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Vivian F. DeNise,DOIntegrative PediatricianPatients Medical
   A holistic medical center   Full-service                                www.patientsmedical.com
   Discover health, rediscover vitality   Focus on the root cause   Integrate modern medicine, holistic    practices, a...
   Our goal     Promote healing and prevent disease                                        www.patientsmedical.com
Physicians collaborate to approach each            patient holistically.                               www.patientsmedical...
Result:Gain health and nutritional wisdom that can       be applied for years to come.                                www....
Founder, Dr. Warren Levinbegan practicing his ground-breaking holistic             protocols in 1974.                     ...
   Conditions Treated       Chronic Fatigue Syndrome       Multiple Sclerosis       Osteoarthritis (OA)       Rheumat...
   Staff     Medical Doctors        ▪   Internal Medicine        ▪   Family Practice        ▪   Gynecology        ▪   Os...
Integrative Medicine                       www.patientsmedical.com
Introducing our speakers:     Vivian DeNise, DO    Integrative Pediatrics                             www.patientsmedical....
 Completed her medical degree at  New York College of Osteopathic  Medicine Residency in Pediatrics Certifications in I...
   Specialties include       Behavioral Concerns       Hormonal Imbalances       Nutritional Imbalances       Gastro-...
   ADD and ADHD   Allergies   Anxiety   Asperger’s Syndrome   Asthma   Autism   Celiac Disease   Chronic fatigue ...
Attention deficit hyperactivity disorder, is avariable neurobehavioral condition generally  characterized by inattentivene...
DSM-IV Criteria for ADHDEither A or B:Six or more of the followingsymptoms of inattentionhave been present for at least6 m...
   Inattention   Often does not give close attention to details or makes careless mistakes in    schoolwork,            ...
Six or more of the following symptoms ofhyperactivity-impulsivity have been present forat least 6 months to an extent that...
Hyperactivity   Often fidgets with hands or feet or squirms in seat when    sitting still is expected.   Often gets up f...
Impulsivity   Often blurts out answers before questions have been    finished.   Often has trouble waiting ones turn.  ...
II. Some symptoms that cause impairment were present    before age 7 years.III. Some impairment from the symptoms is prese...
   ADHD, Inattentive Subtype: Diagnosis is confirmed if the criteria of    Category 1 have applied for six months or long...
   Classic PFC/CB- Dopamine   Inattentive PFC/CB- Dopamine   Over-focused-AC/PFC-Dopamine/Serotonin   Limbic-Limbic/PF...
   Short attention span for    routine tasks   Distractibility   Organizational    problems   Difficulty with follow  ...
   Trouble shifting attention,    looks like they cannot pay    attention   Worrier   Tends to hold grudges   Gets stu...
   Emotional instability   Memory problems   Periodic anxiety   Illusions/shadows   Frequent headaches   Too sensiti...
   Sad, moody,    irritable   Many negative    thoughts   Low motivation/    finds little pleasure   Sleep/appetite   ...
   Too many thoughts   Often very hyper   Hyper-verbal   Oppositional   Aggressive   Hypersensitive to light, sound,...
The American PsychiatricAssociation states in theDiagnostic and StatisticalManual of Mental Disorders(DSM-IV-TR) that 3%-7...
Recent data from surveys of parents indicate that:   Approximately 9.5% or 5.4 million children 4-17 years of    age have...
• Rates of ADHD diagnosis increased at a greater rate  among older teens as compared to younger children.• The highest rat...
   Attention Deficit/Hyperactivity is a serious    public health problem because of the large    estimated prevalence of ...
 35% never finish high  school 43% of untreated boys  with ADHD are arrested Up to 50% of the prison  population has AD...
Two thirds of children with AD/HD have at least one other coexisting conditions                                 www.patien...
   Oppositional defiant disorder (ODD)-40%   Conduct disorder (CD)-25% of children,    45-50% of adolescents and 20-25% ...
   Depression     10-30% of children with      AD/HD     47% of adults with AD/HD Mania/Bipolar Disorder  20% of indiv...
   Only about 7% of those with AD/HD   60% of those with Tourette Syndrome have    AD/HD                                ...
50% of children with AD/HD have a  co-existing learning disorder.                            www.patientsmedical.com
25%-50% of parents of children with AD/HD reportthat their children suffer from a sleep problem,especially problems with f...
   Researchers speculate that AD/HD is    associated with hypo-arousal rather than    hyper-arousal.   The coping mechan...
www.patientsmedical.com
Black Box Warning for Ritalin  Give cautiously to patients with a    history of drug dependence oralcoholism. Chronic abus...
