Crispy GF Fried Chicken

(perfect for chicken or pork chops)

Ingredients:

¼ cup Pamela’s Gluten Free Pancake and Waffle Mix*

1 tsp. garlic powder

1 t. onion powder

½ t. salt

¼ t. fresh ground black pepper

½ t. paprika

Up to a pound of chicken pieces or pork chops

2 T. butter, ghee, or coconut oil.

Instructions:

Step One: Combine all the ingredients in a bowl or bag.

Step Two: Dredge the chicken or pork in the flour mixture until coated.

Step Three: On Medium heat, melt butter or coconut oil in a frying pan.

Step Four: Pan fry the pieces until crisp and golden and until juices run clear.

*To prevent excess carbohydrate intake and blood sugar destabilization, we don’t recommend using this mix for pancakes or waffles, but it makes a wonderful coating for chicken and pork.

By Mila McManus MD|2021-05-12T05:20:58-05:00May 12th, 2021|General, Recipes|

CM Core*: Cardiometabolic Health

CM Core is designed to address several factors associated with ideal cardiometabolic health and backed by extensive clinical research. The combination of berberine and alpha lipoic acid (ALA) helps to maintain heart function, metabolism, antioxidant status, and lipid and glucose levels. It provides a powerful formula for those seeking to optimize the multiple mechanisms of cardiovascular and metabolic health.

CM Core enhances cell signaling for efficient ATP (energy) production and supports blood sugar balance. It also supports healthy cholesterol levels.

Berberine is a plant extract that has been used in Chinese and Ayurvedic medicine for over 2500 years. It has a broad range of health-promoting properties. It can be found in the roots and stems of plants such as goldenseal, goldenthread, and barberry. Berberine works to support normal blood pressure, normal heart contraction and rhythm, as well as healthy cholesterol levels. It has also been shown to promote uptake of glucose without requiring insulin. This promotes better glucose usage within the cell.

Alpha Lipoic Acid (ALA) is a nutrient required for cellular metabolism, specifically the breakdown of carbohydrates and fatty acids. ALA supports blood sugar balance by activating a major regulator of cellular energy called AMPK. Lipoic acid is also an antioxidant, supports nerve and liver health, and is important for circulatory health.

As your provider if CM Core is right for you!

*Taken from the product information sheet at https://www.orthomolecularproducts.com/cm-core/

By Mila McManus MD|2021-05-03T16:26:34-05:00May 5th, 2021|General|

Personal Nutrition: Take a Close Look

By Nancy Mehlert, MS.

When it comes to personal nutrition, seasonal changes offer a great opportunity to pause and examine what our diet looks like at this point in time. As we move into Spring, here are three simple examinations you can put your personal nutrition under the magnifying glass:

When is the last time you tried a new food or changed up your food routine?

Since there are not 15-25 foods that can offer all of the macro and micro nutrients we need, it is important to rotate foods often, expand the number of foods we eat, and increase our variety for good health. This is especially true of vegetables, nuts, seeds, and even meat choices.

Have you slid down the slippery slope?

It happens to the best of us! Too many sweets, too much fruit, eating gluten again, too many nights a week with alcohol, eating out a lot more, buying more packaged food, over eating, eating before bed, not drinking enough water…. Whatever your slippery slopes are, is it time to get back on track?

When is the last time you stopped your routine for a detoxification of some sort?

It is a toxic world, and everyone benefits by scheduling some routine detoxification efforts a couple times a year at least. Consider some fasting, a detoxification diet, a Health Reset Program, ONDAMED, or Pregnancy Hormone to promote cleansing, weight loss, or healing.

Visit our webiste TWIHW.com or call 281.298.6742 for more information.

By Mila McManus MD|2025-04-07T07:18:18-05:00April 28th, 2021|General, NANCY’S NUTRITIONAL NUGGET|

Nitric Oxide Support by Berkeley Life Professional

By Mila McManus, M.D.

Berkeley Life Professional helps support Nitric Oxide levels for a healthy cardiovascular system by supplementing your diet.

A Nobel Prize was awarded for the discovery that Nitric Oxide (NO) plays a significant role in the cardiovascular system. NO is naturally made in your body, but as you age you produce less of it. Berkeley Life Professional helps support NO levels for a healthy cardiovascular system by supplementing your diet with dietary nitrates¹.

