Spring 2008 - Buyers Guide - American Academy of Anti
Transcription
Spring 2008 - Buyers Guide - American Academy of Anti
NEW! Physician Prescribing Handbooks for Bio-Identical Hormone Replacement The Hormone Handbook by Thierry Hertoghe, MD UNIVERSITY COMPOUNDING PHARMACY Eat Right by Kathleen Becker, MA, RN & Coreen Reinhart, Certified Nutritionist, With Foreword by Ron Rothenberg, MD Younger You by Eric R. Braverman, MD Natural Hormone Replacement by Jonathon V. Wright, MD and John Morgenthaler Demystifying Weight Loss by Pamela W. Smith, MD, MPH HRT:The Answers by Pamela W. Smith, MD, MPH Vitamins: Hype or Hope? by Pamela W. Smith, MD, MPH Keeping aBreast, Ways to STOP Breast Cancer by Khalid Mahmud, MD, FACP The Cellulite Cure by Lionel Bissoon, MD Maximize Your Vitality & Potency by Jonathon V. Wright, MD and Lane Lenard, Ph.D Forever Ageless: Advanced Edition by Ron Rothenberg, MD, FACEP The Greatest Lectures on Hormone Therapies in Audio CD’s The Clinical Application of Interventional Endocrinology The Greatest Lectures on Hormone Therapies in Audio CD’s by Thierry Hertoghe, MD by Mark L. Gordon, MD Thierry Hertoghe, MD Ron Rothenberg, Mark MD, FACEP Gordon, MD Eric Braverman, MD Jonathan Wright, MD Pamela Smith, MD To Purchase CALL TODAY 800-985-8065 or VISIT www.ucprx.com ment D e? PH tency D m Buyers Guide DIRECTORY ◗ Gut Detoxification 6 ◗ Bio-identical Hormone Restoration in Women 16 ◗ Targeting Cancer’s Sweet Spot ◗ Product Announcements 38 11 Vendors by Category ◗ ◗ ◗ ◗ ◗ ◗ ◗ ◗ ◗ ◗ ◗ ◗ ◗ ◗ ◗ ◗ ◗ ◗ ◗ ◗ ◗ ◗ Aesthetic Medical Treatments 22 Alternative Therapies 22 Associations / Education 24 Compounding Pharmacies 24 Computer / EMR 25 Cosmeceuticals 25 Dental / Dermatology 25 Diagnostic Service / Laboratories 25 Hair Rejuvenation 26 Holistic Medicines 28 Hyperbaric / Oxygen Therapies 28 Insurance / Finance / Practice Management / Marketing 28 Med Spa / Equipment 29 Medical Equipment / Supplies 30 Medical Publications / Directories 32 Mesotherapy / Hormone Therapies 32 Miscellaneous 32 Nutraceuticals 33 Pharmaceutical 36 Sports / Fitness / Physical Therapies 36 Stem Cell Therapies 37 Weight Management 37 WORLD COUNCIL FOR CLINICAL ACCREDITATION (WCCA) Strategically Position Your Anti-Aging Clinic or Medical Spa as An A4M/WCCA Accredited Facility of Excellence* Benefits of A4M/WCCA Facility Accreditation: s Prevail amongst generic antiaging clinics and spas with distinguished status as a professionally accredited clinical facility s Gain a marketing edge against your competition through enhanced positioning at the Online Clinic Locator at The World Health Network, www.worldhealth.net, the Internet’s leading anti-aging portal s Receive direct patient referrals from the Patient Recruitment and Education Program (PREP), an initiative affiliated with the A4M’s LEXCORE Research Study SET YOUR ANTI-AGING CLINIC OR MEDICAL SPA APART FROM THE COMPETITION L The A4M/WCCA Anti-Aging Clinic /Medical Spa Accreditation Program Enroll your facility in the A4M/ WCCA Anti-Aging Clinic / Medical Spa Accreditation Program Accreditation of anti-aging medical clinics and medical spas serves two primary, fundamental purposes: to assure the quality of the institution and its clinical program, and to assist in the ongoing improvement of the institution or program. The A4M/WCCA Anti-Aging Clinic / Medical Spa Accreditation Program features Standards of Excellence that: r r r r &NQIBTJ[FZPVSGBDJMJUJFTIJHIMFWFMPG TFSWJDFBOETBGFUZ 4IPXDBTFBCSPBESBOHFPGBEWBODFE EJBHOPTUJDTBOEUIFSBQFVUJDTBWBJMBCMFBU ZPVSDMJOJDPSNFEJTQB &ODPVSBHFQBUJFOUFEVDBUJPOFNQPXFSNFOU %FNPOTUSBUFZPVSGBDJMJUZTDPNQMJBODFXJUI UIFIJHIFTUHPWFSOJOHPQFSBUJPOBMTUBOEBSET of Professional excellence r &OKPZUIFFOIBODFEWJTJCJMUZBOEQBUJFOU WPMVNFIFJSUP".*/&5SFGFSBMT FOR MORE INFORMATION VISIT: WWW.WORLDHEALTH.NET/ACCREDITATION Email: [email protected] Telephone: 773-528-4333 * Facilities accredited by the A4M/WCCA Anti-Aging Clinic / Medical Spa Accreditation Program must follow codes of professional and ethical conduct set forth by the A4M in display and/or use of the A4M Seal and/or Certificate of Accreditation in marketing, advertising, and promotion. See specifics of terms, details, conditions, and disclaimers at www.worldhealth.net/accreditation Gut Detoxification By Stephen Holt, MD, LLD(Hon.), ChB, PhD, DNM, FRCP (C), MRCP (UK), FACP, FACG, FACN, FACAM, OSJ, Distinguished Professor of Medicine, NYCPM, Harlem, N.Y., Scientific Advisor to Natural Clinician LLC, N.J. The Aging Gut The aging gastrointestinal tract may often lose its harmony. Each region of the gut changes with aging. Such changes include poor peristaltic function, variable reduction in gastrointestinal secretions and overall decrease in the efficiency of the complex functions of digestion and absorption. The elderly colon is often stubborn and the residence time of fecal contents increases in the colon, with a tendency for a delay in overall gut transit time. Reductions in the efficiency of digestive processes contribute to poor nutritional status in the elderly; and the important function of the gut as an organ of detoxification is often compromised. It is time to reappraise the importance of gut detoxification in the promotion of longevity. Putrefying stool in the colon creates colorful biochemistry. Volatile compounds generated in the colon (gases and organic acids) can have good or bad effects on the body. The colon is not merely a boring conduit or receptacle for stool. It is a dynamic organ that handles fluids and partially digested dietary intake in a regulated way. The large bowel has a very active lining and is capable of absorbing many substances, including nutrients and toxins. The healthy, functioning colon does not need to be washed out, cleansed or purged. However, the unhealthy or unbalanced colon often requires this kind of attention, at least on an intermittent basis. Intermittent or varying degrees of colonic malfunction are almost universal at all ages. The Digesta The notion that the contents of the gut play a major role in health or well-being is not a modern concept. These gut contents are best referred to as the “digesta.” 6 ❘ ANTI-AGING MEDICAL NEWS The digesta are formed as a consequence of inextricable linkage of diet and gut function. The digesta is an ever-changing component of harmonious digestive function and it is the sum total of the contents of the gastrointestinal tract. The composition of colonic contents is particularly relevant to health in several contexts. These contents are created by ingested food or drink and modified by additions to or deletions from the gut (digestive enzymes, mucus, gases, bile, etc.). All of these components are modified by the gut microflora (bacteria, yeasts, molds, protozoa, parasites, etc.). The average colon contains many wanted and unwanted guests. The gut contents form a very active biological soup (or slurry) that solidifies during its passage through the colon. This slurry is exposed to a large surface area of the gut and, in turn, a large surface area of the body. The chemical status of the body is usually defined in context of blood and tissue contents, without due consideration of the role that the digesta plays in determining this chemical status. The notion that the contents of the gut “communicate” with the body has scientific support. The guts are clever organs with their own brain and limited cognition. There are a large number of chemicals or metabolic products present or produced in the digesta, including food additives, nutrients, organochemicals, end products of bacterial metabolism, oxidation products of food, ingested chemicals or bile, and free radicals produced from bacterial metabolism – to name a few! In the presence of gut disease, different chemicals or bioactive end products are produced. Such end products include, but are not limited to, reactive nitrogen species and modified proteins that can act as potential allergens. The oxidation status of the digesta may have a profound effect on body functions. The antioxidant status of the digesta is largely determined by food eaten, but it is modified by the complex ecology of the gut. Antioxidant status of the digesta is particularly important in the development of intestinal colon cancer or bowel inflammation. Much digestive disease is caused by free-radical damage (e.g., peptic ulcer and inflammatory bowel disease). The function of the digesta has been often ignored for its potential role in functional gut disorders, including irritable bowel syndrome or structural gut problems such as “leaky gut syndrome.” Antioxidants such as vitamin E or its analogues (especially gamma-tocopherol) and phytochemicals (especially isoflavones) may be important in disease prevention and treatment. Many phytochemicals or phytonutrients and their end products in the gut may be absorbed both through the small intestines and the colon into the systemic circulation; and they often exert direct effects on the colon. These proposals are contrary to popular belief among conventional medicine practitioners or are dismissed as irrelevant in many contexts. The Colon as a Source of Toxins Allopathic medicine has discounted the role of the bowel and its inhabitants as a source of toxins for the body. For many centuries, physicians or healers believed in the phenomenon of intestinal autointoxication. This belief was challenged in the early part of the 20th century, most notably by Dr. W.C. Alvarez. This physician published a classic paper in 1924 titled “Intestinal Autointoxification” in Physiological Reviews (4:352-393). Dr. Alvarez continued on next page SPRING 2008 Table 1: Ingredients of a Natural Colon-Cleansing Formula • Artichoke Leaf • Ashwagandha Root • Beet Leaf • Burdock Root • Chlorella • Corn Silk • Dandelion Root • Arabinogalactans • Milk Thistle 80% • Mullien Leaf • Red Clover Flowers • Turmeric Root • Aloe Vera 200:1 Concentrate • Rhubarb Root • Slippery Elm Bark • Marshmallow Root • Fennel Seed • Ginger Root • Triphala • Magnesium (Hydroxide) • L-Glutamine • Fish Oil 50% Powder Reproduced with permission of Holt MD Labs/Natural Clinician LLC). stressed the notion that the mucus membrane of the colon is very efficient in preventing the passage of toxins into the general circulation. However, the defenses and functional nature of the colon and are more complex than was realized at the time that Dr. Alvarez proposed his limited views of “colonic life.” Early scientific work did not deny the presence of many toxins in the gut, but it described the colon as an efficient, impenetrable barrier. Dr. Alvarez reinforced the continuing, but erroneous beliefs, that the colon is an effective barrier to “toxins.” It is amazing how these old views of the colon persist in modern allopathic, medical belief systems. Modern research has shown increasing evidence that the lining of the guts is variably permeable to unwanted agents. Several of these agents are present in the digesta, including infectious organisms, toxic chemicals, bacterial degradation products, etc. In fact, the colon may be a site where some agents are actually transformed and absorbed SPRING 2008 in the body, especially when transformation is by bacteria. Examples of this phenomenon include the cleavage of conjugated phytochemicals, such as conjugated soy isoflavones (glycones). This cleavage occurs by enzyme activity that is present in some gut bacteria. The Importance of Residence Time of Colon Contents The residence time of stool in the colon is an important issue. Prolonged residence of the digesta is a measure of constipation or gut transit time. If stool stays around too long, fermentation or other biotransformations of chemicals or undigested food may occur. Increasing residence time of “toxic” chemicals in the digesta extends the time available for them to damage the colon or facilitate absorption of potentially noxious agents by the large bowel. There is good reason to facilitate bowel emptying in many people who have constipation. This is ideally undertaken by correct lifestyle adjustments (e.g., adequate roughage, fiber in the diet, balanced nutrition, avoidance of toxic chemicals, exercise, etc.). On a selective or intermittent basis, purgation or the facilitated exodus of the colonic digesta by gentle means is often a refreshing or pleasurable experience with clear implications for good health. The idea of cleansing the body by the elimination of toxic reservoirs (e.g., stool or intestinal parasites) and the promotion of detoxification are neither novel nor new. Cleansing and detoxifying the body is deeply rooted in traditional medical practices, over a period of thousands of years, in Ayurvedic medicine, traditional Chinese medicine, and North American Indian medicine. Herbs and botanicals used in these ancient medical practices are used in these ancient medical practices are used in modern, colon cleansing products (Table 1). Lesson From Ayurveda Ayurvedic medicine teaches prominently that the main cause of much continued on page 8 ANTI-AGING MEDICAL NEWS ❘ 7 Gut Detoxification continued from page 7 illness is poor digestive function. For thousands of years this discipline of medicine has proposed that food resides in the colon and becomes a source of toxins, as a consequence of fermentation, especially in the presence of unfriendly microorganisms, such as yeasts or miscreant bacteria. These concepts have led to diets and herbal concoctions which are believed to cleanse the body when applied in a tailored manner (Table 1). The ancient medical discipline of Ayurveda, with its focus on colon cleansing and body detoxification, cannot be ignored given its established precedent for health benefits. Prominent in Ayurvedic treatments are healthy lifestyle, Pancha Karma (detoxification by cleansing) and the use of cleansing, detoxifying and rejuvenating herbs or botanicals. Body Toxins and the Colon Toxins are any agents that can damage cellular, tissue or organ function. Our “advanced” lifestyle coupled with the modern industrial revolution has made environmental toxins ubiquitous. In modern times, humankind has experienced greater levels of body toxicity. The modern, “intoxicating” environment has contributed greatly to the phenomenon of autointoxication. The colon is a reservoir of inner toxins and it is accepted reasonably that many toxins are the cause of acute, subacute and chronic disease. Many people can decrease their toxin load by altering day-to-day preferences and lifestyle. It is valuable to teach patients simple tips that may help them cut down on exposures to environmental toxins. Such advice can make a profound contribution to health and well-being. An Expanded Understanding of General Intoxification Many toxic substances do not remain in the environment in their original form or structure. These toxins are transformed by a variety of inorganic or biological processes. Chemical 8 ❘ ANTI-AGING MEDICAL NEWS toxins (e.g., pharmaceuticals) are often degraded by the body and converted to molecules linked to other compounds or smaller molecules. In contrast, toxic metals are not broken down, but are often converted into available or nonavailable chemical forms. The speed with which organic toxins are broken down is very variable. For example, organophosphates may be metabolized in minutes or hours, whereas polychlorinated biphenyls are degraded only after many years. These chemicals can lurk in body fat, where they drive disturbed body metabolism. The pot belly is composed sometimes of toxin-laden fat which is akin to an unwanted dysfunctional endocrine organ. Understanding the chronological events of toxin activation or inactivation has major implications for attempts to cleanse the body. Organic toxins are most often ingested orally, making these latter concepts relevant to gut detoxification mechanisms and other factors such as colonic residence time. Of partial relevance to the function of colon and its attempts to detoxify are the modifications of toxic chemicals that can be made by microbial species. Bacteria can degrade toxins effectively in many contexts, but they can also elaborate toxins from otherwise nontoxic compounds. Organic toxins are most often degraded by microorganisms in the environment and friendly bacteria in the colon (probiotics) are capable of degrading or detoxifying