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DEERWOOD FAMILY PRACTICE, PLLC

NAD+

3/6/2025

Do you struggle with brain fog, cravings, and fatigue? You may be deficient in NAD(Nicotinomide adenine dinucleotide)!
As we age our bodies struggle with rejuvenating our NAD levels.
NAD is a coenzyme, or helper molecule, that assists with energy production and metabolism; it helps convert nutrients into usable energy forms within our mitochondria. It also helps repair our DNA and clean up our cellular debris. New studies show that NAD has potential benefits in anti-aging, neurological supportive, cognitive enhancement, energy level improvement, detoxification, and overall wellness and vitality.
When given as an injection it bypasses gastro metabolism and reaches higher plasma levels thus more health benefits.
At Deerwood we are excited to offer NAD as an option for overall health and wellness for our patients. This is a weekly injection that is slowly titrated up as tolerated. Over 5 weeks we work together to find the right dose for you before deciding on a maintenance plan. For March 2025 we’re offering 5 shots for $250.

References & Further Reading
1. Grant R, et al. "Benefits of NAD+ in Human Health and Disease." Nutrients. 2019;11(5): 1012.
2. Hui S, et al. "The NAD+ Interventions in Healthcare." Cell Reports. 2020;33(11): 108500
3. Nie C, et al. "NAD Supply: Impact on NAD Pool and Metabolism." Front Cell Dev Biol. 2018;6:200.
4. Clauson M, et al. "Efficacy of Nicotinamide Riboside Supplementation for Healthy Aging: A Review." Clin Ther.2019:41(10):2037-2055.
5. Integrative Medicine Practitioner Case Reports - Documented use of high-dose IV NAD for detoxification, aging support, and neurological health.

Core Restore 7 day detox

1/18/2025

Toxins, by the most basic definition, are any substances that have harmful effects on your body. Toxins are unavoidable in our world of processed foods, high stress and pollution. Toxins invade the body from three main sources: the environment, personal lifestyle choices and the body’s own metabolic processes.
With the Core Restore® program, you will give your body the tools it needs to rid itself of harmful toxins, leaving you feeling rejuvenated and healthy. This program is designed to help restore your innate detoxification and elimination functions and increase cellular energy. The body often does not get enough vitamins, minerals and antioxidants to facilitate the level of detoxification necessary to stay healthy and feel well. True detoxification, also known as biotransformation, is a biological process where toxins are transformed into less harmful metabolites that can be bound and excreted from the body.
Biotransformation requires specific vitamins, minerals, phytonutrients, and low-allergen, easy-to-digest protein to bind toxins and safely remove them from the body. In addition, biotransformation is one of the most energy-demanding functions in the body. It is important that a comprehensive detoxification program supports all three phases of biotransformation and boosts cellular energy production and reserves.

The liver is the main organ used to clear out toxins; however, when the total toxic burden of an individual exceeds the capacity for the liver to keep up, it can create weight loss resistance, which leads to the body packaging excess toxins within the fat cells to isolate and protect vital tissues and organs.
When this occurs, it can make weight loss more challenging because the body utilizes fat cells to help protect against toxin exposure throughout the body. While it is not the main focus of the Core Restore® program, one of the common benefits of a detoxification program is the clearance of toxins also held within the fat cells, which may lead to weight loss or improved and more balanced weight regulation.

The purpose of the Core Restore® program is to support efficient detoxification. This guide will help you understand how you can reduce the toxic burden in your body as well as outline a step-by-step program to promote healthy detoxification. Upon completion of this program, you will experience the many benefits of improved
biotransformation, such as improved energy, better sleep, increased mental clarity and newfound vitality.
After you complete the 7-day detoxification program, you and your health care provider will assess your progress. He or she may recommend you continue the detoxification program for an additional period of time to enhance your results. Your health care provider may utilize additional nutritional supplementation based on their assessment and may recommend further testing to uncover any hidden gastrointestinal (GI) challenges.