Berkeley Life Professional’s drug free supplement provides the same dietary nitrates found in plants, as well as key vitamins, to help support NO levels, the cardiovascular system, and overall health and vitality. This supplement is free of allergens including milk, eggs, fish, shellfish, tree nuts, peanuts, wheat, soy, gluten, and gelatin¹.

NO is also found in beets, garlic, leafy greens (spinach, arugula, kale, and cabbage) as well as citrus fruits (oranges, lemons, limes, and grapefruit). These are all good sources of nature-made nitrates, which are different than the harmful man-made chemical additives called sodium nitrate or sodium nitrite.

Talk with your healthcare provide to see if Berkeley Life Professional Nitric Oxide Support is right for you and purchase it here at TWIHW.

¹www.berkeleylife.com

By Mila McManus MD|2022-11-01T15:33:36-05:00April 18th, 2021|Articles, General|

Homocysteine Levels: Huh?

By Mila McManus M.D.

Do you know your homocysteine level? If not, ask your healthcare provider to order it. Homocysteine levels can be measured with a simple blood test at most laboratories. High homocysteine levels indicate inflammation, probable nutrient deficiencies, and or a genetic defect. Persistently high levels can suggest B vitamin deficiencies, signs of possible heart disease or stroke risk, potential Alzheimer’s risk, and other neurological concerns.

Many foods we eat have an amino acid called methionine, such as nuts, beef, lamb, cheese, turkey, pork, fish, shellfish, eggs, dairy, and beans. Methionine is converted in the body to homocysteine, which in turn is converted back to methionine, or to cysteine, another important amino acid. This cycle requires adequate levels of vitamin B₁₂, vitamin B₆, folate and the modified amino acid called betaine. Many people, however, often don’t, which allows homocysteine to build up, damaging your blood vessels and brain.

Reasons for elevated homocysteine levels include:

Poor dietary habits
Smoking or drug use
Sedentary lifestyle
Nutrient deficiencies
Genetic variants, such as MTHFR

Natural ways to lower homocysteine levels include:

Improve your diet, avoiding gluten, sugar, preservatives, refined oils, and processed foods.
Exercise regularly.
Manage stress with, e.g., meditation, yoga, and energy therapies. (stress depletes B vitamins!)
Supplement with high quality B vitamins and antioxidants.
Avoid recreational drugs and reduce or eliminate alcohol.
Work to improve quality of sleep.

Discuss checking this important marker with your provider. In the meantime, work on ways to protect yourself. Nutrition help is also available at TWIHW. Be well!

By Mila McManus MD|2021-04-14T06:56:19-05:00April 15th, 2021|General|

Replacing Electrolytes: Better Options

By Nancy Mehlert, MS.

These beverages... the zero sugar options and even the organic, have a number of concerning ingredients. Sugar content is the first concern.

There are a couple of well known electrolyte and hydration drinks popular in the marketplace today. Everyone has seen commercials and ads for them. Common to the sports scene in our schools, colleges, and professional sports, these sweet, fruity flavored hydrators are sold by some of the largest beverage retailers in the world. In addition, many companies make cheaper knock-offs. That makes them very affordable and easily obtained, but what about the ingredients? Should we be concerned? ABSOLUTELY!

These beverages, whether you have chosen the zero sugar options, the regular, or even the organic, have a number of concerning ingredients. Sugar content is the first concern. Remember, the intended goal of these beverages is to return water to the body and to bring electrolytes (sodium, calcium, potassium, chloride, phosphate and magnesium) back into the body. The need is not sugar, yet the most popular versions contribute more than 45-50 grams of sugar in each bottle. Considering our optimal blood sugar at any given moment should be about 4 grams, these drinks elevate blood sugar immediately by more than 10 times. This creates a very dysregulated blood sugar problem for the body. Another concerning ingredient is the sweetener most commonly used in lieu of sugar. While sucralose removes the sugar, this artificial sweetener is known for destroying the favorable bacteria in the GI tract, contributing to yeast overgrowth and leaky gut syndromes. Two additional concerning ingredients include food dyes and caramel coloring. There are a number of health concerns from these man-made chemicals, ranging from cancers to allergic reactions. All of these concerning ingredients can be avoided with a little effort.

