Employee of the Month

Every month at The Woodlands Institute for Health & Wellness, we celebrate one member of our awesome team. This month, we are celebrating Jolie Likens and all that she brings to this practice. She’s the first person you see when you come through our doors, yet the term “receptionist” greatly understates everything that Jolie does for us! While she is busy remembering and greeting every patient, and fulfilling every request from co-workers, bosses, vendors, delivery personnel and patients alike, she has an uncanny ability to exude a calm and kind spirit. But don’t be fooled by this quiet, gracious, gentle person.

She is a woman of strength and endurance who consistently rises above any difficult circumstance with a grace and unexpected sense of humor to be admired by all. Stick around long enough and you will see her compassionately listening to what others have to say, a generosity and willingness to help others no matter how much work she has to do, problems being identified and solved before anyone else notices, and a person whose attitude suggests every day is a really good day. Jolie has invested her free time in raising two children, Taylor and Jordan. As her youngest heads off to college this Fall, Jolie is hoping for more time to read, something she enjoys but has not had much time to enjoy. Thank you, Jolie, for being a consistent rock of calm, dependability, and joy for us all!

By Mila McManus MD|2015-07-28T23:36:15-05:00July 28th, 2015|General|

Causes of, and Treatment Options for, Hair Loss in Women

By Mila McManus MD

Losing hair has to be at the top of the list of “scariest things” for a woman. Hair growth has 3 phases: the growth phase, resting phase, and shedding phase. One of the most common causes of hair loss is stress, whether emotional or physical. This can create a vicious cycle since losing hair is so stressful!

A very common phenomenon related to hair loss is called Telogen Effluvium, where a stressor causes more hair than usual to enter the telogen (resting) phase. The shedding phase occurs when the growth phase starts again and pushes out the old ‘resting’ hairs from the follicles. During the condition of Telogen Effluvium, hair shedding may occur before the new growth starts. Telogen Effluvium typically lasts approximately 6 months, but may last 18 months or longer in some. This type of hair loss will not cause complete balding, and hair thickness usually recovers. The hair loss can start 1 to 6 months after the inciting event, with an average start time of 3 months.

Some causes of Telogen Effluvium include:

Emotional stress
Physical stress (e.g. pregnancy, febrile illness, immunizations)
Toxin exposure, especially heavy metals
Iron deficiency or iron excess
Other nutrient deficiencies, such as a low protein diet, or deficiencies in B vitamins
Excess vitamin A intake
Hormone changes such as discontinuing OCPs, menopause
Medications, such as anti-depressants, methotrexate, beta blockers, blood thinners, and NSAIDS
Thyroid dysfunction-low OR high (even if your labs are normal!)
Crash dieting
Chronic illness such as Lupus, malignancy, liver disease

Another cause of hair loss is called Androgenetic hair loss

Androgen (e.g. hormones such as testosterone and DHT found in both men and women) receptors get activated around menopause which leads to shrinking of the hair follicles and hair shedding.
Hair continues to thin with age

Other causes of hair loss in women:

PCOS (polycystic ovarian syndrome)-due to excessive production of androgens, and imbalance of other hormones.
Over-styling with heat, chemicals, and pulling of hair into pony tails, etc.

Treatment Options:

Since causes of hair loss vary, the ideal treatment for hair loss does as well. In general, though, treatment options include:

Repletion of nutrients (consider a functional nutrient analysis that we offer at TWIHW including Spectracell FIA and Genova Metabolomix)
Some herbal/nutritional blends may be helpful. Read about Cosmedix and its ingredients.
Spironolactone (relatively benign, safe medication that was first FDA-approved as a diuretic (aka fluid pill), and was then found serendipitously to block androgens at the hair follicle. (available by prescription only)
Address hormone imbalance (test yourself for hormone imbalance here). We recommend balancing hormones using bio-identical hormones, nutritional interventions, and/or detoxification. Also keep in mind that blood tests often fail to reveal hormone imbalances and deficiencies. Labs can lie. Symptoms don’t.
Topical treatments such as Rogaine, Nioxin, and topical solutions specially formulated at compounding pharmacies (available by prescription only)
Red Light Therapy (worn as a hat on your head for specified amounts of time)
Consider testing for heavy metals (at-home urine collection test )
Exesomes (Mesenchymal Stem Cells) tiny injections into the scalp area. Read more about what they are and what to expect.
Stress management
Avoid over-styling, over-heating, and over-treating your hair

Call 281-298-6742 to talk about the right solution for you.

