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7/22/2022

Chiropractic Adjusting After Surgery

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Picturechiropractic adjusting is often appropriate and helpful following surgery
Can chiropractic adjusting be performed on a joint following surgery?

We are commonly asked if chiropractic adjusting may be performed on an area of the body that has undergone surgery. It's a question that can stop  patients from even considering whether chiropractic care could be helpful for unresolved muscle and joint problems. Research estimates 35% or more of spine surgeries may not adequately relieve pain, and with these surgeries becoming increasingly common this question is being asked more frequently.

The short answer to whether chiropractic adjusting may be performed following surgery in most cases is YES! However, there are factors that must be taken into account before considering adjusting a region of the body following a surgical procedure. Here are some of the factors our doctors consider during a thorough history and examination:
  • how recent was the surgery?
  • did the surgery include joint fusion?
  • what is the condition of the joint or region following surgery?
  • why did the surgery not adequately address the problem?
  • is something being missed?

Chiropractic physicians regularly work with complicated cases that have not responded adequately to surgery or that have experienced re-injury following surgery and wish to avoid additional surgery. Rather than follow pain management guidelines that recommend trying conservative non-drug treatment like chiropractic first, patients too often try chiropractic last so it is not uncommon to see very complicated cases that have been through multiple medical interventions including medications, injections, and sometimes multiple surgeries.

Joint Fusions & Joint Replacements

While chiropractic adjusting can be helpful for post-surgical patients, it's often best to modify the adjusting approach depending on the case. Fused joints should not be adjusted but working on the surrounding joints and tissues can often be beneficial. An artificial joint can be worked on with a modified approach. In some cases, light pressure adjusting is best. It is also appropriate to wait a period of time following surgery depending on the surgery performed. Keep in mind there are a variety of conservative techniques and therapies regularly used by chiropractic physicians that can help relieve pain and improve function in complicated post-surgical cases.

Don't let past surgeries or a complicated condition stop you from considering chiropractic care as a treatment option. Medical physicians are generally not trained to know the variety of techniques and therapies utilized by chiropractic physicians, so consult a doctor of chiropractic to determine what may be best in your case.

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1/7/2022

10% Rule for Injury-free Exercise

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exercise injuryinjury-free exercise is key to better health
This time of year, the gyms are busy with people making a great effort to start off healthy in the new year. Just a few weeks later, our clinic is busy with those same people dealing with injuries derailing their great plans for better health. There are a number of ways to avoid this trap and enjoy injury-free exercise. Here is one simple recommendation to minimize your odds of injury.

Injury-free Exercise

The 10% Exercise Rule: When increasing your exercise routine, avoid increasing the intensity by more than 10% from one session to the next. You could increase the number of repetitions from 30 to 33, or increase the weight from 50 pounds to 55 pounds or even the duration of your exercise from 30 minutes to 33 minutes. This may seem like a very small increase, but it starts to add up very quickly and is much more sustainable over the longer term which is what we need for major improvements in health. Follow this rule and you will significantly reduce your odds of injury while making great gains in health. This is especially important for those who have already experienced significant injuries. Of course, you also want to make sure to start at a reasonable level that won't kill you with one session.

Other helpful tips to consider to further reduce your odds of injury:
  1. Focus more on form than heavy weight or high reps. A few exacting repetitions with good form are much more beneficial than trying to crank out a mess of sloppy reps that will eventually cause injury.
  2. Don’t forget to rest. Our body improves from a healthy stress (exercise) followed by a chance to rest and rebuild. Rotate your exercises working different body regions or take rest days in between.
  3. Mild short-term muscle soreness that confirms you worked your body is fine. Longer-lasting soreness (more than a few days) or sharper pain are signs of injury or dysfunction that should be addressed.
  4. Exercise shouldn’t cause enough pain to require pain relievers. If you are taking medications to block pain enough to allow you to exercise, you are likely overlooking a problem that needs addressed and setting yourself up for bigger problems. 
  5. Keep your body tuned up to avoid injuries. Moving wrong, standing wrong, or sitting wrong become much more harmful when adding weight and repetitions with exercise. A doctor of chiropractic cannot just minimize pains, but improve form and function of your body to improve your odds of being active without injury.

​Follow these simple tips to make 2022 a great year for your health. Remember, you have more control over your health than your genes do.

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1/7/2022

Surround Yourself for Health Success in 2022 & Beyond

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health habit success
If a bowl of candy is sitting nearby, the battle is already lost. We only have so much willpower to resist the addictive nature of these temptations within easy reach. We may succeed for a day or a week, but eventually the candy is more persistent than we are and it often wins out.

This time of year, we commit to improving our health with better diet, more exercise, and other good habits. However, an important part of making these healthy changes long-lasting is missing and they tend to be short-lived. This article is not about what healthy changes to make. It’s more about how to make them more sustainable. It's the consistency and persistence over time that really bring about major improvements in health. The longer you can sustain your improved habits, the more great health you will experience which will help you stick with it longer and experience even greater health.

