Holistic Health Blog
Dr. Cathy Rosenbaum

Dr. Rosenbaum’s Upcoming Seminars/Workshops

Please ‘Like’ us on www.Facebook.com/rxintegrativesolutions to receive an ongoing list of seminars and workshops conducted by Dr. Cathy Rosenbaum.

Health & Wellness Seminar Topics for Your Church/Support/Corporate/Civic Group:

  • Health & Wellness Trends For The Future – Oh, The Places We’ll Go!
    * Pharmacogenomics, the Future of Personalized (Precision) Medicine & Gene Therapy (Disease Cures vs Treatment)
    * The A to ZZZZ’s of Sleep Health
    * Memory Health: Even Elephants Forget Sometimes!
    * Bottled Water Sources/Plastics/Filtration Systems- What You Don’t Know May Hurt   You!
    * Taking the ‘Poly’ Out of Polypharmacy (Overprescribing of Medications)
    * Eight Balance Points for Healing: Building Integrative Health & Wellness Tool Kits That Fit Your Health Goals & Lifestyle Choices
    * Herbs of the Bible
    * Homegrown Medicinal Herbs & Teas
    * Debunking Myths About Dietary Supplements
    * Medical Marijuana: The Healthcare Professional’s Perspective
    * Caregiving: From Compassion Fatigue to Compassion Satisfaction
    * The Truth About OTC Diagnostic Tests (e.g., Hair Analysis, Iridology, Electrodermal Testing, Antioxidant Skin Fold Testing, Saliva Testing,
    Thermal Biofeedback, Electromyography Biofeedback, More)
    * Antioxidants & Chemotherapy – Dance Partners or Double-Edged Swords?
    * Antioxidants & Health
    * A Primer of Nontraditional Medicine Practices in the Greater Cincinnati Area
    * Let’s Have Some Applause for Menopause
    * Men’s Health: Everything You Want to Know but Are Afraid to Ask
    * Vitamin-Crazed Insurance Policies: Are Multiple Vitamins Really Needed Throughout Life?
    * The Holistic Approach to Wound Care Management
    * The Holistic Approach to Managing Stress
    * Essential Oil Aromatherapy for Healing: Does This Modality Pass the Sniff Test?

Using Neti Pots – Be Safe!

Neti pots can be used to clean out mucus, allergens, and debris that build up on the nose and sinus cavity. They are safe if used correctly. A recent case report involving a woman who allegedly passed away from an amoeba acquired from unsterile water used in her neti pot over many months reminds us to do diligence when preparing saline water and cleaning pots to stay safe.

Please:

* Keep your neti pot clean regardless of whether it is made of plastic, ceramic, glass, or some other material.

* Use a safe water source for the saline solution you prepare for your pot (e.g., preferably sterile or distilled water).

* Use proper technique with your neti pot to get a good rinse. If you are unsure of how to use it, contact your favorite pharmacist for a quick demo.

The Center for Disease Control tells us to wash our neti pots after each use. Some of these pots are dishwasher safe, but not all. Please read the directions on the box.

Neti pots can be hand washed with dish soap and hot water and air dried. Don’t use hand towels that contain lint to dry them, as the lint can go up your nose and cause other issues.
If you think your neti pot is contaminated, you can use a chlorine bleach solution to cleanse it, but be careful to thoroughly rinse out any soap or bleach from the pot before you reuse it. This will prevent unwanted residue getting into your nostrils.

Don’t use tap water run through a Brita filter or any home filter unless you boil it for 3 to 5 minutes and then cool it down to room temperature first. Boiled water is storable for up to 24 hours.

For more information, please visit www.apha.us/CDCSafeNetiPots.

To schedule a one hour health & wellness consultation with Dr. Cathy Rosenbaum, please visit www.rxintegrativesolutions.com or email drcathy@rxintegrativesolutions.com. Be mind body spirit healthy.

“Get Healthy” Resources for Your New Year’s Resolutions

For Your New Year’s “Get Healthy’ Resolutions -> See These Links For Important Information:

*Food & Nutrition Information Center @ https://lnkd.in/eyudzcD
*North American Vegetarian Society @ http://www.navs-online.org
*Tufts University Health & Nutrition Letter @ https://lnkd.in/e_65Twz
*American Council on Exercise @ http://www.acefitness.com

Keep moving, be mind body spirit healthy!

To schedule an integrative health & wellness consultation, please visit www.rxintegrativesolutions.com or contact Dr. Cathy Rosenbaum at (513) 607-3495.

Probiotic Dietary Supplement Safety & Efficacy Is in Question

Probiotic dietary supplements have become quite popular in recent years, touted for such conditions as general health (prevention), immune health (prevention), leaky gut, diabetes mellitus, and dysbiosis from antibiotic overuse, among others.