Click the link below to sign up for the patient handbook and guide.

https://corerestoredetox.com/

Sinatrol

11/11/2024

Sinus infections can be a bother. Sinatrol® contains a synergistic blend of nutrients and botanical ingredients to quickly boost immune response, decrease mucus build-up and increase mucociliary clearance during upper respiratory challenges. NAC helps to dissolve thick goopy mucus and also acts as an antioxidant to help support your immune system. Sinatrols unique turmeric matrix blend helps decrease sinus inflammation and congestion. Bromelain works to thin nasal secretions and soothe irritated sinus tissues.
Berberine, chinese licorice root, andrographis leaf, eleuthero root, and thyme herb finish out the blend to boost your immune cells and fight off infection.

SOURCES
1. Todisco T, Polidori R, Rossi F, Iannacci L, Bruni B, Fedeli L, Palumbo R. Effect of N-acetylcysteine in subjects with slow pulmonary mucociliary clearance. Eur J Respir Dis Suppl 1985;139:136-41.
2. Abe Y, Hashimoto S, Horie T. Curcumin human peripheral blood monocytes and alveolar macrophages. Pharmacol Res 1999;39:41-47.
3. Goel A, Kunnumakkara AB, Aggarwal BB. Curcumin as “curecumin”: from kitchen to clinic. Biochem Pharmacol 2008;75:787-809.
4. Agostinis C, Zorzet S, De Leo R, Zauli G, De Seta F, Bulla R. The combination of N-acetyl cysteine, alpha-lipoic acid, and bromelain shows high anti-inflammatory properties in novel in vivo and in vitro models of endometriosis. Mediators Inflamm. Epub 2015 Apr 16.
5. Braun JM, Schneider B, Beuth HJ. Therapeutic use, efficiency and safety of the proteolytic pineapple enzyme Bromelain-POS in children with acute sinusitis in Germany. In Vivo 2005;19:417-421.
6. Birdstall TC, Kelly GS. Berberine: Therapeutic potential of an alkaloid found in several medicinal plants. Altern Med Rev 1997;2:94-103.
7. Fukuda K, Hibiya Y, Mutoh M, et al. Inhibition of activator protein 1 activity by berberine in human hepatoma cells. Planta Med 1999;65:381-383.
8. Wu JF, Liu TP. Effects of berberine on platelet aggregation and plasma levels of TXB2 and 6-ketoPGF1 alpha in rats with reversible middle cerebral artery occlusion. Yao Hsueh Hsueh Pao 1995;30:98-102.
9. Abe N, Ebina, T, Ishida N. Interferon induction by glycyrrhizin and glycyrrhetic acid in mice. Microbiol Immunol 1982; 26:535-539.
10. Akamatsu H, Komura J, Asada Y, Niwa Y. Mechanism of anti-inflammatory action of glycyrrhizin: effect on neutrophil functions including reactive oxygen species generation. Planta Med 1991;57(2):119-121.
11. Licorice Root. Herbal Medicine: Expanded Commission E Monographs. American Botanical Council. 2000.
12. Coon JT, Ernst E. Andrographis paniculata in the treatement of upper respiratory tract infections: a systematic review of safety and efficacy. Planta Med 2004;70(4):293-8.
13. Cáceres DD, Hancke JL, Burgos RA, et al. Use of visual analogue scale measurements (VAS) to assess the effectiveness of standardized Andrographis paniculata extract SHA-10 in reducing the symptoms of common cold. Phytomedicine 1999;6:217-223.
14. Xia YF, Ye BQ, Li YD, Wang JG, He XJ, Lin X, Yao X, Ma D, Slungaard A, Hebbel RP, Key NS, Geng JG. Andrographolide attenuates inflammation by inhibition of NF-kappa B activation through covalent modification of reduced cysteine 62 of p50. J Immunol 2004 Sep 15;173(6):4207-17.
15. Melchior J, Spasov AA, Ostrovskij OV, et al. Doubleblind, placebo-controlled pilot and phase III study of activity of standardized Andrographis paniculata Herba Nees extract fixed combination (Kan Jang) in the treatment of uncomplicated upper-respiratory tract infection. Phytomedicine 2000;7:341-350.
16. Thyme. Herbal Medicine: Expanded Commission E Monographs. American Botanical Council. 2000.