The Missing Piece

Here’s the piece missing from most health improvement plans: changing your environment. This can mean a lot of different things which may be easy and some may take a little more effort, but changing your environment is key to sustainable habit changes for improved health. You must surround yourself with an environment that makes healthy choices much easier and unhealthy choices more effort. That could mean changes at home, at work, with friends and family, or with where you go and interact.
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Start to improve your health success by considering these questions and your health habits (diet, exercise, posture, sleep, mental stress):
  1. Is there something in the house that encourages bad health habits? Is a tempting treat or snack always within reach? Is a source of stress right in front of you?
  2. Is it easier to make healthy choices at home or unhealthy choices at home? What would make healthy choices less of an effort than unhealthy choices at home?
  3. When and where are you most likely to make an unhealthy choice? How can you change that environment to make a healthier choice easier?
  4. Does your work environment help you make healthier choices? If not, what could you change to encourage healthier choices?
  5. Are there friends or family that are more likely to cause you to make unhealthy choices? How could you interact with them differently to avoid making unhealthy choices with them? Are there friends and family that more consistently make healthy choices that you could interact with more?
  6. Are there unhealthy temptations along your usual daily path to/from work or school? Can you slightly modify your usual path in a way that reduces temptations or even encourages healthy habits (drive by a gym or park instead of a fast food place)?
  7. Does your team of health care providers encourage and support your better habits or ignore your habits in favor of procedures and interventions?

Answering these questions gives you a great place to start. You may even want to list the things in your environment that lead to unhealthy choices. Then start to chip away at them. Some examples that we have seen with patients: replace the bowl of candy with a bowl of fruit you enjoy, keep a bottle of water nearby to avoid sweetened drinks, have a meal with friends that make healthy eating choices and find other ways to interact with friends that have unhealthy eating habits. Whenever possible, replace the unhealthy object or situation with a healthy object or situation. Don't leave a behind a hole or it will be filled with something unhealthy.

Keep asking yourself, what would make a healthy choice easier? We are human. We want things quick and easy, so feed that need for quick and easy. Also recognize the state you are in when making decisions. Eating or shopping hungry or feeling down is asking for trouble. Eat something healthy before the party, the store, or even the restaurant and you'll make it through in better shape. Here's to a healthy 2022 and beyond!

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10/13/2021

Is Orange Juice Healthy?

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Many choose juice as a healthier alternative to soda but how much healthier is it? Take a peek at these two labels and see what you think:
Picture
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These are nutrition labels from common beverages you can find in the store. One is a 12 oz orange juice and the other is a 12 oz soda. One has a few more calories while the other has a little more sugar. Which is which? Which one is a better choice?

Neither of these are healthy choices. You probably figured out that the one on the left is the juice and the one on the right is the soda. They are both loaded with sugars and will spike your blood sugar and insulin resulting in increased inflammation in your body that will contribute to a variety of chronic diseases.

What about vitamin C?

But what about the vitamin C in orange juice? When you consume vitamin C with a high amount of sugar, they compete to get inside your cells, so the sugar essentially wipes out the benefit of the vitamin C. Orange juice is not a good source of vitamin C just because it says so on the label.

Forget the juice or the pop. Choose water. And if you want a treat that provides a little nutritional benefit, eat an orange.

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10/12/2021

Healthier Halloween Tips

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PictureHanging apples are healthy Halloween fun!
The first thought that comes to mind with Halloween is not usually health. It's more likely to be candy and other treats. As Halloween ushers in the holiday season, now is the time to plan ahead and prepare to avoid the onslaught of sweets and resulting hit to your health.

Here are a few tips to enjoy Halloween in a healthier way.

1. Celebrate apples - it's apple season and you can load up on local apples at a great price. Kids love bobbing or trying hanging apples (see left photo).

For more of a treat, make some homemade applesauce (without sweetener) or add a little dark chocolate or nut butter to some apple slices.

2. Halloween fun - who said you have to pass out candy? Find inexpensive holiday party favors that kids can enjoy instead.

3. Get creative - if you are throwing a party, make fresh fruit and vegetables look fun or spooky. There are all kinds of easy ideas you can find online. Shape cut veggies like a skeleton or make carrots look like a pumpkin on a plate.

4. Eat pumpkin and don't toss the seeds - pumpkin makes a delicious treat with some seasoning, a little cream, and just a touch of sweetness. Skip the shell to minimize the sugar. And roast up those pumpkin seeds for a snack.

5. Go nuts - nuts are an easy snack that you can roast yourself or buy ready to go. Just avoid the ones coated in sugar.

Use these tips and make your Halloween a healthier one for you and your family this year!

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10/12/2021

Experts Recommend Avoid Tylenol in Pregnancy

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chiropractic in pregnancy
For years, acetaminophen or Tylenol have been promoted as a safe alternative to other pain medications during pregnancy. However, a new analysis of 25 years of research has confirmed a higher risk of fetal development problems when acetaminophen is used during pregnancy.

