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2018
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part of a good diet plan, but there that aren’t found in most gluten-free
are plenty of gluten-free foods that foods, which is why many people
are carb- and sugar-rich.” with celiac disease need to take a
Gluten is a type of protein that is multivitamin.”
stored, along with starch, in many That said, most people consume a
common types of grain, such as rye, wheat and barley. This lot more foods made with white flour than our bodies require.
protein accounts for more than half of the total protein in these “Rather than going gluten-free, people who don’t suffer from a
grains and helps dough become elastic when kneaded. Because gluten-related disease should shoot for a healthier diet overall
gluten is a protein, however, immune systems of individuals with by managing portion size and being aware of foods’ nutritional
digestive challenges can react poorly to it, resulting in conditions content,” said Dr. Lauren Schneekloth, a family medicine physician
such as celiac disease or gluten sensitivity. at Penn State Medical Group.
HEALTH MAGAZINE 2018 • PAGE 3 • WEEK OF JANUARY 21, 2018
Brain
drained?
4. Cholesterol-lowering medications, called statins, medications and supplements, also have the potential to cause
are all the same. True or false? issues when taken with certain statins. However, LIVALO, along
Answer: False! Statins are the most common type of cholesterol- with a heart-healthy diet and regular exercise, can improve overall
lowering medication, but they are not all the same. In fact, there cholesterol levels while having a lower risk of certain unpredictable
are seven different statins currently available. Many statins have drug interactions based upon how it’s processed in the body.
a risk of interacting with other drugs or substances due to how Finding the right statin to treat your high cholesterol is vital, Dr.
they’re processed in the body. Perhaps the most commonly Dhillon said.
known interaction is the conflict between some statins and “Statins are first-line medications for treating high cholesterol, and
grapefruit, but medications such as those for high blood pressure their safety and effectiveness are supported by years of research,
and the prevention of blood clots, even many over-the-counter clinical trials and years of good patient outcomes,” he explained.
“However, common side effects, such as muscle aches and overall
fatigue, may deter people from taking their medication. That’s why
it is essential that people have an open dialogue with their doctor
to ensure they find a statin that works for them, as an individual.”
Dr. Dhillon said LIVALO is his top choice to help his patients manage
their cholesterol because the medication differs from other statins
in some important ways, including:
• The body breaks down LIVALO differently than most other statins,
so it can be less likely to interact with other medicines (including
commonly prescribed medications for high blood pressure and the
prevention of blood clots), vitamins and supplements.
• Because LIVALO is metabolized through a different pathway in the
body, patients are also able to eat grapefruit or drink grapefruit juice.
Certain statins, other than LIVALO, may interact with grapefruit and
grapefruit juice resulting in too much drug in the blood stream,
increasing the risk of adverse events.
• The FDA has recently cautioned the public on the potential
adverse effect of statins on glucose levels as a side effect of statin
therapy. Importantly, LIVALO has been studied in patients with
Type 2 Diabetes, many of which are on multiple medications and
demonstrated a non-significant change in blood glucose levels.
“Unmanaged high cholesterol can lead to serious health
consequences, including heart disease,” Dhillon said. “The good
news is, making healthy lifestyle choices including diet and exercise,
and finding the right statin for you, are effective ways to manage
your high cholesterol.
Visit livalorx.com/info to learn more. [BPT]
Important Safety Information for LIVALO tenderness, particularly if accompanied by malaise effects. Talk to your healthcare provider for more
(pitavastatin) tablets or fever, or if these muscle signs or symptoms information.
Who should NOT take LIVALO? persist after discontinuing LIVALO.Serious liver You are encouraged to report negative side
problems have been reported rarely in patients effects of all drugs to the FDA. Visit www.fda.gov/
LIVALO is not right for everyone. taking statins, including LIVALO. Your doctor medwatch or call 1-800-FDA-1088.
Do not take LIVALO if: should do liver tests before you start, and if you
have symptoms of liver problems while you are How should I store and take LIVALO?