Black Box Warning for Adderal High potential for abuse; avoid    prolonged use. Misuse ofamphetamine may cause suddendeath...
Black Box Warning for Concerta Caution with history of drug dependence or     alcoholism. Marked tolerance and  psychologi...
Many medications used to treat ADHD aim to restore chemical balance.           Medication                  Neurotransmitte...
   Neurotransmitter Imbalance   Vitamin Deficiency   Mineral Deficiency   Heavy Metal Intoxication   Allergies   Foo...
The brain is the master controller of nervous     system, using   chemicals called neurotransmitters to   “talk” with itse...
The brain usesneurotransmitters to   maintain focus  & concentration          www.patientsmedical.com
Imbalances in brainchemistry can leadto inattentive andhyperactivebehaviors.                      www.patientsmedical.com
EpinephrineHistamine         Serotonin           GABAPEA               Glutamate       Norepinephrine               Dopamine
Inhibitory           Excitatory   GABA                Glutamate   Glycine             Neorepinephrine   Serotonin    ...
Excitatory   Inhibitory
Responsible for feelings of pleasure and satisfaction muscle control muscle function GI issues                        ...
Limit video games                    www.patientsmedical.com
   Important for motivation,    energy, and mental focus.    Also, known as adrenaline.   Primarily made in the adrenal ...
   Necessary for learning    and memory   One of the most    common    neurotransmitters in    the brain                ...
Important for mental focus, emotional stability           and endocrine function.                                   www.pa...
The Primary neurotransmitter in the brain necessary to feel calm and relaxed.                              Glutamine      ...
   Plays an important role in mood, sleep and    appetiteTryptophan        5-HTP    B6     Serotonin                     ...
   High levels of stress   Poor dietary habits   Toxins   Lack of sleep                            www.patientsmedical...
   Chronic stress leads to imbalances in brain    chemistry     Busy schedules     Emotional trauma     Personal issue...
Symptoms can be:• Numbness• Tingling• Facial pressure or tightness• Headache• Nausea• Rapid Heartbeat• Drowsiness• Chest p...
Always contains MSG   Often contains MSG or creates                               MSG during processing   Glutamate      ...
   Vitamin C   Vitamin B6, B12                      www.patientsmedical.com
   Reduces harmful oxidants   Balances levels of dopamine   Helps balance phenylalanine and tyrosine                   ...
   Zinc   Copper   Iron   Magnesium                www.patientsmedical.com
   Toxins: environmental, occupational, and recreational    poisons can disrupt proper communication in the brain   Heav...
   Poor sleeping habits     An inadequate amount of sleep,      or having a poor or irregular      sleeping schedule can...
Sleep deprivation adds up over time, so an hour less per night islike a full night without sleep by the end of the week. A...
A careful history physical
Vitamin                Deficiencies Thyroid                              MineralDisorders                           Defici...
   Feed Your Brain     Lean protein     Complex carbohydrates     Decrease simple sugars     Decrease bad fat not all...
   Lifestyle Changes     Head injuries matter     Avoid toxic substances     Get enough sleep     Manage stress     ...
Supplements that can help   Omega 3                    5 HTP   Probiotics                 DL phenylalanine   Vitamin ...
www.patientsmedical.com
Please fill out your pink event evaluation form                and return it to us.                                    www...
Get started TODAY by making an appointment              with Dr. DeNise.                                www.patientsmedica...
Patients Medical’s Team of Holistic Doctors                                   www.patientsmedical.com
www.patientsmedical.com
www.patientsmedical.com
To get more information or to schedule an               appointment,          call 212-679-9667 or  email media@patientsme...
Natural Treatment Options for ADD and ADHD
Natural Treatment Options for ADD and ADHD
Natural Treatment Options for ADD and ADHD
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Natural Treatment Options for ADD and ADHD

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Holistic physician and pediatrician, Dr. Vivian DeNise at Patients Medical gives information on how to tell if a patient needs to be evaluated for ADD or ADHD, tests to find the "root cause" of the symptoms, and natural treatment options for both children and adults living with ADD or ADHD.

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  • Good Evening, My name is VivianDeNise. And before we begin I would like to give you some background on myself. Before I became knowledgeable in the Integrative field my first love has been pediatrics which I have been practicing for 25 years. During this time I have never been comfortable with the treatment of ADHD. So much so I would not prescribe the medications. I have seen many children on multiple medications often begging their parents to stop them because of how these meds made them feel. I knew all along there had to be a better way, I always felt treatment should address the cause and not just the symptoms. I would like to share what I have discovered with you today.