The study published in Nature Reviews Endocrinology, noted a link between acetaminophen use and an increase in genital malformations, ADHD, autism, hyperactivity, behavioral difficulties and reduction in IQ. Higher doses of acetaminophen were associated with higher rates of these problems.

Acetaminophen is also known as paracetamol and can be found hundreds of products including  DayQuil and Benadryl. 

The researchers are calling on the FDA to update guidance on the use of acetaminophen in pregnancy to urge more caution and reduce the potential risk to the developing fetus.

Minimizing the use of medication during pregnancy is always important. The researchers noted 80% of women take at least one prescription or over-the-counter medicine during pregnancy with acetaminophen being most common.

The body goes through significant changes during pregnancy and musculoskeletal issues are common. When dealing with painful musculoskeletal issues, consider including safe drug-free options like chiropractic care in your plan. Adjusting and soft tissue work can help provide relief without the risks associated with medication. Improved musculoskeletal function also helps make pregnancy and delivery easier for mom and baby. Simple posture changes, stretches, and other changes can often help as well. Set a goal to start your baby off drug free for a better chance at a healthy life.

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5/19/2021

Avoid Tech Neck!

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It's Posture Month! And there is growing concern about the damage digital devices are causing to our muscles and joints. It even has it's own name: "tech neck" or "text neck."

You have seen the teenagers slumped over a screen scrolling and tapping the day away on their phone or other device. These poor posture habits are causing headaches, neck and back problems younger and younger. By allowing the head to hang forward, this adds pounds of weight on the neck and upper back, eventually leading to aches and pains and chronic changes if not corrected.

The problems created by poor posture are many, but the solution is simple: straighten up! Picture yourself as a puppet with a string attached to the top of your head. Now act like someone is pulling you straight up into a better posture. Your head should be directly over your shoulders with your chest up and shoulders back. Now you have to turn it into a habit so keep reminding yourself and hold the devices up so you stop looking down.
tech neck

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5/18/2021

Live Long With Posture!

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Dr. Aaron McMichael shares some surprising information on the link between poor posture and a variety of health problems, as well as earlier death. Learn some simple tips to improve your health with better posture and extend your life!

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4/27/2021

5 Ways to Avoid Back Surgery

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back surgeryAvoid unnecessary back surgery
While back surgery may be medically necessary in specific cases, data is clear that these surgeries are performed far too often with research indicating perhaps 90% are unnecessary. Here are five simple ways to reduce your risk of back surgery while also improving your outcome with treatment:
  1. Eat healthier and improve activity - lifestyle habits have a strong influence on your musculoskeletal health and can increase or reduce the odds of injury and need for medical procedures. Choose an anti-inflammatory diet that emphasizes whole, unprocessed foods and limits sugars, carbs, and industrial oils. Make sure to be active regularly to build your strength, flexibility, and balance.
  2. Don't ignore pain or cover it up - pain is an important signal. While it shouldn't stop you from getting out of bed, it's an important indication that you need to change what you are doing or seek help. Pushing through significant pain can be like ignoring your check engine light. You can only get away with ignoring a problem for so long.
  3. Improve posture and be cautious with repetitive motions - healthy activity doesn't cause "wear and tear" on your joints, but poor posture and ergonomics certainly can. Straighten up with your head and shoulders back and focus on good form when you are active to avoid placing too much stress on your joints.
  4. Choose your first doctor wisely - studies using work injury data on those undergoing back surgery determined the major modifiable predictor of surgery was the choice in provider first seen by a patient regardless of injury severity. The risk of back surgery was 9 times higher when seeing a surgeon first compared to a primary care provider. The risk of back surgery was over 28 times higher when seeing a surgeon first compared to a doctor of chiropractic. The researchers noted it is likely that "who you see is what you get."
  5. Try conservative non-drug treatment first and be patient - guidelines are clear that non-drug treatment like chiropractic and acupuncture are better first-line choices to achieve better results. Some injuries heal quickly with care, while others take weeks to months, so it is important to be consistent and patient to allow your body time to heal.

