Health Report Sonia 1449

7/31/2019 Health Report Sonia 1449

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HEALTH REPORT

Dear sonia,

[email protected]

Your key identifiers are:

Gender: Female

Age: 50

Height: 1.42 Meters or 56 inches

The assessment youve just completed has evaluated the various aspects of your diet and lifestyle that play a

significant role in your health and longevity profile. Based upon scientific evidence available fromexperimental and clinical studies, we have assembled a number of nutrition, exercise and supplementationconsiderations specific to your individual circumstances.

Your personalized Nutrition/Lifestyle/Anti-Aging Feedback Report is to be used for educational purposes onlyand does not take into account any food, drug or supplement allergies or sensitivities. You must consult yourhealth practitioner before making any changes to your dietary, exercise or supplementation practices.

Yours in good health,

Dr. James Meschino, DC, MS, ND

Creator of the Nutrition, Lifestyle and Anti-Aging Assessment.

Dietary Assessment

Some of the key principles of a health-promoting/anti-aging diet for healthy adults include the followingcharacteristics:

Low in saturated fat, transfats and cholesterol Contains a minimum of 5 servings of fruits and vegetables per day, on average No or low intake of alcohol Minimal intake of other chemicals linked to cancer risk and accelerated aging Low to moderate intake of high glycemic carbohydrate foods and beverage.

In short, studies show that individuals who restrict their intake of fat from red meat, pork, dairy products, friedfoods, pan-fried foods, high fat salad dressings, high fat pastries and regular chocolate products (coco

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butter), as a rule, are much less prone to the development of heart disease, stroke, thrombo-embolicdiseases (e.g. deep vein thrombosis, phlebitis), colorectal cancer and reproductive organ cancers (breast,endometrial, prostate cancers). Along with lung cancer (caused by cigarette smoking in 87% of cases), thesehealth conditions are the most significant causes of premature death and loss of quality of life due to healthproblems. At the same time it is well established that individuals who consume a higher plant-based diet, richin vegetables, fruits, beans, peas and whole grains, and fewer fats from the sources listed above, aregenerally at much lower risk for premature development of cardiovascular disease and many forms of cancer.As such, the results of your dietary assessment that follows and the modifications you are being asked to

consider may seem a bit severe in some cases. However, it is important for you to know that the feedbackyou are receiving is based upon evidence that is strongly supported by human research studies, which haveexamined the relationship between diet and disease. I would urge you to take the following information veryseriously and to make dietary changes that are consistent with the feedback you receive in this section. Howyou feed your body each day has a significant impact on your present and future health, including risk ofdying prematurely and your quality of life. For example, data published in the Journal of the National CancerInstituteindicates that as much as 35% of all cancers could be avoided if individuals adhered to more prudentdietary practices. (Doll R, Peto R: The causes of cancer: Quantitative estimates of avoidable risks of cancerin the United States today. JNCI 66:1191-1308, 1981; Willet, W. Estimates of cancer deaths avoidable bydietary change. J Natl Cancer Instit., 1996; 86, 14: 948). For more information on this research consultTheMeschino Optimal Living Program book (Wiley 2004) or consult the many articles on this subject available onDr. Meschino's education website Dr. Meschino's education website

Based upon your responses to the Dietary Assessment portion of the questionnaire your usual dietarypractices have been rated as follows: 4. Refer to the chart below to see your position on the dietary patternsscale.

Medications Affecting Your Nutrient Status

In your case, some of the noteworthy areas of your present dietary patterns include:

You indicated that you seldom, if ever, consume high fat meat or dairy products. You should becommended for restricting your intake of high fat animal products compared to what most people do, as these

foods tend to increase risk of many degenerative diseases. High fat animal products contain significantamounts of saturated fat (as well as cholesterol in many instances). Ingesting too much saturated fat triggersthe production of cholesterol in the body, which often raises blood cholesterol levels. Excess cholesterol in

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the bloodstream tends to stick to the artery walls, causing narrowing and increasing risk of heart attack,stroke and other vascular disorders. An important part of reducing heart attack and stroke involves keepingyour blood cholesterol level below 5.2 mmol/L (200 mg per dL) and more ideally below 3.9 mmol/L (150mg/dL). Even moderate amounts of animal fat consumption is linked to increased risk of colon cancer andreproductive organ cancers and is also a major contributing cause of weight gain, as saturated fat tends to bestored in fat cells, enlarging their size, and increasing body fat. Finally, high fat animal products containconsiderable amounts of a polyunsaturated fat called arachidonic acid (AA), which the body converts into ahormone known as PG-2. PG-2 makes the skin less smooth, soft and moist than it has the genetic potential

to be. PG-2 also contributes to increased risk of cancer and cardiovascular disease by speeding up celldivision rates and increasing the stickiness of the blood. PG-2 also aggravates inflammatory states, such asarthritis. Most experts agree that it is best to follow a vegetarian lifestyle (using sound practices of nutrition) orto consume only skinless chicken breast, turkey breast, Cornish hen, fish and soy products, as protein foodalternatives to high fat meat products, and to consume non fat or 1% milk or yogurt and cheeses that are lessthan 4% milk fat or soy-based cheeses, as protein food alternatives to high fat dairy products.Congratulations, once again, for adhering to a diet that contains very little, if any, animal fat. It is a veryimportant measure in reducing risk of degenerative diseases and improving your chances for extended yearsof functional living.Your practice of using butter on bread, toast and other bread products is a cause for concern. Butter

is very high in saturated fat and cholesterol. It is far better to use jam on bread products as an alternative.Ingesting too much saturated fat triggers the production of cholesterol in the body, which often raises bloodcholesterol levels. Excess cholesterol in the bloodstream tends to stick to the artery walls, causing narrowingand increasing risk of heart attack, stroke and other vascular disorders. An important part of reducing heartattack and stroke involves keeping your blood cholesterol level below 5.2 mmol/L (200 mg per dL) or moreideally, below 3.9 mmol/L (150 mg/dL) A high intake of animal fat is also linked to increased risk of coloncancer and reproductive organ cancers. A high intake of saturated fat is also a major contributing cause ofweight gain, as saturated fat tends to be stored in fat cells, enlarging their size, and increasing body fat.

It is impressive that you have maintained a low intake of whole egg consumption. Egg whites are a

good source of protein to support your lean mass, immune system and other functions. Egg yolks are theproblem. One egg yolk contains approximately 250 mg of cholesterol, which can contribute to elevated bloodcholesterol levels. Excess cholesterol in the bloodstream can narrow arteries and contribute to heart attack,stroke and other vascular diseases. Anti-aging experts suggest that you limit your total daily cholesterolconsumption to no more than 150-200 mg per day.

It is impressive that your diet is not high in fried foods. Fried foods contribute excessive fat calories tothe diet, which promote weight gain, vascular disease and may increase risk of colon and other cancers.It is impressive that you have maintained a low intake of high fat pastries and related treats. The fat

content of these foods significantly contributes to weight gain and depending upon the type of fat present, canincrease blood cholesterol levels, which is a key risk factor for heart attack, stroke and other vasculardiseases. These high fat foods are linked to increased risk of colon cancer and possibly other cancers.

It is impressive that you have maintained a low intake of fried snack foods and regular chocolate

products. Fried snack foods contribute excessive fat calories to the diet, which promote weight gain,vascular disease and may increase risk of colon and other cancers. Regular chocolate bars and chocolateproducts are a rich source of saturated fat, which can elevate blood cholesterol levels, increasing risk of heartattack, stroke and other vascular diseases. Saturated fat intake also contributes to weight gain and is linkedto colon cancer and reproductive organ cancers.