By Mila McManus MD|2023-11-23T05:16:56-05:00July 6th, 2015|Articles, General|

Supplement of the Month: Healthy Hair Support

Healthy Hair Support combines several ingredients, two of which are effective ingredients-saw palmetto and beta-sitosterol-that work to balance healthy DHT levels. DHT damages the hair follicle, preventing it from growing hair that reaches the surface. Balancing DHT levels enhances the growth phase of hair and supports hair strength and integrity. All six ingredients in Healthy Hair Support are known for their ability to support normal hair growth or promote the health of hair in general. In addition to DHT-balancing ingredients, the formula includes other hair-healthy nutrients such as PABA, biotin, and stinging nettle extract.

*The product information provided is for educational purposes and is not intended as either diagnosis or treatment of any disease, nor does it replace professional medical advice. (The FDA makes us say that)

*Warning: Please consult a health care professional before using these products.

By Mila McManus MD|2015-06-30T11:43:33-05:00June 30th, 2015|Articles, General|

Fibromyalgia, Insomnia, and Migraines

Praises and gratitude for Dr. McManus and her staff! I’ve been seeing them for 2-3 years now and can only rave about the outstanding job they do @ TWIHW! There’s such a Positive Energy in their facility from the moment you walk in the door – everyone’s smiling, friendly, competent AND they actually see you on time… The list goes on and on!

My health has improved so much with their innovative treatments (I’ve seen many doctors for over 20 years without similar results) – I used to have 2-3 migraines per week, and have now had only 2 in the last 7 months! In addition, my decades long insomnia issues are improving; not only have I been able to cut my sleep medication by more than half, the number of hours of good sleep has doubled (as measured by my FitBit, + finally feeling refreshed in the mornings instead of that awful fatigue).

Fibromyalgia pain has also diminished under Dr. McManus’s care & my food sensitivities continue to improve – what more can I say? I look forward to my appointments with Dr. McManus – both to see everybody (they’re like a cool family) and to share how much better I’m doing! Truly they are some of God’s helpers here on Earth – what a Blessing!!! Eternal gratitude – Thanks you guys!!!

From Marti R.

By Mila McManus MD|2015-06-22T16:58:31-05:00June 22nd, 2015|General|

Supplement of the month: Kidz Digest Chewable or Powder

Little tummies need good digestive health too! That is why we are offering Transformation Enzymes Kidz Digest Chewable or Powder digestive support. Designed to be gentle, these formulas offer effective, GI stable digestive enzymes to encourage optimal digestion of nutrients and healthy elimination for children. Kidz Digest fosters effective digestion of proteins, carbohydrates, and fats. Suitable for kids 4 years or older.

By Mila McManus MD|2015-06-22T16:40:33-05:00June 22nd, 2015|Articles, General|

Almond Joy Pancakes (Gluten Free)

Prep time: 10 minutes

Cook time: 10 minutes

Total time: 20 minutes

Makes 12 , 4 inch diameter pancakes

Ingredients

½ cup coconut flour (I use Bob’s Red Mill)
⅓ cup unsweetened shredded coconut
¼ cup sweetener of choice (I use Stevita Stevia/Erythritol Blend)
½ tsp baking powder
½ tsp salt
6 large eggs
¼ cup organic, expeller pressed coconut oil, melted
½ to 1 cup unsweetened almond milk
1 tsp almond extract
¼ cup toasted, slivered almonds
2 ounces 63-80% cacao chocolate, finely chopped, or morsels
Additional coconut oil for the pan

Instructions

In a large bowl, whisk together coconut flour, shredded coconut, sweetener, baking powder and salt.
Stir in eggs, coconut oil, ½ cup of the almond milk, and the almond extract. Add additional almond milk as needed. Your batter should be thicker than traditional pancake batter, but not so thick that you can’t pour it and spread it around the pan. Coconut flour batters also tend to thicken up as they sit so you can add additional milk partway through.
Heat a large skillet over medium heat and brush with additional coconut oil. Scoop about 2 heaping tablespoons of batter onto skillet and spread into a 4 inch circle. Repeat until you can’t fit any more pancakes into skillet .
Cook until the bottom is golden brown and the top is set around the edges. You will see little bubbles start to come up in the center of the pancake, a good sign that it’s cooked enough to flip.
Flip and continue cooking until second side is golden brown. Remove from pan and keep warm. Repeat with remaining batter.
Top with toasted almonds and chopped chocolate.

