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Dietary Recommendations Foods to include: • Increase intake of whole grains buy 5mg zestril amex, fresh vegetables discount zestril 2.5mg online, and fruits cheap 10 mg zestril with amex. They also contain vitamin C, folate, and beta-carotene, which have been found to be deﬁcient in those who develop cervical dys- plasia. Foods to avoid: • Alcohol, caffeine, reﬁned foods, food additives, sugar, and saturated fats may affect hor- mone balance, impair immune function, and worsen symptoms. C • Red meat and dairy products may contain dioxins and chemicals that act as estrogen- mimickers. Lifestyle Suggestions • Minimize exposure to environmental estrogens or xenoestrogens (phthalates, parabens, and dioxins), which are present in pesticides, plastics, and certain skin care products. Indole-3-carbinol: A compound found naturally in cruciferous vegetables that aids in de- toxiﬁcation of estrogen, protects liver function, and may protect against hormonal cancers. In one study supplements were found to improve lesions in those with cervical dysplasia. Complementary Supplements B-vitamins: Some research has shown that women with low dietary intakes of vitamins B1, B2, B12, and folic acid are at greater risk of developing cervical dysplasia and those with higher intakes of these nutrients from food and supplements are at lower risk. Not speciﬁcally studied for cervical dysplasia, but may help by reducing the harm- ful effects of estrogen. However, it is known that vitamin C sup- ports immune function and is an antioxidant that protects against cellular damage. Beta-carotene: Some research suggests that a deﬁciency in beta-carotene increases the risk of cervical dysplasia and cancer, and that supplements may promote a regression or decline C in the signs of cervical dysplasia. It is thought that women are more likely to report the symptoms to their doctors than men. However, these drugs can cause side effects that may actually be worse than the symptoms of the condition. These medications include antidepressants (Paxil, Zoloft, and Wellbutrin), anti-anxiety drugs (Xanax and Ativan), anti-inﬂammatory drugs (Motrin), and allergy drugs (antihistamines and decongestants). C Food to avoid: • Processed and fast foods contain chemicals that may trigger allergic reactions and stress the body, worsening symptoms. Lifestyle Suggestions • Reduce stress—promote relaxation with meditation, yoga, stretching, and breathing exer- cises. Try to get a combination of both aerobic activities (walking, biking, and swimming) along with resistance training (working out with weights or machines) and stretching. B-vitamins are required for energy production, enzyme reactions, and many other vital body processes. Without functioning valves to prevent the backﬂow of blood, the blood pools in the veins, causing them to enlarge. It often starts with the failure of a single valve, which creates a high-pressure leak in the venous system. After a series of valves have failed, the affected veins can no longer direct blood upward toward the heart. This scenario often continues as increasing numbers of valves fail under the strain and high pressure, and more and more veins become affected. Options include: Ablation/sclerotherapy/laser: Procedures that destroy the damaged vein; blood is rerouted through other veins, and the damaged vein is absorbed by the body. Bypass: An artiﬁcial or transplanted vein is connected to the damaged vein to help improve blood ﬂow. C Compression stockings: They provide ﬁrm support to improve blood ﬂow back to the heart and prevent leg swelling; available for both men and women; custom or- dered to size. Valve repair: A surgical procedure to shorten the valves and improve valve function. These foods are also high in antioxidants and good fats, both of which are helpful for circulation. Foods to avoid: • Saturated fats (animal fats) and trans fats (fast food and processed food) impede circula- tion, cause free radical damage, and trigger inﬂammation. Lifestyle Suggestions • Exercise regularly: Activities that involve the calf muscle will help pump blood back to the heart. Move around, ﬂex your ankles, circle your foot, do calf raises, and shift your body weight. It has a quick onset of action (one to two weeks) and is not associated with any side effects or drug interactions. Dosage: 600 mg once daily of a product standardized to provide 95 percent diosmin and 5 percent hesperidin. Over 30 clinical studies have found diosmin safe and effective for improving vein disor- ders, including chronic venous insufﬁciency and varicose veins. C Horse chestnut seed extract: Promotes