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When you are renting a 5, 10, 15, 20, 30 or 40 yard dumpster, you want a company you can trust with prices that make you smile. Give us a call today and see the difference we can make in your next construction or clean out project.
Simply give us a call and we will help you figure out your dumpster rental needs.
Our dumpsters usually go out same-day or next-day depending on when you call.
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Most cities or municipalities do not have many regulations regarding dumpster rental as long as you keep the dumpster entirely on your own property during the rental period. If you need to place your container on the street in any way, you will likely have to obtain a permit from the appropriate building permit office in your town. You can check with your local public works department to be sure.
Most Crane dumpster rental companies will take care of securing this permit for you if you rent from them. Make sure that if you're planning to put the dumpster on the street, the company has made the appropriate arrangements. You should also ensure that you get the permit in a timely manner and at the correct cost. If you thought the dumpster company was getting a permit and they did not, you will be the one who will have to pay the fine that is issued by the authorities.
Ability & Weight reduce: For both the front loading as well as roll-off containers the greater the dumpster the more pricey it is. Nonetheless, renting the dumpster that is not big enough can also be costly. You might accrue additional costs if the excess weight of the components deposited within the dumpster exceeds the ideal weight reduce for that dimensions and price. As an example, A Sarasota contractor leased a 20-cubic-yard roll-off dumpster for about $400, filled this with heave development debris as well as was charged an extra $400 considering that the weight in the debris realized the 3-ton reduce. Similarly, the dumpster that is not big enough would need additional pick-ups to take away the garbage. Although some organizations automatically include dump/disposal fee within their quoted costs, depending on neighborhood garbage rates along with the type of spend deposited there could an additional charge of 25-250 dollars or maybe more for each pickup.
First, determine what size dumpster you may need to help take off the waste materials as well as debris still left from your remodeling. Placing most debris within the dumpster on a regular basis will keep the restoration site clean and clear the entire time. Excellence sometimes appears in the way a person handle the internet site of the restoration as well as in marketing campaign results. You can show a project this is a beautiful illustration showing excellence with a dumpster delivered right on site right from the start of the project. All subcontractors should be questioned to dispose of their own waste items within the bin every single evening before leaving the site and other materials must be assigned an area on the site to get a later project or to always be donated.
Probably the most recommend and inexpensive methods of discarding the trash usually are recycling the waste as well as sanitary dump disposal. Recycle the spend in eco-friendly way will slow up the impact of trash on the environment. Non recyclable trash can be got rid of in the dump and sleep will be taken care of by the land fill authorities.
They then take the info you've provided them, by entering it with a simple sort, and find the best offer and location of the perfect dumpster for your needs. The company you choose will drop off the dumpster, after that pick it up yet again once it can be full. This provider will usually become a local a single so it's less costly and quicker than acquiring a roll away Construction Dumpster For Rent in Crane, TX from several remote place hundreds of a long way away, as well as out of state. As you grow your offer they will without doubt want to know if you have most trash, several recyclables, and what types if you have the second option. It's always better to recycle components when you can.
Suppose you have decided to last but not least clean out your garage, cellar, or loft and get gone all that issues you don't need any more. It may seem such as a manageable activity, but once you have all those bins, papers, and pieces of outdated furniture out of their hiding sites, they can definitely pile up. Yet, if you rent the dumpster, you can simply discard everything in a single central location. You don't have to travel anywhere as well as load anything at all into cars and trucks. You just use it in the dumpster as well as wait for this to get acquired.
They feature you the best solution to dispose harmful chemical and also waste materials around the construction web sites. These companies also help you in getting rid of useless several weeks, dangerous ingredients and other non-recyclable squander from the home area as well as its neighborhood. In this way, you can easily keep your environment quite neat and clean.
You may choose one dumpster for the rental needs. The great thing about this is that you don't have to separate the items, be it glass, metal, wood, and in many cases drywall. On the other hand, be aware of the localitys regulations seeing as there are some in which restrict the total amount and types regarding trash which might be dumped. Bankruptcy attorney las vegas some which need bagging regarding trashes and isolating the recyclables. Certainly, it is better to use structure Construction Dumpster For Rent in Crane since you don't have to bag the trashes or even separate the recyclables.
You could possibly own condo properties in Baltimore, Virginia, or even Washington DC and you should want to uncover speedy next day dumpsters to rent. Where ever in the world you reside a dumpster will help you keep your undertaking moving.
We all have been accustomed to using our standard trash out there for each week pickup, which usually works perfectly. However, now and again, you need to get rid of certain items or large volumes of trash that are not ideal for the regular trash. In these scenarios, one of the simplest options would be to rent a dumpster so as to throw out things to, when you need for you to. Whether you need rid of dirt via a crap hauling model clean out, or else you need a reliable option for throwing out large or even unwieldy items, dumpsters provide sturdiness, flexibility, and also reliability for the trash wants.
The first thing you should do is determine what form you will need. This mainly consists of determining the scale as you have ones that have been as small as 5 back yards all the way seem to large 40 yard types. Only you know how much waste you've and what dimensions you will need. It really is of course better to overestimate than take too lightly.
Whatever firm you decide to go along with, make sure there may be some type of ensure on their service. This could be a new money back guarantee as long as they don't produce or pick up on time or even it could be a make certain that the dumpster you actually ordered will hold a certain amount of trash. The best service contract will combine the both of these capabilities. Check with an organization representative about this and make sure warranties are spelled out in the service agreement.
Together with the convenience of a new dumpster service which comes right to your home, your home can look better than it's got in years. Though the advantages of a clean, uncluttered property go well beyond mere appearance alone. Reducing all of that unwanted mess from a environment can actually help to provide a feeling of calm. Not only will you reduce your day-to-day stress levels, yet you'll avoid the health hazards and also pest points that can happen from grubby surroundings.
After you purchase the resources to get your remodeling started on the Victorian home, continue to throw away every one of the boxes, plastic-type wrap, foam, etc., within the dumpster you have hired to remodel the Victorian home.
Whether you're a homeowner or a contractor, renting a dumpster when you find yourself embarking on a design project is crucial. Construction always creates a great deal of debris, whether it is scraps at a build or perhaps the old components you're swapping. It's less difficult for your design crew to have a very single location to dump each of the waste, plus it helps you have the peace of mind that is included with knowing any project will look visible and specialist when the work's done as well as the dumpster's been rolled away.
A good dumpster services will not help keep you waiting a very long time. They will get started on any kind of task on the same day anyone contact them if you want. All you have to perform is help make that phone call.
Most rent a dumpster companies don't let anything aside from solid spend to be placed inside their units. This means that items such as computers, fresh paint, oil, tv sets and varnish will not be suitable for convenience within a move off dumpster. Check with probable dumpster depots what the policies are with regards to waste sorts for their receptacles.
You can save money by seeking a Construction Dumpster For Rent in Crane, TX yourself, an advanced homeowner, and also contractors may have learned where the best Construction Dumpster For Rent in Crane, TX sites are generally. If you are a initially timer as well as someone looking to save some money, a few rental sites online can quote a good value and get a neighborhood dumpster of the suitable size to your blog as soon as possible. Almost all demo material that's taken off a home may be divided into three types -- appliances and cabinetry which may be reprocessed, actual waste, and components which can be broken down out in to separate components which may after that be sent off to the actual recycler.
Each and every construction task involves plenty of trash and also rubble. You can savor order and also cleanliness in the environmental design project if you rent then a dumpster. Here is the quickest and also easiest way to take out trash and also debris. Quality and beautification your business sight is possible; it doesn't have to seem trashy, dirty and also unkempt. Quality in every design process is quite possible through the utilization of an properly sized and also quickly taken out dumpster at your site.