It is impressive that you have maintained a low intake of highly refined sugar-containing foods andbeverages. Excess sugar calories are converted into fat within the body and primarily stored in fat cells. Thisleads to weight gain, which is a significant health risk. Frequent ingestion of sugary foods and beverages can

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also upset blood sugar, which can trigger or aggravate blood sugar problems for individuals with diabetic,pre-diabetic or hypoglycemic tendencies.Your intake of vegetables appears to be consistent with practices associated with a healthy diet.

Individuals who consume 5 or more servings per day of fruit and vegetables have half the cancer rates asthose who consume less than 5 servings of fruit and vegetables per day, on average.Your diet appears to lack proper attention to fruit intake. Like many vegetables, fruits contain vitamins,

minerals and other protective nutrients that help prevent cancer and vascular disease (heart attack andstroke). Individuals who consume 5 or more servings per day of fruit and vegetables have half the cancerrates as those who consume less than 5 servings of fruit and vegetables per day, on average.Your low intake of alcohol is most impressive from a health-risk standpoint . Although moderate

quantities of alcohol (no more than one alcoholic drink in any 24-hour period) may benefit some aspects ofcardiovascular health, alcohol consumption of just two drinks per day, on average, is associated withdoubling or tripling the risk of colon and breast cancer, and even lesser amounts are associated withincreased prostate cancer risk, according to some large studies. Alcohol is also a contributing factor to mouthand throat cancer. It causes damage to liver and brain cells, impairs driving ability, and can increase bloodpressure and blood triglyceride levels, which contribute to heart disease, stroke and other vascular diseases.The National Cancer Institute indicates that alcohol consumption is the second most important environmentalcause of cancer, after cigarette smoking, accounting for 3% of all cancer cases. It appears that the body cansafely handle one alcohol drink per day before certain health risks begin to increase. One alcoholic drink isdefined as one 12 ounce beer, one ounce of hard liquor, or one 5 ounce glass of wine.

Body Mass Index

Your Body Mass Index, which is calculated by dividing your weight in kilograms by your height in meters

squared (wt/ht2) is known to be associated with risk of heart disease, adult onset diabetes as well as breastcancer in postmenopausal women. In men, a high body mass index may also increase risk of prostatecancer. The Body Mass Index also provides a good indicator of a persons overall percentage of body fat,unless the person has increased muscle development from weight training, in which case the Body MassIndex is not a true reflection of health risk or body fat percentage. However, waist circumference remains agood indicator of health risks even in individuals who have muscle development from weight training. (seeWaist Circumference and Health Risks in this section of the report)

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This is regarded as Grade 1 obesity and is associated with a mild to moderate increase risk for the

degenerative diseases mentioned above. We suggest that you strive to get your body mass index below26, unless you are highly muscular with a body fat percentage below 13% for men and 16% for women.Fortunately, you are not that far away from being within the optimal range of the Body Mass Index, which is20-25. This is very attainable in your case and is a very worthwhile goal, as you will significantly reducecertain health risks by losing this modest amount of weight. As one option to achieving this objective you candownload the Intensive Weight Loss Plan that is available to you, at no cost, in the Resources section~ResosurceCenter~ of the Adeva Nutritionals website . This program is nutritionally sound and is based

upon the nutrition principles contained in The Meschino Optimal Living Program: 7 Steps To A Healthy, Fit,Age-Resistant Body (Wiley Publishing 2004), written by James Meschino DC, MS, ND. ~OptimalLiving~ toview more details about The Meschino Optimal Living Program.

Your present waist circumference is 29. Your waist circumference is at or below 32 inches, which does notcarry an increased risk of the development of cardiovascular disease or adult onset diabetes. It is importantthat you strive to maintain a waist circumference below at or below 32 inches throughout your entire life, asincreased weight gain in the abdominal area is highly correlated with a shortened life span, often due tocardiovascular disease and diabetes.

Exercise and Physical Activity

It is important that you speak with your physician prior to making any changes to your current physical activitypatterns. Also keep in mind that a high level of cardiovascular fitness does not confer complete protectionagainst heart disease. As such, you still require a periodic physical exam from you attending physician, whichshould also include blood work to check for other cardiovascular disease risk factors (e.g. high cholesterol,high blood pressure). This is an important consideration as many physically fit individuals die each year fromheart attacks because they had other risk factors for heart disease that went undetected or were ignored.

Maximum attainable heart rate = 220 minus your age The low end of your aerobic heart-rate zone is calculated by multiplying your maximum attainable heart

rate by 0.6 The high end of your aerobic heart-rate zone is calculated by multiplying your maximum attainable heart

rate by 0.85

Based upon your present age, your aerobic training zone is between 102 and145 heart beats per minute.Exercising at 60 percent of your maximum attainable rate is so comfortable that you could maintain aconversation without getting winded. Unknowingly, most people perform aerobic exercise at a pace that putstheir heart rate between 70 and 75 percent of their maximum attainable rate. If you are just starting withaerobic exercise, you should aim for about 65 percent of your maximum attainable rate.

1. It is most ideal to perform at least 2-3 different exercises for each body part (i.e. For chest--BenchPress, Incline Press, Flies)

2. Perform 3-5 sets at each exercise station3. Work each body part at least 2X per week (allow 48-72 hours for recovery for each body part)4. If you want to focus on greater strength gains - use heavier weight that permits you to only perform 4-7

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repetitions per set, before reaching muscular failure5. For power training to enhance many sports - focus on moderate weights, as is also recommended for

body sculpting, general anti-aging purposes, using 8-10 repetitions per set to muscular failure6. Remember that to gain muscle size and definition you must ingest at least 0.5 grams of protein for

every pound you weight (or about 1.2 grams of protein for every kilogram you weigh). Some eliteathletes require up to 2.2 grams of protein per kg, if they may spend three or more hours per daytraining. As an example, if you weigh 80 kilograms, you should consider ingesting 100 to 150 grams ofprotein each day (1.2 grams of protein per kg of body weight) to build your muscles, depending on the

intensity, duration and frequency of your workouts. Note that your weight in pounds can be convertedinto kilograms by dividing your weight in pounds by 2.2. In your particular case, your proteinrequirement would be approximately 65 grams per day, if you performed 30 - 45 minutes of aerobicendurance exercise 5-7 days per week, and resistance training, at least 3-4 days per week (30-60minute routine), calculated as 1.25 times your weight in kilograms. See Low Fat Protein Food Chart OnWebsite at: Low-Fat Protein Food Chart

Speak to your health practitioner or fitness professional about a customized aerobic, resistance training, andstretching program that best suits your individual circumstances. To review a sample of a beginner,intermediate and advanced resistance training program consult the book, The Meschino Optimal LivingProgram: 7 Steps To A Healthy, Fit, Age-Resistant Body(Wiley Publishing) Other strength training exercisesthat are effective alternatives to weight training include:

1. Ashtanga Yoga2. Body Pump Fitness Classes3. Martial Arts Training4. Pilates5. Boxercise Classes6. Thera-Ball Strength and Core Training

You indicated that you perform flexibility exercises at least twice per week. This is an excellent practice, asthese exercises can help prevent your joints from becoming rigid and inflexible as you age. Along withendurance/aerobic exercise and strength training exercises, it is an important aspect of maintaining a highlyfunctional body and preventing muscle and joint injuries.

Precautionary Notes Regarding Dietary Supplements

The remainder of the NLA report makes reference to specific nutritional supplement ingredients (anddosages) along with additional dietary considerations that pertain to your particular case. However, in certaincases these considerations may be contra-indicated, or require certain approvals or monitoring based uponyour health status or medication use. If you have any contra-indications, or require special approval ormonitoring, these warning statements will be listed immediately below this paragraph. If no warningappears then you may proceed with the supplement considerations that follow. However, you should consulta health care professional before making any change to your diet, exercise or supplementation program.