circulation, improves vein wall tone, and relieves swelling. It may cause nausea and upset stomach and can enhance the effect of blood-thinning medications. Pine bark extract: A ﬂavonoid that offers antioxidant activity, strengthens capillaries, improves circulation, and supports vein health. In addition to diosmin and pine bark, other antioxidants to consider include vitamins C and E, bilberry, and grape seed extract. Butcher’s broom: Improves the strength and tone of the veins, acts as a mild diuretic, and has mild anti-inﬂammatory effects. Gotu kola: Is a plant extract shown in preliminary research to reduce swelling, pain, fatigue, sensation of heaviness, and ﬂuid leakage from the veins. Boost intake of ﬁbre and antioxidant-rich foods; reduce your intake of saturated fats, processed foods, and sodium. Exercise regularly, elevate your feet when resting, and avoid standing or sitting in the same spot. Most people contract cold sores during childhood, although some people get them C later in life. After infection with the virus, it can remain dormant for long periods of time and then periodically cause outbreaks, particularly when the immune system is weakened. An outbreak of cold sores causes: • Clusters of tiny, red, ﬂuid-ﬁlled blisters • Crusting once they burst • Pain Cold sores typically last for seven to 10 days. Contact your doctor if: the sores do not heal within two weeks; the symptoms are severe; you get frequent recurrences; you C experience pain or irritation in your eyes. Prescription antiviral drugs such as Valtrex and Zovirax may shorten the dura- tion and severity of the infection, but are not approved for prevention. These drugs are expensive, associated with side effects (nausea, vomiting, and headache), and are not recommended for children, pregnant women, or those with impaired kidney or liver function. Over-the-counter products that may be recommended include: Aspirin, acetaminophen (Tylenol) or ibuprofen: Oral medications that help re- duce pain. Dietary Recommendations Foods to include: • Foods high in the amino acid lysine (legumes, ﬁsh, meat, and dairy) may help to reduce levels of arginine. Foods to avoid: • Foods that contain high amounts of arginine (chocolate, nuts, whole grains, and gelatin) allow the cold sore virus to thrive. Lifestyle Suggestions To avoid contracting or spreading the virus, don’t share personal items such as drinking glasses, toothbrushes, razors, lipstick, or towels. It provides thermal therapy to enhance the immune system re- sponse and stop the virus. Clinical studies have shown that it can prevent outbreaks when used during the prodromal phase. There are no side effects; it can be used by children over six years and pregnant women; available without a prescription in most pharmacies. Once the blisters have appeared, try the following: C • Apply an ice pack, wrapped in a washcloth, for ﬁve minutes several times a day to ease pain and help dry out the sores. Top Recommended Supplements Lemon balm: An herb, also known as Melissa ofﬁcinalis, lemon balm has antiviral proper- ties that can help speed healing and shorten the duration of an outbreak. Lysine: An amino acid that inhibits growth of the cold sore virus and may reduce recur- rence; take at the ﬁrst sign of a cold sore. Complementary Supplement Antioxidants: The antioxidants vitamins C and E may help to promote healing and strength- en the immune system’s response to the virus. To cut your risk of an outbreak, get adequate rest, reduce stress, avoid sharing utensils or personal items, and wear sunscreen and lip balm. Use a cold pack and witch hazel to relieve pain and prevent spreading, and a cream with lemon balm to promote healing.
The somatic nervous system acts on skeletal muscles to produce voluntary move- ment safe zestril 10 mg. The autonomic nervous system buy zestril 10mg without prescription, known as the visceral system safe zestril 5 mg, is respon- sible for involuntary movement and controls the heart, respiratory system, gastrointestinal system, and the endocrine system (glands). The autonomic nervous system is further divided into the sympathetic and parasympathetic nervous systems (see Autonomic Nervous System). The sympathetic nervous system is called the adrenergic system and uses the norephinephrine neurotransmitter to send information. The parasympathetic system, called the cholinergic system, uses the acetylcholine neurotransmitter to transmit information. Both the sympathetic and parasympathetic nervous systems innervate organs within the body. The sympathetic system excites the organ while the parasympa- thetic system inhibits the organ. For example, the sympathetic system increases the heart