Columbia Advanced Chiropractic, LLC

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Introducing the InBody 570 Body Composition Analyzer Part 2

Introducing the InBody 570 Body Composition Analyzer Part 2

Part 2 of the discussion on the InBody 570 covers two of five important studies (and there are more) that help to validate the accuracy and legitimacy of the InBody 570.  This technical and may I say, ahem, somewhat boring information is important to discuss as your healthcare providers like to see objective health data. It’s time for the entire healthcare industry to understand and embrace what improvements in body composition can do not only for the individual patient, but also for the healthcare system as a whole.  Figure it this way: the more healthy we are, the less disease we will have.  This translates to less healthcare costs and this is good for everyone!  This blog and the next one serve to help educate not only our patients and those who will want to come to our office to get assessed, but also their healthcare providers who will be viewing these results.  Body composition is SO important.

Whether you are on our body modification program (caloric restriction and intermittent fasting…and most all of you should be interested in this to optimize your health) or are an athlete looking to improve your performance and recovery in your respective sport, the 570 is unmatched on the market, it is FDA approved, and it provides data that is vital to your health.  This is about your health.  It’s time to think of your future and what you should be doing to live longer and healthier!

The first study of interest is from 2004 and the lead author is Shinichi Demura.  The study was published in the Journal of Physiological Anthropology and Applied Human Science.  The name of this study is Percentage of Total Body Fat as Estimated by Three Automatic Bioelectrical Impedance Analyzers. Continue Reading →

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Introducing The InBody 570 Body Composition Analyzer Part 1

Introducing The InBody 570 Body Composition Analyzer Part 1

We are excited to be introducing our patients to the FDA approved  InBody 570 Body Composition Analyzer.

So, what does this incredible machine do?  Well, it does a LOT.  Simply put, it provides information about what you are made up of…do you have enough muscle, too much fat, are you more likely to have serious health issues due to too much visceral fat, too much systemic inflammation, etc…?  Did I mention this unit has cleared FDA testing?

It is now considered to be one of the gold standards for body composition assessment.  This might seem like an odd piece of equipment for a sports medicine chiropractic office, but in reality, all sports chiropractors should all have one.  It is vital to have a quality body composition analyzer as so many patients need to improve their muscle:fat ratio as an imbalance in this plays a direct role in a patient’s ability to recover.   In addition, we can determine the intracellular water weight vs. the extracellular water weight in the body.  This helps us in a unique and validated fashion to determine whether a patient has systemic inflammation. This is very important to be able to assess.  On the topic of visceral fat, the major contributor to vascular health and an indicator that most have probably never had checked, yes, the 570 has you covered (it’s validity has been compared to abdominal CT scans). Continue Reading →

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Do You Want Your Brain To Function Better?

Do You Want Your Brain To Function Better?

As a sports chiropractor, my training involves learning how to best treat the body to effect changes in many ways for dysfunctional joints, muscles, ligaments, cartilage, fascia, and more. We know that chiropractic adjustments alter neurological pathways that change joint mechanics and alter muscle tone and tension, allowing for a change in biomechanics at local and more global regions.  This is great and it works well, but what about all the ‘holistic’ training we receive? Chiropractors are supposed to take care of the whole body, inside and out, but most of us do not do that when we only treat the body from the outside.  This approach is not complete and it does not allow us to fully help our patients. Continue Reading →

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Why The A1C (Glycated Hemoglobin) Test For Diabetics Does NOT Give Us The Whole Picture

Why The A1C (Glycated Hemoglobin) Test For Diabetics Does NOT Give Us The Whole Picture

Diabetics are familiar with the A1C test.  It is performed to assess roughly a 90 day period of sugar that is attached to your hemoglobin.  It is supposed to tell us if we are taking good care of ourselves.  The test is performed every 3 months because the average life of a red blood cell is 90 days.

Diabetics are told that the A1C is the ‘holy grail’ of knowing if you are in good health or not.  It’s the aim of most every diabetic to get that number lower!  I’ve been diabetic for over 35 years and it’s great to learn new things.  What have I learned?  I now know that the A1C, although a great test to determine the ‘average’ blood sugar reading over 3 months, does really nothing more than that.  It does NOT accurately tell us all we need to know about our diabetic health.

