine to reduce risk, enhance survival and improve quality of life.

Continued here:
Providence Integrative Medicine Program | Providence Oregon

The Integrative Medicine Center at Schneck Medical Center incorporates the healing techniques of people who long before medical schools and highly-specialized physicians used herbs, acupuncture, diet supplements, and massage, and who emphasized the healing power of the mind. Today theres a new interest in this natural, holistic approach.

Blending scientifically proven alternative practices with the best of conventional medicine, Integrative Medicine defines health as much more than the absence of disease. Focusing on preventive care, it views health as the cohesive balance of mind, body, and spirit.

The Integrative Medicine Center offers:

Integrative Medicine features Dr. Steve Windley, a board-certified family practice physician with special training in integrative medicine. Dr. Windley recommends the therapy that best serves each patients needs, one which will stimulate or facilitate ones own natural healing potential. Moreover, the Integrative Medicine Center simplifies patients lives by making herbal medicines and nutritional supplements available for sale at the Center.

The following links provide more detailed information from Dr. Windley on specific health concerns: Aches I Detoxification I Diabetes I Food Allergy I Hormone Replacement I Multivitamin I Optimal Diet Plan

Click here to read our NEWSLETTER.

Alternative medicine generally refers to that which is not in our traditional medical schools. Alternative medicine is a subset of integrative medicine. Integrative medicine utilizes what is safe and effective of both alternative and traditional medicine to come up with a well rounded, optimal health treatment plan. In the example of our clinic, we will work with your current medications to offer suggestions such as dietary modification, nutritional supplements, herbal therapies, acupuncture, or IV therapies to complement what is already being done.

Our center tries to utilize the treatment that is safe, beneficial, and cost effective. This will include traditional and nontraditional therapies.

Many patients already have a working relationship with a primary care physician. I think this is fine. I try to assist you to optimal health, and will make suggestions to aid what is already being done. Our office better serves patients with mild to severe chronic problems, as well as prevention. I try to make sure patients have an established primary care physician to meet the health needs that our office cannot provide.

Absolutely. Our office tries to find the best available supplements for your condition. The choice of a given supplement is determined by safety, how effective the supplement is, and cost. I have spent many hours comparing different choices to find what's most appropriate for our patients.

There are several treatments available to aid these problems. Some supplements make up the main part of a program, others are to be used in conjunction with traditional medicine.

Acupuncture is typically very relaxing. While some acupuncture points can initially be tender, many are painless. Often, patients fall asleep during the treatment.

Careful attention is given to make sure that the supplements we suggest will not interfere with your current medication.

Several aspects should be addressed for weight loss. Exercise, appropriate diet, weight lifting, and nutrient supplementation should all be considered to attain an ideal weight. I try to discuss all these topics with patients so that a multi pronged approach can be started right away. Treatments such as acupuncture can be helpful for some people.

For an appointment with Dr. Windley, call (812) 523-5865.

Click here to download our new patient information letter. Click here to download our patient information form. Click here to download our female patient information form. Click here to download our male patient information form.

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Schneck Medical Center - Integrative Medicine

The Progressive Health Center is a unique resource dedicated to helping individuals improve their quality of life through complementary and alternative medicine that are integrates well with conventional medical treatments. Our experienced practitioners specialize in a wide range of therapies that include nutrition, stress management, acupuncture, massage therapy and more. These high-quality services are integrated into personalized treatment plans that are designed to heal and strengthen the mind, body, spirit and emotions of each individual, while enhancing the continuum of care available to achieve specific health and wellness goals.

Allison Archard, MD

What is CAM?

Complementary and Alternative Medicine

The National Center for Complementary and Alternative Medicine (NCCAM) defines CAM as:a group of diverse medical and health care systems, practices, and products that are not generally considered part of conventional medicine(National Center for Complementary and Alternative Medicine website.http://nccam.hih.gov)

What is Complementary Medicine?

consists of therapies that are used to complement/enhance conventional medicine

What is Alternative Medicine?

consists of therapies that are used in place of conventional medicine

What is Integrative Medicine?