rate while the parasympathetic system decreases the heart rate. These pregan- glionic and postganglionic fibers are connected together by a ganglion. The pre- ganglionic nerve fiber carries messages from the central nervous system to the ganglion. The postganglionic nerve fiber transmits that message to specific tis- sues and organs from the ganglion. Neurological pathways in the sympathetic nervous system originate from the thoracic (T1 to T12) and the upper lumbar segments (L1 and L2) of the spinal cord. This is why the sympathetic nervous system is also referred to as the tho- racolumbar division of the autonomic nervous system. However, sympa- thetic postganglionic fibers are long from the ganglion to the body cells. This is why the parasympathetic nervous system is also known as the craniosacral division of the autonomic nervous system. Preganglionic fibers are long from the spinal cord to the ganglion and the postganglionic fibers are short from the ganglion to the body cells. Central Nervous System Stimulants Medication is given to stimulate the central nervous system in order to induce a therapeutic response. There are four major groups of medications that stimulate the central ner- vous system. Caffeine also stimu- lates the cerebral cortex and stimulates respiration by acting on the brain stem and medulla. Anorexiants inhibit appetite by stimulating the cerebral cortex and the hypothalamus. Amphetamines, analeptics, and anorexiants are commonly referred to as “uppers” when used to prevent sleep. Anorexiants and amphetamines can pro- duce psychological dependence and the body can become tolerant to its effect if abused. Abruptly discontinuing these medications may result in withdrawal symptoms including depression. Amphetamines are also taken to decrease weight and increase energy enabling the patient to perform work quickly with- out rest. Amphetamines, analeptics, and anorexiants stimulate the release of the neuro- transmitters norepinephrine and dopamine from the brain and from the periph- eral nerve terminals of the sympathetic nervous system. The patient can also experience sleeplessness, restless- ness, tremors, and irritability; cardiovascular problems (increased heart rate, pal- pitations, dysrhythmias and hypertension). Caffeine is found in many drugs including Anacin, Excedrin, Cafergot, Fiorinal, and Midol. The cause of migraines is not clearly understood although research indicates the expansion of blood vessels and the release of certain chemicals—such as dopamine and serotonin—causes inflammation and pain. A migraine can occur if an abnormal amount of these chemicals are present or if the blood vessels are unusually sensitive to them. Patients who have migraines experience intense, throbbing, headache pain which is often accompanied by nausea, photophobia (sensitivity to light), phono- phobia (sensitivity to sound), and temporary disability. Migraines are sometimes preceded by an aura such as a breeze, odor, a beam of light, or a spectrum of colors. Migraines can occur on one side of the head (unilateral) and the pain is frequently reported as pulsating or throbbing. These are blood-vessel constrictors and dilators (see Chapter 26), antiseizure drugs (dis- cussed later in this chapter), antidepressants (discussed later in this chapter), beta-blockers (see Chapter 26), and analgesics (see Chapter 16). Patients are given a selected combination of these medications to prevent migraines. The prescriber determines the most effective combination for each patient based on the patient’s response to these medications. Commonly prescribed medications to prevent migraines are amitriptyline, divaproex sodium, propranol, timolol, topiramate, bupropion, cyproheptadine, diltiazem, doxepin, fluvoxamine, ibuprofen, imipramine, and methysergide. A list of drugs utilized in the treatment of migrane headaches is provided in the Appendix. With increased doses, the patient experiences a hypnotic effect causing the patient to fall asleep. Such is the case of the ultra-short-acting barbiturate thiopental sodium (Pentothal) that produces anesthesia. Sedative-hypnotics and barbituates were first used to reduce tension and anx- iety. Over-the-counter sleep medications such as diphenhydramine con- tain an antihistamine not barbiturates to achieve sedation. Short-acting sedative-hypnotics are ideal for patients who need assistance falling asleep but who must awaken early without experiencing a lingering aftereffect from the medication. The use of sedative-hypnotics for sleep (hypnotic) should be short term or there is a chance that the patient could become dependent on the medication or develop a tolerance. Patients