High Potency Multivitamin and Mineral and Essential Oils: The Foundation Wellness Supplements

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Whether or not you are already taking a multiple vitamin of some sort, a High Potency Multiple Vitamin andMineral is a supplement you should strongly consider. Anti-aging experts suggest that, in addition to a healthydiet, adults should take a high potency multiple vitamin and mineral each day to promote optimal health, slowthe aging process, reduce risk of osteoporosis, and help defend the body against various other degenerativediseases. Many of these nutrients also help optimize skin appearance and complexion. A high potencymultivitamin and mineral is defined as a multivitamin that contains boosted levels of antioxidants (vitamin C,vitamin E, beta-carotene, selenium, zinc, lycopene, lutein, bioflavonoids), a B-50 complex, 500 mg ofelemental calcium and all vitamins and minerals from "A to zinc". Not all multiple vitamins contain sufficient

dosages to provide the benefits noted above. Here is an example of a High Potency Multivitamin and MineralSupplement:

Dr. Meschino's High Potency Multiple Vitamin and MineralIn certain cases taking a high potency multiple vitamin and mineral supplement can also help to correct signsand symptoms of nutrient deficiencies and/or replenish your body with specific vitamins and minerals that areknown to be depleted by various lifestyle factors and the use of certain medications. If any of these issuesapply to your case it will appear directly below this paragraph.

Your diet appears to lack sufficient intake of fruits and vegetables. Insufficient intake of fruits and vegetables(less than 5 servings per day) deprives the body of many necessary nutrients including antioxidants,B-vitamins and phytonutrients, and is associated with a risk of cancer that is twice that of individuals whoconsume 5 or more fruit and vegetable servings per day.

Soft nails or nails that chip, crack or peel easily, and/or are they brittle or contain ridges (not smooth) areoften caused by deficiencies in calcium, and other minerals.

Drinking more than two cups of coffee or caffeinated tea (of any kind) per day, on average depletes the body

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of vitamin C, many B-Vitamins, and minerals.

Smoking cigarettes increases free radical exposure and depletes the body of antioxidants, B-vitamins andminerals. Note that the free radicals contained in cigarette smoke cause lung cancer and increase risk forcancer of the mouth, throat, stomach, pancreas and possibly colon. Cigarette smoking is considered to be thenumber one environmental cause of cancer and is linked to more than 30% of all cancer cases. Eighty-seven

percent of lung cancer cases occur in smokers. Cigarette smoking also contributes to emphysema and otherrespiratory diseases, and is a cardinal risk factor for cardiovascular disease. Cigarette smoke constricts bloodvessels, promotes the deposition of cholesterol into the artery wall -narrowing arteries, and increases thestickiness of blood cells promoting the development of abnormal clots that plug up the arteries. Togetherthese effects increase risk of heart disease, stroke and other vascular diseases.

Feeling chronically fatigued in the absence of disease is often associated with multiple vitamin and mineraldeficiencies.

Irregular eating patterns tend to contribute to an inadequate intake of essential vitamins and minerals andoften leads to at least marginal deficiencies in many vitamins and minerals.

Hair falling out easily, and/or dry and brittle hair and/or lackluster hair that is dull in appearance are allassociated with multiple vitamin and mineral deficiencies.

Vitamin A Vitamin D Vitamin E Calcium

Vitamin B1 Potassium Zinc

Vitamin B1

Folic Acid Vitamin B12

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Essential Fatty Acid Supplementation

Borage Seed Oil - 400 mg (non genetically modified) Flaxseed Oil - 400 mg (non genetically modified) Fish Oil (30%/20% EPA/DHA) - 400 mg (free of mercury and other contaminants, derived from

mackerel, sardines and anchovies)

For general health and anti-aging purposes take 2-3 capsules per day with a meal.Dr. Meschino's Essential Fatty Acids formulation

Anti-Aging Supplements

Anti-Aging And Disease Prevention Nutrients - In recent years researchers have discovered that thebodys internal aging clock produces changes within our cells and tissues that cause us to age more rapidlyand increase our risk of heart disease, cancer, dementia, osteoporosis, arthritis and susceptibility tolife-threatening infections (e.g. pneumonia). From these discoveries, anti-aging research indicates thatingesting specific nutritional supplements, after age 40 for men and after age 45 for women, can combatmany of the changes induced by the bodys aging clock, helping to reduce risk of these serious healthconditions and maintain a highly functional body and mind for as long as possible. In general, you shouldconsider staging in the use of these Anti-aging/Disease Prevention nutrients between 40 and 55. If you are amale 40 years or older, or a female 45 years or older, then the appropriate Anti-Aging/Disease PreventionSupplement Considerations will appear below this paragraph, along with an explanation of how they work inthe body. Anti-Aging/Disease Prevention Supplements are not required before age 40, as a rule.

Coenzyme Q10 and Hawthorn (Women over 45)Because you are over 45 you should consider a supplement providing coenzyme Q10 and hawthorn forheart health. As we age our bodies tend to lose the ability to make desirable concentrations of coenzymeQ10 (CoQ10), which is required for optimal energy production, especially by the heart and brain. Studiesshow that supplementation with effective doses of CoQ10 and hawthorn extract, boost energy production inthese tissues, reversing early stages of heart failure, lowering blood pressure and helping to defend againstthe agerelated decline in heart function after the age of 4550. To help prevent the agerelated decline inheart function, due to a lack of CoQ10 synthesis, many experts suggest taking a supplement of CoQ10 andhawthorn beginning no later than 4550 years of age. An appropriate dosage would be 3060 mg of CoQ10in combination with 37.575 mg of hawthorn (standardized to 5% plant extract or 25 % vitexin or flavonoidcontent). Dr. Meschino's Coenzyme Q10 formulation

Herbal Detoxifiers and Immune Support (Women over 49)Because you are a woman over the age of 49 you should consider taking a supplement to support yourimmune and detoxification systems.A strong immune system is key in preventing cancer and reducingsusceptibility to infection by viruses, bacteria and other microorganisms according to numerous studies. Aswe age our immune and detoxification systems become weaker and more sluggish. The ability to neutralizetoxins and other contaminants through detoxification is vital to long term survival and optimal health. Tomaintain and rejuvenate the immune and detoxification systems at this stage in life, a daily combination of ahigh potency multivitamin and mineral supplement along with a supplement combining 100 mg astragalus,

30 mg reishi mushroom extract, 150 mg milk thistle and 25 mg indole3carbinol, taken twice a day, shouldbe considered as a means to boost and support your bodys immune and detoxification systems. Dr.Meschino's Herbal Detoxifiers and Immune Support combo formulation

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Female Support Nutrients (Women over 50)For women 50 and over, supplementation with a combination of black cohosh, soy extract andgammaoryzanol has been shown to reduce menopausal symptoms, help maintain natural hormonal supportto reproductive tissues, support skin appearance and texture, total well being and energy level, and helpssupport bone density, in conjunction with adequate calcium, vitamin D and exercise. It can be used incombination with hormone replacement therapy if necessary. ~LinkG^

Glucosamine Sulfate With Natural AntiInflammatory Agents (Women 50 and over)Studies indicate that 80% of individuals over 49 yrs are prone to agerelated degenerative arthritis, which islargely due to decreased synthesis of glucosamine after age 4550. Up to this age your body normally makesoptimal amounts of glucosamine, which provides the raw material to make joint cartilage (the shockingabsorbing material within our joints). After 4550 the body reduces its synthesis of glucosamine, which allowsjoint cartilage to thin and osteoarthritis joint changes to occur. To help prevent the development ofdegenerative arthritis supplementing your diet with a one capsule of a combination supplement product,containing 500 mg of glucosamine sulfate and other joint support and antiinflammatory nutrients (MSM 130150 mg; Quercetin 100 mg;l Bromelain 100mg) is an important consideration. Maintaining healthyjoint function (with freedom from arthritis pain) is a key factor in preserving a highly functional body as youage. Dr. Meschino's Glucosamine and AntiInflammatory combo formulation

Bloating After Meals

You indicated that you have a history of bloating after meals or frequent indigestion. Bloating after meals orfrequent indigestion can be symptoms associated with a serious underlying health condition. Therefore, it isimportant to have a thorough medical examination to rule out this possibility. If no such abnormality is foundthen your condition may be caused by insufficient digestive enzyme secretion or sensitivity reactions tocertain foods. The dietary advice in such cases involves eliminating or reducing the intake of foods that act as

triggers of irritants. This may require the help of a trained dietician, clinical nutritionist, physician or a holisticpractitioner, who has special training in this area.

