Your Health


For those of you as well as my patients who are interested in continued wellness care, it is important to understand that you have to do much more than rely on your Osteopath or Chiropractic Physician for "Wellness."  Although regular visits are beneficial for maintaining your body's framework and improving function, this is only one part of staying healthy.  Incorporating more of a wellness lifestyle should also include improving nutrition, increasing various types of exercise, as well as improving mental outlook and social health.  Juicing can be a fun and beneficial way to compliment your improved nutrition.  Some of the benefits of juicing include: 
 
*  The Body can quickly absorb large amounts of nutrients,  liquids are absorbed much easier than solids. 
 
*  It is an easy way to get beneficial enzymes. 
 
*  It can increase metabolic rate. 
 
*  It allows us to get more phytochemicals into our body.  Phytochemicals are compounds that are found in plants that are considered among the most powerful ways to fight disease.  
*  Juicing also as provides your body with more antioxidants.  Antioxidants are very important in preventing your body from the damaging effects of free radicals. 

*  Juicing with specific combinations can actually target particular pathologies and improve or alleviate symptoms.   I have listed below some tips and recipes for juicing. 


Tips on Juicing

- Avoid juicing bananas or avocados as they are often too soft and will clog the juicer.

- Green vegetable juice – Limit green juice to 2 oz per glass and fill the rest of the glass with a milder juice, such as carrot or apple. Otherwise you may experience temporary gastric discomfort.

- Beet juice – Limit to 4 oz per glass and fill the rest with a milder juice, such as carrot or apple.

- Citrus – with grapefruit, tangerines and oranges, remove and discard all of the rind, but keep as much of the white pith as possible since it is chockfull of nutrients. You can juice lemons and limes whole with their rinds.

- Melons - Juice with both the peel and interior white rind, as much of the nutritional value of the melon resides in these sections of the fruit. 

 

Recipes

Serving sizes are 8 ounces

Alkaline Drink Juice Recipe
- Orange-Grapefruit-Lemon Juice: 1 orange, ¼ grapefruit, ¼ lemon with skin. Remember to discard the peel from the orange and grapefruit, leaving as much of the white pith on them as possible

- Carrot-Cabbage-Celery Juice: 2 carrots, 1 3-inch wedge of cabbage, 1 stalk of celery


Natural Laxative Juice Recipe
- Apple-Pear Juice: 2-3 apples, 1 pear


Blood Purifier Recipe 
- Apple-Strawberry Juice: 3 Golden Delicious or other sweet apples, 8 strawberries


Nausea Relief Recipe 
- Apple-Ginger Juice: 4 apples, 1-inch knob of ginger root


Anti-Virus/Cold Prevention - high in vitamin C
- Apple-Kiwi Juice: 2 apples, 4 kiwis

- Apple-Orange Juice: 2 apples, 1 orange (peel and discard skin of the orange)

- Pineapple-Tangerine Juice: 1 1-inch thick pineapple round, 3-4 tangerines (peel and discard skin of tangerine) 


Immune System Support – high in vitamin A 
- Carrot-Celery-Apple-Beet-Wheatgrass-Parsley Juice: 3 carrots, 1 stalk celery, 1 apple, ½ beet with greens, ½ handful wheatgrass, ½ handful parsley (you can substitute 1 whole handful of parsley if wheatgrass is unavailable)


Blood Regenerator – high in iron and chlorophyll 
- Carrot-Spinach-Lettuce-Turnip-Parsley Juice: 5 carrots, 6 spinach leaves, 4 lettuce leaves, ¼ turnip, 4 sprigs of parsley 


Internal Body Cleanser Juicing Recipe
- Carrot-Cucumber-Beet Juice: 2-3 carrots, ½ cucumber, ½ beet with greens. You can substitute ½ zucchini for the cucumber


Bone Building Tonic – high in calcium
- Carrot-Kale-Parsley-Apple Juice: 5-6 carrots, 4 kale leaves, 4 sprigs of parsley, ½ apple


Lung Tonic Juicing Recipe
- Carrot-Parsley-Potato-Watercress Juice: 5 carrots, 4 sprigs parsley, ¼ potato, 4 sprigs watercress



 

Increasing Your Calcium Intake

By: Dr Tom Jones

There is a lot of controversy as to which type of Calcium you should be taking.   Most people aren't sure as to which type is the most beneficial.  There are also a lot of people who tell you to drink milk to get Calcium.  This article is designed to give you accurate information so that you are able to make a more educated decision when it comes to calcium supplementation.  There are several types of Calcium supplements available as well as a list of foods that contain more calcium than milk.  I hope this short article will educate you as to where you can focus your nutrition and supplementation.