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4/20/2021

7 Reasons to Get Outside Now

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outside hikeTell covid to take a hike!
Most of us in Northeast Ohio don't need much encouragement to get back outside this time of year. Improving weather is enough to attract us away from our winter dens of hibernation. But with covid still leading the news, others need a little more encouragement so here are 7 reasons to get outside now:
  1. Fix Your Vitamin D Deficiency - if you are living in Northeast Ohio, odds are your vitamin D level is lacking. Soaking up some sun (without burning) is the best way to kick up those D levels. Among other health benefits, significant research points to a protective effect with respiratory viruses, so now is a better time than ever to optimize your level of vitamin D.
  2. Enjoy Being Active - exercising inside is good but it's nothing like being active outdoors. Too many have been sedentary for that past few months, locking themselves inside the house. It's time to get moving outside again and enjoy the many health benefits that comes from physical activity (including a healthier immune system).
  3. Reduce Your Risk of Illness - if you are still very concerned about covid, then consider your risk inside is much higher than outside. You can still keep your distance, but get outside to enjoy the fresh low-risk air.
  4. Improve Your Mood and Mental Health - research has demonstrated clear mental health benefits with time spent outside. The further out in nature you can go, the better. Make your way to the woods if possible to breath in the healthy natural compounds trees breath out. We have many great trails in our area. Go out and explore!
  5. Dirt is Good for You - our sterilized indoor environments are the enemy of a healthy microbiome and it's just a matter of time before it increases our health problems. Our homes are like a barren desert compared to the lush multitude of health-promoting organisms found outdoors. Get dirty in the garden for a microbial bonus found to further benefit mental health and the immune system.
  6. Connect With People - we need human contact. Good health is dependent on human contact and in-person contact is better than contact only through technology. Think of it as a tech break too. Too much technology exposure carries it's own health risks.
  7. Take a Mask Break - we won't wade into the mask debate, but it is clear there are risks with wearing masks for extended periods. Give your face and lungs a break and get outside to enjoy fresh air without a mask.

Being outside is without a doubt healthier than spending your days indoor. Don't wait any longer. Get outside now and enjoy the many health benefits!

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11/24/2020

Dr. Aaron McMichael Awarded Stark Twenty Under 40!

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Dr McMichaelDr. McMichael Awarded Stark Twenty Under 40!
Each year, ystark! and the Canton Regional Chamber of Commerce award 20 community members under age 40 based on career acumen, community service and trusteeship, and personal and professional achievements. Dr. Aaron McMichael has been selected as a Twenty Under 40! award recipient for 2020.

"When I look at current and past ward recipients (including my brother Dr. Ryan McMichael), it is an honor to be recognized for my service to patients and our community. The support of my wife and family allow me to do more to help others."

Dr. McMichael has been active in multiple leadership positions in our regional North Central Academy of Chiropractic and the Ohio State Chiropractic Association. One of his priorities has been working on the Stark County Opioid and Addiction Task Force and OSCA Opioid Task Force to promote improved treatment of painful injuries to prevent opioid overuse and addiction.

"While there are multiple factors contributing to the opioid problem, it is fundamentally an issue of mistreatment. We need to stop always choosing medication as a first option when health issues arise. Conservative options used first are much safer and often quite effective. These high-risk medications are best reserved for the limited cases that don't respond as well to drug-free care. I have appreciated the opportunity to work with Dr. Jud Sprandel and other colleagues and professionals to battle the opioid crisis. Much more work needs to be done, but we are starting to see changes that could profoundly improve the care and lives of patients."

As an Eagle Scout, Dr. McMichael has enjoyed a return to scouting with his growing family. His sons, Simon and Oscar, are active in scouts as a boy scout and bear cub, and his wife Meghan leads the bear den with assistance from their daughter Elizabeth. One-year-old Philip is not quite old enough to join but enjoys being carried on a hike. Dr. McMichael currently serves as Cubmaster of Pack 4 in Canton and Troop 4 Committee Member.

"It's great to see kids spend time outdoors, being active, and connecting with nature. We are made to be outside. Kids learn best and are healthiest when they are out being active and getting their hands dirty. Our family enjoys getting outside to hike, camp, or just play, and we encourage others to do the same. I appreciate the scout leaders who guided me as a young scout in developing not just outdoor skills, but leadership skills as well. I hope to help our young scouts grow and learn skills that will also serve them through life."

Click here to read more in About Magazine.

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7/21/2020

Immune Education Series: Age Isn't a Death Sentence with Coronavirus

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Frailty scoreIncreased frailty is strongly associated with increased risk of severe illness with coronavirus
We have all heard the news about seniors being at increased risk of severe illness with coronavirus. It has especially taken a toll on those living in nursing homes. However, what has not been explained well is that it is not just about the number of your age. Research on covid patients indicates that your level of health, or lack of frailty, may be more important than how old you are.

Frailty and Coronavirus
Since the start of the coronavirus pandemic, health care providers have been searching for the best indicators to help them evaluate the risk of serious illness with covid and guide treatment decisions. While advanced age tends to correlate with increased risk and is an easy number to use, it’s not the best indicator for patients.
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Most of the association between increased age and increased risk of severe illness is due to increasing co-morbidities that are more common as we age. Co-morbidities is just a special term for various health issues or chronic diseases. These could include obesity, diabetes, cardiovascular disease, hypertension, and pulmonary disease among many others.

What's Your Frailty Score?
Researchers have found that frailty is a better indicator than age or co-morbidities when determining someone’s risk of severe illness with covid. Consider the chart to the right which makes assessing frailty easy. The frailest are those that are completely dependent on others for basic needs and/or approaching the end of life. A recent study published in Lancet found that the frailest are at much higher risk of death or prolonged hospital stay with covid. This is true regardless of age or co-morbidities. It is those in the 7-9 categories of frailness that are at high risk of death or severe illness.

