Long Island Genetic Testing

Long Island Genetic Testing

Genetic testing use blood/tissue samples to identify any cardiac problems that you may have inherited from your parents. Genetic testing can also be used to identify the best treatment or to determine if the best course of action is being taken. This process can help identify if there are genetic changes that can be passed on, determine if you have a disease, and help doctors choose the best type of treatment.

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Fit in Your GENES Spring Reset for Wellness

Now that the weather is finally improving, and the  spring flowers are popping up all over, all of us are looking to renew our energy, feel more vital, and lose the unwanted pounds of fat. At the Integrative Cardiology Center of Long Island, we are re-energized and inspired by the continued growth of the Fit in Your GENES program, and are excited to introduce you to our Spring Reset for Wellness!

Fit in Your GENES is a ground-breaking wellness solution to address altered body chemistry that leads to chronic inflammation, the root cause of heart disease, and many other chronic conditions such as hypertension, metabolic syndrome, dyslipidemia and obesity. The opportunity to develop a personalized, genetically-guided  lifestyle plan is now greater than ever. The Spring Reset for Wellness is building on the core features of the program to enhance and fast-forward our weight loss and wellness effort, including a special focus on naturally balancing hormones in women.

We are especially proud to have Laury Anderson, a certified holistic nutritionist, to join our practice. Laury brings a wealth of experience, and a tremendous passion for the “Food as Medicine” philosophy to help our patients get to their goals. She will be available for consults starting April 20th. 

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Laury Anderson R.N., M.A., NC is a Board Certified Holistic Nutritionist who  has a Masters Degree in Human Development, Specializing in Holistic Counseling and a Bachelor of Science in Nursing.  She is a graduate from Bauman College of Holistic Nutrition and Culinary Arts in Santa Cruz, California.  Laury has 20+ years of experience in the health field with an emphasis on holistic approaches to wellness, health education and preventive care.

“Food As Medicine” is the philosophy at the heart of Laury’s practice.  As a Board Certified Nutrition Consultant, Laury’s objective is to assist clients in optimizing their bodies healing power through education and implementation of a “food first” approach to health and wellness. 

Laury believes every person has a powerful and innate ability to heal.  The food we eat is not just food, but information for the body that helps us harness this healing power and help thwart disease.  Laury has additional diversified cooking skills, training and certification from the Natural Gourmet Institute in New York City.  She is a registered member of the National Association of Nutrition Professionals.

We are very excited to welcome Laury to our practice! Please, feel free to contact Kamini at 516-746-1103 for more information.

 

Are You Skinny Fat?

Obesity continues to be strongly associated with multiple chronic conditions, such as hypertension, diabetes, lipid abnormalities, and heart disease. It also strongly contributes to development of certain types of cancer. The rates of obesity are alarmingly high in young children and adolescents, and, unfortunately, continue to rise. According to the AHA/ACC and The Obesity Society Guidelines released in 2013, obesity continues to be defined as measurement of the body mass index, or BMI.  Using BMI, overweight is defined as BMI of 25 kg/m2 to 29.9 kg/m2 and obesity as a BMI of 30 kg/m2 . Current estimates are that 69% of adults are either overweight or obese, with approximately 35% obese. The estimated cost of obesity related complications exceeded $147 billion in 2008.

However, estimating obesity by BMI tells only part of the story. A muscular individual may have a BMI exceeding 30kg/m2, due to a much higher water (and weight) content associated with skeletal muscle. More relevant to the cardiac risk associated with obesity are the measurements of waist circumference. It is generally accepted that the waist circumference should not exceed 35 inches in women, and 41 inches in men. These numbers are 1-2 inches smaller for individuals of European, Asian, or Hispanic descent.

A fascinating and powerful concept in understanding obesity goes beyond  these numbers and involves a  body impedance analysis, or BIA. Using the BIA, a percent of fat deposited in the abdominal cavity (visceral fat) can be distinguished from a more superficial fat distribution. Only visceral fat is associated with elevated risk for heart disease. A 2004 study in The New England Journal of Medicine convincingly demonstrated that removing superficial fat, such as with liposuction, does not alter risks for diabetes or  heart disease. Unlike superficial fat, visceral fat may be present unseen in a skinny person, and increases their risk of insulin resistance and heart disease. The accumulation of visceral fat drives inflammation, contributes to oxidative stress, and disrupts hormonal and immune regulation.