(appoximate milligrams (mg) Calcium content per 8oz (1 cup)
NonDairy High Calcium Foods

Vegetables
330   Bok Choy
320   Bean Sprouts
250   Spinach, cooked
260   Collard greens
450   Turnip greens


Fish
300   Raw Oysters
130   Shrimp
490   Salmon
680   Mackeral
995  Sardines


Nuts
660   Almonds
600   Chest
450   Filberts
280   Walnuts
900   Sesame seeds
260   Sunflower seeds


Grains
300   Tapioca, dried
20     Brown rice, cooked
80     Quinoa, cooked
50     Corn meal, whole grain
40    Rye flour, dark
20    Rye flour, light


Beans
340   Garbanzo beans
450   Soybeans, cooked
400   Tofu


Here are some other foods that contain more Calcium than Whole Milk:
Kelp
Swiss Cheese
Carob Flour
Collard Greens
Turnip Greens
Cheddar Cheese
Brewer's Yeast
Parsley
Corn Tortillas
Dandelion Greens
Brazil nuts
Watercress
Dried Figs
Sunflower Seeds
Yogurt
Beet Greens
Wheat Bran

The key factor in deciding which calcium supplement is best for you is to check the amount of elemental calcium on the nutritional facts label.    The term elemental calcium is used in dietary supplement ingredient lists that refer to the amount of calcium in that product.  This gives you an idea of the actual amount of calcium you may absorb.  Keep in mind that your body may not absorb 100% of the listed elemental calcium that you read on the label.  Also, do not be fooled by the total weight of each tablet since this weight not only includes the elemental calcium weight, but also the weight of whatever product the calcium has been bound to such as carbonate, gluconate, lactate, or malate.  

The nutrition facts label is the best place to look for the information on elemental calcium if you are unable to find it elsewhere on the products label.  The amount of elemental calcium will be listed in miligrams (mg) according to "serving size" which is typically one or two tablets or capsules.  The nutrition facts label also lists the percent daily value (% daily value), which indicates the amount one serving provides  to the average daily recommended amount of a particular nutrient for most individuals.  The % daily value for normal adults is 1000 mg of elemental calcium.  The amount of elemental calcium per serving is also of importance when choosing between supplements.  This will give you an indication as to how many tablets you may want to consume in order to reach your daily goal of calcium.   You can also look for the "USP" or "CL" on the label.  Supplements that display the United States Pharmacopeia (USP) or the Consumer Lab (CL) abbreviations meet the voluntary industry standards for purity, quality, and tablet dissolution or disintegration.  Keep in mind that the majority of calcium should come from your overall daily nutrition.  I can't emphasize enough how important a diet high in fruits and vegetables plays in the role of overall health including the benefits of calcium.  In addition, incorporating increased amounts of omega 3 fatty acids into your overall lifestyle plays a greater role in lowering cellular inflammation and increases absorption of calcium in the gut.

 Calcium needs to be absorbed in an Acidic environment.  Some reports have indicated the presence of lead in some calcium carbonate supplements, although below legal thresholds. However, it is the cheapest approach and therefore most prevalent on the market.   Calcium needs to be absorbed in an Acidic environment.  Calcium carbonate is generally the least expensive and most widely used.  Approximately 80-85% of all calcium supplements sold in this country are made from calcium carbonate.  Calcium carbonate is also widely used in antacids.  They come in tablets such as os-cal, Alka-mints®, Caltrate 600®,  Os-Cal 500®,  Rolaids Calcium Rich®, and Tums®. This is rather ironic since people are taking antacids to reduce their acid levels in the stomach and yet they are under the impression they are getting a lot of calcium in their body.    

Calcium phosphate is sometimes touted as an option “closest to the body’s natural bone” because bones contain calcium and phosphorus but in practice the body has a harder time breaking down calcium phosphate in a Independent Pharmacy form. 