  • The DSM-IV TR is published by the American Psychiatric Association and covers all categories of mental health disorders for both adults and children. This is the bible so to speak of American Psychiatry. The manual is non-theoretical and focused mostly on describing symptoms as well as statistics concerning which gender is most affected by the illness, the typical age of onset, the effects of treatment, and common treatment approaches
  • I hope what has become apparent to all of you is that there is no magic pill and no quick fix.
  • Essential fatty acids are important as anti-inflammatory and as the primary building material for cell membranes, which let nutrients in and toxins out. In fact, in the Journal of American Child and Adolescent Psychiatry 8/2011 determined that children receiving omega 3 fatty acid had a small but significant improvement.Ltyrosine 500-1500 mg tid-pfc5 HTP 100mg tid-Ant cingulateGaba 100-500 mg bid-tid for temporal DL phenylalanine 400 mg tid
  • Essential fatty acids are important as anti-inflammatory and as the primary building material for cell membranes, which let nutrients in and toxins out. In fact, in the Journal of American Child and Adolescent Psychiatry 8/2011 determined that children receiving omega 3 fatty acid had a small but significant improvement.Ltyrosine 500-1500 mg tid-pfc5 HTP 100mg tid-Ant cingulateGaba 100-500 mg bid-tid for temporal DL phenylalanine 400 mg tid
  • Transcript of "Natural Treatment Options for ADD and ADHD"

    1. 1. Vivian F. DeNise,DOIntegrative PediatricianPatients Medical
    2. 2.  A holistic medical center Full-service www.patientsmedical.com
    3. 3.  Discover health, rediscover vitality Focus on the root cause Integrate modern medicine, holistic practices, and natural supplements www.patientsmedical.com
    4. 4.  Our goal  Promote healing and prevent disease www.patientsmedical.com
    5. 5. Physicians collaborate to approach each patient holistically. www.patientsmedical.com
    6. 6. Result:Gain health and nutritional wisdom that can be applied for years to come. www.patientsmedical.com
    7. 7. Founder, Dr. Warren Levinbegan practicing his ground-breaking holistic protocols in 1974. www.patientsmedical.com
    8. 8.  Conditions Treated  Chronic Fatigue Syndrome  Multiple Sclerosis  Osteoarthritis (OA)  Rheumatoid Arthritis (RA)  Diabetes  Heart disease  Crohn’s disease, IBS, IBD  Alzheimer’s disease  Lyme disease  Thyroid disease  Auto-immune diseases  Many other secondary medical conditions www.patientsmedical.com
    9. 9.  Staff  Medical Doctors ▪ Internal Medicine ▪ Family Practice ▪ Gynecology ▪ Osteopathy  Nutrition  Kinesiology  Cranio-Sacral Therapy  Maya Abdominal Therapy and Reflexology  Oriental Medicine and Acupuncture  Homeopathy www.patientsmedical.com
    10. 10. Integrative Medicine www.patientsmedical.com
    11. 11. Introducing our speakers: Vivian DeNise, DO Integrative Pediatrics www.patientsmedical.com
    12. 12.  Completed her medical degree at New York College of Osteopathic Medicine Residency in Pediatrics Certifications in Integrative Medicine with the American Academy of Anti-Aging Medicine (A4M) www.patientsmedical.com
    13. 13.  Specialties include  Behavioral Concerns  Hormonal Imbalances  Nutritional Imbalances  Gastro-Intestinal Problems  Detoxification  And many more! www.patientsmedical.com
    14. 14.  ADD and ADHD Allergies Anxiety Asperger’s Syndrome Asthma Autism Celiac Disease Chronic fatigue Chronic pain Depression Fibromyalgia Headache & migraine Immune dysfunction Irritable Bowel Syndrome Stress disorders Weight gain Weight loss www.patientsmedical.com
    15. 15. Attention deficit hyperactivity disorder, is avariable neurobehavioral condition generally characterized by inattentiveness and/or hyperactivity and impulsivity. www.patientsmedical.com
    16. 16. DSM-IV Criteria for ADHDEither A or B:Six or more of the followingsymptoms of inattentionhave been present for at least6 months to a point that isinappropriate fordevelopmental level: www.patientsmedical.com
    17. 17.  Inattention Often does not give close attention to details or makes careless mistakes in schoolwork, work, or other activities. Often has trouble keeping attention on tasks or play activities. Often does not seem to listen when spoken to directly. Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions). Often has trouble organizing activities. Often avoids, dislikes, or doesnt want to do things that take a lot of mental effort for a long period of time (such as schoolwork or homework). Often loses things needed for tasks and activities (e.g. toys, school assignments, pencils, books, or tools). Is often easily distracted. Is often forgetful in daily activities. www.patientsmedical.com