Supplement Considerations:

1. Digestive Enzymes and Prebiotics: The use of a high potency, full spectrum blend of digestiveenzymes, taken with meals, can significantly improve uncomplicated cases of bloating after mealsand/or indigestion problems. Digestive enzymes help the body completely breakdown food to enhancethe absorption of nutrients. This in turn, reduces the presence in the intestinal tract of partiallyundigested food matter that can act as an irritant to the intestinal wall causing indigestion and preventsthe fermentation of partially undigested food matter into gas-products that produce abdominaldistension and bloating. The prebiotics FOS and inulin enhance the growth of the friendly gut bacteria,which are known to improve digestion and elimination processes, and support the health of theintestinal tract.

2. High Potency Multiple Vitamin and Mineral: The cells of the intestinal tract are dependent upon manydifferent vitamins and minerals for their growth and development. Healthy intestinal cells are requiredfor normal digestion to occur, as these cells manufacture a number of necessary digestive enzymes aswell as serve as the gatekeeper for nutrients entering the body. Ingesting a high potency multivitaminand mineral helps to ensure that intestinal cells will develop more optimally, which in turn, helps toimprove the digestive function.

Dr. Meschino's High Potency Multiple Vitamin and MineralDr. Meschino's Digestive Enzymes and Prebiotics combo formulation

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Heartburn or Gastritis

You indicated that you have a history of heartburn or gastritis. Heartburn refers to a burning feeling that canbe caused by stomach acid regurgitating into the esophagus from the stomach, or by gastritis, which is aninflammation of the lining of the stomach. The most common cause of heartburn is gastroesophageal refluxdisease (GERD), in which the sphincter (muscular valve) between the esophagus (the swallowing tube) andthe stomach is not functioning properly. Another, related cause of heartburn is hiatal hernia, in which a smallportion of the stomach protrudes through the sphincter between the esophagus and the stomach. The

symptoms of heartburn and gastritis may include painful or burning sensations in the upper abdomen,bloating, belching, diffuse abdominal pain, passing gas, nausea, and occasionally vomiting. The appearanceof these symptoms is often associated with eating. As these symptoms can also be associated with moreserious underlying diseases it is imperative to have a proper medical assessment to determine the reason forthese symptoms. When more serious underlying health conditions have been ruled out, the followingnutritional, lifestyle and supplementation considerations should be factored into the complementarymanagement of these problems. Heartburn and gastritis may be relieved in some people by avoiding orreducing the intake of caffeine and alcohol. In addition, some people with these symptoms appear to havefood allergies or intolerances, which can be evaluated by a trained dietician, clinical nutritionist, physician or aholistic practitioner, who has special training in this area.

Supplement Considerations:

1. Betaine Hydrochloride (betaine HCL): Betaine HCl (a compound that contains hydrochloric acid) oftenrelieves the symptoms of heartburn and improves digestion, at least in people who havehypochlorhydria (low stomach acid). The amount of betaine HCl used varies with the size of the mealand with the amount of protein ingested. Typical amounts recommended by doctors, ranges from 600to 2,400 mg per meal. Use of betaine HCl should be monitored by a healthcare practitioner and shouldbe considered only for indigestion sufferers who have been diagnosed with hypochlorhydria.

2. High Potency Multiple Vitamin and Mineral: Many vitamins and minerals appear to require adequateconcentrations of stomach acid to be absorbed optimally-examples are iron, zinc, and B-complex

vitamins, including folic acid. People with achlorhydria (no stomach acid) or hypochlorhydria maytherefore be at risk of developing various nutritional deficiencies, which could presumably contribute tothe development of a wide range of health problems. As such, a high potency multiple vitamin andmineral should be considered in these cases.Dr. Meschino's High Potency Multiple Vitamin and Mineral

3. Digestive Enzymes and Prebiotics: The use of a high potency, full spectrum blend of digestiveenzymes, taken with meals, can significantly improve uncomplicated cases of bloating after mealsand/or indigestion problems in uncomplicated cases. Digestive enzymes help the body completelybreakdown food to enhance the absorption of nutrients. This in turn, reduces the presence in theintestinal tract of partially undigested food matter that can act as an irritant to the intestinal wall causingindigestion, and prevents the fermentation of partially undigested food matter into gas-products thatproduce abdominal distension and bloating. The prebiotics FOS and inulin enhance the growth of thefriendly gut bacteria, which are known to improve digestion and elimination processes, and support thehealth of the intestinal tract.Dr. Meschino's Digestive Enzymes and Prebiotics combo formulation

4. DGL Chewable Tablets: De-glycyrrhizinated Licorice (250 - 380 mg), two to four tablets betweenmeals, or 20 minutes before meals, may be helpful in healing the stomach lining in cases of gastritis. In

making DGL, the portion of licorice root that can increase blood pressure and cause water retention isalmost completely removed, while the mucous-membrane-healing part of the root is retained.

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Psoriasis

You indicated that you have a history of psoriasis. Psoriasis is a chronic skin condition that causes skin cellsto grow too quickly, resulting in thick, white, or red patches on the knees, elbows, scalp, hands, feet, or lowerback. Normally, skin cells mature gradually and are shed about every 28 days. On a continuous basis, newskin cells replace outer layers of the skin surface as they are shed or sloughed off. In psoriasis, skin cells donot mature but instead move quickly up to the surface of the skin over 3 to 6 days and build up, forming thecharacteristic red skin rash loosely covered with silvery white scales. Some doctors believe that the immune

system is a factor in the development of psoriasis, as increased numbers of white blood cells are presentbetween the abnormal layers of skin. As well, psoriasis responds to drugs that suppress the immune system.Approximately 2 percent of the U.S. population has psoriasis. It is equally common in men and women, andaffects all age groups. An underlying factor, which appears to contribute to the development of psoriasis, is ahigh level of arachidonic acid within skin cells. Arachidonic acid is a polyunsaturated fat found in high animalfat foods. Arachidonic acid is converted into prostaglandin hormones in the skin that encourage inflammationand rapid cell division. Hence, dietary and supplementation strategies aimed at decreasing arachidonic acidbuild up in skin cells has demonstrated impressive results in a number of clinical trials with psoriasis patients.Warm weather and sunlight tend to improve psoriasis while cold weather and stress tend to aggravate thiscondition. Psoriasis is sometimes associated with a serious joint arthritic condition known as psoriaticarthritis, which typically affects the hands, knees, wrists, elbows, and ankles. The dietary recommendationsfor psoriasis include the following:

1. Reduce the build up of arachidonic acid within skin cells by reducing intake of the following foods: Highfat meat and dairy products Corn oil, sunflower seed oil, safflower seed oil and mixed vegetable oils.Alcohol, hydrogenated fats (e.g., margarine, commercial peanut butter, shortenings)

2. Replace the above foods with the following: Chicken, turkey, fish, Cornish hen 1% milk or yogurt, nocheese above 3% milk fat. Olive oil, canola oil, or peanut oil (for salad dressings, to saut vegetablesor stir fry, only)

