https://www.kadimacenter.com/further-learning-1 daily 0.75 2024-06-16 https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/ec6324f5-3f1d-4fbd-b856-d11e19a51150/Ten-things.png https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/5fd21e0c-a14e-4a7f-bb1f-74c0d578b51e/Ten-things-mobile.png https://www.kadimacenter.com/further-learning-1/intermittent-fasting monthly 0.5 2024-02-19 https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/7b7839d1-112d-4027-bedd-7d041d1f01b0/cleaning-body.jpg FURTHER LEARNING - Intermittent Fasting - While intermittent fasting has many proven benefits, it should not be attempted by people who are underweight or have an eating disorder, those who are under the age of 18, or women who are pregnant or breastfeeding. Intermittent fasting can be dangerous in some individuals, especially diabetics on certain medications that would require dose adjustments when fasting. Before implementing any new diet or lifestyle changes, discuss them with your medical provider. Or, you can make an appointment at Kadima Center and we will be happy to individually tailor a plan to best suit your needs. Click HERE to contact us. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/12bb20e5-c6ed-4053-959d-4f20a4621be5/intermittent-fasting-infographic.jpg FURTHER LEARNING - Intermittent Fasting - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/a7522cf5-e869-4c90-bb97-4165f265201d/eating-window.jpg FURTHER LEARNING - Intermittent Fasting - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/43a176e2-2a61-4ca2-b052-50419af76524/Kadima-intermittent-fasting-blog-topbanner.png FURTHER LEARNING - Intermittent Fasting - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/12a8c2d1-9675-4faa-9068-410eac1a68fa/eating-control.jpg FURTHER LEARNING - Intermittent Fasting - A third variation of IF is the 24 hour fast (often done one or two days a week). For example, after dinner on Monday you would not eat another meal until dinner on Tuesday (so it is 24 hours between times of eating, but you are really only missing two meals that day). One of the benefits of IF is its’ flexibility. There is no need to fast during a special occasion because you can change up your IF schedule to fit your lifestyle. However, it is important to note, you will gain the most benefits from IF when combining the practice with a diet low in carbohydrates (sugary and starchy foods). https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/514355bc-9561-4c6f-b2d1-1f631116255a/5-2-diet.jpg FURTHER LEARNING - Intermittent Fasting - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.kadimacenter.com/further-learning-1/exercise monthly 0.5 2024-02-19 https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/076733c0-c5b2-475d-bae7-72818db8d3cf/healthy-lifestyle.jpg FURTHER LEARNING - Exercise https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/50551822-cb6e-4808-8d60-bd100eea81b7/Kadima-exercise-blog-topbanner.png FURTHER LEARNING - Exercise - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/7d27e22f-ddef-4661-9c29-6064e77d7fc5/jump-rope.jpg FURTHER LEARNING - Exercise https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/8f5d1c2b-a1f0-4122-88f5-cd783cb8ab77/basketball.jpg FURTHER LEARNING - Exercise - Adults and children should prioritize moving more and sitting less throughout the day. Some physical activity is better than none, but for those who can handle it, 30 - 60 min of aerobic exercise at least five days a week is ideal. Aerobic (cardiovascular) exercise is any activity that gets your heart rate up and keeps it up for a reasonable amount of time (walking, biking, swimming, elliptical, aerobics, etc). (REF 2) Read more HERE. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/a1009b3c-6cd0-4344-a365-7b9fd9f8d768/older-couple-running.jpg FURTHER LEARNING - Exercise - Those who have been inactive for a while may want to start with less strenuous activities (like walking) and begin at a comfortable pace. Over time, the intensity and duration of exercise can be increased as tolerated. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/fc3bfa1a-279b-4559-8e76-bddde17e2919/heart-blood-vessels.jpg FURTHER LEARNING - Exercise - Reduce the risk of dying prematurely. Improve blood flow and strengthen your heart muscle, reducing the risk of having a heart attack or stroke. Decrease the risk of developing some forms of cancer (REF 1). Improve blood pressure, blood sugars, cholesterol, and obesity. Improve overall psychological well-being (decreasing symptoms of depression and anxiety). Improve attention and mental function, decreasing Alzheimer’s risk. Help build and maintain healthy bones, muscles and joints. Help balance hormones (like ghrelin, leptin, and testosterone). Have anti-aging benefits (it activates the anti-aging enzyme telomerase). Decrease fall risk of aging adults by increasing strength and balance. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/e4bd3c26-37b2-4cb6-b154-8481dcd939db/checking-pulse.jpg FURTHER LEARNING - Exercise https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/162e2ea4-73cf-45b3-b3f1-94c112ed9d41/high-interval-training.jpg FURTHER LEARNING - Exercise https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/bd563531-a8e0-4d82-943c-13ce84c14ca3/jogging.jpg FURTHER LEARNING - Exercise - The American College of Sports Medicine (ACSM), the largest sports medicine and exercise science organization in the world, recommends most adults engage in at least 150 minutes of moderate-intensity exercise every week. https://www.kadimacenter.com/further-learning-1/diet monthly 0.5 2024-02-19 https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/5b933d84-8a15-4197-a39f-e171986d336f/low-carb-diet.jpg FURTHER LEARNING - Diet There is a healthy and an unhealthy way to eat low carb. Instead of just eating foods like bacon and pork rinds dipped in pimento cheese, a healthy low-carb diet prioritizes an abundance of vegetables and includes a moderate amount of meat and healthy fats (instead of that being the main focus). https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/0e7d08fb-c401-43a4-895a-1119ac53eb43/nutrition.jpg FURTHER LEARNING - Diet - Start reading food labels and check the ingredients. Avoid buying anything that has ingredients you cannot recognize or pronounce. If you must buy packaged foods, try to select products with five ingredients or less. And buy organic as much as you can, at least the dirty dozen (those foods with the highest pesticide contamination). https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/899b9fe0-0341-43e1-b6bf-a88e8eb05925/carbohydrates.jpg FURTHER LEARNING - Diet - The standard American diet (SAD) is what a typical American eats. This diet is low in fruits, vegetables and fiber, and high in red or processed meat, pre-packaged foods, fried foods, refined grains, and sugary drinks and foods (often sweetened with high-fructose corn syrup). Where America’s Calories Come From 63% of America’s calories come from refined and processed foods (e.g. soft drinks, packaged snacks like potato chips, packaged desserts, etc.) 25% of America’s calories come from animal-based foods 12% of America’s calories come from plant-based foods . . . but half of these plant-based calories (6%) are coming from french fries! That means only 6% of America’s calories are sourced from health-promoting foods like: fruits, vegetables, nuts, and whole grains. (REF 1) https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/046bd80d-cd79-4ced-806f-e2c7313ab523/Kadima-diet-blog-topbanner.png FURTHER LEARNING - Diet - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/c8e2d65e-2393-4e97-9baf-9993f2a97e4e/good-vs-bad-fats.jpg FURTHER LEARNING - Diet - In general, fats found naturally in foods tend to be healthier - things like: olive oil, avocados, almonds, wild salmon, organic grass-fed meats, pasture-raised eggs, coconut, etc. Fats that are chemically altered through engineering or used to cook at high temperatures tend to not be as healthy - things like: fried pork rinds, pimento cheese dip, processed bacon, cream cheese, peanut butter, corn or soybean oil, etc. You can read more about the difference between good and bad fats HERE https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/d95ec0e3-eaed-4d4a-bbb2-84d2b6ba8967/fruits-and-veggies.jpg FURTHER LEARNING - Diet - Plants are good for ALL of us - this is a truth that both the medical and health industry unanimously agree upon. There are some starchy vegetables we may do better eating in smaller portions (like corn and potatoes), but the real controversy lies over meat. Eating meat can benefit muscle and bone health, appetite, metabolism, and iron and b12 absorption. (REF 4) However, some people are concerned that meat can increase other health risks like cancer . . . but the data is not that clear. There are many other factors (what type of meat, how was it cooked, did it have chemicals added, was it balanced with a healthy diet, etc.) that can affect the outcomes of such studies. You can read more HERE. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/66ee951c-e11e-489c-8b11-d9681d7be5eb/fat-man-eating-pizza.jpg FURTHER LEARNING - Diet - In his book, In Defense of Food, Michael Pollan proposes a new (and very old) answer to the question of what we should eat. "Eat food. Not too much. Mostly plants." In seven words he makes a complicated topic quite simple. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/d7c1f924-5abd-45aa-8ae2-7776834d32b8/mediterranean-diet.jpg FURTHER LEARNING - Diet - A Mediterranean diet consists of foods like: olive oil, nuts, fruits, and vegetables, legumes, whole grains, and seafood. It focuses on fresh colorful foods and shuns heavily processed ingredients. Other foods like dairy, chicken, and eggs are eaten . . . but only occasionally and in small portions. Studies have shown that a Mediterranean diet (which is high in antioxidants and anti-inflammatory properties) can decrease the risk of a heart attack and stroke, lessen cognitive decline, and help people maintain a healthier weight. (REF 6) This is the diet the celebrity trainer Bob Harper (from the show “The Biggest Loser”) is now following after his heart attack. *You can read more about the Mediterranean diet Here https://www.kadimacenter.com/further-learning-1/cholesterol-medication monthly 0.5 2024-06-16 https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/6b1d8b00-e900-4d26-87e3-9726843f4b0f/pain-in-leg.jpg FURTHER LEARNING - Are Statin Drugs Helping or Hurting me? For those who are still concerned, there is a genetic test called the “statin myopathy” test (SloCo1b1) that can determine how an individual metabolizes statin medications. A person can carry one or two copies of this gene, and if they do, they are at increased risk of having muscles aches when taking a statin (REF 14, REF 17), particularly when taking fat-soluble statins (like Lipitor and Zocor). In patients with the SloCo1b1 gene, prescribing water-soluble statins (like Crestor, Livalo, or Pravachol) will help improve tolerability. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/5ed6919e-65b4-483f-96f1-6c59f55240b4/side-effects.jpg FURTHER LEARNING - Are Statin Drugs Helping or Hurting me? For those patients who experience side effects on a statin, there are a few things that might help. (READ MORE HERE). Raising coenzyme Q10 and vitamin D levels can lessen myalgias for many patients. Using water-soluble statins can also minimize side effects (especially in those with the SloCo1B1 gene). https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/a40c3fb0-4c2d-4d18-ab91-d46c48b332c3/pills-heart-shape.jpg FURTHER LEARNING - Are Statin Drugs Helping or Hurting me? - The current cholesterol guidelines recommend all patients with CV risk receive a high-dose statin in order to lower LDL-C more than 50%. (REF 25) However, we have the capability of doing specialized blood work (Cholesterol Balance Test) to determine the real source of each patient’s cholesterol problem (whether the liver is producing too much cholesterol, or the intestines are simply absorbing too much). Doubling the dose of a statin only offers an additional 5-10% lowering in LDL cholesterol (REF 19), so instead of prescribing a high-dose statin and increasing the risk of potential side effects, we often prescribe low-dose statins and then add on Zetia (ezetimibe) if needed. Zetia is a non-statin, well-tolerated medication that can further lower cholesterol by shutting down the absorption of cholesterol in the intestines (IF the results of the cholesterol balance test indicate this would be beneficial). In the IMPROVE-IT trial, Zetia lowered cardiovascular events when added onto statin therapy (REF 20), so we have “outcome” data to back it up. This trial also indicated that the lower the LDL cholesterol, the better (A LDL-C of 53 was superior to a LDL-C of 70). (REF 24) https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/d7740514-36f3-4396-a346-07ea609e4186/memory-loss.jpg FURTHER LEARNING - Are Statin Drugs Helping or Hurting me? The FDA warns that some people have developed memory loss or confusion while taking statins, but that these side effects reverse after discontinuing the medication (which is very different from dementia). However, as the AHA statement enforced, “There is no convincing evidence for a causal relationship between statins and cognitive dysfunction.” (REF 1, REF 6) In actuality, there has been evidence that statins may help with brain function! One study of over 1,600 people showed a 48% decrease in the incidence of dementia in the patients who took statins (REF 7). Another study of 57,000 patients showed an inverse relationship between statin use and dementia (REF 8). A third study of over 400 thousand statin users showed a 20 – 25% reduced risk of Alzheimers disease (REF 9). And yet another study demonstrated a 50 % reduced dementia risk in patients with atrial fibrillation who took statins (REF 10). https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/c97f93d0-8b64-4035-94a7-f6cba588c0dd/worried.jpg FURTHER LEARNING - Are Statin Drugs Helping or Hurting me? - Studies have actually shown that the lower the LDL cholesterol, the lower the CV risk (lower than 70 is ideal, but lower than 54 may be even better.) (REF 20). The normal low-density lipoprotein (LDL) cholesterol range is 50 to 70 mg/dl for native hunter-gatherers, healthy human neonates, free-living primates, and other wild mammals . . . all of whom do not develop atherosclerosis (plaque in their arteries). (REF 27) A newborn baby (who carries high developmental demands) has an average LDL of only 35 mg/dL, so this small amount of cholesterol appears to be sufficient to maintain vital cellular functions (REF 22). Furthermore, studies evaluating PCSK9 inhibitors (a class of cholesterol medications that can drop cholesterol extremely low) found that very low cholesterol levels did not adversely affect the patients. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/ea6136e9-d2c3-4e9c-b0cf-86b800b81ce9/happy-family.jpg FURTHER LEARNING - Are Statin Drugs Helping or Hurting me? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/74d1dd90-a19b-4638-a4f1-100e88700179/cholesterol-medication-blog-top3.png FURTHER LEARNING - Are Statin Drugs Helping or Hurting me? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/ce338fda-d671-417c-a77e-06033aed430c/arteriosclerosis-001.jpg FURTHER LEARNING - Are Statin Drugs Helping or Hurting me? “Of the nearly 1.7 million heart attacks and strokes that occur annually in the United States, more than half occur among apparently healthy men and women with average or low levels of cholesterol.” (REF 11) This is why inflammatory biomarkers are so important to test in patients. One of those biomarkers is hsCRP, which was shown to independently predict CV events in women better than LDL cholesterol (REF 12). https://www.kadimacenter.com/further-learning-1/aspirin monthly 0.5 2024-02-19 https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/ad0f8560-b698-4358-b3ed-1cc36962e2af/asprin-for-heart-health.jpg FURTHER LEARNING - Should I take a daily aspirin? - The majority of clinical trials have demonstrated that aspirin has a significant beneficial effect in reducing the risk of myocardial infarction and death. When summarizing five trials that included a total of over 55,000 patients, aspirin was associated with a 32% reduction in the incidence of first heart attacks - a substantially higher benefit than the risk of a bleed! (REF 4) When summarizing eight trials that included over 25,000 patients, aspirin was associated with a 21% reduction in the incidence of all cancers (it was most beneficial in gastrointestinal cancers). (REF 5) Lastly, low dose aspirin has been shown to prevent cognitive decline in women with high CV risk. (REF 6) This is most likely due to the prevention of micro-vascular thrombi (clots) that can land in different places in the body and brain, offered referred to as “micro-vascular dementia” or “the disease of aging.” https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/33673f0f-d1bf-4eed-ac52-e373f6e49eea/Kadima-should-I-take-a-daily-aspirin-blog-top.png FURTHER LEARNING - Should I take a daily aspirin? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.kadimacenter.com/further-learning-1/insulin-resistance monthly 0.5 2024-02-19 https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/c5937384-8b32-4d4f-b529-72bcf46a6fd3/Kadima-insulin-resistance-blog-top.png FURTHER LEARNING - Insulin Resistance (IR) and Pre-diabetes - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/0c3a441d-ea9c-40b7-a84f-f2e8353e12de/vegetable-basket.jpg FURTHER LEARNING - Insulin Resistance (IR) and Pre-diabetes - Meals should consist mainly of meats and vegetables (and other low carbohydrate foods like eggs, nuts, healthy fats). It is best to eat keep carbohydrate intake as low as possible, at least under 25 grams per meal. Simply replacing one meal or snack a day with a healthy protein shake or protein bar can be a good first step. There are numerous resources to help educate patients on carbohydrate levels in different foods (Apps like My Fitness Pal or Lose It, or even just using Siri or Google). Intermittent fasting (IF) is another effective way to improve IR and pre-diabetes. Dr. Jason Fung, leading expert on IF, has helped hundreds of patients reverse their diabetes (and even get off their insulin) through incorporating IF and a low carbohydrate diet. Losing just 5-10% of overall body weight can bring dramatic improvements in glucose and insulin levels. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/44c20a8a-d449-4fcf-91a0-acf09e150071/diabetes-medicine.jpg FURTHER LEARNING - Insulin Resistance (IR) and Pre-diabetes - Medication is sometimes prescribed to help treat the IR, preserve the beta cells in the pancreas, and delay or prevent the onset of diabetes. Ideally medications and lifestyle changes are paired together; this is the best possible combination to reverse IR and diabetes. Then in time, patients may be able to stop some of their medications if they maintain the appropriate lifestyle changes. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/380104d4-a084-4769-960f-bca0d01b293d/insulin-resistance.jpg FURTHER LEARNING - Insulin Resistance (IR) and Pre-diabetes - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/30f5acd1-bfa9-4bd0-b4d0-89f435ce1a7a/healthy-diabetic-exercise.jpg FURTHER LEARNING - Insulin Resistance (IR) and Pre-diabetes - If exercise is not already a part of your normal regimen, it needs to be implemented. You can start with just 15 - 20 minutes a day of brisk walking and work up from there. (We can even do a CPET to determine your ideal heart rate zone for exercise, since this varies widely among individuals). If exercise is a physical challenge, we suggest finding a local pool, since water exercises are lower impact on the joints. Some patients who have pain with walking can tolerate exercise on a recumbent bike; others may do better using an upper body ergometer (a hand crank that looks like bicycle pedals for your hands). Affordable models can be purchased for in-home use. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/a13db5d6-6cf1-4ea2-988b-1025ce0b1448/infographic-insulin-2.jpg FURTHER LEARNING - Insulin Resistance (IR) and Pre-diabetes - We run advanced blood panels on our patients to help identify those with insulin resistance, so we can address the disease before it causes detrimental (and possibly permanent) effects on the patient’s health. We run advanced blood panels on our patients to help identify those with insulin resistance, so we can address the disease before it causes detrimental (and possibly permanent) effects on the patient’s health. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/705831ea-faa0-40da-8314-22f062995426/glucometer-reading.jpg FURTHER LEARNING - Insulin Resistance (IR) and Pre-diabetes - Many patients are told their blood work is perfectly fine when in reality there are hidden metabolic risks they need to address. In a fasting state, the pancreas can often still produce enough insulin to keep the blood sugar normal. However, when there is a sudden surge in the blood sugar after eating or drinking carbohydrates, the fatigued beta cells in the pancreas have to work harder to crank out sufficient insulin to lower the blood sugars. As a result, insulin levels rise (so elevated insulin levels are an indication of insulin resistance, even before elevations in blood sugar). However, the 2hr oral glucose tolerance test (OGTT) test remains one of the best ways to assess one’s pancreatic function. https://www.kadimacenter.com/further-learning-1/sleep-apnea monthly 0.5 2024-02-19 https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/8e9b2c46-448f-4bcb-ba06-cc41a79be7ae/airway-obstruction.jpg FURTHER LEARNING - Obstructive Sleep Apnea (OSA) - The brain will not allow the individual suffocate when these obstructive events occur so it tells the body to breath. The individual then takes a deep breath and oxygen levels temporarily rise . . . but this sudden breath knocks the patient out of deep-stage sleep (though not necessarily awake, so the patient is often unaware this is happening). Now the patient is breathing, but they are no longer in the deeper stages of sleep (which the body needs), so the brain pushes the body back into deeper sleep. Then the airway obstructs . . . oxygen levels drop . . . so patient takes a deep breath . . . and this cycle repeats itself over and over all night. Many important hormones and chemicals are produced during the deeper stages of sleep (vitamin d, testosterone, serotonin, dopamine, etc.), so these deeper stages of sleep (N3 and REM) are necessary for the patient to feel rested and function at their best. Even if a patient sleeps eight hours, if their deep stage sleep is constantly disrupted throughout the night, then their body and brain are not getting restorative sleep, and they can wake feeling tired. Ideally adults need 7-8 hours of sleep a night, but the quantity of sleep is not nearly as important as the quality of sleep. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/e358946a-f001-4163-9733-947bcfc656be/Kadima-sleep-apnea-blog-top.png FURTHER LEARNING - Obstructive Sleep Apnea (OSA) - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/11daf08d-d6c4-4d6f-84cb-a2be38eb3d46/breathing-machine.jpg FURTHER LEARNING - Obstructive Sleep Apnea (OSA) - The gold standard for treating OSA is with a CPAP (continuous positive airway pressure) machine. The newer machines are much smaller and quieter than they used to be, and even have the option for adding humidified air. In addition, there are many different masks to choose from (many smaller ones that only cover the nose). Most people adjust to wearing the mask within a few weeks, but if necessary, prescription medication can be given to help relax patient so they can better tolerate the CPAP at night. Ideally, people with OSA should wear their CPAP any time they are asleep (even if just napping); however, even just using it for 4-6 hours each night can greatly improve health and vitality. https://www.kadimacenter.com/carey daily 0.75 2024-06-16 https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/a6263ea0-4b59-43a8-a891-dd65ccb9fb68/Carey-website.png https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/35f83603-3c5a-4d4d-b95e-6296c83711c9/Carey-quote.png https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/28a74c79-2162-4810-b328-5c63eaca5cf5/Carey-family2.png https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/8c958455-8ea8-4cd3-9a52-5df175bbd188/Carey-pic.png https://www.kadimacenter.com/schedule-now daily 0.75 2024-05-07 https://images.squarespace-cdn.com/content/v1/65837b568cf2a7315b4e5e9c/81f38497-89ca-41c0-834c-faeb9e1b29c6/KADIMA-CONTACT-PAGE-PIC.png https://www.kadimacenter.com/home daily 1.0 2024-08-21 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