Work with a organization that will deliver following day dumpsters so you can get your remodeling designed in a appropriate fashion. When the remodeling is done, the next day dumpster is hauled out, your kids can smile their room is what they always dreamed it might be.
We have to act to prevent the connection between pollution for the environment of the state by reduction of the production of solutions first. Reliable waste generation is one one of many major solutions that generate pollution throughout state. Upcoming generation of the state can also be affected by the actual impacts associated with pollution within the state. Kids in the tummy of the new mother are affected by many health issues similar to low defenses, birth flaws, immune flaws, Hormone disproportion, neurological flaws, behavioral abnormalities, altered metabolic rate before they reach our planet. Our failure to take the appropriate action leaves no ecosystem to our future generations.
Please use the form below to contact us. We look forward to working with you and will get back to you as soon as possible. All fields are required


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Easley, SC Music Theory Lessons
Looking for private in-home or in-studio Music Theory lessons? Our Easley teachers are ready to get you started. Find your teacher today!
Our online tools make booking, managing your schedule and paying for lessons easy and hassle-free.
Easily search and compare teachers in your area, including past student reviews and background checks.
If you're not completely satisfied, we'll help you find a new teacher or refund any unused lesson credits.
Why TakeLessons?
Our teachers have taught
lessons and counting!
Popular Music Theory Teachers near Easley, SC
Check out some of our most popular teachers near Easley, SC including Greenville, Simpsonville, Greer, Lyman and Inman.
About Ali R.Close
View Full Profile
I teach theory from beginner to advanced in both classical and jazz/pop theory.
About Ali
Ali is also known for playing piano. She received her minor in Piano Performance within a year at Shorter College under Helen Ramsaur. She has been playing since she was five years old and has accompanied many people and musical productions.
Some of Ali's major influences include:
Linda Eder, Aretha Franklin, Jennifer Hudson, Lena Horne, Judy Garland, Whitney Houston, Billie Holliday, and Lara Fabian, Barbra Streisand
*** Lesson Details ***
Ali loves to share her passion of music to the world and especially through her students. She loves to share new ideas and nuances along with the basics and fundamentals of technique. Although practice can be boring for the student, asking a student to pick at least one song to work on can help the student and the teacher have fun and learn at the same time. After a few months, not only will her students have fun, but they will learn how to be a better person and musician.
*** Studio Equipment ***
Home Studio: Baby Grand Piano, Living room, Stands, metronome
*** Travel Equipment ***
Just the music I assign and their appropriate instrument
*** Specialties ***
For Acting: Meisner
Piano: Just beginners- intermediate
Voice: Anything you can think of and I'll do it
· Piano · In home
· Singing · In home
· ·
Dear Allie, We are so happy to have found you this summer. It is amazing to see Nicholas stay so focused and interested for an hour at the piano. His love of music seems to have grown since we started lessons with you. We really appreciate your capacity to adapt to his needs and to keep him excited. Thanks!
Ali R.
Ali R.
About Carrie A.Close
View Full Profile
I really enjoy working on music theory with my students.
About Carrie
I've been teaching and performing professionally for over 15 years. I have my BA in music and business. I have had some amazing experiences along the way. I've worked with world renowned vocal coaches, sang at Carnegie Hall, and played on various cds to raise money/awareness for charity projects. I'm grateful for all of this, but I love working with students on their music most of all. It delights me to see a student have an "aha" moment where they realize that they have what it takes to be great. I'd love to work with you, but if I don't I hope you reach your goals and have fun doing it ! ~ Carrie Jo ~
*** Lesson Details ***
I'm a laid back teacher but you will definitely learn
*** Studio Equipment ***
The In-Studio lessons are taught on an upright piano or acoustic/electric guitar. Student should bring own guitar. No pets. Waiting room out front for parents.
*** Travel Equipment ***
They need their own instrument.
*** Specialties ***
I've performed at Carnegie Hall and I've had the opportunity to work with world renowned vocal coaches. I offer that as well as techniques that I've developed to help you reach your goals quickly and with great skill !
· Singing · In home
· Piano · In studio
· Guitar · In studio
Carrie A.
Carrie A.
About Patrick L.Close
View Full Profile
I love to apply current music as a guide to show relationship to theory. It is a fun way to teach this way.
About Patrick
*** Lesson Details ***
Trumpet Lessons
I have worked with adults and children, with beginners, and with more experienced players looking for a push or a new direction. I have developed many different teaching methods based on what each of my students wants to get out of lessons. The heart of most lessons I teach is learning to play or understand songs. Usually, I rely on my students to select the songs they wish to study, which I then transcribe to make personal arrangements fitted to their abilities. Of course, I will suggest or recommend songs at times.
Piano Lessons
I differentiate between concepts and skills, while stressing the importance of mastering both. As important as it is to understand the intervalic relationships in something like the major scale, this knowledge does little for the pianist if she or he cannot pick out the notes to the different scales in real time. In observing that each person demonstrates unique learning patterns and abilities, I have learned that some people will come to understand the conceptual through mastery of memorized tasks while some will succeed with technical mastery only after achieving some conceptual understanding.
Voice Lessons
Having first begun singing at 22 years old, I know first hand that it's never to late to start singing. Having some experience in school but not fully as a professional till in my 20′s, I have learned from some of the top professionals in the South Florida area. My first vocal lessons was with Gloria Estefan's back up singer Jon Secada. Jon has his first hit "Just Another Day" that stayed at #1 for several weeks. His one lesson really helped me use singing in my gigging around town. From that time on, I have used this technique for all my students. focusing on JUST BREATHING, has helped many of my students.
Teaching Sound Recording
Working in the early 1980s with recorded music and computers, I was introduced to the new wave of recording at its birth. At Miami Dade Community College, I taught and assisted students in Composition, Sound Development, and Sound Recording using Mac computers and PC's. As of this day, I personally teach recording in Logic Pro, Bias Peak and Mastering using Waves plug ins and having finished products in Mp4 format and or CD's.
*** Studio Equipment ***
Mac with logic pro software instruments, piano seating for parents
*** Travel Equipment ***
expect students to provide paper and pencil and put in practice time on their respected instruments at least 30 min a week
*** Specialties ***
Alfred,Hanon,Rubank Advanced Method for instruments.
· Piano · In home
· Piano · In home
· Piano · In studio
Patrick L.
Patrick L.
About Devin C.Close
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Basic theory is covered in all lessons, but for more in depth lessons on theory I also offer an exclusive theory course. The course will include Chord-Scale relationships, Modes, Improvisation, superimposing chordal alterations, tri-tone substitutions, and much more!
About Devin
I began playing guitar at age 7. By the time I was 13 I was a bonafide prodigy! I attended the Fine Arts Center of Greenville, SC where I was awarded several acknowledgments of advancement and achievement. Upon graduating High Shcool, I attended Belmont University in Nashville, Tn to study Guitar Performance with a minor in Music Business. It was at this time I began to teach in my spare time. During my time at Belmont, I not only learned how to hone my craft, but also how to diversi
· Guitar · In studio
Highly recommended!!!!
· Electric Guitar · In studio
· Acoustic Guitar · In home
Devin C.
Devin C.
About Michael L.Close
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I use a really fun and fast approach to getting any student to the next level. 26 years experience teaching beginner to university and professional level students.
About Michael
Michael performs at 275 functions a year, teaches 30 private bagpipe and guitar students a week, is an instructor of music at the University of Colorado at Denver, and runs his own recording studio where he composes and records music for film, video and commercials.