Supplement ConsiderationsPrimary Support

1. Herbal Detoxifiers and Immune Support (see explanation below)2. Digestive Enzymes and Prebiotics (see explanation below)3. Oil Of Oregano Capsules and Topical Cream (see explanation below). Some cases of psoriasis are

aggravated by a build-up of impurities in the bloodstream that trigger immune inflammatory reactionsthat adversely affect the skin. As a means to reduce immune inflammatory reactions it is prudent tosupplement the diet with nutrients that boost the livers detoxification capacity, and help regulateimmune function. Such nutrients include a combination of milk thistle, indole-3-carbinol, reishimushroom extract and astragalus.It is also prudent to prevent the absorption of partially digested food matter and bacterial toxins from

entering the bloodstream from the intestinal tract (problems that are associated with a variety of skinand other inflammatory conditions) by supplementing with a high potency, full spectrum blend ofdigestive enzymes and prebiotics. This will help to improve digestion and foster the growth of thefriendly gut bacteria, which in turn, improves detoxification, elimination, immune function, and has beenshown to reduce inflammatory reactions throughout the body, including the reversal of various skinconditions.Studies also show that many psoriasis skin lesions contain staphylococcus and/or streptococci

bacteria, which are known to cause or aggravate this condition. Medical studies have shown that theadministration of certain antibiotic drugs can kill these bacteria and improve many cases of psoriasis.However, long-term intake of antibiotics may not be desirable due to the potential of adverse sideeffects and loss of defense against new strains of antibiotic-resistant bacteria. For these reasons many

natural health practitioners suggest the use of Oil of Oregano as an alternative in cases of psoriasis, asa first choice in combating these bacteria. The P73 research tested blend of oil of oregano has beenshown to kill many undesirable bacteria, including those associated with psoriasis. In addition to

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ingesting oil of oregano capsules to kill the bacteria throughout the body and under the skin, applyingthe oil of oregano cream on the lesions, twice daily, is also recommended to help kill the bacteria onthe surface of the skin.

Secondary Support

1. High Potency Multiple Vitamin and Mineral (see explanation below)

2. Essential Fatty Acid Supplement (see explanation below) To develop normally, skin cells requireadequate concentrations of vitamins and minerals, as well optimal concentrations of a variety ofessential fatty acids. For these reasons it is prudent for individuals with psoriasis to also supplementtheir diet with a high potency multiple vitamin and an essential fatty acid supplement containingborage, flaxseed and fish oil.

Dr. Meschino's Herbal Detoxifiers and Immune Support combo formulationDr. Meschino's Digestive Enzymes and Prebiotics combo formulationDr. Meschino's Oil of Oregano formulationDr. Meschino's Oil of Oregano CreamDr. Meschino's High Potency Multiple Vitamin and MineralDr. Meschino's Essential Fatty Acids formulation

Skin Anti-wrinkle / Anti-aging

You indicated that you are interested in nutrients that are known to help prevent and reverse wrinkles andskin aging, in general. For many people an anti-aging program includes looking better on the outside, inconjunction with slowing the aging process on the inside of the body and decreasing risk for degenerative

diseases. In regards to anti-aging for the skin, a number of ingestible nutrients are known to improve skinappearance, texture and reduce skin damage from ultraviolet light that leads to skin wrinkling and other formsof skin damage. As well, two very important topical nutrients have been proven to reverse crows feet, finelines and shallow wrinkles on the face and stimulate collagen synthesis below the skin, which is also animportant aspect of slowing and reversing skin aging.

1. High Potency Multiple Vitamin and Mineral: A high potency multiple vitamin and mineral providesimportant nutritional support for skin cell development as well levels of antioxidants (vitamin C, vitaminE, selenium, beta-carotene, zinc, lycopene) that have been proven to reduce skin damage fromultra-violet light (sun exposure and tanning beds), which otherwise hastens the development of skinwrinkling and other types of skin damage. As such, taking a high potency multiple vitamin and mineralsupplement improves skin appearance in many cases and helps to reduce ultra-violet light damage tothe skin.

2. Essential Fatty Acids: A combination of borage seed, flaxseed and fish oil provide skin cells with theraw materials from which they make hormones (prostaglandin series 1 and series 3 hormones) thatmake the skin softer, smoother, and silkier, due to their direct influence on skin texture.

3. Topical Encapsulated Hyaluronic Acid (H.A.): Hyaluronic acid (H.A) is a natural substance made byskin cells that acts like a water magnet, pulling water from the bloodstream below into the skin,hydrating the skin and maintaining its integrity and resilience. After the age of 20 the skin makes less

and less H.A. as we age. This results in a loss of skin hydration, allowing the skin to shrivel up, formingcrows feet, fine lines and shallow wrinkles. Clinical studies have proven that the twice-daily topicalapplication of an encapsulated form of H.A. can reconstitute the skins H.A. levels and increase the

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ability of the skin to once again absorb moisture from the bloodstream at a more youthful degree ofefficiency. This results in diminished appearance of crows feet, fine lines and shallow wrinkles on theface, as proven by clinical investigation, and helps to prevent the future development or worsening ofthese problems. Many patients look 5-7 years younger after just two months of daily use of anencapsulated H.A. topical product, due to the fact that H.A. increases skin hydration, plumping the skintissue back up to a more youthful appearance, naturally filling in facial lines from the inside out.

4. Topical Pentapeptide: Along with the use of topical encapsulated hyaluronic acid, the twice-daily

application of topical pentapeptide has also been shown to reverse skin aging and facial wrinkles,naturally. The topical pentapeptide refers to a specific sequence of 5 naturally -occurring amino acids,which when applied topically (at an optimal concentration), has been shown to stimulate the productionof collagen under the skin (in the dermal layers). A contributing factor to wrinkle development is thedecreased synthesis of collagen in the dermal layers of the skin, which accompanies the agingprocess. Decreased collagen formation results in decreased skin integrity, support, resilience andelasticity. These changes, in addition to decreased hyaluronic acid concentrations, greatly contribute toskin wrinkling, sagging and reduced skin integrity, as we age. Clinical studies have proven that thetwice-daily topical application of the pentapeptide can reverse the appearance of facial wrinkles andother aspects of facial aging to a significant degree, by stimulating more youthful production ofcollagen by fibroblast cells in the dermal layers of the skin. As such, many skin care professionalsrecommend the combined use of encapsulated hyaluronic acid and the pentapeptide, applied topicallyat the same time, twice daily, to slow skin aging and reverse existing crows feet, fine lines and shallowwrinkles. To be effective the topical pentapeptide product must contain at least 3-5% pentapeptideconcentration as Matrixyl (registered trade mark).

Dr. Meschino's High Potency Multiple Vitamin and MineralDr. Meschino's Essential Fatty Acids formulationDr. Meschino's Topical Encapsulated Hyaluronic Acid formulation

Osteoporosis/Osteopenia

You indicated that you do not have osteoporosis or osteopenia, but your results indicate that you are in a highrisk category for the development of osteoporosis and should consult your physician about having a bonedensity test performed in order to establish your present bone density status. If you have already undertakenthis procedure then be advised that you are in a category of individuals that should have a bone densityassessment performed every two years, as a proper follow-up measure. It is most important that you heedthis information for the following reasons: Approximately one in four women and one in eight men over theage of 50 develop osteoporosis in our modern societies. These are alarming statistic, as 25% of individualswho sustain an osteoporotic hip fracture die within the first year from related complications. In Canada, morewomen die each year from the consequences of hip fractures than from the combined death rate from breastand ovarian cancer (Osteoporosis Society Of Canada). Studies indicate that much of this problem ispreventable using proper nutrition and lifestyle practices, including ingesting sufficient amounts of calcium,vitamin D, magnesium, protein, as well as other nutrients such as zinc, manganese, copper, silicon, soyisoflavones, vitamin K, folic acid and vitamin B6. It is especially important to ensure adequate intake ofcalcium and vitamin D, as the majority of individuals do not ingest optimal amounts of these vital nutrients.Studies suggest that the sub-optimal intake of calcium and vitamin D account for a high percentage ofosteoporosis cases.

