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Health Alert: Extreme Heat Affects Pregnancy & Premature Birth Risk. Following an analysis of data concerning 1.2 million births in Sydney, Australia between 2000 and 2022, researchers report that extreme heat during the third trimester of pregnancy is associated with an increased risk for premature birth. The authors
speculate that high temperatures overnight can disrupt an expectant mother’s circadian rhythms and blood pressure, which have been linked to premature birth in past studies. JAMA Pediatrics, February 2024

Diet: Many Kids Consume Too Many Ultra-Processed Foods. A commentary published in the American Journal of Medicine warns that a high intake of ultra-processed foods—food products include added sugars, fats, and salt to enhance flavor and prolong shelf life—has been linked to several poor health outcomes including obesity, diabetes, heart disease, and inflammatory bowel disease. Unfortunately, ultra-processed food products make up a significant portion of the American diet, including 70% of the average child’s total calorie intake.                                                                American Journal of Medicine, February 2024

Exercise: Sitting Less, Moving More Reduces Depression and Stress in College Students. Questionnaires completed by more than 8,000 university students revealed that exchanging 30 minutes of sedentary behavior for physical activity of any intensity can reduce depressive symptoms and stress.
Psychology of Sport and Exercise, February 2024

Chiropractic: See a Chiropractor First for Spine Pain. A systematic review that included 44 studies concluded that patients who initially consult with a doctor of chiropractic for spinal conditions are less likely to subsequently receive an opioid prescription or injection, undergo surgery, be hospitalized, visit the emergency
room, or be referred to a specialist—all of which results in reduced healthcare expenditures overall.
Chiropractic & Manual Therapies, March 2024

Mental Attitude: Grief Takes a Toll on the Body. According to a recent study, grief can manifest in the body as low-grade inflammation, increased sensitivity to pain, and disruption to the gut microbiome—all of which may hinder the immune system and increase the risk for illness.
University of California, Los Angeles, February 2024

Wellness/Prevention: Can Vitamin D Reduce Breast Cancer Risk? Past research has identified various pathways by which vitamin D can inhibit breast cancer tumors, both directly and indirectly. In a recent literature review, the authors concluded that maintaining vitamin D serum levels above 40 ng/mL is necessary to experience vitamin D’s protective effects against breast cancer.                                                    Nutrients, February 2024

Quote: “The road to hell is paved with works-in-progress.” ~ Philip Roth

Your Rio Vista Chiropractor Dr. Joseph T. Megna

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Health Alert: Irregular Sleep Pattern Can Affect Health During Midlife. According to a recent study, middle-aged adults who don’t maintain a consistent sleep schedule from night to night are more likely to develop poor metabolic and cardiovascular health than their peers who go to bed around the same time.
Journal of Activity, Sedentary and Sleep Behaviors, January 2024

Diet: Omega-3 Fatty Acid-Rich Diet May Reduce Some Heart Risks. Dietary assessments of 443 ischemic heart disease patients and 453 age-matched adults without a history of heart disease revealed an association between a low intake of omega-3 fatty acids, particularly docosahexaenoic acid (DHA), and an increased risk for ischemic heart disease.                                                                                                                                        Journal of Health, Population, and Nutrition, February 2024

Exercise: It’s Probably Okay to Lift Weights Before Basketball Practice. Contrary to popular belief that lifting weights before basketball practice can affect shooting accuracy or mechanics, a recent experiment found that resistance training beforehand had minimal, if any impact on shooting.
Frontiers in Sports and Active Living, October 2023

Chiropractic: Neural Mobilization for Neck and Back Pain. A systematic review and metanalysis of data from 39 clinical trials found that neural mobilization is an effective treatment for improving pain and disability in patients with either neck pain or back pain. Doctors of chiropractic frequently use mobilization as part of a multimodal approach for managing musculoskeletal disorders, including neck and back pain.
Clinical Rehabilitation, February 2024

Mental Attitude: Kindergarten Transition Is Important. New research suggests that children who make new friends, adapt to schoolwork demands, and are able to collaborate with others during the first ten to fourteen weeks of kindergarten scored higher on academic and social-behavioral tests at the end of their year than their
peers whose transition into kindergarten took longer. The findings suggest that kids who develop these key skills before kindergarten enrollment may be better equipped for early success in school.
Early Childhood Research Quarterly, January 2024

