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Table of Contents by most recent article
  Protecting Your Achille's Heel
  What is Normal Eating?
  10 Steps To A Happier You!
  Acupuncture Can Help Manage Anxieties
  Insight into Back Pain
  First Aid for Coaches
  Art of the Edge - Yoga
  Gait, Posture, And The Musculoskeletal System
  Medicine Ball Training
  Alternative Medicine
  “Surfing” for Fitness
  Why Does My Back Hurt?
Heart Health and Summer Fun
The Power of Relaxation
Sports Massage
  Words of wisdom for living well in 2003
  Jump start your body any time of the year
  Spring into yoga
  Be a role model
  What exactly is SARS?
  Breast health awareness month: A time to assume personal responsibility for health care.
  Aching joints need care
   Maximize physical, psychological potential with "wonder nutrient
 
 



Heart health and Summer Fun

By Randy K. Bottner, M.D
1 Summers here! Long, hot days. Warm, humid nights. A wonderful time of the year, especially here in the Coastal Empire. But its also a potentially dangerous time for those with heart disease because environmental conditions place added stress on the heart. Heat and humidity force the heart to work harder to pump blood to the skin to keep cool. This is why people turn red when theyre hot - the little blood vessels in the skin (called capillaries) dilate in order to radiate heat out of the body. Its also why we sweat - the evaporation of the sweat from the skin helps to cool the skin and lower the temperature inside the body. When the skin capillaries dilate, the heart has to pump a greater amount of blood. It does this by increasing the amount of blood pumped with each beat and by beating more rapidly. To do this, the heart needs more oxygen.

If a person has blockages of the heart’s arteries, the ability of the heart to get the oxygen it needs is limited and chest pain (called angina pectoris) or shortness of breath can occur. If a person has a weak heart (a group of conditions called cardiomyopathy), the ability of the heart to pump more blood is limited and overheating can occur more easily. When we sweat, we obviously lose fluid from our bodies. Excessive sweating can lead to low blood pressure. To compensate, the heart is forced to pump harder to raise the blood pressure.

Once again, angina may occur if there are any blockages in the heart’s arteries. Furthermore, low blood pressure can lead to dizziness or even passing out (syncope). People with cardiomyopathy are more likely to experience this problem. As fate would have it, many of the mediciations taken by people with heart disease exacerbate the effects of hot, humid weather. Diuretics (water pills) taken by many people with high blood pressure or heart failure, cause a loss of fluid through the kidneys. Many other heart medications work by causing a reduction in the blood pressure, an effect that is intensified during hot weather.

All people, but especially people with heart disease or high blood pressure who take medications, should minimize their exposure to the hottest part of the day. Taking fluid to replace that which is lost by sweating and performing physical activities either in the early morning (the coolest part of the day) or in an air-conditioned environment helps to prevent the dangerous effects of the summer heat. Heavy meals also increase the work that the heart has to do. Therefore, light meals are preferable during hot weather. Alcohol should also be avoided prior to physical activities due to the strong diurectic effect it causes. So, use good common sense and enjoy the summer. Your heart will appreciate it!

Randy K. Bottner, M.D., can be reached at Savannah Cardiology.



SPORTS MASSAGE
By Donna Ann Kirsch, LMT
1While no one will ever dispute the benefits associated with massage, traditionally, regular massage is more of a relaxing treat than an important part of your training regimen. Swedish Massage, usually very superficial, does not target specific muscle groups used in your athletic training. There's a world of difference between a Swedish Massage and a custom-designed Sports Massage. This may be the missing link in your quest for improved fitness. "In Sports Massage, the techniques are designed to benefit the muscles by warming and softening tissue, realigning muscle fibers, helping to heal scar tissue and flushing toxins from specific muscles," says Joan Johnson, Director of Sports Massage of the Rockies.

1Athletes from all levels of ability and accomplishment are coming to rely on Sports Massage as a necessary component in their training. The most important thing this type of work does is increase blood flow vital to recovery and relaxes stressed muscles. Sports Massage can also relieve spasms, free muscle adhesions, and improve your range of motion. Overuse injuries are a fact when you're making advancements in your fitness level. Regular Sports Massage can restore the length and suppleness of tight muscles and flush out lactic acids and toxins. The "No Pain, No Gain" theory danced out of style with the Disco craze. Imagine the goals you can achieve when the aches of overuse and the threat of injury are practically eliminated.

1Sports Massage is deeper and sometimes brisker than Swedish Massage. There's a definite difference in the strokes and the intent of the therapist. Isolating muscles, stripping through them, and assisted stretching aid in flushing each individual muscle. Three main strokes are used in this therapy. Compression is used to compress the muscle toward the underlying bone, spreading the muscle fiber and increasing circulation. Trigger Point is done with a finger or thumb pressed into a tight or tender spot. Often, after a few seconds, the pain releases and the tissue softens. Cross-fiber Friction is applied perpendicularly to the direction of the muscle fiber, stroking across the grain. Ideally your massage will be tailor-fit to your particular sport and personal fitness level. Finding a good Sports Massage Therapist is important. Always choose a licensed therapist who specializes in Sports Massage and has taken advanced studies in this modality. A therapist who exercises will understand and relate much easier to your wants and needs. Many health clubs and spas offer excellent therapists. Talk to the therapist before the massage, and be specific in regards to your expectations. It's important that you feel comfortable and express your feelings. In a perfect world we would all have massage on a weekly basis, if this doesn't fit in your budget, aim for at least every two during heavy training. The average cost for a one hour sports massage is $50 - $60.

1Self-massage and stretching are also very beneficial. Although you will never be able to achieve your therapist's leverage or depth, you can at least stimulate circulation. Simple stretching routines and relaxation techniques are wonderful ways to pamper your body. "An ounce of prevention is worth a pound of cure." Joan Johnson's book, "The Healing Art of Sports Massage" is an excellent source of information and guide to self-massage.

1Go ahead and lift those weights, run those miles, and climb those mountains. Just take the time once in a while for a much-deserved Sports Massage. You'll be glad you did.











The Power of Relaxation

by Barbara Weisner, M.A.
1Back in the 1960's, a conversation with my younger brother, who was home from college, developed into a discussion. Why do some people choose to use drugs to "get high," while the rest of us are "high" naturally?

1"We don't need drugs to be happy or to make us happier," I argued. "We can do that on our own." Even as we spoke, the process of giving life to this truth was taking place in various laboratories. The stage was set for the inquiring genius of researchers like Candice Pert, a graduate student who changed the field of neuroscience forever when she and her colleagues discovered the opiate receptor in the brain in 1972.