Nutrition Information

Serving size: 2 pancakes Calories: 266, Fat: 17 g ,Carbohydrates: 17 g, Fiber: 9 g, Protein: 11 g

Idea – Leave out chocolate, and simply top with butter, chopped fruit in season such as berries or peaches or spread with a nut butter. Another topping option is to put frozen, unsweetened berries in a pan, and cook until syrupy, adding Stevia, Xylitol or Erythritol to sweeten to taste.

Author: Liz DellaCroce | The Lemon Bowl

By Mila McManus MD|2015-06-22T16:33:25-05:00June 22nd, 2015|Recipes|

My health has improved so much with their innovative treatments…

My health has improved so much with their innovative treatments...

Praises and gratitude for Dr. McManus and her staff! I’ve been seeing them for 2-3 years now and can only rave about the outstanding job they do @ TWIHW! There’s such a Positive Energy in their facility from the moment you walk in the door – everyone’s smiling, friendly, competent AND they actually see you on time… The list goes on and on!

My health has improved so much with their innovative treatments (I’ve seen many doctors for over 20 years without similar results) – I used to have 2-3 migraines per week, and have now had only 2 in the last 7 months! In addition, my decades long insomnia issues are improving; not only have I been able to cut my sleep medication by more than half, the number of hours of good sleep has doubled (as measured by my FitBit, + finally feeling refreshed in the mornings instead of that awful fatigue).

Fibromyalgia pain has also diminished under Dr. McManus’s care & my food sensitivities continue to improve – what more can I say? I look forward to my appointments with Dr. McManus – both to see everybody (they’re like a cool family) and to share how much better I’m doing! Truly they are some of God’s helpers here on Earth – what a Blessing!!! Eternal gratitude – Thanks you guys!!!

From Marti R.

By Mila McManus MD|2015-06-22T16:20:31-05:00June 22nd, 2015|Articles, Testimonials|

10 Tips for Teaching Children Healthy Food Habits

By Nancy Mehlert, MS

As our children struggle with an increasingly large number of health issues such as skin rashes, poor concentration, inability to sleep, constipation, hyperactivity, tummy aches, and obesity, just to name a few, it is difficult to ignore the fact that most restaurant food, packaged food and fast food are filled with damaged oils and proteins, sugar, and harmful additives. We want to encourage families to get together at the dinner table to eat a simple, real food meal more often to ensure good nourishment and also because it creates security, stress reduction, relationship strength and emotional confidence for our children and families as a whole.

Tip ONE: Begin early and involve children in selection and preparation of vegetables, fruit, and meat. The ability to choose, smell, touch, and prepare foods will help to increase participation in trying new foods. As age allows, engage them in setting the table, washing, cutting, measuring quantities, and otherwise helping to prepare the meal and clean up afterward. Even “play” activities with food can help a child become familiar with a new food. An art activity like creating a face on an apple with kale for hair, grapes or blueberries for eyes, thinly sliced bell pepper or carrot to form a smile, can increase a child’s confidence with new foods. If your kids are older, sign up for a cooking class together.

Tip TWO: As soon as you begin reading to your child, include nutrition-oriented books. Include nutrition topics in DVD’s for older children such as Food Matters, or Food, Inc. Conduct experiments with food such as buying a Happy Meal and leaving it on the kitchen counter for observation to see what happens to it. Book suggestions for youngsters include Vegetables in Underwear by Jared Chapman, Eating the Alphabet by Lois Ehlert, Monsters Don’t Eat Broccoli by Barbara Jean Hicks, and Why Should I Eat Well by Claire Llewellyn.

Tip THREE: Try new foods together. Insist on tasting everything and you do the same. Teach tasting with an 8-10 chew rule – take a bite, chew 8 times, then the choice is theirs to spit it out or swallow it. Children need to touch, smell, and experience new foods often before eating it. It can take as many as 10-20 introductions of a new food to develop a taste for it. Be patient and persistent, continuing to put it on the plate. Try preparing it different ways. (Yes! Hide it if you can.) If you don’t have success after 20 introductions, don’t give up entirely. Take it out of the rotation for a couple months and reintroduce it again later. Remember, taste buds are growing and changing along with children’s brains and bodies.