The  diminish visceral fat, an anti-inflammatory diet, supplements, in combination with workouts (moderate intensity but consistent) work to reverse the inflammation, and normalize internal fat metabolism, and, thus, its distribution.  Unfortunately, in our appearance-based society, many fail to see that “skinny” does not always imply “healthy”. Quiet a few skinny people are in fact “skinny fat”, with deposits of visceral fat driving their sugar and lipids into abnormal range. Visceral fat also traps a lot of toxins, including so called persistent organic pollutants (POPs), and this exacerbates ongoing inflammation by disruption of nutrient absorption.

What should you do? If you have access to the BIA machine, often found in gyms or physician offices, consider getting a reading done. A functional medicine physician can perform the BIA, and review the report in conjunction with your blood work. This assessment, while relatively simple, is a crucial step in understanding your metabolic circumstances, and putting your personal genetic information in perspective.

 

Updates to the Fit in Your Genes Program

The Fit in Your Genes program is a remarkable, revolutionary program. Our first 20 participants are well under way in achieving their weight loss goals! The program takes advantage of the genetic blueprint that is unique to each individual. At the core of the program is a full sequencing determination of the genetic makeup responsible for your sensitivity to various types of exercise, macronutrients, nutraceuticals and supplements, and lifestyle measures. The program offers comprehensive testing to determine personalized approach to weight loss. This approach not only functions to keep the pounds off, but promotes wellness from within.

What would be the value of the genetic program in weight loss? After all, there is no shortage of diet and exercise advice. The use of dietary supplements is a booming business, totaling nearly $4 billion annually in the United States. The Internet is saturated with multiple websites, forums, and discussion groups that promote and endorse various products. Physicians, nutritionists, health coaches, and other professionals have created various diets, programs and approaches, some more beneficial than others. Fierce debates continue about merits of diet in various health conditions, including prevention of heart disease and cancer.  Yet, we are in the midst of the most significant epidemic of chronic illnesses. Diabetes, high blood pressure, and elevated cholesterol continue to affect younger and younger individuals. The American population continues to grow progressively more obese year after year. Despite multiple resources, and billions of dollars spent, the solution does not appear to be in sight.

The genetic program offers a unique opportunity. It is a chance to go back to the ground floor. To help you understand how the genetic program for weight loss may be of value, not just in losing weight but also in fostering wellness, consider this. Suppose you decide to build a house. You would ask an architect for a blueprint. The blueprint calls for specific details, provides standardized measurements, defines materials, and ultimately guides the construction. Of course, once the walls are constructed, you put on your personal imprint. This imprint may include your own color palette, choice of finishing materials, even landscaping. It is very common for busy developers to utilize nearly the same blueprint over and over again in construction, making adjustments for personalization or location. Yet, many of these houses, built from similar or identical blueprints, look and feel very different. Your genetic makeup is the blueprint that is guiding construction of your house of wellness and illness. The environment, lifestyle choices, interactions with food, toxins, exercise, medications and supplements all work upon this genetic blueprint to create your personalized imprint. And it is this imprint, the phenotype, or the external appearance is what we often seek to change. However, just as in construction, the external appearance changes do not change the blueprint. To enact a fundamental change, the one that would drastically change the entire house, one would need to take the blueprint into consideration, and act upon it. By determining your genetic blueprint for weight loss, you are enacting a fundamental change that leads to much more than an appearance change. It changes the entire house!

There are several components to the genetic program. The initial testing is carried out by obtaining a small sample of your cells. This is performed by swiping a Q-tip on the inside of your cheek. This sample is sent to be processed in a sequencer. The test result is available in about four weeks. While you are waiting for your test results, you will start with a detoxification phase of the program. Once you test results are received, a recommendation will be made for diet adjustments, exercise regimen, and supplement use.

Each individual starts with a unique blueprint, and the influences of lifestyle and environment on this blueprint are responsible for weight loss, weight re-gain, wellness, and illness. The impact of inflammation in promoting obesity, and related chronic diseases, cannot be overestimated. Thus, the genetic blueprint serves as a fundamental scientific basis for setting goals guiding the weight loss and wellness interventions. It is an objective starting point. The nutritional, exercise, and nutraceutical components of the program are directed to manage much more than the weight loss. The goal is to control inflammation and pro-inflammatory conditions that interfere with weight loss, promote weight re-gain, and diminish organ reserve.