several organic toxins. Industrial experiences with attempts to detoxify the environment have occurred by isolating and culturing bacteria that detoxify organic chemicals, after their successful seeding into a contaminated environment. We have a corollary in medicine whereby the same processes may occur with probiotic therapies which “clean” the colonic environment, while presenting added benefits beyond the process of “detoxification.” Practitioners of alternative medicine are very familiar with the use of intravenous chelation for the removal of heavy metals within the body, but they may be less familiar with the ability of many herbal or botanical, natural compounds that can “detoxify” metals by the formation of complexes with organic compounds that share electrons through the process of chelation. Many phytonutrients can potentially chelate and produce unavailable metallic complexes which cannot cause body toxicity. Interval oral chelation with supplements is advantageous in many individuals, but oral chelation is not a substitute for intravenous chelation. One example of this concept is the knowledge that elemental mercury has relatively low toxicity, but is extremely damaging and hazardous in its methylated form. In brief, body processes that facilitate detoxification depend on many different chemical reactions of an inorganic or organic nature. Against this background, I propose combined techniques for whole-body detoxification which may involve direct cleansing procedures such as controlled fasting, well-selected diets, herbal or botanical agents with “cleansing” ability, saunas, hydrotherapy and colonic irrigation, to name a few approaches. Cleansing, Detoxification and Rejuvenation of the Gut While this article has attempted to focus on the colon as a “major sewer” for body cleansing, clinical practice presents many options that may be used together simultaneously to promote cleansing or detoxification. I support the use of intravenous chelation as a very effective way of decreasing heavy metal contamination, but I stress that it is only one of several pathways available for detoxification. The liver is the key detoxifying organ with its ability to filter blood, engage in complex chemical reactions and excrete bile. The skin excretes compounds in sweat and the kidneys are the main portal of excretion from the body. Less attention is placed on the lungs as a major organ of detoxification, but volatile chemicals are found in expired air in large amounts in both continued on next page SPRING 2008 states of health and disease. I assert the major importance of the colon in eliminating unwanted chemicals of all types and heavy metals in the stool. It is important to remember that the tubular digestive tract has complex enzyme systems, unique physical environments and complex immune functions that can all contribute to detoxification. While detoxification is important, the process of supporting or rejuvenating the complex harmony of the bowel is pivotal in sustained attempts to achieve body cleansing. Complex attempts at body detoxification are procedures that can be made less necessary by good patient advice. Such advice can result in less toxin exposure and overall disease prevention. While I have focused on several issues relevant to digestive harmony and body cleansing, there are many obvious forms of toxicity that result from the day-to-day practice of usual and customary medicine – e.g., the widespread and often inappropriate use of nonsteroidal anti-inflammatory drugs (NSAIDs). Preventive efforts to avoid body toxicity include the use of simple, gentle, natural first-line options to manage common ailments. For example, NSAIDs are one of the common causes of gastrointestinal disorder, but they are the most common drugs prescribed or used over the counter. These NSAIDs are common causes of dyspepsia, general gastrointestinal upset, liver dysfunction, impairment of renal function, upper and lower gastrointestinal bleeding, and defuse damage to gastrointestinal mucosal barriers. Aside from their selective propensity to cause heart attack or stroke, they have been overlooked as a common source of damage in the lower gastrointestinal tract, where they break mucosal barriers and facilitate the entry of toxins or allergens. I mentioned NSAIDs as one obtuse, but highly relevant factor in promoting general body toxicity. Topical, natural pain-control rubs and several oral supplements are viable alternatives to NSAID usage. SPRING 2008 I believe strongly in the idea of cleansing the gastrointestinal tract with a high-fiber, balanced diet combined with good fluid intake and exercise. An important adjunct to this cleansing activity is the use of osmotic laxatives that are combined with complex herbal formulae. These formulae have their roots in body cleansing in Ayurvedic or other forms of traditional medicine, complemented by modern naturopathic approaches. Table 1 provides an example of a colon -cleansing formula that may be used on an intermittent, semi-continuous or continuing basis, depending on clinical circumstances. Detoxification is incomplete without supporting liver function and using probiotic therapy. Good techniques for rejuvenation of gastrointestinal function which secondarily improves continuing detoxification include the use of dietary supplements such as omega-3 fatty acids, potent REDOXbalanced antioxidants and probiotics, supported by prebiosis with fructoligosaccharides (FOS) or selected soluble fiber (especially hydrocolloid, soluble fractions of oat fiber, beta-glucans). Emerging Concepts in Toxic Exposures While body cleansing remains a common practice in integrative medicine, the practice of detoxification struggles to find an evidence base. It is notable that attempts to rid the body of “poisons,” real or perceived, have been made from time immemorial. Recent experiences with detoxification treatments of rescue workers involved in the 9/11 disaster have provided real insight into the value of intensive, acute detoxification procedures, using extended sauna therapies combined with exercise and vita-nutrient supplementation. Environmental toxins during the 9/11 catastrophe included asbestos, toxic heavy metals, other inorganic or organic disease-causing chemicals and other unidentified health-damaging agents. Evidence-based strategies exist to minimize toxin load following exposure to several toxic agents. The New York Rescue Workers Detoxification Program applied classic detoxification methods to hundreds of exposed victims, using a vitamin-supplement regimen, sauna exposure, aerobic exercise and lifestyle advice, with clearly documented improvements in presenting symptoms that could be attributed to toxin exposure during the 9/11 events, together with objective evidence of reduction in toxic load, as measured by laboratory testing in a selected number of victims. With clarity, the victims reported consistently a reduction for the need of drug prescriptions, in circumstances where some rescue workers were receiving extreme polypharmacy (oral medication and inhalers). Progression of disease from the toxic exposures of 9/11 is evolving and documented in the medical literature, including deaths, reports of low birth weight, cancer, chronic respiratory disability and other disorders. The consequences of heavy-metal exposure and excessive free-radical load can be forecast in the exposed populations, but a concerted effort at detoxification remains quite limited by resources and continuing arguments about the lack of efficacy or evidence base for detoxification methods. The premature disability and death that could affect thousands of citizens (up to 1.2 million) in a significant radius of one of the highest population densities in the world is a major public health initiative that remains somewhat mismanaged. There is an urgent need for amalgamation of outcome data on detoxification practices, utilizing non-allopathic interventions. The outcome data from the first 1,000 treated 9/11 rescue workers is in an advanced stage of compilation and analysis. While the emergence of illness related to toxicant exposure can be linked to the known outcome of specific types of poison, the occurrence of unexpected outcomes has become apparent. A large proportion of the rescue workers developed accelerated weight gain, combined with sleeplessness. Many individuals seemed continued on page 10 ANTI-AGING MEDICAL NEWS ❘ 9 Gut Detoxification continued from page 9 Table 2: CDR Approaches, Simplified and Facilitated Cleansing High-fiber, balanced diet, good fluid intake, exercise, osmotic laxative (e.g., magnesium sulphate), as required. Detoxification Silymarin, modified fasting, probiotic therapy and other alternative approaches. Rejuvenation Nutrient support for gut function and probiotics present a sound option. CDR Facilitated Magnesium sulphate orally and mixed fiber supplements in the absence of contraindications and used occasionally, e.g., epsom salts, milk of magnesia. See Colon Cleansing Table 1. Cleansing Silymarin. Detoxification Probiotic formula, enteric-coated for viability, containing at least Lactobacillus with FOS. Fiber supplements administered with glutamine, antioxidants, omega-3 fatty acids, glutathione, ginger, vitamins, trace minerals. Rejuvenation to emerge with a pattern of metabolic disturbance, similar to Syndrome X. The notion that toxic insults to the body may propagate weight gain has been suspected for several years. This circumstance has led to a new and novel concept of “toxin-induced lipogenesis.” Evidence exists that there is a positive correlation between the increased use of synthetic chemicals and weight gain over the past two or three decades. The most notable examples of chemicals causing weight gain are carbamates, organophosphates, organochlorines, antibiotics, certain pharmaceuticals, several hormones and their analogues. The mechanisms of lipogenesis that are induced by chemical pollutants include, but may not be limited to interference with fat metabolism and altered hormonal-type effects on the regulation of appetite. The increasing evidence that environmental toxicity may promote obesity supports the routine use of body cleansing or detoxification as part of weight control programs. Relevance to Anti Aging Medicine 10 ❘ ANTI-AGING MEDICAL NEWS The focus of this article on gut detoxification and general body cleansing introduces the important concept of toxicant-induced damage as a clear cause of premature death and disability. Many environmental pollutants concentrated in the body over a lifetime may combine with poor gastrointestinal function to aggravate oxidative damage to many body tissues. One may now perceive an emerging, complex web of premature disease induced by the failure of the physiology of modern humankind to deal with an increasing toxic environment. and water filtration, etc. The concepts of herbal support for detoxification appear quite valid (Tables 1, 2). While detoxification of the gut represents only one important pathway to body cleansing, a number of natural substances may provide excellent nutritional support for body detoxifying mechanisms, e.g., silymarin, probiotics, omega-3 fatty acids, etc. This approach is part of a recommendation for cleansing, detoxification and rejuvenation (CDR) of the digestive tract (Table 2). Conclusion 1. Holt S. Natural Ways to Digestive Health. New York: M. Evans and Company, Inc., 2000. Body cleansing is a very important component of anti-aging medicine and its application may have been underutilized. In general, cleansing of the bowel and body are functions of good lifestyle habits. There are several preventive efforts that can result in better health and well-being, e.g., reduction of substance abuse, alternatives to drugs (especially NSAID), avoidance of ingested or inhaled synthetic chemicals REFERENCES 2. U.S. Tariff Commission. Synthetic Organic Chemicals, Flegal KM. Overweight and Obesity in the United States. 3. Baillie-Hamilton P. The Body Restoration Plan. New York: Penguin Platinum, Inc., 2002. 4. Holt S, Saleeby G. Gastric mucosal injury induced by anti-inflammatory drugs (NSAIDs). South Med J, 1991;84(3):355-360. 5. Holt S, Irshad M, Howlen CW, Maneiro M. Nonsteroidal anti inflammatory drugs and lower gastrointestinal bleeding. Dig Dis Sci, 1993;38:1619-23. SPRING 2008 PRODUCT Announcements ◗ Fermented Wheat Germ Extract (FWGE): Truly Unique Dietary Supplement - Avé™ Avé™, from American BioSciences, winner of the NutrAward for “Best New Product”, is the first dietary supplement available in the U.S. to contain the novel nutrient, “Fermented Wheat Germ Extract, “ (Avemar®.) Its development was initiated by Albert Szent-Gyorgyi, Nobel Prize laureate for the discovery of vitamin C. Avemar has been the subject of over 20 peer-reviewed research publications. Once daily use is shown to support healthy cell metabolic regulation in vulnerable cells and promote immune system modulation, resulting in healthy cellular and humoral (Th1/Th2) immune system balance. For literature and research, contact: American BioSciences, Inc, Blauvelt, NY, (888)884-7770, www.americanbiosciences.com. ◗ NanoProPRP Whey Protein with Colostrum Peptides NanoProPRP, Whey Protein with Colostrum Peptides, provides a scientifically formulated blend of the undenatured whey and bovine colostrum, synergistically fortified with carefully selected nutrients to help support tissue repair and regeneration, optimize endogenous antioxidant status, promote detoxification and modulate immune function. As BioPharma motto is “blending high science with high compliance” you can be sure NanoProPRP also tastes great. Each 18 gm scoop provides 12 gm of protein, 2 gm of colostrum (fortified with proline-rich polypeptides AKA PRP, info-peptides, transfer factor), 2 gm inulin, 50 mg reduced glutathione in our patented NanoSorbTM liposome, 40 mcg of organic selenium plus lactase. BioPharma Scientific www.nanogreens.com/free Free week supply call 1-877-772-4362 ◗ Amici Scalp & Hair Loss Diagnosis System The Amici Scalp & Hair Loss Diagnosis System, which includes software and diagnostic microscope, provides a scientific method to guide doctors to reach an accurate diagnosis through built-in diagnosis templates. The system enables doctors to analyze different hair loss cases, their causes, the extent and progression of hair loss through the scalp exam, hair thickness exam, hair density exam and phototrichogram analysis. Phototrichogram is especially a powerful scientific method to analyze hair loss since it measures the ratio of live hairs to dead hairs, and therefore predicts hair loss objectively. Most scalp & hair loss diagnosis systems in the market are just a modification from skin care analysis systems and do not provide sufficient information for scalp & hair loss diagnosis, except magnifying and showing scalp conditions. However, our system is specialized for hair loss only and guide doctors step-bystep to reach an objective diagnosis and personalized treatment suggestions. Amici 0.3 Corporation Telephone: 847-259-3600 Fax: 847-253-7610 Email: [email protected] Website: www.amici03.com ◗ ApothéCure, Inc. introduces Phosphatidylcholine/ Deoxycholic Acid (DCA) for Lipodissolution and Cardiovascular Disease ApothéCure, a world-renowned compounding pharmacy, offers a wide variety of compounds formulated for Mesotherapy, Lipodissolution and all aesthetic applications. The most popular selling product, Phosphatidylcholine / Deoxycholic Acid 5/4.2% 50ml, is specifically designed for Lipodissolution. Also offered are varying strengths of PC/DCA in IV form that are used by physicians to treat cardiovascular disease. These products are only offered to physicians and not available to the public. Contact: ApothéCure, Inc., 800-969-6601 or 972-960-6601. E-mail: [email protected] SPRING 2008 ANTI-AGING MEDICAL NEWS ❘ 11 PRODUCT Announcements ◗ CRT 2000® THERMOGRAPHIC SYSTEM ◗ Non-Surgical LipoSculpture for Facial Anti-Aging Retain youth and longevity by promoting early detection. Examine patients knowing you can help provide them with treatments specific to their individual health needs. Non-invasive. No radiation. Painless procedure. Safe for patients and health care professionals. The CRT 2000® Thermographic System uses a highly sensitive heat