Thursday, April 29, 2010

Hearts, Fish, Sugars and a back!

April 29, 2010

Hearts, Fish, Sugars and a back!

I just came across a study about coronary calcium scores.

Hmmm.

I heard something about that test before.

I think I heard about it here, and I think I included this test as part of the Institute For Medical Wellness Healthy Heart program.

The study indicated that using coronary calcium scores enables a better stratification of risk for heart disease.

I hope you agree with me that it is better to prevent your first heart attack, than to treat you after you have had one.

The coronary calcium score is also available separate from the Healthy Heart program. And if you are already enrolled in a Wellness Plan and have this test performed, we will give you a one year free membership in the Track Your Plaque program, to help you halt or even reverse your risk of heart disease.

If you have any questions about coronary calcium scores or would like to have the test performed, please call our office at 856-231-0590 or email me at drhorvitz@drhorvitz.com

We have all heard recommendations to take fish oils.

But what about other oils used as supplements, as well as in food preparation and cooking.

Well, I could write many, many newsletters on this subject, but I found a web article that beat me to the punch and it can be found here.

While the web article starts by discussing how omega-3 oils, found most commonly in fish oils, are good for the skin, it goes much further and discusses other types of oils and whether they are healthy for you, or just hype.

So I hope this article starts you in thinking that fish oils can be of benefit to your health.

But how much fish oil should I take is the next question?

That was always a tough question to answer, but no longer.

There is now a test, called the Omega-3 Index, that actually measures the amounts of Omega-3 oils in your bodies cells. It compares the healthier Omega 3 levels to the unhealthier Omega 6 levels to give us an Omega-3 index. The higher the index, the lower your risk of a heart event, such as sudden cardiac death. That is why the Omega-3 index is included in our Healthy Heart Program.

And just like the cornary calcium score, I have decided to make this test available outside of the Healthy Heart program. Unfortunately, at this time insurers do not cover this test. Then again, insurers do not like to cover many of the newer preventative tests that we offer. But I will try not to digress.

The Omega-3 index is performed by drawing a tube of blood and sending it out to a reference laboratory. We are able to offer this test for $149. The beauty of this test, and why I feel it is worth the expense, is that it will provide us with actionable lab values which we can use to both modify your dietary and supplement dosages of fish oils, which has been shown to lower your risk of sudden cardiac death.

Changing direction now.....

One of the common misconceptions about sugars, fat and cholesterols is that dietary fat raises your cholesterol and carbohydrates and sugars do not. Unfortunately this statement is a fallacy for the majority of individuals. A recently published article in JAMA, the Journal of The American Medical Association, finally suggested that added sugars in the diet increases TRIGLYCERIDES, raises LDL (BAD CHOLESTEROL), and lowers HDL (GOOD CHOLESTEROL). All of these markers are moving in a direction of increased risk for heart disease.

Wow!

Does JAMA finally get it, because they are usually pretty far behind the times?

Or could JAMA be helping the government set up a "food police", along the likes of a ban on trans fats, lowering of salt intake, and a California county outlawing give-away toys with McDonald's happy meals. ??

I have my own views on diet, which are probably at present in the minority.

Please focus on the words, "at present". In the not too distant future, these views will be a majority.

My views on diet are based on real life metabolism and human physiology as well as almost two decades of patient results.

What I give is advice.

I do not give ultimatums, nor pass laws.

So what you eat is still your choice. I just hope you let me help you to make the best choice for your health!

So do not forget about our Healthy Weight Program-Lite Edition.

Some of you already know that I have what I consider a "bad back". I never had a bad injury, but my many years of playing tennis during high school and college have worn me down and set me up for occasional bouts of aches and pains. A few weeks ago I "re-tweaked" my back, but in a different location than my norm.

I re-learned a few important lessons from my recent ordeal:

1) No matter how good you think you used to be at a sport when you were younger, do not dive back in at full force when you are older.

2) Hot showers work well for muscle spasms.

3) Therapeutic massage can work wonders. I had 2 therapeutic massages from Julie Fischer, our therapeutic massage guru. I truly believe that is what put me on the road to recovery.