Tip FOUR: Ignore protests or requests during mealtime for routine favorites or something different. We recommend that everyone in the family is served and expected to eat the same food. This prepares children for many aspects of life where we don’t always get our favorites or our way. If children can be taught to eat what is served they will try new foods and become less finicky. Don’t feel guilty about allowing a child to be a little hungry because they refused to eat what was served. Sometimes missing a favorite treat or being hungry at bedtime is a strong motivator for changed behavior at the dinner table. Snacks or after dinner treats, even healthy ones such as fruit, nuts or 60% dark chocolate chips should not be offered unless a child has eaten a reasonable amount of the dinner served.

Tip FIVE: Bring kids to the table hungry. Introducing new foods is best done when the child is hungry and the options are limited. Do this by preventing excessive snacking and permission-only access to food in the kitchen. Help your children identify the sensation of true hunger versus eating for other reasons. Encourage play and outdoor activity wherever possible. Hungry kids will come to the table ready to try new foods, eat what is served and eat good portions for growing minds and bodies.

Tip SIX: Limit beverages at mealtime. Keep children focused on food. Too much liquid of any kind can fill a child up and prevent them from eating much. Excessive fluid also dilutes stomach acid needed to aid in quality digestion. Use small 3-4 ounce glasses and don’t allow refills. If children are hungry between meals, suggest water, since hunger is often a sign of thirst.

Tip SEVEN: Make dinner a technology-free and toy-free zone for everyone. No television, cell phones, toys or other activities. This increases a focus on eating, chewing well and healthy conversation. If phones ring or ping, do not leave the table to answer them. This shows your children that eating together as a family is a high priority where nothing else is more important. Check out www.dinnertimeapp.com for a way to get kids to shut down technology at the appropriate times.

Tip EIGHT: It may not be realistic to eat at home every night but try to establish one or two nights that are “sacred” where everyone agrees that dinner will be at home together and no activities will take precedence. Engage teens in dinner preparation responsibility one day a week. Boys and girls need to know how to plan and cook a meal for successful adult lives.

Tip NINE: Create fun, healthy discussion for mealtime. Pose a question everyone can answer. For example, “What was the best part of your day and why?” or “What are you thankful for today and why? “ Need more ideas? Check out http://childhood101.com/2012/03/family-time-meal-time-conversation-starters/ .

Tip TEN: Teach your children to understand that sugar, specifically sweets such as candy, cakes, ice cream, cookies, cokes, fruit juices, power drinks, donuts and other similar foods are highly destructive to the optimal functioning of the human body and highly correlated with most disease and illness. . The more you can limit or eliminate them, the better for everyone. Instead, offer a wide variety of nutrient-dense foods for snacks and meals. Avoid using sweets or any food as a reward or soother. This teaches your children to become adults who reward or sooth themselves with food. Be very aware that, while socially acceptable and legal, sugar is at least as, if not more addictive than, cocaine, alcohol and tobacco. Fresh fruit, nuts and seeds are ideal replacements for sweets.

For more ideas, help with the substitutions and sugar-busting methods, contact me today at 281-298-6742 for a nutrition consultation.
______________________________________________________________________________________________________________________________________________________________
http://articles.mercola.com/sites/articles/archive/2011/05/02/is-sugar-toxic.aspx
http://www.naturalnews.com/042209_sugar_addictive_substances_cigarettes.html

By Mila McManus MD|2015-06-22T15:28:44-05:00June 22nd, 2015|Articles, General, NANCY’S NUTRITIONAL NUGGET|

His quality of life is so much better…

His quality of life is so much better...

My son, CJD, now 13 years old, has had a remarkable improvement in his health through the yeast cleanse, sub-lingual allergy drops (A-drops), and supplements that you prescribed. Before coming to you, he suffered with severe allergies, asthma, eczema and constipation. As a baby and a young child, he was so sick and seemed to get worse with age and more traditional medical treatments. After 3 weeks of the yeast cleanse, the scabs and wounds, from scratching his skin until he would bleed from the eczema, completely disappeared and have not returned. He has not missed but one or two days of school due to illness this past school year, and his allergic reactions are fewer and not as severe as before the cleanse and the A-drops. His quality of life is so much better thanks to the treatment plan recommended by you.

Many thanks,

Laurie D.

