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Health Alert: Smoking Increases Sleep Apnea Risk. A pack year is the number of cigarettes smoked if a person smokes one pack a day for a year. A systematic review of thirteen studies concluded that smoking increases one’s risk for severe obstructive sleep apnea, especially heavy smokers with a history of 20 or more pack years.
Nicotine & Tobacco Research, August 2022

Diet: Diet Choices May Help Prevent Kidney Stones. Questionnaires completed by 411 kidney stone patients and
384 individuals without a history of kidney stones revealed that a low intake of fluids and a diet low in calcium and potassium are linked to a greater risk of experiencing a first-time symptomatic kidney stone.
Mayo Clinic Proceedings, July 2022

Exercise: Physical Activity Can Help an Aging Brain. Among a group of 300 sedentary older adults with mild cognitive impairment, those who participated in either aerobic exercise or a stretching and balance intervention did not experience worsening performance on cognitive assessments a year later, nor did brain scans show any sign of additional brain shrinkage. On the other hand, subjects who did not exercise experienced significant cognitive decline during the course of the study.                                                                                 Associated Press, July 2022

Chiropractic: Manual Therapies Help Patients with Hip or Knee Osteoarthritis. For patients with osteoarthritis of the hip or knee, an analysis of data from 19 clinical trials found that the addition of manual therapy to exercise therapy may lead to better outcomes with respect to pain, function, and stiffness than exercise alone. Doctors of chiropractic often adopt a multimodal approach that includes exercise and manual therapies in the management of patients with osteoarthritis of the hip or knee.                                                                           Journal of Orthopaedic and Sports Physical Therapy, July 2022

Mental Attitude: The Brain Functions Differently with ADHD. Functional MRI scans of 360 children and teens
revealed that those with attention-deficit/hyperactivity disorder (ADHD) exhibited altered function in several brain networks, including those involved with attention, executive function, and processing visual and sensory information.                        Molecular Psychiatry, July 2022

Wellness/Prevention: Make Health a Family Affair. Because eating and exercising together during the week can
help family members get and stay healthy, the American Heart Association recommends the following: keep a family schedule, and find 30-minute periods during the week that the entire family can exercise; choose a time that the entire family can decide on the upcoming week’s menu; find ways to manage stress as a family; and make sure everyone in the family does their part to help out around the house.

American Heart Association, July 2022

Quote: “Do what you say you’re going to do. And try to do it a little better than you said you would.” ~ Jimmy Dean

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Health Alert: Death Rate from Alcoholic Liver Cirrhosis Has Quadrupled in the Last 20 years. According to a recent study, deaths from alcoholic cirrhosis in the United States increased 400% between 1999 and 2019,
from 4,000 to 24,000 per year. Lead researcher Dr. Charles Hennekens notes, “My hypothesis is that the reason we’re seeing more of liver disease earlier is not just that people are drinking more, but that they’re eating more and exercising less, so the damage to the liver is accelerating.”                                    American Journal of Medicine, June 2022

Diet: Omega-3 Fatty Acids Benefit the Heart. Using data from the Multi-Ethnic Study of Atherosclerosis, researchers estimate that a high intake of omega-3 fatty acids may reduce the risk for cardiovascular disease by nearly 20% during a 15-year time frame.                                                           Atherosclerosis, July 2022

Exercise: Boxing May Be a Good Exercise to Curb Parkinson’s Symptoms. For patients with Parkinson’s
disease, a recent study found that participating in a three-month boxing program may ease both motor and nonmotor Parkinson’s symptoms. Study co-author Dr. Roshni Patel adds, “There’s a lot of growing evidence about the benefits of exercise in Parkinson’s… This is another study that highlights the importance of exercise in the treatment of Parkinson’s disease. It should be a part of our treatment, just like medicines are.”
American Academy of Neurology, April 2022

Chiropractic: Try Conservative Care Before Surgery for Lumbar Spinal Stenosis. Lumbar spinal stenosis (LSS) is a debilitating condition associated with the degeneration of the spine, which can have a wide range of symptoms including back pain, leg pain, numbness and tingling in the legs and impaired physical function. A recent study found that for patients with mild-to-moderate LSS, conservative treatment that includes manual therapies, supervised exercises, and aerobic training may provide similar long-term benefits with respect to pain
and disability as decompression surgery with or without spinal fusion. Doctors of chiropractic often employ such an approach in the management of LSS.                                                            BMC Musculoskeletal Disorders, July 2022

