Princeton's Ask the Doctor March-April 2020

The Greater Princeton Area Ask The DOCTOR The Health &Wellness Magazine For You And Your Family EARLY SPRING ISSUE MARCH/APRIL 2020

Local Physicians Answer Your Health Questions

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• Kids’ Health • Beauty • Eating Well • Fitness • Aging • ...and more : i ’ l i ll i i ...

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Stop Your Pain. Start Your Life.

• Back Pain • Neck Pain • PRP & Stem Cell Therapy • Medical Marijuana • Non-Surgical Orthopedics • Double Board Certified Pain Management Physician • Back Pain • Neck Pain • PR & Stem Cell Therapy • Medical Marijuana • Non-Surgical Orthopedics • Double Board Certified Pain Management Physician

Dr. Ronak Patel We are a center of excellence that delivers the most up to date care in the fieldof comprehensive painmanagement. We are committed to helping you regain your life. Our focus will be on developing individualized patient treatment plans and increasing patient functionality. Dr. Ronak Patel We are a center of excellence that delivers the most up to date care in the fieldof comprehensive painmanagement We are committed to h lping you regain your life. Our focus will be on developing individualized patient treatment plans and increasing patient functionality.

NJpaindoc.com

NJpaindoc.com

Stop Your Pain. Start Your Life. (609) 269-4451 | info@njpaindoc.com | 666 Plainsboro Road Suite #100D Plainsboro, NJ 08536 Regenerative Spine and Pain Institute Taking the Fight Against Chronic Pain to New Levels

Cannabis Therapy . The legalization of medical marijuana has brought new treat- ment options. “We are very excited by the potential of cannabis-based treatments and we comply fully with New Jersey’s evolving regulations,” says Dr. Patel. He uses a local dispensary to provide treatments, which in- clude edibles such as gummy bears and cannabis-based rubbing and vaping oils. Minimally Invasive Therapy . Dr. Patel offers a wide variety of minimally invasive therapies. These include epidural steroid in- jections, facet joint injections, radiofrequen- cy ablation, and spinal cord stimulation for patients suffering from chronic neck and back pain stemming from herniated discs, degenerative disc disease, or spinal steno- sis. His goal is to help his patients avoid sur- gery and at the same time regain functional- ity. Thanks to these and other game-changing treatments, pain levels can be greatly re- duced or eliminated and quality of life en- hanced. Says Dr. Patel, “Stop your pain. Start your life.” Regenerative Spine and Pain Institute 666 Plainsboro Road, Suite 100D Plainsboro. 609-269-4451 www.njpaindoc.com

27 different therapies available to patients, Dr. Patel offers a range of treatments, often combined to attack highly specific causes of pain. Among the most promising and inno- vative treatments: Regenerative Medicine/ Stem Cell Therapy . Regenerative medicine is a fast- growing, highly developed treatment that helps the body heal or rebuild itself. Dr. Patel uses stem cell therapy to treat ailments, par- ticularly low back or neck pain, caused by degenerative vertebral discs or joint pain in the shoulders, hips, or knees caused by os- teoarthritis. The patient’s stem cells are re- moved, purified, concentrated, and injected into the injured or weakened tissue. Stem cell therapy can also speed recovery and help avoid surgery. Platelet-Rich Plasma (PRP) . A favorite treatment for sports injuries, PRP uses the patient’s blood to produce a platelet-rich plasma that targets a host of chronic and acute pain conditions, including muscle strain, arthritis, tendinosis, cartilage injuries, joint inflammation, and wound care. The treatment is also used in orthopedic and plastic surgery. By synthesizing platelets and releasing proteins, PRP can aid in gen- erating new tissue. And it has helped che- motherapy patients grow back hair faster and thicker.

B otox for migraines. Stem cell injections to regenerate tissue and organs. Gummy Bears infused with THC. Platelet-Rich Plasma to treat conditions from sports injuries and wounds to hair loss from chemotherapy. These are just a few of the cutting-edge therapies used by Dr. Ron- ak Patel, the founder and medical director of Regenerative Spine and Pain Institute in Plainsboro. “Many of these treatments may come as a surprise to patients suffering from chronic pain, especially those who think that their pain — and poor quality of life — is some- thing they have to endure,” Dr. Patel notes. A double board-certified anesthesiologist and pain management specialist, Dr. Patel fo- cuses on treating pain in the back, neck, face, and joints as well as pain related to cancer and chemotherapy. With so many different pain-causing ill- nesses, injuries, and conditions, treatments must be carefully customized to fit the needs of each individual patient. Dr. Patel partners with orthopedists, physical and occupational therapists, and chiropractors to provide a variety of approaches and treatments. With

(609) 269-4451 | info@njpaindoc.com | 666 Plainsboro Road Suite #100D Plainsboro, NJ 08536