You have a known allergy to LIVALO or any of taking LIVALO. Tell your healthcare provider right
its ingredients. You have active liver problems, Store LIVALO tablets at room temperature, in a
away if you feel more tired than usual, have a loss dry place, and out of the reach of children.LIVALO
including some abnormal liver test results. You of appetite, upper belly pain, dark-colored urine, or
are nursing, pregnant or may become pregnant, can be taken at any time of day, with or without
yellowing of the skin or eyes. Tell your doctor about food.Swallow the tablet whole. Do not split, crush,
as it may harm the baby.You are currently taking all your medical conditions and medications you
cyclosporine or gemfibrozil.What is the most dissolve, or chew.Other important information I
take including nonprescription medicines, vitamins, should know about LIVALO.
important information I should know and talk to or herbal supplements. Increases in blood sugar
my doctor about? levels have been reported with statins, including LIVALO has not been studied to evaluate its effect
Call your healthcare provider or get help right LIVALO.Tell your doctor about your alcohol use. on reducing heart-related disease or death. LIVALO
away if you experience any symptoms of an allergic What are the most common side effects of LIVALO? is available by prescription only.
reaction, such as rash, itching, or hives. Muscle The most common side effects of LIVALO in For additional information please see the
problems may be an early sign of rare, serious clinical studies were: accompanying full Prescribing Information or
conditions. Tell your doctor right away if you visit www.LivaloRx.com. © Kowa Pharmaceuticals
have any unexplained muscle pain, weakness, or Back painMuscle painConstipationPain in the legs America, Inc. (2017) - LIV-RA-0109 PI of 11/2016
or arms DiarrheaThis is not a complete list of side
HEALTH MAGAZINE 2018 • PAGE 7 • WEEK OF JANUARY 21, 2018
Vitamin D
may have mild SAD. Even if you don’t have
diagnosed SAD, it’s not uncommon to have
bouts of the winter blues. There are many
reasons people experience a “winter funk:”
cold weather, little sunlight, shorter days,
limited outdoor activity, etc.
Additionally, between the months of
November and March, the lack of vitamin
RICH FOODS
D absorption from the sun can be taxing
on your immune system and may also be
contributing to your winter blues.
Dubbed “the happy vitamin” by some
researchers, vitamin D could be the key
to turning seasonal frowns upside-down.
Maintaining vitamin D levels during the
cold winter months may help keep you
healthy during cold and flu season while also
boosting your mood.
What’s more, vitamin D may help you
maintain a healthy weight. It’s no secret
that many people experience weight gain
due to the flood of comfort foods available
during cooler months. This, paired with lower
physical activity, causes many people to put
on a few winter pounds.
According to a study quoted in Men’s Health,
a University of Minnesota doctor found that
Dubbed “the happy vitamin” by some researchers, vitamin D
people with adequate vitamin D levels lost
more weight than those with low levels, even could be the key to turning seasonal frowns upside-down.
though all study participants reduced their Maintaining vitamin D levels during winter months may help keep
calorie intake equally. you healthy during cold and flu season while boosting your mood.
To get all the benefits of vitamin D, start by
adjusting your diet. Vitamin D occurs naturally eggs provide superior nutritional benefits shredded Parmesan cheese; 2 tablespoons
in eggs and oily fish like salmon, tuna and such as 10 times more vitamin E, double Caesar dressing
mackerel, but it’s important to look for foods the omega-3s, more than double the Heat bacon in a skillet and cook completely.
that contain even higher levels of vitamin D vitamin B12 and 25 percent less saturated Set aside and then cut or break into bite-
to naturally boost your intake, especially in fat than ordinary eggs. size pieces once cooled.
the winter. A healthy diet that uses mood-boosting Soft boil the egg over the stovetop. While
“Food is quite literally one of the best ingredients doesn’t have to be boring. Get egg is cooking, place lettuce in a large
medicines out there when it comes to creative in the kitchen and try new recipes bowl and add tomatoes, avocado, croutons
improving your mental and physical health,” featuring vitamin D-rich ingredients and cheese to the bowl, stir to combine.
said registered dietitian nutritionist, Dawn like this BLT Salmon Caesar Salad from
Eggland’s Best and TheAlmondEater.com. Next, add the baked salmon to the salad,
Jackson Blatner. “One of my favorite tips for
along with the bacon. Add the Caesar
boosting Vitamin D intake is to simply swap BLT Salmon Caesar Salad dressing and stir to combine.
