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About Mila McManus MD

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So far Mila McManus MD has created 848 blog entries.

Vibration Therapy

15 minutes a day of whole-body vibration three times a week may aid weight loss, burn fat, enhance blood flow, build strength and more.

Sessions can be as little as a few minutes, with benefits really taking effect with at least a 10-minute session. Vibration therapy may aid weight loss, burn fat, improve flexibility, enhance blood flow, reduce muscle soreness after exercise, build strength and decrease the stress hormone cortisol.1

Other Benefits

  • Improves Circulation
  • Improves Bone Density
  • Enhances Lymphatic Flow and Drainage
  • Improves General Fitness
  • Combats Cellulite

While you’re enjoying it, check in on social media to show everyone how cool it is!

Vibration therapy is offered in our Longevity Room, along with red light therapy and infrared sauna.  

Learn more here!

Ref: https://www.mayoclinic.org/healthy-lifestyle/fitness/expert-answers/whole-body-vibration/faq-20057958

By |2024-05-08T22:44:03-06:00January 31st, 2024|Articles, General|

The Electrolyte Craze and What to Choose

by Mila McManus, MD

Most of the electrolyte products we have examined do not use the most bioavailable forms of the electrolytes the human body can absorb.

Electrolyte powders and drinks are the current craze in the health and nutrition industry. There are a plethora of brands flooding the market to capitalize on the craze and make everyone think they need them. Most of the products we have examined do not use the most bioavailable forms of the electrolytes the human body can absorb. In many cases, they are unbalanced between sodium and potassium which can also be problematic for some people.  Other brands are significant sources of sugar and destabilize blood sugar which you want to avoid doing.

People who are generally healthy, hydrate well, and eat their vegetables, fruits, and nuts daily, probably don’t need an electrolyte mix.  It may be more necessary with more extreme forms of exercising and sweating. There may be individual imbalances and/or circumstances where a medical provider may recommend a supplement. Prolonged diarrhea or vomiting may call for electrolyte replacement.  In any case, if you are going to use an electrolyte supplement, you want to choose carefully and wisely.  We encourage you to talk to your medical provider to determine if an electrolyte supplement is necessary for your individual health and wellness. 

In light of the demand, interest, and poor market quality of most electrolytes, we have identified and now carry a quality electrolyte supplement that is properly balanced with bioavailable electrolytes.

Electrolyte Forte by Biotics Research is a powder that is added to eight ounces of water or other liquid.  It is flavored with a subtle fruity taste and gently sweetened with monk fruit. The sodium-potassium balance is appropriate for most people and the product is gluten and dairy free. The electrolytes, which are calcium, phosphorus, magnesium, sodium, and potassium are in bioavailable forms along with vitamin C and taurine for optimal absorption.

If you need or want to take electrolytes, this in one we can get behind. Stop in or order on line and give it a try.

Be well.

Ref: Biotics Research Practitioner Literature

By |2023-12-29T10:48:46-06:00January 28th, 2024|General|

NOVA – Everyone needs to know about it!

by Mila McManus, MD

NOVA is the most widely used food classification system according to degree of processing. The way they are classified may surprise you!

NOVA is the most widely used food classification system according to the degree of processing. Understanding the categories can be helpful for choosing less processed foods.  The way they are classified may surprise you!  

Food processing refers to any deliberate alteration in a food occurring between the production of raw foods or food ingredients and the point of destination or consumption of a final product. Food processing also varies in purpose, including preservation, safety, quality, availability, convenience, innovation, taste, sustainability, and extent of processing[1]. Not all processing is bad or harmful to your health. What is becoming unquestionable is that Ultra-processed foods [UPFs] are responsible, in large part, for common lifestyle diseases such as obesity and diabetes.  These were rare a century ago.

NOVA CLASSIFICATION[2]

Group 1 – Unprocessed or minimally processed foods

                Included in this group are edible parts of plants and animals [i.e. vegetables, fruits, meat], as well as algae [i.e., spirulina, chlorella], fungi [i.e., mushrooms], and water.  Food may be crushed, dried, fermented, pasteurized, ground, or frozen, but may not have any additives such as salt, sugar, oils, fats, or other culinary ingredients.