Because calcium carbonate and calcium phosphate have a higher % elemental calcium in them naturally than calcium citrate (40% vs. 21%), you will often see misleading advertising claims about “the most calcium per pill”. All this means is that you have to consume more calcium citrate to get the same net 1000mg of elemental calcium, not that the carbonate form is somehow better or stronger. Using a chewable pill makes this difference easier to address because there is less concern about swallowing larger or a greater quantity of pills.

Calcium citrate is best – Because it has the highest bioavailability and does not need stomach acid to help absorption, it has been shown in some studies to be better absorbed than calcium carbonate, and does not require taking with food – 27% higher absorption rate than calcium carbonate when both are taken on an empty stomach and 22% higher absorption rate vs. calcium carbonate when both are taken with food. Calcium citrate is also the only form which can be absorbed without stomach acid meaning it is the only form effective for absorption in the mouth for dental benefit as well!

So once you have the right form of calcium you have to make sure you have the right blend of vitamins and minerals to ensure maximum benefit.  Here is the chart showing these key vitamins and minerals.

Vitamin/Mineral
Importance
Vitamin D3
Most important factor in calcium absorption
Phosphorus
Required to merge calcium into bone. Without a corresponding increase in phosphorus intake, people taking calcium supplements run the risk of a phosphorus deficiency that would reduce bone mass in the end. Some studies indicate supplements should contain a 2:1 balance of calcium to phosphorus for proper balance.
Magnesium
Necessary for proper calcium dispersion and utilization. 80% of Americans do not get RDA of this important factor. Again like phosphorus, studies indicate 2:1 balance of calcium to magnesium is best.
Zinc
Assists in bone maintenance in concert with calcium, but American diet provides under 60% of the RDA for this mineral
Boron
Assists in transfer of calcium from bloodstream to bone structure and helps prevent loss of calcium in urine.
Manganese
Essential mineral for skeletal development
Copper
Assists in skeletal mineralization
Silica
Assists in increasing body's uptake of calcium and the formation of collagen (connective bone tissue)
Vitamin K
Helps in the synthesis of osteocalcian protein which is unique to bone and acts as receptor for formation of calcium ions. Also reduces urinary calcium loss.

Finally you should consider the form of tablet used. Using a chewable form of calcium that can be taken without food (only possible with calcium citrate) allows a person to take it anytime, anywhere–increasing the chance of consistent usage. Chewing up the supplement also provides instant breakdown and aids in getting the calcium into the bloodstream. Chewing it in the mouth (instead of swallowing a dissolved solution) also ensures maximum benefit for dental health as well.  Keeping this thought in mind, liquid supplementation is even more effective in getting the calcium into your body.  Liquid has the highest absorption rate since there is no solid material to be broken down by the body.

The evidence continues to pour in that eating plenty of fruits and vegetables is good for your health. In this case, researchers found that both young and old age groups had improvements in bone mineral status when they ate a lot of fruits and vegetables.

Specifically, boys and girls aged 16-18 years and women aged 60-83 years had significant positive associations between spine bone mineral content and fruit intake. In boys, the association was true for neck bone mineral content as well.

Among women aged 60-83 years, a significant positive association was also found between spine bone mineral content and fruit intake. The results found that if fruit intake doubled, it would result in a 5 percent increment in spine bone mineral content.

Previous studies have also found associations between fruit and vegetable intake and positive measures of bone health.

It is not yet known how fruits and vegetables may affect the bones, though some suggest it may be the alkalizing effect of fruit and vegetable consumption on acid-base balance. Other possible mechanisms include the dietary effects of vitamin K, phytoestrogens and other unidentified dietary components they contain.

Calcium can decrease the absorption of other drugs such as tetracycline antibiotics (e.g., doxycycline, minocycline), bisphosphonates (e.g., alendronate), estramustine, levothyroxine, and quinolone antibiotics (e.g., ciprofloxacin, levofloxacin). Also, certain medications can decrease the absorption of vitamin D (bile acid sequestrants such as cholestyramine/colestipol, mineral oil, orlistat). Therefore, separate your doses of these medications as far as possible from your doses of calcium/vitamin D. Ask your doctor or pharmacist about how long you should wait between doses and for help finding a dosing schedule that will work with all your medications.