Mental Attitude: Hearing Loss Linked to Depression. Following a review of data from the Aidai Cohort study, researchers report that hearing loss in middle age is associated with a 2.7 times increased risk for depressive symptoms. Archives of Gerontology and Geriatrics, September 2022

Wellness/Prevention: Tongue and Lip Piercings Can Harm Teeth and Gums. An analysis of data from eight studies identified the following potential consequences of oral piercings: deeper pockets around teeth next to tongue piercings, receding gums, wider gaps between teeth, and bleeding gums.
European Federation of Periodontology, June 2022

Quote: “It is what we know already that often prevents us from learning.” ~ Claude Bernard

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Health Alert: Green Spaces May Lower Risk for Several Cancers. According to a study that monitored 144,427 adults who resided in the same city for 20 years, those who lived in neighborhoods with more greenery had a lower risk for cancer of the lung, bladder, breast, prostate, and skin. The findings suggest that increasing the amount of green space in urban environments could reduce the overall incidence of several cancers.
Environmental Research, September 2022

Diet: Eat More Fruit, Vegetables, and Beans! Assessments of over 1,800 middle-aged and older adults
revealed that a low intake of fruit, vegetables, and legumes is associated with a nearly two-times increased risk for being overweight or obese.                                                                Medicine, July 2022

Exercise: Most Teens Don’t Get Enough Exercise. An analysis of survey data completed by over 360,000 high school students found that 75% failed to meet late adolescent fitness guidelines recommendations of 60 minutes of moderate-to-vigorous physical activity a day.                                              Journal of Adolescence, June 2022

Chiropractic: Multimodal Approach Best for Chronic Low Back Pain. Among a group of 69 adults with chronic low back pain, those who received a multimodal treatment plan that included manual therapies, specific exercises, and patient education—an approach often used by doctors of chiropractic—experienced greater improvements in pain and disability than participants provided with only patient education or patient education combined with manual therapy.                        Physiotherapy Theory & Practice, July 2022

Mental Attitude: Cyberbullying May Be Worse Than Offline Bullying. Questionnaires completed by nearly
10,000 10- to 13-year-old children revealed that those subjected to bullying online were more likely to have suicidal thoughts than their peers who are victims of offline bullying. Senior study author Dr. Ran Barzilay writes, “At a time when young adolescents are spending more time online than ever before, this study underscores the negative impact that bullying in the virtual space can have on its targets.”
JAMA Network Open, June 2022

Wellness/Prevention: How to Manage Pet Allergies. The American College of Allergy, Asthma and Immunology recommends the following for individuals with a pet allergy: limit time spent around pets; use a nasal spray, an antihistamine, or bronchodilator, as directed by your allergist; talk to your doctor about additional treatment options; avoid letting pets into your bedroom; wash your hands immediately after touching pets; bathe pets weekly; and use a high-efficiency vacuum or HEPA air filter at home to reduce allergens.
American College of Allergy, Asthma and Immunology, June 2022

Quote: “The difference between ordinary and extraordinary is that little extra.” ~ Jimmy Johnson

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Health Alert: Secondhand and Thirdhand Smoke Linked to Cervical Cancer Risk. Third-hand smoke is
the invisible remnant of tobacco smoke that clings to surfaces. An analysis of data from the China Kadoorie Biobank study found that women with frequent exposure to either second-hand or third-hand smoke had a 22- 24% increased risk for cervical cancer over the following decade when compared with their peers with less exposure to cigarette use.              Environmental Research, September 2022

Diet: Eat the Rainbow. The carotenoids, flavonoids, betalains, and chlorophylls that give color to various fruit
and vegetables are known to confer health benefits when part of one’s diet. An analysis of data from 86 studies with more than 37 million participants found the 42% of the health benefits associated with consuming fruit and vegetables are derived from these bioactive compounds and that individuals should strive to eat produce that’s red, orange, yellow, white, purple, blue, and green.                                                                                        Molecules, June 2022