sensor to examine 119 significant points on the body to help identify disease processes. In 30 minutes, receive a comprehensive profile and report on your patient’s health to help you develop more effective treatments and protocols. Since 60% of Americans are overweight, many agerelated changes of the face are due to fat drifts or bulges rather than from volume loss, resulting in: sunken eyes, naso-labial folds, diminished cheek bone prominence, jowls, double chin, etc. Dr. Mahmud has pioneered a method to sculpt out these drifts and bulges, using appropriate injections of natural substances, thus smoothening and restoring younger faces. The patient satisfaction rate is 90%, and has made an immense difference in the lives of many of his patients. This work is featured in the April 2008 meetings of A4M. For more information: Eidam Diagnostics Corporation Toll-Free: 1-866-798-4CRT (4278) • www.eidam.com Innovative Directions in Health 4005 West 65th Street, Suite 212, Edina, MN 55435 952-922-2345 www.idinhealth.com ◗ Canfield introduces the Reveal Imager; revolutionary new facial imaging solution The Reveal Imager from Canfield Imaging Systems is designed to take high quality standardized and reproducible facial photographs in almost any environment. This new system captures images of surface and subsurface skin features and will photograph front, left, and right views. With an easy-to-use interface anyone in a skin care office can take professional, repeatable facial photographs. The Reveal Imager uses Canfield’s proprietary RBX™ Technology to detect subsurface vascular (red) and melanin (brown) conditions and develop highly targeted treatment recommendations. Designed for the skin care counter, it is ideal for spas, medical spas and traditional medical practices. Availability is scheduled for spring of 2008. For additional information: Canfield Imaging Systems 800-815-4330 www.CanfieldSci.com. ◗ POLY-MVA The most powerful and revolutionary supplement available, POLY-MVA is designed to increase energy, protect from free radical damage (which influences and accelerates aging), reduce fatigue, enhance optimum health, and provide superior nutritional support. This patented formulation has a synergy, action and function not found in any other supplement. With over 12 years of research and testing, POLY-MVA is first in a remarkable new category of supplements called palladium lipoic complexes. Binding palladium-a rare trace mineral with alpha lipoic acid-a powerful antioxidant dramatically increases nutrient absorption at the cellular level and throughout the body. Contact AMARC Enterprises at 866-765-9682 or www.POLYMVA.com. 12 ❘ ANTI-AGING MEDICAL NEWS SPRING 2008 PRODUCT Announcements ◗ Isagenix International Isagenix International, promotes a full line of anti-aging, weightloss and total health systems. The foundation of this system is a revolutionary nutritional cleansing technology promoting internal health, leading to anti-aging, fast and safe weightloss. Isagenix also offers the Mars Venus Wellness Solution, designed by Dr. John Gray for the unique health needs of men and women. Systems include the 9-day Cleanse, 30-day Cleanse, the Total Health and Wellness System and Isadermix System. Features Isadelight, nutritional chocolates for improved brain chemistry/appetite suppression, and Ionix Supreme, an adaptogenic tonic based on world longevity and health practices. Contact: www.gocleanse.com/bodywise, Dr. Nina Elshiekh (919-219-3517), [email protected]. ◗ New Health Corp ◗ Jan Marini Skin Research New Health Corp. is proud to announce Heart Savior, the first Natural Cholesterol lowering, heart health product of its kind. Heart Savior has been clinically proven to lower LDL cholesterol by up to 34%, VLDL and triglycerides by up to 76% while lowering blood pressure without any side effects during the trial. Heart Savior has taken the most effective cholesterol lowering formula and added the vital ingredient Co-Q10. Co-Q10 is known to reverse the aging process of the heart. It decreases with age and low levels appear in patients with heart disease and diabetes and those taking certain prescription drugs. Age Intervention Transitions is an extraordinary new technology that addresses common female transitional issues such as stubborn adult acne as well as fine lines and wrinkles, coarse skin texture and discoloration. Age Intervention Transitions resolves or minimizes acne breakouts while dramatically improving the appearance of follicle size, fine lines, rough facial texture and that nasty leftover acne discoloration. Age Intervention Transitions combines acne clearing and prevention with remarkable skin resurfacing and brightening technology. No more stubborn acne — just clear, radiantly polished and younger looking skin. Contact information: Gary Stanton, President New Health Corp. www. heartsavior.com. Tel: 1-877-263-3555 For more information, please call (800) 347-2223 or visit www.janmarini.com. ◗ Living Younger Preventive-Aging Medicine & Business System Jumpstart your own profitable preventive-aging practice quickly and affordably. Widely used because of its all-inclusive clinical and business tools just for preventive-aging practices. Everything is organized in the 1900-page manual. Hundreds of customizable ready-to-use templates and forms on CDROM. 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Our Metabolic Energy brochure describes how this theory of ATP dysfunction applies to many body systems including cardiovascular health (Sinatra, MD), normal DNA and brain function (Ames, PhD), lower incidence of pain and migraine headache (Teitelbaum, MD), skin health and body weight (Perricone, MD). Contact Rejuvenation Science® at 888-73-REJUV or www.rejuvenation-science.com/metabolic-energy.html or A4M booth 1022 Orlando, FL. ◗ BREAKTHROUGHS IN COLLAGEN PURIGENEX BIO-ACTIVE INTENSIVE collagen formulas offer: A truly trans-dermal, non-immunogenic form of collagen (atelocollagen) with no side effects.an active compound derived from bio-compatible animal sources that the human body can recognize and assimilate. a proprietary ionized formulation to enable optimal penetration into the skin’s own collagen network. Regular, directed use of ICS and ICM will boost the skin’s own collagen integrity and increase dermal cell regeneration, to make skin appear plumper, smoother, more supple, and more youthful. Researchers’ studies have shown measurable improvement with these products following only four weeks of combined therapy. PURIGENEX collagen must be kept refrigerated, distinguishing it from many other cosmetic preparations containing collagen as a gelatin (an inactive, incomplete compound that will have no effect on cell proliferation or function). Contact: 877-787-4469 / [email protected] / www.purigenex.com 1821 Wilshire Blvd Suite 300, Santa Monica, CA 90403 14 ❘ ANTI-AGING MEDICAL NEWS SPRING 2008 PRODUCT Announcements ◗ Introducing jane iredale’s Just Kissed This summer jane iredale – The Skincare Makeup® brings you a runway inspired collection. New Just Kissed,$24 a rich formulated lip plumper and lipstick in one. It comes in three shades, Milan, Sydney and NYC. 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Benefits: • Physical, not chemical, sun protection that works instantly • Packaged in an innovative dispenser for quick and even coverage • Applicator has a mirror for fault-proof application Non-Irritating Formula • Includes active ingredients like titanium dioxide and a unique clay that contains minerals to nourish and calm the skin • Completely free of contaminants and atmospheric pollutants • All natural ingredients Available in two shades: Translucent and Tanned Visit www. janeiredaledirect.com for retail locations. AGE DIAGNOSTIC LABORATORIES The Reliable Testing Partner for Your Anti Aging Practice When it comes to testing, you need a Laboratory that you can trust, one that provides you with the highest degree of precision and accuracy, and that only a state of the art technology can offer. Our International Laboratory Consortium backed up by 20 years of industry experience is here to serve you with a specialty testing for hormones and related biomarkers of aging. Age Diagnostic Laboratories offers you: • Complete Urine and Saliva Tests- done by bio-available technologies. • Variety of treatment options – From Pharmaceuticals to Neutracuticles, Herbs and Supplements Suggestions • Continued consultations and educational support provided by our Medical Director Dr. Mitchell Ghen Contact: 877-983-7863 / [email protected] Visit us at www.adltests.com SPRING 2008 ANTI-AGING MEDICAL NEWS ❘ 15 Bio-identical Hormone Restoration in Women By Sangeeta Pati, MD, FACOG Restoration of low thyroid, insulin and cortisol is the medical standard. So, it seems logical to also replace low estrogen, progesterone and testosterone. However, the evidence leaves clinicians at a loss for clear direction because of conflicting results from studies using varying types of hormones, routes and ages. This paper analyzes the existing data and puts forth an argument as to why physiologic hormone ratios are protective and why these ratios are best achieved with the use of bio-identical hormones, transdermal estrogen, starting in early menopause before disease sets in. Why restore Hormone Balance Hormone receptors for estrogen, progesterone and testosterone are present on the cells of the heart, blood vessels, bone, nerves, muscles, skin and most cells in the body. When these hormones become imbalanced, women acquire an increased risk of heart attacks, strokes, cognitive decline, osteoporosis and breast cancer. A comprehensive analysis of data shows that restoration of normal physiologic ratios of hormones is beneficial in alleviating symptoms and more importantly degenerative disease. But what type is protective? What route is protective and to which women? Normal Protective Hormone Ratios There are three predominant estrogens in nonpregnant, premenopausal women: estrone (E1), estradiol (E2) and estriol (E3) at a ratio of E1 10 percent to 20 percent, E2 10 percent to 20 percent and E3 60 percent to 80 percent (see Table 1)1. This ratio is protective, since the thrombogenic and carcinogenic effects of E1 are limited by its relative low ratio. E1 can be metabolized to methylated products that are excreted safely by the liver.2 However, if the liver systems are overwhelmed or methyl groups are deficient, E1 is converted to quinones (i.e. 4-OH or 16-OH), which are mutagenic and carcinogenic.3,4 16 ❘ ANTI-AGING MEDICAL NEWS E2 is the strongest estrogen for brain and bone protection. Hormone ratios in the perimenopause and menopause Hormone decline starts around age 30 when progesterone levels start to wane. This can produce a myriad of symptoms which are often not recognized as progesterone deficiency, including anxiety, insomnia, panic attacks, heavier bleeding, cysts (ovarian and breast), PMS, weight gain, fibroids and bone loss. This period is characterized by an overabundance of estrogen.5 As menopause approaches, the ovarian production of estrogens declines; however, due to the continued production of E1 by the adrenals and fat tissue, it becomes the predominant estrogen, rising to 60 percent to 80 percent of estrogen while E2 and E3 are each reduced to 10 percent to 20 percent. It is this overabundance of E1 and the lack of E3 and progesterone that predisposes menopausal women to breast cancer, stroke and heart attack. Bio-Identical Hormones Can Mimic Protective Ratios To re-establish the normal protective ratio, a 20:80 ratio of bio-identical E2 to E3 can be used, avoiding E1 altogether. Horse-derived, soy and yam hormones do not fit into the human receptor exactly. Bio-identical hormones are exactly identical to the hormones of the human body, molecule by molecule. Since, they fit the hormone receptor like a key fits into its lock; the body cannot distinguish between a bio-identical hormone and the hormones it makes itself. They are often created from soy or yam hormones by removing any molecules that do not exist on the human hormone counterpart. They can also be made synthetically in the laboratory, for example Climara patch (from soy) or Vivelle Dot (from Mexican yams), which are both bio- identical 17-beta estradiol.6 Also, prometrum is a bio-identical progesterone in peanut oil. All of these patented products are FDA approved and therefore any attempt to claim there is no data for bio-identical hormones should be carefully scrutinized. Transdermal estrogen mimics normal ratios better than oral, since oral estrogen first passes through the liver, where 50 percent is converted into estrone sulfate (E1) before circulating to tissues. Transdermal estrogen enters the circulation at the ratio applied to the skin. A body of literature suggests transdermal estrogen decreases thrombosis, blood pressure, triglycerides and vascular resistance, as opposed to oral estrogen, which increases thrombosis, blood pressure, CRP, triglycerides, gallstones and liver-binding proteins.7-14 What’s wrong with the Women’s Health Initiative (WHI)15? The WHI included 16,600 women (average age: 63) in 40 centers from 1997-2002. They used conjugated equine estrogen (CEE) with 50 percent E1, 0.5 percent E2, no E3 and 40 percent horse equilins (see Table 1). They also used a non-bio-identical progestin, medroxy-progesterone acetate (MPA), which is both thrombogenic and carcinogenic. This may partially explain eight more breast cancers, eight more strokes, seven more heart attacks and 18 more peripheral clots per 10,000 women. Interestingly, the WHI released results for the estrogen-only arm in 2002, showing an almost-significant decrease in breast cancer and cardiovascular disease.16 WHI showed a decreased risk of hip fracture and colon cancer at a rate of six per 10,000 women. Additionally, reanalysis revealed that the decreased mortality from hip and colon cancer far offset the increased mortality from breast cancer. The WHI greatly influenced the way continued on next page SPRING 2008 in which American doctors prescribe hormones and the way in which American women receive them, with millions of women stopping hormone replacement therapy (HRT) after the results were heralded by the media. Although this study has been the focus of much criticism, there are actually several useful conclusions from this study: 1. Early start HRT (Age 50-59) is protective on the heart as it may protect from developing significant vascular disease. Different findings may be found if memory studies were done earlier rather than starting at an average age 71. 2. Synthetic progestins, such as MPA, have been found to increase breast cancer and clots in several studies. Bioidentical progesterone should be used instead. 3. Estrogens used transdermally provide a safer profile of estrogens, due to decreased estrone and decreased liver stimulation of clotting factors. Also Premarin is, of course, heavy in estrone sulfate from the beginning. 4. The positive findings in the estrogenonly arm were unknown to many due to lack of proper media coverage. 5. Quality of life is a major reason for taking hormones, so this should be part of any large hormone study. Progestins vs. Bio-Identical Progesterone Progestins are vastly different in molecular structure and function from bio-identical progesterone. Bio-identical progesterone was preferred by 34 percent of women previously on MPA in a Mayo Clinic study. Bio-identical progesterone results in less bleeding, bloating and mood swings,17,18 and better sleep19,20 than MPA. It also leads to less breast-cell proliferation and less cell adhesion.21-23 From a vascular standpoint, it decreases LDL24, vasodilates25 and inhibits vascular smooth muscle26 and vasospasm,27,29 compared with MPA. MPA actually stimulates vascular smooth muscle in coronary arteries,28 opposes vasodilation,30 decreases NO31 and increases CRP32 compared with bio-identical progesterone.33,34 The WHI study demonstrated the increased SPRING 2008 Table 1: Estrogen Ratios1 Estrone (E1) Estradiol (E2) Estriol (E3) Pre-menopasual Non-pregnant 10-20 percent 10-20 percent 60-80 percent Post-menopausal 60-80 percent 10-20 percent 10-20 percent Premarin (CEE) Oral 50 percent 0.5 percent 0 percent vascular consequences of progestin since the estrogen-only arm did not demonstrate the increased cardiovascular risk seen in the CEE-MPA arm.15,16 Several studies support an increased breast cancer risk with progestins, including the WHI,15,16 Breast Cancer Demonstration Project35 and Swedish Record Review36 with a 2, 8, and 2.5 fold increased risk of breast cancer, respectively, when using MPA with CEE compared to CEE alone. So, progestins are more mitogenic and thrombogenic than bio-identical progesterone. Breast Cancer The number-one fear expressed by women when discussing HRT is the fear of breast cancer. In perspective, the twoyear mortality for hip fracture is much greater than the 10-year mortality from breast cancer, and osteoporotic fractures occur eight times more frequently than breast cancer. In reviewing the data regarding breast cancer and HRT (see Table 2), a few things stand out: 1. The relative risks are not huge. A RR 0.5 to 1.4637,38 was found in a subset of women who drank three to four glasses of alcohol per week in the Nurses Health Study. 2. Progestin is a possible culprit. WHI15,16, BCDDP35 and the Swedish Record Review36 all report increased risk due to the addition of progestins to CEE,40 and the breast mitotic index increases more when progestin is added to CEE.39 3. HRT does not increase recurrence even in breast cancer patients. Nine independent studies in five countries (the United States, Australia, South Africa, and Finland) failed to demonstrate any increased incidence of recurrent breast cancer with HRT.41,42 4. Hormone imbalance (i.e., low progesterone, high E1 and low E3) around menopause plays a significant role in the development of breast cancer: Progesterone reduces both proliferation43 and the uptake of E2 by breast cells.44 Low progesterone is associated with a 5.4-fold increase of premenopausal breast cancer.45 Excess E1 results in excess production of 4-OH E1 and 16-OH E1, which are known to be carcinogenic to breast tissue and are elevated in women with breast cancer.3,4 Declining E3 increases risk, since E3 is anti-proliferative to breast cells.46-49 So, restoration of hormonal balance is highly protective against breast cancer and breast cancer recurrence. 5. Nutrients and antioxidants are protective.50 Vitamins and antioxidants such as vitamin E, vitamin C, vitamin A, green tea, selenium, glutathione and methyl donors (which detoxify excess estrogen) have been found to be protective against breast cancer. 6. Toxins play a role in the development of breast cancer. Pesticides, hormones in meats, alcohol, petroleum products, plastic byproducts and electromagnetic radiation are proving to be associated with all cancers and breast cancers at an increasing rate. Of no surprise is that many of these toxins stimulate the E1 receptor (thus the term xeno-estrogens) and most of them lodge in fat tissue, continued on page 18 ANTI-AGING MEDICAL NEWS ❘ 17 Bio-identical Hormone Restoration in Women thus the increased risk of breast cancer with increased body fat, which harbors more toxins. Clearly the strongest prevention of breast cancer lies in restoring a protective balance of hormones and nutrients and avoiding and removing toxins. Cardiovascular disease MISC First, the longer women hold on to their normal balance of hormones, the lower the incidence of cardiovascular death.51 Why? Studies show that E2 causes vasodilation,52 improves vascular wave function,53,54 decreases sympathetic outflow55 and decreases vascular proliferation.56 Studies using transdermal E2 show that it decreases blood pressure,57-59 as opposed to non-bio-identical oral E2, which may increase blood pressure. Transdermal E2 is anti-thrombotic and decreases fibrinogen.60-62 E2 decreases arterial plaque by decreasing vascular proliferation,63,64 reducing LDL and raising HDL.24 These cardiovascular benefits follow the use of bio-identical E2. Nonbio-identical estrogens, such as CEE, can have the opposite effect.65 Second, the sooner we replace hormones in the postmenopausal period, the better – most likely because of the ability of the hormones to prevent the formation of plaque. When started late (i.e., five years after menopause), hormones can increase rupture of existing plaque. Both WHI (average age: 63)15,16 and HERS (average age: 67)66-,69 showed increased cardiovascular risk in the first year. All the women in HERS had hypertension and coronary artery disease (CAD). Analysis of the younger age group in WHI (age 50-59) showed decreased risk of cardiac events (RR 0.56). The Nurses Health Study (average age 52) found no increased CAD.70,71 Four large prospective, randomized controlled ongoing trials with 7,000 women (mean age: 53) showed decreased CVD and CVA (RR 0.17).72 TABLE 2: continued from page 17 Summary of studies on HRT and breast cancer 37 N Type Duration yrs RR Collaborative group 52,705 Both 5-9 10-14 1.3 1.24 4 states 3,130 Case control >5 0.7 Iowa Women’s Health Study 1085 Cohort >5 1.13 NHANES 219 Cohort 3-9 >10 0.5 0.8 Washington State 537 Case-control 12-14.9 15-19.9 1.0 0.5 LA Cancer surveillance 2653 Case-control 10-15 1.14 BCDDP 2082 Cohort >15 1.36 WHI-2002 17835 Prospective randomized 5.9 1.37 Nurses Health Study 1935 Cohort >5 1.0-Non-EtOH 4.6- EtOH Study Adapted -Monograph-Lifetime Hormonal Management 9/2001-USC School Medicine Nurses Health Study and a NAMS review both found that early HRT is protective against AD.73,75 Late-start HRT is not protective as reported by WHI, where the average age was 71.78-80 The Cache County Study showed that when continued for more than 10 years, HRT reduced AD by 50 percent (fivefold).76 Several small trials show no protective effect when HRT is used for one year.81,82 Hypothetically, this protective effect with an early start may be due to prevention of microvascular pathology in the brain, as mentioned before. Mood Cognitive function Normal levels and ratios of hormones protect us from cognitive decline. When HRT is started early and continued, it is protective against cognitive decline and Alzheimer’s disease (AD).73-77 The 18 ❘ ANTI-AGING MEDICAL NEWS Hormone restoration has a profound beneficial effect on mood, since estrogen, progesterone and testosterone receptors are all over the brain (cortex, thalamus, hippocampus, brain stem, amygdala, pituitary). Estrogen loss causes a decrease in serotonin, leading to depression.83-87 Progesterone produces calmness and sleep by binding directly to the GABA receptor, just like Klonopin, Valium, Xanax and Ativan. Progesterone replacement in women ages 35-45 with bioidentical progesterone leads to marked reduction of anxiety, insomnia and the need for medications. Osteoporosis Estrogen, progesterone and testosterone receptors are present on osteoblasts and osteoclasts; thus the association of declining levels with osteoporosis. Estrogen has little effect on bone formation.88 Studies (using both bio-identical and non-bio-identical estrogen) show that estrogen prevents bone loss by inhibiting osteoclasts and bone resportion.90-92 E2 continued on page 20 SPRING 2008 GIVE YOUR PATIENTS A WAY TO TAKE OFF CELLULITE, AND SEE WHAT THEY GIVE YOU IN RETURN. Power Plate® machines and whole body vibration use the body’s natural response to vibration to stimulate involuntary muscle contractions 25 to 50 times per second. Proven benefits have been reported by healthcare professionals in the following areas: Create a unique profit point for your practice while your patients utilize the Power Plate® machine. Contact one of our Healthcare Specialists for more details. Contact: 877.87.PLATE ask for Healthcare. www.powerplatehealthcare.com • Cellulite reduction • Improved metabolic function • Increase in bone mineral density • Improved muscular tone and stability • Improved balance and injury prevention Visit us at the 16th Annual A4M Booth #1003 April 25-27, 2008 H E A LT H C A R E Copyright 2008 Power Plate North America Inc Bio-identical Hormone Restoration in Women is significantly stronger than E3 in this protective effect. Estrogen also protects against loss of cartilage and osteoarthritis. It is progesterone decline that accounts for bone loss occurring 10-15 years before menopause. Progesterone actually stimulates osteoblasts and bone formation.88,89 Similarly, testosterone stimulates bone formation.93,94 Clinical studies support the use of both synthetic and bio-identical progesterone, estrogen and testosterone for the prevention of osteoporosis and bone fracture, even when started late (i.e., WHI study with 35 percent fracture reduction).15 Colon Cancer Sexual and urogenital function Twelve randomized, controlled trials have shown a significant benefit to sexual function with the restoration of testosterone.97-99 Numerous studies have shown the restorative effects of estrogen on the vaginal epithelium.100-102, 106 Therefore, estrogen (particularly through the vaginal route) is used to relieve vaginal dryness, vaginal relaxation, loss of urine103-105 and recurrent urinary tract infections.101 In fact, the use of vaginal E3 relieves stress urinary incontinence in a matter of weeks. Conclusion The closer we mimic the normal physiologic ratios of hormones, the better the prevention of disease. Non-bio-identical oral estrogens (i.e., CEE) provide too much E1 (up to 50 percent), partly due to their inherent makeup and partly due to the liver pass effect via the oral route. Bio-identical estrogens, especially transdermal, mimic normal ratios better. They have favorable anti-thrombotic and vascular effects. Although, progestins add cardiovascular risk, bio-identical progesterone is anti-thrombotic and breast cancer protective. The best stratANTI-AGING MEDICAL NEWS egy for prevention of breast cancer lies in restoring a protective balance of hormones and nutrients and avoiding and removing toxins. Although, bio-identical hormones mimic normal ratios better, even studies using CEE support the use of early HRT (<5years from menopause) to reduce the risk of heart attacks and breast cancer. There are a number of patented bio-identical hormones that are FDA approved and have been used for many years. Physiologic hormone ratios are safe to women and can be achieved by the use of bio-identical hormones, transdermal estrogen, starting in early menopause before disease sets in. women’s initiative randomized controlled trial. JAMA. 2002;288:321-333 16. Anderson GL, et al, Effects of CEE in postmenopausal women with hysterectomy: the WHI randomized controlled trial. JAMA 2004;291:1701-1712 17. Fitzpatrick L, et al, Comparison of regimens containing oral micronized progesterone or medroxyprogesterone acetate on the quality of life in postmenopausal women: a cross-sectional survey. J Women’s Health Gend Based Med 2000;9:381-7 18. Cummings J, Comparison of physical and emotional side effects of progesterone or medroxyprogesterone in early postmenopausal women. Menopause. 2002 JulAug; 9(4):253-63. 19. Montplaisir J, et al, Sleep in Menopause: differential effects of two forms of hormone replacement therapy. Menopause 2001 Jan-Feb;8:10-16 20. Arafat ES, et al, Sedative and hypnotic effects of oral administration of micronized progesterone may be mediated through its metabolites. Am J Obstet Gynecol, Nov 1988;159(6):1203-1209 21. British J Cancer 1996; 73:1552-5-P inhibits breast cells The WHI study reported six fewer colon cancers per 10,000 women in the HRT group.15 NAMS meta-analysis reviewed 18 studies and concluded that HRT reduces colorectal cancer up to 34 percent compared with women who never used HRT 95 . One case-control study shows that the risk reduction from transdermal estrogen is greater than that with oral.96 20 ❘ continued from page 18 REFERENCES 1. Wright J, et al. Comparative Measurment of serum estriol, estradiol and estrone in non-pregnant, premenopausal women: a preliminary investigation, Alternative Medicine Review, Vol 4, No. 4, 1999:266-70 2. Longscope C, et al, The metabolism of estradiol : oral compared to intravenous administration. J Steroid Biochem 1985;23:1065-1070 3. Chen Y, et al, Metabolites of Synthetic Conjugated Estrogens are linked to development of breast carcinoma. Chem Res Toxicol 1998 Sept; 11 (9) 94-101,1105-11 4. Cavalieri E, et al. Molecular origin of cancer: Catechol estrogen-3,4 quinones as endogenous tumor initiators. Cell Mol Life Sci 2002;59:665-681 5. Speroff L, Glass R, Clinical Gyn Endocrine and Infertility 5th ed, pg 592-3 22. Chang Kj, et al, Influences of percutaneous administration of estradiol and progesterone on human breast epithelial cell cycle in vivo. Fertil Steril 1995;63:785-791 23. Cancer Res 2002;62:881-886-MPA increases cell adhesion 24. The Writing Group for the PEPI trial. Effects of estrogens or estrogen/progestin regimens on heart disease risk factors in postmenopausal women: The PEPI trial. JAMA 1995;273:199-208, JAMA 1995;274:1676 25. Rosano G, et al, Natural Progesterone, but not MPA, enhances the beneficial effect of estrogen on exerciseinduced myocardial ischemia in postmenopausal women. J Am Coll Cardiol 2000; 36:2154-9 26. Carmbody B, et al Progesterone inhibits human infragenicular arterial smooth muscle cell proliferation induced by high glucose and insulin concentrations. J Vasc Surg. 2002 Oct;36(4):833-8. 6. Reed-Kane D, Int J Pharm Comp 2001, 5 (5), 332-341 27. Molinari C, et al, Effect of progesterone on peripheral blood flow in prepubertal female anesthetized pigs. J Vasc Res 2001;38:569-577 7. Erenus M, et al, Comparison of effects of continuous combined transdermal with oral estrogen and oral progesterone replacement therapies on serum lipoproteins and compliance.Climacteric 2001;4:228-234 28. Seeger H, et al, Effect of MPA and norethisterone on serum-stimulated and estradiol-inhibited proliferation of human coronary artery smooth muscle cells, Menopause 2001 Jan-Feb; 8(1):5-9 8. Adami S, et al, Long term effects of transdermal and oral estrogen on serum lipids and lipoproteins in postmenopausal women. Maturitas 1993;17:191-196 29. Miyagawa K, et, al, MPA interferes with ovarian steroid protection against coronary vasospasm. Nat Med 1997 Mar 3 (3):324-7 9. Meschia M, et al, Effects of oral and transdermal hormone replacement therapy on Lipoprotein A and lipids: a randomized controlled trial. Menopause 1998;5;157-162 30. Wakatsuki A, et al. Effect of MPA on endotheliumdependent vasodilation in postmenopausal women receiving estrogen. Circulation 2001;104:1773-8 10. Langer RD, Strategies to optimize the safety of hormone therapy, OBG Management. Nov 2004 11. Vehkavaara S, et al, Effects of oral and trandermal estrogen replacement therapy on markers of coagulation, fibrinolysis, inflammation and serum lipids and lipoproteins in postmenopausal women. Thromb Haemost 2001 Apr;85(4):619-625 12. Vongpatanasin W, et al, Differential effects of oral versus transdermal estrogen replacement therapy on Creactive protein in postmenopausal women. J Am Coll Cardiol. 2003;41:1358-1363 13. Post MS, et al, Effect of oral and transdermal therapy on hemostatic variables associated with venous thrombosis: a RCT. Arterioscler Thromb Vasc Biol. 2003;23:1116-1121 14. Hemelaar M, et al, Effects of transdermal and oral postmenopausal hormone therapy on vascular function: a randomized, placebo-controlled study in healthy postmenopausal women. Menopause 2005; 12(5):526-535. 15. Writing Group for the Women’s Initiative Investigators. Risks and benefits of estrogen plus progestin in healthy postmenopausal women. Principal results from the 31. Williams JK, et al, Effects of hormone replacement therapy on reactivity of atherosclerotic coronary arteries in cynomolgus monkeys. J Am Coll Cardiol 1994;224:1757-61 32. Cushman M, et al, Effect of postmenopausal hormones on inflammation-sensitive proteins: the PEPI Study. Circulation 1999 Aug 17; 100 (7):717-722 33. Adams MR, et al, MPA antagonizes inhibitory effects of CEE on coronary artery atherosclerosis. Arterioscler Thromb Vasc Biol. 1997 jan;17(1):217-21 34. Clarkson TB, Progestogens and Cardiovascular Disease. A Critical Review, J Reprod Med 1999 Feb;44 (2 suppl):180-4 35. Breast Cancer Development Demonstration Project, JAMA Jan 2000, 283:485-491 36. Swedish record review for breast cancer. Cancer. 