Perfection is difficult to find. The recommendations below would be a significant improvement over most options offered by our largest retailers. I’ve listed them in descending order from satisfactory to the most ideal. The more sugar it contains, the better it is to use before and during very demanding and high activity exercise. Everyone needs less sugar, more water, and good electrolytes.

Nuun Rapid Instant Hydration portable packets
Harmless Harvest coconut water (pure coconut water, 23g naturally occurring sugar) ok for very active people
Ultimareplenisher.com – Hydration Powder stick packs
Liquid IV (11 g of sugar) ok for very active people
Keynutrients.com – Electrolyte Recovery Plus, Keto approved, Lemonade flavor
8 ounces of water with 2 tablespoons of lemon juice and a pinch of Redmond’s Sea Salt, along with eating your vegetables (an excellent source of electrolytes and water)!

Support your health and that of your family. Small changes add up to greater health and wellness.

Standard Gatorade, ½ a bottle is 22g or whole bottle 51 g of sugar:

WATER, SUGAR, DEXTROSE, CITRIC ACID, SALT, SODIUM CITRATE, MONOPOTASSIUM PHOSPHATE, MODIFIED FOOD STARCH, NATURAL FLAVOR, GLYCEROL ESTER OF ROSIN, RED 40, CARAMEL COLOR

Organic Thirst Quencher, Berry Flavor by Gatorade – 30 g of sugar:

WATER, ORGANIC SUGAR, CITRIC ACID, ORGANIC NATURAL FLAVOR, SEA SALT, SODIUM CITRATE, POTASSIUM CHLORIDE

Gatorade Zero:

WATER, CITRIC ACID, SODIUM CITRATE, SALT, MONOPOTASSIUM PHOSPHATE, GUM ARABIC, NATURAL FLAVOR, SUCRALOSE, ACESULFAME POTASSIUM, SUCROSE ACETATE ISOBUTYRATE, GLYCEROL ESTER OF ROSIN, YELLOW 6.

By Mila McManus MD|2022-11-01T15:39:41-05:00April 7th, 2021|General, NANCY’S NUTRITIONAL NUGGET|

Dijon Baked Salmon or Trout

From www.downshiftology, Lisa Bryan

Serves 4

Prep Time: 5 minutes

Cook Time: 20 minutes

Ingredients

1 ½ pounds wild Pacific Salmon or Steelhead Trout*

¼ cup fresh parsley finely chopped

¼ cup Dijon mustard

1 tablespoon lemon juice

3 garlic cloves finely chopped

Salt and pepper

Instructions

Preheat oven to 375 degrees.
Line a baking tray with parchment paper and place the fish on it, skin down.
Mix together the remaining ingredients in a small bowl and generously coat the top of the fish.
Bake the salmon for 18-20 minutes, depending on size and thickness, then slice into individual portions and serve.

Notes: Wild pacific salmon and farmed Steelhead Trout are sustainable, high omega 3, low mercery options.

By Mila McManus MD|2021-03-31T08:31:09-05:00March 31st, 2021|General, Recipes|

COVID and the flu are here to stay.

By Mila McManus, M.D.

COVID and the flu will continue to be with us, so I wanted to remind everyone to please support your immune system and overall health to avoid bad outcomes. I recommend a foundational daily minimum of vitamin D3, a multivitamin, and a quality probiotic. Preventing any illness means staying true to an integrative approach that is attentive to all of the key pillars of your health. Those key pillars include:

A whole food diet and good hydration – maintaining balanced blood sugar is key (did you know that sugar immediately suppresses your immune system for up to several hours?)
Moderate exercise
Keep the gut healthy – easy on the alcohol, sugar, wheat, and pain relievers, while taking your probiotic and drinking bone broth
Get quality rest and sleep
Avoid toxins and support detoxification – see gut health above and step into the IR sauna too!
Manage stress – take time for quiet meditation, practice yoga and/or deep breathing exercises
Make use of appropriate supplementation – see below

For most, a healthy diet still cannot provide adequate nutrition for a strong immune system because of poor food quality, daily stressors, and the toxicity of our world. For those with compromised immune systems, or who are living and working in higher exposure areas, or traveling, a selection from the following supplements would be wise protective additions.