By Mila McManus MD|2015-06-22T15:09:36-05:00June 22nd, 2015|Testimonials|

Women and Heart Disease

by Dyvette Warren, PA-C

Why is heart disease the leading cause of death in women? Why are women and men being diagnosed with coronary artery disease at younger ages than ever before? Why has heart disease become so prevalent in the last 100 years?

All women face the threat of heart disease. Becoming aware of the symptoms and risks unique to women, as well as eating a healthy diet, free of processed foods and toxins, and exercising regularly, can help protect you.

Coronary artery disease is caused by plaque forming in the lining of the arterial walls. This plaque is deposited along the arterial walls and can eventually rupture and block blood flow to a part of the heart resulting in tissue death. This is called a myocardial infarction (heart attack). Inflammation plays a key role in arterial plaque formation.

If I have plaque in the arteries of my heart, what symptoms do I look for?

The most common heart attack symptoms in women are pain, pressure or discomfort in the chest; however, it’s not always severe and is often dismissed. Women are more likely than men to have atypical symptoms that may seem unrelated to a heart issue, such as:

Neck, jaw, shoulder, upper back or abdominal discomfort
Shortness of breath with or without chest pain
Right arm pain, left arm pain
Upper or mid back pain
Diabetics often present with fatigue and elevated blood sugar without chest pain
Nausea or vomiting
Sweating
Lightheadedness or dizziness
Unusual fatigue
Women’s symptoms may occur more often at rest or while sleeping
Emotional stress may also trigger heart attack symptoms

A 42 year old neighbor knocked on my door 5 years ago and said, “Something is wrong”. After a normal cardiac stress test several weeks before, medications for cholesterol and hypertension were prescribed by the cardiologist. This 42 year old mother of 2 young children had a standard and thorough evaluation with her primary care provider and cardiologist. She was advised to follow up in 6 months or sooner if symptoms worsen.

I knew from my training and experience that when a patient experiences feelings of “impending doom”, a thorough investigation should follow. After careful questioning, she reported only slightly elevated cholesterol and blood pressure diagnosed by her primary care provider. The reason for the knock at my door and the visit to the cardiologist was the chest pain that occurred at rest, in the middle of the night, while sleeping, that would awaken her.

The next step would be to check her lungs and coronary arteries, so I ordered a coronary angiogram (a CT scan that looks inside and around the arteries of the heart). This test included a good view of the lungs as well. Shortly after the procedure was completed, a radiologist contacted me and advised immediate cardiac evaluation for severe plaque in two major coronary arteries. This information meant that a myocardial infarction (heart attack) or death could imminent. I contacted the patient’s cardiologist to explain the severity of the situation and advised that he meet this patient at the hospital right away. The patient received coronary artery bypass surgery the next morning! The patient has implemented life style changes that will decrease the risk of worsening cardiovascular disease and is living a full and productive life with her family.

What are the risk factors for the development of heart disease in women?

Diabetes, insulin resistance, and elevated blood glucose levels without a diagnosis of diabetes, significantly increases the risk of heart disease in women more than men.
Metabolic syndrome – a combination of fat around the abdomen, high blood pressure, high blood sugar, and high triglycerides.
Emotional stress and depression affect women’s hearts more than men’s. Depression makes it difficult to maintain a healthy life style and follow recommendations. Depressive symptoms must be addressed.
Smoking is a greater risk factor for heart disease in women than in men.
Exposure to toxins, which trigger inflammation in the body.
Lack of physical activity is a major risk factor for heart disease, and as a group, women tend to be less active than men.
Low levels of estrogen after menopause pose a significant risk factor for developing cardiovascular disease in the smaller blood vessels.
Pregnancy complications such as high blood pressure or gestational diabetes can increase a woman’s long-term risk of developing heart disease in both the mother and in her children.

Where do the toxins come from that get into my blood stream?

Manmade chemicals from personal care products, toothpaste, shampoos, bubble baths, shower gels, makeup, perfumes, deodorants and lotions can be quite toxic. House hold cleaning supplies, detergents, prescription drugs and over the counter medications, smoking tobacco, industrial pollution, pesticides, contaminated water, processed foods, flavorings and additives, hydrogenated, partially-hydrogenated or trans fats all contribute to our toxic load.

Abnormalities in intestinal flora, nutritional deficiencies, and lack of sun exposure all contribute to toxic buildup as well. The body tries to fix and protect the vessels from toxins by using white blood cells to capture or trap the toxins. Atherosclerotic plaque begins to form in the lining of the vessels which narrows blood flow to vital organs. Coronary artery diseases cause 1/3 of all deaths in the western world annually.