who take high doses of sedative-hypnotics over long periods must gradually discontinue the medication rather than abruptly stopping the drug which can cause withdrawal symptoms. Sedative-hypnotics should not be administered to patients who have severe respiratory disorders or who are pregnant. Before a patient is prescribed a sedative-hypnotic to aid with sleep, the patient should try non-pharmacological methods that promote sleep such as: • Arise at a specific hour in the morning. Barbiturates are clas- sified by duration of action referred to as ultrashort-acting, short-acting, inter- mediate acting, and long-acting. Ultrashort-acting barbiturates such as thiopental sodium (Pentothal) is a com- monly used anesthetic. Secobarbital (Seconal) and pentobarbital (Nembutal) are short-acting barbiturates that induce sleep. For longer periods of sleep, patients are prescribed intermediate acting such as amobarbital (Amytal), aprobarbital (Alurate) and bubatabarbital (Butisol). Phenobarbital and mephobarbital are long-acting barbiturates used for controlling epileptic seizures. Anesthetic agents were introduced in surgery in the early 1800s in the form of nitrous oxide (laughing gas), which continues to be used today for dental pro- cedures. Ether is a highly flammable liquid with a pun- gent odor that causes nausea and vomiting and is seldom used today. General anesthetics are used for general surgery, cardiac surgery, neuro- surgery, and pediatric surgery. A general anesthetic can consist of one medication or a combination of med- ications—called balanced anesthesia—depending on the patient’s age, weight, medical history, general health, and allergies. The night before the surgery, the patient is given a hypnotic to assist with a good night’s sleep. On the day of the surgery, premedication may be given to the patient about one hour before surgery. A short-acting barbiturate such as thiopental sodium (Pentothal) is then administered in the operating room to induce anes- thesia. Depending on the nature of the operation, the patient may also receive a muscle relaxant. The patient experiences four stages of anesthesia, some of which are not observable because they occur rapidly. These stages are: Stage one: analgesia The patient experiences analgesia (a loss of pain sensation) but remains con- scious and can carry on a conversation.
This condition is caused by the protozoan Toxoplasma gondii which primarily infects cats but can also be carried by any warm blooded animal discount zestril 10mg mastercard. In the West buy discount zestril 10mg line, 30–80 per cent of adults have been infected by ingesting food or water contaminated by cat faeces zestril 2.5mg free shipping, or by eating raw meat from sheep or pigs which contain Toxoplasma cysts. After ingestion by humans the organ- ism divides rapidly within macrophages and spreads to muscles and brain. The primary infec- tion is generally asymptomatic, but can cause an acute mononucleosis-type illness with generalized lympadenopathy and rash. It may leave scars in the choroid and retina and small inflammatory lesions in the brain. If the host then becomes immunocompromised the organism starts proliferating causing toxoplasmosis. Cerebral toxoplasmosis usually presents with a subacute illness comprising fever, headache, confusion, fits, cognitive dis- turbance, focal neurological signs including hemiparesis, ataxia, cranial nerve lesions, visual field defects and sensory loss. The clinical and radiological differential diagnoses include lymphoma, tuberculosis and secondary tumours. Anti-toxoplasma anti- body titres should be measured, but are not always positive. The headaches and papilloedema are caused by raised intracranial pressure from the multiple space-occupying lesions. Treatment is started with high-dose sulfadiazine and pyrimethamine together with folinic acid to pre- vent myelosuppression. In cases that have not responded within 3 weeks, a biopsy of one of the lesions should be considered. Cerebral toxoplamosis is uniformally fatal if untreated, and even after treat- ment neurological sequelae are common. She should be advised to contact her previous sexual partners so that they can be tested and started on antiretroviral therapy. She should also tell her occupational health department so that the appropriate advice can be taken about contacting, testing and reassuring patients. Her mother says that her daughter has been behaving increasingly strangely, and has been hearing voices talking about her. She has also complained of night sweats and flitting joint pains affecting mainly the small joints of her hands and feet. She smokes 5–10 cigarettes per day and