Group 2 – Processed Culinary Ingredients

                Included in this group are substances mined or extracted from nature such as spices, salt, herbs, seeds, nuts, olive oil, sugar, vinegar, starches, honey, syrups extracted from trees  [i.e., maple], and butter.

Group 3 – Processed Foods

                Included in this group are relatively simple food products made by adding processed culinary ingredients from Group 2, such as sugar and salt, to unprocessed Group 1 foods. They can be baked, boiled, canned, bottled or fermented. Additives can be included to enhance shelf-life, protect properties of unprocessed foods, prevent the spread of microorganisms, or make them more enjoyable.  Examples include cheese, canned vegetables, salted nuts, fruits in syrup, and dried or canned fish.  Breads, pastries, cakes, biscuits, snacks, and some meat products fall into this group when they are made predominantly from Group 1 and Group 2 foods.

Group 4 – Ultra-Processed Foods [UPFs]

                Formulations of ingredients, mostly of exclusive industrial use, typically created by a series of industrial techniques and processes. Group 1 foods often compose a small proportion of their ingredients or are even lacking entirely.  Ultra-processing often introduces food substances of little or no culinary use, such as hydrogenated oil, modified starch, protein isolate, and high fructose corn syrup.  Processes include extrusion, molding, and pre-frying, along with the addition of various cosmetic additives, including those for flavor enhancement and color.

 It’s not difficult to distinguish the dramatic shift from Group 1, 2, and 3 foods to the UPFs in Group 4. UPFs are not real foods, but rather are fabricated, created, engineered substances, and often contain ZERO Group 1 food. A new synthetic milk, genetically engineered from yeast, was found to have ninety-two mysterious, unknown compounds in it![3] [more on that to come] Ultra-processed foods now make up 75% or more of the foods found in grocery stores, and about 58% of the calories that U.S. adults and children ages 1 and older consume in a day, according to an analysis of federal data collected from 2001 to 2018[4].  Virtually all fast food falls into Group 4 UPFs!  Most food products in a bag or package are also UPFs. More and more, studies are linking diets high in UPFs with increased risks for obesity, Type 2 diabetes, cancer, cardiovascular disease, and depression.

According to Mira Dessey, The Ingredient Guru and nutrition educator, and author of The Pantry Principle (2013),  the top ten food ingredients most harmful to our health[5] , and found in UPFs, are:

  • Artificial Colors [FD&C Red #2, for example]
  • Artificial Sweeteners [Sucralose, Saccharin, Aspartame are the most common]
  • BHA & BHT
  • Brominated Vegetable Oil
  • High Fructose Corn Syrup
  • Hydrogenated Oils
  • Mono-sodium Glutamate, a.k.a. MSG
  • Sodium Benzoate
  • Sodium Nitrate/Nitrite
  • Soy, Corn, Cottonseed, and Canola oils

Grand Takeaway:  If it is cheap, tasty, and convenient, or marked as “low in sugar”, “heart healthy”, even “gluten-free”, it is most likely a Group 4 UPF.   

 Mira says, “ You are what you eat. Don’t be fast, cheap, and easy.”  

 Make Group 1 and 2 NOVA your primary sources for food and observe the difference and quality of your life and health!

Be Well!

[1] Capozzi, F., Magkos, F., Fava, F., Milani, G.P., Agostoni, C., Astrup, A., & Saguy, I. S. (2021). A multidisciplinary perspective of ultra-processed foods and associated food processing technologies: A view of the sustainable road ahead [Review]. Nutrients, 13, 3948. http://doi.org/10.3390/nuf13113948

[2] Heldman, D. R., & Lund, D. B. (2011) Beginning, current, and future of food engineering: A perspective. In J. M. Aguilera, G.V. Barbosa-Canovas, R. Simpson, J. Welti-Chanes, and D. Bermundez-Aguirre (Eds.), Food Engineering Interfaces (pp. 3-18). Springer Publishing.