Is cholesterol good or bad?

Cholesterol is vital to the healthy function of your body. Cholesterol is needed for the synthesis of many hormones such as testosterone, estrogen, DHEA, progesterone, and cortisol. Together with sun exposure, cholesterol is required to produce vitamin D, and deficiency in vitamin D increases risk of cancers and other ailments. Cholesterol is an essential element of all cell membranes, where it provides structural support and may even serve as a protective antioxidant. It is essential for conducting nervous impulses. If elevated cholesterol levels are the cause of coronary artery disease, why do so many people who have heart attacks have normal cholesterol and so many people with high cholesterol live into their 90s? Please read more about cholesterol and statin drugs here.

What can I do to decrease my risk of a heart attack?

Try to find natural, non-toxic alternatives to any products you use that are on the market.
Avoid processed/packaged foods.
Keep blood glucose (sugar) controlled.
Eat organic whole foods.
Start exercising.
Lose weight if you are overweight.
Never smoke or quit now if you do.
Limit alcohol intake.
Get screened for heart disease.
Manage stress.
Treat Depression.

What are the tests that I should have done that will let me know if I am at risk for heart disease?

Clinical indicators for testing include an inflammatory checklist to asses overall inflammation. . Further testing is warranted if you answer yes to any of the following:

Digestive disorders
Bone and joint pain
Skin conditions
Poor health of teeth and gums
Metabolic syndrome/diabetes
Endocrine/hormone issues
High blood pressure
Chronic pain
Sleep issues
Chronic Fatigue
Chronic infection(s)
Autoimmune disease

We are now able to test 5 elements related to heart disease. The Coronary Artery Disease Inflammation Profile focuses on five key elements of cardiovascular health: sympathetic drive, antioxidant defense, immune activity, endothelial function, (and cholesterol?-the controversy continues!). It not only assesses sympathetic function and oxidation, but also provides an extensive view of inflammation to allow for more targeted and personalized interventions.

1. Sympathetic drive: Low sympathetic drive is inversely related to control of inflammatory cytokine levels, and the underlying cause of sleep disorders and depression. Testing includes norepinephrine, serotonin, glycine, taurine, and glutamate levels.

a. Must have norepinephrine, serotonin, and dopamine controlled.

b. Serotonin has a vasodilator effect that increases blood flow and decreases blood pressure. Lower levels are associated with an increased risk of heart disease.

c. If norepinephrine is very low OR very high, this suggests severe endothelial inflammation.

2. Oxidation: Oxidative stress in humans can cause cancer, Parkinson’s, Alzheimer’s, heart disease, heart failure, chronic fatigue, infection, disorders related to the skin, and other health problems. This test is for risk and vulnerability, looking at levels of harmful oxidized cholesterol, ApoB and ApoA1 ratio, and DOPAC, the oxidized form of dopamine. These levels help to identify whether free radicals are affecting the nervous system and catecholamine function.

3. Inflammation: Testing Myeloperoxidase, C-reactive protein, and cytokines. These levels help to stratify risk of heart disease as well.

4. Endothelial function: Mechanical measurement and biomarker measurement to test endothelial dysfunction. The endothelium is the largest organ in the body, made up of cells that line every blood vessel.

5. Plaque rupture/Plaque accumulation: testing cytokines. This is the first cardiac assessment to show improvement in as little as 2 to 4 weeks; no more waiting 3 to 6 months to assess effectiveness of therapy.

I recommend that you make an appointment with one of our providers if you are experiencing symptoms or have risks that are discussed in this article, if you have a family history of coronary artery disease, blood clots, or stroke, if you have had heart surgery, bypass or stents placed in your heart or extremities. We will determine the testing needed to fit your profile that will help to determine your future risk of a heart attack.

Other tests that may be recommended to assess risk include heart scan with calcium scoring, EKG, stress tests, nutrient testing, heavy metal testing, sleep study, psychological assessments, and ultrasounds of the heart, carotid arteries, extremities, and/or aorta.

Coronary artery disease is a serious cause of morbidity and mortality in women and will continue to gain importance as a woman’s life expectancy increases. Important differences in presentation, risk factors, investigation, and treatment of women exist and should be recognized. There is plenty you can do to prevent and treat coronary artery disease. Start by committing to a healthy lifestyle.

Resources: