We all know that DIABETES increases risks of heart disease, strokes, kidney failure and blindness......but have you heard of this one?
 
 
“Type 2 diabetes mellitus and colorectal cancer: Meta-analysis on sex-specific differences ?European Journal of Cancer, 09/25/2011  Evidence Based Medicine
Kramer HU et al. – In both men and women, risk estimates from case–control studies were slightly higher than those from cohort studies. Overall, type 2 diabetes mellitus (T2DM) is associated with a moderate increase in colorectal cancer (CRC) risk in both men and women“
 
At our office, we are more than just a place to get medicine when you are sick. We like to teach and practice wellness. The word “doctor” literally means teacher. We firmly believe in preventive medicine. That is why we employ nutritionists, life coaches, fitness trainers, physical therapist and massage therapists.

www.kaizentotalwellness.com  (941)556-7788
www.drmishner.com   (941)747-2090

A 14 year old girl may need a corneal transplant after buying and wearing $20 colored contact lens.

Federal law prohibits the sale of contacts without a prescription. However beauty shops and street vendors sell them to customers very inexpensively for cosmetic purposes.

So, what does this have to do with Kaizen Total Wellness and our adult patients?

Beware what you buy without FDA approval-from supplements to vitamins, even internet prescriptions.

www.kaizentotalwellness.com / www.drmishner.com

 R. Bruce, Comedian, Singer - Songwriter

There is nothing like a little humor now and then, a nice break to refresh and renew our commitment to a healthy lifestyle....so please click on the link below for your laugh of the day! 

http://fredericksburg.com/community/entertainment/studio/2006/rbruce-carbs/index_html

Now that you've had a few laughs (we hope) it's time to get a little  more serious and remember:
At Kaizen Total Wellness,  we are offering a healthy, well-balanced , customized program for losing weight and staying in control of your diet: Venice Nutrition . This program has been well-researched by Dr. Mishner and staff to confirm that it is in keeping with the Kaizen philosophy of attaining and keeping a healthy lifestyle. Annette Schuchert, RN is our certified nutritionist for the program. Contact the office for information or appointment.

www.kaizentotalwellness.com / www.drmishner.com

At Kaizen Total Wellness, in addition to teaching health, wellness and fitness, we also like our patients to understand the supplement scam that they are exposed to. Here’s another article doubting the anti-cancer benefits of selenium. For years, it was thought that this anti-oxidant would prevent cancer, but there is no proof. Since it is considered a food supplement, it is not required to pass any clinical trials. Anytime you buy a supplement, it you look at the fine print, you will see a legal disclaimer stating that the product is considered a food supplement and it not intended to treat or prevent ANY diseases. I wonder why.

At Kaizen, we feel that we can be objective when it comes to vitamins and supplements because we do not sell any products. Save your money and eat more fruits, veggies and multi-grains!

NEW YORK (Reuters Health) - There is no convincing evidence that taking high doses of selenium -- a popular dietary supplement -- can prevent cancer, according to a new review.

Selenium is a mineral that is essential for humans, and is also present in soil and rocks.

While daily selenium recommendations from the United States and World Health Organization vary between 30 and 55 micrograms per day for adults, the authors note, companies that sell the supplements claim that higher doses have a range of health benefits, including cancer prevention.

However, "we still do not have an exact picture of what selenium is doing to human health," Dr. Marco Vinceti, one of the authors of the new review from the University of Modena and Reggio Emilia inItaly, told Reuters Health.

To try to get a better focus on that picture for cancer in particular, Vinceti and his colleagues analyzed 55 studies on the link between selenium and different types of cancer.

Most of those were so-called "observational studies" -- scientists measured how much selenium people ate every day or how much they had in their blood or toenails, then tracked who got cancer over the next few years.

The remaining 6 studies were done through more rigorous trials, in which researchers randomly divided participants into one group that took selenium supplements for a month or more, and another that took a drug-free placebo pill or nothing -- then followed them for cancer. These kinds of studies are thought to be better at accounting for outside factors that may affect cancer risk.

The observational studies suggested that talking selenium may be linked to a slightly lower risk of cancer -- more so in men than women.

But in the randomized trials, people assigned to take selenium at doses at least four times higher than the daily recommendation were not less likely to get cancer -- prostate cancer and skin cancer, in particular -- than those not taking selenium.

And some of those trials raised the question of whether high doses of selenium might be dangerous, such as by increasing the risk of diabetes.

The review is published in the Cochrane Library, a publication of the Cochrane Collaboration, an international organization that evaluates medical research.

"If you put it all together, it's not a good story for patients," Dr. Neil Fleshner, a researcher at University Health Network in Toronto who has studied the effect of selenium on prostate cancer risk, told Reuters Health.

He said it's still possible that selenium may help prevent cancer over a very long time period, or that certain kinds of selenium might work while others don't. But right now, "there's no good evidence at all that selenium is beneficial," said Fleshner, who was not involved in the review.