Integrative Medicine = CAM + conventional medicineHealing-oriented medicine that takes account of the whole person (body, mind, and spirit), including all aspects of lifestyle. It emphasizes the therapeutic relationship and makes use of all appropriate therapies, both conventional and alternative.

(Rakel, D. Integrative Medicine. Philadelphia: Suanders Elsevier, 2007)

Importance of weighing risks and benefits

What Integrative Medicine is NOT:

Alternative Medicine

NEVER encourages patients to abandon their conventional therapy

may use alternative therapies, but not without conventional medicine

A cure

Integrative medicine emphasizes difference between healing and cure

Healing can take place in absence of cure

Why is Integrative Medicine important?

approximately 38% of U.S. adults aged 18 years and over and approximately 12% of children use some for of CAM. (2007 Statistics on CAM use in the United States.http://nccam.nih.gov/news/camstats/2007)

Isnt Integrating CAM going to cost more money?

The Bravewell Collaborative report:The Efficacy and Cost-Effectiveness of Integrative MedicineInteresting facts in the report: comprehensive lifestyle change program: 80% of participants able to safely avoid heart surgery or angioplasty, saving almost $30,000 per patient in the first year. in 2005, corporations involved in a health and wellness program for employees experienced an average 26% reduction in health care costs.(The Efficacy and Cost-Effectiveness of Integrative Medicine: A Review of the Medical and Corporate Literature. Bravewell Collaborative website.)http://bravewell.org/content/IM_E_CE_Final.pdf)

If you are new to the Center, we invite you to schedule an appointment for an initial 30-minute consultation with one of our practitioners at the Center. The consultation is $30. The purpose of this meeting is to acquire your medical history information as well as to conduct an initial assessment of your specific mental, emotional, physical and spiritual needs. The practitioner will also provide you with information about the Center, our range of customized services and programs and available payment options, which include cash, check, Visa, Master Card, and Health Savings Account (HSA). Follow-up sessions can be scheduled to discuss specific treatment recommendations. Our practitioners are also available to confer with patient physicians on your behalf.

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Integrative Medicine - Progressive Health Center

Integrative Medicine combines conventional medicine with complementary and alternative medicine (CAM), including mind-body-spirit approaches to health and healing, so that patients receive a more comprehensive and holistic approach to their health care.

The mission of the Program on Integrative Medicine (PIM) is to enhance the publics health and to improve effectiveness and safety of health care through the appropriate integration of complementary and alternative medicine (CAM) with mainstream health-care. Areas of emphasis include research, education, clinical practice, and community collaboration. PIM serves UNC faculty, staff, students, and health professionals and the public throughout the State.

Integrative Health Care brings together complementary, alternative, and mainstream medical research, knowledge, and practice to provide the safest, most effective options for patients and consumers. Your gift will help us to achieve our mission of raising the standard of integrative medicine education, research, and clinical care throughout North Carolina.

The overall goal of this program is to recruit talented postdoctoral health professionals and allied scientists for training in research designed to examine the efficacy, effectiveness, safety, mechanisms of action and cost-benefits of complementary and alternative medical therapies (CAM), and integrative medicine. Click here for more information.

Help support Integrative Medicine at UNC: Click here for more information about funding needs at PIM. Click here to donate to the Program on Integrative Medicine.

Basic/Foundation (8-week) and Graduate (4-week) courses offered throughout the year. Information on the Mindfulness Program, including dates for classes:

The Spring 2015 Mind-Body Medicine Skills Courses begin in March- for healthcare professionals and also for the general public.Register now!Click here for more information.

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Welcome to the Program on Integrative Medicine pim

Main content

The Institute for Health & Healing is an integrative medicine practice within Sutter Pacific Medical Foundation that offers a personalized approach to your care. Our physicians and allied health practitioners provide evidence-based medicine that combines conventional and complementary medical care, such as Homeopathic medicine, Chinese medicine, and acupuncture. Our holistic philosophy goes beyond symptom treatment, serving the whole person to facilitate the bodys innate healing response. Whether you want physician oversight to manage a serious illness or are seeking a therapeutic massage, our goal is to work with you to optimize your overall health and well-being.

