June 2006 Inside Outside Wellness Center & Medical Spa Newsletter

in this issue

This Month's SuperSlow® Star: Lari McCauley R.N.

This months SuperSlow® Star is Lari McCauley R.N. who works at Methodist Hospital.  Lari has made remarkable body composition and strength changes in the 7 months she has been working with us. Although her weight has not changed much she has changed her body shape considerably by adding muscle and losing fat!

 

Build muscle, lose fat and get stronger! That is the strategy and Lari is a great example!

 

In Lari's own words:

“I first heard of Inside Outside while I was going to Curves. A lady was singing praises about her increase in muscle mass. I thought I would just try it and see for myself. That was back in November of 2005. Since joining I have lost inches and gained muscle mass. Although my weight has not changed much, my strength and endurance has increased. I am a nurse by profession and have always had chronic back pain. Since I have been working out my back is so much stronger and my aches are disappearing. My long term goal is to lose weight and increase my muscle mass. I have encouraged several nurse’s to invest in their health here at Inside Outside.“

 

 Here are some graphs which demonstrate her remarkable progress in gaining strength! 

 

 

 

 

 

 

Lari is much stronger in the 7 months she has been with us.

 

 

The Leg press has doubled and she is a member of the coveted 500Club!

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lari has gained about 5 lbs of muscle and lost 5.5 lbs of fat since joining us in Nov 2005.

 

 

 

 

 

 

 

 

 

 

 

 

 

Lari, we are proud of you!!

 

Congratulations on being selected our SuperSlow® Star of the Month and earning 4 more SuperSlow® Sessions!

 

 

Back to the Basics: Vitamins  Part 2 Vitamin A

We are continuing a series talking about those nutrients which are Essential to Life. A “Back to the Basics Series”. Basic questions we need to answer are: Why is this molecule or element Essential, What Purpose does it Serve, In What Form is it Best Consumed and How Much do we need. This month we start our series on the Vitamins that are essential to life and good health. 

 

Vitamins  A vitamin is an organic molecule required by a living organism in minute amounts for proper health. An organism deprived of all sources of a particular vitamin will eventually suffer from disease symptoms specific to that vitamin.

 Vitamins can be classified as either water soluble, which means they dissolve easily in water, or fat soluble, which means they are absorbed through the intestinal tract with the help of lipids.

In general, an organism must obtain vitamins or their metabolic precursors from outside the body, most often from the organism's diet. Examples of vitamins that the human body can derive from precursors include vitamin A, which can be produced from beta carotene; niacin from the amino acid tryptophan; and vitamin D through exposure of skin to ultraviolet light.

The term vitamin does not encompass other essential nutrients such as dietary minerals, essential fatty acids, or essential amino acids, nor is it used for the large number of other nutrients that merely promote health, but are not strictly essential.

 

 

 

From Wikipedia, the free encyclopedia

 

Vitamin A

 

 

 

 

 Essential  Pronunciation: ĕs`sĕn´sjal  or i-primarystresssen-chschwal a :basic and fundamental  a: being a substance that is required for normal functioning but cannot be synthesized by the body and therefore must be included in the diet  s :absolutely required and not to be used up or sacrificed  s :of the greatest importance  s :absolutely necessary; vitally necessary   n :anything indispensable ie don't leave home without it....More important than Gummi Bears...

 Vitamin A or Retinol

 History

Vitamin A was the first fat-soluble vitamin to be discovered. Two independent research teams, Osborne and Mendel at Yale University and McCollum and Davis at the University of Wisconsin, simultaneously discovered it in 1913. Vitamin A comprises a family of compounds called the retinoids. The retinoid designation resulted from finding that vitamin A had the biologic activity of retinol, which was originally isolated from the retina.

 

Why is this Vitamin Essential?

There are well defined deficiencies and toxicity of any of the Vitamins.  Our bodies use most of the Vitamin A we ingest as one of the co factors which produce molecules, primarily rhodopsin,  which allow us vision, especially night vision.  In general Carnivores, or hunters have better night vision than Non-Carnivores.  In evolutionary terms, animals that ate whole livers, which contain a concentrated amount of Vitamin A developed and maintain night vision well whereas grazing animals never can get enough Vitamin A to develop good night vision. Vitamin A is also essential for  immune response; epithelial cell growth and repair; bone growth; reproduction; maintenance of the surface linings of the eyes; and epithelial integrity of respiratory, urinary, and intestinal tracts.

 

 Vitamin A Deficiency  (VAD)

The primary worldwide manifestation of Vitamin A Deficiency is in children and pregnant women in developing countries who eat a lot of rice which contains virtually no Vitamin A. 

  • For children, lack of vitamin A causes severe visual impairment and blindness, and significantly increases the risk of severe illness, and even death, from such common childhood infections as diarrhoeal disease and measles.
  • For pregnant women in high-risk areas, vitamin A deficiency occurs especially during the last trimester when demand by both the unborn child and the mother is highest. The mother’s deficiency is demonstrated by the high prevalence of night blindness during this period.

