All posts by RX Integrative Solutions

Nutrigenomics

We are what we eat, right?  Nutrigenomics is an upcoming  field of research that will give us more information about how our food can positively (or negatively) affect our health.

Did you know that our genes are connected to our nutrition?   In the future we will learn more about which nutrients, in what amounts, are needed to keep our genes healthy.  Now, that’s exciting and better than just depending on recommended daily intake values.

Do Americans get enough information on nutrition to make wise choices about the foods they eat now?  Why or why not?

Pharmacogenomics and Precision Medicine

Genetic testing is not limited to learning more about your ancestry! Pharmacogenomic testing is another exciting field of human genetic study. Pharmacogenomic test results help healthcare providers determine how a person’s genetic profile can affect medication efficacy and safety. Good information! Currently, the FDA includes pharmacogenomic information in 200 medication package inserts. Someday, physicians will regularly test our genome or selected SNP’s (parts of the human genome) related to drug metabolism. Highly trained clinical pharmacists will assist physicians in interpreting those test results to better determine which medications and doses are best for their patient’s needs. This overall process is expected to greatly reduce or potentially eliminate unwanted medication side effects, and saves money in the long run.

Should more pharmacists be involved in interpreting pharmacogenomic test results that will help make the medication prescribing process more precise (e.g., precision medicine or personalized medicine)?

In 2018, 23andMe received FDA approval to market a pharmacogenomic test that examines eight different human genes. This test will be obtained without a doctor’s order and will give the consumer information on how he/she metabolizes 50 prescription and OTC medications. FDA is saying, “buyer beware.”

Should pharmacogenomic tests be available to consumers without a physician’s order or healthcare professional’s involvement in test interpretation?

Using Neti Pots – Be Safe!

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

Please:

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

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

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

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

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

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

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

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

Ethical Issues: Harvesting Your Non-Health Data in the Brave New World

Some would say that smaller health systems and major insurers will begin/continue to analyze your non-health data in the near future (e.g. from fitness trackers and your activity on social media to commercial genetic testing results [soon available without a doctor’s order]). Data is intended to be used to improve patient care/outcomes and set insurance rates. For perspective, HIPAA only protects your medical information. There are benefits and risks in such practices. Do you agree/disagree? Please share your thoughts.

https://lnkd.in/e4xatAF  #health #wellness #healthandwellness #holistichealth

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

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

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

Keep moving, be mind body spirit healthy!

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

Probiotic Dietary Supplement Safety & Efficacy Is in Question

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

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

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

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

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

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

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

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

–Dr. Cathy Rosenbaum

 

 

 

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

Press Release – Expansion of Rx Integrative Solutions

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

For Release 1/1/2019

PHARMACIST OFFERS HOLISTIC HEALTH & WELLNESS PRACTICE IN GREATER CINCINNATI AREA

Improving Community Health One ‘Whole Person’ At A Time

Dr. Cathy Rosenbaum, Founder of Rx Integrative Solutions, announces the expansion of her holistic health and wellness practice serving the tri-state metropolitan area.
With over 40 years’ experience as a pharmacist in the clinical environment, Dr. Rosenbaum’s approach first and foremost streamlines health resource utilization for her clients by evaluating and recommending the consolidation of prescription medications. Next, she reviews and recommends dietary supplements based on lifestyle choices, whenever possible and practical.

Services include a face-to-face interview combined with an evidence-based written evaluation that is given to the client and to her/his primary care physician for education on a wide range of wellness options. This latter personalized, prevention-focused health tool kit serves as a comprehensive reference.

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

The company’s purpose is to form sustainable client/physician/healing practitioner relationships, to develop good health stewards by reducing polypharmacy (e.g., medication overprescribing) and any unnecessary dietary supplement usage, and to actively engage clients in integrative health and wellness practices that honor their lifestyle choices and health goals.

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

“An extended one-on-one talk with a healthcare professional is very rare.
I have a very specific set of health needs, as does everyone else. No
‘one-size-fits-all’ approach [in traditional medicine] works.”
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For more information:
Cathy Rosenbaum PharmD MBA RPh CHC
Founder & CEO Rx Integrative Solutions
10274 Alliance Road
Blue Ash, OH 45242
(513) 607-3495
drcathy@rxintegrativesolutions.com
www.rxintegrativesolutions.com

Upcoming Classes by Dr. Cathy @ MTCC In Milford OH

Class location: Miami Township Civic Center, 6101 Meijer Drive, Milford, OH 45150
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Caregiving: From Compassion Fatigue to Compassion Satisfaction Monday, January 28, 6:00 pm – 7:30 pm $15 Miami Township Resident – $20 non-resident

Caring for a loved one can take its toll on a person. Join Dr. Cathy as she explains compassion fatigue and normal care giver emotions that accompany a caring role. She will guide caregivers to develop boundaries in a path to their own wellness and will review mind, body, and spirit lifelines to move from compassion fatigue to compassion satisfaction.
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Ask the Pharmacist: Memory Health Tuesday, February 5, 6:00 pm – 7:30 pm $15 Miami Township Resident – $20 non-resident

Hear about this important topic from an expert healthcare professional! Dr. Cathy will review irreversible and reversible causes for memory loss and how to manage them, review a list of medications that can contribute to memory loss and how to discuss possible adjustments with your doctor; and review the (pro/con) evidence behind nutrition, dietary supplements, & lifestyle changes used to prevent/treat memory loss.

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Let’s Have some Applause for Menopause Wednesday, February 13, 6:00 pm – 8:00 pm $15 Miami Township Resident – $20 non-resident

Attendees will review common symptoms of the peri-menopausal period; review indications for various types of estrogens (i.e., conventional HRT, bio-identical compounded hormones, phytoestrogenic dietary supplements, phytoestrogenic foods), and their potential cancer risk with prolonged usage/exposure; review how to manage heart and bone health without hormones; and review mind body spirit, integrative alternatives for managing peri-menopausal symptoms without hormones.

These classes are being led by Cathy Rosenbaum PharmD MBA RPh CHC. Founder & CEO, Rx Integrative Solutions. Dr. Cathy is a holistic clinical pharmacist, Founder & CEO of Rx Integrative Solutions, a private consulting practice in holistic medicine in Loveland and Blue Ash, OH. She has traveled to China to study herbal research and global health care solutions. Dr. Cathy is a published author, national radio show host, and international speaker who believes in back-to-basics living and non-invasive approaches to health and healing whenever possible.

The view and opinions of this vendor do not necessarily state or reflect those of Miami Township.

Direct your questions to Miami Township Recreation Department at (513) 248-3727 during business hours which are Monday through Friday 8:00 am until 4:30 pm.

Register online at: www.Register.MiamiTWPOH.gov

Seminar/Presentation Topics by Dr. Cathy Rosenbaum

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

Rx Integrative Solutions
10274 Alliance Road
Blue Ash, OH 45242

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

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

Energy Drinks – Are Those Shots Really Safe?

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

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

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

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

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

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

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

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

REFERENCES:

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

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