The A1C for a non-diabetic person is about 5.7%.  A ‘well-controlled’ diabetic will have an A1C at 6.5% or lower.  If someone’s A1C is 8.0% or higher, then they are generally in trouble!  Long-term high blood sugar levels lead to high levels of oxidative stress (free radical damage).  This damage is mostly what is responsible for killing diabetics.  Afterall, 65% of diabetics will die from heart disease/stroke and this damage is caused by, you guessed it, poor blood sugar control. Continue Reading →

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Teaching An Old Dog New Tricks: My Personal Experience With Caloric Restriction and Intermittent Fasting

Teaching An Old Dog New Tricks: My Personal Experience With Caloric Restriction and Intermittent Fasting

INTRODUCTION

I’ve been in the health and fitness business for close to 20 years.  I’ve worked with many supplement and nutrition companies but none could fully deliver what I needed for both my patients and me. I’ve always considered myself to be ‘in great shape’, but there is never a time that more cannot be done for a diabetic, like me.  I’ve always looked for products or systems that could lower my oxidative stress (high free radical levels) so that there would not be cumulative damage to my body by such stressors. There are options, but they are all allopathic in nature…meaning, they treat an existent problem yet do nothing to reduce/eliminate what is causing the problem.  With diabetes and most other health issues, this is too late.  I needed to find a system that could get to the cause of the oxidative stress.

My evolution led me to a program that I have now discovered is unmatched by any other in the industry for my health, and for yours.  Period. Continue Reading →

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Sarcopenia is a Killer and You Should Know About It

Sarcopenia is a Killer and You Should Know About It

Sarcopenia is a condition that we are ALL at risk of getting and it’s really quite scary.  It is defined as a process of reduction in skeletal muscle mass and muscular function that begins after the third decade of life (yeah, by age 40) and progresses as we age.  If we look at the body as having hundreds of thousands of different proteins/enzymes, and each muscle is made up of primarily protein, this problem begins to look really bad.  It’s one thing to have loss of skeletal muscle and be able to see yourself getting softer and weaker as you age, it’s another to not be able to see the decay in our heart and other organs.  Think about it…you are not just losing muscle mass and health on the outside, it’s occurring on the inside as well.   The problem is that this will not be identified usually until you have a significant health problem…and who wants that?  Sarcopenia is a condition of malnutrition yet almost nobody in the US does anything about it until it causes serious health issues.

Healthcare costs in the year 2000 were 18.5 billion dollars for the treatment of Sarcopenia and its related disease processes and that number is far greater now (this amount constituted 1.5% of the total health care cost of the nation in 2000).  Sarcopenia is well studied in the literature and all physicians should be discussing this topic with their adult patients (before they become geriatric patients). Sarcopenia has a direct link to COPD (Chronic Obstructive Pulmonary Disease), contributes to osteoporosis and related fractures, increases hip fracture riskcontributes to mental disorders, increases the risk of postoperative complications, and more.

One of the bigger concerns with Sarcopenia is that it has a link to mitochondrial damage.  This is a big deal as mitochondrial damage is linked to almost all disease processes in the human body. So, listen up…if you are near 40, at 40, or over 40, you need to pay attention if you want to be healthy and maximize your life!  This is nothing to laugh about.  As a society, we are getting softer and weaker as we age and yes, we can do something about it.

For those out there who still think we get enough protein, the easy way to prove this point wrong is by looking at our population as a whole and recognizing that Sarcopenia affects a large amount of our adult population.  Simply put, we are wasting away…yikes!  We have to concede that very little is being done to address this serious problem. The great thing is that with some basic lifestyle improvements, we can get healthier…yes, it’s that simple!

We have to keep in mind that the out of date notion that ‘don’t eat too much protein as it leads to positive nitrogen balance or kidney damage’ is simply that: out of date.  This blog falls on the heels of my last blog that discussed what caloric restricted resistance training athletes need for protein needs.  To many, this amount of protein would seem high, but the research, for some time, has been showing that we are not consuming enough high quality protein.  It’s time for healthcare professionals to update their knowledge on protein and make proper recommendations.  More protein isn’t needed just for those who are lean and active, it’s needed for everyone!

Treatment for sarcopenia involves being active/exercising and eating more protein to offset the age-related loss.  A 2015 double blind randomized study in the American Journal of Clinical Nutrition determined that a Vitamin D and leucine enriched whey (protein) ‘nutritional supplement’ improved muscle mass and lowered the risk of Sarcopenia.  Another study from 2015, this one a review study, suggests at least 25-30gm of ‘high quality’ protein at each meal to prevent Sarcopenia.  Beasley et. al authored a great study in 2013 in Nutrition in Clinical Practice that discussed how whey protein works better than other proteins at muscle protein synthesis (MPS) and his study makes recommendations to consider protein supplementation for those who are Sarcopenic and are not getting in enough protein (this basically means all of them).   