 

----------------------------------------------------------------------------------------------------

 

 

 

Preventing Heat Related Illness in Athletes

by: Dr Tom Jones


Now that we are in mid summer, high school and college student athletes are returning to the field for preseason workouts and conditioning.   The intensity of the summer sun, heat, and humidity can put many athletes at risk for heat related illness or, even worse.  As the air temperature rises, your body cools itself when your sweat evaporates. On hot, humid days, the increased moisture in the air slows the evaporation of sweat. When sweating isn't enough to cool your body, your body temperature will begin to rise.  According to the CDC, an average of 400 people die each year in the United States due to heat related illness with the majority of the deaths caused from athletic overexertion.   There are two main types of heat related illnesses that are commonly seen each year throughout the country:  Heat Exhaustion and Heat Stroke.

 

Heat exhaustion occurs when people exercise in a hot, humid place.  Body fluids are lost through sweating (diaphoresis) causing the body to overheat.  The individual’s body temperature may be elevated up to 104°F.

 

The warning signs of heat exhaustion include the following:

Heavy sweating

Paleness

Muscle cramps

Tiredness

Weakness

Dizziness

Headache 

Nausea or vomiting

Fainting

 

 

Heat Stroke is a life threatening medical condition.  The athlete’s cooling system, which is being controlled by the brain, stops working correctly.  Therefore, the athlete’s internal body temperature begins to rise higher than in heat exhaustion. As their body temperature begins to rise, their brain can become damaged along with other internal organs.   A heat stroke victim’s body temperature may reach 105°F or higher.

 

Warning signs of heat stroke vary but may include the following:

An extremely high body temperature (above 104°F)

Red, hot, and dry skin (no sweating)

Rapid, strong pulse

Throbbing headache

Dizziness

Nausea

Confusion

Unconsciousness

 

Other Factors that can lead to Heat Related Illness

Along with the high temperatures and humidity, there are other factors that can affect the athlete.   Athletes should be very careful not to consume any diuretics.  A diuretic is any type of food, liquid, or drug that can elevate the rate of urination.  Alcohol and caffeine are both diuretics.  Their consumption means that your body will urinate more.  This means your body loses water and therefore can lead to dehydration rather easily.

Other variables that can influence the playing conditions and temperatures are the surfaces of the training facilities.   Coaches whose athletes practice on Astroturf have to be even more aware of the heat.  It causes a temperature increase of up to 10 degrees higher than the existing temperature.  So a 90-degree day will be 100 degrees for athletes on the turf.

Another great danger to athletes in high heat conditions comes from society’s approval of the diehard stereotype of the male athlete.  That produces athletes who knowingly push themselves beyond their limits to impress their coaches and teammates with their toughness.

 

Guidelines for Preseason training in the summer

The body needs up to 14 days of progressive activity in the heat to undergo physiological changes that allow for safe acclimatization.  The first five days are the most crucial.   Players should also practice in light colored clothing non-restrictive clothing

According to the Journal of Athletic Training, Heat Acclimatizing guidelines,

·      -Each individual total practice time should last three hours or less

·      -On the first 5 practice days, athletes can participate in only one daily practice

·      -During the first 2 days of sports requiring helmets or shoulder pads, a helmet should by the only protective equipment permitted.

·      -On Days 3 to 5, only helmets and shoulder pads should be worn.

·      -Starting no earlier than day 6 and continuing through day 14, double-practice days must be followed by a single-practice day.

 

What you should know as an athlete. 

·      Be aware of the signs and symptoms of heat exhaustion and heat stroke.  You may be able to spot a teammate who may display some of these signs.  There are many athletes and just a few coaches so you have a better chance of spotting one of your friends with this problem. 

·      Most teams do not have a “Bobby Boucher” to worry about providing you water and protecting you from the dehydration.  Therefore, it is up to you to make sure you hydrate yourself every 15 – 20 minutes in the heat.  Even if you are not thirsty.

·      Team Captains should make this one of their responsibilities for their team  

·      Notify a coach or trainer immediately if you spot these symptoms. 

·      If an athlete or someone on the field or court displays some or all of these signs, appears to be getting worse, or passes out, call 911 immediately.