consumes about 10 units of alcohol per week. Examination of her cardio- vascular, respiratory and abdominal systems is otherwise normal. Investigations show low haemo- globin, white cells and platelets with impaired renal function and blood, protein and cells in the urine. It varies in severity from a mild illness caus- ing a rash or joint pains, to a life-threatening multisystem illness. Glomerulonephritis is another common manifestation of lupus and may present with microscopic haematuria/proteinuria, nephrotic syndrome or renal failure. Arthritis commonly affects the proximal interphalangeal and metacarpophalangeal joints and wrists, usually as arthralgia without any deformity. Differential diagnosis of the combination of headaches/psychiatric features/fits • Meningitis/encephalitis • ‘Recreational’ drug abuse, e. A renal biopsy will provide histo- logical evidence of the severity of the lupus nephritis. As soon as active infection has been excluded, treatment should be started with intravenous steroids and cytotoxic agents such as cyclophosphamide. There are also lymph nodes 1–2 cm in diameter, palpable in both axillae and inguinal areas. On abdominal examination, there is a mass palpable 3 cm below the left costal margin. Persistent lymphadenopathy and con- stitutional symptoms suggest a likely diagnosis of lymphoma or chronic leukaemia. Repeated minor trauma and infection may cause enlargement of the locally draining lymph nodes. Enlargement of the left supraclavicular nodes may be due to metastatic spread from bronchial and nasopharyngeal carcinomas or from gastric carcinomas (Virchow’s node). However, when there is generalized lymphadenopathy with or without splenomegaly, a sys- temic illness is most likely. The typical systemic symptoms of lymphoma are malaise, fever, night sweats, pruritus, weight loss, anorexia and fatigue. Severe skin itching is a feature of some cases of lymphoma and other myeloproliferative illnesses. Radiotherapy alone is reserved for patients with limited disease, but this patient has wide- spread disease. He should be given allopurinol prior to starting chemotherapy, to prevent massive release of uric acid as a consequence of tumour lysis, which can cause acute renal failure. The pain has been colicky in nature and is associated with a feeling of distension in the left iliac fossa. Four years previously she passed some blood with her bowel motion and had a barium enema performed. Over the last week her pain has worsened and now she has continuous pain in the left iliac fossa and feels generally unwell. In her previous medical history she had a hysterec- tomy for fibroids 20 years ago. Colonic diverticula are small outpouchings which are most commonly found in the left colon. They are very common in the elderly Western popula- tion probably due to a deficiency in dietary fibre. Symptomatic diverticular disease has many of the features of irritable bowel syndrome. In severe cases, perforation, paracolic abscess formation or septi- caemia may develop. The barium enema from 4 years ago shows evidence of diverticular disease with outpouch- ings of the mucosa in the sigmoid colon. This would be consistent with the long-standing history of abdominal pain of colonic type and tendency to constipation. In her case there is no evidence of peritonitis which would signal a possible perforation of one of the diverticula. The differential diagnosis, with the suggestion of a mass and change in bowel habit, would be carcinoma of the colon and Crohn’s disease. In the absence of evidence of perforation with leak of bowel contents into the peritoneum (no peritonitis) or obstruction (normal bowel sounds, no general distension), treatment should be based on the presumptive diag- nosis of diverticulitis. A colonoscopy should be performed at a later date to exclude the possibility of a colonic neoplasm. Treatment should include broad-spectrum antibiotics, intra- venous fluids and rest. Further investigations are indicated, including electrolytes, urea and creatinine, glucose, liver function tests and blood cultures. Her blood pressure has been difficult to control and she is currently taking four agents (ben- drofluazide, atenolol, amlodipine and doxazosin). She had normal blood pressure and no pre-eclampsia during her only pregnancy 9 years previously. Risk factors for essential hypertension include a family history of hypertension, obesity and lack of exercise. She does not have paroxysmal symptoms of sweating, palpitations and anxiety to suggest a phaeochromocy- toma. There are no clinical features to suggest coarctation of the aorta (radiofemoral delay) or neurofibromatosis (café-au-lait spots/neurofibromas). Serum potassium is not low mak- ing Conn’s syndrome or Cushing’s syndrome unlikely. The principal abnormality is the modestly raised creatinine suggesting mildly impaired renal function.