Quercetin 20x plus

10/23/2024

Cold and flu season is approaching fast! We offer a selection of supplements tailored to address viral, allergy, and sinus issues.

One standout option is Quercetin 20× Plus Quercetin Phytosome−Antioxidant Complex by Xymogen.
Quercetin is a flavonoid found in medicinal plants and various foods like onions, apples, berries, brassica vegetables, nuts, wine, and black tea. This particular form of Quercetin is more bioavailable than others, meaning your body can absorb it more effectively.

Research indicates that Quercetin can block histamine release, reduce eosinophil recruitment, and inhibit pro-inflammatory cytokine activity. A study from Japan found that Quercetin significantly improved sleep and reduced allergy symptoms, such as sneezing, itchy eyes, and a runny nose, compared to a placebo. Additionally, another study showed that Quercetin, when used alongside standard care early in the respiratory process, led to better infection clearance, improved acute symptoms, reduced illness progression, and lower blood inflammatory markers.

N-Acetyl Cysteine (NAC) is an essential building block to glutathione, a potent antioxidant that shields the body from free radicals, which can contribute to aging and serious health conditions such as cancer and heart disease. Taking NAC supplements can restore antioxidant levels, especially when your immune system is weakened, thereby improving your recovery. Additionally, NAC acts as a natural mucolytic agent, aiding in mucus clearance from the airways similar to Mucinex. It helps reduce oxidative stress in the lungs, increases glutathione levels, lowers inflammation, and diminishes airway sensitivity.

SOURCES:

1. Huang H, Liao D, Dong Y, et al. Nutr Rev. 2020;78(8):615-626. doi:10.1093/nutrit/nuz071

2.Yang D, Wang T, Long M, et al. Oxid Med Cell Longev. 2020;2020:8825387. doi:10.1155/2020/8825387

3. Leyva-Soto A, Alejandra Chavez-Santoscoy R, Porras O, et al. Food Res Int. 2021;142:110101. doi:10.1016/j.foodres.2020.110101

4.Mlcek J, Jurikova T, Skrovankova S, et al. Molecules. 2016;21(5):623. doi:10.3390/molecules21050623

5. Jafarinia M, Sadat Hosseini M, Kasiri N, et al. Allergy Asthma Clin Immunol. 2020;16:36. doi:10.1186/s13223-020-00434-0 6. Riva A, Ronchi M, Petrangolini G, et al. Eur J Drug Metab Pharmacokinet. 2019;44(2):169-177. doi:10.1007/s13318-018-0517-3

7. Yamada S, Shirai M, Inaba Y, et al. Eur Rev Med Pharmacol Sci. 2022;26(12):4331- 4345. doi:10.26355/eurrev_202206_29072. PMID: 35776034.

8. Di Pierro F, Iqtadar S, Khan A, et al. Int J Gen Med. 2021;14:2807-2816. doi:10.2147/IJGM.S318949

9.Di Pierro F, Derosa G, Maffioli P, et al. Int J Gen Med. 2021 8;14:2359-2366. doi:10.2147/IJGM.S318720

10.Di Pierro F, Khan A, Iqtadar S, et al. Front Pharmacol. 2023 13;13:1096853. doi:10.3389/fphar.2022.1096853

11.Blesa S, Cortijo J, Mata M, et al. Eur Respir J. 2003;21(3):394-400. doi:10.1183/09031936.03.00039602

12.Aldini G, Altomare A, Baron G, et al. Free Radic Res. 2018;52(7):751-762. doi:10.1080/10715762.2018.1468564

13. Ghezzi P. Int J Gen Med. 2011;4:105-113. doi:10.2147/IJGM.S15618

14. Shi Z, Puyo CA. Ther Clin Risk Manag. 2020;16:1047-1055. doi:10.2147/TCRM.S273700

15.Bhusal KK, Magar SK, Thapa R, et al. Heliyon. 2022;8(6):e09717. doi:10.1016/j.heliyon.2022.e09717

16.Roschek B Jr, Fink RC, McMichael M, et al. Phytother Res. 2009;23(7):920-926. doi:10.1002/ptr.2763