Wellness/Prevention: Ultrasound Can Predict Preterm Birth Risks. With the aid of ultrasound, researchers have been able to identify microstructural changes in the cervix that suggest an elevated risk for preterm birth, even if it’s the woman’s first pregnancy.                                                                                                                              American Journal of Obstetrics & Gynecology MFM, December 2023

Quote: “Quality is never an accident. It is always the result of intelligent effort.” ~ John Ruskin

Your Rio Vista Chiropractor Dr. Joseph T. Megna

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Health Alert: Detergent Pod Poisoning Still a Threat for Kids. Despite the adoption of voluntary industry standards, poison control centers throughout the United States continue to receive one call every 44 minutes regard a child being harmed through inappropriate exposure to a liquid laundry detergent pod. Health experts
have recommended manufacturers take more steps to create child-resistant packaging, as well as reformulating the detergent within the pods to be less toxic.                        Clinical Toxicology, January 2024

Diet: Plant-Based Diet May Affect Pregnancy and Birth Outcomes. While further studies are necessary, an analysis of data concerning 65,872 pregnancies found that the women who identified as vegans were more likely to develop preeclampsia, and their babies weighed an average of 240 grams less than the other offspring from the study group.                                                                                                                                    Acta Obstetricia Et Gynecologica Scandinavica, January 2024

Exercise: Try an Activity Tracker. Central Queensland University’s Dr. Corneel Vandelanotte notes that activity trackers can act as a useful tool to help an individual become more physically active and to reach their fitness goals. Dr. Vandelanotte adds that while there are sophisticated devices that can track resting heart rate, heart rate during exercise, maximal heart rate, and VO2 max, a basic activity tracker that can monitor total steps and activity minutes will suffice for most people.                                    The Conversation, January 2024

Chiropractic: Smoking and Back Pain. Using data from the UK Biobank study, researchers report that smoking is a risk factor for low back pain. On the other hand, quitting smoking can reduce one’s risk for low back pain over time.                            Journal of Global Health, November 2023

Mental Attitude: Two Therapies Help Heart Failure Patients Who Suffer from Depression. Behavioral activation psychotherapy is a form of therapy that focuses on activities a patient enjoys to help reduce their depressive symptoms. A recent study that included 400 heart failure patients with depression found that behavioral activation psychotherapy worked equally well for addressing depression as antidepressants, offering a potential alternative for patients who don’t respond to such medications or prefer a non-pharmaceutical approach.                                                          JAMA Network Open, January 2024

Wellness/Prevention: Benefits of Nose Breathing. In a recent experiment that included 20 young adults, researchers found that those who breathed through their nose had a lower blood pressure reading than participants who breathed through their mouths. The members of the nose breathing group also found it easier to relax, suggesting nose breathing also benefits the autonomic nervous system.
American Journal of Physiology-Regulatory, Integrative and Comparative Physiology, January 2024

Quote: “I wanna live ’til I die, no more, no less.” ~ Eddie Izzard

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Health Alert: Global Burden of Smoking on Low Back Pain and Rheumatoid Arthritis… An analysis of data collected from 192 countries found that smoking contributes to 84.5 million cases of low back pain and 11.3 million cases of rheumatoid arthritis each year. This accounts for an estimated $326 billion in direct healthcare costs and lost productivity.                                                                                                                          Addiction, December 2023

Diet: Where to Eat a Healthy Lunch at Work… A survey of 622 workers from four companies in Tokyo found the nutritional quality of lunches was highest when employees either ate a homemade lunch or a meal prepared in the company cafeteria. On the other hand, when participants opted for take-out or dining at a restaurant offsite, they were more likely to choose less healthy fare.
Journal of Occupational & Environmental Medicine, January 2024

Exercise: Getting Active Slows Bone Loss. Using data from the PASSPORT study, researchers from the University of Jyväskylä observed that sedentary older adults who participated in a yearlong exercise intervention that combined progressive muscle strength, endurance, balance, and flexibility training experienced a slower decline in bone mineral density in the femoral neck than their peers who remained physically inactive. The findings suggest that even at an older age, it’s not too late to take action to reduce the risk for hip fracture.
Bone, January 2024