To prevent osteoporosis, The National Institutes Of Healthstate that young men and women between ages

11-24 should consume 1200 mg of calcium per day. For women 25-50, the recommendation is 1000 mg perday and women over 50 (not using hormone replacement therapy) should increase their intake to 1500 mgper day. Men between 25 and 65 years of age should consume 1000 mg per day and increase their calcium

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intake to 1500 mg per day after age 65. On average, the majority of adults in our society fall short of theircalcium needs by at least 500 mg. As such, most people should increase their intake of low fat calcium-richfoods that are low in saturated fat and transfats (see calcium and vitamin D food charts on the Website) andconsider taking a high potency multiple vitamin and mineral supplement that contains 500 mg of calcium perday. In many cases, an additional bone support supplement providing another 500 - 1,000 mg of calcium andother bone support nutrients may be required to optimize osteoporosis prevention, based upon ones age anddietary patterns. In the case of vitamin D, which is necessary for the absorption and utilization of calcium, ahigh potency multiple vitamin and mineral supplement should contain 400 IU of vitamin D. This amount may

be adequate up to age 40-45, whereby many osteoporosis and cancer experts suggest increasing vitamin Dsupplementation to at least 800-1,000 IU per day. This dosage has been shown to decrease hip fractures upto 43%. More recently, studies have shown that individuals ingesting 1000 IU of vitamin D per day, fromnutritional supplements, also reduce their overall cancer risk (Lappe JM et al. Vitamin D and calciumsupplementation reduces cancer risk: results of a randomized trial. Am J Clin Nutr. 2007;85:1586-91). Manystudies have highlighted the fact that higher blood levels of vitamin D are associated with decreased risk ofbreast, prostate and colon cancer, as well multiple sclerosis. Thus, cancer prevention is another reason toconsider supplementing with 1000 IU of vitamin D during all years of adult life. I suggest you consult thecalcium and vitamin D charts on the Adeeva Website to help you assess your average daily intake of calciumand vitamin D. A review of these charts can also help assist in determining how to increase your food intakeof these important nutrients (from healthy food choices) and how much more of these nutrients you would bewise to supplement to meet your daily calcium and vitamin D targets, helping to reduce risk of osteoporosisand possibly cancer. ~LinkUUUU^

Constipation

You indicated that you have a history of constipation. Constipation is a condition in which a personexperiences a change in normal bowel habits, characterized by a decrease in frequency and/or passage ofhard, dry stools. Constipation can also refer to difficult defecation or to sluggish action of the bowels.Constipation can be caused by a variety of factors and individuals experiencing this problem should seek acomprehensive medical examination to rule out a serious disease of the large bowel. In cases where

constipation is not caused from a serious large bowel disease the following nutrition and lifestyle behaviorsshould be considered:

1. Increase fiber intake: particularly insoluble fiber, which acts like a sponge, pulling water into the stooland making it softer and easier to pass. Insoluble fiber comes mostly from products containing wheatbran, corn bran and rice bran (brown and whole grain rice), as well as rye products, and peas andbeans.

2. Drink more water: it is important to drink lots of fluid along with the fiber-at least 16 ounces of water perserving of fiber. Otherwise, the fiber may actually worsen the constipation.

3. Exercise: Exercise may increase the muscular contractions of the intestine, promoting more rapidmovement of fecal matter through the intestinal tract. Regular exercise is also linked to a reduced riskof colon cancer.

Supplement Considerations

1. Psyllium Husk Fiber: Psyllium is a rich source of insoluble (and soluble) dietary fiber, which acts like asponge to increase the bulk of the developing fecal matter, promoting its faster movement through theintestinal tract and softening the stools. One teaspoon, two or three times per day, mixed with juice is acommon way to ingest this product.

2. Flaxseed Powder (ground flaxseeds): Flaxseeds contain insoluble (and soluble) dietary fiber, whichprovides similar benefits to psyllium husk fiber mentioned above. The daily dosage is usually 50

grams, which is equal to about two heaping tablespoons of ground flaxseed or flaxseed powder.3. Digestive Enzymes and Prebiotics: Both digestive enzymes and prebiotics (FOS and inulin) support

intestinal tract health and function. Constipation associated with irritable bowel syndrome, in particular,

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has been shown to respond to supplementation with these nutrients in a many cases.

Dr. Meschino's Digestive Enzymes and Prebiotics combo formulation

Woman Age 45 or older

You indicated that you are a woman who is 45 years of age or older. As such, you should be aware of thehormonal changes associated with menopause and the nutrition, lifestyle and supplementation strategies thatcan help manage peri-menopausal and menopausal symptoms and help reduce risk of osteoporosis, heartdisease and breast cancer, which are three very important health concerns for postmenopausal women.

MENOPAUSAL SYMPTOMS


Female Support Nutrients (Combination of black cohosh, soy isoflavones, and gamma-oryzanol) When awoman enters menopause estrogen levels drop by up to 90%, progesterone by up to 66% and testosteroneby up to 50%. These hormonal changes accelerate the aging process of the skin and reproductive tissues,facilitate the loss of calcium from bone and trigger a constellation of menopausal symptoms (hot flashes,night sweats, mood changes, concentration ability, insomnia etc). Clinical studies have shown that theestrogen-like substances found in black cohosh, soy isoflavones and gamma-oryzanol (found in rice bran oil)can significantly reduce menopausal symptoms, support skin health and integrity of the female reproductivetract and other tissues, help prevent loss of calcium from bone and improve feeling of well being.Note that red clover, angelica species (dong quai) and licorice root can also reduce menopausal symptoms,but these herbal substances may increase risk of internal bleeding (bleeding disorder into the brain, under theskin etc) due to the presence of coumarins contained in these herbal substances. Licorice root may also

elevate blood pressure. Thus, the safest combination of natural agents to support female well being duringand after menopause include black cohosh, soy isoflavones and gamma-oryzanol

HEART DISEASE

After menopause, women become less able to clear cholesterol from their blood stream, which greatlycontributes to the fact that heart disease is the number one cause of death in postmenopausal women.During the pre-menopausal stage of life, high circulating estrogen levels increase the production ofLDL-cholesterol receptors, which enable cells to extract LDL-cholesterol (low density lipoprotein-cholesterol,which is known to increase risk of heart attack and stroke) from the blood stream and use it for variouspurposes. The dramatic drop off in circulating estrogen levels in menopause reduces the ability of cells toproduce LDL-cholesterol receptors. As a result there is a strong tendency for cholesterol to accumulate in theblood stream, stick to the walls of the arteries and cause narrowing of coronary blood vessels; leading toheart attack. As a high saturated fat diet is the main culprit in raising LDL-cholesterol levels, postmenopausalwomen should adjust their diet to lower their saturated fat intake in order to keep blood cholesterol levelsbelow 5.2 mmol/L (200 mg per dL). This implies that the one should choose lower fat protein foods consistingof chicken, turkey, Cornish hen and fish, and that all milk and yogurt products consumed are non-fat or 1%varieties. No cheese above 3% milk fat should be consumed and that butter, ice cream, whipping cream,regular chocolate products, items containing coconut or palm oil, and deep fried products of all types, beavoided, or significantly reduced. Increasing soluble dietary fiber intake can also reduce blood cholesterollevels by dragging cholesterol out of the body, as well as bile acids, which can serve as precursors (building

block) to the synthesis of cholesterol in the liver. Soluble fiber is found in most fruits and vegetables, oat bran,psyllium husk fiber, ground flaxseeds, and in beans and peas. Remaining physically fit and at or near onesideal weight are other important lifestyle factors in preventing cardiovascular disease in the postmenopausal

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years. Soy products and the herbal agent gamma-oryzanol have also been shown to reduce bloodcholesterol levels, in addition to their role in helping to alleviate menopausal symptoms

OSTEOPOROSIS

The decline in estrogen levels that accompanies the menopausal years also permits calcium to leak out ofbone into the blood stream, where it will eventually become filtered by the kidneys and exit the body in theurine. This of course, can lead to osteoporosis, which increases risk of fractures. Osteoporosis is reaching

epidemic proportions in our society largely due to insufficient calcium intake and accumulation in bone,especially between ages 11 and 24, and loss of calcium from bone during the menopausal years. It should benoted that Canadian statistics indicate that complications from osteoporotic hip fractures (e.g., thedevelopment of pneumonia) result in more deaths each year than the combined mortality rate from breastand ovarian cancers. The lifestyle recipe to help prevent osteoporosis during the menopausal years is asfollows:

1. Ingest 1,500 mg per day of calcium. This can be through a combination of calcium from food andsupplements. Note that a high potency multivitamin and mineral should provide 400-500 mg of calciumas a starting point.

