Published in Issue #6 | AUTUMN 2016

C h a d S t r a u g h a n


I often find myself waking up these days feeling like I have
been on a binge as if I am still in college. With 3 kids often
my wake up call, I can assure you, this is not the case. Why
is getting old so painful! I find myself taking ibuprofen and
acetaminophen more frequently than in the past. So you
ask, what is the difference between the two? Ibuprofen (a
NSAID) is often used to treat pain, inflammation, and fever.
It helps block the synthesis of prostaglandins (mediators of
pain) and it is metabolized via the kidneys, therefore, having
no/little effect on the liver. Ibuprofen has been shown to
cause adverse GI symptoms, especially with high doses and
frequent use, and should be taken with food. Acetaminophen
is used to treat many of the same symptoms as ibuprofen and
works in a similar manner, blocking prostaglandin synthesis.
It is often found in combination pain relief formulations (think
Vicodin) and as a result, caution should be used to ensure the
total daily dose consumed does not exceed the maximum
daily allowance. As always, ask your physician which pain
reliever is best for you and your current symptoms.

We want to hear from you. Have a topic you would liked discussed? Email Chad at




Published in Issue #6 | AUTUMN 2016



Too much…your hair falls out….not can’t get
it up! Where is the happy medium? Again, getting old sucks!
Fortunately today, you can choose just about any dosage
form of testosterone to ensure your levels are where they
need to be or where you want them to be. Everything from
a patch, a gel, a nasal spray, injections and even implants are
available for your picking. And why not an oral testosterone?
It is available, but some experts believe the oral form can
have negative effects on the liver, especially at the required
men’s doses. It is important to weigh the pros and cons of
each dosage form. Due to the abuse potential, testosterone
is a controlled substance and as a result there are limits as
to the frequency it can be filled. I do stress one important
consideration, cost. Most Medicare drug plans and some
commercial drug plans do not cover testosterone in any
form. It certainly may benefit you to shop prices and maybe
even consider having it compounded for a fraction of the
cost. With a little help, you too can be “young” again!

We want to hear from you. Have a topic you would liked discussed? Email Chad at




Published in Issue #6 | AUTUMN 2016

S u s a n W i l s o n , MD

Omega-3 fatty acids are essential for optimal health. They are deemed
“essential” because we need them for proper health, but cannot produce them on our own. These
fatty acids are required for a wide range of functions, from proper blood flow to brain development
and are integral to the heart, skin, joints, eyes and immune system. With over 10,000 published
studies over the past 30 years, EPA and DHA from fish oil are among the most researched natural
ingredients in history. Health benefits are many:

Improves cardiovascular health, lowers inflammation, supports healthy brain function and
cognition, improves lipid metabolism and lower triglycerides, helps maintain healthy blood
pressure, enhances mood, reduces arthritis pain and helps maintain visual acuity.
Dietary changes over the last century have led to a decrease in consumption of omega-3 fatty acids
and supplementation for most people has become an important health strategy.

The problem is that fish oil supplements vary dramatically in composition, purity and freshness.
The supplement industry lacks the oversight needed to maintain minimum standards and
unfortunately too many of us are lured into purchasing the supplement with the most effective
marketing strategy and may end up with an attractive package with scant healthy nutrients
inside and possibly some dangerous contaminants.

Here are some things to look for when evaluating fish oil supplements:

Freshness – Look for products that use the freshest fish oil. Rancid oil is used in many fish oil
supplements, a sure way to cause stomach upset. The companies that catch their own fish and
process their own oils usually have the freshest ingredients.

Purity – The purer the oil the fewer toxins it will contain

Price – Do not judge based on price alone. The cheapest products are likely to be contaminated
and less safe, but not all of the expensive ones are superior. Do your research.

Potency – Evaluate the DHA. The average fish oil contains roughly 18% EPA and 12% DHA but
the best supplements contain much higher concentrations.

Formulation – The natural triglyceride-based fish oils are the preferred form for superior
absorption, but the vast majority of commercial products are in the less natural ethyl ester form
which are more resistant to digestive enzymes and thus not absorbed as easily
Many experts in wellness and healthy aging recommend “pharmaceutical grade” fish oil

Many experts in wellness and healthy aging recommend “pharmaceutical grade” fish oil.
Pharmaceutical grade fish oil means that the oil is purer, has a higher omega-3 content, and is
generally safer to consume. The oil is more expensive and “ultra refined”.

“High quality” or “pure” are descriptors used for health food grade fish oil. With ultra refined fish
oil the process is taken several steps further. The process of true molecular distillation removes
man made pollutants from the fish, the purification process removes much of the fishy taste,
and helps remove any saturated fats and finally the oil is analyzed and tested to verify the final

Most dietary supplement companies are really sales and marketing firms. Many of them
outsource manufacturing, lab testing, bottling and labeling.

Do your homework and find a company that provides access to all of the information regarding
their products. The best pharmaceutical grade fish oil companies will measure the “catch
to capsule” time, another measure of freshness and provide you with information on their
purification processes and safety standards. The old adage “you get what you pay for” may well
be true in this case.