 

Many of our participants are passionate and determined to lose weight and improve their wellness. We are here to help them every step of the way. Our patients success and safety are our primary concerns. The Fit in Your Genes program is a medically supervised program. It requires face-to-face visits with a licensed physician, and offers support through a team of health coaches and yoga instructors. During the detoxification, a virtual video visit is available for additional support. To assure our patient safety, we respectfully ask that patients abide by the following rules of participation:

  • Patients cannot participate in any additional programs if they already are enrolled in the Fit in Your Genes program. Enrollment in another program would preclude detoxification and personalized supplement selection. Patients may be eligible for the Fit in Your Genes program if they discontinue another program for at least two weeks prior to enrollment.
  • Patients taking their own supplements must present them for verification of compatibility with the supplements recommended by the genetic testing. If a full list of ingredients, country of origin, site of manufacture, authenticity, and purity of the supplements cannot be established, the supplements must be discontinued. The supervising physician reserves the right to request that any supplement be discontinued if its safety cannot be ascertained.
  • Patients cannot use additional substances, such as supplements, medicinal foods, herbs, or homeopathic remedies once the program commences unless such substances have been approved by a physician supervising the program.
  • The initial program fee includes a before and after consultation with the supervising physician, performance of the genetic test, and a detoxification kit.
  • The subsequent fees include supplements and nutraceuticals, health coach, and yoga sessions. The first health coach session is complementary to all program participants.

The quest for weight loss is an essential component of vitality and wellness. It is well known that overweight and obesity result in less productivity at work, disturbed sleep, inflammatory state, and early onset of chronic and debilitating diseases. The obesity is a state of chronic malnutrition that is fueled by inflammation, and it adds more fuel to the inflammation fire daily. Billions of dollars are spent annually to treat consequences of obesity and chronic diseases. Pharmacological treatments or drugs are mainstay of these approaches. There are even drugs for obesity, and bariatric surgery is available to help patients suffering from consequences of excessive weight. The genetic program offers an opportunity to address root causes of obesity and chronic diseases.

Let Your Genes Guide Us to Your Weight Loss Success!

The Fit in Your Genes Program is a ground-breaking approach to weight loss. It is based on individually designed, genetically-guided approach to nutrition, exercise, and micro-nutrient supplementation that allows sustained and reproducible weight loss result.

Three areas of focus

Unlike other approaches where counting calories, avoiding certain macro-nutrients ( think low-carbohydrates or  liquid diets) or performing aggressive exercise are required, this program is set to  individually tailor your efforts in three major areas responsible for weight loss:

DO: exercise type, frequency and duration

EAT: percentage of protein, fat and carbohydrate you should consume

TAKE: vitamins and supplements supporting weight loss

The test is completely bloodless, and is done by collecting cells from the inside of your cheek by rubbing it with a soft, cotton-tipped applicator. The testing involves FULL genetic sequencing, and results are available in 2- 3 weeks. We typically initiate a detox program while you are awaiting your results.

What are the “DO”, “EAT” and “TAKE” parts of the program?

The “DO” part provides a genetically guided advice on frequency and type of exercise that would benefit weight-loss effort. All of us have seen men and women who seem to exercise for hours on end yet their weight-loss is modest. Alternatively, we also encountered individuals who slim down nearly immediately with even a modest amount of exercise. The opinions on type, frequency and duration of exercise are varied. Even among the experts, disagreements abound, and clearly no one size fits all. The Fit In Your Genes Program tests for variations in 3 or more genes that determine our sensitivity to various types of exercise, and are useful in creating an individually tailored program that is specific to YOU. Thus, it is no longer necessary to wonder if you should be doing what another person is doing, or if you should be following a brand-new class, exercise, or routine. Rather, you can decide based on your personal genetic profile if a new exercise or class, or some of it features will fit well with your unique exercise determinants.

 

The “EAT” part is really the most impressive part of the program. One knows that there is no shortage of diet advice. At the ICCLI, we do not use “diet” as a word to describe what should be a live-long pattern of healthy eating. You can probably find a “diet” advice or program for every letter of the alphabet! And while some ways of eating (such as Mediterranean diet) are clearly proven to be advantageous not just for weight loss but also for reduction in cardiac events, again, no one size will fit all. A healthy way of eating needs to be individualized. The true power of genetic testing allows us to do just that. You will literally see down to a single percentage point what is YOUR specific, individual macro-nutrient requirement. No more need to avoid ALL carbohydrates, or to go extra heavy on proteins-genetically-guided program will allow you to eat according to your genes. We will craft a healthy and genetically-guided path to allow you to feel in control of your food intake, and to eliminate the “yo-yo” effect.

The “TAKE” part of the program is truly on a cutting edge. It allows to tailor supplements and vitamins to your specific genetic make up so that cravings and imbalances are reduced. If you have a sweet tooth, to paraphrase a famous saying, “there is a gene for that!” Once your genetic variability is known, we will provide an essential micro-nutrient support that would seal the success of your weight loss effort.