Based on this research, we should worry less about our age and more about our frailness. Take steps to increase your health and reduce your frailty score to limit your risk with covid.


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7/6/2020

Immune Education Series: Sunshine & Vitamin D vs Infection

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sun uv vit D coronavirusillustrated by Aaron McMichael, DC
As with other viruses, research indicates coronavirus is more likely to cause harm in those patients with low levels of vitamin D, and sun or UV light is an effective method of disinfecting and killing the virus. How does the sun relate to vitamin D levels and why does it seem to help against coronavirus and other viruses?

Research on Vitamin D and Coronavirus
Several studies around the world have been published that demonstrate a link between low levels of vitamin D and increased risk of severe illness from coronavirus. These studies have shown a link across large populations as well as individuals that have been infected. These results are consistent with prior research that has shown vitamin D plays a role in protecting against acute respiratory infections. Coronavirus treatment protocols in some hospitals have included vitamin D supplementation with other procedures and medications to combat the infection.

Researchers believe that vitamin D exerts a positive effect on modulation of our immune system in multiple ways. One of these ways may include its relationship with macrophages which are special cells that locate and “eat” microbes found in our body. Another way is reducing an excessive inflammatory response of the immune system. Others acknowledge the value of vitamin D but believe that the positive effects of vitamin D on coronavirus infection may relate more to its wide-ranging benefits on reducing chronic diseases.

Let the Sun Shine on Coronavirus
Hospitals have used UV light emitting technology for years to disinfect rooms or equipment. It damages a virus’s genetic material and their ability to replicate. The coronavirus pandemic has generated increased interest and research into the effects of sunshine and UV light on disinfection. The results of a recent experiment at the National Biodefense Analysis and Countermeasures Center in Maryland noted sunlight reduced the life of coronavirus (airborne or on surfaces) from hours to a few minutes.

Utilizing the Benefits of Sunshine and Vitamin D to Reduce Coronavirus Risk
Considering the research noted above, sunshine can help us in two important ways. Exposure to sun helps disinfect areas with coronavirus, whether it be in the air or on surfaces. Sun exposure also is our primary method of vitamin D production. It is hard to obtain enough vitamin D from our food alone, so sun exposure or supplementation is necessary to increase our vitamin D to a healthy level. Spend time outdoors with sun on a significant portion of the skin until the skin starts to appear a little rosy. Those living in Northern areas and those with darker skin tones require more time outside for vitamin D production. Avoid sunburns which can increase the risk of cancer. Unless one takes high doses of vitamin D for a prolonged period, the risk of toxicity is low. The low risk and high potential for benefit makes increasing vitamin D a reasonable strategy to reduce your risk with coronavirus or other respiratory infections.

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7/6/2020

Immune Education Series: Exposure Does NOT Equal Disease

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coronavirus exposureillustration by Aaron McMichael, DC
The covid-19 / coronavirus pandemic has shown that everyone exposed to a virus or infectious microbe does not experience disease. Few experience severe illness and many don’t even experience mild symptoms. If disease is as simple as being exposed to a germ, why do some people avoid becoming sick?
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What Happens With Exposure to Coronavirus?
Exposure does not equal infection and infection does not equal illness. The graphic below illustrates possible outcomes of exposure to coronavirus. Data indicates that 80% or more of confirmed cases of infection do not experience significant symptoms of illness. So, the large majority of those exposed and infected do not even know it because they do not become ill. This does not account for the even greater number of those exposed to coronavirus but have not been confirmed due to a lack of symptoms and limited testing. As testing increases, we may find that more than 90% of those exposed do not become sick. Some exposed cases may not test positive due to strong resistance or low exposure.

Of the less than 20% of confirmed cases that experience symptoms of illness with coronavirus, most are mild and fewer are severe. An even smaller fraction (those with pre-existing health problems) experience such severe illness it leads to death (see our article about pre-existing conditions).

As you can see in the picture, confirmed cases can be illustrated as a triangle, with a large majority experiencing no illness, and ever smaller portions experiencing greater degrees of illness or death. Surrounding that is the unknown (likely large) number of those exposed but not confirmed cases. Though infectious diseases can vary in transmission and virulence, this is similar to the presentation of many illnesses.

Reducing Risks
We are exposed to good and bad microbes every minute of the day and most of the time we experience little effect on our health as our immune system does its job. Many microbes are essential to our health, serving as a layer of protection or aiding our digestion among other benefits.
For those viruses or microbes that may be harmful, we have three ways to assist the body’s natural fighting ability:
  1. Reduce exposure – there has been significant debate over the effectiveness of various methods (cleaning, gloves, masks, etc.), but these methods are all potential ways to reduce exposure and therefor risk of illness
  2. Improve health to minimize risk of illness – less information has been shared on how to support our immune system to prevent or minimize illness. These methods include healthy lifestyle habits like regular exercise, nutritious eating, adequate sleep, and stress-reducing activities to increase resistance to infection.
  3. Health care once illness has occurred – for the minority of those infected that experience more significant illness, health care is of course provided to counteract the infection.
The best strategy is to take reasonable steps to not only reduce exposure, but especially work to improve your health and reduce your risk of a severe infection.

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5/29/2020

Immune Education Series: It's the SOIL, Not the SEED

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​The covid-19 / coronavirus pandemic has illustrated more clearly than previous outbreaks the difference in individual susceptibility to infection. Why are some individuals more susceptible and how can we improve our resistance?
seed vs soil healthillustration by Aaron McMichael, DC


A Story of Two Seeds

Consider an example of identical seeds. One lands on fertile, nutrient-rich soil with ample sunlight and moisture. Another seed lands on rocky, dry soil in the shade. The first seed, in a nurturing environment, grows into a strong and healthy plant. The second seed struggles to grow. This seed must work harder, developing a spindly stem at odd angles trying to reach sunlight and the roots stretch to find adequate soil for nutrition and anchorage against the winds.

Now what happens when one bug attacks these two plants? The healthy plant can mount a robust defense, producing more bitter phytochemicals to repel the bug and then quickly repair any damage. The already stressed and unhealthy second plant is too weak to defend itself and the same bug ends up killing it.
Why was the second seed killed by the same bug that hardly affected the first plant? It was not a difference of genetics. The seeds were identical. It was a difference of resistance that resulted from the health of the surrounding environment. The same idea can be applied to human infections.

The Coronavirus Story

We have heard about the susceptibility of the elderly to coronavirus, with the CDC reporting those over age 64 account for 80% of deaths. The next highest risk population is not those with immune-weakening genetic diseases. It appears to be those who are obese. Obesity doubles the risk of hospitalization for anyone under age 60. More broadly, those with metabolic disorders like high blood pressure, high blood sugar, and high cholesterol are at risk.

Now compare this to our seeds. Your body is the environment that coronavirus comes across. Is your body weak and unhealthy, with little defense against infection? Or is your body strong and ready to battle an invader?

How Can We Reduce Our Susceptibility?
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Our genetics plays a much smaller role in health than our habits. Good habits create health. Your best chance of fighting off an infection is to be healthy in the first place, with an immune system ready to do its job. If you have been up late, sitting around the house, stressing out and eating junk, your body is in no shape to fight. It is already busy fighting to recover from your bad habits. Like the seed, you need to be watered. You need adequate sunshine, good nutrition, and low stress. Care for yourself like a young and tender plant (and do not forget to water your kids as well).

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5/22/2020

Understanding a Keto Diet

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PictureKeto often means more meat and less carbs
The ketogenic diet has been increasing in popularity and not just because everyone loves bacon. We receive many questions about the keto diet from our patients, so here’s some basic info and perspective on the topic. 

What is Keto?
A ketogenic diet is any diet or eating pattern that causes the body to spend significant periods of time in “ketosis” - the state in which our body burns fat rather than carbs/sugar/glucose as the primary source of fuel. Burning fat over sugar not only helps with weight management and blood sugar control. It also promotes a reduction in inflammation throughout the body which can result in an improvement in a wide range of health issues.

It is best to think of frequent and significant time spent in ketosis as a fundamental expectation of our human bodies just as much our bodies expect to get good amounts of sleep, activity, and un-processed organic foods. These are simply the circumstances under which our bodies and genes developed and precisely that for which we are designed. To reiterate, NOT spending significant periods of time in ketosis on a regular basis can be just as detrimental to our health as NOT sleeping enough, NOT being active enough and NOT eating high-quality foods. For this reason, it is fair to say that we are adapted for long periods of ketosis and that we are unlikely to achieve optimal health without it.

How can you create Ketosis?
How do we ensure that we are spending enough time in ketosis to create healthy changes? The most common strategies are by dramatically restricting carbohydrate intake or incorporating long periods of fasting. Most keto dieters will end up combining these strategies in some way to maximize their results, however it is often easiest to implement one strategy at a time. The good news is that each strategy can help to initiate positive outcomes in body-composition and energy levels among many other beneficial outcomes. Also, a good week or two of implementing either strategy often makes it that much easier to implement the other.

Two ways to get started:
  1. If modifying the content of your meals sounds easier than reducing the frequency of meals then you’ll likely have a better time with the carb-restriction strategy first. In this case you’ll want to work your way down to 20 grams or less of total digestible carbs per day while shooting for approximately 70-80% of your calories from fat and 20-30% of your calories from protein. Even if you continue to eat frequently, keeping your total carb count below 20g per day will surely cause your body to spend increasing amounts of time in ketosis, burning fat as your primary fuel source.
  2. If modifying meal times and reducing the frequency of your meals sounds easier than reducing carb intake then you may want to focus on fasting initially. We’ll define fasting as only consuming water or non-caloric drinks like tea and coffee. There are many ways to incorporate fasting, but one of the simplest methods is to shrink your eating window down to around 6 hours. As an example, If you shift to consuming food (all calories) between noon and 6p, you will in effect be creating an 18-hour fasting time from 6p-noon, giving your body little choice but to switch over into ketosis for meaningful periods of time.