*** Lesson Details ***
Quick, fun approach to getting students at any level playing better/easier.
*** Studio Equipment ***
I have all the toys!
*** Travel Equipment ***
I provide all of the music and handouts.
*** Specialties ***
All levels all styles. From beginner to professional.
· Bagpipes · Online
· Bagpipes · In studio
· Bagpipes · Online
I actually look forward to my lessons with Michael.
Michael L.
Michael L.
About Aldrin E.Close
View Full Profile
If you love music and have the passion it takes to learn to play an instrument I'll be honored to have you as a student. Whether you want to take Piano, Guitar, Singing or Violin Lessons, we will work closely with you to help you gain the confidence you need to perform at a very good level.
I am a musician from the Conservatory of Bellas Artes in Colombia and a Music Producer from the Berklee College of Music in Boston, MA. My Career began when I was 12 years old playing Piano and today I work among world known musicians.
Most of our students are from the South Florida area. Our pricing is reasonable and I can create custom packages to accommodate your budget.
About Aldrin
I am a musician from the Conservatory of Bellas Artes in Colombia and a Music Producer from the Berklee College of Music in Boston, MA. My Career began when I was 12 years old playing Piano and today I work among world known musicians.
Most of our students are from the South Florida area. Our pricing is reasonable and I can create custom packages to accommodate your budget.
· Guitar · In home
· Songwriting · Online
· Classical Guitar · Online
Aldrin E.
Aldrin E.
About Brandi B.Close
View Full Profile
I can help you to better understand music theory through explanations that make sense to you. Everything you want to know will be introduced to you at your own pace even if you don't have a clear idea of what theory concepts you'd like to know. I have taken quite a few theory classes including the more advanced subjects like form and analysis and counterpoint, even some composition and arrangement independent studies. Theory can seem esoteric to some and I myself even thought so at first, but through practice and experience I have learned to appreciate it. Let's learn in a way that works for you!
About Brandi
My goal since graduation has been to make teaching lessons my full time occupation. Building up a studio certainly doesn't happen overnight, so I have come here to expand my availability to t
· Guitar · In home
Brandi B.
Brandi B.
About Gigi G.Close
View Full Profile
All ages are welcome. I am an experienced musician and alumna of Berklee College of Music & NYU (Master's degree). I give music theory and composition lessons.
-All levels are welcome
-Music Theory, Jazz Harmony, Counterpoint, Classical Harmony
-Arranging, Orchestration
-Prep for ABRSM Exams
-Prep for college-bound musicians
-Music Theory Placement Exam
-Music History Placement Exam
-Contemporary/ Jazz singing
-Classical piano
-Logic Pro, Sibelius, Pro Tools
-Ear Training
Looking forward to working with you!
About Gigi
-All levels are welcome
-Music Theory, Jazz Harmony, Counterpoint, Classical Harmony
-Arranging, Orchestration
-Logic Pro, Sibelius, Pro Tools
-Ear Training
-Prep for ABRSM Exams
-Prep for college-bound musicians
-Music Theory Placement Exam
-Music History Placement Exam
Looking forward to working with you!
· Piano · In studio
Gigi G.
Gigi G.
About AJ S.Close
View Full Profile
I'm very knowledgeable in music theory and good at making it a fun subject to learn!
About AJ
How it Works
From finding the perfect teacher to managing payments, scheduling and tracking your progress, we take care of all the details, so you can focus on learning. Learn More
Search for a teacher
Compare hundreds of teachers based on the criteria that matter to you, including background checks, age and experience.
Schedule your lessons
When you've found the perfect match, schedule your lessons online using the teacher's real-time availability.
Connect with your teacher
Your teacher will welcome you with a personalized curriculum to meet your specific goals and you'll be able to manage your entire schedule through our free online account.
Can't find a teacher in Easley, SC?
No problem. Our online lesson platform connects you with any teacher, anywhere. All you need is a reliable Internet connection, a webcam and a microphone.
Zero travel time is great for a busy schedule.
Typically priced lower than local lessons.
Online students stick with lessons as long as local students.
Get Started with Free Resources
Singing Video Series
for Beginners
Take your voice to the next level. Download free video tutorials to start singing like the star you are!
Quick Guide to Getting
Started With Music Lessons
Getting Started with Music Lessons guides you through selecting a teacher & preparing for your first lesson.
Guitar Video Series
for Beginners
Kickstart your guitar playing. Download free video tutorials to learn about chord progressions, strumming, and more!
Recent Music Theory Articles from the Blog
Whether you're just starting out or a seasoned pro, check out the Music Theory articles on our blog.
All in Order: Tricks for Identifying Key Signatures
What are the "keys" to identifying different key signatures? Read on for some great tips from Tucson, AZ teacher Lourdes C... In reading music, there are a few things that give musicians the biggest headaches. One major migraine-maker is determining keys from the key signature and then remembering the order of sharps and flats. This chart gives musicians a quick way to help with identifying key signatures. Key Signatures at a Glance Major sharps: the name of the key can be fou … Read More


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Posts Tagged 'weight management'
6 Tips For Healthy Zen Living
You know the saying "prevention is better than cure"? Well, in this month's blog, we will be discussing prevention from a whole new perspective: it's called healthy zen living. It will take us to a level that is so deep, that healing can only be understood by experiencing the change.
As I took advantage of these beautiful spring days, I planted myself under the majesty of the beautiful "Great Oak". When I gazed upwards, I noticed the ease with which the branches flowed to protect me against the fury of the sun's rays. The leaves were so content in their simplicity that they happily danced to the occasional breeze that would sweep in. I wondered just how content and healthy they must be feeling. With a little love, light and hydration, they live a life free from disease and suffering. It was then I began to question, since we are all made up of the same divine cells, shouldn't we be able to live a healthy disease free life also?
Yes!! While we can't prevent 100% of ailments, we can do everything in our understanding to TRY and prevent 100% of the diseases that quite possibly could come our way. I took a step back and began to reflect on my own journey. A journey that has taken me from illness to healing. From confusion to clarity. From desperation to resolution. Could I have done something more to prevent my conditions? Should I have given up processed foods sooner? Or lifted heavier weights more often ? Or limited myself to one episode of 'Friends' instead of three before bedtime? Or surrendered what I couldn't control?
The fact of the matter is that it doesn't matter. All the choices I have made have taught me more than the decades spent in education. I have come to believe with a 100% certainty that the years I spent worrying about things that ultimately wouldn't have mattered left the door open for cellular mutations to occur, not realizing my body was going through hormonal disruption, chemical depletion, and ultimate cellular catastrophe. As I was working so hard on following all the nationally accredited health guidelines, little did I know all the sleepless nights I spent worrying about the future were counteracting all the "good" I was doing during the day.
In 2016, I began my journey into the world of energy healing. I devoured books on quantum physics, chakra balance, the healing properties of crystals, nutritional science, reiki practice, vibrational music therapy. The more I read, the more I craved. Now keep in mind, I am a person of science. I needed proof, facts, case studies and data to convince me this stuff could really help in physical healing. Much to my surprise, most all of the books I read were backed by documented research studies, many of which were written by highly acclaimed and respected practicing physicians. With some reservations, I decided to trust the process and begin using these practices in my own healing. A few months after I began, I was humbled to see how much my body began to respond to energy balance. My thyroid stabilized after 16 years. The severity of my food sensitivities decreased after four years. The exhaustion, I attributed to everything and anything, started to lift. I am by no means an expert (but hope to be one day) in this field, but what little I have learned excites me to pay it forward.