Chiropractic: Posture, Disability, and Chronic Low Back Pain. Among a group of 435 chronic low back pain patients, researchers observed an association between abnormal sagittal (from the side) posture and greater low back pain-related disability. Doctors of chiropractic often address postural faults in the management of chronic low back pain and other musculoskeletal disorders.                                                                  Spine Journal, November 2023

Mental Attitude: A Third of Those with Spondyloarthritis Have Anxiety Disorder. Questionnaires completed by 12,713 arthritis patients revealed that around a third (34.5%) of spondyloarthritis patients suffered from high levels of anxiety, and the risk is greatest among females, those under 55 years of age, and those diagnosed within the previous three years.                                                                                                                  RMD Open, January 2024

Wellness/Prevention: Considering Spine Surgery? Get a Second Opinion. For patients considering spine surgery, a recent study that looked at outcomes of 1,088 patients who received a second opinion found that only 34.7% underwent a surgical procedure in the next two years, while 60.8% were recommended to pursue a conservative treatment approach (like chiropractic care). It’s estimated this saved each patient an average of $6,705 in treatment costs.                                                                        BMC Health Services Research, December 2023

Quote: “Curiosity will conquer fear even more than bravery will.” ~ James Stephens

Your Rio Vista Chiropractor Dr. Joseph T. Megna

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Health Alert: Shoveling Snow Can Trigger Heart Issues. The American Heart Association notes that the exertion, cold air exposure, and breath-holding that often accompanies shoveling snow can result in potentially dangerous increases in heart rate and blood pressure, especially for those with existing heart risks or low fitness. If you must shovel snow, it’s recommended to start at a gradual pace and low-intensity, and to stop immediately if any symptoms develop such as lightheadedness or chest pain. American Heart Association, January 2024

Diet: Less Omega-6 Fatty Acids, More Omega-3 Fatty Acids. In a recent animal study, researchers observed that mice fed a diet with a lower ratio of omega-6 (from  vegetable oils, for example) to omega-3 fatty acids (from fish oils, for example) consumed fewer total calories, had better insulin tolerance, and gained less weight
than mice on a diet with a higher ratio of omega-6 to omega-3 fatty acids. The mice on the higher ratio diet also exhibited higher levels of anxiety symptoms and inflammation in the brain.
Brain, Behavior, and Immunity, February 2024

Exercise: Exercise May Reduce Pregnancy-Related Lumbopelvic Pain. Lumbopelvic pain is a common complaint during pregnancy. However, a systematic review that included 16 studies found that women who are physically active during pregnancy are less likely to experience lumbopelvic pain, and those who develop
lumbopelvic pain report lower pain intensity and disability levels than their sedentary peers.
Journal of Personalized Medicine, December 2023

Chiropractic: Commuting Time and Low Back Pain. Using data from the Korean Working Conditions Survey, researchers found that workers whose typical commute exceeds 40 minutes are at elevated risk for low back pain. However, among those who regularly exercise or participate in sports, the risk for low back pain did not increase until the one-hour commute threshold.                                                                          Industrial Health, November 2023

Mental Attitude: Overcoming a Phobia May Ease Other Fears. In a recent experiment that included 50 individuals with both a fear of spiders and a fear of heights, researchers observed that those who underwent exposure therapy for arachnophobia also experienced a measurable improvement in their acrophobia.
Translational Psychiatry, January 2024

Wellness/Prevention: Be a Good Neighbor When the Ground is Icy. Icy conditions can increase the risk for slip and fall injuries, which can be quite serious, even deadly, for older adults. In such times, the American College of Surgeons recommends helping your older neighbors by offering to salt their pathways, shovel snow, or escort them from their front door to their vehicle when they need to leave the home.
American College of Surgeons, January 2024

Quote: “Movement is life.” ~ Jules Verne

Your Rio Vista Chiropractor Dr. Joseph T. Megna

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Health Alert: Low Vitamin D Linked to Cardiovascular Disease Risk in Young Adults. Among a group of 177
young adults aged 18-25 years, researchers observed that those with lower vitamin D serum concentrations were more likely to exhibit risk factors linked to an elevated risk for cardiovascular disease. The findings suggest that assessing vitamin D status in young adults could signal healthcare providers as to which patients may benefit from additional testing and interventions to reduce their risk for cardiovascular disease in the future.
Journal of Endocrinological Investigation, January 2024