Homocysteine & your heart

10/7/2024

Why do we check your homocysteine level?
Homocysteine is an amino acid produced as a byproduct of our body's normal metabolic processes. To break it down and remove it, our bodies rely on essential nutrients such as folate, vitamin B6, and vitamin B12. A deficiency in any of these vitamins can lead to elevated homocysteine levels in the blood.¹
This is significant because high homocysteine levels can irritate blood vessels and increase the risk of heart disease. Elevated homocysteine may also exacerbate high blood pressure and contribute to inflammation throughout the body,² further increasing the risk of heart attacks and strokes.
To help maintain healthy homocysteine levels, it's important to consume foods rich in folate, vitamin B6, and vitamin B12. Make sure to get your yearly physical checkup with bloodwork to monitor your homocysteine levels and determine whether supplementation is necessary to protect your heart.

Foods that Contain Homocysteine-Lowering Vitamins
Folate: avocado, broccoli, eggs, Leafy green vegetables
Vitamin B6: avocado, banana, chickpeas, spinach
Vitamin B12: salmon, tuna, eggs, Lean beef

By Caroline Berry, PA-S
UTHSCSA Graduating December 2025

SOURCES
1.Kumar A, Palfrey HA, Pathak R, Kadowitz PJ, Gettys TW, Murthy SN. The metabolism and significance of homocysteine in nutrition and health. Nutr Metab. 2017;14:78. doi:10.1186/s12986-017-0233-z
2. Ganguly P, Alam SF. Role of homocysteine in the development of cardiovascular disease. Nutr J. 2015;14:6. doi:10.1186/1475-2891-14-6

Viracid & Virakid

9/30/2024

Viral respiratory infections are on their way! Viracid is one way you can help your immune system recover more efficiently. Viracid is a combination of powerful nutrients and botanical extracts. It contains the active form of black elderberry which helps supercharge immune pathways to eliminate foreign invaders. Astragalus root extract is also in this product. It supports and boosts our immune cell turnover rate for maximum efficiency. Paniculata Leaf Extract and Echinacea have been used for centuries to help decrease sore throats and nasal secretions and work as antioxidants. Viracid can be taken hourly for the first day of viral infection for immediate immune support or daily for immune maintenance. If you're looking for a children's version try ViraKid which provides the same health benefits in a kid friendly blend.

Sources
1. Tan BK, Vanitha J. Immunomodulatory and antimicrobial effects of some traditional chinese medicinal herbs: a review. Curr Med Chem 2004;11(11):1423-1430.
2. Kemper K, Small R. Astragalus (Astragalus membranaceous).1999.http://www.longwoodherbal. org/.
3. Sinclair S. Chinese herbs: a clinical review of Astragalus, Ligusticum, and Schizandrae. Altern Med Rev 1998;3(5):338- 344.
4. Berrett B. Medicinal properties of Echinacea: a critical review. Phytomedicine 2003;10:66-896.
5. Percival SS. Use of Echinacea in medicine. Biochem Pharmacol 2000;60:155-158.
6. Pizzorno JE, Murray MT. Textbook of Natural Medicine. (2013) St. Louis, MO: Churchill Livingstone.
7. Cáceres DD, Hancke JL, Burgos RA, et al. Use of visual analogue scale measurements (VAS) to assess the effectiveness of standardized Andrographis paniculata extract SHA-10 in reducing the symptoms of common cold. Phytomedicine 1999;6:217-223.
8. Calabrese C, Berman SH, Babish, SH, Babish JG, et al. A phase I trial of andrographolide in HIV positive patients and normal volunteers. Phytother Res 2000; 14:333-338.
9. Verma N, Vinayak M. Antioxidant action of Andrographis paniculata on lymphoma. Mol Biol Rep 2008; 35:535-540.

