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Doctor of Acupuncture and Oriental Medicine Call to Get Started Today 760-773-4948 wellness@circecares.com circecares.com Palm Desert 73345 Hwy. 111, Suite 101 Yucca Valley 57463 Twentynine Palms Hwy, Suite 202 @circehealthcare Our team of medical and holistic practitioners provide educational courses and one-on-one coaching to help you manage the risk factors of pre-diabetes, obesity, heart disease, dementia, anxiety, chronic pain and more. I want you to think differently about body fat. The biology of how body fat forms is simple: Carbohydrates are rapid-energy foods, but consuming more than we use for energy triggers insulin to form body fat. So, it’s important to understand that consuming fat from foods like nuts, seeds, eggs and cheese does not make us fat, as well described inEat Fat, Get Thin, written by Mark Hyman, MD. Our body stores fat to help us survive food scarcity or famines, which many of our ancestors experienced. In his book, Nature Wants Us to Be Fat, Richard J. Johnson, MD, describes a “survival reflex” which causes us to hold onto body fat and gain it back whenever we can. An example of the survival reflex in action can be seen with the “Biggest Loser Challenges,” a popular weight-loss competition. The failure of these contests is that after losing a significant amount of fat, contestants regain the fat even when they eat the same diets as people with stable weight gain. One of the proven ways to keep excess body fat away is to live a “fat burning” lifestyle with a low amount of carbohydrates, and to follow time-restricted periods of eating for 12 to 14 hours every day. Scientists have shown that such fasting time is necessary to keep us from re-accumulating unwanted body fat. It’s also important to remember that we need a certain amount of body fat to be healthy. Women have 10 percent more body fat than men for reproductive purposes; healthy men have 10 to 20 percent body fat and healthy women have 20 to 30 percent body fat. When we are within those ranges, we look and feel great. Body fat is also beneficial for endurance sports because it keeps our blood sugar levels steady which can reduce the amount of cramping we experience. This is called being “keto-adapted” and requires 4 to 6 weeks of adjustment, as well as refraining from the more common use of carbohydrates for energy such as sugary energy drinks. Jeff Volek, PhD, and Stephen Phinney, MD, PhD, describe this in more detail in their book, The Art and Science of Low Carbohydrate Performance. Sometimes I comment to an overweight or obese patient that they have “a lot of stored energy.” They usually smile, a far better response than that experienced when you tell someone they are fat. Another approach is commenting that their “stored energy” will allow survival during food scarcity or the next famine. Since these tragic events are not likely to happen here anytime soon, burning off excess fat for better health is always a good idea. Dr. Scherger is the founder of Restore Health Disease Reversal in Indian Wells, a clinic dedicated to weight loss and reversing chronic medical conditions. To schedule a consultation, call (760) 898.9663 or visit www.restorehealth.me. Understanding Fat as Stored Energy By Joseph E. Scherger, MD, MPH positive, PR positive, and HER2/neu negative, as confirmed by needle biopsy. The trial included two treatment arms: 1) Women aged 50–69 were required to receive radiation therapy, a sentinel node biopsy and anti-estrogen therapy; 2) Women aged 70 and older were only required to take anti-estrogen therapy. The mean patient age was 75.6 years (range: 56–94 years). At a follow-up of 6.5 years, only 3 recurrences were reported yielding a 3.6% local recurrence rate—a rate that is comparable to lumpectomy outcomes in similar clinical trials. There were no breast cancer-related deaths. The FROST Trial’s findings reinforced results from the ICE3 Trial, suggesting that women over 70 may safely omit radiation therapy and sentinel node biopsy following cryoablation, provided they are willing to take anti-estrogen therapy. Furthermore, the FROST Trial may begin to pave the way for the expanded use of cryoablation in women under 60, offering a promising alternative treatment approach for this population. Long-term follow-up of all trial participants is ongoing and a full report of the FROST Trial is expected to be published this year. DCIS Cryoablation Trial. “Nearly every invasive breast cancer begins as DCIS which is commonly referred to as pre-invasive or non-invasive breast cancer,” Holmes explains. “If not for the risk of progression to invasive cancer, the treatment of DCIS would be entirely unnecessary.” In 2023, he launched the DCIS Cryoablation Trial as a single-center clinical study investigating cryoablation as an alternative to lumpectomy to prevent the progression of DCIS to invasive breast cancer. Participation in the trial is currently open to women aged 18 and older who have a core needle biopsy diagnosis of grade I–III DCIS, measuring <2 cm based on mammography, ultrasound and breast MRI (if performed). In this study, the use of anti-estrogen therapy and radiation therapy is optional. To date, none of the study participants has experienced a recurrence at their original cancer site. A few open slots remain in this ongoing trial. The study is open to women across the U.S. and requires just one in-person visit to Los Angeles. Treatment administered as part of the trial is free of charge, and Holmes generously volunteers his time to treat study participants. Status of FDA approval of cryoablation technology In November of last year, the FDA General and Plastic Surgery Devices Panel of the Medical Devices Advisory Committee convened to evaluate whether the committee should recommend FDA approval for the IceCure ProSense™ Cryoablation System, the medical device used in the ICE3 trial. After a 9-hour review of safety and effectiveness data, the panel voted in favor of recommending FDA approval as a treatment option for women aged 60 years and older with stage I, low- or intermediate-grade, ER+, PR+, HER2/neu-negative invasive ductal breast cancer, measuring ≤1.5 cm—the exact group studied in the ICE3 Trial. While the panel’s affirmative vote does not guarantee final FDA approval, its recommendation plays a critical role in the FDA’s decision-making process. An official FDA decision is anticipated in the spring of 2025. It is expected that FDA approval could ultimately lead to insurance coverage for the procedure which is currently out-of-pocket pay for non-trial participants. For more information on these trials and to receive updates from Dennis Holmes, MD, visit www.cryoablation.com. For more on Lauren’s personal journey, visit www.deserthealthnews.com/health-categories/laurens-cancer-journey. Source: 1) L.A. Breast Chronicles, Dennis R. Holmes, MD, FACS, December 24, 2024. Update on Cryoablation for Breast Cancer Continued from page 15 Cryoablation removes the tumor and surrounding tissue similar to a lumpectomy.
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