out ordinary eggs for Eggland’s Best eggs,
1 salmon filet, baked and seasoned to your Last, add the soft-boiled egg and enjoy!
since you’ll automatically get six times more
liking; 2 slices bacon; 1 Eggland’s Best egg Makes two servings.
vitamin D — it doesn’t get any easier than
(large); 5 cups lettuce; 1/2 cup tomatoes;
that!” For more great recipes visit Eggland’s Best
1 avocado, sliced; 1 cup croutons; 1/2 cup
In addition to added vitamin D, Eggland’s Best and TheAlmondEater.com. [BPT]
ESSENTIALS YOU
SHOULD KNOW
When buying
hearing aids
Being an informed health care consumer is hard work,
information is everywhere. But how do you sift through
it and make sense of it all? And how do you know what is
reliable and what isn’t? Sorting through the noise when
buying hearing aids is no exception.
In the past several months, there has been significant
media coverage about the Over-the-Counter Hearing Aid
Act of 2017, which will make certain types of hearing aids
available over-the-counter in the next several years. To help
you cut through the clutter, the Better Hearing Institute
(BHI) has pulled together essential facts for those who are
considering the purchase of hearing aids.
Addressing hearing loss promptly and appropriately
is important for health and quality of life. Research
shows that hearing loss is linked to cognitive decline
and dementia, depression, an increased risk of falls and
hospitalization and greater health care costs. Studies
show hearing loss is also linked to cardiovascular disease,
diabetes, moderate chronic kidney disease, obesity, sleep
apnea and rheumatoid arthritis.
Hearing loss is not a simple mechanical issue and
cannot be remedied as easily as buying a pair of reader person’s hearing loss is safely and effectively treated. Hearing care
glasses at the store. Hearing loss is a complex sensory professionals — audiologists, hearing aid specialists and ENTs (Ear, Nose
loss. It involves brain function and frequency losses specific and Throat doctors or doctors of otology and otolaryngology) — are best
to the individual. Human hearing involves a multifaceted suited to help consumers with hearing loss. Audiologists and hearing
interplay between specific parts of the ears and brain. For aid specialists are expressly trained in all aspects of hearing aids and
this reason, hearing aids — which are designed specifically amplification, and they are state-licensed. Many work in practices with
to compensate for hearing loss — must be cleared by the ENT doctors who have the most appropriate and accurate equipment
U.S. Food and Drug Administration (FDA) to ensure safety to give a precise read of an individual’s current hearing level. Involving a
and efficacy. hearing health care professional means you get maximum benefit from
your hearing aids.
Hearing aids need to be custom-fitted and programmed
specifically for the individual so they correctly address Currently, hearing aids are only sold by licensed hearing care
the specific frequencies the individual has trouble professionals. Today, real hearing aids cannot be purchased in the U.S.
hearing. Authentic hearing aids are tailored to you — without the involvement of a licensed hearing care professional. The
through personalized fitting, programming and follow-up way hearing aids are sold, however, will change in a few years due to the
adjustments. This gives the wearer the greatest benefit Over-the-Counter Hearing Aid Act of 2017, which was signed into law in
and ensures that the level of amplification is appropriate August 2017. Nevertheless, the complex nature of hearing loss will not
across the entire frequency spectrum. Follow-up hearing change. The safest thing consumers can do for their hearing is to seek
aid adjustments, along with training to help consumers professional hearing health care advice from the start.
adjust to amplification and re-learn how to hear and BHI urges consumers with hearing loss to remain encouraged.
process sounds they had been missing, further increase Most people with hearing loss can benefit from custom-fitted and
user satisfaction. programmed hearing aids. In fact, 91 percent of people who purchased
Seeing a hearing care professional is the best safety net hearing aids in the last year say they are happy with their purchase, and
for proper diagnosis and treatment. This helps ensure 90 percent say they would recommend getting hearing aids to family
that any underlying medical issue behind a hearing loss members and friends, BHI research shows.
is identified and addressed. It also helps ensure that the For information on types of hearing loss, visit www.betterhearing.org. [BPT]
HEALTH MAGAZINE 2018 • PAGE 11 • WEEK OF JANUARY 21, 2018
HEALTH MAGAZINE 2018 • PAGE12 • WEEK OF JANUARY 21, 2018