D-hist

9/24/2024

Are allergies getting the best of you this season? Natural D-Hist® is another fantastic option we carry at Deerwood Family Practice to help combat pesky allergy symptoms. D-Hist® is a targeted blend of flavonoids, antioxidants, proteolytic enzymes, and botanicals designed to support your immune system and combat symptoms caused by common environmental allergens and irritants.
Quercetin has many amazing qualities but one trait that really shines in this product is how it helps to shut down the release of histamine. Histamine is a chemical released by your body that causes itchy watery eyes, sneezing, stuffy nose, post nasal drainage, and other allergy symptoms.
D-Hist® also has Stinging Nettle Leaf (Urtica dioica). This plant has shown to calm and balance an overactive immune response especially in the airway and nasal passages. It works with Quercetin to control your body’s histamine release, reducing allergy symptoms.
Bromelain is another great component found in D-Hist®. This plant enzyme found in pineapples helps supercharge Quercetin more effectively and supports mucosal health. It helps break down large protein complexes and eases seasonal allergy discomfort.
This combination promotes healthy nasal and sinus passages for those with high histamine levels and respiratory irritation. Additionally, Natural D-Hist® can be taken as needed or daily for year-round allergy relief, alongside other over-the-counter medications.
We also offer a safe and effective option for children!
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SOURCES
1. Della Loggia R, Ragazzi E, Tubaro A, et al. Anti-inflammatory activity of benzopyrones that are inhibitors of cyco- and lipo-oxygenase. Pharmacol Res Commun. 1988;20:91-94.
2. Kim HP, Mani I, Iversen L, Ziboh VA. Effects of naturally-occurring flavonoids and bioflavonoids on epidermal cyclooxygenase and lipoxygenase from guinea pigs. Prostagladins Leukot Essent Fatty Acids. 1998; 58:17-24.
3. Otsuka H, Inaba M, Fujikura T, Kunitomo M. Histochemical and functional characteristics of metachromatic cells in the nasal epithelium in allergic rhinitis: studies of nasal scrapings and their dispersed cells. J Allergy Clin Immunol. 1995 ;96(4):528-36.
4. Mittman P. Randomized, double-blind study of freeze-dried Urtica dioica in the treatment of allergic rhinitis. Planta Med. 1990; 56:44-47.
5. Obertreis, B. et al. Anti-inflammatory effect of Urtica dioica folia extract in comparison to caffeic malic acid. Arzneimittelforschung. 1996; 46(1): 52-56.
6. Shoskes DA, Zeitlin SI, Shahed A, Rajfer J. Quercetin in men with category III chronic prostatitis: a preliminary prospective, double-blind, placebo-controlled trial. Urology. 1999; 54(6): 960-3.
7. Cichoke AJ. The Complete Book of Enzyme Therapy. (1999). Garden City Park, NY: Avery Publishing Group.

OrthoMune

9/16/2024

Looking to boost your health this fall? Deerwood Family Practice highly recommends adding OrthoMune® to your daily routine.
OrthoMune® is a specialized blend of nutrients designed to strengthen your immune system. It includes quercetin, Vitamin C, N-acetyl cysteine, Vitamin D, and zinc. These ingredients work together to promote healthy respiratory and immune function, making it suitable for majority of patients.
Quercetin: A natural compound found in fruits and vegetables like apples, onions, and berries. It’s known for its powerful antioxidant and anti-inflammatory properties, which help protect your cells from damage and reduce inflammation.
Vitamin C: A strong antioxidant that protects immune cells and supports overall immune function. It also enhances quercetin’s effectiveness by recycling it back to its active form so our body’s can continue to use it.
N-acetyl cysteine (NAC): A supplement derived from the amino acid cysteine. It’s known for its antioxidant properties and is often used to support lung health, boost the immune system, and help the body detoxify.
Vitamin D: A nutrient usually obtained from sunlight and certain foods like fatty fish. It helps your body absorb calcium, which is important for strong bones and teeth
Zinc: Essential for a healthy immune system. It helps supercharge specific cells in our immune system to fight stronger. It supports key immune functions and helps maintain respiratory health and function.