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A D V E R T I S E M E N T

Hackensack Meridian Health Carrier Clinic

CONTACT INFORMATION HACKENSACKMERIDIAN HEALTH CARRIER CLINIC

252 County Road 601 Belle Mead, NJ 08502 800-933-3579 communityrelations@carrierclinic.com carrierclinic.org • Accreditation or licensing: Accredited by Joint Commission, Member of New Jersey Hospital Association, New Jersey Association of Mental Health and Addiction Agencies, American Hospital Association and National Association of Psychiatric Health Systems • Accepts insurance: Yes • Addiction treatments: Inpatient: Yes • Adolescent services: Inpatient: Yes (starting at age 12) • Detox programs: Inpatient: Yes • Number of beds: more than 200 • Patient-to-counselor ratio: Team approach • Type of support services available for families: Weekend Codependency Program, Bright Futures for Kids, Parents Support Group, Al-Anon Meetings, Mood Disorder Support Group • Additional services: Free confidential anxiety, depression and alcohol dependency screenings

Emotional Harmony Hackensack Meridian Health welcomes Carrier Clinic to the family!

A new day in behavioral health is dawning with Carrier Clinic, now part of the Hackensack Meridian Health network. Two of the most accomplished health care providers, both with more than a century of service to New Jersey and the region, are now becoming one! Our shared mission is to pave the way to acceptance and understanding of behavioral and mental health issues, improve access to care in local communities, pioneer innovations in care, and create pathways to emotional harmony. Learn more at HackensackMeridianHealth.org .

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QUESTION: What should I expect when I get dental implants?

DAY OF PROCEDURE: When you arrive for your procedure, you will be made comfortable with the appropriate anesthesia. Any extractions that need to be done will be performed first. With the use of a surgical guide, if needed, the implants will be placed according to the treatment plan created.

Making the choice to replace your missing or failing teeth with dental implants is a big step…but in terms of bringing back your healthy smile, it just might be the only challenging one you’ll need to make. Once you’ve decided to go with dental implants, your team of dental professionals will take care of the rest. It’s a smooth progression from the initial consultation and pre-operative planning through the implant procedure itself, concluding with your follow-up care. When it’s done, you will have the natural- looking smile you’ve dreamed about. Want to know how this happens? .... PRE-PROCEDURE: The first step in your treatment is the initial examination and a discussion with your implant dentist about your expectations and concerns. TREATMENT PLAN: Just as your builder wouldn’t start constructing your new house without a drawing, your dentist won’t place your implants without a treatment plan. Diagnostic images of your mouth can reveal the condition of existing teeth and bone, and show the position of various anatomical structures in the jaw. This helps in terms of planning the number and type of implants to be used, and the locations where they should be placed.

David P. Young, DMD, DICOI

You should not feel any pain but maybe a little vibration may be experienced. In some cases, temporary immediate teeth may be attached to the implants or a removable prosthesis may be inserted. POST-OPERATIVE CARE: When the procedure process is over, the healing process begins. Following all the post-op instructions given by your surgeon is important. As your implants slowly become integrated into the jawbone, your dentist will carefully monitor the progress. After a period of 3-4 months, the oral tissue will be healed and in most cases the final “teeth” can be made. Enjoy your new smile and chew happily!!

4432 Route 27, CN-201, Kingston, NJ 08528 Phone: 609.497.0808 www.David YoungDMD.com

What?! Why would a DENTIST be asking me about my Sleeping Habits or Sleep Apnea? The dentist may be the first person who sees that you may be at risk for Sleep Apnea—specifically, Obstructive Sleep Apnea (OSA). What is Obstructive Sleep Apnea? (OSA) - OSA is a medical condition where your airway collapses or is obstructed while you are asleep. Result: you do not get adequate oxygen in your blood, and to your brain. It is measured by the average number of times you either stop breathing (apnea for 10+ seconds!) or have inade- quate oxygen uptake (under 50%) during breathing per hour while you are asleep. This Apnea plus hypopnea index (AHI)- measures the severity of sleep apnea. Over 5 episodes per hour is by definition Obstructive Sleep Apnea, with over 30 episodes per hour being severe Sleep Apnea! Why is this even important? Besides being tired and fatigued, and being at higher risk for a car accident, and possibly snoring and having a disturbed nights sleep for you and your partner and …Untreated OSA is known to significantly increase your risk of high blood pressure, heart disease, chronic fatigue, GERD, stroke, diabetes, cancer, depression, Atrial Fibrillation, mental fogginess and dementia! While you are sleeping if you have OSA, your body struggles for oxygen and leaves behind tell- tale signs. During the routine Oral Cancer screening, the dentist will see these signs that correlate with OSA: • Scalloped Sides of Tongue Indicative of Clenching • Enlarged Tongue • Small Natural Airway and /or Retruded Lower Jaw • Swollen or Elongated Uvula • Enlarged Tonsils If you are looking for a dentist and team that truly cares about your total health – give us a a call today! 609.921.7744 • www.deciccodental.com • 67 Tamarack Circle, Skillman NJ 08858 • Heightened Gag Reflex • Tooth Cracking and Chipping from Bruxism and/or Clenching • Cheek Abrasions from Bruxism • Dry Mouth Dr. Mary DeCicco