 

The risk of VAD is increased in patients with fat malabsorption, cystic fibrosis, sprue, pancreatic insufficiency, IBD, cholestasis, and/or small-bowel bypass surgery. It is also increased in vegans, refugees, recent immigrants, persons with alcoholism, and toddlers and preschool children living below the poverty line.  These would be the most common reasons for VAD in the United States.

A few salient facts from the World Health Organization

  • An estimated 250 million preschool children are vitamin A deficient and it is likely that in vitamin A deficient areas a substantial proportion of pregnant women is vitamin A deficient.
  • An estimated 250 000 to 500 000 vitamin A-deficient children become blind every year, half of them dying within 12 months of losing their sight.

What are the best sources and how much do we need?

Food Serving Vitamin A, RAE
 
Vitamin A, IU Retinol, mcg Retinol, IU
Cod liver oil 1 teaspoon 1,350 mcg 4,500 IU 1,350 mcg 4,500 IU
Fortified breakfast cereals 1 serving 150-230 mcg 500-767 IU 150-230 mcg 500-767 IU
Egg 1 large 91 mcg 303 IU 89 mcg 296 IU
Butter 1 tablespoon 97 mcg 323 IU 95 mcg 317 IU
Whole milk 1 cup (8 fl ounces) 68 mcg 227 IU 68 mcg 227 IU
2% fat milk (vitamin A added) 1 cup (8 fl ounces) 134 mcg 447 IU 134 mcg 447 IU
Nonfat milk (vitamin A added) 1 cup (8 fl ounces) 149 mcg 500 IU 149 mcg 500 IU
Sweet potato 1/2 cup, mashed 959 mcg 3,196 IU 0 0
Carrot (raw) 1/2 cup, chopped 385 mcg 1,283 IU 0 0
Cantaloupe 1/2 medium melon 466 mcg 1,555 IU 0 0
Spinach 1/2 cup, cooked 472 mcg 1,572 IU 0 0
Squash, butternut  1/2 cup, cooked 572 mcg 1,906 IU 0 0

For most Americans we get ample Vitamin A from our diet as many of our foods are fortified with Vitamin A such as our cereals and some of our milk.  Cod liver oil has always been a good source of Vitamin A of course as well as Omega 3 fats.

Recommended Dietary Allowance (RDA) for Vitamin A as Preformed Vitamin A (Retinol)
Life Stage  Age  Males: mcg/day (IU/day) Females: mcg/day (IU/day) 
Infants  0-6 months  400 (1333 IU) 400 (1333 IU)
Infants  7-12 months  500 (1667 IU)  500 (1667 IU)
Children  1-3 years  300 (1000 IU) 300 (1000 IU)
Children  4-8 years  400 (1333 IU) 400 (1333 IU)
Children  9-13 years  600 (2000 IU) 600 (2000 IU)
Adolescents  14-18 years  900 (3000 IU) 700 (2333 IU)
Adults  19 years and older  900 (3000 IU) 700 (2333 IU)
Pregnancy  18 years and younger  750 (2500 IU)
Pregnancy  19-years and older 770 (2567 IU)
Breastfeeding  18 years and younger  1,200 (4000 IU)
Breastfeeding  19-years and older  1,300 (4333 IU)

Our bodies can take beta carotene and convert it to Vitamin A also.  Most multivitamins will have both Vitamin A and beta carotene in them.  The LEF Mix we recommend has 2500IU of Vitamin A and 2500IU of beta and alpha Carotene which should be quite adequate taking 7 capsules a day.


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International Eye Foundation and Vitamin A Deficiency

 

Greenpeace and Vitamin A Deficiency

 

Global Alliance for Improved Nutrition

The Global Alliance for Improved Nutrition (GAIN) was created to fight vitamin and mineral deficiency. This form of malnutrition affects more than 2 billion people around the world, causing birth defects, mental retardation, learning difficulties, compromised immune systems, low work capacity, blindness and death.

 

 

Vitamin A Deficiency

 

 

 

Vitamin A at the Linus Pauling Institute

 

    

USDA Logo

NUTRIENT DATA LABORATORY

Search the USDA National Nutrient Database for Standard Reference

 The Institute of Medicine in their Dietary Reference Intake Book and tables

Next month The Vitamin B's, Vitamin B1 Thiamin

  
                    From Dr. Sears' Monthly Newsletter

The OmegaZone E-Magazine

 

 