Probiotics are generally safe for a heathy person (Generally Recognized as Safe [GRAS] per the FDA classification).  However, some live  probiotic strains may negatively play on a weakened immune system in at-risk persons,  allowing unwanted organisms to enter the body and cause pneumonia, endocarditis, or sepsis.  Probiotic supplements are not for everyone!

Activia yogurt, kefir, kimchi, sauerkraut, tempeh, miso, and kombucha are examples of food sourced-probiotics. Culturelle and Align are popular probiotic dietary supplements. Florastor is a prescription medication.  Examples of probiotic strains include, but are not limited to, bacteria (e.g. Lactobacillus, Lactococcus, Leuconostoc, Pediococcus, Bifidobacterium, Bacillus) and yeast (e.g., Saccharomyces).

It’s important to choose the right probiotic product for your health needs with the help of your pharmacist, who can thoroughly evaluate the product  before recommending it to you.  Product criteria:

  • strain identification by genome sequencing
  • transmissible antibiotic resistant gene profile
  • toxicology in vitro and in vivo studies
  • clinical studies on efficacy (how well does the product work)
  • target population (healthy  vs sick)
  • product formulation and labeling (product purity, contaminants)

If probiotic manufacturers claim to treat/prevent disease, their probiotics should be studied and marketed as drugs, rather than as  supplements, upholding FDA regulation.  Probiotics are not drugs, not magic bullets, nor are they universally safe and effective.

The appropriate probiotic strain and formulation should be recommended by your healthcare professional based on your individual health needs.

For more information or to schedule a wellness consultation with Dr. Cathy Rosenbaum,  holistic clinical pharmacist and certified health coach in Blue Ash OH,  please visit www.rxintegrativesolutions.com.

–Dr. Cathy Rosenbaum

 

 

 

Kothari.  Probiotic supplements might not be universally-effective and safe: A review.  Biomed Pharmacother 2019;111:537-547.

Press Release – Expansion of Rx Integrative Solutions

Rx Integrative Solutions
Cathy Rosenbaum, PharmD MBA RPh CHC
(513) 607-3495
drcathy@rxintegrativesolutions.com

For Release 1/1/2019

CLINICAL PHARMACIST EXPANDS HOLISTIC HEALTH & WELLNESS PRACTICE IN GREATER CINCINNATI AREA

Improving Community Health One ‘Whole Person’ At A Time

Dr. Cathy Rosenbaum, Founder of Rx Integrative Solutions, announces the expansion of her holistic health and wellness practice serving the tri-state metropolitan area.
With over 40 years’ experience as a pharmacist in the clinical arena, Dr. Rosenbaum has developed an approach that streamlines health resource utilization for her clients by evaluating and recommending the consolidation of prescription medications whenever possible. She also reviews and recommends whole food nutrition sprinkled with a few dietary supplements based on lifestyle choices and the client’s health needs.

Professional services include a face-to-face interview combined with an evidence-based written evaluation that is given to the client and to her/his primary care physician for education and final decision-making. The personalized evaluation and health tool kit serve as a comprehensive reference.

Company Mission
Founded in 2005, Rx Integrative Solutions is a community leader in promoting holistic/mind body spirit health services that frequently include non-traditional medicine principles and modalities. Dr. Rosenbaum has given multiple presentations nationally and for the media on integrative solutions for health care and wellness/prevention.

The company’s purpose is to form sustainable client/physician/healing practitioner relationships, to develop good health stewards by reducing medication overprescribing, and to actively engage clients in integrative health and wellness practices that honor their lifestyle choices.  She gives her clients much sought-after, quality facetime to listen to their concerns and answer their questions about healing.

Service Availability/Positive Client Impact
Clients may individually seek out Dr. Rosenbaum’s professional services or be referred by their primary care physician for an office appointment and wellness session. Many have already benefited from her one-hour wellness consultations and coaching skills as demonstrated by reduced risk of medication side effects/interactions (increased safety), less healthcare dollars spent, and improved quality of life (they report they feel better). In the words of one client,

“An extended one-on-one talk with a healthcare professional is very rare.
I have a very specific set of health needs, as does everyone else. No
‘one-size-fits-all’ approach [in traditional medicine] works.”
###

For more information:
Cathy Rosenbaum PharmD MBA RPh CHC
Founder & CEO Rx Integrative Solutions
10274 Alliance Road
Blue Ash, OH 45242
(513) 607-3495
drcathy@rxintegrativesolutions.com
www.rxintegrativesolutions.com

www.Linkedin.com/CathyRosenbaum

www.Pinterest.com/DrCathyHolistic

www.Facetime.com/rxintegrativesolutions

 