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Feelings and Cancer Just as cancer affects your physical health, it can bring up a wide range of feelings you’re not used to dealing with. It can also make exist- ing feelings seemmore intense. They may change daily, hourly, or even minute-to-minute. This is true whether you’re currently in treatment, done with treatment, or a friend or family member. These feelings are all normal. Often the values you grew up with affect how you think about and cope with cancer. For example some people: • Feel they have to be strong and protect their friends and families • Seek support and turn to loved ones or other cancer survivors Whatever you decide, it's important to do what's right for you and not to compare yourself with others. Your friends and family members may share some of the same feelings. If you feel comfortable, share this information with them. Overwhelmed . When you first learn that you have cancer, you may feel as if your life is out of control. This could be because: • You wonder if you're going to live. • Your normal routine is disrupted by doctor visits and treatments. • People use medical terms that you don't understand. Even if you feel out of control, there are ways you can take charge. It may help to learn as much as you can about your cancer. The more you know, the more in control you'll feel. Ask your doctor questions and don't be afraid to say when you don't understand. For some people, it feels better to stay busy. If you have the energy, try taking part in activities such as music, crafts, reading, or learning something new. Denial . When you were first diagnosed, you may have had trouble believing or accepting the fact that you have cancer. This is called denial. It can be helpful because it can give you time to adjust to your diagnosis. It can also give you time to feel hopeful and better about the future. Sometimes, denial is a serious problem. If it lasts too long, it can keep you from getting the treatment you need. The good news is that most people work through denial. Usually by the time treatment begins, most people accept the fact that they have cancer and move forward. This is true for those with cancer as well as the people they love and care about. Anger . It's very normal to ask, "Why me?" and be angry at the cancer. You may also feel anger or resentment towards your health care providers, your healthy friends and your loved ones. And if you're religious, you may even feel angry with God. Anger often comes from feelings that are hard to show. Common examples are, fear, panic, frustration, anxiety, and helplessness. If you feel angry you don't have to pretend that everything is okay. It's not healthy to keep it inside you. Talk with your family and friends about your anger. Or, ask your doctor to refer you to a counselor. And know that anger can be helpful in that it may motivate you to take action. Fear and Worry. It's scary to hear that you have cancer. You may be afraid or worried about: • Being in pain, either from the cancer or the treatment • Feeling sick or looking different as a result of your treatment • Taking care of your family Some fears about cancer are based on stories, rumors, or wrong information. To cope with fears and worries, it often helps to be informed. Most people feel better when they learn the facts. They feel less afraid and know what to expect. Learn about your cancer and understand what you can do to be an active partner in your care. Some studies even suggest that people who are well-informed about their illness and treatment are more likely to follow their treatment plans and recover from cancer more quickly than those who are not. Hope . Once people accept that they have cancer, they often feel a sense of hope. There are many reasons to feel hopeful. Millions of people who have had cancer are alive today. Your chances of living with cancer—and living beyond it—are better now than they have ever been before. And people with cancer can lead active lives, even during treatment. Some doctors think that hope may help your body deal with cancer. So, scientists are studying whether a hopeful outlook and positive attitude helps people feel better. Here are some ways you can build your sense of hope: • Plan your days as you've always done. • Don't limit the things you like to do just because you have cancer. • Look for reasons to have hope. If it helps, write them down or talk to others about them. • Spend time in nature. • Reflect on your religious or spiritual beliefs. • Listen to stories about people with cancer who are leading active lives. Stress and Anxiety . Both during and after treatment, it's normal to have stress over all the life changes you are going through. Anxiety means you have extra worry, can't relax, and feel tense. You may notice that: • Your heart beats faster. • You have headaches or muscle pains. • You don't feel like eating. Or you eat more. • You feel sick to your stomach or have diarrhea. If you have any of these feelings, talk to your doctor. Though they are common signs of stress, you will want to make sure they aren't due to medicines or treatment. • Ask for help from counselors or other professionals • Turn to their faith to help them cope • • You feel helpless and lonely. • Paying your bills • Keeping your job • Dying • You feel shaky, weak, or dizzy. • You have a tight feeling in your throat and chest. • You sleep too much or too little. • You find it hard to concentrate.