Diet: Prunes May Benefit Postmenopausal Women. Consuming 50-100 grams of prunes a day can slow bone loss
in postmenopausal women by altering proinflammatory cytokine secretion and monocyte activation.
Journal of Nutrition, November 2023

Exercise: Combined Exercise Intervention Reduces Risk for Serious Events in Liver Cirrhosis Patients. An
analysis of data from 11 randomized controlled trials revealed that patients with liver cirrhosis who engage in a fitness program that combines resistance and aerobic training are four times less likely to experience serious events such as portal hypertension, ascites, hepatic encephalopathy, spontaneous bacterial peritonitis, hepatorenal syndrome, liver cancer, jaundice, gastrointestinal bleeding, and coagulopathy.
Journal of Gastroenterology, December 2023

Chiropractic: Chronic Neck Pain and Forward Head Posture. A systematic review that included 16 studies found that corrective postural exercises and manual therapies are effective interventions for improving pain and disability in patients with chronic neck pain associated with forward head posture. Doctors of chiropractic often use a combination of manual therapies and specific exercises when managing patients with chronic neck pain.
HealthCare (Basil), December 2023

Mental Attitude: Twin Dementia Diagnosis May Be Risk Factor for Early Death for Sibling. Using data from the Swedish Twin Registry, researchers report that among fraternal twins, if one received a dementia diagnosis, the other twin had a slightly lessened life expectancy compared with fraternal twins in which neither developed dementia. The research team suspects this may be due to unhealthy habits acquired during childhood by both siblings, which may elevate the risk for dementia in one and conditions like heart disease in the other.
Alzheimer’s and Dementia, December 2023

Wellness/Prevention: Toothbrushing Could Be a Life Saver in the Hospital. New research suggests that brushing your teeth at least once a day during a stay in the intensive care unit can reduce the risk for pneumonia infection, leading to a lower mortality risk, shorter stay, and less time spent on a mechanical ventilator.
JAMA Internal Medicine, December 2023

Quote: “Well-arranged time is the surest mark of a well-arranged mind.” ~ Isaac Pitman

Your Rio Vista Chiropractor Dr. Joseph T. Megna

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Health Alert: One-in-Ten Home Colon Cancer Tests Are Unusable. Due to factors including inadequate stool specimens, incomplete labeling, old specimens, and leaking or broken containers, researchers estimate that about 10% of at-home colon cancer tests sent to a lab are unusable. The study highlights the need for improved patient education, test-tracking procedures, and timely follow-up to address breakdowns in the screening process and enhance the effectiveness of at-home screening tests for colon cancer.
Cancer Epidemiology, Biomarkers & Prevention, December 2023

Diet: New Salt Substitute Formula Can Help Reduce High Blood Pressure. The National Heart, Lung, and
Blood Institute reports that a new salt formulation that is 75% sodium chloride and 25% potassium chloride can relax
the walls of the arteries, lowering blood pressure and reducing the risk for hypertension.
National Heart, Lung, and Blood Institute, December 2023

Exercise: How Exercise Inhibits Fat Infiltration in Muscles… Myosteatosis is a term used to describe the
accumulation of fat in skeletal muscles, which can negatively affect physical function and health-related quality of life. In a recent study, researchers observed that exercise increases the expression of the PGC-1alpha gene, which improves mitochondrial fatty acid oxidation, inhibiting the fibro-adipogenic progenitors that drive fat accumulation
in muscles.                                                                                    Journal of Physiology, December 2023

Chiropractic: Treatment for Cervical Radiculopathy. A systematic review that included eight studies concluded that neural mobilization is an effective treatment option for mobility, pain, disability, and functional activity in patients with cervical radiculopathy. Doctors of chiropractic frequently use neural mobilization as part of a multimodal approach when managing cervical radiculopathy cases.
Journal of the Pakistan Medical Association, September 2023

Mental Attitude: Fear of Serious Illness Can Shorten Life. Illness anxiety disorder is a chronic mental health
condition in which a person excessively worries about having a serious, undiagnosed medical illness, despite having little or no medical evidence to support it. According to a recent study that looked at long-term data concerning more than 45,000 adults found that individuals with illness anxiety disorder were not only more likely to die from circulatory or respiratory diseases during the 24-year study, but they died at younger ages (up to five years) than participants without the mental health condition.                                                                                              JAMA Psychiatry, December 2023