2003;97: 1387-1392 37. Monograph-Lifetime Hormonal Management 9/2001-USC School of Medicine 38. Lignieres BD, et al, Combined hormone replacement therapy and risk of breast cancer in a French cohort study of 3175 women. Climacteric 2002;5:332-340 continued on next page SPRING 2008 39. Hofserh LJ, et al, HRT with estrogen or with estrogen and MPA is associated with epithelial proliferation in normal postmenopausal breast, J Clin Endocrinol Metab1999;84:4559-65 40. J Natl Cancer Inst 92(4): 328-332,2000- adding progestin increased breast cancer 29% 41. J Clin Oncology Vol 17, Issue 6, 1999; 1680- 9 studies of HRT in breast ca patients 42. J CLin Oncology Vol 19, Issue 8, 2001:2357-63 43. British J Cancer 1996; 73:1552-5-P decreases breast proliferation 44. Chang Kj, et al, Influences of percutaneous administration of estradiol and progesterone on human breast epithelial cell cycle in vivo. Fertil Steril 1995;63:785-791 45. Cowan LD, Gordia L. Breast cancer incidence in women with a history of progesterone deficiency. Am J Epidemiol. 1981 Aug;114(2):209-17 MISC 46. Lemon HM, Estriol prevention of mammary carcinoma induced by 7,12-dimethylbenzanthracene and procarbazine.Cancer Res. 1975 May;35(5):1341-53. 47. Lemon HM, Reduced Estriol excretion in patients with breast cancer prior to endocrine therapy, JAMA 1966, 196:1128-1136 48. Lemon HM, Pathophysiological considerations in the treatment of menopausal patients with estrogens: The role of oetriol in the prevention of mammary cancer. Acta Endocrinol Suppl (Copenh) 1980;233:17-27 49. Lauritzen C, Clinical investigations of a long-acting oestriol (polyoestriol phosphate).Acta Endocrinol (Copenh). 1961 Sep;38:73-87 50. London, RS, Endocrine parameters and alpha-tocopherol therapy in patients with mammary dysplasia. Cancer Res 1981. 41:3811-3813 51. De Kleijn MJ, et al, Endogenous Estrogen exposure and cardiovascular mortality risk in postmenopausal women. Am J Epidemiol 2002 Feb 15;155(4):339-345 52. Komesaroff PA, et al, A novel nongenomic action of estrogen on the cardiovascular system. J Clin Endocrinol Metab 1998;83:2313-2316 53. Majoie H, et al, Effects of transdermal and oral postmenopausal hormone therapy on vascular function: a RCT in healthy postmenopausal women. Menopause 2005;12:526-535 54. Vitale C, et al, Interleukin-6 and flow mediated dilation as markers of increasing vascular inflammation in women receiving hormone therapy. Menopause 2005;12:552-558 55. Vongpatanasin W, et al, Transdermal estrogen replacement therapy decreases sympathetic activity in postmenopausal women. Circulation 2001:103:2903-2908 56. Dubey RK, et al, Clinically used estrogen differentially inhibit human aortic smooth muscle cell growth and mitogen activated protein kinase activity. Arterioscler Thromb vasc Biol 2000;20:964-972 57. Affinito P, et al, Effects of hormonal replacement therapy in postmenopausal hypertensive patients. Maturitas 2001 Oct 31;40(1):75-83 58. Modena MG, et al, Double blind randomized placebo controlled study of transdermal estrogen replacement therapy on hypertensive postmenopausal women. Am J Hypertens 1999;12:1000-1008 59. Seely EW, et al, Estradiol with or without progesterone and ambulatory blood pressure, Hypertension 1999 May;33(5):1190-4 60. Lindoff C, et al, Transdermal estrogen replacement therapy: beneficial effects on hemostatic risk factors for cardiovascular disease. Maturitas 1996 May;24(1-2):43-50-2 years 61. Chen FP, et al, Comparison of transdermal and oral estrogen-progestin replacement therapy: effects risk factors cardiovascular Menopause 2001 SepOct;8(5):347-52-1 year 62. Scarabin PY, et al, Effects of oral and transdermal estrogen/progesterone regimens on blood coagulation SPRING 2008 and fibrinolysis in postmenopausal women. A Randomized Controlled Trial. Arterioscler Thromb Vasc Biol 1997 Nov;17(11):3071-8 63. Christian RC, et al, Estrogen status correlates with the calcium content of coronary atherosclerotic plaques in women. J Clin Endocrinol metab 2002;87:1062-1067 64. Barrett-Connor, et al, Hormone therapy and coronary artery calcification in asymptomatic postmenopausal women: the Rancho Bernardo Study. Menopause 2005;12:40-48 65. Pelzer T, Estrogen Effects on the Heart, Mol Cell Biochem.1996 Jul-Aug;160-161:307-13 66. Herrington DM, et al, for the HERS study group. Statin therapy, cardiovascular events, and total mortality in the HERS. Circulation 2002; 105:2962-2967. 67. Grady D, et al, Cardiovascular disease outcomes during 6.8 years of hormone therapy. Heart and Estrogen/Progestin Replacement Study Follow-up (HERS II). JAMA 2002;288:49-57 68. Hsia J, et al, Peripheral artery disease in randomized trial of estrogen with progestin in women with coronary artery disease: HERS. Circulation 2000;102:2228-2232 69. Simon JA, et al, Postmenopausal hormone therapy and the risk of stroke: HERS. Circulation 2001;103:638-642 70. Nurses Health Study. Grodstein F, et al, A prospective, observational study of postmenopausal hormone therapy and primary prevention of cardiovascular disease. Ann Intern Med 2000;133:933-941 Maturitas 2000;36:155-164 86. Loprinzi CL, et al, Venlafaxine in management of hot flushes in survivors of breast cancer. Lancet 2000.356:2059 87. Loprinzi CL, et al, Phase III evaluation of fluoxitine for treatment of hot flushes. J Clin Onc 2002;20:1578-1583 88. Prior JC, Progesterone as a bone trophic hormone. Endocrin Rev 1990;11(2):386-398 89. Hirvonen E, et al, Transdermal oestradiol gel in the treatment of the climacterium: a comparison with oral therapy. Br J Obstet Gynecol 1997 Nov;104 Suppl 16:19-25 90. Prestwood KM, et al, The effect of low dose micronized 17ss-estradiol on bone turnover in older women: A randomized, double blind, placebo controlled study. J Clin Endocrinol Metab 2000;85:4462-49 91. Ettinger B, et al, Effects of ultralow-dose transdermal estradiol on bone mineral density: a randomized clinical trial. Obstet Gynecol. 2004 Sep;104(3):443-51. 92. Miller BE, et al, Sublingual administration of micronized estradiol and progesterone, with and without micronized testosterone: effect on biochemical markers of bone metabolism and bone mineral density. Menopause. 2000 Sep-Oct;7(5):318-26. 93. Raisz LG, et al, Comparison of the effects of estrogen alone and estrogen plus androgen on biochemical markers of bone formation and resportion in postmenopausal women. J Clin Endocrinol Metab 1996;81:37-41 71. Grodstein F, et al, Postmenopausal estrogen and progestin use and the risk of cardiovascular disease. NEJM 1996; 335:453-461 94. Watts NB, et al, Comparison of oral estrogens and estrogens and androgen on bone mineral density, menopausal symptoms and lipidm profiles in surgical menopause. Obstet Gynecol 1995;85:529-537,668 72. Lobo Rogelio (Pres Menopausal Society) Review of 4 randomized prospective trials with 7,000 women of mean age 53 on hormone HRT. 95. American Gastroenterological Association Sept 24, 1998. Analysis Indicates estrogen may reduce colorectal cancer risk in postmenopausal women 73. Colditz GA, et al, The use of estrogens and progestins and the risk of breast cancer in postmenopausal women.N Engl J Med. 1995 Jun 15;332(24):1589-93. 96. Csizmadi I, et al, The effects of transdermal and oral estrogen replacement therapy on colorectal cancer risk in postmenopausal women. Br J Cancer. 2004 Jan 12;90(1):76-81 74. Bagger YZ, et al, Early postmenopausal hormone therapy may prevent cognitive impairment later in life .Menopause 2005;12:12-17 75. Family Practice News, Feb 1,2004:69, JAMA 2004;291:3005-07 76. Caches County Study Memory Study. Zandi PP, et al, Hormone replacement therapy and the incidence of Alzheimer’s disease in older women. JAMA 2002;288:2123-29, similar finding in two other major studies 77. Tang MX, et al, Effect of oestrogen during menopause on risk and age of onset of Alzheimer’s disease. Lancet 1996 Aug 17;348(9025):429-32 78. Grady D, et al. The effect of postmenopausal hormone therapy on cognitive function: HERS. Am J Med 2002; 113:543-548 79. Espeland MA, et al, WHIMS. CEE and global cognitive function in postmenopausal women: WHIMS. JAMA 2004;291:2959-2968, 2947-2958 80. Rapp SR, et al, WHIMS. Effect of estrogen plus progestin on global cognitive function in postmenopausal women. JAMA 2003;289:2663-2672, 2651-2662 81. Mulnard RA, et al, Estrogen replacement therapy for treatment of mild to moderate Alzheimer’s disease: a randomized controlled trial. Alzheimer’s Disease Cooperative Study. JAMA 2000 Feb 23;283(8):1007-15 82. Henderson VW, et al, Estrogen for Alzheimer’s Disease in women: randomized, double-blind, placebo controlled trial. Neurology 2000 Jan 25;54(2):295-301 83. Salmi P, et al, Evidence for the functional interactions between 5HT-1A and 5HT-2A receptors in thermoregulatory mechanisms. Pharmacol Toxicol 1998;82:122-127 84. Stearns V, et al, Hot flushes. Lancet 2002;360:1851-1861 97. NAMS Position Statement on testosterone therapy in postmenopausal women. Menopause 2005; 12 (5):497-511 98. Shifren JL, et al, Transdermal Testosterone treatment in women with impaired sexual function after oopherectomy. NEJM 2000;343:682-688 99. Fitzpatrick LA, ed. Androgen therapy for Women: The Evidence, OBG Management May 2004 (Suppl) 100. Tzingounis VA. Estriol in menopause. JAMA 1978. 239: 1638-1641 101. Raz R, et al, A controlled trial of intravaginal estriol in postmenopausal women with recurrent urinary tract infections, NEJM, 1993;329(11),753-6 102. Yoshimura T, et al, Short term oral estriol treatment restores normal premenopausal vaginal flora to elderly women. Maturitas 2001, Sep 28;39(3):253-7 103. Koloszar S,et al, Tretament of climacteric urogenital disorders with an estriol-containing ointment. Orv Hetil 1995 Feb 12; 136(7):343-5 104. Sonni R, et al, Presenile and senile vulvovaginitis. Topical hormone treatment with estriol. Minerva Ginecol 1991 Apr;43(4):177-9 105. Kochlio OR, et al, Effectiveness of estriol depot vaginal suppositories in postmenopasusal women with urogenital climacteric manifestations. Gynakol Geburtshlfliche Rundsch 1992;32(2):88-91 106. Suckling J, et al, Local estrogen for vaginal atrophy in postmenopausal women. Cochrane Database Syst review.2003;(4):CD001500 107. Pati S, Bioidentical Hormone Therapy in Women, European Journal of Anti-Aging Medicine, 2006 108. Cirigliano M, Bioidentical Hormone Therapy: A Review of the Evidence, Journal of Women’s Health, Vol16, (5), 2007,600-631 85. Berendsen HH, The role of serotonin in hot flushes. ANTI-AGING MEDICAL NEWS ❘ 21 CorpA BUYERS Guide Aesthetic Medical Treatments Ageless Aesthetic Institute P.O. Box 20642 Columbus , OH 43220 USA 800-420-2689 www.agelessaestheticinstitute.com Alma Lasers 485 Half Day Road Suite 100 Buffalo Grove, IL 60089 USA Kintech USA 14111 Freeway Dr. #205 Santa Fe Springs, CA. 90670 USA 224-377-2000 www.almalasers.com Kintech USA offers professional and retail lines of Enspri skin care products addressing two key components to healthy skin, abundant collagen levels and ample hydration. Enspri’s 100% Collagen 5000 and Activator Gel create an effective collagen facial mask treatment and the Ceramide Skin Essence is specially designed to optimize dermal hydration. 562-802-1760 www.enspri.biz Arasys Perfector, LLC The vision of naturally enhancing AESTHETIC MEDICAL TREATMENTS / Alternative Therapies 7773 Waikapu Loop Honolulu, HI 96825 USA rejuvenation and healthy anti-aging drives our commitment to push the boundaries of science into new discoveries to deliver the best next generation solutions to Facial Rejuvenation and Body Sculpting. At Arasys Perfector, LLC we challenge the bounds of science and creativity to deliver on tomorrow’s capability. 808-395-0656 www.arasysperfector.com Please see ad on pages 14-15 (SH) Beautiful Image LLC PO Box 771328 Ocala, FL 34477 USA 352-804-6751 Results Rx, LLC 3715 Northside Pkwy, Bldg 200, # 200 877-367-7975 Atlanta, GA 30327 USA Rofil Medical Netherlands B.V. Heusing 16 Breda, 4817 ZB The Netherlands 47733 Fremont Blvd. Fremont, CA 94538 USA 800-532-1064 www. conbio.com 560 Bradley Pkwy Blauvelt, NY 10913 USA Innovative Directions In Health 4005 W 65th Street, suite 212 Edina, MN 55435 USA Ion Magnum, LLC 7773 Waikapu Loop Honolulu, HI 96825 USA 952-922-2345 www.idinhealth.com Ion Magnum is based on an advanced version of the Pacemaker technology, designed to resonate the electrically excitable neurons firing during regular strenuous exercise. Apart from muscle building, neuronal signal restoration and enhancement, the Ion Magnum signal offers a significant increase in blood circulation and lymphatic drainage for increased immune efficiency. 808-395-0656 www.ionmagnum.com Please see ad on pages 2-3 (SH) Iredale Mineral Cosmetics 28 Church Street Great Barrington, MA 01226 USA 800-762-1132 www.janeiredale.com +31765315670 www.rofil.com Alternative Therapies American Biosciences Inc. Hoya ConBio www.resultsrx.com www.cosmedix.com Avé - Avemar – FWGE (Fermented Wheat Germ Extract) Avé, winner of the NutrAward for “Best New Product” and subject of over 20 peer-reviewed research publications, is the first dietary supplement available in the U.S. to contain the nutrient, Avemar®. One daily use of Avé is shown to support healthy cell metabolic regulation and promote immune system modulation resulting in a healthy cellular and humoral (Th1/Th2) immune system balance. For research, contact American BioSciences, Inc, at (888)884-7770 845-727-0800 www.americanbiosciences.com Please see ad on page 101 (SH) Arasys Perfector, LLC The vision of naturally enhancing 7773 Waikapu Loop Honolulu, HI 96825 USA rejuvenation and healthy anti-aging drives our commitment to push the boundaries of science into new discoveries to deliver the best next generation solutions to Facial Rejuvenation and Body Sculpting. At Arasys Perfector, LLC we challenge the bounds of science and creativity to deliver on tomorrow’s capability. 808-395-0656 www.arasysperfector.com Please see ad on pages 14-15 (SH) BG= Buyers Guide, SH= Show Guide 22 ❘ ANTI-AGING MEDICAL NEWS SPRING 2008 CorpAd_A4M_022808:Layout 1 2/28/08 12:09 PM Page 1 Better Tests. Better Health. Better Life. Genova Diagnostics provides clinical laboratory testing for all your specialty lab needs. Our products cross a broad spectrum of areas including hormonal, nutritional, genomic, gastrointestinal, and immune tests to help progressive clinicians treat patients interested in wellness for longer, healthier lives. Our service doesn’t stop there; Genova Diagnostics’ medical education department provides physicians with the latest clinical information for optimal treatment options. In the laboratory, we maintain the highest industry standards to ensure that your patients receive accurate, timely results. Get to know the leader! See us at Booth 411 Visit us at www.GDX.net or call us at 800-522-4762 BioMed Wellness, LLC BUYERS Guide 900 E. 