Glutathione
Quercetin (inhibits viral replication)
Melatonin
Viracid™
Whole Immune™
Vitamin C
Zinc 25-50mg daily
Silverbiotics Silver Sol™

All of these options, along with common sense measures such as thorough hand washing and avoiding crowds, will help to keep you healthy this year. If you are unsure about which supplements would be best for you, consult with our medical providers for a customized plan that’s right for you.

By Mila McManus MD|2023-09-13T13:30:11-05:00March 26th, 2021|Articles, General|

What is NAD+?

by Mila McManus MD

Nicotinamide Adenine Dinucleotide (NAD+) is the active form of a coenzyme that is an essential component of chemical reactions that occur in all of our cells. These reactions regulate nearly every bodily process.

Be careful of other products marketing themselves as NAD. NAD+, NADH and NR (Nicotinamide Riboside) are not the same. Although NAD+ plays a role in the same pathway as NADH and NR, there are certain NAD+ consuming reactions where only NAD+ can be utilized. In these reactions, NADH and NR are not effective. While NADH and NR are less expensive than NAD+, the positive effects are not nearly as potent as NAD+.

NAD+ is Involved in Two Major Functions:

FIRST: Energy Production. NAD+ helps to turn carbohydrates, fats, and proteins in the body into useable energy via the Citric Acid Cycle (Krebs Cycle). This important chemical reaction results in the production of ATP. ATP is the energy currency of life, powering nearly every biological activity such as muscle contraction, protein manufacturing, and cellular communication.

SECOND: Regulating the Body’s “Stress Response”. NAD+ partners with proteins involved in regulating and preserving health. This includes synthesis and repair of DNA, regulation of circadian rhythms (sleep-wake cycle), and stem cell production.

As we age, levels of NAD+ decrease in our bodies. Scientists believe that by the time we reach our 40’s, the supply of NAD+ is no longer able to meet the demand for important biological processes. Additionally, sickness and disease, as well as environmental and self-induced stressors can rapidly deplete our body of this vital nutrient.

Additionally, low levels of NAD+ may contribute to fatigue, depression, and anxiety. It hinders our body’s ability to overcome the grip of drug and alcohol addiction. Additionally, low levels of NAD+ may contribute to worsening disease states in vital organs such as the heart, liver, and brain. NAD+ depletion weakens our immune system, which affects our ability to fight infection or slow the progression of cancer.

Reasons to consider incorporating NAD+ into your regimen:

The aging process
Athletic performance
Anxiety, depression and PTSD
Drug and alcohol addiction
Parkinson’s disease
Alzheimer’s disease
Other forms of Dementia
Multiple sclerosis
Other neurodegenerative disorders
“Chemo Brain”
Low energy levels
Chronic Fatigue Syndrome
Sleep disturbances
Chronic pain syndromes
Migraine headaches
Autoimmune diseases
Autoinflammatory diseases
Chronic Traumatic Encephalopathy (CTE)

What is the Course of Treatment for NAD+?

Treatment strategies at TWIHW are tailored to your specific needs.

We currently offer treatments consisting of IV infusions of NAD+. The treatment durations vary based on treatment protocol and allow for a larger amount of NAD+ to be delivered directly to the body’s tissues, allowing depleted stores to be replenished. We also offer NAD+ injections (using small insulin syringes) which can be administered at our office, or done yourself at home.

For those just looking for a quick “boost”, we also offer reduced dose IV infusions.

What Can I Expect During the NAD+ Treatment?

A brief assessment will be conducted on the day of treatment. For intravenous NAD+, a small IV will be inserted. The infusion will run for approximately 2 hours. Patients are able to pass the time in our relaxing environment by watching TV, reading, and listening to music. You will also have access to high-speed internet and can bring your laptop for personal use. Water, tea, and coffee are available upon request. Please plan accordingly for meals as needed if doing a longer infusion. Delivery can be made to the facility but we ask that you refrain from any fast food or pizza.

Call our office at 281-298-6742, or visit www.twihw.com

When NAD+ IV isn’t possible we also offer NAD+ injections that can be administered in office or taken home. Alternatively you can consider Tru Niagen as an oral supplement alternative.