1A lecture she delivered in 1983 about the link between the immune system and the brain made a similar impact, leading to her status as a guru in the alternative wellness mind-body movement. Recently, Pert has chosen to research and explore the biology behind feelings, which will be presented in her forthcoming book, Molecules of Emotion.

1From the medical ranks, Hubert Benson, M.D., gave us the awareness that we can choose a relaxed state over the fight-or-flight response experienced during stressful moments. Dr. Benson conducted a series of experiments at Harvard Medical School to monitor subjects who used various meditation techniques to achieve a relaxed state.

1Dr. Benson called the changes produced by this state the "relaxation response." Unlike the knee-jerk reaction of the fight-or- flight response, the relaxation response takes time to be mobilized. According to Dr. Benson, when our brain waves experience a slow-down, we summon the relaxation response, enhancing our mood and our health.

1Best-selling author and Doctor Deepak Chopra, M.D., has increased awareness of the mind-body-spirit connection through his numerous presentations, lectures and appearances. His book, The Seven Spiritual Laws of Success, addresses our ability to adhere to the Law of Pure Potentiality, which enables us to move into a state of possibility.

1If you are searching for happiness or just a refreshing pick-me-up, try the following: Take time each day to just be. · Sit alone in silent meditation at least twice a day for approximately 30 minutes. -

· 1Take time to commune with nature and silently witness the intelligence within every living thing. Sit silently and watch a sunset or listen to the ocean. -

· 1Begin every day with the intention to be non-judgmental. Throughout the day, remind yourself not to judge. The secret to relaxation also comes from another source, the National Institute of Mental Health. Try these activities that will help relax away your stress: - · Adopt a creative activity such as painting, drawing, carpentry or cooking. Look for something fun to give you a sense of accomplishment and to provide relaxation. -

·1 Consider taking up some form of exercise, such as walking, bicycling or swimming. If you find strenuous exercise more enjoyable, try jogging, basketball or handball.

· 1Enroll in a fun adult-education program or local college course. Expand your mind.

· 1Make relaxation time a priority. Reward yourself with a daily time-out, even if it is simply sitting on the porch swing.

1However you choose to call upon the relaxation response, notice how your body feels and how you enjoy that experience. Happiness levels increase and daily activities become more enjoyable when we learn the power of relaxation. The power to be happy lies within you. Choose to plug into the power and share your happiness with people in all areas of your life.






Why Does My Back Hurt?

Hilton Head Sports Medicine Report By Matthew Clark, A.T.C., P.T.A.

1 You bend to lift a window, pick up a paper clip, tie your shoe. You follow through on your golf stroke or tennis serve, turn to reach for a book on a shelf, or merely twist in your car seat to flash your meanest look at the honking tailgater behind you. Walking, you miss the curb, and your heel hits the street with a jolt. Suddenly, agony takes charge of your life. It can start with a dull ache that gradually sharpens. It can begin as a sharp twinge that may subside after you think you have worked it out, but the next morning you cant get out of bed. Or it can start off instantly as the most astonishing pain you ever dreamed possible. You cant straighten up even in defiance of the pain; your muscles simply will not respond. The above is an excerpt from Irvan Blocks Low Back Pain-What It Is, What Can Be Done, and it describes what an estimated eight million Americans experience each year - BACK PAIN.

1It is estimated that eight out of 10 Americans have, or are believed to be suffering from, continuing low back problems. As a dually certified Athletic Trainer and Physical Therapist Assistant, I see the number of clients who come to our clinic seeking relief from this common ailment. To sufficiently answer the question Why does my back hurt? we must first understand what the back is comprised of. The spine is made up of multiple bones called vertebrae. The vertebrae serve to give structure and support to the body while also acting as a site for muscle attachment in order to give the spine movement. These vertebrae are classified according to the three natural curves they form. From top to bottom these curves are labeled cervical, thoracic, and lumbar. In addition, immediately below the lumbar vertebrae lies the sacrum (commonly known as the tailbone), which serves as host to many common back ailments. Between the vertebrae, we find a cushioning pad known as a disk. These disks serve as a shock absorber to the body and spine as we walk, run, bend, and twist. Maintain Balance I will divide the most common back ailments into two categories: those which affect the vertebrae and those which affect the disk.

1A large portion of back pain attributed to the vertebrae and sacrum can be referred back to the muscles which attach to them. Through activity, either repetitive or traumatic, any one or a combination of muscles may become weak, strong, tight, loose, strained, spastic, or even torn. This can be painful itself, but, in addition, these muscles have a direct impact on the spine because of their attachment. The muscles can exert an asymmetrical force on the spine and sacrum resulting in abnormal movement of these bones. This, in turn, intrudes onto other structures and causes pain. One can begin to understand and appreciate why it is so important to maintain strong but flexible and equally-balanced muscles to help support and maintain the bodys natural curves.

1Avoid Bad Habits Pain in the neck which is attributed to a disk problem can be just as serious and just as debilitating. Disk injuries are most often the result of poor habits. Improper lifting, sitting, standing, sleeping, and twisting all work to wear out the disks at an accelerated rate. Just like a wrung-out sponge, the disks lose their ability to absorb shock. Some common disk problems include bulging disks, ruptured disks, and osteoarthritis. Fortunately, you may prevent and even correct many of these and other problems by changing the poor habits mentioned above. An important message to remember here is that backache is not a single disease with a single treatment. Anyone who tells you he or she has an answer to low back pain or anyone who practices a single approach to this disorder, is misled.

1One should seek the advice of those who consider the many possible causes of low back pain, the variety of treatments available, and those who are trained to detect the anatomic, neurogenic, and degenerative changes, which can be made worse by incorrect treatment. Specifically, physicians, physical therapists, and athletic trainers are trained to provide these services. Rehabilitation from an acute or chronic low back problem takes self-discipline and dedication, but with the correct guidance many return to a normal, healthy, and active lifestyle. Matthew Clark is a certified athletic trainer and physical therapist assistant.










One On One Fitness Tips “Surfing” for Fitness
By Ken Weisner, A.C.E., Certified Personal Trainer

1Anyone who has surfed the web knows what a wealth of information is available on just about anything under the sun, including topics pertinent to health and fitness. And, though sitting in front of a computer screen is not exactly improving ones physical well-being, it can do wonders for ones body of knowledge. I wanted to share some of my favorite web sites to help you gain access to countless sources of information on everything from nutrition to strength-training techniques. AMERICAN COUNCIL ON EXERCISE (ACE) - ACE fit facts offer information on everything from youth fitness to exercise for seniors. This site also provides links to other health and fitness resources. GOOD HEALTH WEB - U.S. government listing of health organizations throughout the country.