[3] The Checkout, Episode 157, Dr. John Fagan’s Concerning New Findings about “Animal Free” Dairy, 21:00.

[4] Petersen, Andrea. (November 15, 2023) How eating ultra-processed foods can affect your health. The Wall Street Journal (A14).

[5] Dessey, M. NE (October 17, 2023), Top 10 Food Ingredients to Avoid. Instagram.

By |2024-01-11T07:00:28-06:00January 11th, 2024|General|

Maintain your weight loss with TWIHW.

Congratulations on maintaining your weight loss with TWIHW! We understand that maintaining weight loss can be a challenge, so we want to ensure you have the best resources to help you stay on track.

At TWIHW, we offer a variety of weight management tools that can help you maintain your weight loss or reach new goals. Because you have completed the 8-week initial cycle of our weight loss protocol, you can purchase Semaglutide in 4-week cycles, which range in price from $299 to $499. The dose you can restart will depend on the time since your last injection. Our team will be able to provide more guidance.

In addition to Semaglutide, we also have other tools to assist you in maintaining your weight loss or reaching new goals, such as sugar craving protocols on ONDAMED, metabolic rate analysis on Metacheck, nutrition counseling, and our latest program that uses continuous glucose monitors (aka CGMs) to monitor your glucose 24/7 and see how your body reacts to food, stress, and activity.

We also have some supplements that can help with weight management, such as hiphenolic, and some injectables, such as NAD and Lipo-B.

If you’d like to learn more about how TWIHW can help you keep the weight off in 2024 and beyond, please contact our team. We look forward to continuing on your wellness journey with you.

Best regards,

TWIHW Team

Congratulations on maintaining your weight loss with TWIHW! We understand that maintaining weight loss can be a challenge, so we want to ensure you have the best resources to help you stay on track.
Weight Loss Protocol at TWIHW
By |2024-05-08T22:49:23-06:00January 4th, 2024|General|

Herbicides and Adolescent Brains

by Mila McManus, MD

Herbicides are the most common class of chemicals. Exposures to (herbicides) are associated with worse brain function among adolescents...

More than 80,000 chemicals are registered for use today, and hundreds of chemicals are added every year. We do, indeed, live in a toxic world. Chemical exposure is pervasive.  Especially concerning is the impact this has on developing brains of children and adolescents. Herbicides, used predominantly in green spaces, homes, and industry are the most common class of chemicals. Exposures to glyphosate and 2,4-dichlorophenoxyacetic acid [a.k.a. 2,4D] are associated with worse brain function among adolescents according to a study led by researchers at the Erbert Wertheim School of Public Health and Human Longevity Science at University of California Sand Diego.

When 519 adolescents aged 11 to 17 were tested, glyphosate, a nonselective herbicide used in crops and for residential vegetation control, was detected in 98% of the participants. 2,4D, a broadleaf herbicide used on lawns, aquatic sites, and agriculture, was detected in 66% of the participants. Researchers assessed the participants in five neurobehavioral performance areas including attention, inhibitory control, memory and learning, language, visuospatial processing, and social perception.  The higher the amounts of 2.4D, the lower neurobehavioral performance in the domains of attention and inhibitory control, memory and learning, and language. Higher concentrations of glyphosate in participants was associated with lower scores in social perception.

Today, 20% of adolescents and 26% of young adults have diagnosable mental health conditions such as anxiety, depression, impulsivity, aggression or learning disorders. We encourage you to buy organic and to think twice about what you use in and around your homes to treat lawns and control insects.  There are many more natural, chemical free options than ever before and can be very effective.

Also, we offer a toxicant test that requires a simple urine collection.  And we have many options to help detoxify the body from toxins and toxicants. 

Be Wise, Be Well.

Ref:

MDLinx (October 11, 2023). Research finds commonly-used herbicide is harmful to adolescent brain function. https://www.mdlinx.com/news.