Seminar/Presentation Topics by Dr. Cathy Rosenbaum

Seminar/Presentation Topics by Dr. Cathy Rosenbaum
Holistic Clinical Pharmacist, CEO

Rx Integrative Solutions
10274 Alliance Road
Blue Ash, OH 45242

www.rxintegrativesolutions.com
drcathy@rxintegrativesolutions.com
Mobile (513) 607-3495

* Pharmacogenomics and the Future of Personalized Medicine
* The A to ZZZZ’s of Sleep Health
* Memory Health: The Good, Bad, and Hopeful
* Bottled Water Sources/Plastics/Filtration Systems
* Taking the ‘Poly’ Out of Polypharmacy
* Eight Balance Points for Healing: Building Integrative Health & Wellness Tool Kits
* Herbs of the Bible
* Homegrown Medicinal Herbs & Teas
* Debunking Myths About Dietary Supplements
* Medical Marijuana: The Healthcare Professional’s Perspective
* Caregiving: From Compassion Fatigue to Compassion Satisfaction
* The Truth About OTC Diagnostic Tests (e.g., Hair Analysis, Iridology, Electrodermal  Testing, Antioxidant Skin Fold Testing, Saliva Testing, Thermal Biofeedback, Electromyography Biofeedback)
* Antioxidants & Chemotherapy – Dance Partners or Double-Edged Swords?
* Antioxidants & Health
* A Primer of Nontraditional Medicine Practices in Cincinnati
* Let’s Have Some Applause for Menopause
* Men’s Health: Everything You Want to Know but Are Afraid to Ask
* Vitamin Crazed: Are Multiple Vitamins Really Needed Throughout Life?
* The Holistic Approach to Wound Care Management
* The Holistic Approach to Managing Stress
* Aromatherapy: Do Essential Oils Pass the Sniff Test?

Energy Drinks – Are Those Shots Really Safe?

Beverages like Red Bull, Rockstar, Monster Energy, 5-Hour Energy, Mountain Dew Kickstart, and Full Throttle are touted to increase energy, improve mental alertness, and enhance physical endurance. Some of these products are marketed as beverages while others are marketed as dietary supplements.

According to the Center for Disease Control and Prevention, between 2007 and 2011, the number of energy drink-associated emergency room visits doubled. In 2011, one in 10 of them resulted in a hospitalization. Some college students will unsafely consume energy drinks along with alcohol or other products/drugs (e.g., marijuana, OTC or prescription medications).

Ever looked at the nutrition label on the back of one of these products? They contain more than just caffeine and sugar, namely B vitamins, amino acids (taurine and carnitine), and other dietary supplements -> green tea extract, guarana, yohimbine, green coffee bean extract, bitter orange, glucuronolactone, ginkgo biloba, and ginseng. A single 16-oz bottle may contain up to 62 grams of added sugar, more than the maximum amount recommended in one day (15 teaspoonfuls – 250 calories).

In smaller quantities, caffeine may boost energy and alertness. In larger quantities, caffeine can negatively affect the cardiovascular system. Taurine may boost metabolism. In theory, extra carnitine may impact fat burn. The body is typically not deficient in endogenous carnitine, so it’s a waste of your money. Guarana contains caffeine. Green tea extract contains caffeine and the antioxidant EGCG. Green coffee bean extract contains caffeine. Yohimbine and bitter orange are central nervous system stimulants.

Ginseng does not impact energy and may lower blood sugar in diabetics – diabetics should be careful with its use. Ginkgo biloba has not been clinical proven to improve energy. Water soluble B vitamins protect nerves but may not improve energy. Thankfully, they will be eliminated by the kidney if taken in excess.

Glucuronolactone, a component of connective tissue, is metabolized into glucuronic acid and is touted to ‘detoxify’ (what?) in the body, a nebulous claim that is unproven in humans. It has no impact on energy.

Possible side effects from energy drinks include, but are not limited to, rapid heartbeat, heart palpitations, heart attack, and headaches. Caffeine and other stimulants may also be associated with anxiety, sleep problems, digestive problems, and dehydration.

If you feel you need to consume energy drinks, a good health rule is to consume them in moderation and remember that there may be negative outcomes. Talk it over with your primary care physician. Be healthy, eat whole foods, get ample restorative sleep, and stay safe.

REFERENCES:

Higgins. Energy beverages: content and safety. May Clin Proc 2010:85:1033-1941.
Sankararaman. Impact of energy drinks on health and well-being. Current Nutrition Reports 2018;7:121-130.
Uliah. Energy drinks and myocardial infarction. Cureus 2018;10;e2658

___________________________________________

Cathy Rosenbaum PharmD RPh MBA CHC 10/12/18©

 

 

Overview of Biofeedback

By Dr. Cathy Rosenbaum, Holistic Clinical Pharmacist, Founder & CEO, Rx Integrative Solutions, www.rxintegrativesolutions.com

By tapping into our mind body connection, we can learn how to heal! Biofeedback is a non-pharmacologic mind body technique taught by a trained practitioner that can help a person improve her/his physiological function (e.g., heart rate, blood pressure, breathing rate, skin temperature, muscle tone).  This practice can be used to help manage conditions such as headaches, anxiety, high blood pressure, and stress, among others.