1 THE INTERNET FITNESS RESOURCE - A wealth of fitness, health and nutrition links accessed through the search engine Yahoo. HUMAN KINETICS PUBLISHERS - Links to activities and sports and professional and continuing education. THE FITNESS PARTNER CONNECTION - Major categories and multiple subsections for all areas of fitness and health. THE PHYSICIANS AND SPORTS MEDICINE - An excellent sports medicine magazine with resources and links - BALANCE FITNESS ON THE NET - An on-line magazine with lots of topics on health and fitness.

1MAYO CLINIC - Dynamic health information and on-line quizzes. HEALTHFINDER - Includes governmental and other links - AMAZON BOOKS - Provides 50 top selers on various and specific fitness categories. PREVENTION MAGAZINE - Provides many sections on health and fitness for children to the elderly. AMERICAN HEART ASSOCIATION - Information on nutrition and heart disease for the general public , including an on-line heart disease risk assessment. AMERICAN DIETETIC ASSOCIATION - Diet and nutrition information. THE ROAD RUNNERS CLUB OF AMERICA - One of my favorites! A highly respected national running group.

1CENTERS FOR DISEASE CONTROL - Mostly health and diseases, but the information is excellent. BEARFOOT SPORTS - My favorite sight of all!! Features fitness tips and a rap up of current activities in the Low Country. http://www.bearfootsports.com

1Surfers Beware A measure of caution is necessary to decipher good information from bad while surfing on the web. Just about anyone can post information on the web, true or otherwise. It is important to visit reputable, established sites such as those listed here. Use your good judgment, be wary of exaggerated claims or overly aggressive sales pitches. A wealth of information is at your fingertips. Surfs up! Get Educated!

Ken Weisner, A.C.E., Certified Personal Fitness Trainer, Owner and Operator of One On One Personal Fitness Training Inc., Hilton Head Island, SC.


ALTERNATIVE MEDICINE


Human Growth Hormone

As the population has become more health-conscious, the role of Human Growth Hormone (HGH) to intervene in the aging process has grown. There have been increased reports in the press and media about this compound. Use of the substance is growing steadily and public knowledge needs to keep pace. HGH is our "master" hormone. Its decline marks a degenerative cycle in our lives. The hypothalamus is an area at the base of our brain that acts like a complex thermostat, measuring the various chemicals that float through our blood vessels. It reacts by sending a chemical signal to the pituitary gland. This gland produces a variety of hormones including HGH in response to these stimuli. 80% of the Anterior Pituitary is devoted to HGH production. This chemical (composed of 191 amino acids) attaches to receptor sites in liver cells, forcing them to manufacture Insulin-Like Growth Factor (IGF-1). IGF-1 does most of the work that growth hormone stimulates and is the substance we measure to determine the activity of HGH.

Maintaining a youthful quantity of HGH has an extensive list of benefits. The positive benefits includes; increased muscle mass and strength, decreased fat deposition, improved cholesterol balance, lowered blood pressure, improved kidney function, improved immunity, increased memory and overall mental function, wrinkle loss, increased dermal thickness and elasticity, increased libido, improved cardiac performance, increased lung capacity, increased bone density, and improved stamina. This list is not all-inclusive. You will literally feel younger. HGH is a hormone (drug) and does have side effects.

Carpal Tunnel syndrome and Acromegally (growth of the facial bones and hands) can result from overuse of HGH. These can be avoided if the IGF-1 levels are monitored and therapy is kept within the body's normal range. Diabetes mellitus was once thought to be a result of HGH treatment, but this myth has been dispelled. There are concerns that HGH may increase the growth of cancer cells. There is probably some truth to this. HGH also stimulates the immune system, which fights the cancer cells. It is likely that the immune stimulation outweighs that cancer stimulation. When HGH augmentation is monitored by IGF-1 level testing, the down side of treatment can be minimized. There are several ways to increase IGF-1 levels.

As we age, even though our HGH release drops, the ability of the pituitary to supply this chemical remains intact. We can "tell" our pituitary to release more HGH by several methods. Exercise, specifically "resistance exercise" will increase HGH release. A 20-minute aerobic period followed by 20 minutes of resistance exercise is the best balance. Another way to increase HGH release is by a group of substances known as releasers. Releasers are chemical signals to the hypothalamus that cause it to stimulate the pituitary. There are several of these available and most can increase the IGF-1 30-40%. Over the last few months, compounds that increase the receptor sensitivity to HGH in liver cells have become available. These have been found to be quite effective and can be used in conjunction with the releasers.

If all this fails in elevating the IGF-1 to youthful levels, injectable HGH can be given. This treatment is more expensive and needs to be monitored by a MD familiar with its supplementation. Given all the positive effects of HGH augmentation, and the relatively low cost of some of the above methods of boosting IGF-1, these products should be utilized more extensively. The preventive medicine this represents can give people improved health and vigor throughout their life.






Medicine Ball Training

One on One Fitness
Medicine balls are back. Once an exercise standard, medicine balls ( also known as “Heavy-Balls”) have gone through some very '90s-type changes. They are found in a variety of colors and textures, and may be filled with any number of different substances. They can even be deflated, packed away for traveling. Most importantly, the modern medicine ball offers a unique and very effective means for increasing strength while adding variety to your workout.

Athletes of all kinds recognize the strength and conditioning benefits of a heavy-ball workout. Whether training for a specific sport or for overall conditioning, the medicine ball is fun and challenging for beginning and experienced exercisers alike. It can be easily used in large group situations or alone if no one else is available for training. Equally effective for the male or female athlete, it is excellent for the young developing athlete and is completely portable. All that is needed to begin a program is a ball and the will to work and learn. The only limit is the user's imagination. The medicine ball opens up a broad spectrum of exercises from which you may select.

Medicine ball training bridges the gap between the type of strength developed in the weight room and the application of that strength to the specific sport skill or movement. Upper-and lower body exercises are plentiful, but the most impressive area of use is in developing "core" strength. The core is the center of power and balance. Working out with a medicine ball develops the dynamic, explosive ballistic properties necessary to apply strength to sport skill.

Medicine balls of 2 to 30 pounds can be used effectively to provide enough overload for the various muscle groups to obtain results. Almost every medicine ball exercise either directly or indirectly works this important area of the body. One note of caution: if you are using a medicine ball for the first time, you must be very careful to get accustomed to its weight before you throw the ball explosively. Warm up by tossing the ball back and forth with a partner until you are convinced that you can throw it with some "oomph!" without injury to your wrists or fingers. Perform each of the exercises shown below for 10-15 repetitions, waiting approximately 10 seconds between throws.