    18. 18. Six or more of the following symptoms ofhyperactivity-impulsivity have been present forat least 6 months to an extent that is disruptiveand inappropriate for developmental level: www.patientsmedical.com
    19. 19. Hyperactivity  Often fidgets with hands or feet or squirms in seat when sitting still is expected.  Often gets up from seat when remaining in seat is expected.  Often excessively runs about or climbs when and where it is not appropriate (adolescents or adults may feel very restless).  Often has trouble playing or doing leisure activities quietly.  Is often "on the go" or often acts as if "driven by a motor".  Often talks excessively. www.patientsmedical.com
    20. 20. Impulsivity  Often blurts out answers before questions have been finished.  Often has trouble waiting ones turn.  Often interrupts or intrudes on others (e.g., butts into conversations or games). www.patientsmedical.com
    21. 21. II. Some symptoms that cause impairment were present before age 7 years.III. Some impairment from the symptoms is present in two or more settings (e.g. at school/work and at home).IV. There must be clear evidence of clinically significant impairment in social, school, or work functioning.V. The symptoms do not happen only during the course of a Pervasive Developmental Disorder, Schizophrenia, or other Psychotic Disorder. The symptoms are not better accounted for by another mental disorder (e.g. Mood Disorder, Anxiety Disorder, Dissociative Disorder, or a Personality Disorder). www.patientsmedical.com
    22. 22.  ADHD, Inattentive Subtype: Diagnosis is confirmed if the criteria of Category 1 have applied for six months or longer, but not those of Category 2. ADHD, Hyperactive-Impulsive Subtype: Diagnosis is confirmed if the criteria of Category 2 have applied for six months or longer, but not those of Category 1. ADHD, Combined Subtype: Diagnosis is confirmed if the criteria of both Category 1 and Category 2 have applied for six months or longer. This is referred to as Mixed Subtype. ADHD Not Otherwise Specified: Diagnosis is confirmed in this subtype if children do not meet the certain the classic criteria of the three types, but still have certain qualities and characteristics of ADHD. www.patientsmedical.com
    23. 23.  Classic PFC/CB- Dopamine Inattentive PFC/CB- Dopamine Over-focused-AC/PFC-Dopamine/Serotonin Limbic-Limbic/PFC-(NE)/Dopamine Temporal Lobe- TLs/PFC-Dopamine/Gaba Ring of Fire-Gaba/Dopamine www.patientsmedical.com
    24. 24.  Short attention span for routine tasks Distractibility Organizational problems Difficulty with follow through Poor internal supervision www.patientsmedical.com
    25. 25.  Trouble shifting attention, looks like they cannot pay attention Worrier Tends to hold grudges Gets stuck on thought patterns or behavior patterns Upset if things don’t go they’re way Often argumentative/oppositional www.patientsmedical.com
    26. 26.  Emotional instability Memory problems Periodic anxiety Illusions/shadows Frequent headaches Too sensitive to others External or Internal aggression www.patientsmedical.com
    27. 27.  Sad, moody, irritable Many negative thoughts Low motivation/ finds little pleasure Sleep/appetite problems Social isolation www.patientsmedical.com
    28. 28.  Too many thoughts Often very hyper Hyper-verbal Oppositional Aggressive Hypersensitive to light, sound, taste, touch Moodiness Cyclical behavioral changes *may be bipolar equivalent www.patientsmedical.com
    29. 29. The American PsychiatricAssociation states in theDiagnostic and StatisticalManual of Mental Disorders(DSM-IV-TR) that 3%-7% ofschool-aged children haveADHD. However, studies haveestimated higher rates incommunity samples. www.patientsmedical.com
    30. 30. Recent data from surveys of parents indicate that:  Approximately 9.5% or 5.4 million children 4-17 years of age have ever been diagnosed with ADHD, as of 2007.  The percentage of children with a parent-reported ADHD diagnosis increased by 22% between 2003 and 2007.  Rates of ADHD diagnosis increased an average of 3% per year from 1997 to 2006 and an average of 5.5% per year from 2003 to 2007.  Boys (13.2%) were more likely than girls (5.6%) to have ever been diagnosed with ADHD. www.patientsmedical.com