In the next few blogs, I’ll be writing about the best ways to extend your life/reduce diseases as per the literature.  In regards to Sarcopenia, we need to get in more high quality protein.  So this begs the question: what is the best protein to ingest, how do I compare protein sources,  and where do I get the best stuff?  To whet your appetite, I’ll mention that the literature shows that whey is the best protein.  As to where to get it, ask me now or wait until I write about it.

More on its way…stay tuned!

 

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We Are A Sick Society, Literally!

We Are A Sick Society, Literally!

When we look at what Americans spend on prescription drugs yearly, we see that we are really an unhealthy society.  In fact, last year we spent over $374 billion dollars. Spending on prescription drugs went up 13%..and that is a huge amount of money.

Besides trying to fathom this amazingly huge number of dollars spent on prescriptions, what more-so led me to write this blog was the sick feeling I got in my stomach after reading the statement by Michael Kleinrock, director of research development at IMS Health. Although there was a lot of great news on the treatment/cure of Hepatitis C, the overall dollars are very high.  On the news of the $374 billion, he was quoted as saying “This was an outstanding year, really a once-in-a-lifetime year.  It was the largest dollar growth in a single year we’ve ever measured. This is a huge amount of extra spending.”  Continue Reading →

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Hyperbaric…This Is What You Want To Breathe!

Hyperbaric…This Is What You Want To Breathe!

I recently wrote a letter to the Maryland Board of Chiropractic Examiners on the topic of allowing us to use mild Hyperbaric Oxygen Therapy (mHBOT)  in-office. I had been exposed to patients/doctors utilizing it with great results over the years when I worked at various sporting events and I wanted to add this amazing technology to my office to help my patients.  I am happy to say that at the June 2014 meeting, the Board determined that Hyperbaric Oxygen Therapy can be included under the scope of practice for chiropractors in the state of Maryland. I’m so excited my patients can now benefit from it and you should be excited too!

Continue Reading →

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When Health Is More Than Just The Absence Of Disease

I got the idea for this blog when one of my patients told me that he had just had his physical and the doctor said he was very healthy.  He was very happy about this.

I told him this was great and then I started thinking to myself…how does the doctor know that he is healthy?  He had no complaints?  His heart rate was good?  His blood work did not show any off the chart numbers?  He told the doctor he felt good?  How did his doctor know that he was healthy, really?

Continue Reading →

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CrossFit: Really a Dangerous Cult? A Response to Grant Stoddard’s (Yahoo Health) Negative Take on CrossFit [Part 2 of 2]

In part II of Mr. Stoddard’s assessment of Crossfit, ‘Inside the Cult of Crossfit’, we will address the final 3 points of my critique of his assessment.

These final three topics are:

3. Concern for injury
4. Pukie the clown?
5. The problem with group workouts

Before I begin with the final three topics, I do want to add just a bit more about our discussion regarding intensity.  Mr Stoddard appears to think that outside appearance determines the health of an individual.  He goes as far as saying that ‘If Glassman’s brand of functional fitness produces better aesthetic results than the traditional approach does, why did the gelatinous bodies at my gym often outperform those who appeared to be in better shape?’

I don’t know what to say about this other than to say that Mr. Stoddard appears intent on offending those who don’t have I guess what he would consider to be an ideal physique.  My response is to question why he even goes there?  Why does someone have to have a six-pack to be fit, lift heavy weights, etc..?  Does ‘looking fit’ make you more fit?  I think not…just something to think about…

Okay, onto our last 3 topics…

3.  Concern for Injury.  I could go in 100 different directions with this topic, but I don’t think anyone wants to read that much!  I would like to say that any workout program has its inherent risks.  The bottom line is that a person who is ‘training’ another needs to have optimal training in anatomy, kinesiology, biomechanics, and injury prevention.  I work with trainers certified by most all of the licensing boards in the country…these include the likes of ACE, AFAA, NSCA, NASM, and more.  I can attest to the fact that many personal trainers, who are likely implementing programs that Mr. Stoddard would find to be acceptable, are at the same (and in many times likely greater) risk of injuring their clients.  Until personal training certifications from all agencies are governed by essentially university standards, this field will have significant shortcomings.

Mr. Stoddard quotes Pr. Stuart McGill, who I consider to be the top spinal bio-mechanist in the world.  I do correspond with him from time to time myself.  Pr. McGill voices his concern about complex movements that go to failure.  He includes Olympic Lifts in this category and I cannot refute this.  The Professor has been published over 145 times!   The risk for injury is greater with exercises that require weighted ballistic movements and a high level of core stability.  It does make sense that as fatigue sets in, loss of proper form can lead to a greater risk of injury.  This topic does not apply solely to CrossFitters.