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Box 640588 San Francisco, CA 94164 USA Oxy Health, LLC 10719 Norwalk Blvd. Santa Fe Springs, CA 90670 USA 520-574-1050 Compounding Pharmacies LiteCure, LlC Associations / Education / Compounding Pharmacies Xocai 415-986-8991 / 888-499-9100 www.novusoptimum.com OxyHealth has changed how the medical industry looks at hyperbaric medicine and paved the way for the modern hyperbaric practice. With over 6,000 portable and steel chambers in service today, OxyHealth has refined “industry standards” and achieved global status. One chamber at a time, OxyHealth makes hyperbarics come to you. 562-906-8888 www.oxyhealth.com QuantumStim.com/The MRS 2000 7800 E. Orchard Road #120 303-503-3420 Greenwood Village, CO 80111 www.quantumstim.com USA Sunlight Saunas 7373 W. 107th Street Overland Park , KS 66212 USA 4001 McEwen Road, Suite 100 Dallas, TX 75244 USA Bellevue Pharmacy Solutions 10345 S. Brentwood Blvd., Ste.102314-727-8787 St. Louis, MO 63117 www.bpharmacysolutions.com USA College Pharmacy 3505 Austin Bluffs Pkwy Colorado Springs, CO 80918 USA Live Well Drugstore 3516 Enterprise Way # 7 Green Cove Springs,FL 32043 USA 877-292-0020 www.sunlightsaunas.com 904-531-3030 www.livewelldrugstore.com 232 Avenida Fabricante, Ste. 110 949-485-5427 San Clemente, CA 92672 www.vibrahs.com USA 12685 South 125 East Draper, UT 84020 USA 877-656-4553 www.detoxamin.com 800-888-9358 ext. 182 www.collegepharmacy.com Live Well Drugstore is a state of the art compounding pharmacy. Live Well Drugstore specializes in the compounding of natural bioidentical hormones with over 100 years of compounding pharmacy experience in our staff. We offer home delivery of prescriptions as part of our comprehensive customer service . We are a full scale retail pharmacy and can supply a complete line of traditional medications as well. At Livewell Drugstore we strive for excellence in all that we do! Vibration Health Solutions, Inc. World Health Products, LLC 800-969-6601 www.apothecure.com MedQuest Pharmacy 669 W. 900 North North Salt Lake, UT 84054 USA 888-222-2956 www.mqrx.com BG= Buyers Guide, SH= Show Guide 24 ❘ ANTI-AGING MEDICAL NEWS SPRING 2008 800-279-5708 www.womensinternational.com Please see ad on page 175 (SH) Liquid Ice CosMedicals AG Zugerbergstrasse 86 CH- 6314 Unterägeri Switzerland Regeron, Inc. B403 BIC, Hi-Tech Venture Town 198-53 Hupyung-Dong Chunchon, Kangwon-Do 200-161 South Korea +41 41 750 89 89 www.liquidice.com BUYERS Guide 2 Marsh Court Madison, WI 53718 USA For over 22 years Women’s International Pharmacy has specialized in custom compounded bioidentical hormone prescriptions for men and women. Women’s International Pharmacy is a trusted source for practitioners and their patients. Our pharmacy provides quality compounded prescriptions, excellent customer service, consulting services, and upon request, educational information on hormone therapies. Develops and produces reverseaging biotech products - especially proteins for cosmetic and pharmaceutical applications. The world-first developer of cosmetic human growth hormone and discoverer of its authentic cosmeceutical efficacies such as wrinkle repair and firming on the face; and hair growth and hair follicle rejuvenation on the head. +82-33-258-6262 www.regeron.com Computer / EMR Computer / EMR / Cosmeceuticals / Dental / Dermatology / Diagnostic Service / Lab Women’s International Pharmacy Canfield Imaging Systems 253 Passaic Avenue Fairfield, NJ 07004 USA 800-815-4330 www.canfieldsci.com Mack Software Solutions, Inc. 3608 Preston Rd, Suite 225 Plano, TX 75093 USA MD-Ware Software 1788 Drew Rd, Suite A Mississauga, ON L5S 1L7 Canada Vitivia 140 East Bay Street, suite C Charleston, SC 29401 USA 888-975-4848 www.vitivia.com 800-450-6225 www.macksoftware.com Dental / Dermatology 800-798-6199 www.mdware.com Iredale Mineral Cosmetics 28 Church Street Great Barrington, MA 01226 USA 800-762-1132 www.janeiredale.com Prime Clinical Systems, Inc. 3675 E. Huntington Drive, Suite A 626-449-1705 Pasadena, CA 91107 www.primeclinical.com USA Cosmeceuticals Kintech USA 14111 Freeway Dr. #205 Santa Fe Springs, CA. 90670 USA Aminocare Products, L.P. 9432 Old Katy Rd Suite 200 Houston, TX 77055 USA 800-856-8006 www.aminocare.com Kintech USA offers professional and retail lines of Enspri skin care products addressing two key components to healthy skin, abundant collagen levels and ample hydration. Enspri’s 100% Collagen 5000 and Activator Gel create an effective collagen facial mask treatment and the Ceramide Skin Essence is specially designed to optimize dermal hydration. 562-802-1760 www.enspri.biz CosMedical Technologies 3961 SW 47th Avenue Davie, FL 33314 800-275-3627 x 116 www.cosmedicaltechnologies.com USA Iredale Mineral Cosmetics 28 Church Street Great Barrington, MA 01226 USA 800-762-1132 www.janeiredale.com Jan Marini Skin Research 6951 Via Del Oro San Jose. CA 95119 USA 800-347-2223 www.janmarini.com PURIGENEX 1821 Wilshire Blvd Suite 300 Santa Monica, CA 90403 USA 877-787-4469 www.purigenex.com Diagnostic Service / Laboratories Access Medical Labs, Inc 2151 Alt. A1A Suite 1500 Jupiter, FL 33477 USA 561-745-1233 www.accessmedlab.com BG= Buyers Guide, SH= Show Guide SPRING 2008 ANTI-AGING MEDICAL NEWS ❘ 25 BUYERS Guide AGE DIAGNOSTIC LABORATORIES 301 NE 51st Street Boca Raton, FL 33431 USA Age Diagnostic Laboratories is dedicated to serving the needs of Healthcare Professionals practicing anti-aging medicine and pride ourselves on our ability to provide clients with a comprehensive range of patient-friendly test kits supported by the highest quality laboratory services and unparalleled client support. 877-983-7863 www.adltests.com Please see ad on page 8-9 (SH) Labrix Clinical Services, Inc. 619 Madison St #100 Oregon City, OR 97045 USA 877-656-9596 www.labrix.com Meridian Valley Laboratories 801 SW 16th St., Suite 126 Renton, WA 98057 USA 425-271-8689 www.meridianvalleylab.com Path Medical Diagnostic Service / Laboratories / Hair Rejuvenation 304 Park Ave South New York, NY 10010 USA Biophysical Corporation 3300 Duval Road Austin, TX 78759 USA Biophysical250 provides the most comprehensive and advanced assessment of personal health ever developed by innovatively analyzing blood-based biomarkers. Founded in Austin, Texas in 2004, Biophysical’s management and advisory board include internationally renowned scientists and physicians who are leaders in biomarker research. For more information visit www.biophysicalcorp.com or 1-800-532-7092. 512-623-4900 www.biophysicalcorp.com 888-304-PATH www.pathmed.com Rhein Consulting Laboratories 4475 SW Scholls Ferry Rd #101 Portland, OR 97225 USA 503-292-1988 www.rheinlabs.com Sage Medical Laboratory 1400 Hand Ave Ste L Ormond Beach, FL 32174 USA 800-491-9511 www.sagemedlab.com Spectracell Laboratories 10401 Town Park Dr. Houston, TX 77072 USA 713-621-3101 www.spectracell.com Diagnos-Techs Saliva Hormone Tests 6620 South 192nd Place, #J Kent, WA 98032 USA Genova Diagnostics 63 Zillicoa Street Asheville, NC 28801 USA 770-401-3853 www.DiagnosTechs.com Headquartered in Asheville, N.C., Genova Diagnostics is a global leader in functional laboratory testing, pioneering innovative new approaches to personalized medicine. With a commitment to the highest standards, the internationally renowned lab offers comprehensive panels that facilitate physician-patient communication and development of a personalized approach to optimal health. 800-522-4762 www.GDX.net Please see ad on page 23 (BG) KMI Diagnostics, Inc. 8201 Central Ave. NE, Ste.P Minneapolis, MN 55432 USA ZRT Laboratory 1815 NW 169th Place, Suite 5050 503-597-1926 Beaverton, OR 97006 www.salivatest.com USA Hair Rejuvenation Amici 0.3 Corporation 321 W. Prospect Ave. Mount Prospect, IL 60056 USA Regeron, Inc. B403 BIC, Hi-Tech Venture Town 198-53 Hupyung-Dong Chunchon, Kangwon-Do 200-161 South Korea 763-780-2955 www.kmidiagnostics.com KuraBiol Laboratories 4000 Ponce De Leon Blvd., Ste.470 Coral Gables, FL 33156 USA 305-670-0212 www.propharma.us 847-259-3600 www.amici03.com Develops and produces reverseaging biotech products - especially proteins for cosmetic and pharmaceutical applications. The world-first developer of cosmetic human growth hormone and discoverer of its authentic cosmeceutical efficacies such as wrinkle repair and firming on the face; and hair growth and hair follicle rejuvenation on the head. +82-33-258-6262 www.regeron.com Sunetics 4760 Pecos Road Suite 103 Las Vegas, NV 89121 USA 877- 777-8818 www.sunetics.com BG= Buyers Guide, SH= Show Guide 26 ❘ ANTI-AGING MEDICAL NEWS SPRING 2008 BUYERS Guide Holistic Medicines American Biotech Labs 80 West Canyon Crest Rd. Alpine, UT 84004 USA 136 Stutts Rd. #4 Mooresville, NC 28117 USA Holistic Medicines / Hyperbaric / Oxygen Therapies / Insurance / Finance / Practice Management / Marketing PO Box 44514 Shreveport, LA 71134-4514 USA 801-756-1000 www.americanbiotechlabs.com Acara MedSpas 500 East Main St. Suite 216 Branford, CT 06405 USA Aqua Detox USA AromaMD LLC Insurance / Finance / Practice Management / Marketing 704-662-9270 www.aquadetoxusa.com Bankers Healthcare Group, Inc. 4875 Volunteer Road, Suite 100 800-990-8401 Southwest Ranches, FL 33330 www.bhg-inc.com USA AROMA MD, LLC •Physician formulated organic, medical aromatherapy •Flexible dosing Internal/Topical •Clinically studied •Organic •Free of sugar, dye, alcohol, dairy, nuts Supporting: Aroma Psychiatric, Focus, Get Up, Study Buddy, Sweet Sleep; Aroma Pediatric: Tummy Cuddles; Aroma Rehab: Body Relief; Aroma Biotic:Aroma Aid, Ha Choo 318-869-3883 www.aromamd.net Beacon Processing Solutions 1060 Woodcock Rd. Orlando, FL 32803 USA 94 Hangar Way Watsonville, CA 95076 USA 800-662-2544 x1 www.nordicnaturals.com 1499 W Palmetto Park Rd, Suite 405 Boca Raton, FL 33486 USA 1700 E. Beltline, NE, Suite 130 Grand Rapids, MI 49525 USA 888-625-8705 www.bodylogicmd.com 800.968.5000 www.chaseindustries.com Doctors Aesthetic Network Ondamed Inc. 80 Waterview Terrace New Windsor, NY 12553 USA 845-496-6673 www.ondamed.net 2118 N. Tyler, Bldg. A Wichita, KS 67212 USA Durocher Enterprises Pleomorphic Sanum 5170 W. Phelps Road Glendale, AZ 85306 USA 602-439-7977 www.pleosanum.com Hyperbaric / Oxygen Therapies 10719 Norwalk Blvd. Santa Fe Springs, CA 90670 USA 877-665-6798 www.Beaconprocessing.com BodyLogicMD Chase Industries Nordic Naturals Oxy Health, LLC 203-488-0028 www.AcaraMedSpas.com OxyHealth has changed how the medical industry looks at hyperbaric medicine and paved the way for the modern hyperbaric practice. With over 6,000 portable and steel chambers in service today, OxyHealth has refined “industry standards” and achieved global status. One chamber at a time, OxyHealth makes hyperbarics come to you. 562-906-8888 www.oxyhealth.com QuantumStim.com/The MRS 2000 7800 E. Orchard Road #120 303-503-3420 Greenwood Village, CO 80111 www.quantumstim.com USA 6836 Beecaves Rd. Austin, TX 78746 USA 316-729-5620 877-596-0243 www.durocherenterprises.com LocateADoc.com / Mojo Interactive 1060 Woodcock Rd. Orlando, FL 32803 USA Plurotech Inc. 2700 S. River Road, Ste. 100 Des Plaines, IL 60018 USA 877-665-6798 www.LocateADoc.com 866-999-8555 www.plurotech.com QuantumStim.com/The MRS 2000 7800 E. Orchard Road #120 303-503-3420 Greenwood Village, CO 80111 www.quantumstim.com USA Smile Reminder 210 N 1200 E Ste 150 Lehi, UT 84043 USA 866-605-6867 www.smilereminder.com BG= Buyers Guide, SH= Show Guide 28 ❘ ANTI-AGING MEDICAL NEWS SPRING 2008 www.ZoomDazzle.com will give you the most advanced, proven medical marketing systems, strategies, tactics & tools for you to quickly and easily integrate and automate your online and offline marketing to generate YOU the most predictable and continuous flow of qualified prospects, patients & referrals so YOU can future-proof your practice, dominate your market and continue to do what you do good. Canfield Imaging Systems 253 Passaic Avenue Fairfield, NJ 07004 USA The Reveal Imager from Canfield Imaging Systems is designed to take high quality facial photographs in almost any environment. This new system captures images of surface and sub-surface skin features and will photograph front, left, and right views. It is ideal for spas, medical spas and traditional medical practices. BUYERS Guide www.ZoomDazzle.com 2000 Banks Rd, Suite 214b Margate, FL 33063 USA 800-815-4330 www.canfieldsci.com 1-800-399-9781 www.ZoomDazzle.com Please see ad on page 177 (SH) 2021 Commerce Dr. McKinney, TX 75069 USA Med Spa / Equipment HydroMassage Arasys Perfector, LLC The vision of naturally enhancing 7773 Waikapu Loop Honolulu, HI 96825 USA rejuvenation and healthy anti-aging drives our commitment to push the boundaries of science into new discoveries to deliver the best next generation solutions to Facial Rejuvenation and Body Sculpting. At Arasys Perfector, LLC we challenge the bounds of science and creativity to deliver on tomorrow’s capability. 808-395-0656 www.arasysperfector.com Please see ad on pages 14-15 (SH) 15395 Roosevelt Blvd Clearwater, FL 33760 USA Ion Magnum, LLC 7773 Waikapu Loop Honolulu, HI 96825 USA 888-242-0571 www.Erchonia.com Med Spa / Equipment Erchonia Medical 727-536-5566 www.hydromassage.com Ion Magnum is based on an advanced version of the Pacemaker technology, designed to resonate the electrically excitable neurons firing during regular strenuous exercise. Apart from muscle building, neuronal signal restoration and enhancement, the Ion Magnum signal offers a significant increase in blood circulation and lymphatic drainage for increased immune efficiency. 808-395-0656 www.ionmagnum.com Please see ad on pages 2-3 (SH) Astron Clinica 1979 Marcus Avenue, Suite 210 516-622-2363 Lake Success, NY 11042 www.astronclinica.com USA Ondamed Inc. 80 Waterview Terrace New Windsor, NY 12553 USA Canfield Imaging Systems 253 Passaic Avenue Fairfield, NJ 07004 USA Canfield’s VISIA® with RBX™ Technology provides extraordinary detection, visualization and analysis of subsurface melanin (brown) and vascular (red) conditions. Canfield’s proprietary RBX color-space processing separates red and brown skin components, enabling precision treatment planning and dynamic patient consultations. for laser therapies, photo rejuvenation, microdermabrasion, chemical peels, cosmeceuticals and acne treatment. 800-815-4330 www.canfieldsci.com Sunlight Saunas 7373 W. 107th Street Overland Park , KS 66212 USA 845-496-6673 www.ondamed.net 877-292-0020 www.sunlightsaunas.com Synergie By Dynatronics 7030 Park Centre Dr Salt Lake City, UT 84121 USA 801-568-7000 www.dynatronics.com BG= Buyers Guide, SH= Show Guide SPRING 2008 ANTI-AGING MEDICAL NEWS ❘ 29 BUYERS Guide Vibration Health Solutions, Inc. 232 Avenida Fabricante, Ste. 110 San Clemente, CA 92672 USA Degenerative disease and accelerated aging have been attributed to insufficient cellular stimulation. As living cells struggle with poor nutrition, low oxygen levels, environmental toxins, and stagnation of lymphatic fluids, disease conditions develop and accelerate again and shorten lifespan. The solution has arrived with The Evolution™-whole body vibration at its finest! 949-485-5427 www.vibrahs.com Medical Equipment / Supplies Medical Equipment / Supplies AA Advanced Technology Inc. 6422 W. Belmont Ave. Chicago, IL 60634 USA Body Care Resort, Inc. 1815 W. 205th, Ste. 106 Torrance, CA 90501 USA Colonic.net 10911 West Avenue San Antonio, TX 78213 USA Advanced Aesthetic Concepts 307 W. 7th Street, Suite 220 Ft. Worth , TX 76102 USA 1180 Walnut Ave Chula Vista, CA 91911 USA 800-337-0745 www.fromstarttoperfection.com Serving Integrative Medicine for 30 years with Science Based Nutritional Supplements... well tolerated by the most sensitive individuals – Dioxychlor, Inf-zyme, Oxy-5000, Brain Power, GPC, Taurine, Hepa Trope, NeuroRecovery, etc. Bradford Variable Projection Microscope with computerized storage and imaging. Training in comprehensive functional assessments by Dr. Robert Bradford in your office. 15693 83 Lane North Loxahatchee, FL 33470 USA 561-784-0599 www.dermawaveusa.com Eidam Diagnostics Corporation 100 - 13777 Commerce Parkway 604-304-6006 Richmond, BC V6V 2X3 www.eidam.com Canada Ellman International 3333 Royal Ave. Oceanside, NY 11572 USA 800-835-5355 www.ellman.com 619-429-8200 / 800-227-4473 www.AmericanBioLogics.com 30th Anniversary Ion Magnum, LLC Arasys Perfector, LLC The vision of naturally enhancing 7773 Waikapu Loop Honolulu, HI 96825 USA 561-742-4401 www.cryo-surgical.com 773-481-2568 www.MesoDerm.com Dermawave American Biologics 210-308-8888 www.colonic.net Cryosurgical Concepts 200 Knuth Road, Suite 204 Boynton Beach, FL 33436 USA 310-782-3992 www.bodycareonline.com rejuvenation and healthy anti-aging drives our commitment to push the boundaries of science into new discoveries to deliver the best next generation solutions to Facial Rejuvenation and Body Sculpting. At Arasys Perfector, LLC we challenge the bounds of science and creativity to deliver on tomorrow’s capability. 