D O C T O R A D V I C E

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OUR DEPARTMENTS Doctor Advice . ....................................................... 5 The Healthy Palate............................................. 12 Recipes to enjoy and local dining options for eating out As We Age........................................................... 17 Articles and physician information just for seniors Men’s Health.......................................................28 Financial Health ................................................34 Information, resources and news related to the health and well-being of your financial future Healthy Home.................................................... 45 Here you will find expert tips to make your home healthier, safe and fabulous Doctor Profiles......................................................54 Physician information, including credentials, to help you choose a doctor or find out more about a doctor that you go to now Kids’ Health & Camp..........................................57 Information, news and expert advice to raising healthy children from pregnancy to 18 Healthy Mind & Soul..........................................62 Inspirational stories and advice on achieving mental balance and clarity I Am Beautiful.....................................................63 The Mourning After MonthlyGrief CounselingGroup Surviving&ThrivingAfter a Loss

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Movement With Joy DANCE MOVEMENT THERAPY CHILDREN, ADULTS, SENIORS Joy Vrooman Sayen , MFA, MS, BC-DMT, NCC ~ THERAPY FOR CHILDREN ~ Using Dynamic Play & Movement Therapy to help Children, and their Parents, with Emotional, Behavioral, and Learning Challenges. On-going: Individual sessions. ~ DANCE WITH A DIFFERENCE ~ Dance Movement Therapy for Adults Promoting wellness and self-development through creative exploration in a therapeutic process, toward integrating body, soul & spirit. On-going: Individual or Group sessions. ~ AGING JOYFULLY ~ Dance Movement Therapy for Seniors On-going: Group sessions at your facility. 416 Rt 518, Blawenburg, NJ • 609-844-0151 movementwithjoy@gmail.com WWW.MOVEMENTWITHJOY.COM

When someone we love dies, it can feel as though an important part of ourselves has suddenly vanished. It is often hard to imagine continuing to live through the pain and turmoil of

grief. This grief counseling program uses a wide range of interactive and creative interventions to assist in the healing process. Meets the 1st Friday of each month from 11:30 am - 1 pm At Center Playhouse, 35 South Street, Freehold, NJ If you are attending for the first time & to confirm the meeting schedule please call 732-577-1076

WWW.GIERS.ORG | info@giers.org | 732-577-1076 10 East Main Street Suite 5B, Freehold, NJ 07728

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Q: Can stretching exercises help plantar fasciitis? A: Stretching and strengthening exercises can help the ligament become more flexible and can strengthen muscles that support the arch, in turn reducing stress on the lig- ament. Exercises for plantar fasciitis may be especially helpful for reducing heel pain when you first get out of bed. Exercises to help prevent plantar fasciitis:

D O C T O R A D V I C E

While sitting, place a long towel or stretchy therapy band under the ball of your foot. Pull on the towel allowing your foot to come up to- wards you. Hold the stretch for 15 seconds, and do 15 repetitions, morning and evening. Inac- tivity makes the plantar fascia tighten and go into spasm. Exercises are essential!

Dr. Sanjay Gandhi, DPM

A Step Up Podiatry

Our Specialty Services For Adults, Children & Seniors Bunions Children Corns & Callouses Diabetic Foot Care Flatfeet Fungus HammerToeTreatment Heel Pain InGrownToeNails Plantar FasciitisTreatment Plantar Warts Orthotics and Surgery

215 Gordons Corner Road, Suite 2A Manalapan, NJ 07726

Complete Family Foot & Ankle Care

ASTEPUPPODIATRY.COM • 732-446-7136

EXCELLENCE IN DERMATOLOGY. EXCEPTIONAL CARE. The Dermatology Experience: Reimagined.

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Cosmetic excisions of moles, cysts, lipomas

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Botox, Dysport, Xeomin, Jeuveau Dermal Fillers (Juvederm, Restylane, Radiesse) Laser and IPL Chemical Peels Dermalinfusion treatments Customized Facials Skincare

732.702.1212 NJDERMCENTER.COM

Zain Husain, MD, FAAD BOARD CERTIFIED DERMATOLOGIST Fellowship Trained Mohs Surgeon and Cosmetic Dermatologist

479 County Road 520, Suite A201 •Marlboro, NJ 07746 Call our office to schedule your full body skin exam or personalized cosmetic consultation!

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E-cigarettes and Youth: What Parents Need to Know

WHAT ARE E-CIGARETTES? Electronic cigarettes (e-cigarettes) are battery-powered devices that deliver nicotine, flavorings, and other ingredients to the user. Using e-cigarettes is sometimes called “vaping.” E-cigarettes do not create harmless “water vapor” – they create an aerosol that can contain harmful chemicals. HOW MANY YOUTHS ARE USING E-CIGARETTES? • E-cigarettes have been the most commonly used tobacco product among U.S. youth since 2014. • In 2018, CDC and FDA data showed that more than 3.6 million U.S. youth, including 1 in 5 high school students and 1 in 20 middle school students, were past-month e-cigarette users. • During 2017 and 2018, e-cigarette use skyrocketed among youth, leading the U.S. Surgeon General to call the use of these products among youth an epidemic in the United States. WHAT ARE THE RISKS FOR YOUTH? Most e-cigarettes contain nicotine, which is highly addictive. Nicotine exposure during adolescence can: 1. Harm brain development, which continues until about age 25. 2. Impact learning, memory, and attention. 3. Increase risk for future addiction to other drugs. • Young people who use e-cigarettes may be more likely to go on to use regular cigarettes. • Many e-cigarettes come in kid-friendly flavors – including mango, fruit, and crème – which make e-cigarettes more appealing to young people. • E-cigarette aerosol is not harmless. It can contain harmful substances, including: » Nicotine » Cancer-causing chem- icals » Volatile organic compounds » Ultrafine particles » Flavorings that have been linked to lung disease » Heavy metals such as nickel, tin, and lead.