If you have a partner who can toss you the ball; try to catch it and throw it in one smooth, yet explosive, motion. If you don't have a partner, simply make each throw as explosively as you can. Throw it off a wall; when it bounces back to you, gather it in and throw it again. Overhand toss - Hold the ball in both hands. Draw it back behind your head. Step forward and throw it forcefully with a strong follow through. You can also perform this toss while lying on your back. Underhand toss - Assume a squatting position with the ball held between your legs with both hands. Toss the ball forward with an underhand motion. Chest pass - Hold the ball against your chest. Step forward and throw it straight out with a strong follow-through. Sideward toss -Hold the ball down beside one hip. Toss the ball forcefully to the opposite side with an overhand motion and a strong follow-through.

One on One is proud to announce our e-mail address: oneonone@hargray.com






Gait, Posture, And The Musculoskeletal System


Dr. Scott D. Greenapple

.Within the sports medicine practice and when dealing with athletes of all levels one of the most important tools a practitioner can use is simple evaluation. A careful history, and evaluation of a patients posture and gate, and a thorough understanding of the neuromuscular system is crucial in helping to over come injury, or improving ones Sports performance. An imbalance between posture and gait can lead to injury, an overall impairment to health and poor performance. Evaluation and assessment of muscle groups, through various methods including muscle testing, as well as understanding faulty mechanics of bones and joints, and being able to quickly fix them is crucial for a sports physician.

.There are many reasons for postural distortions, from disease to trauma; in this article we will assume there is no disease and focus on muscle and joint dysfunction. It is my opinion the body acts like a lever system. The muscles, tendons, and ligaments act as pulley system to move the levers; the joints and bones. Analysis of the body, its posture, being static or in motion, must take into account all aspects of balance. Including, muscle imbalances, joint dysfunction, and proprioception. Proprioception is how the body perceives itself in time and space. Within each joint, and even on the bottom of the foot are proprioceptive fibers that relate to posture and movement Position of your head, pelvis, and back are essential for coordination and posture, and how they relate to balance, which is the key to good athletic performance.

.Muscle weakness or inhibition, which is when one muscle is strong and the opposing muscle is weak can lead to postural distortions, and imbalances. This can lead to compensations in the body, and usually ends up with injury. Examples are: weakness of the outside muscle of the foot which then lead to rolling in or pronation, which can lead to ankle, knee and hip injury. This is why many people think that I am anti foot orthotics. It is not that I am anti orthotics, it is just that many times the problem is not the foot per say, but an imbalance in the muscles, or joints above the foot which can lead to foot dysfunction. If you correct the foot without balancing and fixing 'the real problem, you can have further injury, and poor performance. There are many more examples, weak hip flexors lead to pelvic imbalances, which can lead to low back, knees or foot problems. The body is complex, and to look at only the area of pain without taking into consideration, proprioception, balance, joint and muscle dysfunction, is an injustice to the patient.

.Poor or altered posture directly leads to joint dysfunction. Joint dysfunction leads to soft tissue and circulation problems. This is the basis of the repetitive injury cycle, which ends up leaving the athlete with pain and swelling, or the common chronic tendonitis. In the athlete who is lucky enough to escape injury, they will never be performing at their peak capability. When incorporating a wellness program, make sure your practitioner is looking at all the sums to the equation. Joint manipulation, soft tissue work (I prefer active release), muscle balance, gait and proprioceptive training are just a few of the many techniques that help control posture and gait, which will reduce injury and improve performance.

.About the author: Dr. Scott D. Greenapple is a certified chiropractic sports physician. He is a member the USA medical staff for the world triathlon and duathlon championships. Dr. Greenapple has been a treating physician at the Hawaiian Ironman Competition since 1992. Dr. Greenapple is a certified lecturer and instructor for the active release techniques soft tissue management system. He has been treating Olympic, professional, and elite athletes over the past thirteen years.



Words of wisdom for living well in 2003
Happy 2003 everyone! You¹re in for an exceptionally inspiring and educational treat! With Coastal Sport & Wellness¹ intention of sending you the very best of wishes for the very happiest and healthiest new year ever, we went to our experts, writers and advertisers and asked them to offer their words of wisdom to give readers a positive jump start into 2003. As always, they came through for us and we sincerely thank them for their contributions. So grab a cup of hot coffee, tea or chocolate, find a cozy chair, kick off you shoes and read this choice selection of pearls carefully and thoughtfully for your personal enjoyment.

New year, new career

Nothing is more miserable than working at a job you hate. Why not start a new career in 2003? Kelly McDaniel, Public Relations Director Technical College of the Lowcountry

Wear sunscreen

For a healthier 2003, be sure to wear sunscreen all year round to avoid overexposure to the sun that can later be the cause of skin cancer. A. Thomas Bundy, M.D., F.A.A.D. Hilton Head Dermatology & Skin Cancer Center

Seize the day

Do the things you want to do, have always wanted to do, but have never done. Take the chance, take a risk, carpe diem. Matthew Clark, A.T.C., M.B.A., M.S.P.T. Hilton Head Sports Medicine

Get organized

There is no right or wrong way to organize. It doesn¹t matter what you do, but that you do it consistently. Vicki Rickard Business Simplified

Relax

You¹re as stressed as you allow yourself to be. Leslie Scaglione, Marketing director Summit Place of Beaufort.

Beauty from within

Beauty is in the eye of the beholder. Self-confidence must come from within. Start the new year with a fresh new start inside and out. Create a healthy mind set. Michelle S. Cox, Licensed esthetician Savannah Plastic Surgery Associates

Love one another

Consistently treat people as you would want to be treated yourself. Ken Weisner One on One Personal Fitness Training

Appreciate today

Try not to overstress, 2004 will be here before you know it. Chris Whelan, D.C. Whelan Chiropractic

Exercise regularly

Exercise regularly. Don¹t overeat. Smile a lot. And be forgiving of others and yourself. Neil F. Gordon, M.D., Ph.D., M.P.H. President and CEO, INTERVENT USA, INC.

Set realistic goals

Set realistic health, wellness and emotional goals, and make a thoughtful plan to achieve them. Joel M. Johnson III, M.D. Main Street Medical

Smell the roses

Remember to stop and smell the roses. Mickey Vos, Acupuncturist

Help others

Love, give and serve. Ken Horup, D.C. Discover Specific Chiropractic

Seven steps

1. Eat whole foods. 2. Get fresh air and sunlight. 3. Drink plenty of water. 4. Exercise three times a week. 5. Heal or eliminate toxic relationships. 6. Grow your mind. 7. Know the Lord. Brett M. Stohrer, D.C. Hilton Head Holistic Center

Laugh a little

If you¹re serious about making a change, or setting or accomplishing a goal for the new year, then make sure you include humor in your plans. Don Foxe, General Manager Breakthrough Fitness Centers

Move closer to center

Renewing our relationships with ourselves and the ones we love, by prioritizing our spiritual relationship with our world, families, friends and community. Make it your priority to utilize all resources to make and take time for yourself to think about yourself and to care for and about yourself. Megan Campbell Carolina House of Hilton Head

Protect yourself

For a healthier, happier, better-looking 2003: Eat properly, exercise regularly, protect yourself from sun damage, minimize stress - and see your plastic surgeon! Robert A. Laughlin, M.D., F.A.C.S. Hilton Head Island Plastic Surgery.