7773 Waikapu Loop Honolulu, HI 96825 USA 808-395-0656 www.ionmagnum.com Please see ad on pages 2-3 (SH) 808-395-0656 www.arasysperfector.com Please see ad on pages 14-15 (SH) BioMeridian International 12411 S 265 W Suite F Draper, UT 84020 USA 888-224-2337 www.biomeridian.com Ion Magnum is based on an advanced version of the Pacemaker technology, designed to resonate the electrically excitable neurons firing during regular strenuous exercise. Apart from muscle building, neuronal signal restoration and enhancement, the Ion Magnum signal offers a significant increase in blood circulation and lymphatic drainage for increased immune efficiency. KORR Medical Technologies 2463 S 3850 W Building 200 Salt Lake City, UT 84120 USA 800-483-2080 www.korr.com BG= Buyers Guide, SH= Show Guide 30 ❘ ANTI-AGING MEDICAL NEWS SPRING 2008 1 6 T H A N N UA L WO R L D CONGRESS ON ANTI-AGING M E D I C I N E A N D R E G E N E R AT I V E BIOMEDIC AL TECHNOLOGIES JULY 17-19, 2008 WASHINGTON D.C. SPORTS REHAB COSMETIC SURGERY AESTHETIC LASER PROCEDURES IN-OFFICE DIAGNOSTIC IMAGING BIO-IDENTICAL HORMONE THERAPY LABORATORY MEDICINE / BIOMARKERS OF AGING MEDICAL SPAS MEDICAL WEIGHT LOSS & NUTRITION 100+ Topics Including: s"IO)DENTICAL(ORMONE2EPLACEMENT s3TEM#ELLS'ENE4HERAPY s/BESITY$RUGSAND-ETABOLIC-EDICINE s !ESTHETIC-EDICINE"OTOXAND&ILLERS s$.!2EPAIR-ECHANISMS Call Toll Free to Register (USA 1.800.558.1267) American Academy of Anti-Aging Medicine 1510 West Montana Street Chicago, IL 60614, USA Dr. Ronald Klatz MD, DO President, A4M Dr. Robert Goldman MD, PhD, DO, FAASP Chairman of the Board, A4M Toll Free (USA) 1.800.558.1267 Registration Information 1.773.528.1000 W W W. W O R L D H E A LT H . N E T BUYERS Guide LD Technology 100 North Biscayne Blvd. #500. Miami, FL. Zip 33132 USA The EIS System is the only commercially available unit utilizing a Direct Current allowing in vivo for the analysis of the physiological parameters within the tissues of the organs via the interstitial fluid. The process provides repeatable data with no operator bias. Developed by MD’s, physicists, mathematicians & statisticians LD Technology is leading the field in bio-sensor technology. Living Younger Preventive-Aging Medicine & Business System 10371 N. Oracle Road, Suite 205 520-229-1900 Oro Valley, AZ 85737 www.LivingYoungerUSA Preventive-Aging.com MedEsthetics Magazine/Creative Age Publications 7628 Densmore Avenue Van Nuys, CA 91406-204 USA 305-505-5233 www.ldteck.com 800-442-5667 www.medestheticsmagazine.com Please see ad on page 39 (SH) Medical Equipment / Supplies / Mesotherapy / Hormone Therapies / MISC Med-Hot Thermal Imaging 315 Doris Drive Lakeland, FL 33813-2083 USA Take your medical aesthetic practice or medspa to a whole new level. Sign up for a free subscription to MedEsthetics, the business magazine for physicians offering aesthetic services. Each issue features cutting-edge equipment and products, strategic management tools, marketing tips, industry news and more. 863-646-1599 www.med-hot.com Mesotherapy / Hormone Therapies Ondamed Inc. 80 Waterview Terrace New Windsor, NY 12553 USA Pharmanex 9021 Greensboro Las Vegas, NV 89134 USA Power Plate 400 Skokie Blvd, Suite 105 Northbrook, IL 60062 USA Sciton 925 Commercial Street Palo Alto, CA, 94303 USA Syneron 3 Goodyear Unit A Irvine, CA 92618 USA Viora Inc 30 Montgomery St, Suite 660 Jersey City, NJ 07302 USA 845-496-6673 www.ondamed.net AA Advanced Technology Inc. 702-363-5343 Live Well MD 1996 Kingsley Ave. Orange Park, FL 32073 USA 847.509.6000 option 5 www.powerplatehealthcare.com 650-493-9155 www.sciton.com 949-716-6670 www.syneron.com 927 Leverenz Naperville, IL 60565 USA 773-481-2568 www.MesoDerm.com Live Well MD uses compounded BioIdentical Hormone Therapy to treat Menopause, Andropause, Hypothyroidism, and many other hormonal imbalances. Our success is founded on being proactive, providing education, and complete follow up of our clients. We also have a physician component that allows interested physicians to learn the art of BHRT. We are parterned with Live Well Drugstore for compounded hormones and traditional medications. Increase your revenue stream and learn how to Live Well Again! 904-276-5700 www.livewellmd.com Natural Living, Inc. 4012 S Rainbow Blvd., Ste.K-201. 702-430-8771 Las Vegas, NV 89103 www.estra325.com USA Regeron, Inc. 201-332 4100 www.vioramed.com Medical Publications / Directories Elsevier 6422 W. Belmont Ave. Chicago, IL 60634 USA 630-420-0756 www.elsevier.com B403 BIC, Hi-Tech Venture Town +82-33-258-6262 198-53 Hupyung-Dong www.regeron.com Chunchon, Kangwon-Do 200-161 South Korea Miscellaneous The BioMat Company 3708 NE 109th Ave., Apt.BB10 Vancouver, WA 98682 USA 360-256-7577 www.thebiomatcompany.com BG= Buyers Guide, SH= Show Guide 32 ❘ ANTI-AGING MEDICAL NEWS SPRING 2008 Caregen Co., Ltd. 690-3, Caregen Bldg. Geumjeong-dong, Gunpo-si, Gyeonggi-do, 435-862 800-800-3405 www.calmoseptineointment.com 30th Anniversary 2840 West Bay Drive, Ste. 111 Belleaire Bluffs, FL 33770 USA Homefirst® Health Services LIFE Ionizers 2335 Camino Vida Robles # B Carlsbad, CA 92009 USA Perque LLC 14 Pidgeon Hill Dr., Ste.180 Sterling, VA 20165 USA 1180 Walnut Ave Chula Vista, CA 91911 USA +82-31-452-3867 www.caregen.co.kr South Korea ENVi International 2000 Golf Road Rolling Meadows, IL 60008 USA American Biologics 866-395-3311 www.homefirst.com 760-431-8047 www.LIFEIonizers.com Bioenergy, Inc. 13840 Johnson St, NE Minneapolis, MN 55304 USA BioPharma Scientific 9010 Kenemar Suite 101 San Diego, CA 92121 USA 703-450-2990 www.perque.com Progressive Solutions Pharmacy 585 West 9400 South Sandy, UT 84070 USA S-Force / Seriesse 98 S. Federal Hwy. Boca Raton, FL 33432 USA 801-255-4567 PO Box 1849 Fort Collins, CO 80522 USA 619-429-8200 / 800-227-4473 www.AmericanBioLogics.com 866-267-8253 www.bioenergy.com “Just like vitamins and minerals, the phytonutrients from high ORAC*, organic fruits and vegetables in NanoGreens10**, and the zoonutrients from undenatured whey and colostrum peptides in NanoProPRP***, are most beneficial when taken together.” Ron Rothenberg, M.D., Founder, California Health Span Institute *8,256 / serving ** product used in hypertension study*** undenatured. Available thru health professionals only! 877-772-4362 www.nanogreens.com/free Please see ad on page 69 (SH) 561-620-4798 www.laainstitute.com Biotivia LLC Vescent, Inc. Serving Integrative Medicine for 30 years with Science Based Nutritional Supplements... well tolerated by the most sensitive individuals – Dioxychlor, Inf-zyme, Oxy-5000, Brain Power, GPC, Taurine, Hepa Trope, NeuroRecovery, etc. Bradford Variable Projection Microscope with computerized storage and imaging. Training in comprehensive functional assessments by Dr. Robert Bradford in your office. BUYERS Guide 16602 Burke Lane Huntington Beach, CA 92647 USA Miscellaneous / Nutraceuticals Calmoseptine, Inc. 970-493-6909 www.vescent.com 1 River Place, Ste. 1001 New York, NY 10036 USA Biotivia pioneered the concept of Evidence Based bioceuticals designed to address specific Life Style related health issues. Offering the world’s best selling, Consumer Lab approved resveratrol longevity supplements. 646-862-0095 www.biotivia.com Nutraceuticals Amalaki Plus, Ltd (Zrii Distributor) 936 W. 8th St. Anderson, IN 46016 USA 317-222-1481 www.zpros3.myzrii.com AMARC Enterprises (Poly-MVA) 1339 Broadway San Diego, CA 92021 USA 619-447-6500 www.polymva.com Capsugel 535 North Emerald Road Greenwood, SC 29646 USA 888-783-6361 www.capsugel.com BG= Buyers Guide, SH= Show Guide SPRING 2008 ANTI-AGING MEDICAL NEWS ❘ 33 BUYERS Guide Core Naturals Salba 5703 Red Bug Lake Rd., #190 Winter Springs, FL 32708 USA Salba RX- “Nature’s Perfect Whole Food is the richest source of Omega 3’s and Fiber, and gram for gram packs six(6) times more calcium than milk, fifteen(15) times more magnesium than broccoli, and three(3) times more antioxidant strength than blueberries. Salba is all-natural, has no trans-fat, and is neutral in taste. Plus it absorbs from 8 to 12 times its weight! Fortified with Organic Maca Root, Salba is Certified Gluten Free, Non-GMO, Vegan by the AVA and OU Kosher. 407-671-5525 www.salba.com Nutraceuticals Daiwa Health Development, Inc 1411 W. 190th St. Ste. 375 Gardena, CA 90248 USA Daiwa Health Development focuses on helping people to live healthy lives through the application of bioscience while respecting the laws of nature. A core neutraceutical from Daiwa is BRM4, a unique immune modulator, derived from rice bran. BRM4 is an evidence based broad spectrum immune complex with numerous independent research studies. 866-475-4810 www.dhdmed.com MaxGXL / The Glutathione Accelerator 1326 Armacost Ave. #5B Los Angeles, CA 90025 USA 909-595-1495 www.maxgxl.com/christian Metagenics, Inc. 100 Avenida La Pata San Clemente, CA 92673 USA 800-692-9400 www.metagenics.com Methode Physiodermie / Europelab Inc. 4930 Bois Franc St-Laurent, Quebec H4S 1A7 Canada Natural Clinician, LLC 47 Center Ave Little Falls, NJ 07424 USA New Health Corp. 1413 S. Patrick Drive, Ste 3 Indian Harbour Bch, FL 32937 USA 1.800.263.8888 www.derme.ca 973-256-4660 www.naturalclinician.com 877-263-3555 www.newhealthcorp.com Ortho Molecular Prducts 3017 Business Park Drive Stevens Point, WI 54481 USA 815-206-6530 www.OrthoMolecularProducts.com DaVinci Laboratories of Vermont 20 New England Dr. Essex Junction, VT 05453 USA Designs For Health 2 North Rd East Windsor, CT 06088 USA Douglas Laboratories 700 Trumbull Drive Pittsburgh, PA 15205 USA Great HealthWorks, Inc. 1890 N. University Drive # 205 Coral Springs, FL 33071 USA Isagenix 2426 Orangewood Drive Durham, NC 27705 USA Life Extension 1100 West Commercial Blvd Fort Lauderdale, FL 33309 USA 802-878-5508 www.davincilabs.com Preferred Medical Supplements 9140 Corsea del Fontana Way 239-597-2010 Naples, FL 34109 www.preferredmedicalUSA supplements.com 800-847-8302 www.designsforhealth.com Rejuvenation Science 811 N. Catalina Ave., #3208 Redondo Beach, CA 90277 USA 412-278-6748 www.douglaslabs.com 954-707-5080 www.greathealthworks.com T.A. Sciences, Inc. 24 E. 64th St., 5th Floor New York, NY 10065 USA UAS Laboratories, Inc. 9953 Valley View Rd. Eden Prairie, MN 55344 USA 919-672-4862 www.gocleanse.com/bodywise 1-800-544-4440 www.lef.org 888-737-3588 www.rejuvenation-science.com 212-588-8805 www.tasciences.com “DDS Probiotics” Available Since 1979 - Containing L.acidophilus DDS-1 Super Strain - Acid and bile resistant - Non-dairy, gluten-free - High potency, freeze-dried, nitrogen packed - Backed by 40+ years research, U.S. patents and Trademarks - UAS Labs Provides: - Probioplus and other probiotic products under UAS Labs label - Private Labeling, Custom M anufacturing available 952-935-1707 www.uaslabs.com BG= Buyers Guide, SH= Show Guide 34 ❘ ANTI-AGING MEDICAL NEWS SPRING 2008 Visit Us at Booth 403 tOver 400 unique formulas, powders and liquids tExclusively use vegetarian capsules t t Practices (GMP) company tComplementary Prescriptions is sold exclusively through healthcare practitioners New GI Cell Support Helps maintain the integrity of the intestinal membrane “The Brand Doctors... Trust” BUYERS Guide Ultimate Medical Research 866-319-0566 www.ultimatemedresearch.com www.nickdelgado.com USANA Health Sciences Independent Associate USANA Nutritional Supplements are offered directly to physicians with no need to stock products. USANA is rated the Top Tier (5 STAR GOLD STANDARD) compared to the top 1,500 Nutritional Companies in North America. Follows FDA pharmaceutical good manufacturing practices (GMPs). Meets USP standards for potency, uniformity, disintegration, and dissolution. 121 St. Croix Avenue Cocoa Beach, FL 32931 USA 321-783-7774 www.physiciansnetwork.usana.com Sports / Fitness / Physical Therapies Nutraceuticals / Pharmaceutical / 2007 S. Coast Hwy. Laguna Beach, CA 92651 USA Vitamin Research Products 4610 Arrowhead Drive Carson City, NV 89706 USA KRS Global Biotechnology Inc. 791 Park of Commerce Blvd. Suite 600 Boca Raton, FL 33487 USA 877-506-0777 www.gbtbio.com Please see ad on page 171 (SH) Medaus Pharmacy 2637 Valleydale Road Birmingham, AL 35244 USA Vitarich Laboratories, Inc. Xango 26323 North 2nd Street Phoenix, AZ 85027 USA Xymogen 725 South Kirkman Road Orlando, FL 32811 USA 239 430-2266 www.vitarichlabs.com 623-879-7231 impact2health.net 2404 West 12th Street, Suite 4 Tempe, AZ 85281 USA University Compounding Pharmacy 1875 3rd Ave. San Diego, CA 92101 USA 800-647-6100 www.xymogen.com Auxilium Pharmaceuticals, Inc. 484-321-5900 www.auxilium.com 3 Terri Lane #12 Burlington, NJ 08016 USA 609-386-3030 www.fujihealthscience.com Hallandale Pharmacy (Pharmcore) 645 W. Hallandale Beach Blvd. Hallandale, FL 33009 USA 954-455-3822 UCP is a compounding pharmacy that is board accredited by PCAB. This certification assures that you are getting the highest quality compounds. UCP compounds a wide variety of compounded medications used in the age management market. We deliver anywhere in the USA. See our website at www.ucprx.com. Sports / Fitness / Physical Therapies ACASP Fuji Health Science 877-797-7997 www.nature-throid.com 619-683-2005 www.ucprx.com Please see ad on pages 30, 73 (SH), and page 2 (BG) Pharmaceutical 40 Valley Stream Parkway Malvern, PA 19355 USA 800-526-9183 www.medaus.com 800-877-2447 www.vrp.com RLC Labs, INC 4365 Arnold Ave Naples, FL 34104 USA KRS Global Biotechnology Inc. introduces Xentropin with GHRP-2. After years of research and development KRS has found an easy and effective way to administer GHRP-2 in a digestible strip technology. This breakthrough is now alllowing for physicians to quickly and effectively expand the scope of their practice to a larger market. 1510 W. Montana St. Chicago , IL 60614 USA 773-528-1000 ACIGI Relaxation/Fujiiryoki 4399 Ingot Street Fremont, CA 94538 USA 510-651-9088 www.fujichair.com BG= Buyers Guide, SH= Show Guide 36 ❘ ANTI-AGING MEDICAL NEWS SPRING 2008 Weight Management Ion Magnum is based on an advanced version of the Pacemaker technology, designed to resonate the electrically excitable neurons firing during regular strenuous exercise. Apart from muscle building, neuronal signal restoration and enhancement, the Ion Magnum signal offers a significant increase in blood circulation and lymphatic drainage for increased immune efficiency. Arasys Perfector, LLC The vision of naturally enhancing rejuvenation and healthy anti-aging drives our commitment to push the boundaries of science into new discoveries to deliver the best next generation solutions to Facial Rejuvenation and Body Sculpting. At Arasys Perfector, LLC we challenge the bounds of science and creativity to deliver on tomorrow’s capability. 7773 Waikapu Loop Honolulu, HI 96825 USA 808-395-0656 www.ionmagnum.com Please see ad on pages 2-3 (SH) 808-395-0656 www.arasysperfector.com Please see ad on pages 14-15 (SH) Biospace Ondamed Inc. 80 Waterview Terrace New Windsor, NY 12553 USA 845-496-6673 www.ondamed.net 8820 Wilshire Blvd. Ste.310 Beverly Hills, CA 90211 USA Ideal Protein QuantumStim.com/The MRS 2000 7800 E. Orchard Road #120 303-503-3420 Greenwood Village, CO 80111 www.quantumstim.com USA 178 Jean Proulx Suite 202 Gatineau, QC J8Z-1V3 CANADA 232 Avenida Fabricante, Ste. 110 San Clemente, CA 92672 USA Degenerative disease and accelerated aging have been attributed to insufficient cellular stimulation. As living cells struggle with poor nutrition, low oxygen levels, environmental toxins, and stagnation of lymphatic fluids, disease conditions develop and accelerate again and shorten lifespan. The solution has arrived with The Evolution™-whole body vibration at its finest! 949-485-5427 www.vibrahs.com Ion Magnum is based on an advanced version of the Pacemaker technology, designed to resonate the electrically excitable neurons firing during regular strenuous exercise. Apart from muscle building, neuronal signal restoration and enhancement, the Ion Magnum signal offers a significant increase in blood circulation and lymphatic drainage for increased immune efficiency. 