D O C T O R A D V I C E

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CHILD, ADOLESCENT & ADULT PSYCHIATRIST

D O C T O R A D V I C E

SERVICES FOR ADULTS & TEENS MENTAL HEALTH PARTIAL CARE & INTENSIVE OUTPATIENT PROGRAMS 732.655.4CFW(4239) CENTER FOR WELLNESS PROGRAMS INCLUDE GROUP THERAPY, INDIVIDUAL THERAPY, PSYCHIATRIC ASSESSMENT AND FOLLOW UP COMMERCIAL INSURANCE ACCEPTED FOUNDED BY A DOUBLE BOARD CERTIFIED CHILD/ADOLESCENT & ADULT PSYCHIATRIST

INDIVIDUALIZED CARE EXTENDED SESSIONS DOUBLE BOARD CERTIFIED

Appointments in Freehold & Monroe Twp.

CENTERFORWELLNESSNJ.COM 312APPLEGARTHRD • SUITE 200 •MONROETWP 08831 Accessible within 5 minutes of the NJ Turnpike, Rt 33 & Rt 130

609.245.8550 WWW.GSINGHMD.COM

I CAN SAVE YOUR TEETH

Dr. Wayne A. Aldredge Advanced Treatment of Gum Disease and Loose or Missing Teeth

Ambient Rehabilitation provides outpatient physical therapy where a licensed physical therapist is with you from start to finish in your therapy sessions. We offer early, late, and weekend hours to meet your busy schedule. Get help with: Neck and Back Pain  Ambient Rehabilitation provid s outpatient physical therapy where a licensed physical therapist is with you from start to finish in your therapy sessions. We offer early, late, and weekend hours to meet your busy schedule. Get help with: • Neck and Back Pain • Multiple Sclerosis • Chronic Headaches

Dental Implants (All-on-4® ) One-Visit Gum Correction (Pinhole®) Advanced Laser Treatment (LANAP®) Gum and Bone Restoration Second Opinions

• Post‐orthopedic surgery • Fibromyalgia • Rheumatoid Arthritis • Nerve Damage • Phase 2/3 Pulmonary Rehab

Mul�ple Sclerosis  Chronic headaches  Sports Injuries  • Sports Injuries • Chronic Pain • Osteoarthritis

Post‐orthopedic surgery  Fibromyalgia  Rheumatoid Arthri�s  Nerve Damage  Phase 2/3 Pulmonary Rehab 

• Knee, foot, and ankle pain • Carp l Tunnel Syndrome • Joint/Muscle/Tendon Injuries • Fracture and Dislocation

Knee, foot, and ankle pain  Carpal Tunnel Syndrome  Joint/muscle/tendon injuries  Fracture and Disloca�on

Board Certified * Comfort Focused * Sedation Available

Chronic Pain  Osteoarthri�s

Receive a 15 minute free screening with one of our licensed physical  therapists by calling 732‐982‐4801 or visi�ng us at ambientrehab.com  Loca�ons in Hamilton, Manalapan, Monroe, and Princeton  2333 Whitehorse‐Mercerville Rd., Suite #8, Mercerville, NJ  Locati ns i Hamilton, Manalapan, Monroe, & Princeton 2333 Whitehorse Mercerville Rd., Suite #8, Mercerville, NJ 660 Tennent Rd., Unit #107, Manalapan, NJ 369 Applegarth Rd., Suite #4, Monroe Twp., NJ 60 Mt. Lucas Rd., Suite #600, Princeton, NJ Receive a 15 minute FREE screening with one of our licensed physical therapists by calling 732-982-4801, or visting us at ambientrehab.com 660 Tennent Rd., Unit #107, Manalapan, NJ  369 Applegarth Rd., Suite #4, Monroe Twp., NJ  60 Mt. Lucas Rd., Suite #600, Princeton, NJ 

Periodontics & Implant Dentistry

999 Palmer Ave Suite 1 Holmdel, NJ 07733 www.isaveteeth.com Call Today for a Consultation! 732-671-7100

Dr. Wayne A. Aldredge is a Board Certified Periodontal Specialist

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QUESTION: I was told I have a “Fatty Liver” and I may end up with cirrhosis!!! I don’t even drink alcohol. How is this possible? ANSWER:

252 W. Delaware Ave Pennington, NJ 08534

D O C T O R A D V I C E I was taught that fatty liver was the earliest manifestation of liver disease seen in alcoholism. In the last 10 yearswe have been seeing a newvariation of fatty liver, Non-Alcoholic Fatty Liver Disease (NAFLD). It is estimated that 20% to 30% of the general population currently have NAFLD!! Obesity, diabetes, and the metabolic syndrome are the biggest risk factors but genetics plays a role as well. In obese persons, the prevalence of fatty liver is 67% – 75%!! How did this epidemic come about? It is purely due to our 21st Century diets. A diet high in saturated fats AND highly refined carbohydrates (sugar) is not a normal diet. Think about a Big Mac, Fries, a Chocolate Shake and a DQ Sundae OR a Pepperoni and Sausage Pizza with a soda (full of high fructose corn syrup, HFCS) andCheesecake for dessert. These foods create chaos in our metabolism. There’s too much “fuel” coming in at once and the cells don’t know which fuel they should burn to make energy – fat or sugar. Fat begins to accumulate inside themuscles and liver.