Going “keto” can fit perfectly into the anti-inflammatory eating picture that we discuss so often with our patients, however some individuals go “keto” in ways that are not nearly as helpful at reducing chronic inflammation- we’ll dig into this more in an upcoming article so stay tuned.

P.S. Both of the strategies for increasing time in ketosis outlined above will lead to improved metabolic flexibility and better immune system functioning with respect to addressing viral infections, so here’s just one more great reason to go “keto”.

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5/19/2020

Increase Your Health & Resistance Naturally

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PictureHealthy habits increase your strength and vitality
written by Dr. Rick McMichael

It is not merely the virulence of the infecting organism (virus or bacteria) that determines the impact on our health but also the health and vitality of the patient. We can wait and hope for a cure to be found or we can get busy and do the things that science knows will improve our strength, health, and vitality.

Are You Waiting for a "Cure"? 
The recent events surrounding covid-19 have focused much attention on the identification of a cure or vaccine. However, these are not simple tasks and normally require a significant amount of time, if an effective treatment or preventive treatment is to be found. In the meantime, we would be wise to begin changing our habits and to focus on healthy activities that will elevate our health status.

The results of the covid-19 pandemic have made it clear that those who are weak and unhealthy, with low strength and vitality, are definitely at the highest risk of serious illness. We have been told that these high risk patients include older adults, especially those in nursing homes, and those people with multiple co-morbidities. The co-morbidities most often cited are chronic illnesses such as diabetes, obesity and heart disease, as well as pulmonary and renal conditions. Those at higher risk also include patients with a compromised immune system, which may be due to chronic illness or immune suppressive drugs like those used for cancer treatment.
 
What Can You Do?
So, what can we do to be healthier and stronger, that may help to lower our risk. We can focus on things that we can change... things that science tells us will improve our health status and reduce or eliminate some of the chronic conditions (co-morbidities) that place us at more risk of serious illness. For starters, we can improve our diet, increase our exercise, reduce our sugar and processed food intake, avoid our exposure to toxins, get sufficient rest and drink plenty of water.
 
Did you know that chronic health conditions are responsible for a large part of our medical expenses? Did you know that science has shown us that some of these chronic conditions can be reversed, reduced or even eliminated simply by increasing our good health habits? Studies on exercise and diet have been shown to effectively reduce obesity, heart disease and diabetes and thereby increase our health and vitality...and reduce our risk of serious illness.
 
Why not set a plan to increase your health, strength and vitality naturally? Why not set a plan and begin to implement it today! We will be happy to help you design a plan to improve your health and coach you to successfully implement your plan. Just call us to schedule an evaluation and plan to be as healthy as you can be!

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3/30/2020

Our Favorite Immune Support Tool

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congaplexCongaplex Immune Support
Professionals of every kind have their favorite go-to tools for handling common problems. Let's take a look at one of our favorite tools for immune system support and upper respiratory challenges.

​Congaplex: Go-to Immune Support

Congaplex is one of our favorite answers when patients ask about what to do for stuffy sinuses, coughing, sneezing, and the other fun than comes with upper respiratory challenges. We especially keep it handy around our houses during the winter when those problems hit the hardest. 

Conga - plex can be thought of as a complex of whole food nutrients that fight congestion and support the immune system.

Congaplex is actually a specially formulated blend of other Standard Process supplements:
  • Cataplex A-C includes whole food vitamins A and C, which support healthy mucous membranes (our first defense against microbial invaders) and immune system resistance. This is NOT synthetic vitamin C (ascorbic acid), which is only the wrapper around the whole vitamin C complex. It also includes Echinacea which helps modulate a healthy immune response.
  • Thymex includes thymus enzyme extract that helps support the thymus, a key gland that produces antibodies to fight infection.
  • Calcium Lactate is a very absorbable form of calcium, which plays an important role in phagocytosis ("eating") of microbes.
  • Ribonucleic Acid (RNA) involved in protein building.

We have found it to be a great choice and kids especially like the Congaplex chewable version that includes berry powder. We use it in lower doses for prevention or higher doses when fighting off a bug. 

Check out some of the good foods inside: bovine thymus extract, carrot root, bovine bone, nutritional yeast, wheat germ, bovine adrenal, alfalfa juice, oat flour, alfalfa flour, bovine kidney, veal bone, veal bone extract, mushroom, buckwheat leaf juice, buckwheat seed, peanut bran, soybean lecithin, carrot oil.

You could try Congaplex or eat all of these!

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3/30/2020

Echinacea Myths for Immune System Support

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echinacea purpureaEchinacea purpurea should be combined with E. augustifolia
Echinacea has traditionally been used for hundreds of years, partly due to the thought that it benefits the immune system and protects against colds and infections. However, research has showed mixed results and there has been much confusion and misunderstanding of how Echinacea may provide health benefits. The following myths and explanations take a closer look at how Echinacea should or should not be used.