2. Supplement with 600 to 1,000 IU of Vitamin D. For general health reasons women should considertaking a high potency multiple vitamin and mineral throughout adult life that contains 400 IU of VitaminD. Studies show that postmenopausal women ingesting an additional 200 to 400 IU of Vitamin D perday may reduce their risk of hip fractures by approximately 50%. As we age, our kidneys reduce theirability to convert 25-hydroxyvitamin D to 1,25-dihydroxyvitamin D, which is twice as powerful a form ofVitamin D, than is 25-hydroxyvitamin D. However, studies indicate that by increasing blood levels of25-hydroxyvitamin D, through the intake of Vitamin D supplements (600 - 1,000 IU per day), apostmenopausal women can compensate for the drop off in 1,25-hydroxyvitamin D synthesis, andthereby, significantly reduce her risk of osteoporotic fractures.

3. Perform weight-bearing and/or resisted exercises 4 to 7 times per week. Weight bearing exercise such

as walking or jogging, and weight training exercises, place increased stress on the spine and hips,which respond by holding their calcium in bone to help withstand the physical stresses acting on thebone structures. The ground breaking study performed at Tuft University by ME Nelson et al(JAMA,1994) showed that postmenopausal women can increase their bone density, without usinghormone replacement therapy, by simply ingesting more calcium and performing a specific series of 5weight training exercises, twice per week on a year round basis. The 5 gym-based exercise stationsincluded: Hip Extension Machine, Back Extension Machine, Abdominal Flexion Machine, KneeExtension Machine and Lateral Pull-Down cable station.

BREAST CANCER

It is well documented that women who are overweight during the postmenopausal years have approximatelya three times greater risk of developing breast cancer. This is likely due to the fact that as fat mass increasesthere is a greater conversion of the hormone androstenedione to estrone within fat tissue. Higher circulatingestrone hormone (one of three types of estrogens made by the female body) levels are associated withincreased risk of breast cancer, as estrone is known to increase the cell division rate of breast cells. In turn,this leads to a greater chance of genetic mutations occurring, which may be cancerous. This is exactly thesame mechanism through which hormone replacement therapy has been shown to increase breast cancerrisk. Thus, postmenopausal women are well advised to attain and maintain an ideal body weight.

Dr. Meschino's Female Support Nutrients formulation

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Dr. Meschino's Cholesterol-Triglyceride-lowering supplement formulation

Dr. Meschino's Calcium supplement formulation

Menopause

You indicated that you are experiencing some menopausal or peri-menopausal symptoms (i.e. hot flashes,night sweats, insomnia, skipped periods, irritability etc.)


FEMALE SUPPORT NUTRIENTS: (Combination of black cohosh, soy isoflavones, and gamma-oryzanol)When a woman enters menopause estrogen levels drop by up to 90%, progesterone by up to 66% andtestosterone by up to 50%. These hormonal changes accelerate the aging process of the skin andreproductive tissues, facilitate the loss of calcium from bone and trigger a constellation of menopausalsymptoms (hot flashes, night sweats, mood changes, concentration ability, insomnia etc). Clinical studieshave shown that the estrogen-like substances found in black cohosh, soy isoflavones and gamma-oryzanol(found in rice bran oil) can significantly reduce menopausal symptoms, support skin health and integrity of thefemale reproductive tract and other tissues, help prevent loss of calcium from bone and improve feeling ofwell being.

1. Black Cohosh A number of studies (double-blind, placebo-controlled and open trials) involvingpostmenopausal women have demonstrated that Black Cohosh supplementation can: reduce hotflashes and other menopausal symptoms (insomnia, profuse sweating, dizziness, headache, heartpalpitation, tinnitus, nervousness/irritability, anxiety, depressive moods). Black Cohosh has alsobeen shown to maintain integrity of the vaginal lining (mucosa) in postmenopausal women,preserving sexual function and preventing atrophy and dryness of these tissues that often

accompanies menopause. Black Cohosh triterpenes appear to account for these therapeutic effectsas these active constituents are known to exert a weak, but significant estrogenic effect, that hasbeen shown to be sufficient to compensate for the 90% decline in estrogen production that occurs inthe menopausal years of a womens life. A very high percentage of women in these studiesreported significant benefits from the use of Black Cohosh extract in controlling their menopausalsymptoms and improvement was on par or better than the relief afforded by estrogen or hormonereplacement therapy

2. Soy Isoflavones After menopause soy isoflavones and other phytoestrogens have been shown toprovide sufficient estrogenic activity to reduce hot flashes and other menopausal symptoms, as wellas help to support bone density. Soy intervention trials have shown a reduction in hot flashes by upto 40 percent in various studies.

3. Gamma-Oryzanol Gamma-Oryzanol is a substance isolated from rice bran oil for use as asupplement. In 1970 Gamma-Oryzanol was approved as a medicinal treatment to lower cholesteroland triglycerides (Japan). As far back as the 1960s, Gamma-Oryzanol was shown to be effective inthe treatment of menopausal symptoms, including hot flashes, and subsequent studies havesupported these findings.Note that red clover, angelica species (dong quai) and licorice root can also reduce menopausalsymptoms, but these herbal substances may increase risk of internal bleeding (bleeding disorderinto the brain, under the skin etc) due to the presence of coumarins contained in these herbalsubstances. Licorice root may also elevate blood pressure. Thus, the safest combination of naturalagents to support female well being during and after menopause include black cohosh, soy

isoflavones and gamma-oryzanol.

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ESSENTIAL FATTY ACIDS (combination of borage seed, flaxseed and fish oil)The essential fatty acids from these sources of oil provide the body with the raw materials for the productionof local hormones (prostaglandin hormones) that are known suppress inflammation and support hormonalfunction throughout the body. Many women report a feeling of improved well being, better skin texture andfewer symptoms associated with hormonal imbalance when supplementing their diet with essential fattyacids.

Dr. Meschino's Female Support Nutrients formulation

Dr. Meschino's Essential Fatty Acids formulation

Enhancing Libido

You indicated that you are interested in enhancing your sex drive and genital sensitivity.


1. Libido Support Nutrients: In the world of natural medicine there are a number of herbal agents thathave been shown to work synergistically to accomplish these objectives, and are therefore, oftencombined into a single supplement formulation. Some of the more effective herbs include:

2. Tribulus Terrestris - the active ingredients in this herb increase blood flow to the genital area. This herbshould be standardized to 40-45% saponin content.

3. Muira Puama - this herb contains active ingredients to enhance sexual potency and sex drive (libido).4. Damiana - this herb has been shown to increase genital sensitivity facilitating easier arousal upon

tactile stimulation5. Epimedium - this herb has been shown to enhance sex drive (libido). It should be standardized to

contain 10% icariin flavonoids).6. Avena Sativa - this herb has been shown to increase genital sensitivity and sensation upon tactile

stimulation7. Maca - the active ingredients in maca have been reported to enhance sex drive, performance and

degree of sexual satisfaction. Note that the above-mentioned herbs do not affect blood-clottingbehavior or interact in an adverse way with any medications, and thus, do not increase risk of ableeding disorder or the development of any serious side effects. There are other sex-enhancementand performance herbs that are effective, such as Ginkgo Biloba, Cordyceps and Vinpocetine,however, these herbs inhibit normal blood clotting ability and should therefore, only be used under thesupervision of a health care professional who can monitor blood clotting behavior (prothrombin time) toguard against the development of a bleeding disorder.