Heat stroke should be suspected in patients with core body tem- perature > 104F (> 40C) and altered mental status buy zestril 2.5 mg cheap. Neuroleptic malignant syndrome is a rare life-threatening reaction to a medication with dopamine receptor antagonism discount 10 mg zestril overnight delivery. Such medications include neuroleptics discount zestril 10mg line, such as haloperidol, clozapine, and risperidone, lithium and many antiemetics, such as prochlorperazine, promethazine, and metoclopramide. Hospital security and the police are best trained to subdue violent patients with the least chance of staff or patient injury. Patients who are threatening or who demonstrate violent behavior should be disrobed, gowned, and searched for weapons. Patients whose behavior suggests the potential for violence should be approached cautiously with adequate security force nearby. The physician should stand in a location that neither threatens the patient nor blocks the exit of the patient or the physician from the room. Physical restraints are frequently required for the violent or severely agitated psychotic, delirious, or intoxicated patient who is a danger to themselves or others. Pharmacologic restraints (haloperidol, lorazepam) are also useful in obtaining behavior control and should be considered once the initial evaluation has been completed. The patient should not be allowed to leave the hospital prior to a medical and psychiatric evaluation. No staff member should be alone with a patient who is violent or threatens violence. Although using calming techniques are useful to assuage many patients, it is important not to delay the medical evaluation and prolong detection of a life-threatening process. Giving the patient a sedating medication is useful; however, you should try to first medically evaluate the patient. In addition, you should not enter the patient’s room alone with a needle in your hand. Rapid tranquilization is a method of pharmacologic management of acute agitation or psychosis using high-potency neuroleptics and benzodiazepines. The most common regimen used is the combination of and which can be admin- istered via parenteral, intramuscular, or oral routes. Moreover, the benzodiazepine may prevent the potential extrapyramidal affects that occasionally occur with neuroleptic use. Etomidate and succinylcholine are used for rapid sequence intubation, which is not indicated in this patient. Ketamine is a dissociative agent that is not typically used in psychotic patients. Clozapine is an atypical antipsychotic that is used in schizophrenics when other neuroleptics are ineffective. No part of this work covered by the copyright herein may be reproduced or used in any form or by any means—graphic, electronic or mechanical without the prior written permission of the publisher. Any request for photocopying, recording, taping or information storage and retrieval systems of any part of this book shall be directed in writing to The Canadian Copyright Licensing Agency (Access Copyright). Care has been taken to trace ownership of copyright material contained in this book. The publisher will gladly receive any information that will enable them to rectify any reference or credit line in sub- sequent editions. Numerous product names appear throughout this book, most of which are registered trademarks, although the symbol is respectfully omitted. The author(s) and publisher are not engaged in rendering medi- cal, therapeutic, or other services in this publication. This publication is not intended to provide a basis for action in particular circumstances without consideration by a competent professional. The author(s) and publisher expressly disclaim any responsibility for any liability, loss, or risk, personal or otherwise, which is incurred as a consequence, directly or indirectly, of the use and application of any of the con- tents of this book. Library and Archives Canada Cataloguing in Publication Data Torkos, Sherry The Canadian encyclopedia of natural medicine / Sherry Torkos. Mississauga, Ontario L5R 4J3 Printed in Canada This book is printed with biodegradable vegetable-based inks. There are now over 29,000 commercially available dietary supplements in North America, with over 4,000 ingredients alone purported to assist in weight loss. There is a lineup of authors touting the fad diet du jour, conﬂicting media messages on the beneﬁts and pitfalls of diet, and a wild west of unbridled health claims for supplements. It is