We can bill Medicare, PPO, POS and SutterSelect plans for most physician and nurse practitioner services. Your insurance plan may not cover all of our services, and it may limit the number of acupuncture, chiropractic and psychotherapy visits. Contact your insurance provider to determine your benefits. All nutrition, massage, bodywork, and skin care services are self-pay.

San Francisco County 2300 California Street, San Francisco 415-600-3503

Marin County 1350 South Eliseo Drive, Greenbrae 415-461-9000

Sonoma County 2449 Summerfield Road, Santa Rosa 707-523-7185

Link:
Integrative Medicine | Top Integrative Medicine Doctors | San ...

Sep. 9, 2015 What has spoiled tens upon tens of thousands of fledgling oil palm plants at elite corporate plantations in Malaysia and elsewhere in Southeast Asia over the last three decades? The answer to this ... read more Sep. 7, 2015 Through the use of custom-engineered synthetic proteins known as monobodies, scientists have resolved the atomic structure of the fluoride ion channel, revealing a unique 'double-barreled' ... read more Sep. 3, 2015 Orchids, a fantastically complicated and diverse group of flowering plants, have long blended the exotic with the beautiful. Previously, botanists have proposed more than a half dozen explanations ... read more Sep. 2, 2015 The reproduction rates of the bacteria in one's gut may be a good indicator of health or disease, scientists say. In their examination of human microbiome data, the research group found that ... read more Sep. 1, 2015 A key mystery of the DNA replication process has been unraveled by researchers, resolving a long-standing mystery that has clouded our understanding of DNA replication, and also has important ... read more Endangered Animals Can Be Identified by Rate of Genetic Diversity Loss Aug. 31, 2015 A new study presents a novel approach for identifying vertebrate populations at risk of extinction by estimating the rate of genetic diversity loss, a measurement that could help researchers and ... read more Aug. 31, 2015 Among birds, the line between species is often blurry. Some closely related species interbreed where their ranges overlap, producing hybrid offspring. In the coastal marshes of New England, this has ... read more Aug. 31, 2015 A new species of giant file clam from Atlantic Canadian waters has been described by Canadian scientists. The 'cryptic' clam, which lives in deepwater canyons, was first found off the coast ... read more Aug. 31, 2015 The process of endocytosis -- how cells 'eat' by absorbing molecules -- drives rapid embryonic healing, scientists have discovered. They suggest the results should be used to design better ... read more Aug. 31, 2015 From 1952, DNA was sequenced, modified and extensively studied, but no technique was able to produce clear direct images of DNA. Now, researchers have developed a new technique to produce a direct ... read more Aug. 28, 2015 Viruses are able to redirect the functioning of cells in order to infect them. Inspired by their mode of action, scientists have designed a "chemical virus" that can cross the double lipid ... read more Aug. 28, 2015 Researchers have for the first time created and used a nanoscale vehicle made of DNA to deliver a CRISPR-Cas9 gene-editing tool into cells in both cell culture and an animal ... read more Aug. 28, 2015 Scientists have predicted how biological circuits generate rhythms and control their robustness, utilizing mathematical modeling based on differential equations and stochastic parameter ... read more Aug. 28, 2015 A growing, dividing cell uses most of its energy store to make its "protein factories," the ribosomes. An important player in their "assembly" is the exosome, a molecular ... read more Aug. 28, 2015 Nuclear pores in the nuclear membrane do not only control the transport of molecules into and out of the nucleus but also play an important role in gene expression. Researchers have deciphered a ... read more Aug. 27, 2015 Biochemists have solved the architecture of the nuclear pore complex's complicated inner ring, a subcomplex that is central to the cellular machine's ability to serve as a barrier and ... read more Scientists Identify Possible Key in Virus, Cancer Research Aug. 27, 2015 Scientists have uncovered a viral protein in the cell that inhibits the major DNA sensor and thus the body's response to viral infection, suggesting that this cellular pathway could be ... read more Aug. 27, 2015 Scientists create a biological circuit by programming bacteria to alter gene expression in an entire population. They have created a biological equivalent to a computer circuit that involves multiple ... read more Aug. 27, 2015 Scientists can now watch dynamic biological processes with unprecedented clarity in living cells using new imaging techniques. The new methods dramatically improve on the spatial resolution provided ... read more HIV Particles Do Not Cause AIDS, Our Own Immune Cells Do Aug. 27, 2015 Scientists have discovered that HIV does not cause AIDS by the virus's direct effect on the host's immune cells, but rather through the cells' lethal influence on one another. In a new ... read more