    31. 31. • Rates of ADHD diagnosis increased at a greater rate among older teens as compared to younger children.• The highest rates of parent-reported ADHD diagnosis were noted among children covered by Medicaid and multiracial children.• Prevalence of parent-reported ADHD diagnosis varied substantially by state, from a low of 5.6% in Nevada to a high of 15.6% in North Carolina. www.patientsmedical.com
    32. 32.  Attention Deficit/Hyperactivity is a serious public health problem because of the large estimated prevalence of the disorder, significant impairment in the areas of school performance and socialization, the chronic nature of the disorder. Using a prevalence rate of 5%, the annual societal ‘‘cost of illness’’ for ADHD is estimated to be between $36 and $52 billion, in 2005 dollars. It is estimated to be between $12,005 and $17,458 annually per individual. www.patientsmedical.com
    33. 33.  35% never finish high school 43% of untreated boys with ADHD are arrested Up to 50% of the prison population has ADD/LD 52% of ADD adults abuse substances 75% have interpersonal problems www.patientsmedical.com
    34. 34. Two thirds of children with AD/HD have at least one other coexisting conditions www.patientsmedical.com
    35. 35.  Oppositional defiant disorder (ODD)-40% Conduct disorder (CD)-25% of children, 45-50% of adolescents and 20-25% of adults www.patientsmedical.com
    36. 36.  Depression  10-30% of children with AD/HD  47% of adults with AD/HD Mania/Bipolar Disorder 20% of individuals with AD/HD Anxiety  30% of children with AD/HD  25-40% of adults with AD/HD www.patientsmedical.com
    37. 37.  Only about 7% of those with AD/HD 60% of those with Tourette Syndrome have AD/HD www.patientsmedical.com
    38. 38. 50% of children with AD/HD have a co-existing learning disorder. www.patientsmedical.com
    39. 39. 25%-50% of parents of children with AD/HD reportthat their children suffer from a sleep problem,especially problems with falling asleep and stayingasleep.This includes greater activity during sleep restless legs/periodic leg movements during sleep (PLMS) unstable sleep patterns greater sleepiness than other children during the daytime www.patientsmedical.com
    40. 40.  Researchers speculate that AD/HD is associated with hypo-arousal rather than hyper-arousal. The coping mechanism of hyperactivity may be to counteract the daytime sleepiness. www.patientsmedical.com
    41. 41. www.patientsmedical.com
    42. 42. Black Box Warning for Ritalin Give cautiously to patients with a history of drug dependence oralcoholism. Chronic abusive use may lead to marked tolerance and psychological dependence with varying degrees of abnormalbehavior. Careful supervision required during withdrawal from abusive use. www.patientsmedical.com
    43. 43. Black Box Warning for Adderal High potential for abuse; avoid prolonged use. Misuse ofamphetamine may cause suddendeath and serious cardiovascular adverse events. www.patientsmedical.com
    44. 44. Black Box Warning for Concerta Caution with history of drug dependence or alcoholism. Marked tolerance and psychological dependence with varyingdegrees of abnormal behavior may occur with chronic abusive use. Careful supervision isnecessary during withdrawal from abusive use to avoid severe depression. www.patientsmedical.com
    45. 45. Many medications used to treat ADHD aim to restore chemical balance. Medication Neurotransmitters Affected Ritalin® Dopamine Strattera® Norepinephrine Concerta® Epineprhine Adderall® PEA www.patientsmedical.com
    46. 46.  Neurotransmitter Imbalance Vitamin Deficiency Mineral Deficiency Heavy Metal Intoxication Allergies Food additives Thyroid Disorders Sleep Disorders Pandas Syndrome www.patientsmedical.com
    47. 47. The brain is the master controller of nervous system, using chemicals called neurotransmitters to “talk” with itself. www.patientsmedical.com
    48. 48. The brain usesneurotransmitters to maintain focus & concentration www.patientsmedical.com
    49. 49. Imbalances in brainchemistry can leadto inattentive andhyperactivebehaviors. www.patientsmedical.com
    50. 50. EpinephrineHistamine Serotonin GABAPEA Glutamate Norepinephrine Dopamine