Sources:
1. Carr AC, Maggini S. Vitamin C and Immune Function. Nutrients. 2017;9(11).
2. Colunga Biancatelli RML, Berrill M, Catravas JD, Marik PE. Quercetin and Vitamin C: An Experimental, Synergistic Therapy for the Prevention and Treatment of SARS-CoV-2 Related Disease (COVID-19). Frontiers in immunology. 2020;11:1451.
3. Boots AW, Haenen GR, Bast A. Health effects of quercetin: from antioxidant to nutraceutical. Eur J Pharmacol. 2008;585(2-3):325-337.
4. Linus Pauling Institute. Zinc. 2019; https://lpi.oregonstate.edu/mic/minerals/zinc#impaired-immune -function. Accessed January 7, 2021.
5. Baum MK, Shor-Posner G, Campa A. Zinc status in human immunodeficiency virus infection. J Nutr. 2000;130(5S Suppl):1421S-3S.
6. Maares M, Haase H. Zinc and immunity: An essential interrelation. Arch Biochem Biophys. 2016;611:58-65.
7. Rondanelli M, Miccono A, Lamburghini S, et al. Self-Care for Common Colds: The Pivotal Role of Vitamin D, Vitamin C, Zinc, and Echinacea in Three Main Immune Interactive Clusters (Physical Barriers, Innate and Adaptive Immunity) Involved during an Episode of Common Colds-Practical Advice on Dosages and on the Time to Take These Nutrients/Botanicals in order to Prevent or Treat Common Colds. Evid Based Complement Alternat Med.: eCAM. 2018;2018:5813095.
8. Hemilä H. Zinc lozenges and the common cold: a meta-analysis comparing zinc acetate and zinc gluconate, and the role of zinc dosage. JRSM open. 2017;8(5):2054270417694291.
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Liver Disease Risks

8/25/2024

Addressing the Rise of Metabolic Dysfunction-Associated Steatotic Liver Disease: How Deerwood Family Practice Can Help

The rapid increase in obesity and metabolic syndrome across the U.S. is raising serious concerns about a condition known as Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD), previously known as Non-Alcoholic Fatty Liver Disease (NAFLD). This liver condition, which is not related to alcohol consumption, often presents with no symptoms in its early stages. As MASLD advances, it can lead to Metabolic Dysfunction-Associated Steatohepatitis (MASH), where harmful fat accumulates in the liver, potentially progressing to severe outcomes like fibrosis, cirrhosis, and hepatocellular carcinoma (HCC) if left untreated.
With an estimated 100 million Americans currently living with MASLD and about 6.6 million at risk of developing liver fibrosis, it’s alarming to note that fewer than 5% of MASLD cases are accurately diagnosed. Early detection and management are crucial to prevent severe liver damage and improve patient outcomes.
At Deerwood Family Practice, we are committed to advancing liver health through innovative diagnostics. We are proud to offer the OWLiver® panel, a cutting-edge, non-invasive test designed to assess the stages of MASLD with precision. Unlike traditional tests that focus solely on abnormal liver enzymes, the OWLiver® panel evaluates 28 different liver metabolites and biomarkers. This comprehensive approach provides detailed insights into the amount of fat, level of inflammation, and extent of fibrosis in the liver.
The results include the MASEF Score, a highly specific, metabolomics-driven indicator that helps identify individuals at risk for MASH. Based on your unique results, we provide a range of tailored interventions to support liver health and promote natural detoxification. Our team is continually updating our knowledge through advanced education seminars on fatty liver disease to better serve our patients.

Sources:

Barr J, Caballería J, Martínez-Arranz I, Domínguez-Díez A, Alonso C, Muntané J, Pérez-Cormenzana M, García-Monzón C, Mayo R, Martín-Duce A, Romero-Gómez M, Lo Iacono O, Tordjman J, Andrade RJ, Pérez-Carreras M, Le Marchand-Brustel Y, Tran A, Fernández-Escalante C, Arévalo E, García-Unzueta M, Clement K, Crespo J, Gual P, Gómez-Fleitas M, Martínez-Chantar ML, Castro A, Lu SC, Vázquez-Chantada M, Mato JM. Obesity-dependent metabolic signatures associated with nonalcoholic fatty liver disease progression. J Proteome Res. 2012 Apr 6;11(4):2521-32. doi: 10.1021/pr201223p. Epub 2012 Mar 15. PMID: 22364559; PMCID: PMC3321123.