Prevention not Cure

Studies have demonstrated Echinacea may have more potential to support a healthy immune response when taken preventively rather than during an acute illness. While it may be helpful when taken during an infection, Echinacea's greater potential appears to be as a preventive measure to prepare the immune system before an infection occurs.

Echinacea & Long-term Use

Concerns regarding long-term use of echinacea have been dispelled by research that shows Echinacea is not only safe when taken over a year, but beneficial. A study in mice fed Echinacea daily for 13 months, showed increased health and longevity compared to mice not fed Echinacea. Other studies have indicated potential benefit when taken by those with chronic immune system issues.

Purple Coneflowers are Echinacea?

It's important to recognize the various species of Echinacea and their varying ability to effect immune system function. The purple coneflowers frequently grown in gardens (pictured above) are one species called Echinacea purpurea. Another species called Echinacea augustifolia has more traditionally been used, and research indicates its roots contain higher levels of alkylamides that are the primary active constituent. It's the alkylmides that cause a tingling sensation on the tongue when taken.

Studies indicate E. augustifolia root or a blend of both species are more effective for immune support. If your supplement doesn't cause a mild tingling when held in the mouth, it may be too low in active constituents to be effective. Studies that have found less benefit with Echinacea, tend to use the wrong plant, the wrong part (not the root), the wrong method of concentration, or too small a dose.

How Does Echinacea Effect the Immune System?

Research has demonstrated multiple changes in immune cell function with Echinacea. Research has noted significant increases in natural killer cells and monocytes. Natural killer cells are important in defending against viruses, by killing virus-infected cells in the body. Monocytes are a type of white blood cell that can capture microorganisms or transform into macrophages that "eat" fungi and microbes. There also appears to be beneficial effects on T cells and heat shock proteins that play a role in a healthy immune response.

In a study of adults flying internationally in economy class, those taking Echinacea Premium tablets before, during, and after flight experienced fewer symptoms of respiratory illness compared to the placebo group.

Echinacea is worth considering as part of a healthy lifestyle to support proper immune system function. Our preferred version is Echinacea Premium due to its high quality and research support. Those with allergies to the daisy family should be cautious, though there is less concern when the root of the plant is used.


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3/11/2020

Natural Tips For Coronavirus Prevention

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Picturewash with soap for 20 seconds
The unknown nature of coronavirus has caused great concern but provided little in the way of recommendations other than improving hygiene habits. There is no need to live in fear, but improving your health habits is a good idea.

Washing hands, covering coughs, and cleaning surfaces is a good start to limit transmission of viruses, but there are also easy actions that can be taken to lower the risk of viral infections or minimize their harm. And they can make you generally healthier while you do them!

Appropriate preventive measures for viral infections can be divided into two categories:
  1. More thorough cleaning and hygiene habits to limit viral transmission 
  2. Healthy habits to strengthen your health and limit the impact of viral infections

Keep Clean & Reduce Viral Transmission

By now most have heard the common sense recommendations to increase cleaning and limit contact with others. Know that antimicrobial soaps have not been found to be any more effective than regular soaps and ingredients like triclosan antibacterial has been linked to other health issues. Make sure you spend 20 seconds when washing those hands. Hand sanitizers are only to be used when soap is unavailable. It provides no additional benefit.

Increased humidity can also be beneficial to reduce viral transmission. Research has demonstrated that more humid environments interfere with the spread of viruses. That's one of the reasons it's easier to catch a bug in the winter with drier air inside and out. Using a simple humidifier can make a big difference.

Strengthen Your Health

The best way to strengthen your health and reduce your susceptibility to infection is to improve your basic health habits:
  • Get plenty of sleep (7-8 hours for most people)
  • Minimize stress or perform stress reducing activities (walk, meditate, etc.)
  • Eat healthy - avoid processed foods and sweets and eat whole foods (meats, veggies, fruit, nuts, seeds, etc.)
  • Stay active with stretching, exercise, or other activities you enjoy
  • Maintain healthy posture and structure which has an effect on proper functioning of your body

More Strategies We Use to Stay Healthy

Manual treatments like adjustments and massages work the body and have been shown to increase immune cell activity shortly after being performed. Some special techniques can help open the sinuses when congested.

Supplements we like for prevention include a high quality Echinacea or Immuplex from Standard Process which provides important nutrients that support the immune system. Keep up your level of Vitamin D, which drops in our gray skies of winter in Northeast Ohio. When the body is fighting an infection, St. Johns Wort, Andrographis, Congaplex, or a good high dose Vitamin C can provide helpful support.

If you want to stay healthy and resilient to whatever comes along, make sure to take steps to actively improve your health.

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    We have grown up with the benefits of a natural lifestyle & believe that living a healthy life, with minimal need for medications or surgery, is something everyone should be able to experience. We prefer a common sense approach to improving patients' health, with consideration of current research. As practicing Doctors of Chiropractic and natural health & wellness experts, we enjoy exploring and sharing the latest natural health news.

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