So while pain meds, muscle relaxers, and muscle creams help to mask pain, I know that the addition of massage therapy truly put my body into heal and restore mode.

So my thanks to Julie !!!!

Don't forget that a massage makes a wonderful Mother's Day Gift.

For more information on Julie's services please click here.

And now for an important announcement.

I have added an Announcement page to our website.

This page will include recent and new happenings concerning the Institute For Medical Wellness, including new programs and special offers, which sometimes may be good discounts. So please check out the Announcement page every so often.

When you are not looking at our web page, why not look for our booth at Moorestown Day on Saturday June 5, 2010.

And please wish for good weather, that is, no rain! It is no fun being outside in the rain!!

To Good Health!
Steven Horvitz, D.O,
Board Certified Family Practice
Founder of The Institute For Medical Wellness
128 Borton Landing Road, Suite Two
Moorestown, NJ 08057
Phone 856-231-0590
Fax 856-294-0311
http://www.drhorvitz.com/

Monday, April 26, 2010

Healthy Heart Program

April 26, 2010

Back in March, I had a survey performed about my practice, and asked for patient feedback about what direction my patient's wanted the Institute For Medical Wellness to go.

Two interesting responses:

1) Over 70% of those who responded would like more specific vitamin and nutrient testing.

2) 50% of those who responded would like more vascular, i.e. heart disease, evaluation and testing.

The survey was back in early March, which reminds me of a funny saying,

" sh.t or get off the pot"

From wikipedia:

"Sh.t or get off the pot" is a common English language colloquial expression, used to imply a person should follow up their stated intentions, with action. It is also used to urge someone to complete a task with a greater degree of efficiency or timeliness than is observed at the time the expression is used. Implicit in the expression is that the person, by failing to act, is preventing others from acting.

I find this relevant because for the past few months I have been promising a new Healthy Heart Program, different from any other program out there. I had hoped to have this program up and running in February, but wanted to wait for the response of the survey. Also, one thing after another occurred, and you know, yada, yada, yada....

So now, I am proud to introduce, by popular demand, after months and months of work and research, the Institute For Medical Wellness Healthy Heart Program.

One of the fears I hear all the time from my patient's is, "I don't want to have a heart attack. What can I do to prevent one?"

The answer has never been simple, but we are learning more and more every day about the multitude of causes of heart disease. Many of these causes are now more easily evaluated, allowing a better gauge of your heart attack risk. In the past, we used EKG's, stress tests and routine lipid or cholesterol tests. While helpful, these tests tend to underestimate the risk of disease. For example, if an EKG is abnormal or inconclusive, the next step is a stress test. If a cardiac stress test is abnormal or inconclusive, the next step would most likely be a cardiac catheterization. While cardiac cath's are still the gold standard for assessing heart attack risk, it comes with many of its own risks, and is a very invasive test. So for diagnosis and prevention of heart disease, there has to be a better way!

There are many factors involved in stratifying your heart disease risk. But the newest technique I use is called a coronary calcium score. This very quick test uses CAT scan technology to measure the amount of calcium in your coronary arteries. The following is an explanation of coronary calcium scores as provided by "Track Your Plaque" website, soon to be introduced as part of the Institute For Medical Wellness Healthy Heart Program.

The calcium score provided by this test gives you an extremely reliable gauge of the plaque present in your coronary arteries, something no other test - even a stress test - can do. The higher the calcium score, the greater the quantity of plaque in your coronary arteries, and the higher the risk for heart attack and other cardiac catastrophes. The coronary calcium score can therefore be used as a yardstick for your coronary plaque. It can also be tracked for its increase, stabilization, or decrease allowing you to tailor your treatment for optimum results.

I like yardsticks.

When a woman thinks she is pregnant and gets a blood test, she wants to know how far along in the pregnancy she is. That is valuable information for her prenatal care. As it relates to heart disease, I like to know, not just yes I have the disease, or no I do not, but if I am at a low, moderate or high risk of developing a worsening of the disease, or worse, of having a heart attack in the near future. The coronary calcium score gives me this information.

I am pleased to announce that coronary calcium scores are an integral part of the Institute for Medical Wellness Healthy Heart Program.

OK. I have had the coronary calcium test. Now what do we do with it?

If your score is moderate or high, indicating an elevated risk, then prevention of heart attack is your ultimate goal. So I have teamed with the Track Your Plaque program to include a free one year online membership. This program will give you loads of information and techniques to not only lower your progression of heart disease, but even possibly reverse it. Please click here for more information on the Track Your Plaque program.

But wait, there is more.

Nutritionally, I have been a big fan of fish oils for prevention of heart disease. But we have not had a method of measuring fish oils in our blood to help with recommending proper supplement amounts. That is, until now!! The Institute For Medical Wellness is now able to offer a simple blood test called the "Omega-3 index". We will use this index to measure your omega-3 levels and to stratify your heart disease risk and allow individualization of your fish oil supplementation doses.

I am not finished yet!!

The Institute For Medical Wellness will also be offering specialized comprehensive cardiac risk assessment testing to even further elucidate your heart risks. Some of these tests include the VAP cholesterol profile, triglycerides, homocysteine, insulin levels, glucose, Lp-PLA2, Vitamin D, C-Reactive Protein-hs, HbA1C, Thyroid testing, apoB levels, and even a gene test, called the Apo E Genotype, that will even further allow risk stratification, and individualization of your risk factors.

Now I know this is all a lot to swallow and the learning curve is a bit steep. Hey, five years ago, over half of these tests were even beyond my scope of practice. But when I decided to make prevention and wellness a hallmark of my practice, my scope needed to expand, and expand it did.

Still not finished!

Have you ever wondered if you were deficient in vitamins, minerals, antioxidants and amino acids? If you have, we are now offering a comprehensive micronutrient test to help achieve optimum levels. This comprehensive test tests for:

Vitamins: A, B1, B2, B3, B6, B12, C, D, Biotin, Folate, and Pantothenate
Minerals: Calcium, Magnesium and Copper
Amino acids: Asparagine, Glutamine, Serine
Antioxidants: Alpha lipoic acid, Coenzyme Q10, Cysteine, Glutathione, Selenium and Vitamin E
Fatty Acid: Oleic Acid
Metabolites: Choline, Inositol and Carnitine
Cabohydrate Metabolism: Chromium, Fructose Sensitivity, Glucose-Insulin Metabolism
Spectrox Total Antioxidant Function

The beauty of this test is that it measures intracellular levels of these nutrients, as it is inside the cell that the nutrients perform their necessary functions. The measurements give readings of how your cells have functioned with these nutrients over the past six months, which allows for a much better evaluation of your overall health. This powerful tests fits perfectly into our Healthy Heart Program.

So let me take time to review:

The Institute For Medical Wellness Healthy Heart Program includes:

1) Coronary Calcium Score.
2) One year membership in "Track Your Plaque Program" to reverse your heart disease risks.
3) Omega-3 index testing your levels of omega-3 fish oils.
4) Comprehensive VAP cholesterol testing.
5) Comprehensive Cardiac lab testing looking for new markers of heart disease.
6) Apo-E Genotype testing.
7) Advanced Vitamin and Nutrient Testing.

And thru May 2010, our Healthy Heart Program will also include:

8) One month free of our Healthy Weight Program - Lite Edition
9) 20% discount on all Institute For Medical Wellness supplements for one year.

All this testing should cost a fortune. If purchased individually, these tests would cost over $1,300.

However I am able to offer the complete Institute For Medical Wellness Healthy Heart Program for $799. If you prefer, for $150 more, or a total of $949, you can upgrade your coronary calcium score to a full Wellness Scan, which includes a coronary calcium score, as well as a scan of your lungs and abdomen.

And if you are already a Wellness Plan member, your cost for the Healthy Heart Program is only $699. For $100 more, or a total of $799, you can upgrade your coronary calcium score to a full Wellness Scan, which includes a coronary calcium score, as well as a scan of your lungs and abdomen.

The Institute For Medical Wellness Healthy Heart program is not for everyone, and is definitely not meant to be an annual expense. What I hope is that individuals 50 and over, or if you are 40 and over with current risks of heart disease, you will look closely at this program. This program is also best for individuals with Diabetes, High blood pressure, High cholesterol, Obesity, or a Family history of Heart disease.

My goal and yours, is to use this program to uncover previously hidden risks of heart disease, that we can then work towards reversing and resolving.

By detecting hidden risks at an earlier time, we have a much greater chance of truly preventing future heart disease!

If you need further information about our Healthy Heart program, Traditional Wellness Plan, or any other Institute For Medical Wellness program, please email Dr. Horvitz at DrHorvitz@DrHorvitz.com .


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Institute For Medical Wellness Special Offers:

Our supplement of the month for April continues to be Dream Protein.

Dream Protein is an all natural whey protein powder, available in both vanilla and chocolate. It is very popular when used to help with both weight loss and muscle growth. I have used it on an almost daily basis for the past 6 months, during which time I lost 15-20 pounds, all from my waist. This protein supplement does not work alone, and results will always vary. It is one of the better whey protein supplements on the market that I have used.

Regular cost is $45.

For the month of April, Dream Protein will be available for $36, a 20% savings.

Any suggestions for the supplement of the month for May???

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Please look for our booth at Moorestown Day on Saturday June 5, 2010.

And please wish for good weather, that is, no rain. It is no fun being outside in the rain!!

To Good Health !!!

Steven Horvitz, D.O,
Board Certified Family Practice
Founder of The Institute For Medical Wellness
128 Borton Landing Road, Suite Two
Moorestown, NJ 08057
Phone 856-231-0590
Fax 856-294-0311
www.drhorvitz.com

Friday, April 09, 2010

Hey Doc, they said........

April 9, 2010

Institute For Medical Wellness Healthy Living Report


Hey Doc, they said........

One of the more common reasons people come to visit me at my office, starts with, "They said......"

"They said that cholesterol is bad for you"
"They said that you should drink more water"
"They said that butter and saturated fat are bad for you"
"They said that taking cholesterol lowering medications is good for you"
"They said that eating more grains is good for you."
"They said that being out in the sun is bad for you."
"They said that a lowfat diet is healthy for you."
"They said that a lowcarb diet is bad for you."

I could go on and on and on and on and on and on........, as there are so, so many experts in the world today.

But do "They" actually know "you", and can "They" actually give "you" advice?

I think it works better when someone who actually knows you and your medical and health history has a say in what is good and bad for you.

And just who is that someone?

It is actually two someones. And it is the someones who can better lead you to good health, at least a lot better than the "Theys".

The first and most important someone is you, as no one knows you better. But you need some help in getting through the tsunami of health information available today. That is where the second someone comes in.

Can anyone guess who that is?

Below is a recent email testimonial I received.

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Hi Dr. Horvitz,

This is Sue.

I want to thank you for suggesting I take Dream Protein. I make a shake every morning for breakfast instead of eating cereal. I lost those 5 pounds and took 2 inches off my waist. It's very filling and satisfying. I also eat an egg or cheese. Maybe once a week I'll have half the cereal I used to eat. My stomach is so much flatter. I now exercise 5 days a week and continue with my dumbells and stomach exercises. I can't believe how easy it was to lose that weight and keep it off. I want to stay this weight and continue to lose inches from my stomach.

Thanks again.

Sue

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Emails like that are always good for an ego boost, but egos are not my thing.

My thing is to change the way of family healthcare by partnering with my patient's to steer them towards optimal health. A big part of that comes from my Osteopathic education.

As an Osteopathic physician, I am a strong believer that the body can heal itself, if we do not get in its way. If we do need to step in and provide or prescribe a treatment, it is usually because the body is moving in the wrong direction. My job is to steer your body away from danger and back in the proper direction, towards waht I like to say is towards, safety, health and happiness.

This is why the Institute For Medical Wellness is leading the way in South Jersey. The Institute For Medical Wellness, through its many Wellness programs, puts a major emphasis on each individuals unique lifestyle. Using a thorough medical history, along with different testing modalities, we look for weaknesses that affect your health. Then, our first strategy rarely relies on medication. Instead we look for lifestyle and nutritional adjustments, sometimes supplements, as well as other therapeutic modalities to enable a healthier you. Be assured that if a medication is prescribed, then we have exhausted other safer alternatives.

So you can go to a traditional medical practice, and spend more time in the waiting room, than with your doctor.

You can go to a traditional medical practice and get prescribed another blue or red pill.

You can listen to all the "Theys", who do not know you, and continue with the status quo. Or, you can enroll in our Traditional Wellness plan, and truly work on steering your body in a healthier direction, with less reliance on the "Theys", and more confidence in yourself, as you move towards better health.

Some of the many ways the Institute For Medical Wellness differs from other medical practices can be found below.

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Institute For Medical Wellness - Yearly Wellness Plans

Our Wellness Plans are growing fast this year. We are adding more individuals, couples and families every month. Our Wellness Plans include a comprehensive yearly wellness exam along with unlimited follow-up evaluations for well or sick care. The emphasis in our wellness plans is on optimal health, not just treating you when you are ill. And so, year to year, their popularity continues to build, as evidenced by a greater than 90% renewal rate.

If you have not looked closely at these plans, more information can be found here, as well as the cost of the plans listed below.

Individuals Ages 6-24: once yearly fee of $399.
Individuals Ages 25 to 29: once yearly fee of $449.

Individuals Ages 30 and up: once yearly fee of $549.

Married couples: once yearly fee of $999.

Family Plan: once yearly fee of $1199.


Monthly payment options are also available

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Institute For Medical Wellness Special Offers:

Our supplement of the month continues to be Dream Protein.

Dream Protein is an all natural whey protein powder, available in both vanilla and chocolate. It is very popular when used to help with both weight loss and muscle growth. I have used it on an almost daily basis for the past 6 months, during which time I lost 15-20 pounds, all from my waist. This protein supplement does not work alone, and results will always vary. It is one of the better whey protein supplements on the market that I have used. This is also the protein supplement used in our Healthy Weight Program.

Regular cost is $45.

For the month of April, Dream Protein will be available for $36, a 20% savings.

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Healthy Weight Program - Lite Edition

Dream protein is a part of our Healthy Weight Program, and many have had similar to success, like Sue.

This program fits best after your yearly physical, as review of laboratory testing give valuable information about your metabolic profile, which helps to determine your proper program. The main part of your program will be your online Healthy Weight Notes, which we will privately share via a personalized google document. You will use this document to keep a diary of your food intake, as well as anything else pertinent to help you achieve your goals. I will be monitoring your IMW-Healthy Weight Notes, and giving what I hope to be good instruction and comments, as well as other helpful information, including any links to articles that I feel will be helpful to your success.

I will instruct you to weigh yourself on your home scale intermittently, to monitor your progress. At the end of each month, you should come to the office for a weigh-in. If you are doing well, and want to continue, you may renew the plan on a month-to-month basis. I believe that you will learn enough within the first month or two, that two months on the program will probably be sufficient for you to learn how to continue with your healthy weight goals. But if you need more help and guidance, you can continue for a longer period.

The cost for the Institute for Medical Wellness Healthy Weight Program-Lite Edition is, as its name includes, pretty lite at just $99 for the initial month, and $79 a month thereafter. To make this program even more effective, I suggest you combine it with exercise guidance with our affiliated personal trainers. I hope you use the training sessions to further move yourself towards your goals. For just $175 for the initial month, you can get both the Healthy Weight Program-Lite Edition and three one hour personal training sessions.

So no time is better than now to start working towards your healthy weight!

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Sorry, almost forgot about the Institute For Medical Wellness Therapeutic Massage:

You can enjoy as little as a one hour massage, or 3, 5, and 10 hour discounted packages are also available.

And if you are enrolled in a Wellness Plan, your first massage is half price!

To schedule a massage please call Julie directly, at 609-504-2783.

To Good Health!


Steven Horvitz, D.O,
Board Certified Family Practice
Founder of The Institute For Medical Wellness
128 Borton Landing Road, Suite Two
Moorestown, NJ 08057
Phone 856-231-0590
Fax 856-294-0311
www.drhorvitz.com

To follow The Institute For Medical Wellness on Twitter.

If this newsletter was forwarded to you, and you would like to receive future editions in your email box, please sign up here.

It is always nice to get good feedback. Good feedback tells me that I am definitely moving in the right direction! So please check out our patient testimonials.

Thursday, April 01, 2010

The Ronald

April 1, 2010

Institute For Medical Wellness Healthy Living Report

Before I get into the topic of the day, let me first announce that I will be retiring at the end of this month!

April Fools!!!

Sorry bout that!

With a daughter in 6th grade, and college tuition to save for, I do not think I will be retiring anytime soon. Besides, I can actually say I really love my job!

So now, on with the topic of the day!


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The Ronald

Sorry for another McDonalds post, but I couldn't resist.

Did anyone hear about the calls for Ronald McDonald to be fired?

No, the Donald, i.e. Donald Trump, is not firing the Ronald!

The argument is that Ronald McDonald, the clown that he is, makes people want to eat at McDonalds. Well Duh!!! Isn't that the purpose of a good advertising campaign?

McDonalds does not make anyone unhealthy. You, of your own free will, get to choose what you eat. So if you are gullible enough to eat at McDonalds, due a big clown with red hair, then maybe you deserve whatever you get.

But what exactly do you get?

Some say a heart attack waiting to happen. That could be true. But the evidence is not all against McDonalds. As alluded to in a previous newsletter, you can eat at McDonalds and lose weight.

While I am not a McDonalds fan as an adult, I certainly enjoyed their "food" as a child. But it was never due to Ronald McDonald. I have never been a fan of clowns, not at the circus, not at health insurance board meetings, not in the US Congress, and certainly not at a restaurant. But I would never ask for The Ronald, as I like to call him, to be fired. And with unemployment in America so high today, think of all the clowns that will be out of work if the Ronald is fired. Who will be at all the kids birthday parties?

Will they have to bring back the Hamburglar? Or maybe the Grimace, Mayor McCheese, or Captain Crook?

So while the highly processed McDonalds ingredients leave a whole lot to be desired, and may not truly qualify as real food, firing their top clown would not be a wise decision. There are plenty of other top clowns that should be fired, but I will not digress.

So do me a favor.

Because you deserve a break today!

So, get up and getaway to, this other funny blog post about an interview with Ronald McDonald himself!

Next time you are in the office, ask me about my favorite McDonalds slogan.

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Institute For Medical Wellness - Yearly Wellness Plans

Our Wellness Plans are growing fast this year. We are adding more individuals, couples and families every month. If you have not looked closely at these plans, more information can be found here, as well as the cost of the plans listed below.

Individuals Ages 6-24: once yearly fee of $399.
Individuals Ages 25 to 29: once yearly fee of $449.

Individuals Ages 30 and up: once yearly fee of $549.

Married couples: once yearly fee of $999.

Family Plan: once yearly fee of $1199.

Monthly payment options are also available!

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Healthcare Reform Update:

I have decided to refrain from further reform updates in these newsletters. Instead I have set up a separate blog that will give my opinions of what healthcare reform will mean now and in the future. So for those of you who are interested in my opinions on these issues, you can find this new blog here, which will not be sent out as a newsletter. Instead, I encourage you to sign up on the blog to receive new issues as they are published.


To Good Health!


Steven Horvitz, D.O,
Board Certified Family Practice
Founder of The Institute For Medical Wellness
128 Borton Landing Road, Suite Two
Moorestown, NJ 08057
Phone 856-231-0590
Fax 856-294-0311
www.drhorvitz.com

To follow The Institute For Medical Wellness on Twitter.

If this newsletter was forwarded to you, and you would like to receive future editions in your email box, please sign up here.

It is always nice to get good feedback. Good feedback tells me that I am definitely moving in the right direction! So please check out our patient testimonials.