Ginseng may also be effective as a sexual performance-enhancing supplement. However, Ginseng caninterfere with the function of mood altering medications (e.g antidepressants, anti-anxiety drugs, and otherdrugs used to manage psychological conditions) as well as anti-coagulant drugs and the drug digoxin(digitalis). As such, individuals taking these medications should avoid taking Ginseng supplements.Dr. Meschino's Libido Support Nutrients formulation

Report Summary

This summary of the Natural Health Report has been Prepared for: ([email protected])

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Your key identifiers are:

Gender: Female

Age: (50)

Height: 1.42 Meters or 56 inches

This Summary Report provides a quick snap shot of the most important lifestyle considerations that werediscussed in more detail in your main feedback report.

The information contained in this report is for educational purposes only and does not replace the advice ofyour health care professional. Always consult your physician before making any changes to your diet,exercise or supplementation program.

Based upon your responses to the Dietary Assessment portion of the questionnaire your usual dietarypractices have been rated as: 4. The most important dietary modifications to consider include:

Eliminate or reduce your practice of putting butter on bread products

Increase your intake of fruit to help reduce risk of cancer and heart disease

Body Mass Index

Your Body Mass Index is 26 This is regarded as Grade 1 obesity (unless you are highly muscular with bodyfat percentage below 13% for men and 16% for women) and is associated with a mild to moderate increaserisk for the degenerative diseases. A small to moderate amount of weight loss is required to achieve a moreideal body mass index of 20-25. You may wish to download the Intensive Weight Loss Planthat is availableto you, at no cost, in the Resources section ~urlref~ of the Adeva Nutritionalswebsite.

Waist Circumference

Your waist circumference is at or below 32 inches, which does not carry an increased risk of the developmentof cardiovascular disease or adult onset diabetes.

(It is important that you speak with your physician prior to making any changes to your current physicalactivity patterns.)

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You should strongly consider engaging in an endurance/aerobic exercise program 3 or more times per week,as part of a comprehensive health-promotion strategy to reduce risk of heart disease, Type II diabetes, andcertain cancers.

You should strongly consider including a strength training routine to your overall health-promotion plan todecrease risk of osteoporosis, age-related muscle weakness and to maintain a highly functional body.

Continue with your flexibility program

( Regarding Health Optimization, Anti-Aging and Complementary Management of Health Conditions)

The remainder of the NLA summary report makes reference to specific considerations of nutritionalsupplement ingredients (and dosages) that pertain to your particular case. However, in certain cases theseconsiderations may be contra-indicated, or require certain approvals or monitoring based upon your healthstatus or medication use. If you have any contra-indications, or require special approval or monitoring, thesewarning statements will be listed immediately below this paragraph. If no warning appears then you mayproceed with the supplement considerations that follow. However, you should consult a health careprofessional before making any change to your diet, exercise or supplementation program.

Foundation Program for Adults 16 Years and Older

1. High Potency Multiple vitamin and Mineral

- enriched with antioxidants, a B-50 complex and 500 mg of elemental calcium

In certain cases taking a high potency multiple vitamin and mineral supplement can also help to correct signsand symptoms of nutrient deficiencies and/or replenish your body with specific vitamins and minerals that areknown to be depleted by various lifestyle factors and the use of certain medications. If any of theses issues

apply to your case it will appear directly below the following link:

Dr. Meschino's High Potency Multiple Vitamin and Mineral

Your diet appears to lack sufficient intake of fruits and vegetables. Insufficient intake of fruits and vegetables(less than 5 servings per day) deprives the body of many necessary nutrients including antioxidants,B-vitamins and phytonutrients, and is associated with a risk of cancer that is twice that of individuals whoconsume 5 or more fruit and vegetable servings per day.

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Soft nails or nails that chip, crack or peel easily, and/or are they brittle or contain ridges (not smooth) areoften caused by deficiencies in calcium, and other minerals

Drinking more than two cups of coffee or caffeinated tea (of any kind) per day, on average depletes the bodyof vitamin C, many B-Vitamins, and minerals

Smoking cigarettes increases free radical exposure and depletes the body of antioxidants, B-vitamins andminerals. Note that the free radicals contained in cigarette smoke cause lung cancer and increase risk forcancer of the mouth, throat, stomach, pancreas and possibly colon. Cigarette smoking is considered to be thenumber one environmental cause of cancer and is linked to more than 30% of all cancer cases. Eighty-sevenpercent of lung cancer cases occur in smokers. Cigarette smoking also contributes to emphysema and otherrespiratory diseases, and is a cardinal risk factor for cardiovascular disease. Cigarette smoke constricts bloodvessels, promotes the deposition of cholesterol into the artery wall -narrowing arteries, and increases thestickiness of blood cells promoting the development of abnormal clots that plug up the arteries. Togetherthese effects increase risk of heart disease, stroke and other vascular diseases.

Feeling chronically fatigued in the absence of disease is often associated with multiple vitamin and mineraldeficiencies

Irregular eating patterns tend to contribute to an inadequate intake of essential vitamins and minerals andoften leads to at least marginal deficiencies in many vitamins and minerals.

Hair falling out easily, and/or dry and brittle hair and/or lackluster hair that is dull in appearance are allassociated with multiple vitamin and mineral deficiencies.

Your regular use of laxatives is associated with depletion of the following nutrients: Vitamin A Vitamin D Vitamin E Calcium

Your regular intake of caffeine is associated with depletion of the following nutrients: Vitamin B1

Potassium Zinc

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Your regular habit of smoking is associated with depletion of the following nutrients: Vitamin B1 Folic Acid Vitamin B12

2. Essential Fatty Acid Supplement - containing 400 mg each of Borage Seed Oil, Flaxseed Oil and FishOil (2-3 capsules per day)

Dr. Meschino's Essential Fatty Acids formulation

Gender and Age-Related Supplements of Importance (applicable for men over 40 and women over 45 only)

Dr. Meschino's Coenzyme Q10 formulation

Herbal Detoxifiers and Immune Support (milk thistle, indole3carbinol, reishi mushroom extract andastragalus)

Dr. Meschino's Herbal Detoxifiers and Immune Support combo formulation

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Dr. Meschino's Glucosamine and AntiInflammatory combo formulation

The following is a review of supplement considerations for various health conditions specific to your case.Dietary considerations for these health conditions, and more detailed information regarding the action ofthese supplements, are provided in the main feedback report. In addition to a High Potency Multiple Vitaminand Mineral and an Essential Fatty Acid Supplement (containing borage seed, flaxseed and fish oil), whichare main staples in the management of most health conditions (unless otherwise stated), there are othersupplements that deserve consideration for various health conditions specific to your case:

Bloating After Meals


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Heartburn or Gastritis


Psoriasis

Dr. Meschino's Herbal Detoxifiers and Immune Support combo formulationDr. Meschino's Digestive Enzymes and Prebiotics combo formulation

Skin Anti-wrinkle / Anti-aging

Dr. Meschino's Topical Encapsulated Hyaluronic Acid formulation

Frequent Constipation


Woman Age 45 or older

Daily Dosage:Dr. Meschino's Female Support Nutrients formulationDr. Meschino's Calcium supplement formulation

Menopause

Female Support Nutrients (Combination of Black Cohosh, Soy Extract and Gamma-Oryzanol) Daily Dosage:Dr. Meschino's Female Support Nutrients formulation

Enhancing Libido

Avena Sativa F. MacaDr. Meschino's Libido Support Nutrients formulation
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Health Report Sonia 1449

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