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Biotechnology News -- ScienceDaily

Independent Health

To find out more on any of these benefits please visit Independent Health's website and click on "Unique Benefits"under the "Find a Health Plan" tab on the top of the page.

To find out more information on any of these benefits please visit Blue Cross Blue Shield of WNY's website and click on the"Member Discounts" button or the "Health and Wellness" button located on the main page.

Univera

For more information on any of these benefits please visit Univera Healthcare's website and click on "Save withDiscounts" or "Get Paid for Working Out" buttons on the bottom of the main page.

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Please call the office during regular business hours for routine business such as: to schedule or change appointments, check on lab results, request prescription refills, or speak to someone in the billing department. There is a provider on call 24 hours for an emergency only.

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Buffalo Endocrinology participates in MANY insurance companies. The following is a list of those most widely used by the patients in our practice. If your insurance company, is not listed below, please call the office to verify participation. If we do not participate with your insurance, claims will still be submitted on your behalf and every effort will be made to see that your claim is paid.

CO-PAYS ARE DUE AT THE TIME OF SERVICE. WE ACCEPT CASH AND PERSONAL CHECKS. NO CREDIT OR DEBIT CARDS WILL BE ACCEPTED.

Your insurance policy is a contract between your employer and your insurance company. Our staff at Buffalo Endocrinology, are committed to getting you the greatest reimbursement possible. However, please be aware that we will not compromise your medical care due to limitations of your insurance policy and that you, as a patient are ultimately responsible for all bills. This includes co-pays, deductibles and any unpaid balances after the insurance has made their payments.

PATIENTS WITH AN UNPAID BALANCE WILL NOT BE SCHEDULED FOR AN APPOINTMENT.

Some insurance companies require a referral prior to your visit with a specialist. Check with your insurance to see if a referral is required for your visit. If a referral is required, contact your primary care physician to obtain the proper referral. Our policy states; the referral must be in place before the patient can be seen.

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Buffalo Endocrinology

Is your diet the key to longevity? Find out why eating right just may mean aging right, too.

Aging: everyone does it, yet some people seem relatively unaffected by getting older. Could good nutrition be the key to a healthier, longer life?

Does Aging Equal Illness?

The Secret to Healthy Aging

Who doesn't wish for a fountain of youth? Magical youth-restoring springs exist only in legend, but science does point to a few simple, healthy habits that can help extend your life. Heather Whitson, MD, associate professor of medicine (geriatrics) at Duke University School of Medicine, shares the most effective tips.

Read the The Secret to Healthy Aging article > >

"Aging is often associated with the development of one or more chronic diseases, but it doesn't have to be that way," says Jeffrey Blumberg, PhD, professor at the Friedman School of Nutrition Science and Policy at Tufts University.

It's not always just a matter of time before you have a heart attack or stroke, get type 2 diabetes or cancer, break a hip because of osteoporosis, or develop Alzheimer's, even though these conditions are often associated with aging, Blumberg says.

Your risk for disease and disability increases with inadequate physical activity, genetic susceptibility, and poor diet.

Aging: Defy It With Diet

So what's the best eating plan for preventing, delay, or minimizing the conditions associated with aging, including inflamed joints, flagging memory, and failing eyesight?