Certified biofeedback practitioners follow a standard of care based on scientific evidence.  They can use different methods involving electrodes and sensors in their 30-minute to one-hour session (e.g., electrodermal test, thermal biofeedback, and electromyogram for muscles).  It may take several sessions before progress is seen.  One could learn how to relax using deep breathing, progressive muscle relaxation, guided imagery, and/or mindful meditation.

Computer graphics help visually guide relaxation so one can see progress made toward the health goal.  Wearable devices with sensors worn around the waist are also available. RESPeRATE is an FDA approved device for decreasing stress and lowering blood pressure that uses a downloadable app. Not all home use biofeedback devices are regulated by the FDA, so buyer be ware!

Consider adding biofeedback to your health tool kit.

Blessings for better health.

References:

McKee. Biofeedback: an overview in the context of heart-brain medicine. Cleve Clin J Med 2008;73(Suppl 2): S31-S34.

Gevirtz.  The promise of heart rate variability biofeedback: evidence-based applications. Biofeedback 2013;41(3):110-120.

Mayo Clinic. Biofeedback. www.mayoclinic.org/tests-procedures/biofeedback/about/pac-20384664.  Accessed September 1, 2018.

 

Lyme Disease

Background

Lyme disease is caused by a spirochete  called Borrelia burgdorferi  that is carried by blacklegged ticks (vector) found on deer (reservoir host).  The Center for Disease Control (CDC) tells us that more of these ticks are expected this summer due to reforestation and climate change across the country, including in Ohio.  While the majority of reported cases are from the Northeast and Upper Midwest, other cases have been reported as far south as Florida. Adult blacklegged ticks (Ixodes scapularis)  are the size of an apple seed so they are visible to the naked eye.

Symptoms

Symptoms can occur within 3 to 30 days after a bite. Ticks must be attached to the human for at least 36-48 hours to transmit disease.  If the human removes the tick within 48 hours, he/she probably won’t get the disease. Lyme disease is diagnosed by symptoms which can include chills, fever, headache, muscle and joint pain, and swollen lymph nodes. For many infected individuals, the classic red bull’s-eye round rash is one of the first symptoms.  Up to 30% of those bitten will not get a rash.

There are three stages to the disease:

  1. Early Localized – flu-like symptoms and rash
  2. Early Disseminated – flu-like symptoms with pain, numbness in arms/legs, Bell’s palsy
  3. Late Disseminated- arthritis, fatigue, dizziness, sleep disturbances, mental confusion

Treatment

Lyme disease is treated with antibiotics like doxycycline or others, depending on the patient and upon the physician’s preference, for a period of 2-3 weeks.

Prevention

Clothes treated with permethrin 0.5% make it hard for blacklegged ticks to bite you or stick to your clothes (Eisen. J Medical Entomology July 20, 2016).  In addition:

*Wear socks and pants when you walk in the woods

*Wear a tick repellent on skin and clothes that contains DEET, lemon oil, eucalyptus, or (better still) permethrin

*Take a shower within two hours of coming inside after possible exposure to blacklegged ticks

*Remove ticks from your skin with a pair of tweezers, then clean the area with 70% rubbing alcohol or soap and water

*Check your skin and hair, and wash ticks out of your hair ASAP after walking in the woods

*Place exposed clothing in a hot dryer to kill whatever ticks remain

 

Supplement & Food Labeling Overhaul Coming in 2020

Excerpts from the Nutrition and Supplement Facts Label Final Rule and the Serving Size Final Rule – > Compliance Date Moved from July, 2018 to 2020

Nutrition Facts: Larger, bold font on labels to emphasize calories per serving; elimination of International Units (IU) for fat-soluble vitamins A, D, E (to be replaced with mcg or mg)

Folic Acid: folate will be expressed in ‘mcg Dietary Folate Equivalents (DFE)’ (due to higher bioavailability of folic acid vs food-based folate); new RDI = 400 mcg DFE (same as 240 mcg folic acid in current labeling system)

Vitamin & Mineral Daily Values: new UL for sodium = 2,300 mg; new UL for potassium = 4,700 mg; new calcium daily = 1,300 mg; new choline daily = 550 mg

Sugar Daily Value: new total carbohydrates daily = 275 grams; new added sugars daily = 50 grams

Fiber Daily Value: new = 28 grams

Fat Daily Value: new = 78 grams