Fatty Liver causes no symptoms. It may be discovered by a liver blood test or ultrasound. It is reversible if caught early but 40 – 50% of people will progress to inflammation and scarring and some of those will develop cirrhosis and liver cancer. While the food industry attempts to addict us to sugary, fatty processed foods, the health care system is preparing for a record number of liver transplants in the next 10 – 20 years. Fatty Liver is reversible in this early stage by losing weight, lowering highly refined carbohydrate foods (processed foods, sweets, breads and pastas) AND lowering saturated fats. We encourage eating leaner proteins, lots of vegetables and some fruits. Fish oil and Delta/Gamma tocotrienols have been shown to protect against development of fatty liver, and possibly

reverse it!! And we need to get the food industry and the healthcare system to work for the same goals. Feeding people in a healthy way will save lives, save money and be our saving grace.

Dr Kate Thomsen’s office for holistic health care is located in Pennington, NJ. She is trained in Family Medicine, and Board Certified in Integrative Medicine, and is an Institute for Functional Medicine Certified Practitioner. She has been practicing Functional Medicine for 20 years. For more information see www.drkatethomsen.com or call the office at 609-818-9700.

Tissue Changes That Are Not Cancer Not every change in the body’s tissues is cancer. Some tissue changes may develop into cancer if they are not treated, however. Here are some examples of tissue changes that are not cancer but, in some cases, are monitored:

Hyperplasia occurs when cells within a tissue di- vide faster than normal and extra cells build up or proliferate. However, the cells and the way the tissue is organized look normal under a microscope. Hy- perplasia can be caused by several factors or condi- tions, including chronic irritation.

Dysplasia is a more serious condition than hyper- plasia. In dysplasia, there is also a buildup of extra cells. But the cells look abnormal and there are changes in how the tissue is organized. In general, the more abnormal the cells and tissue look, the greater the chance that cancer will form. Some types of dysplasia may need to be monitored or treated. An example of dysplasia is an abnormal mole (called a dys- plastic nevus) that forms on the skin. A dysplastic nevus can turn into melanoma, although most do not. An even more serious condition is carcinoma in situ. Although it is sometimes called cancer, carcinoma in situ is not can- cer because the abnormal cells do not spread beyond the original tissue. That is, they do not invade nearby tissue the way that cancer cells do. But, because some carcinomas in situ may become cancer, they are usually treated. Normal cells may become cancer cells. Before cancer cells form in tissues of the body, the cells go through abnormal changes called hyperplasia and dysplasia. In hyperplasia, there is an increase in the number of cells in an organ or tissue that appear normal under a microscope. In dysplasia, the cells look abnormal under a microscope but are not cancer. Hyperplasia and dysplasia may or may not become cancer. For more info visit www.cancer.gov.

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What Is Tootling In The Classroom? By Lauren Kowlacki Tootling is like tattling but refers to the reporting of only positive, rather than inappropriate, social behaviors. The exact definition of Tootling is “a classroom-based intervention used to increase peer prosocial behaviors, particularly offering and receiving help, while decreasing negative and disruptive peer interactions.” Since children quickly learn to report and comment on bad behavior, i.e., tattling, there is a new effort to stop this natural reaction by progressive educators. These educators are teaching children to turn the same reporting behavior into “tootling,” where children learn to report positive be- havior and gestures by their peers. Tootling has begun to be being used in many classrooms as well as group therapy groups. This new and innovative approach has been very well received by both teachers and children. Teachers have reported it being very successful in building rapport between classmates and also has en- hanced peer relationships. Much research has found that tootling reinforces posi- tive behavior in students. As children focus on being posi- tive about their own and their neighbor’s behavior, it helps improves the whole classroom. Other benefits include: • Clinicians and teachers focus on praise of appropri- ate and on-task behavior, instead of negative behav- ior. • Demonstrates that even students with problem be- haviors can still be viewed in a positive manner. • It encourages peers to report positive behaviors by rewarding students for reporting the desired behav- ior from struggling peers who are often ostracized for their difficult behavior. • An increase in the number of positive interactions occurring spontaneously in the classroom. No doubt does positive reinforcement help and build confidence for a child who is struggling academically and socially. Students with problem behaviors are often ostra- cized by their more appropriate peers. Tootling helps chil- dren recognize and praise pro-social behavior in a strug- gling peer and creates tolerance. The more this is done in the classroom, the more of a habit it will become for all the children that will lay the groundwork for adulthood compassion as well.

