Karen Bermel LIMHP, MC

When is it Time to Get Help for Your Mental Health?

Mental Health

There have been a lot of changes in the field of mental and behavioral health over the last 50 years or so. The biggest change that comes to my mind is that people are no longer considered weak if they seek help with depression, anxiety or any other mental-health disorder. Some of us can probably remember when talking about mental health issues was done with a whisper, if at all. Thankfully there is a greater understanding and more acceptance that mental health issues, just like physical health issues, need to be brought up with our health care providers so that proper diagnosis and treatment can be started. The big question for many is, “Where do I start?” My recommendation is … Continue reading

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Grant Hewitt

Is Obesity Reversible?

Weight Management, Wellness

Last month The Lancet Diabetes & Endocrinology, a respected medical journal, published “Treating obesity seriously: when recommendations for lifestyle change confront biological adaptations.” This article advises how to “seriously” treat obesity. Because this article may unwittingly provide support for a defeated and discouraged attitude towards losing weight, I decided to weigh in. From my experience, obese patients are all-too-quick to conclude “There’s nothing I can do about being obese”  or give up with an “I can’t help it” attitude.  Medical journals should not be used to support such gloomy and false ideas.  To avoid this, let’s clarify some statements made, “…improved lifestyle choices might be sufficient for lasting reductions in bodyweight prior to sustained obesity. Once obesity is established, however, bodyweight seems to … Continue reading

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Theresa Link, RD, LMNT

Living with IBS: How to Stay on the FODMAP Diet Bandwagon


Living with irritable bowel syndrome (IBS) can range from a mild annoyance to complete debilitation. As a sufferer of this syndrome myself, I understand the largest frustration is often due to the fact that the cause is unknown. Until recently, many physicians believed that IBS was all in your head. Since no physical evidence of disease is found, it’s difficult to determine the cause of symptoms and the best course of treatment. And while there is certainly a brain-gut connection with IBS, the syndrome is not just all in your head – these symptoms are very real. A diagnosis of irritable bowel syndrome can be very frustrating. “Nothing’s wrong” they say. “Colon looks good!” they say. But you know something’s … Continue reading

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Theresa Link, RD, LMNT

What is a FODMAP Diet?


If you struggle with IBS (Irritable Bowel Syndrome), chances are you’ve heard of FODMAPs. A few years ago a gastroenterologist asked me if I’d heard of FODMAPs and my response was simply a furrowed brow followed by “fod-WHAT?” These days a low FODMAP diet is becoming one of the mainstays of treatment for IBS, and for good reason – many patients say they’ve been cured of their daily struggles with gas, bloating, irregularity, and abdominal pain. But like all things worth having, remission of your IBS symptoms does not come easily. It can be a daily battle of trying to figure out your specific dietary triggers. Gluten? Dairy? Too much fiber? Too little fiber? Then just as you think you’ve … Continue reading

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Dr. Shirley L. Huerter

What You Need to Know about the New Cholesterol Guidelines


In late 2013, after an extensive review of evidence, the National Heart, Lung and Blood Institute updated cholesterol guidelines. Why did they do this? These new guidelines better identify those at risk of atherosclerotic cardiovascular disease (ASCVD), and also better diagnose people who already have ASCVD. Patients who have ASCVD are more likely to suffer a heart attack or stroke. To determine if someone is at risk of developing ASCVD a risk estimator is available through Cardio Source. Information including Systolic Blood Pressure, a patient’s race, HDL Cholesterol and more are entered. Depending on the level of risk, patients should take different courses of action. For all patients who are determined to be at risk for ASCVD there are behavioral … Continue reading

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