not entirely surprising that consumers, patients, and health care providers alike are all craving sound, unbiased, and scientiﬁcally grounded information. Enter trusted pharmacist Sherry Torkos, a renowned expert and talented writer who has consistently set the gold standard in health promotion literature. Like thou- sands of others, I have always been impressed by Sherry’s books, with their superb coverage of women’s health, emotional disorders, anti-aging interventions, and sound, scientiﬁcally based measures for the maintenance of a healthy, lean body. It was no shock to me that Sherry would take on the Mount Everest of nutritional projects—the daunting task of covering the need-to-know information regarding nutrition, lifestyle, and supplements in relation to the most common medical disorders and diseases. In addition to the global aspects of diet and nutrients, lifestyle habits, and stress management for overall health, Sherry provides condition-speciﬁc advice on complementary interventions, dietary modiﬁcations, and key nutritional and herbal supplements—all without overwhelming the reader. The end result is the ultimate resource for consumers, patients, and health care providers. Pharmacists, doctors and patients will also appreciate the unique and detailed descriptions of the prescrip- tion drugs that can deplete vitamins and minerals. This drug–nutrient interaction is an underappreciated factor and a particularly important one when considering that prescription drug usage in Canada now exceeds $20 billion. It will be obvious and appreciated by readers that this is an exhaustive work, a cross-over book that will be useful and reader-friendly to both consumers and doc- tors alike. Leaving no stone unturned, Sherry has elegantly put together a book that stands alone. She has ﬁltered out the hype and synthesized thousands of scientiﬁc x | Foreword papers from various medical disciplines—there simply is no other book like it. This resource is timely and destined to become one that will be referred to over and over again. Most importantly, it is a resource that allows for informed choice without bias or commercial spin, providing practical advice that is sure to make a difference in the lives of many. The book strikes me as an extension of Sherry herself, a trusted advisor in the otherwise confusing world of nutrition and natural health products. To my husband Rick and my family, who have stood by me through this book and many others, I thank you for your patience and understanding of my commitment to this project and all the long hours required. Joey Shulman, Lorna Vanderhaeghe, and Farid Wassef, I appreciate your time and expertise in reviewing sections of my manuscript. Bryce Wylde, many thanks for providing the chapter on homeopathy and for sharing your knowledge and passion. To Katherine Zia, my developmental editor and publicist, whom I have had the pleasure of working with for over ten years, a tremendous thanks and much apprecia- tion for all the help you gave me in researching, planning, and staying on track with this book. To the team at Wiley: Jennifer Smith, Leah Fairbank, Liz McCurdy, Lindsay Humphreys, and the design department, thanks for all your help throughout this project. To my copyeditor, Valerie Ahwee, I appreciate all your hard work in reviewing my manuscript and your ﬁne editorial assistance. Finally I would like to thank you, the reader, for your interest in health and well- ness and for your desire to read this book. He has been in private practice for 20 years, specializing in Chinese medicine, sports medicine and nutrition. Ali completed his course on Body/Mind Medicine at Harvard Medical School, and he is a member of the postgraduate association at Harvard. Jean-Yves Dionne, pharmacist, is a scientiﬁc advisor and natu- ral health products consultant for several companies. He is often called upon to speak to health professionals about complemen- tary medicines. In 2003, he received the Aventis Pharma award for outstanding contribution to teaching for the course Phytotherapy and Natural Health Products at the Faculté de Pharmacie de l’Université de Montréal. Jean-Yves is co-author of Herbs: Everyday Reference for Health Professionals, published by the Canadian Pharmacists Association. Dionne sits on the board of the Table Filière des Plantes Médicinales du Québec (medicinal herbs round table), of the Canadian Natural Health Product Research Society and the Canadian Natural Product Association. Rhonda Dorren received her Bachelor of Science degree in Pharmacy at the University of Alberta in Edmonton.
Richmond Rascals. 12 Richmond Hill. Richmond-Upon-Thames. TW10 6QX tel: 020 8948 2250