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Fresh & Fruity Detox Water This delicious detox water has strawberries and kiwis and is the perfect summer drink.

You will need 2 liters of water, a couple of straw- berries and a couple of kiwis. Just chop your kiwis and strawberries, add to your water and sit in the fridge for a couple of hours to let it seep. The kiwi has vitamins A and E which will help you to rid your body of free radicals and they help to flush toxins from your colon. Strawberries are great for your skin and then contain anti-aging properties and help to fight carcinogens. You can add more or less fruit de- pending on your taste preferences or add different fruits or a mint sprig for a completely new taste. Whether you’re trying to lose weight or you sim- ply want to look and feel healthier, one of the best ways to rid your body of harmful toxins is to drink water. Just 6 to 8 glasses every day will help to keep you hydrated and keep your vital organs in their best possible health.

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3200 Lawrenceville Rd • Lawrenceville 609-219-0053 • CherryGroveFarm.com Mon-Thurs 11:30am-3-00pm/4:30pm-9:30pm Friday 11:30am-3:00pm/4:40pm-10:30pm Saturday 2:00pm-10:30pm Sunday 3:00 pm-10:30pm We are available for Off-premise Catering Events Bok Choy Lettuce Wrappers This dish offers a sweet mixture of brown rice, juicy pineapple, tasty chicken, and bok choy, tossed with sweet and sour sauce and wrapped in a fresh, crisp romaine lettuce leaf. Ingredients • 1 1/2 cups Brown rice, long-grain, regular, dry • 1 3/4 cups Fresh bok choy, sliced 1/4" • 1 3/4 cups Canned pineapple tidbits, in 100% juice Happy cows make happy cheese. Cherry Grove Farm offers a wide variety of local products and gift options. Let our staff help you find the perfect pairing.

• 3 cups Cooked chicken strips • 3/4 cup Sweet and sour sauce • 1 teaspoon low-sodium soy sauce • 12 Leaves of fresh romaine lettuce, outer leaves Directions 1. Preheat oven to 350 °F.

2. Combine brown rice and 3 ½ cups water in a large pot and bring to a rolling boil. Turn heat down to low. Cover and cook until water is absorbed, about 30-40 min- utes. Fluff with a fork. A rice cooker may be used with the same quantity of brown rice and water. 3. In a medium bowl, combine brown rice, bok choy, pineapple, chicken, sweet and sour sauce, and soy sauce.

4. Transfer mixture to an 8” x 8” nonstick baking pan coated with nonstick cooking spray. Bake at 350 °F for 30 minutes. Cook to an internal temperature of 165 °F or high- er for at least 15 seconds (use a food thermometer to check the internal temperature). 5. Place two lettuce leaves on a plate. Top each with ¾ cup filling. Optional: garnish with diced red peppers. Fold sides of lettuce in toward center; roll up like burrito. Place seam side down. Serve warm.

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Hacking Your Snacks Planning for healthy snacks can help satisfy hunger in between meals and keep you moving towards your food group goals. Build your own Make your own trail mix with unsalted nuts and add-ins such as seeds, dried fruit, popcorn, or a sprinkle of choc- olate chips. Prep ahead Portion snack foods into baggies or containers when you get home from the store so they’re ready to grab-n-go

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WHAT’S INYOURWATER? Recent study by (EWG) Environmental Working Group- shows that there are contaminants in tap water that are 22-386 times higher than healthy guide line that can potentially cause cancers. What is of major concern is that they are not tested or regulated by EPA or DEP at all. We conduct a FREE Water Test which includes: • Lead - Metals • Chlorine/Chloramines • Alkalinity- pH • Hardness/Minerals • Iron • TDS (Total Dissolved Solids) • Food absorption of chemicals • Body absorption of chemicals • Nitrates Did you know that bottled water may have more micro plastic particles than tap water? WHAT WE DO? • Test the quality of your water using standards developed by the Water Quality Association, and E.P.A • Show you how impurities can affect your house, your family, and even your budget • If we find a problem and you want to see a solution we can show you one Go to: www.ultrapurewaterstest.com for more information on how to register. Knowledge is Power!

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Ultra-Pure: Water Is Complicated By Pam Teel

T H E H E A L T H Y P A L A T E Water is complicated and all water is not the same. For this reason, you can't just buy a filter online and expect it to effec- tively remove the contaminants in your water. First, you have to know what the contaminants are and how much of the con- taminant exists to find the best purification system to correct the problem. You wouldn't treat yourself for a disease without knowing first if it exists, right? What makes Ultra Pure spe- cial is that they truly care about their client's health. This is why they also show clients that legal water quality standards regulated by the E.P.A. are not necessarily 'healthy standards.' Ultra Pure is a leading New Jersey water purification and conditioning company in Manalapan that has been provid- ing the best solutions for water contamination issues for both families and commercial clients. Family owned by Al and Elizabeth Lardieri, the business has been in operation for 38 years serving over 25,000 customers in New Jersey and the five boroughs of New York.