Here are a few energy healing tips: (Please consult your physician before trying these)
- Himalayan salt lamp. True Himalayan salt lamps are made from salt harvested from the Khewra Salt Mine in Pakistan. Although there is no conclusive studies on the benefits of the Himalayan salt lamp, it's suggested that they may produce ions by attracting water particles that evaporate off as a salt solution when heated by the lamp, forming mostly negative ions. These negative ions have been theorized to aide in healing. More research is still needed.
- Reiki. According to Reiki.org: " Reiki is a Japanese technique for stress reduction and relaxation that also promotes healing. It is administered by "laying on hands" and is based on the idea that an unseen "life force energy" flows through us and is what causes us to be alive. If one's "life force energy" is low, then we are more likely to get sick or feel stress, and if it is high, we are more capable of being happy and healthy."
- Brain tapping. Based on information from tappingsolutionfoundation.org: "The basic technique requires you to focus on the negative emotion at hand: a fear or anxiety, a bad memory, an unresolved problem, or anything that's bothering you. While maintaining your mental focus on this issue, use your fingertips to tap 5-7 times each on 9 of the body's meridian points. Tapping on these meridian points – while concentrating on accepting and resolving the negative emotion – will access your body's energy, restoring it to a balanced state." Freedom Techniques (EFT) lowered the major stress hormone cortisol significantly more than other interventions tested. In a randomized controlled trial 83 subjects were randomly assigned to a single hour-long session of EFT, talk therapy, or rest. Their cortisol levels were measured via a saliva test before and after the session. Cortisol was measured because it is known as the "stress hormone" of the body. As stress goes up, cortisol levels go up.
- Meditation. Meditation can be defined as, "a practice where an individual uses a technique, such as focusing their mind on a particular object, thought or activity, to achieve a mentally clear and emotionally calm state." Most think of meditation as sitting in stillness for hours at a time. If you are anything like me, I am unlikely to make it past 3 minutes. Through my healing, I truly learned that meditation is anything that brings you peace of mind, even if that thing is not being in one place. For me, running, dancing and playing instruments is my happy place. You try to get me to sit still, and I can tell you my cortisol will increase ten-fold. What's your go to meditation practice?
- Nutritional eating. Food is fuel. Food is also earth's natural medicine. We have talked extensively in previous blogs about the overwhelming contamination of our food source. The manipulation that goes into our crops has made us vulnerable to a weakened immune system. By becoming educated on the origins of our food, we understand how massive of a role nutrition plays in our healing.
- Chakra balance. Without going into too much detail here, chakra balancing is the process of restoring a harmonious flow of energy across the chakra system. The effect of well balanced chakras often translates into a feeling of well-being, relaxation, centeredness, increased vitality and embodiment of oneself. There are many online resources that describe what the chakras are, how they play a role in healing and what you can do to realign yourself.
I realize this article has veered away from the confines of conventional medical healing. But there are many facets of the human body that the eye cannot see. I truly do believe that a blend of eastern and western medicine is a powerful formula to ultimate health.
We must simply trust the process and allow healing to go into the crevices of the unknown. Because it is in this space of uncertainty, completeness lies.
Dr. Raman's Concierge Medical Practice is focused on caring for each person as a whole, not just a list of symptoms. Our office is committed to helping our patients stay well and maintain good health rather than treating patients only after they become ill.
For more information or to schedule an appointment with Dr. Raman, please contact us today.
Perimenopause To Menopause: Important Things to Know
The human body changes over time, both externally and internally. Hormones are one of the body's great regulators and both men and women experience hormonal fluctuations throughout their lives.
For women, the transition through perimenopause to menopause is a time of major hormonal fluctuation. The phases are often confused with each other, but true menopause is when a woman has not menstruated for a full year. Perimenopause is the phase leading to menopause and lasts an average of four years, although it can range from a few months to 10 years. A woman's body typically begins to start the perimenopause process at age 35.
Perimenopause usually begins between the age of 35 and 50 when the ovaries begin to produce less estrogen. The imbalance of estrogen and progesterone often results in missed periods as well as side effects like hot flashes (the most common side effect of perimenopause), fatigue or low energy, difficulty sleeping, decreased libido and what some women call "PMS plus" —instances when pre-menstrual side effects worsen.
Like many transitions, perimenopause can be physically and emotionally challenging. There is no quick fix for troublesome side effects but many women find relief in lifestyle changes that improve overall health, including:
- Adding moderate exercise to your daily schedule
- Improving nutrition
- Avoiding smoking and alcohol
- Reducing stress
- Increasing water intake
- Practicing good sleep hygiene
Hormone replacement therapy (HRT) and bioidentical hormone therapy (BHT) provide side effect relief for some women. These therapies help balance hormone levels that vary throughout perimenopause. However, using hormones to control symptoms are NOT mandatory. The first question to ask is, "how much do my symptoms affect my daily life?" And if the answer is not at all, then no hormones are needed at that time. The fluctuations of the hormones are like the waves of the oceans. Symptoms are variable depending on lifestyle habits, stress during that particular period in your life, weight loss or weight gain, climate and weather changes and Mother Nature.
Even though menopause is the official ending of your menstrual periods, the hormone fluctuations that created side effects during perimenopause are still occurring, meaning that some perimenopause symptoms may remain (or return) and new side effects could appear during menopause.
Once women reach menopause they are at greater risk for developing osteoporosis, a disease that weakens bones. The post-menopausal drop in estrogen is directly related to loss of bone mass. Because there are no symptoms of bone loss, it's often only after a bone-related injury that the presence of osteoporosis is discovered. Bone mineral density tests (BMD) are x-rays that measure bone density. Screening should begin if you have any of the following risk factors or at the cessation of the menstrual cycle. The following puts you at a higher risk of developing osteopenia or osteoporosis:
- Advanced age
- Your race – Caucasians and Asians have a higher prevalence of osteoporosis
- Family history of osteoporosis
- Body frame – people with petite frames can have a higher risk because they often have less bone mass to begin with.
Likewise, your doctor can offer osteoporosis treatment and prevention suggestions which may include:
- Eating foods high in calcium
- Calcium and vitamin D supplements
- Bone density medications
- Estrogen therapy
- Exercise, especially weight bearing exercise
- Medically Supervised Weight Management
- Avoiding smoking and alcohol
Health Care Options for Perimenopause and Menopause
Perhaps one of the most important things to know about perimenopause and menopause is that you aren't alone. Approximately three million women transition to menopause every year and there are abundant health care options for both phases. Each woman will enter this phase in her life. During these transition years, remember that these symptoms are not forever. Your doctor can help get you through the storm, by teaching you to dance in the rain.
Certainly the scope of this topic is much more in depth and much more individualized than can be covered here. Knowing that the greatest years of your life don't have to be the darkest days, lends hope for every woman to reclaim her body.
Dr. Raman's Concierge Medical Practice is focused on caring for each person as a whole, not just a list of symptoms. Our office is committed to helping our patients stay well and maintain good health rather than treating patients only after they become ill.
For more information or to schedule an appointment with Dr. Raman, please contact us today.
Is Adrenal Fatigue Real?
It has been some time since I have talked about Adrenal Fatigue. As with anything in medicine, there is debate as to whether this is a real condition or a made up label for where there is no answer.
Before we can answer that question, it is important to understand the purpose of the adrenal glands.
The adrenal glands, also known as suprarenal glands, are small, triangular-shaped glands that rest on top of the kidneys. Their primary role is produce hormones that help regulate your metabolism, immune system, blood pressure, and regulate an appropriate response to stress.