Exercise: Exercise at Work. If your workplace includes access to a gym, the American Council on Exercise offers the following recommendations: schedule exercise on your daily calendar; pack workout clothes and get to work early, if needed; bring toiletries if the gym has showers; ask a co-worker to exercise with you; and keep a fresh change of work clothes at your desk, if needed.                                                              American Council on Exercise, June 2022

Chiropractic: Low Back Pain in Working Adults. Questionnaires completed by working-age adults not currently under care for low back pain revealed that 46.5% currently had some degree of low back pain and 72.3% presently experienced some level of low back-related disability. The findings reveal that many non-careseeking workers have low back pain and/or disability, which suggests that some level of pain and disability
could be considered normal, acceptable, or manageable. Chiropractic care offers a conservative treatment approach for the management of low back pain and/or disability.
Musculoskeletal Science and Practice, August 2022

Mental Attitude: Vitamin D May Help Prevent to Dementia. According to a recent study, low vitamin D
status may be a risk factor for dementia and up to 17% of dementia cases could be prevented by increasing
D levels to 50 nmol/L.                                                          American Journal of Clinical Nutrition, April 2022

Wellness/Prevention: Wellness Visits Help Prevents Diabetes Amputation. New research finds that elderly type 2 diabetics who make annual wellness visits have a 36% reduced risk for major lower-extremity amputations.                                      University of Virginia, June 2022

Quote: “A successful man is one who can lay a firm foundation with the bricks others have thrown at him.”
~ David Brinkley

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Health Alert: Many THC-Free CBD Products Contain THC. Tetrahydrocannobinol (THC) is a chemical in
marijuana that causes intoxication. An analysis of 80 different readily available THC-free cannabidiol (CBD)
products found that about 60% of these products did contain THC. The researchers note that most contained only trace amounts of THC, but these amounts can accumulate in the body and be detected by a drug test. The Partnership to End Addiction in New York City adds, “Consumers deserve accurate marketing claims and if they choose to buy CBD, to know exactly what’s in the product… It’s been like the Wild West for quite some time as CBD products proliferate, advertised for numerous maladies without research to substantiate it and
without oversight on quality control.”                                        Drug and Alcohol Dependence, June 2022

Diet: Use Salt Less? Using data from the UK Biobank study, researchers report that individuals who nearly always add salt to their food may live two fewer years than those who rarely/never add salt to their meals. The findings suggest that using herbs or spicy to flavor food, in lieu of salt, may increase one’s longevity.
European Heart Journal, July 2022

Exercise: Just 10 Minutes… Following a review of data from the Atlantic Partnership for Tomorrow’s Health study, researchers estimate that replacing just ten minutes a day of sedentary activity with exercise of any intensity can have a positive benefit on one’s waistline.                                          Cancer Causes & Control, August 2022

Chiropractic: Neck Disorder May Worsen Jaw Pain and Function. Examinations of temporomandibular (TMD) patients revealed that those with restricted cervical range of motion experienced more severe TMDrelated pain and disability than TMD patients with normal cervical range of motion. The findings suggest that dysfunction in the cervical spine may play a role in TMD and treatment to restore normal motion in the neck— such as chiropractic care—may be necessary to achieve a successful outcome.                                                                    Cranio, July 2022

Mental Attitude: Nearly Half of Seniors Have Had Ageist Experiences. Questionnaires completed by more
than 2,000 older adults revealed that 45% had a personal experience in which someone assumed they had difficulty with using technology or with their vision, hearing, or memory due to their age.
JAMA Network Open, June 2022

Wellness/Prevention: Low Vitamin D Linked to Miscarriage? An analysis of data from ten studies identified
an association between vitamin D deficiency/insufficiency and a 60% increased risk of miscarriage. Future studies may investigate if improving vitamin D status in women at risk for miscarriage may improve their chances for a successful pregnancy.