I do question if these above mentioned activities are any worse than a personal trainer or ‘coach’ in the gym teaching someone how to squat with the butt coming out, dead-lifting with straightening the legs first (effectively lifting with the back) and hyper-extending at the midpoint of the movement (OUCH!),  or showing someone middle deltoid raises in the coronal plane (for dozens of reps)?  How about trainers who supervise high school kids with power movements with weight far greater than they should be doing?  It’s true…in high school gyms across the country, students are being improperly trained and injured by less than properly educated coaching staffs.  They are not CrossFitters.

I can say from clinical experience that any gym exercise, if performed incorrectly, can create injury.  This is where instruction comes in.  I think the clients who work out at the CrossFit facilities I work with have the benefit of instructors who make ‘proper form’ a high priority.  As I mentioned in Part I, many CrossFit facilities have specific strength classes, which differ from the CrossFit classes.  Those who wish to work on strength can do so in a more traditional setting.  Mr. Stoddard might not have been aware of this as the facility he was at might not have been the best representation of CrossFit.

Mr. Stoddard goes on to discuss Rhabdomyolysis, a condition for this discussion that is created basically by over-training.  This condition can be seen in any activity that incorporates high levels of exertion under load without adequate rest.  It is nothing that anyone should try to achieve, be it in CrossFit or not.  It is also not unique to CrossFit.  All CrossFit staff should be educated about the signs and symptoms of Rhabdomyolysis, as it can be a life threatening condition. For that matter, trainers in any sport should be aware of the signs and symptoms of this condition.  It would be a good idea for the intensity of CrossFit workouts to be increased over time so that each new Crossfitter can get used to the workout format.  Just as if I put on pads and a helmet and went through a tough outdoor summer football clinic day after day without ever doing so before, too many intense workouts of any kind over a short period of time can have deleterious effects.

4.  Pukie The Clown?  In the 3+ years I have been working closely with CrossFitters, I have never seen or heard any mention of Pukie.  Mr. Stoddard discusses Pukie as being almost the mascot for the rough and tough CrossFit workouts, claiming that CrossFit embraces hard-core workout practices that essentially allows for looking down on those who are too weak to get through workouts.  Again, did I mention that I have never had any CrossFitter (facility owners included) ever even mention this funny/sick character.  I was able to find an article in 2005 with Pukie in it when corporate CrossFit put out a piece on Rhabdomyolysis, but I can honestly say that the dangerous, meat-head mentality does not exist with the facilities I work with.  Please keep this in mind if you are new to CrossFit or are thinking of starting up as each facility is unique and it would behoove you to find a CrossFit facility where proper form and movement patterns are important in the education process.

5.  The Problem With Group Workouts  Mr. Stoddard admits to not having a competitive mindset.  So be it.  There are pros and cons to group workouts and CrossFit facilities act almost as a community.  I have never seen a fitness facility before where people not only work out together, but also care about one another and many times, socialize together.  Being Mr. Stoddard stated that he has apparently become a misanthrope, I guess any class program would be an issue for him.  A CrossFit facility tends to be the place where you can leave your wallet and keys out in the open and nobody will take them.  There tend not to be thousands of members at any given CrossFit facility and one of the benefits of this is that the environment is very safe and friendly.  (On that note, I would never leave my things laying around in a large gym setting where I don’t know anyone).  As far as Mr. Stoddard becoming an misanthrope, that’s fine…to each their own.

Mr. Stoddard’s defining CrossFit as a cult, multi-level marketing, and any other negative thing he can think of simply goes too far.  I do not see the harm in groups of people pushing themselves with tough workouts…for the record though, I do not believe in beating your body to a point where it can no longer function.  (Instruction, instruction, instruction!!)  Mr. Stoddard should have gone to several other CrossFit gyms to see the differences between them before coming out with such a strong stance against CrossFit as a whole. His slanted piece serves no other function than to scare people and give out misinformation.  His article would have had much more credibility had he dug deeper and discovered more about CrossFit as opposed to just blanketing CrossFit as a whole with his single experience (N=1).  I understand he was humiliated by a dozen women in a class…get over it.

He concludes with a story about a woman asking him if he goes anymore…well, we know the answer to that…guess he’s not part of what he calls the ‘cult’ anymore and is enjoying Zumba somewhere…well, maybe not…Zumba is too much movement for an hour straight, right?

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