7773 Waikapu Loop Honolulu, HI 96825 USA 808-395-0656 www.ionmagnum.com Please see ad on pages 2-3 (SH) Isagenix 2426 Orangewood Drive Durham, NC 27705 USA Stem Cell Therapies ® AssureImmune 3998 FAU Blvd., Suite 215 Boca Raton, FL 33431 USA 310-358-0360 www.biospaceamerica.com 866-314-4447 www.labidealprotein.com Ion Magnum, LLC Vibration Health Solutions, Inc. BUYERS Guide 7773 Waikapu Loop Honolulu, HI 96825 USA Stem Cell Therapies / Weight Management Ion Magnum, LLC 561-750-6030 www.assureimmune.com Isagenix, world leader in nutritional cleansing and coaching, offers sophisticated systems for anti-aging and weightloss, promoting the release of environmental impurities from vital tissues. Patients experience visible dramatic results through toxic fat loss, return of youthful appearance, enhanced athletic and sexual performance, improved brain chemistry, better sleep, mental clarity, and increased energy. In a recent study clients released an average of 7 pounds in 9 days. 919-672-4862 www.gocleanse.com/bodywise German Society For Thymus Therapie Harvestehuder Weg 65 Hamburg, 20149 GERMANY Ondamed Inc. 80 Waterview Terrace New Windsor, NY 12553 USA +491805849687 www.thymus-therapie.org Ondamed Inc. 80 Waterview Terrace New Windsor, NY 12553 USA 845-496-6673 www.ondamed.net Take Shape for Life 135 S Sierra Ave #2 Solana Beach, CA 92075 USA 845-496-6673 www.ondamed.net 888-539-9975 www.weightlossdoctor.net BG= Buyers Guide, SH= Show Guide SPRING 2008 ANTI-AGING MEDICAL NEWS ❘ 37 Targeting Cancer’s Sweet Spot By Maureen Pelletier, MD, CCN, FACOG Introduction Dr. Otto Warburg was awarded the Nobel Prize more than 70 years ago for his discovery that cancer cells use glucose at a rate 10 to 50 times higher than healthy cells through direct glycolysis via non-oxidative pathways.1 Called “the Warburg Effect,” this characteristic hypermetabolic activity fuels the explosive growth of cancer, steals glucose from healthy tissue and produces metabolic byproducts that contribute to systemic illness. Warburg theorized that if the uptake of glucose into cancer cells could be inhibited, their energy supply could be choked off, slowing or stopping cancer growth and forcing cancer cells to die. A few years later, Hungarian biochemist Dr. Albert Szent-Gyorgyi, also a Nobel Laureate, began seeking the explanation for low rates of cancer among 38 ❘ ANTI-AGING MEDICAL NEWS populations that consume substantial amounts of whole-grain products, compared to populations that don’t. By the early 1980s, Szent-Gyorgyi had isolated natural compounds within wheat germ that he believed would have anti-cancer properties if consumed in supplemental amounts.2 Recent research has linked the findings of these two Nobel Laureates: A unique fermented wheat-germ extract (FWGE) blocks glucose uptake within cancer cells, choking off their energy supply, reducing their ability to grow and proliferate, and eventually causing cancer cell death by apoptosis, without any detrimental effect to healthy cells. Seeking Stable Targets The limitations of conventional cytotoxic anti-cancer treatments such as radiation and chemotherapy are clear. They are lethal to both cancerous and healthy cells, so they produce highly undesirable side effects up to and including raising the risk of future cancers. These shortcomings led to the development of targeted therapies (i.e., smart drugs) that inhibit molecular targets present or overabundant only in cancer cells. However, the initial exuberance over the early successes of these targeted therapies has been balanced in recent years by the discovery that the mutated genes which produce such molecular targets continue to mutate over time. This means the molecular targets assume new shapes over time and are no longer affected by drugs designed to bind to an earlier, original version of the target.3-5 Targets offered by the Warburg Effect are very different. They are not the continued on page 40 SPRING 2008 Want to Add $10,000-$50,000 of Income …or More To Your Practice Each Year? Life Extension Foundation Buyers Club, providers of premiumquality and high-potency vitamins, nutraceuticals, and hormones, can help you add a substantial, recurring revenue stream to your practice! If you regularly recommend supplements and/or hormones, such as DHEA, pregnenolone, progesterone, or melatonin to your patients, please check out the Life Extension Physician Wholesale Program: s Wholesale Program — buy top-quality supplements at wholesale discounted prices and resell them direct to your patients! This program offers huge profit margins! 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Proceeds from supplement sales also support anti-aging and disease-prevention research through the Life Extension Foundation, the world’s largest, non-profit membership, anti-aging organization. SPECIAL A4M OFFER Get free copies of Life Extension magazine for your waiting room, plus a FREE Life Extension membership for yourself! Life Extension magazine is source one for the latest scientific and medical information from around the world. This over-100-page monthly periodical is packed with articles and features on how to prevent disease and fight premature aging. All articles are fully referenced. Return this form today, and get a free membership for yourself. O YES! I want to receive a free membership to the Life Extension Foundation, and free copies of Life Extension magazine for my waiting room. Please send me ____ copies per month. (No more than 3 copies please). )TEM#ODE MEMBCOMP .AME O YES! Please also send me a free Wholesale Information Packet. #OMPANY !DDRESS 3TATE Phone %MAIL Please mail completed form to: ,IFE%XTENSIONs7#OMMERCIAL"LVDs&ORT,AUDERDALE&, /RCALLTOLLFREEsTOLLFREEFAX 423.44_0321.indd 1 :IP 3OURCECODEAVX02A 418.75 CONF 0108 #ITY 3/21/08 2:52:21 PM Targeting Cancer’s Sweet Spot result of mutated genes. Instead, they are simply enzymes upon which cancer cells are far more dependent than are normal cells. These enzyme targets are stable over time; essential to tumor cell growth, survival and proliferation; and are present in virtually all cancers. The opportunity to focus effectively on such targets has existed in theory for some time, but has become a reality only in recent years, as the tools of modern science have caught up with the wisdom and intuition of visionaries from three-quarters of a century ago. New Tools Illuminate Warburg Effect Metabolic Targets Dr. Warburg noted in his Nobel acceptance speech that fully understanding cell metabolism was extremely difficult because of the fast and short-lived nature and overwhelming number of chemical reactions that make up metabolic pathways.6 He knew what happened – that cancer cells used large amounts of glucose to thrive – but he didn’t know the biochemical details of exactly how they did so. In the mid- and late-1990s, researchers developed sophisticated new tools for studying metabolic reactions in cells in precise detail.7 One such technique, called stable isotope-based dynamic metabolic profiling (SiDMAP), uses glucose tagged with special, heavy isotopes of carbon (C-13) to trace the use of glucose in the synthesis of RNA, DNA and fatty acids. The technique identifies which key metabolic chemicals can be used as targets – targets that if blocked can thwart cancer cells’ ability to obtain energy or to make the DNA necessary to replicate. FWGE Inhibits Warburg-Effect Metabolism The SiDMAP technique of metabolic profiling was applied to understanding how Szent-Gyorgyi’s fermented wheatgerm extract (FWGE) affected metabolism in MIA pancreatic cancer cells. SiDMAP showed that pancreatic cancer cells utilized vast amounts of glucose for 40 ❘ ANTI-AGING MEDICAL NEWS continued from page 38 the carbon atoms they contain. The Warburg Effect in these cells bypasses the slower oxygen-dependent pathways of normal cells. Pancreatic cancer cells utilize the non-oxidative transketolase (TK) enzyme pathway, incorporating carbon atoms from glucose to make ribose, the sugar that forms the backbone of RNA and DNA required for cancer cell proliferation and tumor metastasis.8 The FWGE produced a radical, dose-dependent inhibition of transketolase (TK), slowing glucose uptake into pancreatic cancer cells and inhibiting the cells’ synthesis of RNA. At the same time, FWGE increased direct glucose oxidation and ribose recycling in the pentose cycle – hallmarks of normal cell metabolism. The cancer cells were forced to revert to the metabolic pathways used by normal cells, using glucose more for production of fatty acids and cellstructure components and less for ribose. These metabolic shifts promoted cell differentiation to normal cell phenotypes in some cells, and caused death by apoptosis in other cancer cells.9 FWGE has been shown to have similar results with many other types of cancer. In a study with Jurkat leukemia, cells were treated with increasing amounts of FWGE for 48 and 72 hours.10 TK activity was inhibited by more than 50 percent in two days and by more than 90 percent in three days. Glucose carbons going into new nucleic acids so new cancer cells could be made were reduced by 40.2 percent, reducing cell proliferation. The leukemia cells’ ability to obtain energy was inhibited by over 95 percent in 48 hours by FWGE inhibition of the activity of hexokinase, an enzyme key to energy production via glycolysis. Simultaneous inhibition of enzymes key to both oxidative and non-oxidative glucose utilization led to apoptosis. FWGE also inhibited the enzyme glucose-6-phosphate dehydrogenase (G6PDH), a metabolic enzyme essential for using glucose carbons to make ribose through another pathway. G6PDH levels fell by more than 90 percent in three days at a dose of 0.5 mg/ml of FWGE, and by more than 95 percent in a shorter time with a higher dose. This showed an ability of the FWGE to virtually eliminate cancer cell proliferation through inhibition of both major and minor pathways of cancer cell synthesis of ribose.11 Further evidence that the anti-cancer effect of FWGE is not dependent on the cancer type was illustrated in experiments with estrogen-sensitive (ER+) and estrogen-negative (ER-) breast cancers. Tumor lines from mice and from humans were implanted in female mice. FWGE inhibited ER+ tumors by 50 percent, better than the 42 percent inhibition rate for the tamoxifen, 26 percent for exemestane and 25 percent for anatrozole. On the ER- cancers, the anti-estrogenic drugs tamoxifen, exemestane and anatrozole have been shown to be ineffective, but FWGE was just as effective, inhibiting tumor gowth by 52 percent.12 Because FWGE inhibited growth of both estrogen-sensitive (ER+) and estrogenindependent (ER-) tumors equally, the data suggest it was the restriction of the Warburg Effect’s glucose uptake for energy and cell replication that was responsible, rather than interference with estrogen activity. Clinical Anti-Cancer Effects of FWGE Inhibition of Warburg-Effect Metabolism Proof of the principle that FWGE can inhibit cancers by targeting the Warburg Effect has been shown in many in vivo and in vitro experiments and has shown promise in clinical trials. In a multicenter clinical trial involving 170 patients with colorectal cancer, FWGE reduced the risk of death by almost 70 percent.13 The 66 patients taking supplemental quantities of FWGE had improved overall survival compared to controls (12.1 percent deaths vs. 31.7 percent); far fewer recurrences (3.0 percent vs. 17.3 percent) and far fewer metastases (7.6 percent vs. 23.1 percent). FWGE’s inhibition of glucose uptake and use of glucose carbons to synthesize ribose for continued on next page SPRING 2008 DNA for proliferation were significant factors in the slower disease progression and increased survival. As a result of these and other findings, FWGE is now part of the standard of care for colorectal cancer in Hungary, where FWGE is approved as a medical nutriment in support of patients undergoing treatment. Clinical studies of FWGE in squamous cell cancers of the head and neck (SCHNN) led a European surgeons association specializing in head and neck cancers to approve a recommendation that FWGE be a routine part of the standard of care for treatment of all such cancers.14 In the first study, 50 head and neck cancer patients were treated with surgery, chemotherapy and/or radiotherapy, with or without the addition of FWGE. Three years later, the majority of those receiving FWGE, including five of six with advanced salivary gland cancer, had no new recurrences or metastasis. Benefits of conventional treatments were enhanced by FWGE, and side effects were reduced. Patients on FWGE gained appetite, weight and strength. In the second study, involving 45 adults with stage II or stage III cancers of the mouth, addition of FWGE to surgery, chemotherapy and radiation reduced the risk of the cancer progressing to a more advanced stage by 85.3 percent, mainly by reducing risk of metastasis (spread). At five years, 74 percent of FWGE patients were alive, compared to 45.5 percent of patients getting only conventional treatment. In the third study, Italian researchers found that 60 days of FWGE after surgery and other conventional treatment for advanced head and neck cancer patients (stages III and IV) improved the patients’ quality of life (Spitzer QOL index), lowered oxidative stress and prevented weight loss in the 22 who got FWGE, compared to the 33 who didn’t. This led researchers to report FWGE as having a pivotal benefit in the treatment of patients with advanced head and neck cancers. FWGE has been shown to slow disease progression in stage III melanoma pa- SPRING 2008 tients15 and to improve quality of life and relieve fatigue in advanced lung cancer. Conclusion of cytogenetic aberrations in Philadelphia chromosome positive and negative hematopoiesis during dasatinib therapy of chronic myeloid leukemia patients after imatinib failure. Haematologica, 2007 Jun;92(6):834-7. The data from clinical studies of FWGE show improved overall survival, improved disease-free survival, and improved quality of life with no undesirable effects on healthy tissue. These benefits make it clear that targeting the mechanisms of Warburg-Effect metabolism, which is restricted to cancer cells, provides unique opportunities to benefit patients without the undesirable side effects characteristic of cytotoxic cancer therapies, and without the narrow applicability and target slippage of “smart” synthetic drugs. The incredibly innovative and insightful cancer research begun by another century’s brightest scientists has come full circle. We now know not just that Warburg and Szent-Gyorgyi were right, but also why. We can see how cancer patients have benefited from the work of these geniuses, and how and why they are likely to continue to do so. Currently, fermented wheat-germ extract is available as the medical nutriment Avemar® from Biropharma of Budapest, Hungary, and as the nutritional supplement AvéTM, from American Biosciences of Blauvelt, N.Y. (1-888-884-7770). Additional research on FWGE can be viewed at www.pubmed.gov using the search term “fermented wheat germ” and at www.avemarresearch. 4. Kwak EL, Sordella R, Bell DW, et al. Irreversible inhibitors of the EGF receptor may circumvent acquired resistance to gefitinib. Proc Natl Acad Sci U S A, 2005 May 24;102(21):7665-70. REFERENCES 15. Demidov LV, et al. Anti-metastatic effect of Avemar in high-risk melanoma patients. 18th UICC International Cancer Congress, Oslo, Norway, June 30-July 5, 2002. Int J Cancer, 2002;100(S13);408. 1. Xu RH, Pelicano H, Zhou Y, et al. Inhibition of glycolysis in cancer cells: a novel strategy to overcome drug resistance associated with mitochondrial 5. Haber DA, Bell DW, Sordella R, et al. Molecular targeted therapy of lung cancer: EGFR mutations and response to EGFR inhibitors. Cold Spring Harb Symp Quant Biol, 2005;70:419-26. 6. http://nobelprize.org/nobel_prizes/medicine/laureates/1931/press.html. 7. Lee WN, Boros LG, Puigjaner J, et al. Mass isotopomer study of the nonoxidative pathways of the pentose cycle with [1,2-13C2] glucose. Am J Physiol, 1998 May;274(5 Pt 1):E843-51. 8. Boros LG, Lapis K, Szende B, et al. Wheat-germ extract decreases glucose uptake and RNA ribose formation but increases fatty acid synthesis in MIA pancreatic adenocarcinoma cells. Pancreas, 2001 Aug;23(2):141-7. 9. Ibid. 10. Comin-Anduix B, Boros LG, Marin S, et al. Fermented wheat-germ extract inhibits glycolysis/ pentose cycle enzymes and induces apoptosis through poly(ADP-ribose) polymerase activation in Jurkat T-cell leukemia tumor cells. J Biol Chem, 2002 Nov 29;277(48):46408-14. 11. Ibid. 12. Telekes A, Tejeda M, Szcs I, et al. Avemar inhibits growth of mouse and human xenograft mammary carcinomas comparably to endocrine treatments. American Society of Clinical Oncology (ASCO) Annual Meeting, Chicago, 2007. 13. Jakab F, Shoenfeld Y, Balogh A, et al. A medical nutriment has supportive value in the treatment of colorectal cancer. Br J Cancer, 2003 Aug 4;89(3):465-9. 14. Barabas J, Nemeth Z. [Recommendation of the Hungarian Society for Face, Mandible and Oral Surgery in the indication of supportive therapy with Avemar.] Orv Hetil, 2006 Sep 3;147(35):1709-11. respiratory defect and hypoxia. Cancer Res, 2005 Jan 15;65(2):61. 2. Szent-Gyorgyi A. Int J Quantum Chem Quantum Biol Symp, 1982;9:27-30. 3. Fabarius A, Haferlach C, Muller MC, et al. Dynamics ◗ Maureen Pelletier, MD, CCN, FACOG Dr. Pelletier is a lecturer, author and the Director of Functional Medicine at the LaValle Metabolic Institute in Cincinnati, OH. She specializes in hormone replacement, men’s and women’s health, and is a Defeat Autism Now (DAN!) physician. ANTI-AGING MEDICAL NEWS ❘ 41