 Fertility & Sterility, July 2022

Quote: “Dig your well before you’re thirsty.” ~ Seth Godin

Your Napa Chiropractor Dr. Joseph T. Megna

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Health Alert: Prediabetes Linked to Heart Attack. Prediabetes is a term used to describe elevated blood sugar levels that have not yet reached the threshold for a diabetes diagnosis. An analysis of data regarding 1.79 million hospitalizations for myocardial infarction found that prediabetes increases an
individual’s risk for heart attack by 25%, percutaneous intervention (angioplasty) by 45%, and heart bypass surgery by 200%.                                                                                       Endocrine Society, June 2022

Diet: Fruit, Vegetables, and Kidney Health. Following a review of data from the National Health and Nutrition Examination Survey, researchers have observed an association between chronic kidney disease and a low intake of fruit and vegetables.                                                                                    Journal of Renal Nutrition, July 2022

Exercise: The Least Active Day for Older People Is… According to a study that monitored the activity of 459 older adults, seniors are least active on Sundays, averaging just 22.5 minutes of exercise and spending 453.9 minutes engaged in sedentary activities.                                                          Preventative Medicine Reports, June 2022

Chiropractic: Improved Posture. A literature review found that manual therapy techniques—such as those used by doctors of chiropractic—are an effective intervention for improving lateral pelvic tilt and reducing forward head posture and thoracic kyphosis.                                                                             Gait & Posture, June 2022

Mental Attitude: Exercise May Slow Cognitive Decline. A recent systematic review found that engaging in aerobic exercise and resistance training may slow or reverse mild-cognitive impairment. The findings suggest that physical activity should be included in a multimodal approach to address
cognitive decline.                                                                        Journal of Affective Disorders, August 2022

Wellness/Prevention: Want Young Looking Skin? The American Academy of Dermatology offers the following tips for younger looking skin: use sunscreen and anti-aging moisturizer daily; choose products that address your specific concerns, such as dark spots or wrinkles; choose products designed for your skin type, such as dry, oily, or sensitive; choose hypoallergenic products that won’t clog your pores and that offer a hotline for questions; and be realistic about what these skin care products can do for your skin.                                                                            American Academy of Dermatology, June 2022

Quote: “Motivation will almost always beat mere talent.” ~ Norman Ralph Augustine

Your Napa Chiropractor Dr. Joseph T. Megna

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Health Alert: Prostate Cancer Increases Blood Clot Risk. An analysis of data on more than 550,000 men revealed that those with prostate cancer had a 50% greater risk for developing a venous thromboembolism (VTE) within five years of their initial diagnosis, especially within the first six months. The research team hopes the findings will help healthcare providers become more aware of the risk and help ensure a timely VTE diagnosis.
BMJ Open, May 2022

Diet: Omega-3s Help Keep Arteries Flexible. According to a study that included 6,124 older adults, a higher intake of omega-3 fatty acids is associated with increased arterial elasticity, a sign of good cardiovascular health.
European Journal of Clinical Nutrition, June 2022

Exercise: Exercise Tips During Pregnancy. Studies have shown that physical fitness can confer benefits to both a mom-to-be and her unborn child. The United Kingdom’s National Health Service offers the following tips for
exercise during pregnancy: always warm up before exercising and cool down afterward; try to keep active on a daily basis—30 minutes of walking each day can be enough, but if you cannot manage that, any amount is better than nothing; avoid any strenuous exercise in hot weather; drink plenty of water; if you go to exercise classes, make sure your teacher is properly qualified and knows that you’re pregnant; give swimming a try because the water will support your increased weight; and be careful when performing exercises that involve a greater fall risk, such as cycling.                                                                  National Health Service, May 2022

Chiropractic: Effective Treatment for Cervicogenic Dizziness. A systematic review that included 13 studies
found that the combination of manual therapies and specific exercises is an effective approach for managing dizziness that originates from dysfunction in the cervical spine. Doctors of chiropractic often use manual therapies like spinal manipulation and mobilization in combination with exercises in the management of musculoskeletal disorders of the cervical spine.                                                                                             Journal of Manual and Manipulative Therapy, April 2022

Mental Attitude: Eye Trouble Can Lead to Lower Cognitive Test Scores for Seniors. In a recent experiment,
researchers asked 24 older adults with normal vision to take both visual and oral cognitive tests with and without
goggles that simulate age-related macular degeneration. Investigators found that when the participants experienced
impaired vision, their performance on vision-based cognitive assessments fell. Study leader Dr. Anne MacNamara
adds, “A mistaken score in cognitive tests could have devastating ramifications, leading to unnecessary changes to a
person’s living, working, financial, or social circumstances.” Scientific Reports, May 2022