By Mila McManus MD|2023-01-11T13:58:36-05:00March 24th, 2021|Articles, General|

Who Needs a Ca Score?

By Mila McManus, M.D.

medical stethoscope with red paper heart on white surface — Photo by Karolina Grabowska on Pexels.com

Almost 50% of those who suffer from a heart attack had no known risk factors.

Could this be you or someone you love? It is a rather concerning fact since it means many of us could be ticking time bombs without knowing it. Cardiovascular disease remains the number one cause of death in the United States¹, so there is a good reason for all of us to be concerned.

We know that heart attacks ARE preventable. So what can be done to ensure you are not in that 50% who don’t have known risk factors but may have heart attack risk?

The Calcium Score, also called the Agatston Score, for many experts, has come to be the best predictor of a future heart attack. Determining the Calcium Score is done through CT Scan testing lasting less than 3 minutes and requiring no dye. The test is a measure of the amount of calcium nestled in the walls of your coronary arteries that feed your heart muscle. It reflects the total amount of atherosclerotic plaque that has built up and is an indicator of how all of your risk factors interact with each other to cause heart disease.

A study of 44,000 individuals free of known coronary heart disease underwent the non-invasive CT scan of the heart for coronary calcium scoring and were followed for a median of five years to determine if any of them died of any cause (this is “all-cause mortality”, a good marker since three-fourths of all deaths are related to atherosclerosis). Those with a Calcium Score exceeding 400, but no risk factors, had substantially higher death rates compared to individuals with three risk factors and the absence of coronary calcium. In other words, the Calcium Score was more predictive of heart attack or other cardiovascular issues causing death than the conventional risk factors for heart disease – such as high blood pressure, high cholesterol, family history, pre-diabetes and diabetes, smoking, being overweight, high triglycerides, and a sedentary lifestyle.

Generally, all men over the age of 45, and most postmenopausal women would do well to have a heart scan to determine their Calcium Score, and especially if there are other risk factors involved. Most major medical centers do CT scans for coronary calcium and the cash cost ranges from $99-399. (In the Spring, Tx area, it’s ~$150) It’s not covered by most insurance companies yet, and therefore is not yet considered ‘standard of care’. For this reason, you’ll find that some doctors order this test routinely, while others don’t order it at all. This test has been invaluable in my practice, especially since I know that cholesterol levels can be VERY misleading in regards to assessing your risk.

Ask your medical provider if a Calcium Score heart scan would be right for you.

Facebook Review from one of our patients whose decision to have a heart scan was life-changing:

“Living a healthy lifestyle; staying fit is my “modus operandi”. I’m not perfect, but I do eat right and avoid a sedentary lifestyle. I’ve been very active on the racquetball court for 35 years. Reason: Both my parents died early from Heart Disease.

A few weeks ago, my Functional Medicine MD, Mila McManus recommended I get a heart scan (due to my family history) to get a baseline calcium score. I paid the $140 for a heart scan and awaited the results.

To my surprise, my score was high. I saw my cardiologist and scheduled an Angiogram. Again, to my surprise, they found 100% blockage in one heart artery, and significant blockage in two others, I need heart bypass surgery.

I was shocked. I feel great, I have no symptoms, work hard, get plenty of exercise and did I mention: I FEEL GREAT!

But the images don’t lie. So, at 62, I’ll undergo bypass surgery next week.

I share this story for one reason only: Get yourself checked out! Even though you may have no symptoms and feel like you can take on the world, you could possibly be living with a serious heart event on your horizon, especially if you have Heart Disease in your family history.

Thank you Dr. McManus, you may have saved my life!”

References:

https://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm

https://www.huffpost.com/entry/heart-month_b_2598365

By Mila McManus MD|2021-03-16T21:49:39-05:00March 17th, 2021|Articles, General|

About Mila McManus MD

(perfect for chicken or pork chops)

By Nancy Mehlert, MS.

By Mila McManus, M.D.

By Mila McManus M.D.

By Nancy Mehlert, MS.

From www.downshiftology, Lisa Bryan

By Mila McManus, M.D.

by Mila McManus MD

By Mila McManus, M.D.