    51. 51. Inhibitory Excitatory GABA  Glutamate Glycine  Neorepinephrine Serotonin  Epinephrine Taurine  Dopamine  Histamine  Aspartic Acid  PEA www.patientsmedical.com
    52. 52. Excitatory Inhibitory
    53. 53. Responsible for feelings of pleasure and satisfaction muscle control muscle function GI issues www.patientsmedical.com
    54. 54. Limit video games www.patientsmedical.com
    55. 55.  Important for motivation, energy, and mental focus. Also, known as adrenaline. Primarily made in the adrenal glands. www.patientsmedical.com
    56. 56.  Necessary for learning and memory One of the most common neurotransmitters in the brain www.patientsmedical.com
    57. 57. Important for mental focus, emotional stability and endocrine function. www.patientsmedical.com
    58. 58. The Primary neurotransmitter in the brain necessary to feel calm and relaxed. Glutamine Glutamate B6 GABA www.patientsmedical.com
    59. 59.  Plays an important role in mood, sleep and appetiteTryptophan 5-HTP B6 Serotonin www.patientsmedical.com
    60. 60.  High levels of stress Poor dietary habits Toxins Lack of sleep www.patientsmedical.com
    61. 61.  Chronic stress leads to imbalances in brain chemistry  Busy schedules  Emotional trauma  Personal issues www.patientsmedical.com
    62. 62. Symptoms can be:• Numbness• Tingling• Facial pressure or tightness• Headache• Nausea• Rapid Heartbeat• Drowsiness• Chest pain• Difficulty breathing www.patientsmedical.com
    63. 63. Always contains MSG Often contains MSG or creates MSG during processing Glutamate  Flavorings such as natural Monopotassium chicken flavoring Glutamate  Stock  Seasonings Textured Protein  Soy Sauce Hydrolyzed protein  Broth Yeast Nutrient  Cornstarch Calcium Caseinate  Pectin Gelatin  Bouillion Glutamic Acid  Barley Malt www.patientsmedical.com
    64. 64.  Vitamin C Vitamin B6, B12 www.patientsmedical.com
    65. 65.  Reduces harmful oxidants Balances levels of dopamine Helps balance phenylalanine and tyrosine www.patientsmedical.com
    66. 66.  Zinc Copper Iron Magnesium www.patientsmedical.com
    67. 67.  Toxins: environmental, occupational, and recreational poisons can disrupt proper communication in the brain Heavy Metals: Lead and Mercury Sources of Mercury:  Eating fish or shellfish  Dental work such as Mercury amalgams  Breathing contaminated vapors or skin contact with: antiseptics, bactericides, batteries, cosmetics, fabric softeners, floor wax and polish, paints, tattoo inks, perfumes, etc. www.patientsmedical.com
    68. 68.  Poor sleeping habits  An inadequate amount of sleep, or having a poor or irregular sleeping schedule can lead to poor brain function and a lack of concentration.  Exhibited by up to 50% of children in the United States. www.patientsmedical.com
    69. 69. Sleep deprivation adds up over time, so an hour less per night islike a full night without sleep by the end of the week. Amongother things, sleep deprivation can lead to:  decreased attentiveness  decreased short-term memory  inconsistent performance  delayed response time  generally bad tempers, problems in school, stimulant use, and driving accidents (more than half of "asleep-at-the- wheel" car accidents are caused by teens). www.patientsmedical.com
    70. 70. A careful history physical
    71. 71. Vitamin Deficiencies Thyroid MineralDisorders Deficiencies Heavy Allergies Metals
    72. 72.  Feed Your Brain  Lean protein  Complex carbohydrates  Decrease simple sugars  Decrease bad fat not all fat  Omega 3 Fatty Acids www.patientsmedical.com
    73. 73.  Lifestyle Changes  Head injuries matter  Avoid toxic substances  Get enough sleep  Manage stress  Exercise  Limit video games www.patientsmedical.com
    74. 74. Supplements that can help Omega 3  5 HTP Probiotics  DL phenylalanine Vitamin C  SAMe Vitamin B complex L theanine Phosphatidylserine L-tyrosine Gaba
    75. 75. www.patientsmedical.com
    76. 76. Please fill out your pink event evaluation form and return it to us. www.patientsmedical.com
    77. 77. Get started TODAY by making an appointment with Dr. DeNise. www.patientsmedical.com
    78. 78. Patients Medical’s Team of Holistic Doctors www.patientsmedical.com
    79. 79. www.patientsmedical.com
    80. 80. www.patientsmedical.com
    81. 81. To get more information or to schedule an appointment, call 212-679-9667 or email media@patientsmedical.com www.patientsmedical.com
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