Wellness/Prevention: Greening Up Cities Could Save Lives. Following an analysis of government mortality data
and greenness data from satellite imagery, researchers estimate that about 1,500 early deaths among seniors could be
prevented each year by increasing greenery in urban environments.                                                                          Frontiers in Public Health, May 2022

Quote: “The only place success comes before work is in the dictionary.” ~ Vince Lombardi

Your Napa Chiropractor Dr. Joseph T. Megna

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Health Alert: Poor Sleep Can Impact a Soon-To-Be Mom’s Mental Health. New research suggests that nearly
30% of expectant mothers experience poor quality sleep, which can double their risk for antepartum depression, antepartum anxiety, and post-traumatic stress disorder (PTSD). The findings suggest that steps to maintain good sleep hygiene may have a protective effect on a pregnant woman’s mental health.
Maternal Child and Health Journal, July 2022

Diet: Maternal Diet Can Affect Child’s Birth Weight. An analysis of data collected from 260 new mothers revealed that a diet pattern characterized by a high intake of cereals and breads, coffee and tea, and processed fats is associated with an increased risk for both low and excessive birth weight for the baby.
Maternal Child and Health Journal, July 2022

Exercise: Stay Fit! Using data from the Generation 100 Study, researchers report they have identified an association
between higher cardiorespiratory fitness and greater structural complexity in key areas of the brain normally affected by advancing age.                                                                    Neuroimage, August 2022

Chiropractic: Manual Therapies Plus Stabilization Exercises for Chronic Neck Pain. Among a group of 58
patients with chronic neck pain and mobility deficits in the upper cervical spine, researchers found that the combination of spinal manipulative therapy, mobilization therapy, and stabilization exercises targeting the upper cervical spine led to improvements in pain and range of motion that were not observed in participants in a stabilization exercise-only group. Doctors of chiropractic often manage chronic neck pain using a multimodal approach that can include spinal manipulation, mobilization, and stabilization exercises.                                     Life (Basel), May 2022

Mental Attitude: Big Increase in Teen Hospitalizations for Mental Health Issues. According to a new study, the
number of teens admitted to the hospital for suicidal ideations or suicide attempts increased by 60% between 2019 and 2020. Researchers also observed a significant increase in admissions for depression, anxiety, eating disorders, substance abuse, and obsessive-compulsive disorders.                                            Hospital Pediatrics, May 2022

Wellness/Prevention: A Pet Dog May Shield Children from Crohn’s Disease. Crohn’s disease is a form of inflammatory bowel disease characterized by inflammation in the digestive tract that can result in abdominal pain, severe diarrhea, fatigue, weight loss, and malnutrition. An analysis of data on nearly 4,300 people enrolled in the Crohn’s and Colitis Canada Genetic, Environmental, and Microbial project found that having a family dog during childhood is associated with a healthier gut microbiome later in life. Senior author Dr. Williams Turpin notes, “Our study seems to add to others that have explored the ‘hygiene hypothesis,’ which suggests that the lack of exposure to microbes early in life may lead to lack of immune regulation toward environmental microbes.”
American Gastroenterological Association, May 2022

Quote: “It is love, not reason, that is stronger than death.” ~ Thomas Mann

Your Napa Chiropractor Dr. Joseph T. Megna

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Health Alert: Vaping Increases Annual Healthcare Costs. The University of California, San Francisco School of
Nursing reports that annual healthcare costs for vape users are more than $2,000 higher than non-tobacco users. Lead study author Dr. Yingning Wang writes, “Healthcare costs attributable to e-cigarette use are already greater than our estimates of healthcare costs attributable to cigar and smokeless tobacco use…This is a concerning finding, given that e-cigarettes are a relatively new product whose impact is likely to increase over time.”
Tobacco Control, May 2022

Diet: Omega-3s and Post-Surgical Recovery. A systematic review that included ten studies found that for gastrointestinal (GI) cancer patients undergoing surgery, a higher intake of omega-3 fatty acids is associated with less inflammation following surgery and a shorter hospital stay.                           Food Chemistry, Molecular Sciences, March 2022

Exercise: Outdoor Fitness Ideas. Experts from the American Fitness Professionals and Associates list the
following ways to get fit outside during summer: try paddleboarding, go hiking, take a bike ride, play beach
volleyball, go trail running, do some high-intensity interval training at the track, try outdoor yoga, strength train at the park with body weight exercises, go swimming, or join an outdoor fitness class.
American Fitness Professionals and Associates, May 2022