The specific hormones released by the adrenal glands include:
- Cortisol – Cortisol helps control the body's use of fats, proteins and carbohydrates. It suppresses inflammation, regulates blood pressure, increases blood sugar and helps control our sleep patterns. Cortisol is released during times of stress to help in the flight or fight mode.
- Aldosterone – Aldosterone regulates blood pressure by directly by affecting the sodium and potassium pump. Aldosterone sends signals to the kidneys that direct sodium into the bloodstream and release potassium out into the urine.
- DHEA and Androgenic Steroids – These are precursor hormones that are converted in the ovaries into female hormones (estrogens) and in the testes into male hormones (androgens).
- Epinephrine (Adrenaline) and Norepinephrine (Noradrenaline) – These hormones increase the heart rate and force of contractility of the heart muscles. This leads to an increase in blood flow to the muscles and brain. Epinephrine and norepinephrine are often activated in stressful situations when our body needs additional resources and energy to endure ongoing stressors.
So what does all of this mean?
Let's simplify our understanding. Adrenal glands are needed to live. Period. It is our fuel tank. When we are born, the tank is full. Then, life happens that requires us to tap into those reserves. And when the demands out weigh the supply, a deficit occurs.
As we have understood from above, the hormones released from the adrenal glands are needed for overall survival. What happens when we run on empty? Fatigue sets in. Hormones are in chaos. The entire ecosystem of the human structure and function is in peril.
How do you know if you have this? Well, this is where we need to take a step back and really understand what our body is going through.
With the current lifestyle the world lives, I am sure we all have some degree of adrenal fatigue. Google the symptoms and I am sure most of us check off 90% of the list.
However, the difference between adrenal fatigue and adrenal insufficiency (Addison's Disease) is that the latter is a TRUE diagnosable medical condition.
Those that suffer from Addison's disease are unable to produce the hormones in adequate supply to maintain bodily function. The diagnosis is confirmed with laboratory testing. Every symptom must be watched and treated quickly and aggressively. Time is of the essence with Addison's.
Conversely, adrenal fatigue doesn't always have abnormal test results. This doesn't mean that patients don't have some diminish of hormone production. It just means that it is not as profound as in Addison's.
I am sure you're thinking that is great but how do I treat this so I can move on with my life?
When I first started learning and understanding about adrenal fatigue in 2007, I was sure the answer was replenishing with unproven garland of supplements. What I soon discovered was the supplements caused more issues than the fatigue itself. It didn't make sense to treat one thing only for it to lead into another issue. Over the years, I have continuously asked myself how can we treat something we are not sure is a real entity? Whether the label is real or not, the symptoms are!
Ok. So we know it is real, but now what?
How about looking back through previous years and recognizing the habits that could have led to this?
- How much processed foods did you consume?
- How strict were you about your sleeping habits?
- How active were you, really?
- How much did you handle and resolve stress rather than sweeping them under the rug?
- How many times did you make a choice you knew wasn't right?
- How many days did you neglect your "me time" thinking it was selfish?
- How many times did you put yourself at the end of the priority list?
There is no judgement here. We have all been there. Hind sight is 20/20. But it is never too late to refuel, replenish and revive!
Try and begin with these five basic steps.
1. Move at least 20 minutes a day.
2. Stop all screens 1 hour before bedtime.
3. Take a 5 second pause before acting on any choices you make.
4. Move yourself up on the priority list.
5. If it isn't going to matter in one year, let it go.
This will take time. Keep expectations out of the equation. Work for a lifestyle change. Not for an immediate gain. It all starts with simplicity. Simply staying present. Simply starting. Simply observing. Simply being!
Dr. Raman's Concierge Medical Practice is focused on holistic care and good health maintenance. For more information on natural ways to relieve stress, CONTACT our office today to schedule your appointment. You can learn more by following Dr. Raman on Facebook, Twitter, LinkedIn and Pinterest.
The Root Causes of Cravings – And What To Do About Them
Merriam-Webster's dictionary defines cravings as, "an intense, urgent, or abnormal desire or longing." We know that feeling all too well. Salivating at the commercials that lure us inside those restaurant doors, whiffs of free samples handed by sweet little ladies in the grocery aisle, or my personal favorite – the buy one get one free trick.
It seems whichever direction we turn, we cannot get away from the altered nutrition we call food. No wonder it is so hard to stay healthy. But it doesn't have to be! Before going head to head with these temptations, it is first important to understand the root causes of cravings, and then we will discuss solutions.
While the reasons are many, here are few explanations that may shed light on the mysteries of our palate and what you can do to help curb those temptations.
- Conditioning: Much like the analogy of Pavlov's response to a bell, we too have been conditioned to associate certain foods to environmental triggers. How many times have you sat down at home to watch a movie and had a sudden craving for popcorn? How about at the ballgame where you hear the pretzel and hot dog calling your name? Or when the summer carnival days has you longing for the cotton candy and funnel cakes? We, as consumers, absorb the silent suggestions of marketers. We subconsciously create a link between their product and our environmental familiarity.
Solution: When we become aware of our thoughts, we begin to question whether we truly want to indulge or if it is just a Pavlov's response to a past experience.
- Stress: Under the umbrella of stress includes emotional, physical, psychological, and spiritual triggers. Stressors cause a disruption in the adrenal glands which elevates cortisol. Surges of cortisol signal that an attack is occurring on your body. As a defense mechanism, the body searches for sources of fuel that can be broken down easily and quickly. Hence, under stress we crave sugar and salt.
Solution: Get help. Deal with the stress head on. Don't try to resist and fight the cravings. It is there for a reason. The cravings aren't the issue. Whatever is causing the stress is the issue. See your doctor, therapist, spiritual confidant or a friend.
- Leaky Gut: It always appears to come back to the gut, doesn't it? This has been a recurring theme in multiple, if not in all, health conditions. The gut is a source of serotonin production – our feel good hormones. In a weakened GI tract, there is decreased serotonin release leading to an increased cravings for processed foods
Solution: Heal the gut. Begin by going on a 21 day gluten, soy, dairy, grain and sugar elimination. Our taste buds have memory. It takes 21 days to reset the palate. This is not a diet or calorie deprivation technique. This is simply to take out what shouldn't be there in the first place.
- Leptin resistance: Leptin is a hormone produced in fat cells. Its primary role is to stimulate appetite and signal fullness. An increase in body fat and a diet high in sugar triggers an overflow of leptin release. This causes the brain to feel hungry even when it is not. The continuous cycle of leptin production eventually leads to leptin resistance. It is this resistance and the breakdown of communication within our system that causes insatiable cravings.
Solution: Limit processed foods. Even decreasing by 10% has significant healing on the body.
- Dehydration: Even a 1.5% drop in water can be felt in the body. According to Dr. John Higgins, M.D., Associate Professor of Cardiovascular Medicine University of Texas in Houston and Chief of Cardiology at Lyndon B. Johnson General hospital, "Dehydration can make it difficult for the liver, which uses water, to release glycogen. That can lead to food cravings." Dehydration also interferes with brain levels of serotonin.
Solution: Divide your weight by 2 and that is the number of ounces of water needed per day.
I am a firm believer that we must enjoy the indulgences life offers, but moderation is key! Containing cravings has less to do with weight and more to do with living. When you heal, you live. When you live, you awaken. And when you awaken, health and happiness is all you will ever know.
Dr. Raman's Concierge Medical Practice is focused on holistic care and good health maintenance. For more information on natural ways to relieve stress, CONTACT our office today to schedule your appointment. You can learn more by following Dr. Raman on Facebook, Twitter, LinkedIn and Pinterest.
5 Ways To Prevent Pre-Diabetes
Coming off of the holiday sugar rush, this month's blog couldn't have come at a better time: 5 ways to prevent pre-diabetes. With discipline, determination and an understanding, pre-diabetes can be controlled effectively with diet and exercise alone.
The Mayo Clinic defines pre-diabetes as, "The blood sugar level is higher than normal but not yet high enough to be type 2 diabetes."
The A1C test is a blood test that provides information about a person's average levels of blood glucose, also called blood sugar, over the past 3 months. The A1C test is based on the attachment of glucose to hemoglobin, the protein in red blood cells that carries oxygen.
- An A1C level below 5.7 percent is considered normal
- An A1C level between 5.7 and 6.4 percent is considered prediabetes
- An A1C level of 6.5 percent or higher on two separate tests indicates type 2 diabetes
Diet and exercise seems to be the go to answer for almost everything, right? When hitting the gym becomes a bore or tracking calories becomes a chore, it creates a slippery slope of frustration, discouragement and disappointment. How about making this time different by changing the way you look at health beyond the scope of calories in and calories out. Check out my five suggestions on how to prevent pre-diabetes.
- Become active in the community. Whether you join a book club, hiking group, or a cooking class, it doesn't matter. Studies have shown when we are surrounded by happy people, we become happy. Being engaged in society provides a release of any stress you may be carrying from the burdens of daily life. When stress is controlled, cortisol maintains homeostasis. With normal cortisol levels, insulin regulation and glucose metabolism is optimal.
- Meditate. You don't have to spend hours a day meditating. Quieting the mind for 5 minutes/day has shown to have dramatic effects on health. According to the July 10, 2017 issue of Time Magazine, "In a new study published in the journal Obesity, researchers from Penn State University randomly assigned 86 overweight or obese women to receive eight weekly sessions of either mindfulness-based stress reduction (MBSR), taught by a professional instructor, or general health education, taught by a registered dietitian. The MBSR group learned how to use mindfulness techniques—like meditation and breath awareness—to respond to stress. The health education group learned about diet, exercise, obesity-related health issues and general stress management. The goal of these sessions was not to help people lose weight, but to reduce stress and stress-related health problems. In that sense, mindfulness worked better. After eight weeks of training and eight more weeks of home practice, perceived stress scores for women in the MBSR group had decreased 3.6 points from the start of the study on a 10-point scale, compared to only 1.3 points for women in the health education group. Both groups experienced improvements in mood, psychological distress, and sleep-related problems. But only the MBSR group saw a decrease in fasting blood sugar levels—both right after training was completed and when the women were retested eight weeks later."
- Increase water intake. According to an article in The New York Times, being too dry releases a hormone called vasopressin. Vasopressin tells your kidneys to hold onto water and tells the liver to release stored blood sugar. So what is the optimal amount per day? The jury is still out on that. Most health care providers advise looking at the color of the urine. A light yellow urine indicates adequate hydration. Dark concentrated urine implies insufficient water intake. So just keep drinking until you can see through the pee.
- Team up. Partner up with your friends, co-workers, gym buddies and create a challenge for yourselves or join an upcoming race. Being together in a positive environment helps keep us on track. It creates a foundational support and a matrix of resources to keep us accountable. If you ever feel yourself falling off the path, grab your teammate for a hand up. This incredible network ensures a higher success rate and plus, let's face it, it is fun to do things together. As long as the competition remains healthy and the support unconditional, hormones work together in the same joy as teammates. The result equals a healthy you and happy you.
- Take a road trip. Let me explain. It is fascinating to see how other people in another city, state or country live. When we get caught up in the monotony of routine life, our creative flow halts in front of our faces. We don't know what to cook. We get bored of the same route to work. We lose the zest for experience. Getting a fresh perspective on new ways of living can stimulate excitement and help pull you out of a rut. Drive along a country road and talk to local farmers. Visit local restaurants and try out new variations to age old dishes. Peek in on ways other communities stay healthy. Link up with different people in various geographical locations via social media. The scope of learning is endless. Seeing the world through another's eye reminds us that life is good and health is good and together, all will be ok.
I know this list deviates from "conventional medical advice", but I feel we are bombarded with one study after another and one statistic followed by the next. The problems of our health only seem to be growing deeper. The United States continues to lead the way in obesity. We spend incomprehensible amounts of funding trying to control a disease process that we have created.
Now is our chance! Our chance to take it back to simpler solutions. Putting the simplicity back into a complex life is where healing and prevention will occur. Don't go looking outside for more research to come your way, more supplements to find their way into your medicine chest, more guaranteed diets that deliver unrealistic results or more promising science to undo what has been done.
Go back to what you already know: that everything you need is already within you.
Is Hormone Therapy Right For You?
There comes a point in our lifespan where the hormones biologically begin to slow down production and we begin to consider hormone therapy. When our body senses the slowing of stressors in our crazy lives, it has no need to keep up with the high demands of life. While this is a good thing, the decrease in quantity of the hormones results in a potpourri of symptoms. While more intricate endocrine pathways are being discovered, the global hormonal function remains constant. We feel fantastic when all hormones (estrogen, progesterone, testosterone, thyroid, adrenals, insulin) are in a synchronized balance.
We all know the body WILL change. We may long to feel like we did in our 20's. I am here to tell you, we can feel even better. There truly is no great mystery to understanding aging. Mid–life and menopause doesn't have to be the "dreaded" era. In fact, if approached correctly with love and patience, it can be some of the best times of life.
Another thing to keep in mind is that hormonal changes don't occur just in women. Men can experience the same degree of symptoms. We've all heard and some have experienced these symptoms. The symptoms of hormonal changes are extensive and exhaustive. Most of which we are all well aware.
The only thing that needs to be understood is SYMPTOMS OCCUR BECAUSE OF HORMONAL IMBALANCES. Each hormone plays a role in contributing to various symptoms. So how do you know if hormones are right for you? Before answering, ask yourself, "Are your symptoms debilitating enough that it is affecting quality of life?"
If the answer is yes, then hormones maybe what you need.
Hormone supplements are not a forever thing. You may only need them for a certain duration when life feels off balance. The goal should be to use the lowest dose possible for the shortest time possible. Do not depend on only hormones to help you. Stay committed to healthy nutrition, regular exercise and optimal sleep.
If you do choose to begin hormone therapy, continue to work towards creating a healthy lifestyle so that you may begin the process of weaning off of the hormones as soon as the body is able to hold its own.
What are the pros and cons to beginning Hormone Replacement Therapy?
- Alleviates hot flashes and night sweats
- Helps with vaginal dryness
- Helps maintain or restore bone strength
- Improves sleep
- May aid in weight loss
- Possible cardiovascular benefit but evidence is still unclear
- Possible decrease risk of colon cancer
- Helps in restoration of skin, hair, and nails
- Improves mental clarity and mood
- Small increase risk in breast and uterine cancer
- Increased risk of DVTs
- Slight increase in cardiovascular disease and strokes (The WHI study found a 29 per cent increased risk of coronary heart disease in those taking combined HRT)
- Small increase in gall bladder disease
The decision to start HRT (Hormone Replacement Therapy) should be well thought out. Having an extensive discussion with your physician can alleviate any anxiety about the uncertainty of hormone therapy. Each case is unique with varying factors. Listening and honoring your body will lead you to the right decision.
Remember, the minute you decide to start HRT, do everything you can to get off of them as quickly as possible. Use hormones as a crutch, not a permanent companion.