Mayo R, Crespo J, Martínez-Arranz I, Banales JM, Arias M, Mincholé I, Aller de la Fuente R, Jimenez-Agüero R, Alonso C, de Luis DA, Vitek L, Stritesky J, Caballería J, Romero-Gómez M, Martín-Duce A, Mugüerza Huguet JM, Busteros-Moraza JI, Idowu MO, Castro A, Martínez-Chantar ML, Ortiz P, Bruha R, Lu SC, Bedossa P, Noureddin M, Sanyal AJ, Mato JM. Metabolomic-based noninvasive serum test to diagnose nonalcoholic steatohepatitis: Results from discovery and validation cohorts. Hepatol Commun. 2018 May 4;2(7):807-820. doi: 10.1002/hep4.1188. PMID: 30027139; PMCID: PMC6049064.

. Rinella ME, Neuschwander-Tetri BA, Siddiqui MS, et al. AASLD Practice Guidance on the clinical assessment and management of nonalcoholic fatty liver disease. Hepatology. 2023;77(5):1797-1835. doi: 10.1097/ HEP.0000000000000323

Bril F, McPhaul MJ, Kalavalapalli S, et al. Intact fasting insulin identifies nonalcoholic fatty liver disease in patients without diabetes. J Clin Endocrinol Metab. 2021;106(11):4360-e4371. doi: 10.1210/clinem/dgab417

Sarkar M, Yates K, Suzuki A, et al. Low testosterone is associated with nonalcoholic steatohepatitis and fibrosis severity in men. Clin Gastroenterol Hepatol. 2021;19(2):400-402.2. doi: 10.1016/j.cgh.2019.11.053

Kizivat T, Maric I, Mudri D, Curcic IB, Primorac D, Smolic M. Hypothyroidism and nonalcoholic fatty liver disease: pathophysiological associations and therapeutic implications. J Clin Transl Hepatol. 2020;8(3):347-
353. doi: 10.14218/JCTH.2020.00027

Multivitamins

8/7/2024

Are you considering supplements to enhance your overall health but unsure where to start? At Deerwood Family Practice, we recommend multivitamins as an excellent place to begin.
The Dietary Guidelines for Americans 2020-2025 highlight that many people may not get enough micronutrients from their diets alone. Factors like mass food production, food storage practices, poor dietary choices, and nutrient-depleting cooking methods can contribute to these deficiencies. While it's ideal to obtain your nutrients from a diverse diet rich in vegetables, fruits, whole grains, and dairy, sometimes this isn't enough. In such cases, high-quality multivitamin/mineral supplements can be a valuable addition to your health regimen. The products we offer at Deerwood are provided in bioactive forms so they are adequately absorbed and utilized efficiently ActivNutrients by Xymogen is a  multivitamin that features a well-balanced nutrient profile, including calcium, magnesium, zinc, copper, vitamins C and E, bioactive folate, vitamin B12, a B vitamin complex, beta-carotene, and trace elements. The formulation is expertly balanced to enhance nutrient synergy and prevent competitive absorption issues. Additionally, it provides broad-spectrum antioxidant activity, supporting intra- and extracellular functions, and offers significant levels of bioavailable riboflavin, niacin, folate, and B12 to aid cellular detoxification and tissue support. Another option is ActivNutrients® Phyto. This premium formula combines metabolically active B vitamins and a bioavailable mineral complex for superior nutrient utilization. Alongside foundational nutrition, it includes powerful phytochemical sources such as astaxanthin and extracts from green coffee beans, green tea, and rosemary. These components work together to support antioxidant defenses, and cell protection, and help mitigate oxidative stress.

Sources:
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5. Multivitamin/Mineral Supplements Fact Sheet. National Institutes of Health. Updated October 12, 2021. Accessed November 29, 2021. https://ods.od.nih.gov/factsheets/ MVMS-HealthProfessional/?print=1
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8. Marra MV, Bailey RL. Position of the Academy of Nutrition and Dietetics: micronutrient supplementation. J Acad Nutr Diet. 2018;118(11):2162-2173. doi:10.1016/j. jand.2018.07.022
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