"For years the medical establishment has been telling Americans that fighting heart disease means a war against cholesterol. Slowly but surely, like the powerful Wizard of Oz façade, the cholesterol story has been slowly eroding. Now the scientific data is shifting more to inflammation as the underlying cause of heart disease. Of course, this makes common sense since the number-one drug to prevent a heart attack is an aspirin. Although aspirin has no effect on cholesterol levels, it has a dramatic effect on reducing inflammation. Recent articles in the New England Journal of Medicine have again confirmed the importance of inflammation on heart disease. A crude indictor of inflammation, C-reactive protein, appears to be more powerful than bad cholesterol levels in predicting future heart attacks.
   But what if there was an even more powerful predictor of inflammation that could predict heart attacks? As I describe in my newest book, “The Anti-Inflammation Zone,” such a blood marker exists. It is the ratio of arachidonic acid (AA) to eicosapentaenoic acid (EPA). This marker of inflammation precedes C-reactive protein by years. You could take drugs, such as statins, on a lifetime basis to reduce C-reactive protein.    Of course, there are some side effects, such as memory loss, muscle weakness, neuropathy, and liver damage. But statins don’t reduce the AA/EPA ratio – they actually increase it. On the other hand, taking high-dose fish oil reduces the AA/EPA ratio, and the only known side-effect is to make you smarter. The amount of fish oil you need to reduce inflammation depends on how well you control insulin in your diet. The more you control insulin by following the Zone Diet, the less fish oil you need. On the other hand, the less you control insulin, the more fish oil you need. The choice is yours. Whatever approach (drugs or diet) you choose, just keep in mind that controlling inflammation is a much wiser medical approach to reducing heart attacks than controlling cholesterol."

 

Let us know if you want the AA/EPA test.  The Cost is $300 and includes a consult with Dr. Christian to discuss the results.  We also talk about the AA/EPA test in detail in our Omega Zone Seminar.

 

Visit Dr. Sears Web Site.. Join the Forums and Sign up for his Newsletter.

 

 
 

 

Misty Bashara Personal Trainer and Massage Therapist

 

 

Misty Bashara is well known in San Antonio for her contributions to physical fitness and health.  She has personally trained many and is owner of  San Antonio Professional Fitness.

 

Misty Bashara CFT, AMTA, NCBTMB is the owner of Professional Fitness by Misty in San Antonio, Texas. Misty has over 25 years experience in the Fitness Industry and has been a Fitness Trainer for 21 of those years. Misty holds certifications as an Advanced Fitness Specialist as well as the Elite Certification from the Cooper Clinic Center for Aerobic Research. In addition, Misty has been a Nationally Certified Massage Therapist for almost 18 years. She holds the prestigious gold standard for bodyworkers, the National Certification Board for Therapeutic Massage Therapy and Bodywork (NCBTMB) credential. She is also certified through the American Massage Therapy Association (AMTA) and the Texas Department of Health. Misty received her Yoga Teacher Training through the Living Yoga Program qualifying as a Yoga Alliance Yoga Instructor. Misty has the knowledge and experience to tweak anyone's fitness program giving them an edge in the hurried world in which we live. Misty is a Master Trainer who works with individuals who are CEO's, individuals in management, housewives, secretaries, overweight, underweight, and unfit; anyone who is
interested in improving their overall fitness and health. Misty is currently helping top notch professionals from San Antonio Corporations such as SBC, H.E.B., and others to maintain their edge.

 

Benefits of Massage  Check Out our New Massage Menu...     

 

The benefits of massage are Occur Via Several Mechanisms:

 

Biomechanical Mechanisms:  Massage can produce mechanical pressure, which is expected to increase muscle compliance resulting in increased range of joint motion, decreased passive stiffness and decreased active stiffness .  Mechanical pressure might help to increase blood flow by increasing the arteriolar pressure, as well as increasing muscle temperature from rubbing and thus reducing  the severity of muscle soreness.

 

Neurological Mechanisms: Mechanical pressure on the muscle is expected to increase or decrease neural excitability and muscle spasms as measured by the Hoffman reflex. The Hoffman reflex is brought about by stimulating a nerve, particularly the tibial nerve, with an electric shock and is essentially measuring deep tendon reflexes and the level of spasm a muscle has.

 

Physiological Mechanisms: Changes in parasympathetic activity (as measured by reduced heart rate and  blood pressure and improved heart rate variability) and dangerous hormonal levels (as measured by Cortisol levels) following massage.  The immune system may be improved by increasing  White Blood Cells and Natural Killer Cells.

 

Psychological Mechanisms: A reduction in anxiety and an improvement in mood state also cause relaxation after massage.

 

MASSAGE THERAPY GROWS IN POPULARITY  Fact Sheet

 

2005 Massage Therapy Consumer Fact Sheet .pdf file

 

Contraindications of Massage

Seek medical advice before having a massage if you suffer from phlebitis, thrombosis, varicose veins, severe acute back pain, or fever.

 

Swellings, fractures, skin infections, or bruises should not be massaged. Lumps and swellings should be checked by your doctor.

 

Massage of the abdomen, legs, and feet should not be given during the first three months of pregnancy.

 

Cancer patients are best treated by specially trained practitioners who know which areas to avoid and which kind of massage is appropriate.

 

 

 

 

 

 

 

 

The cultural and philosophical aspects of pressure, massage, and touch healing as alternative therapies.
Oumeish OY Skinmed. 2005 Mar-Apr;4(2):93-100.

 

The mechanisms of massage and effects on performance, muscle recovery and injury prevention.     Related Articles, Links
Weerapong P, Sports Med. 2005;35(3):235-56.

 

Misty Bashara, Personal Trainer and Massage Therapist

 Contact Misty Bashara

 

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