"The most beneficial diets rely heavily on fresh vegetables, fruits, and legumes -- foods that are naturally lower in calories and packed with nutrients," says Bradley Willcox, MD, MPH, co-author of The Okinawa Diet Plan and professor of geriatrics at the University of Hawaii.

Experts suspect the antioxidant compounds found in produce, legumes, and whole grains are largely responsible for holding back the march of time.

Antioxidants, such as vitamins C and E, and other compounds, including polyphenols and anthocyanins, battle free radicals -- unstable forms of oxygen that damage cell function. Free radicals form from normal metabolism. Your body also produces them in response to strong ultraviolet rays from the sun; air pollution; smoking; and secondhand smoke.

The buildup of free radicals contributes to the aging process and to the development of a number of age-related diseases such as cancer, heart disease, and inflammatory conditions, including osteoarthritis. What's worse, aging increases free radical production. That means your diet should be healthier than ever with the passage of time.

The question, of course, is how do we do that?

Anti-Aging Nutrition

Antioxidants generate a lot of buzz when it comes to longevity, but aging well takes more. You must optimize a myriad of beneficial nutrients, including protein, calcium, and vitamin D, and minimize detrimental dietary components including saturated and trans fats.

See the rest here:
Longevity Diet: Healthy Anti-aging Foods - WebMD

Updated May 01, 2014.

Definition:

long life, a great duration of life, coming from the Latin longaevits. In this word, you can see the words longus (long) and aevum (age).

The most important part of this definition is the comparative nature of it. Long life implies longer than something - and that something is the average life. If you live longer than the average person, then you could be said to have longevity. Striving for you maximum potential age is the goal of longevity.

This can be reached through creating healthy behaviors and attitudes. Biologists sometimes define longevity as:

the average life span expected under ideal conditions.

So while the life expectancy of people in the US is somewhere around 78, our longevity might be much higher. We all might live longer if we can create the ideal conditions of a healthy diet and exercise.

You may think that your genes determine your longevity, but the truth is that genetics account for a maximum of 30 percent of your life expectancy - the rest comes from your behaviors, attitudes, environment and a little bit of luck.

You may have heard about various life extension techniques. Keep in mind that none of them have been proven in humans and most are just theories. The only proven way to live longer is to live healthy. So make a commitment today to make a one healthy change a week. Before you know youll be feeling better and on the road to longevity.

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Longevity - What is Longevity?

1. Stand up while reading articles like this one ...and (especially) while watching TV. Australian researchers determined that every hour of couch-potato-ness docks 21.8 minutes from a person's life.

2. Join a book club. People with a solid group of friends are 50 percent more likely to survive at any given time than those without one, found Carlin Flora while researching her book Friendfluence. Researchers from Brigham Young University calculated that being a loner is an equivalent mortality risk to smoking 15 cigarettes a day, says Floraeven riskier than being obese or not exercising.

3. Better yet, join a French Words et Wine or Mandarin for Beginners group. Canadian scientists used CT scans to compare the brains of bilingual and monolingual Alzheimer's patients and found that being able to speak multiple languages seemed to keep patients cognitively agile for longer. Protective benefits start in childhood, but the research suggests that picking up a new language later in life may also help stave off dementia.

4. Nurture your java habit... Drinking four cups of brewed coffee (or the amount of caffeine that you'd get in one Starbucks venti) a day has been linked to as much as a 50 percent lower risk of developing type 2 diabetes, a 25 percent lower risk of endometrial cancer, and a 20 percent lower risk for depression. (Keep in mind that this daily amount may cause those who are new to the coffee habit to feel jittery and have trouble sleeping.)

5. ...or fill your mug with tea. In a study of more than 40,500 Japanese men and women, those who drank five or more cups of green tea every day had the lowest risk of dying from heart disease and stroke. Other studies involving black tea showed similar resultsbut adding milk may cancel out tea's cardiovascular benefits. Whatever color tea you choose, drink it black, or with honey and lemon.

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Longevity - How To Live Longer - Secrets to Longevity