·      In the meantime:

§  Get the victim out of the sun, either inside in the shade or inside a building that has air conditioning

§  Cool non-alcoholic beverages.  Not cold as this may be a shock to the body

§  Rest

§  Remove any type of equipment or heavy clothing

______________________________________________________________________

 

 

Dr. Jones Checks in with the Icehawks

Posted by the Asbury Park Press on 07/27/06

BY JOHN BUSH 
STAFF WRITER

Dr. Thomas Jones enjoys a good hockey check as much as any hockey fan.

As the doctor and trainer for Monmouth University's IceHawks club team, Jones gets an extra dose of satisfaction whenever an IceHawks player delivers a big hit.

"One game against Shippensburg University, I was sitting right there when (right wing) Joe Raimondi knocked this guy clear over the boards into the penalty box," Jones said. "It was a home game and everybody went wild. After the game, Joe came up to me and said, "Dr. Jones, I did what you said and I felt great.' He was so excited. He couldn't get over how strong he felt."

Jones' involvement with the IceHawks extends far beyond a typical team trainer role. So much so that the players have presented Jones with an autographed team jersey.

"It was really nice, and completely unexpected," Jones said. "This past season was amazing."

"We consider Dr. Jones a member of the team," forward Jon Grubb said. "He's given us so much, both as individuals and as a team. We couldn't possibly repay him. We figured the best way to show him our appreciation was to present him with a signed team jersey. He's a very important part of our club and has played a significant role in our successes."

A chiropractor and physical therapist, Jones, 33, runs Human Performance Center, an advanced sports performance and chiropractic medicine clinic in Shrewsbury. He became involved with the IceHawks through a mutual acquaintance prior to the 2004-05 season, volunteering his services as both an athletic trainer and a doctor. He has since been training and developing the players both as a group and on an individual basis.

"In hockey, a big part of the game is hitting and being hit," Jones said. "The team learned which muscle groups to contract and drive from in order to hit more effectively and also to take a hit with minimal consequence."

After the team struggled on the ice in 2004-05, the IceHawks showed a marked improvement this past season under new coach Fred Berzolla.

A member of the Delaware Valley Collegiate Hockey Conference, the IceHawks, who play their home games at Wall Sports Arena, reached the league playoffs and finished 11th in the American Collegiate Hockey Association Division III Atlantic rankings.

"I do a lot of sports performance training and off-ice training with them," said Jones, who attended Toms River South and is a professor of human anatomy and physiology at Ocean County College. "I do a lot of injury-prevention work. This year we didn't have anybody who required surgery. I attribute that to the players' conditioning. They're really hard workers.

"When I look at athletes, I don't want to train individual muscles. It's more linking the motor patterns required for the sport. I want to train particular patterns for the sport and develop it in an unconscious manner and try to achieve perfection of movement. It's linking power, strength, agility and coordination, and it makes them more powerful."

The players have certainly been impressed with the results from the training they've received from Jones.

"Doc helped me tremendously," defenseman and team captain Tony Losardo said. "We did a lot of core strengthening and balance training. He taught me how to use and harness energy from different muscle groups. What's really great is that Doc made everything we worked on sport-specific. He related everything to ice hockey. I'm a pretty strong skater, but the balance training made me stronger. The preventative conditioning helped me have my first injury-free season in five or six years."

"Dr. Jones showed me how to hit, how to focus and explode," Raimondi said. "He taught me which muscle groups to use. There was a game against Shippensburg where I was along the boards with a larger player from the other team. I'm not a big guy, but I hit him so hard he literally cart-wheeled over the boards into the bench. There's more to it than just learning how to hit, though. With Doc's training I saw noticeable gains from last year. I'm a much better overall player, stronger, faster and more agile."

During games, it's not unusual for Jones to tend to Monmouth's opponents, keeping in with the competitive yet friendly spirit of a club-level university sport.

"Some games I'm working more on their players than our own," Jones said.

"Some schools can't afford a doctor, I got that covered. They can't afford a trainer, I got that covered."

"It wasn't just about us and our team, you know?" Losardo said.

"Doc was there to help other players, other teams too. It's what he does."

Mostly, though, Jones helps get the IceHawks into peak playing condition.

"It's such a close team, even off the ice," Jones said. "The reason why I like working with them is they're not lazy. If you're going to work, you're going to work, and they've demonstrated that."