These truly can be the best years of your life! Aging is inevitable. Aging gracefully is optional. That is why I never tire of this topic. Embrace this passing cloud of inconvenience because the rainbow is waiting on the other side.
Dr. Raman's Concierge Medical Practice is focused on holistic care and good health maintenance. For more information on healthy eating habits and achieving and maintaining OPTIMAL health, CONTACT our office today to schedule your appointment. You can also learn more by following Dr. Raman on Facebook, Twitter, LinkedIn and Pinterest.
How To Keep Your Liver Healthy
The liver, also known as the ultimate multitasking organ, is underestimated in its importance and significance. That is why it is it should be a top priority to keep your liver healthy.
The liver, weighing in about 3 pounds, sits on the right side of the abdominal cavity. Situated below the liver sits the gallbladder and portions of the pancreas and intestines.
The liver serves in multiple roles:
- It helps to filter the blood from the digestive tract, before passing it to the rest of the body.
- It aids in detoxifying chemicals and metabolizing drugs.
- It helps secrete bile to assist in food breakdown.
- It makes proteins so blood clotting is possible.
- It helps break down damaged blood cells so that the body may remove them.
So what issues can arise if the liver is not operating at optimal standards?
There are many medical conditions associated with the liver, such as hepatitis, alcoholic cirrhosis, gall bladder disease, primary biliary cirrhosis, and hemochromatosis only to name a few.
According to ancient Ayurvedic and Chinese medicine, the liver is the primary organ responsible for removing toxins and purifying byproducts so that they may be delivered to the necessary organs in a purified condition.
When the liver is healthy and happy, the body will experience:
- Increased energy levels
- Clearer skin
- Regular menstrual cycle with reduced PMS
- Improved allergy symptoms
- Stronger immunity
- Fewer GI issues
- Improved oral health
- Improved mood and mental clarity
"A healthy liver results in better blood flow upward and outward, throughout our vessels, veins and capillaries, which transport oxygen and nutrients to our cells. The liver also interacts with other organs like the gallbladder, stomach and spleen, since it receives digested particles or toxins and decides what to do with them: circulate them around through the blood or eliminate them before they can cause damage." Dr. Axe
While the jury is still out on the efficacy of "liver detox", the American Liver Foundation outlines ways you can keep your liver out of trouble.
- Foods that have been shows to have protective effects include:
- Coffee (in moderation): Increases antioxidant levels while decreasing inflammation
- Tea: Black and green tea have been shown to improve fat and enzyme levels. Avoid green tea extract as it can cause damage to the liver.
- Grapefruit: The two main antioxidants found in grapefruit are naringenin and naringin that reduces inflammation.
- Blueberries/Cranberries/Grapes
- Beetroot juice: Protects the liver from oxidative reactions and increases detoxifying enzymes.
- Cruciferous vegetables: Be cautious with concurrent thyroid conditions. These vegetables have been found to increase detoxifying enzymes.
- Nuts: One six-month observational study in 106 people with non-alcoholic fatty liver disease found eating nuts was associated with improved levels of liver enzymes.
- Fatty fish. Studies have shown that fish help prevent fat from building up, keep enzyme levels normal, fight inflammation and improve insulin resistance.
- Olive oil. Helps prevent fat accumulation in liver and improved blood flow.
- Limit alcohol.
- Manage medications.
- Avoid prolonged exposure to toxic chemicals. Use natural hair and skin products as well as natural household supplies.
- Avoid excess supplements. Iron, Niacin, Vitamin A have been shown to be harmful to the liver in excess doses.
- Avoid a plethora of unnecessary herbal products. A recent study in the journal Hepatology claims that liver injury due to supplements and herbs is on the rise.
- Get the heart rate up and just move.
While discussions of liver health often end up taking a back seat to more exciting health news, it is a vital component to achieving greater balance. So drink your coffee, limit your supplements and get your body moving!
Dr. Raman's Concierge Medical Practice is focused on holistic care and good health maintenance. For more information on healthy eating habits and achieving and maintaining OPTIMAL health, CONTACT our office today to schedule your appointment. You can also learn more by following Dr. Raman on Facebook, Twitter, LinkedIn and Pinterest.
Preventing Osteoporosis In 4 Easy Steps
As we all age, our bones become thinner. This isn't just a sign of aging, but is a disease known as osteoporosis. Preventing osteoporosis is something you hear about, but did you know there's another disease similar to osteoporosis that's just as dangerous called osteopenia?
Very few people understand how widespread osteopenia and osteoporosis are. In the United States, about 8 million women and 2 million men have thin bones, or a condition called osteoporosis, and another 34 million Americans have low bone mass, also known as osteopenia.
Osteopenia is a reduction in bone mass that is lower than a normal bone mass. This is a precursor to osteoporosis. Osteoporosis is a condition marked by low bone mass, a thinning of the bone, which can lead to a weakening of the bone architecture and increased susceptibility to fracture – typically of the hip, wrist or spine.
But how do we recognize these diseases? What are their risks? How do we slow down their symptoms? How do we recognize their warning signs? More importantly, how do we treat it?
Stop Smoking
Smoking impacts a person at risk for developing osteoporosis. Cigarette smoke generates huge amounts of free radicals — molecules that attack and overwhelm the body's natural defenses. The result is a chain-reaction of damage throughout the body, including cells, organs and hormones involved in keeping bones healthy. Smoking triggers other bone-damaging changes, such as increased levels of the hormone cortisol, which leads to bone breakdown. Because those who smoke have weakened bones, they are likely to experience exercise-related injuries such as fractures, breaks or sprains. Also, a person who smokes is more likely to have a longer recovery period and greater risk of complications following any sustained injuries than someone who doesn't smoke.
Quit Excessive Alcohol Use
Alcohol interferes most with bone formation by inhibiting adequate calcium absorption. Alcohol interferes with the pancreas and its absorption of calcium and vitamin D. Alcohol also affects the liver thereby inhibiting activation of, vitamin D, Vitamin D is needed to aid in Calcium absorption. As with smoking, excessive alcohol use has a wide range of damaging health effects for any person, but is particularly damaging for persons at risk for osteoporosis. The good news: when someone quits drinking, bones may recover fairly rapidly. Some studies have found that lost bone can be partially restored when alcohol abuse ends.
Improve Diet and Exercise
The importance of exercise in the fight against osteoporosis cannot be underestimated. Changing to a healthier diet can have little effect on bone mass when not combined with regular exercise. Starting the right kind of exercise in combination with other preventive measures like appropriate diet can help build bone mass especially in high risk fracture sites like the wrist, hip and spine.
Increase Calcium Intake
Sufficient amounts of calcium are required for bone strength. The body uses calcium for the heart, blood, muscles and nerves. Without the proper amount of calcium intake, the body will strip calcium from the bones where it is stored, causing the bones to get weaker. It is estimated that 55% of men and 78% of women over age 20 in the U.S. do not get enough calcium in their diet. It is important to note that since the human body cannot produce its own calcium, adequate calcium intake is critical in the battle against osteoporosis. To learn which type and how much is best for you, contact our office to schedule an appointment.
Navigating the aging process does not need to be cumbersome or cause you unnecessary worry. That is why it is best to create a relationship with your doctor where you can be free to ask questions and discuss your concerns openly.
Dr. Raman is focused on holistic care, a pleasant office experience and good health maintenance. Dr.Raman's Concierge Medical Practice is focused on caring for each patient's individual needs with comprehensive, individualized treatment options and health programs. Our office is committed to your health, and helping you find the best solutions for you and your particular needs.