Chiropractic: Recommendations for Acute Cervical Radiculopathy. An expert panel concluded that because the
risk-benefit ratio for surgery is less favorable for cervical radiculopathy, conservative treatment options (like
chiropractic care) should be the initial treatment approach for the condition. The panel recommends patient education, spinal manipulative therapy, and foraminal opening exercises in the acute stage; individualized physical activity including supervised motor control, specific exercises, and/or neurodynamic mobilization in the subacute stage; and general aerobic exercise, focused strength training, and postural and ergonomic education in the chronic stage.                                               Physical Therapy, May 2022

Mental Attitude: Insomnia in Midlife Can Spell Memory Issues in Retirement. University of Helsinki
researchers report that individuals with long-term insomnia symptoms in midlife are more likely to experience difficulties with memory, learning, and concentration during old age. Researcher Dr. Tea Lallukka adds, “Based on our findings, early intervention tackling insomnia symptoms, or measures aimed at improving the quality of sleep would be justified.”                  Journal of Aging and Health, May 2022

Wellness/Prevention: Smoke Detector Management. The American Red Cross offers the following tips for installing smoke detectors in the home: mount smoke alarms throughout the house, including bedrooms, and hallways outside bedrooms; make sure children know what a smoke detector sounds like and what to do if they hear one; perform monthly tests on the alarms; change batteries annually; replace smoke detectors every ten years; and never turn off a smoke detector.     American Red Cross, May 2022

Quote: “Begin, be bold, and venture to be wise.” ~ Horace

Your Napa Chiropractor Dr. Joseph T. Megna

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Health Alert: Excessive Drinking Can Reduce Disease-Free Years. According to a study that analyzed data
from twelve cohort studies with over 120,000 total participants, individuals who drink more than 14 units of alcohol a week (approximately seven to eight bottles of beer or glasses of wine, or 14 single servings of spirits) may experience up to six fewer years of life free from chronic disease.
The Lance Regional Health, Europe, May 2022

Diet: Negative Effects of a High-Fat Diet. A recent animal study found that within 16 weeks, rats on a highfat diet developed hypertension, insulin resistance, and a decreased sensitivity of the tubuloglomerular feedback (TGF) mechanism, which is important for kidney function.
American Journal of Physiology-Renal Physiology, May 2022

Exercise: Many Kids in Daycare Don’t Get Enough Exercise. Investigators observed 96 childcare centers and 131 Head Start programs and found the majority failed to provide kids with the recommended 180 minutes a day of physical activity of any intensity, including 60 minutes of moderate-to-vigorous intensity exercise.
Pediatrics, May 2022

Chiropractic: Mobilization and Exercise for Shoulder Pain. Among a group of 23 patients with shoulder pain lasting longer than six weeks, those treated with a combination of glenohumeral mobilization with movement and shoulder exercises—an approach often used by doctors of chiropractic—experienced meaningful improvements in shoulder pain, disability, and range of motion within one month.
Journal of Manual and Manipulative Therapeutics, February 2022

Mental Attitude: Age Determines Risk Factors for Dementia. Using data from the Framingham Heart Study,
researchers report the following are age-associated risk factors for dementia: hypertension at age 55, heart disease at age 65, and a history of diabetes or stroke after age 70. Lead author Dr. Emer McGrath writes, “Dementia is a complicated disease and risk prediction scores need to be tailored to the individual…Our
findings support the use of age-specific risk prediction scores for dementia instead of a one-size-fits-all approach.”          Neurology, May 2022

 Wellness/Prevention: Vitamin D, Sleep, and Post-Stroke Depression. Following a review of health records
of 223 stroke patients, researchers report that individuals with vitamin D deficiency and poor sleep who suffer a stroke have an increased risk for post-stroke depression when compared with stroke patients with good sleep hygiene and healthy vitamin D status.                                                                                            Journal of Affective Disorders, July 2022

Quote: “Never be bullied into silence. Never allow yourself to be made a victim. Accept no one’s definition of
your life; define yourself.” ~ Harvey Fierstein

Your Napa Chiropractor Dr. Joseph T. Megna