25 wishes for 2003

Love, understanding, kindness, gratitude, hope, compassion, consciousness, awareness, tolerance, forgiveness, acceptance, wisdom, truth, responsibility, accountability, community, transformation, miracles, purposefulness, inspiration, passion, fulfillment, happiness, authenticity and faith. Kathryn Patrick Murphy, Ph.D., Personal life coach, PeaceSeekers facilitator

Choices

In every moment we have a choice. When coming upon a potentially negative situation, don¹t own it, don¹t name it, don¹t enroll others in it. It¹s not what is in life that counts, it¹s how far you take it. Tabitha Cawthorne Marketing Director The Water Boy

Calculated risks

Don¹t be afraid to take risks in 2003. Be conservative and move slowly. Just think it through thoroughly and understand the upside and downside of your actions. A risk not taken is an opportunity lost. Mark Weisner Owner Bear Foot Enterprises Inc.

Jump start your body any time of the year


Provided by Hilton Head Regional Medical Center It¹s a resolution heard year after year, time and time again: ³This year I am going to start an exercise program and stick to it.² Initially it¹s great. There is excitement on getting the gym membership, purchasing the right equipment, and so on. The workouts enthusiastically get done. There are mental highs and feelings of accomplishment. But somewhere down the line, the excitement fades and the enthusiasm wanes.

Is it possible to create an interesting exercise program that you can stick with all year round?

The answer is yes. According to the Weight-control Information Network (WIN) serviced by the National Institute of Diabetes and Digestive and Kidney Diseases, creating an exercise program that produces maximum health benefits should be both challenging and interesting. WIN suggests that an exercise program should include the following: € 20-30 minutes of aerobic activity a minimum of three days per week, or an accumulated 30 minutes or more at least five days a week from moderate-intensity activities if aerobic activities are too much € exercise should take place within the target zone, which is 50-75 percent of one's maximum heart rate (the fastest one's heart can beat); this is measured by counting the number of pulse beats in the wrist or neck for 15 seconds and then multiplying by four to get the number of beats per minute € strengthening activities, such as weight training, should be included in order to build stronger muscles and bones € flexibility exercises, such as stretching, should also be included to help keep joints and muscles loose and help prevent injury € warm up before any physical activity and cool down afterwards to allow the body time to properly adjust and prevent injury The key to sticking with an exercise routine is creating one that incorporates activities that are enjoyed and fit conveniently into daily life. Consider doing a variety of activities since doing the same routine day after day is likely to cause boredom and may increase the chance of stopping the program altogether. Variety keeps physical activity interesting. Choosing activities that fit into daily life increases the likelihood of physical activity getting done each day. If there is only 20-30 minutes of time in a day to implement exercise, don't choose an activity that takes an hour. Most likely, it won¹t get done at all.

Be realistic

Another way to stick with a program is to set realistic goals. Effective goals are specific, attainable and forgiving. An example of a realistic goal is, ³I¹m going to walk 30 minutes, five days each week.² It is specific, attainable and allows for activities to come up that shift routine (forgiving). Once you have established an exercise program and effective goals, don¹t let those rainy days in the fall and the cold, snowy days in the winter keep you down. Exercise can still go on. Unless a physician has advised against it, many activities can be continued outdoors through the fall and winter months.Trying winter-specific sports, such as downhill skiing, cross-country skiing or ice skating can be lots of fun. Make sure that appropriate attire is worn to keep your body warm. For those who don¹t choose to brave the elements or who are unable, activities such as walking in the shopping mall, working out at a gym or swimming in an indoor pool are all possibilities.

Year round work outs

Working out year round doesn¹t only help when it comes to trying on swimsuits for the summer. Physical activity done on a regular basis may reduce the risk for several diseases and conditions, help to control weight and improve the overall quality of life. Physically, there may be a decreased risk of developing heart disease, a reduction in blood pressure, a possible prevention of noninsulin-dependent diabetes, a reduction in body fat and an increase in muscle and bone strength. Mentally, physical activity has been shown to improve mood and self image, reduce depression and anxiety, and aid in stress management. The Mayo Foundation for Medical Education and Research adds that exercise may also help get rid of the "winter blues," increase energy levels and improve sleep. Whether making a New Year¹s resolution or vowing to be in shape for the next birthday, creating an exercise program to last is possible. € Be creative. € Do what you enjoy. € Stay motivated. € Celebrate each and every success.

Spring into yoga


By Kaitlen Jane Groetzinger

Today, more than ever, it¹s crucial that we include practices in our daily lives that promote health and inner peace. We face increasing pressures in many forms; personally, environmentally and globally. We are running faster and working harder in a society of quick fixes and instant everything. Continuously checking things off our endless to-do list. With all the stimulation outside of ourselves, we tend to lose sight of the joy of just being. What remains in many of us is a deep longing. We crave relaxation, comfort and the chance the let go. We long for freedom ­ not freedom from our lives, but the freedom we can find within our lives.

Improved alignment

Yoga can help us find this freedom, not only freedom from our aches and pains, but also from our fears, our agitation, and our sense of separateness. As we bend and stretch while practicing the art of yoga, we are training our bodies to be more flexible and we learn to be adaptable as well. As we continuously focus on our physical alignment, we find that our life off the mat comes into improved alignment as well. As we strengthen our bodies, we strengthen our abilities to deal with challenges throughout our days. As we feel ourselves coming to life in our postures, which are named after animals and symbols in nature, we deepen our understanding that we are a part of nature. Through this understanding we are inspired to take better care of ourselves thru improved diet and sleep patterns, etc. An ongoing yoga practice has a lot to offer no matter what stage of life you are in. Physically, it can help to improve your strength, flexibility, and balance. Yoga will enhance any other athletic endeavors. Yoga can also bring a spiritual and emotional element to you life. It requires that you focus exclusively on the present moment, which clears your mind and brings you a sense of peace. We learn to play our bodies like musical instruments, tuning the notes, harmonizing the systems.