 

By |2024-01-01T12:31:15-06:00January 3rd, 2024|General|

Introducing the CGM Program! 

cgm sensor and app view for TWIHW CGM Program
CGM Sensor and App preview

What is it?  CGM stands for Continuous Glucose Monitor.  It is a device worn on the arm that provides the wearer with detailed information about how food, stress level, sleep quality, and activities impact blood sugar.

Stabilizing blood sugar is a foundational key to overall good health for everyone.

Who benefits from wearing a CGM? 

Anyone and everyone who wants to:

  • Optimize health and feel better.
  • Lose weight but finds it difficult to do so.
  • Understand how your unique body functions in relation to the foods you eat, your stress level, sleep quality, and activities.
  • Better manage diabetes.
  • Prevent low blood sugar.
  • Alleviate brain fog, fatigue, and mood swings.
  • Stop sugar cravings.
  • Reduce chances of getting a lifestyle disease [i.e., heart, autoimmune, cancer, diabetes, etc.]

WHY MEASURE BLOOD GLUCOSE?

  • Ongoing spiking of blood glucose leads to lifestyle diseases such as obesity, diabetes, and heart disease.
  • Blood sugar spikes also affect metabolic function, leading to permanent damage.
  • The chronic spiking of blood glucose causes weight gain, non-alcoholic fatty liver, and the inability to utilize your fat stores as fuel.
  • Spiking your blood glucose also leads to a multitude of symptoms such as sugar cravings, extreme hunger pangs, energy crashes, brain fog, moodiness, digestive issues, trouble sleeping, waking up with heart palpitations, acne, inflammation, anxiety, and frequent colds.
  • To help you develop a healthy nutritional lifestyle by determining what triggers your blood sugar spikes so that you can balance your blood sugar.

The CGM Program includes:                 ($699 for current patients, $799 for new patients)     

  • Initial appointment with a medical provider [labs ordered if necessary]
  • Two Metacheck metabolism tests provide basal metabolic rate, caloric needs, and rate of metabolism.
  • There are two appointments with the nutritionist to examine, understand, and process the results captured by the CGM sensor—assistance with lifestyle and dietary adjustments to achieve your goals.
  • One meal plan that incorporates your specific dietary needs.
  • E-mail check-ins.
  • Two CGMs -one to wear initially and then again after two months. This also includes the Theia application download, where the patient will also keep track of activities and food intake to correlate with the CGM results. Results will be available in the app and at TWIHW with each nutrition follow-up appointment.

 For more explanation regarding our need for glucose, click here

 

By |2024-01-12T23:24:54-06:00December 13th, 2023|General|

Allulose: The Newest Sweet on the Block

by Mila McManus MD

Allulose is a new type of sweetener additive...(that) causes a host of digestive issues including bloating, distension, nausea, and diarrhea.

Allulose is a newer type of sweetener additive growing in popularity and showing up in products on grocery store shelves. It is very sweet and does not have an aftertaste, making it very appealing to the food industry. The weight loss and health industries are also interested because allulose is not metabolized as a food substance and bypasses normal digestive processes, suggesting that it may benefit blood sugar levels.

Allulose is sourced from raisins, figs, molasses, and jackfruit where it exists in very small amounts. Those very small amounts are extracted and replicated in the laboratory, and then used in very large amounts in one serving of food. What is safe and small in natural sources is unsafe in lab produced sources and quantities. The very sweet taste of allulose is the result of man engineering it in the lab.

So far, studies are showing allulose causes a host of digestive issues including bloating, distension, nausea, and diarrhea.  Alterations in the microbiome of the gut have also been observed as well as alterations in mRNA expression. These results are very concerning if we hope to have healthy gut-brain pathways, digestion, and proper genetic expression, all essential to good health.