Wellness/Prevention: Steps for Healthy Brain Ageing. To reduce the risk for dementia, The University of
Connecticut offers the following tips: exercise regularly, eat a heart-healthy diet, manage your blood pressure,
protect against head injuries, don’t smoke, avoid excessive alcohol intake, address hearing loss, and keep an active
social life.                                                                                          University of Connecticut, December 2023

Quote: “Successful people are simply those with successful habits.” ~ Brian Tracy

Your Rio Vista Chiropractor Dr. Joseph T. Megna

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Health Alert: Phthalates May Lower Fertility. Phthalates are a class of chemicals used to increase the durability of many materials, including some cosmetics and plastics. These chemicals are known as endocrine disruptors, which can influence hormone levels in the body. In a recent study that included more than 1,200 women attempting to conceive, researchers observed that those with higher levels of phthalates in their blood were up to 18% less likely to become pregnant. Environmental Health Perspectives, December 2023

Diet: Whey Protein May Lower Diabetes Risk. For adults at risk for developing type 2 diabetes, a recent umbrella
review that included 13 systematic reviews concluded that taking a daily whey protein supplement “may improve
multiple clinical indicators of glucose control, along with triglycerides and blood pressure…”
Current Developments in Nutrition, October 2023

Exercise: Postpartum Physical Activity Benefits. A review of guidelines from 22 countries found that increased
physical activity and/or less sedentary behavior in the postpartum period is associated with the following benefits:
weight control/management, a reduced risk for depression, and improved well-being.
Journal of Sport and Health Science, December 2023

Chiropractic: The Importance of Proper Diagnosis and Treatment. This case study described a patient with anteromedial leg pain that had been diagnosed as shin splints for ten years. Following a review of the patient’s history and chiropractic examination focused on anatomy, biomechanics, and the peripheral nervous system, the patient received a diagnosis of dynamic stenosis of the left L4-5 intervertebral foramen leading to mixed partial mononeuropathy of the L4 spinal nerve, causing pain and hypersensitivity in the anteromedial shin. A treatment plan that included manual therapy targeting the intervertebral foramen resulted in resolution of the patient’s pain and
sensory symptoms.                                                                      Journal of the Canadian Chiropractic Association, August 2023

Mental Attitude: Doctors Are Both Excited and Concerned About AI’s Role in Medicine. The American
Medical Association reports that a survey of their membership revealed about 70% of medical physicians believe artificial intelligence (AI) could enhance workflow efficiency and aid in better patient diagnosis, and roughly half thought it can aid in documentation and reduce red tape associated with prior authorization for insurance coverage. However, about 40% of respondents voiced concern about the impact of AI on patient-doctor interactions and patient privacy.                                American Medical Association, December 2023

Wellness/Prevention: Prospective Dads Should Avoid Alcohol. Texas A&M University researchers note that alcohol can affect sperm quality, reducing the risk for conception and increasing the risk for potential birth defects if pregnancy is achieved. Because these effects can persist during withdrawal, the research team recommends men wishing to become fathers abstain from alcohol for at least three months.                                  Andrology, December 2023

Quote: “Nothing happens unless first we dream.” ~ Carl Sandburg

Your Rio Vista Chiropractor Dr. Joseph T. Megna

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Health Alert: One-in-Fifty Young Kids Is Severely Obese. After falling from 2.1% in 2010 to 1.8% in 2016, the
rate of severe obesity among young children in the United States has risen to 2%. The finding is alarming as being overweight early in life often leads to poor lifestyle choices in adolescence and young adulthood that not only increase the risk for chronic disease but also diagnosis at younger ages.                        Pediatrics, December 2023

Diet: Is an Inflammatory Diet Linked to Stroke? Using data from the National Health and Nutrition Examination
Survey, researchers report that a pro-inflammatory diet—an eating pattern characterized by a high intake of sugar,
polysaturated vegetable oils, trans fats, dairy products, feed lot-raised meat, red meat, processed meat, alcohol, refined grains, and artificial food additives—is associated with up to an 87% elevated risk for stroke.
BMC Public Health, January 2024

Exercise: Is Exercise Linked to Better Math Scores? Northeastern University researchers note that among 218
grade-school students, those with higher physical fitness scores were more likely to also perform better on arithmetic assessments.                                                                                            Psychology of Sport and Exercise, January 2024

Chiropractic: Non-Invasive Interventions for Myofascial Pain Syndrome. Myofascial pain syndrome is a
chronic condition characterized by pain and tenderness in specific areas of muscles and the connective tissue surrounding muscles. A systematic review that included 40 studies found that manual therapy, laser therapy, shock wave therapy, and ultrasound therapy are effective, non-invasive treatment options for reducing pain intensity, pressure pain threshold, and pain-related disability in patients with myofascial pain syndrome. These therapies are often utilized by doctors of chiropractic when managing myofascial pain syndrome and other musculoskeletal disorders.                                                        International Journal of Surgery, November 2023

Mental Attitude: Mood Disorders Common Among Caregivers of Stroke Survivors. Questionnaires completed
by 301 caregivers of stroke patients revealed that between 17% and 28% of such individuals experienced high levels of psychological distress, including anxiety, depression, and post-traumatic stress disorder. The findings highlight the necessity for strong support systems for family members caring for stroke survivors.                                                                                  Neurology, December 2023

Wellness/Prevention: How to Tackle Dandruff. The American Academy of Dermatology notes that dandruff isn’t
a sign of poor hygiene and can have myriad causes such as oily skin, improper hair care habits, and certain medical
conditions. Before consulting a professional, the Academy recommends the following for mild cases: use a specially
formulated shampoo for persistent dandruff that contains ingredients such as zinc pyrithione, salicylic acid, sulfur,
selenium sulfide, ketoconazole, or coal tar; if one shampoo proves ineffective, alternate between shampoos with different active ingredients; and try changing the frequency in which you wash your hair.
American Academy of Dermatology, December 2023

Quote: “Good things happen to those who hustle.” ~ Chuck Noll

Your Rio Vista Chiropractor Dr. Joseph T. Megna

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Health Alert: Sleep Apnea Linked to Heart Disease. Following an analysis of data concerning more than 500,000 adults, researchers report that individuals with a history of sleep apnea have a 35% increased risk for coronary artery disease. MedRxiv, November 2023

Diet: Can Broccoli Sprouts Protect Against IBD? In a recent experiment, researchers found that mice with
inflammatory bowel disease (IBD) given a supplement of broccoli sprouts along with their normal diet
experienced more mild disease symptoms and developed a healthier gut bacteria population.
mSystems, November 2023

Exercise: Fitness Can Help Mitigate Anxiety-Related Low Back Pain Risk. Past research has identified anxiety as a risk factor for low back pain. According to a recent study that included more than 13,000 adults, researchers observed that those with self-reported anxiety and high cardiorespiratory fitness levels are nearly four times less likely to develop low back pain in the following five years than those with anxiety and low
fitness.                                                                                                      Journal of Sports Science, June 2023

Chiropractic: Hamstring Tightness Linked to Neck and Low Back Pain. Examinations of 104 adults under 40 years of age revealed that nearly three-quarters of those with either chronic neck or low back pain reported tight hamstrings in one or both legs. The authors note that hamstring tightness can affect the biomechanics of the spine, increasing the risk for disorders such as low back pain and neck pain.
Journal of Pakistan Medical Association, August 2023

Mental Attitude: Biological Age May Affect Risk and Dementia. Using data from the UK Biobank study, researchers report that individuals whose blood lipid levels, blood pressure, and pulmonary function resemble those of someone more than five years older than them are 40% more likely to develop vascular dementia or stroke than their peers with a biological age closer to their actual age.
Journal of Neurology, Neurosurgery and Psychiatry, November 2023

Wellness/Prevention: Pill-Sized Device Can Track Breathing and Heart Rate. Scientists from the
Massachusetts Institute of Technology have developed a “technopill” that when swallowed, can monitor an individual’s breathing and cardiac function with high accuracy until it’s excreted a few days later. It’s hoped such a device can provide doctors with a non-invasive tool for collecting real-time information on patient
health. Cell Press, November 2023

Quote: “The only durable sense of success is if you’ve followed your calling.” ~ Jim Harrison

Your Rio Vista Chiropractor Dr. Joseph T. Megna