Healthy Substitutions was the nutrition topic discussed in Monday's Healthy Lifestyle class. The Kaizen approach is not about deprivation, it is about making choices that will help you get your optimum nutritional value out of each calorie.

Smart substitutions are ones that provide more 'good stuff' like fiber and vitamins and less 'bad stuff' like saturated fats and sugar. The smartest substitutions do this without making you feel you are missing out on anything, like flavor, texture, or sense of fullness.

Here are some of my favorite substitutions. Please share yours with me!   

• For vegetable oil called for in a baking recipe, substitute the same amount of unsweetened apple sauce.
• Instead of mayo, use guacamole (healthy, home-made) on a sandwich. 
• Instead of grits with poached eggs, have half a piece of whole grain toast and ¼ cup black beans.
• Rather than M & M’s, have a few Emerald's cocoa roasted or cinnamon almonds.
• Instead of sugar for iced tea, use stevia and fresh mint leaves.
• Rather than lettuce for sandwiches or salads, use raw spinach and/or arugula.
• Use no-sodium chicken stock to make soup and spice it with pepper or cilantro.
• For a change from broth soups, use unsweetened almond milk to make it ‘creamy’.
• Instead of granola crumbles, add sliced almonds to yogurt or cereal.
• Use cinnamon instead of brown sugar to top oatmeal.
• Dip apple slices into natural peanut butter or almond butter, not caramel.
• For 2/3 of the usual amount of lean ground beef when making meatballs or hamburgers, substitute ground turkey breast and rolled oats.
• For the bread crumbs needed to make crab cakes or salmon cakes, substitute half the amount with whole grain bread crumbs or crushed original Fiber One cereal,  and half shredded raw zucchini.
• Make a gallon of orange Crystal Lite to keep in the fridge instead of orange juice.
• Instead of the usual cocktail, make a mixed drink with club soda, diet cranberry juice and lime wedge.
• Cut an apple into small chunks, sprinkle with pumpkin pie spice and stevia then microwave 2 min. and ‘dessert’ is ready.
• Marinate chicken in buttermilk instead of high-sodium marinades - very tenderizing! 
• Instead of a butter or cream sauce for fish, make a mango salsa, Kaizen's recipe for Georgia Relish, or other interesting fat-free topping.
• Use plain yogurt and a variety of seasonings instead of sour cream and salt to make dips.
• Wrap your hors d'oeuvres like cantaloupe bites with smoked salmon instead of prosciutto.
• Peel and core an apple, then cut across into ½ rings to use as a ‘bagel’ for lox and fat-free cream cheese.
• Blend a smoothie with skim milk, vanilla whey protein powder, diet root beer and ice and you’ve got a ‘Root Beer Float’.

That's right, we're expanding to include on-site balance testing and physical therapy integrated services, unique to the West Coast of Florida. We're very happy to announce the physical therapists  from Neuromuscular Therapy Center have joined Kaizen Total Wellness.

This team will provide physical therapy, occupational therapy, massage therapy and balance therapy services to our patients/clients. We are also pleased to announce that most insurance plans and Medicare are now being accepted. Please call for further information. (Unfortunately we cannot accept insurance for dietary/nutritional services). Kaizen is also pleased to offer state of the art computerized balance evaluations to help prevent falls.

The advantage of having integrated physical therapy, balance testing and fitness training utilizing the combination of Power-Plate® equipment and bioDensity® technology is a tremendous advantage for those wishing to gain or maintain strength throughout the process of aging and recuperation from injury or surgery. 

Statistics show that 30% of all Americans over 65 will have a fall that will cause an injury required medical attention.  At Kaizen Total Wellness, our approach is to prevent the injury through medically supervised balance testing and the risk of falling and prescribe physical therapy and fitness training to address these issues. Medicare and major insurance frequently cover such medically supervised and prescribed programs upon diagnosis.

Harvey S. Mishner, M.D., Board Certified in Internal Medicine, and a member of the American Society of Bariatric Physicians, has nearly three decades of experience as a private internist. He founded Kaizen Total Wellness acting upon his belief that true health and wellness is best gained through small steps of lifestyle and behavioral change, consistent exercise, and healthy eating choices using the best of nutritional science.

OVERVIEW AND FREQUENTLY ASKED QUESTIONS
Kaizen Total Wellness is a physician-designed advanced wellness program for those who are seriously committed to living a healthy lifestyle now, and into the future. Created by Harvey S. Mishner, M.D., Board Certified in Internal Medicine, and a member of the American Society of Bariatric Physicians, The signatureKaizen Total Wellness Program™ synergistically combines medical expertise, nutritional guidance and personal physical fitness training to provide far more than a medically supervised weight-loss clinic, fitness center or general medical practice. Those in the Kaizen circle are not simply patients, but enthusiastic participants in a healthy lifestyle.

What makes Kaizen Total Wellness unique? Medically supervised weight loss and fitness centers are a dime a dozen.  Kaizen’s flagship “Total Wellness Program” combines more than one truly unique component.  First, nutrition education and guidance are offered hand in hand with life coaching to overcome the myriad personal challenges unique to each individual. Second, a Kaizen certified fitness trainer guides each participant in a customized personal training program enhanced by the combined use of Power-Plate® equipment and bioDensity® technology. Originally available only to elite athletes, these advanced fitness training technologies are not yet widely available to the public.  Kaizen is the only facility in southwest Florida utilizing these technologies to build endurance, enhance weight loss, and increase bone density.

What are the credentials of Dr. Mishner and the staff?  Harvey S. Mishner, M.D., Board Certified in Internal Medicine, and a member of the American Society of Bariatric Physicians, has nearly three decades of experience as a private internist. All staff members have medical and professional credentials pertaining to their specialties and are further supported by Dr. Mishner’s exhaustive research into the truths supporting all nutrition and fitness guidance given each participant. Jeanna Hepler, has a Master of Science in Nursing (MSN) and is an Advanced Registered Nurse Practitioner (ARNP), Board Certified in Women’s Health, Hormone Therapy and Adult Primary Care. Wellness Director Barbara Bingham is a Master Certified Coach and Dietitian. Certified Fitness Trainers Jon Mishnerand Renee Gantare also certified in Power Plate® and Power Plate® for Golf.  The most recent addition to the staff is Randall K. Silyagi, a certified Physical Therapist.   Annette Schuchertis a Registered Nurse, nutrition coach, and workshop leader in the TotalWellness Program.

Who can benefit from participating in the Kaizen Total Wellness Program?  Individuals ranging in age from 99 to 15, of all levels of fitness and health, can benefit.  Kaizen participants seek optimal health andwellness in many forms, including weight loss, physical strength and endurance, balance,and relief from pain or discomfort.
Specifically, Power Plate® and bioDensity® training have proven effective in the treatment of a wide range of medical conditions:

• Metabolic Syndrome- builds muscle which improves insulin sensitivity and increases metabolism / calorie burning, and helps to decrease visceral fat.
• Deconditioned (ie. Muscle Atrophy, Cardio Wellness)- Exercise programs are appropriate for various disease states to improve exercise tolerance and shortness of breath.
• Osteoporosis/Osteopenia and At Risk for Fall or Injury-  helps to improve core strength, balance, and agility.
• Neuropathies- improves circulation and decreases pain and paresthesias.
• Diabetes- improves insulin sensitivity by improving physical fitness and stamina – medications should be adjusted prior to exercising to prevent hypoglycemia.
• Post-Surgical Orthopedic Conditioning and Strengthening – by surgeon referral only
• Arthritis (Degenerative Disc and Joint Disease)- improves circulation to muscles, bones, and cartilage allowing oxygen and nutrients to be delivered to tissues, and facilitates removal of inflammatory waste products. Also improves joint stability, paravertebral muscle strength, and flexibility, which in turn decreases pain and improves quality of life.
• Non-Specific Chronic Lower Back Pain- improves strength, proprioception, and posture leading to decreased pain.
• Fibromyalgia- helps to stimulate mechano-receptors and desensitize pain receptors, improves production of testosterone, HGH, and Serotonin. Training decreases stiffness and improves mobility.
• Obesity- boosts metabolism and builds muscle mass. (Healthy eating and daily cardio should be implemented and continued.)
• Cellulite- increases circulation and loosens up adhesion in connective tissue producing tighter, firmer skin and healthier connective tissue.
• Parkinson’s Disease/Multiple Sclerosis- improve strength, stability, coordination, and balance. Training helps flexibility, muscular atrophy, and helps prevent falls.

Power Plate® and bioDensity® training 15 minutes once or twice a week is equivalent to 1.5 to 3 hours in the gym and should be used as a supplement to aerobic exercise.

What is the origin of "kaizen"? The Japanese term, kaizen, originated after World War II when industry in Japan needed to rebuild from the devastation that had occurred during the war.  This philosophy defines the means to achieve long-term success-through continuous, incremental changes made at the smallest level.  And so, is an individual, after years of even the most harmless daily habits, most likely to permanently adopt an optimal, healthy lifestyle by making mindful and incremental changes.

Where is Kaizen Total Wellness? We are located at 11505 Palmbrush Trail, Suite 220,  Lakewood Ranch, FL 34202, 2 miles east of I-75 near the intersection of  S.R. 70  and Lakewood Ranch Boulevard.  Call us at  941.556.7788

A lack of sex hormone-binding globulin (SHBG), which regulates testosterone and estrogen, plays a role in developing diabetes. It's interesting that drinking coffee actually increases levels of SHBG. So does drinking coffee prevent diabetes?

Maybe. But don't get on the bandwagon just yet. In the world of medicine, what was once good is now bad, and vice versa. It wasn't too long ago that we warned patients of the dangers of getting pancreatic cancer from coffee consumption. As it turns out, it wasn't the coffee, but rather the cigarette that was so often in the other hand.