Getting started

Yoga is an Indian system of mental, physical and spiritual development more than 6,000 years old (it must work). Hatha Yoga, the yoga of the physical being utilizes deep breathing while holding various postures to normalize and enhance mind, body, and spirit. Yoga stretches tones and strengthens core muscles; in turn core muscles massage internal organs and your glands naturally harmonize your hormones. The breath oxygenates mind and body. The electromagnetic currents stabilize and the central nervous system relaxes. The best way to approach your Yoga practice is open, empty and bare. Open mind, empty stomach and bare feet. You have a choice of working with an instructor one on one, or going to a group class, reading a yoga book or buying a yoga video. In the beginning a teacher may indeed be an important factor, and practicing in a group may provide the support that is absent when practicing alone. Eventually you take you practice where only you can take it further. When you trust you intuition and act through you heart, the results are fulfilling. Make the connection. Namaste ­ Sanskrit word meaning the higher part of me sees and honors the higher part of you. Kaitlen Jane Groetzinger is a certified yoga and Pilates instructor.

Be a role model


By Ken Weisner

³We have an epidemic of obesity among youth, we are seeing a troubling risk in cardiovascular risk factors, including type 2 diabetes. Physical activity can help protect our children from these health problems, but we need to enlist the aid of everyone, especially parents and schools. Unfortunately, at a time when many are fixated on raising scores on achievement tests, physical education often is the first thing cut. Is a child who scores a few points higher on an achievement test but is 50 pounds overweight getting the right education?² ­ Dr. Jeffery P. Koplan, Former Director of the Centers for Disease Control and Prevention . By the time they reach high school, 63 percent of children are no longer physically active. Why? Try TV, video games, and personal computers, compounded by too much munching of high calorie foods that add unwanted and unneeded pounds. If your kids fall within this group, you don¹t have to shake your head sadly. You can set a good example, be a role model and do the right things so your kids will too. Get off the couch and ride a bike with your kids. Introduce them to exercise that is fun and rewarding. Eat healthy. Instead of high-calorie foods and snacks, turn to fruit and low-fat foods. Once you get kids moving in the right direction of fitness, chances are they¹ll keep going for the rest of their lives.

Start Eem young

Physically active children have fewer chronic health problems than kids who are sedentary. Physical activity enhances agility and motor-skill development, which may increase self-esteem leading to better classroom behavior and a greater desire to learn. Kids who are fit have a stronger self-image and more self-confidence, and greater self-discipline (a strong foundation in fitness teaches kids they are responsible for their own health and fitness). When you consider these facts, it makes good sense to encourage physical activity when your child is young. Parents, teachers, youth coaches and fitness professionals all have a role to play. Each can help a kid think positively about exercise and motivate them to make regular physical activity a lifetime pursuit.

Best motivators

As a parent, it¹s up to you to play the biggest part. Your child looks to you for examples on how to talk, dress, act and lead an active ­ or a non-active ­ life. Set a good example for your kids. Instead of spending an evening in front of the television, find some activity that will keep you moving ­ a walk, bike ride, a swim ­ just get moving! It¹s never too late or too early to help your kids build strength and endurance. Push-ups and pull-ups are an excellent way to build upper-body strength. Jungle gyms and monkey bars are great for kids because they utilize their own body weight. And they¹re loads of fun. Kids are not always limber. Their muscles may be tight and vulnerable to injury during growth spurts that occur during the elementary years. Include stretching as a part of you fitness activity. Concentrate on the positive aspects of exercise. It¹s a chance for the family to be together. Avoid competition, discipline and embarrassment. Praise your child for trying.

It¹s up to you

You can¹t tell kids that being active is fun. You have to show them. Take them hiking, biking, dancing, in-line skating, or swimming. Skip rope or shoot baskets. How about a family soccer game? Plan outings and activities that involve walking ­ a trip to a park, a nature trail, or even the mall. It¹s really up to you. If you want your kids to be healthy, happy teens and adults, it¹s up to you to do something about it.

What exactly is SARS?


By J.P. Saleeby, M.D.

Severe Acute Respiratory Syndrome (SARS) is nothing very new; it apparently claimed its first victims towards the end of 2002. However, due to the political climate in China, much information was hidden from the World Health Organization (WHO) about the gravity of the disease in that country. Now cases are popping up in many corners of the world. As has been the case the intense media spotlight has often caused hysteria and panic. This article is to inform the public of this important health threat, but also to reassure and avoid panic driven action. Remember quite recently the rush to stock up on Cipro® when threats of Anthrax were abound. What about the more recent run on duct tape?

Global alert

Let¹s start with a bit of history on SARS. First reported as a flu type illness in the Guangdong province in South China, there were five deaths associated with it in mid November 2002. >From there it spread into other parts of Asia. On March 12, 2003 WHO released the first global alert about SARS. By this time it had spread to the Western Hemisphere (Canada, Toronto in particular). From November 2002 until April 23, a total of 4,288 SARS cases were reported to WHO from 25 countries including the United States (some feel China is hiding the true number of victims); 251 deaths have been reported worldwide. In the United States as of April 23, a total of 245 SARS cases were reported to the Center for Disease Control (CDC) from 37 states. Of these, only 16 percent had illnesses characterized by the presence of pneumonia or acute respiratory distress syndrome consistent with SARS. The remaining 84 percent had fever and respiratory symptoms. Of the 39 probable SARS patients, 37 (94 percent) had traveled to mainland China, Hong Kong, Singapore, Hanoi, or Toronto; one was a health-care worker who provided care to a SARS patient, and one was a household contact of a SARS patient. Twenty-seven of the probable SARS patients were hospitalized, and one required mechanical ventilation. Of the 245 reported SARS cases, 45 have diagnostic SARS-CoV (corona virus) laboratory findings (detection of antibody to SARS-CoV by reverse transcriptase polymerase chain reaction analysis). What is SARS exactly? The CDC has classified the cause of this respiratory illness as a mutation of a coronavirus (CoV), which is responsible for the common cold, making it unique to the class of virus and quite virulent. Global alert Let¹s start with a bit of history on SARS. First reported as a flu type illness in the Guangdong province in South China, there were five deaths associated with it in mid November 2002. >From there it spread into other parts of Asia. On March 12, 2003 WHO released the first global alert about SARS. By this time it had spread to the Western Hemisphere (Canada, Toronto in particular). From November 2002 until April 23, a total of 4,288 SARS cases were reported to WHO from 25 countries including the United States (some feel China is hiding the true number of victims); 251 deaths have been reported worldwide. In the United States as of April 23, a total of 245 SARS cases were reported to the Center for Disease Control (CDC) from 37 states. Of these, only 16 percent had illnesses characterized by the presence of pneumonia or acute respiratory distress syndrome consistent with SARS. The remaining 84 percent had fever and respiratory symptoms. Of the 39 probable SARS patients, 37 (94 percent) had traveled to mainland China, Hong Kong, Singapore, Hanoi, or Toronto; one was a health-care worker who provided care to a SARS patient, and one was a household contact of a SARS patient. Twenty-seven of the probable SARS patients were hospitalized, and one required mechanical ventilation. Of the 245 reported SARS cases, 45 have diagnostic SARS-CoV (corona virus) laboratory findings (detection of antibody to SARS-CoV by reverse transcriptase polymerase chain reaction analysis). What is SARS exactly? The CDC has classified the cause of this respiratory illness as a mutation of a coronavirus (CoV), which is responsible for the common cold, making it unique to the class of virus and quite virulent.

Incubation period

We know the incubation period is typically two to seven days. And it is spread by droplets (aerosolized by a cough for example). There is a febrile prodrome, with temperatures usually greater than 100.4° F. Sometimes chills and possibly other symptoms to include headache, malaise, and body aches are noted. Some have reported diarrhea as a symptom. The lower respiratory (lung) phase occurs after 3 to 7 days. This phase is heralded by a dry nonproductive cough. This may progress to hypoxemia (low oxygen in the bloodstream). Ten to 20 percent of victims will require intubation and placement on mechanical ventilation. A chest x-ray may be normal in the febrile prodrome and throughout the course of the disease, however in substantial numbers of patients, the respiratory phase is characterized by generalized, patchy, lung infiltrates. Blood work may be normal initially, but as the disease peaks the white count drops as well as blood platelets. A serum enzyme called creatine phosphokinase may become very high, as well as liver enzymes (transaminases). These are things that may help a physician rule-in the diagnosis of SARS from that of a less lethal illness. The fatality rate is only about 3% to date. Taking a look at the 16 Toronto-area residents who have died from the syndrome, only two were under the age of 60. Most were 70 or older. Like any acute infection, the elderly and those with poor immune systems are most at risk of death. Our treatment options nevertheless are quite limited. The CDC has no current recommendations except supportive care, but the antiviral drug ribavirin (used to treat a form of hepatitis) has some promise and is being used. If SARS is suspected, the reflexic use of aerosol nebulizer treatments (Albuterol) should be used with caution, as it may spread the virus. Some doctors are using steroids to treat this illness. Scientists are working on better diagnostics to help identify this virus quickly and with accuracy. Will there be an effective vaccine? That remains to be seen.

Things to avoid

So what can we all do to protect against acquiring this disease? Common sense things like avoiding travel to China, Hong Kong, Vietnam, Singapore and Toronto. Avoiding contact with travelers from these areas or those with suspected SARS. If you suffer from fever with shortness of breath and severe cough seek medical evaluation without hesitation. Without sounding like an alarmist (because in some cases panic can kill more people than the disease itself) or a person to downplay this illness, one needs to exercise common sense and keep a watchful eye for signs of danger. So far the likelihood of contracting this particular illness in southeast Georgia is miniscule at this point in time. However, we must be vigilant, but we must also put things in perspective as well. Remember every 15 minutes someone dies as a result of an alcohol related motor vehicle collision not of SARS. We must remain passionate about what can really harm us. J.P. Saleeby, M.D., is medical director of SLI, an integrative preventive and anti-aging medical center in Savannah.

Breast health awareness month: A time to assume personal responsibility for health care.


We are all encouraged by medical advances reported by media nearly every day. Although breast cancer rates remain high in the United States, (approximately one in eight women will get breast cancer in their lifetime), the five- year survival rate after treatments is now about 90 percent. There are so many women in America with breast cancer today that a whole new attitude has developed around learning to live with the disease rather than dying from it. In the last year two landmark studies have been published showing that the initial benefits of treatment by lumpectomy compared to mastectomy (breast removal) have remained significant more than 20 years after the less deforming surgery. There has also been progress on the radiation therapy front. For patients fitting all of the specific criteria, and there are many, radiation therapy after lumpectomy can now be accomplished in this special group of patients in five days rather than the usual 33 treatments. We were all excited at the news a few years ago that a pill, Tamoxifen, could prevent 50 percent of breast cancers in the opposite breast in patients already treated for one breast cancer. In the last year data has been released in an early study showing that a newer drug, Arimadex, may be more effective than Tamoxifen with significantly fewer side effects. Today, nearly all biopsies to rule out breast cancer can be done in the office or breast center under local anesthesia.

Case reviews

Patients at cancer centers have the option of having their cases reviewed by multi-disciplinary tumor boards composed of cancer surgeons, medical oncologists, radiation oncologists, radiologists, pathologists, and all the other members of the treatment team, providing an opinion concerning further work up and treatment based on the combined scientific knowledge. These are just some of the recent advances in breast cancer diagnosis and treatment. With all this in place and all these advances being made, shouldn¹t the death rate from breast cancer in the country be decreasing more rapidly? One would think so. The time has probably arrived where further rapid advances in survival from breast cancer is, in large measure, in the patient¹s control. The key at this time appears to be early detection of the disease, finding it at an earlier stage when the chances of cure are higher.

Early detection

The three-part program for early detection, outlined by the American Cancer Society and endorsed by the National Cancer Institute and others, combines yearly mammography after age 40 with annual examination by a health care professional, and monthly breast self exam. All the work of researchers on this devastating problem and all the efforts of the government and organizations like the American Cancer Society to fund the research, all goes for naught if the individual woman doesn¹t step forward and take the initiative in early detection. October is Breast Health Awareness Month. Why not use this reminder to get back on schedule with your annual mammograms? Why not take the opportunity to ask your friends on the golf course or at family gatherings if they have had their annual mammogram? They may thank you. It could save their life. Ray Rudolph, M.D., is with the Center for Breast Care at Memorial Health University Medical Center in Savannah, GA.

Aching joints need care


By Matthew Clark, M.S.P.T., A.T.C, M.B.A

When we sit, stand or kneel, our bodies move without a great deal of thought. For people with osteoarthritis, movement becomes a problem. Osteoarthritis is one of the most frequent causes of disability among adults. More than 20 million people in the U.S. have the disease. It¹s the most common form of arthritis, attacks the cartilage, a rubbery tissue that covers the end of the bones between your weight-bearing joints. It provides a smooth surface so that bones move easily. As osteoarthritis progresses, cartilage wears and the underlying bone becomes compressed and irregular. Instead of moving smoothly together, joint surfaces rub against each other. Pain and stiffness may be the earliest symptoms of osteoarthritis. Your range of motion in the affected joint may be limited. Osteoarthritis normally occurs in the fingers, neck, lower back, knees and hips. Your knees are especially susceptible because they bear most of your weight. Some other key areas include: € Hands: Small, bony knobs appear at the end joints of the fingers. Similar knobs, called Bouchard¹s nodes, can appear on the middle joints of the fingers. Fingers may become enlarged and gnarled and they may ache or be stiff and numb. € Knees: As the body¹s primary weight-bearing joints, the knees are commonly affected by osteoarthritis. They may be stiff, swollen and painful, making it hard to walk, climb and get in and out of chairs and bathtubs. If not treated, osteoarthritis in the knees may lead to disability. € Hips: Osteoarthritis in the hips can cause pain, stiffness and severe disability. People may feel the pain in their hips, or in their groin, inner thigh, buttocks or knees. This may limit hip moving and bending. € Spine: Stiffness and pain in the neck or in the lower back can result from osteoarthritis of the spine. Weakness or numbness of the arms or legs also can result. Warning signs of osteoarthritis may include a steady or intermittent pain in a joint, stiffness, swelling or tenderness or a crunching feeling or the sound of bone rubbing on bone.

Treatment options

To diagnose osteoarthritis, your doctor will do a thorough history and physical exam. X-rays help show damage to the joint. Blood tests and other laboratory tests help rule out other types of arthritis. Your doctor may prescribe a treatment plan to provide pain relief, increase motion and improve your strength. Some treatment options include: € Medications: Your doctor may prescribe medication to reduce pain and inflammation. The type and strength of the medication depend on your specific diagnosis, disease severity and physical health. Sometimes, cortisone injected directly into the joint may help relieve pain and swelling for a time. € Diet: Eat a well-balanced diet that is low in fat and high in fiber. Losing excess weight may reduce the stress on your joints. € Physical Therapy: A specific exercise and flexibility program provided by a licensed physical therapist may be recommended to improve motion and reduce pain. It is important to learn the proper methods for exercise to prevent unnecessary injury or further harm to joints and muscles. Aquatic exercise may also be prescribed to reduce pressure and load on the joints and bones. € Surgery: If other treatments fail, your physician may recommend total joint replacement surgery to replace the worn joint and cartilage with a prosthesis. So, how do you know what treatment is best for you? Talk with your doctor about a treatment plan that is best for you. As your treatment progresses, your doctor may adjust your medication, diet or exercise program. Keep your doctor informed about your symptoms, general health and problems with medications. Matthew Clark, M.S.P.T., A.T.C., M.B.A., is head athletic trainer at the Physical Rehabilitation Center at Hilton Head Regional Medical Center.

Maximize physical, psychological potential with "wonder nutrient


By Mark J. Occhipinti, M.S., Ph.D.

Imagine a nutrient that can improve human fat metabolism, increase the human brains ability to function, strengthen your immune system and improve muscle mass all at the same time. This is what the amino acid Glutamine does. The most recent animal and human studies have demonstrated that L-Glutamine is significantly more effective in regulating muscle protein than Branched Chain Amino Acids (BCAA). The addition of L-Glutamine in dosages of 500-1,000 milligrams, (twice daily) can cause an increase in friendly bacteria count. Leaky gut syndrome, which is one of the major causes of food allergies resolves itself with L-Glutamine administration. Stressful conditions, including: surgery, fasting, glucocorticoid administration, or exercise, consistently reduces intra-muscular glutamine levels. Glutamine depletion is more severe and lasts longer than any other amino acids lost from the muscle. Stress hormones cause a reduction in intra-muscular glutamine by stimulating both muscle glutamine synthesis as well as creating the efflux or escape of this amino acid from skeletal muscle.

Stress in the body

Life can be demanding and stressful enough. Add college, work and day-to-day hassles, and you can run your body into the ground. Americans are notorious for skipping meals either because of hectic work schedules or with the idea of losing weight. These factors stress the auto-immune system by limiting the nutrients needed to build new white blood cells and repair damaged cells. Drinking large amounts of coffee, smoking cigarettes or drinking alcohol stress the body¹s ability to perform optimally. Alcohol, antibiotics and diets high in animal proteins and fats damage the mucosal lining of the small intestine. The microvilli (hair like structure) assist in the movement and absorption of foods through the small intestine. When damaged, they take on the appearance of grass that has been cut too close to the ground. The shortened microvilli cannot perform their function correctly, which leads to malabsorption, leaky gut syndrome and increases in pathogenic micro-organisms.

Glutamine treatment

Glutamine is the most abundant amino acid found in the body primarily located in the lining of the small intestines. It contributes a significant role in muscle metabolism during sickness, stress and exercise. The gastro-intestinal tract cannot function without glutamine. It is the primary treatment for ulcers, and disorders of the small and large intestine. Glutamine feeds the tissue of the small intestine enabling the villi to grow and improve absorption of nutrients across the cell membrane more efficiently. Glutamine works inside the liver to produce the super powerful amino acid Glutathione, which is one of the main free radical fighters within the body. While the addition of anti-oxidants (vitamin E, C and Beta Carotene) are important in the removal of free radicals from the body, without Glutathione the fight would be lost and the body would suffer in many ways.

Defense systems

Glutamine improves the immune systems ability to manufacture white blood cells that in turn fight infection. Supplementing your body with nutrients such as glutamine assist the body in resisting outside assaults from pathogenic micro-organisms (unfriendly bacteria). It is the major component in making essential neuro-transmitters. Research has demonstrated improvements in memory retention, cognitive ability, and problem solving when glutamine was supplemented in the diet. This state of steady blood sugar balance is necessary for optimal brain function since the brain utilizes glucose [blood sugar] as a primary source of fuel in addition to oxygen. When the brain has adequate glucose to draw on, muscle stores of glucose [glycogen] are preserved. When an individual does not eat enough complex carbohydrates to replace energy needs, the body will liberate, or breakdown, stored sugars from the muscle to feed the brain.

When an individual does not eat enough complex carbohydratesŠ The net result: A tired, weak and physically stressed individual.

The net result: a tired, weak and stressed individual physically. A proper diet with adequate complex carbohydrates (whole grain breads, pasta, brown rice, potatoes, and vegetables). It is important to rotate your foods to avoid single food allergies that can occur when eating the same types of foods day after day. € Drink eight 8-ounce glasses of water that is chlorine, sodium and fluorine free. € Avoid or reduce saturated fats greater than 5 percent of your total fat intake each day. € Cardiovascular activity for a minimum of 20 minutes three times per week combined with 20-40 minutes of resistance training three to four days a week. € A balanced daily intake of anti-oxidant supplements: (beta-carotene, vitamin E and Vitamin C) with L-Glutamine. L-Glutamine: Safe Range Dosage Mark J. Occhipinti, M.S., Ph.D., is the president of AFPA - The American Fitness Professional Association in Ship Bottom, N.J.