The Lardieri’s take their business to the next level when it comes to the quality of other people’s water. When shopping at a local Walmart, they saw a mother and daughter struggling to fill several 5 gallon jugs with water, supposedly purified by Walmart. Elizabeth Lardieri wondered why the two were making their life so difficult when it could be so much easier for them. She also wondered just how pure the Walmart water was and if they even change the filters when needed. She approached the two and mentioned that she and her husband are in the water purification business. Elizabeth explained to them that they didn’t have to keep coming back to the store anymore in order to fill up their bottle water cooler. She told them that they could put a purification system inside their home that can be attached to the machine to their cold water line, thus eliminating the needless trips back and forth to Walmart. What she was offering was a simple solution and a better, easier way to get pure water without all the wasted effort. The Lardieri’s also have a friend who has cancer and has been trying to stay as healthy as she can by eating and drinking healthy. At home, she relied on a small carbon filter in her refrigerator for clean water and let her kids drink out of the bath- room faucets after the water was lying in the pipes all night. After two years of offering to test her water for free, she finally agreed. She was blown away by all the testing and the amount of knowledge Ultra Pure offered about legal standards of the government versus healthy standards. She now has a purifier at her sink and a whole house system to filter the entire home’s water. After only a week, she could see and taste the difference in the water. She text them that she is SO obsessed with her water that she is taking a few gallons with her on a business road trip to Boston. Ultra Pure's focus is to give people access to a free water test so they can identify the problem and come up with the best solution. Their certified water technicians test your water using standards developed by the Water Quality Association and the E.P.A. They have insured installers for water purification, filtration, softening and conditioning solutions. Everyone should have access to ‘clean water,’ which is why they offer solutions with no money down, free installation and attractive financing options. Ultra Pure's solutions will have you spending less money than your monthly bottled water cost. They guarantee the best value and pricing! Let them conduct a free water test for you.

For more information about Ultra Pure go to: www.ultrapurewatertest.com www.ultrapurehomes.com visit them on Facebook, or Call North Jersey: 973-748-5076 •Central Jersey: 732 851-1183. Located at: 400 Madison Avenue, Manalapan, NJ.

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10 Foods that Will Boost Your Brain Health By Caryn Alter, MS, RD, FAND You’ve probably heard of the Mediterranean diet, and if you’ve been diagnosed with high blood pres- sure, you may have heard of the DASH diet. Combine the two and you get an eating plan designed to boost your brain health—among other benefits. How Our Diet Affects Our Brains

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As you age, it’s more difficult for important nerve cells to protect themselves against volatile free radicals, which are unstable molecules that can damage cells. Many of the foods listed below contain antioxi- dants or phytonutrients that neutralize free radicals, staving off age-re- lated degenerative diseases, including mental decline. The Mediterranean diet helps keep aging brains sharp because it em- phasizes eating foods that have been found to improve brain function, alertness, and memory. The eating plan includes extra virgin olive oil; legumes, such as peas, beans, and lentils; unrefined cereals; fruits; and vegetables. It also includes moderate to high amounts of fish, moderate amounts of dairy, such as cheese and yogurt, and wine. The plan allows very limited amounts of meat and meat products. The DASH (Dietary Approaches to Stop Hypertension) diet limits sodium and overall fat intake. There is strong evidence this plan reduces high blood pressure due to its emphasis on whole grains, fat-free and low-fat dairy products, and low-sodium foods. However, when an epidemiologist combined the best aspects of each diet to develop the Mediterranean-DASH Intervention for Neurode- generative Delay, or MIND diet, the results were significant. In a 2015 study, participants were assigned scores based on their eat- ing habits. Those who most closely followed the food recommendations of the MIND diet received the highest scores. Participants whose scores

ranked in the top third had a 53 percent lower risk of developing Alzheimer’s disease compared with those with the lowest scores. Researchers concluded that the hybrid MIND diet plan produced better brain protective properties than either the Mediterranean or DASH diets alone. A Shopping List for Brain Health The following foods have been shown to improve brain health and/or protect against cognitive decline: 1. Green leafy vegetables (examples: arugula, kale, and spinach) 2. Other nutrient-dense vegetables (examples: asparagus, broccoli, cabbage, carrots, sweet potatoes, & zucchini) 3. Whole grains (examples: brown and wild rice, oats, popcorn, quinoa) 4. Vegetable oils (examples: canola, corn, olive, sesame) 5. Berries (examples: blackberries, blueberries, cranberries, strawberries) 6. Nuts (examples: almonds, cashews, peanuts, walnuts) 7. Seafood (examples: herring, lake trout, salmon, sardines, tuna) 8. Poultry (examples: skinless chicken. skinless turkey) 9. Beans and Other Legumes (examples: kidney beans, chickpeas, soybeans, lentils, tofu) 10. Dairy (examples: fat-free and low-fat milk and yogurt) Foods with Possible Brain Benefits to Consume in Moderation . Some foods and drinks have beneficial properties, but should be consumed in moderation, including:

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