The FDA requires that allulose be named in the ingredient list, but not reflected on the Nutrition Label as a form of “sugar”.  It is appearing in convenience and processed foods, such as electrolyte powders [Liquid IV recently added it to their sugar free option], protein bars, fat bombs, cookies, and shakes, touted as a healthy alternative to sugar.

Historically, stevia remains the safest non-sugar herbal sweetener. Erythritol and monk fruit have continued to be considered safe and without harmful effects. In very small amounts, cane sugar, maple syrup, and honey are safe, natural choices. Fresh fruit is designed to be a delightful, sweet finish to a meal. Ideally, we want to keep our sweet tastebuds tamed and quiet, rather than overstimulated. We find processed foods, such as allulose, and the foods in which it’s being put, will overstimulate the sweet tastebuds.  This makes it difficult to manage sugar cravings and overconsumption. Additionally, maintaining optimal gut function is critical for good health, and allulose may work against that effort.

Taken together, there are many reasons to be concerned about consuming allulose. Until more is known, and based on what we know so far, we do not recommend allulose as a safe choice.

References:

www.functionalnutritionalliance.com

Personal interview with Mira Dessey, The Ingredient Guru, and author of The Pantry Principle (2013).

By |2023-12-07T08:18:47-06:00December 7th, 2023|Articles, General|

Exercise – Just Get it Done

by Mila McManus, MD

The best time of day for exercise is the time of day you will do it.  The best exercise is the one you will do.

It seems to be the norm now to argue over many topics as though there are only two solutions, a right way and a wrong way.  But in reality, the answer is not dichotomous. Rather, there are gray areas in between, a number of good options available, and most often the need for individuals to choose what works best for them. Much like we say there is not one diet that is right for all people, the same is true with exercise. The best time of day for exercise is the time of day you will do it.  The best exercise is the one you will do.

AM Prose: Some research suggests that exercising in the morning in a fasted state may be most helpful in weight control and training adaptations.  It can also be logistically suitable for early risers. Those who train in the morning tend to have better training adherence and expend more energy overall throughout the day.  Morning exercise is associated with better weight control, and better skeletal muscle adaptations over time compared to exercise performed later in the day, according to Dr. Normand Boulé from the University of Alberta[1].

PM Prose: Alternatively, Dr. Jenna Gillen from the University of Toronto[2], who has debated Boulé, points out that mild to moderate intensity exercising done soon after meals typically results in lower glucose spikes after meals in people with diabetes. Her argument is supported by at least one recent meta-analysis where post-meal walking was best for improving blood sugar in those with prediabetes and type 2 diabetes.   The Look AHEAD Trial of over 2400 adults with type 2 diabetes found that some of the participants, after a year of making afternoon exercise part of their lifestyle, experienced a complete remission of diabetes. And for night owls, afternoon or evening exercise may just be more practical.

AM/PM Prose: It may be beneficial for some people to split exercise into two timeframes. Exercising some in the morning and some later in the day or early evening can offer several benefits. Exercise following the largest meals of the day aids in balancing blood sugar throughout the day. For those who sit for long periods, exercising twice a day helps to reduce stiffness and increase flexibility, increase focus and alertness, and reduces overall anxiety and stress levels.

Exercise is essential for physical and mental health.  It is highly protective against disease and aging. It even helps prevent cancer and recurrence of cancer!  Pick your form of exercise, pick your time, and get it done. Studies show that even as little as 5 minutes is helpful!

[1] Boulé, Normand G.; Rees, Jordan L.. Interaction of exercise and meal timing on blood glucose concentrations. Current Opinion in Clinical Nutrition and Metabolic Care 26(4):p 353-357, July 2023. | DOI: 10.1097/MCO.0000000000000936

[1]Jenna B. Gillen, Stephanie Estafanos, and Alexa Govette. 2021. Exercise-nutrient interactions for improved postprandial glycemic control and insulin sensitivity. Applied Physiology, Nutrition, and Metabolism46(8): 856-865. https://doi.org/10.1139/apnm-2021-0168

 

By |2023-10-28T09:52:27-06:00November 7th, 2023|Articles, General|