For more information or to schedule an appointment, please CONTACT our office today! You can also learn more by connecting with Dr. Raman on Facebook, Twitter, LinkedIn, and Pinterest.
What No One Tells You About Menopause
Menopause, a women's worst nightmare or is it? By simply understanding the basic science, we can clear the myths of this dreaded change and make it the most empowering years of a women's life.
The two predominant hormones are Estrogen and Progesterone. Menopause is nothing more than a mirror image of menarche, or the start of menses.
In the pubertal years, the E2 (Estrogen) and P4 (Progesterone) begin to increase in quantity in preparation of future pregnancies. During this time, there is an imbalance of E2 and P4 which occurs that results in PMS, development of female habitus, acne, mood changes and so on.
During the 20's and 30's, E2 and P4 are in prime balance which allows the opportunity for the woman to conceive. When in equilibrium, a woman feels her best.
Around 35 years of age, the body begins to prepare to slow down. This is the time, the change STARTS.
E2 and P4 levels begin to biologically drop. Progesterone declines twice as fast as Estrogen. It is this imbalance between the lower Progesterone in relation to the higher Estrogen that causes menopausal symptoms.
Walking around with higher than needed Estrogen leads to higher risk of breast, uterine, or ovarian cancers, blood clots, and heart disease. Progesterone is there to keep Estrogen from over stimulating the cells. Progesterone also helps with sleep, balances your mood, acts as a diuretic, and gives an overall sense of calm.
When Progesterone declines in respect to Estrogen, it creates a phenomena known as Progesterone Deficiency or Estrogen Dominance.
This is when women experience acne, mood changes, sleep issues, cravings, slowed metabolism, weight gain around mid-section and hips. In essence, menopause is a mirror reflection of menarche.
The solution? That is the million dollar question. Pre-menopause, Peri-Menopause, Menopause, Post-Menopause-whatever phrase you choose to describe this phase is irrelevant because the concept is the same.
Crossing the turbulent rivers of menopause is much easier and simpler than we think because we now understand why the body is changing the way it is.
So how do we get through these years? Here are few things to remember:
- Breathe. This is not a permanent! The hormones are trying to find their balance and they eventually will. No one can predict how long this will take. And nothing can be done to speed up the process. The body is only trying to protect you. Allow it to do so. Don't condemn the changes you are experiencing. The body is your armor, your voice and your friend. Understand what it is trying to tell you when it speaks to you in the form of symptoms.
- Stop worrying about the weight. The weight is a symptom like anything else. Weight gain occurs due to Estrogen Dominance/Progesterone Deficiency. There are alpha and beta receptors throughout our muscle and adipose layers in the body. Depending on how those receptors are activated in each person, is where the weight change will occur.
- Watch your diet and move your body. Our foods are coated with Estrogen and other chemicals which worsens Estrogen Dominance. It is imperative to cut out gluten, sugar, dairy. Eat clean and as unprocessed as possible. Additionally, without exercise don't expect the body to change. Your body will not respond how it did was few years prior. And that's ok. But it doesn't mean that it won't change. This will just become the new norm. One of the places Estrogen is converted is in adipose tissues. So the more fat you carry, the more estrogen it will convert, thereby again, worsening Estrogen Dominance. Striving towards optimal body fat will help keep Estrogen Dominance controlled. Focus on feeling balanced, not skinny.
- Make sleep a priority. Without sleep the adrenal glands cannot function at their best. The disruption to the cortisol results in further Progesterone depletion. Turn off the devices and sink yourself into restful slumber.
- Meditate. When the mind is silenced amongst the chaos of life, we are able to center and align to the root of our existence. Take 5-10 minutes a day, close your eyes and go to the places that feel off balance and listen for the guidance given.
- Use hormones. I am all for using hormones, IF AND WHEN IT IS NEEDED. Treating with hormones during menopause is certainly not mandatory. The fundamental question to ask is, "are my symptoms debilitating enough that it is affecting my quality of life?" If the answer is yes, use the smallest amount needed for optimal results. Hormones are like the waves of the ocean. Anything can affect them – sleep, weight, seasonal changes, stress levels, nutritional habits, exercise commitment. You may need hormones for a while and decide later they are not needed. And depending on what's going on in life, may need them again. There is no one answer. The correct answer always is what your body tells you it needs. Hormones are not the magic solution to these symptoms. They are only a crutch to lean on while working on lifestyle modifications.
- Stop comparing. Don't compare yourself to your past self. Menopause is a beautiful opportunity for growth and experience. Just keep remembering the symptoms we experience is the body protecting us. This cloud WILL pass! Learn to dance in the rain and embrace the glory of being a woman. This is a period of transformation, revitalization and rejuvenation.
Menopause is the process of shedding the layers of struggle. But just be patient my friends because the wings of healing are opening to reveal the vastness of all that is authentically you.
Dr. Raman's Concierge Medical Practice is focused on holistic care and good health maintenance. For more information on healthy eating habits and achieving and maintaining OPTIMAL health, CONTACT our office today to schedule your appointment. You can also learn more by following Dr. Raman on Facebook, Twitter, LinkedIn and Pinterest.
Your Guide to a Gluten-Free Lifestyle
Does maintaining a gluten-free lifestyle measure up to the promised hype of feeling better? That's the million dollar question. Let's take a look at this more closely and recap what we already know about gluten.
Gluten is a composite of storage proteins found in wheat, barley, rye, and oat. It gives elasticity to dough, helps it rise, keeps its shape and gives food a chewy texture. But here are a few reasons why gluten has earned a bad rap:
Gut Inflammation. The proteins in wheat are gut irritants which dig into the lining of the gut wall, causing amylase trypsin inhibitors to provoke an inflammatory immune response.
Increased Intestinal Permeability. The gut is a patrol system that regulates which nutrients may enter and which may not. Inflammation in the gut caused by gluten halts that process of control. It loosens the junctions between cells in the gut wall so too much stuff can pass through. Hence the name of "leaky gut." This leak is thought to be the number one contributing factor to developing autoimmune disease.
Vulnerability to Gut Autoimmunity. Gliadin is a component of gluten and once it enters the system, the problems begin. The exposure to gliadin causes one's body to form antibodies against its own tissue, thereby creating an avalanche of toxins. Gluten-related inflammation may also be a factor in the development of Crohn's Disease.
Autoimmune Reactions. Studies have found wheat exposure might be causing autoimmune issues even without evidence of celiac disease. With the abundance of GMO's, there have been an exponential surge of autoimmune disorders thought in part due to the toxic effects of gluten.
Symptoms of gluten sensitivity can vary. Some common ones include:
- Fatigue
- Mood changes
- GI issues
- Poor sleep
- Rash (Dermatitis Herpatiformis is specific to gluten)
- Hormone dysregulation
- Hair loss
- Weight changes
- Joint/muscle pain/swelling
If these are reasons enough to make you want to consider cutting back on gluten, here are steps you can take to make the process a little easier.
- Get educated. There is nothing more empowering than understanding exactly why you are choosing this path. When I first began my gluten free journey it was not by choice, but out of necessity. I was one of the few that experienced all 10 of the above symptoms. It was daunting and overwhelming. I simplified the process by reading. A great way to start is with the book "Wheat Belly" by Dr. William Davis. Dr. Davis takes you through the history of how gluten has become toxic to our system. Sit with the information and absorb the rationale of why maintaining a gluten-free diet can be life-saving.
- Make a list of the foods your currently eat. Rather than trying to figure out which foods do or do not have gluten, start by streamlining and looking at your own diet. Make a list of all the foods and ingredients you eat on a regular basis. Then begin researching that specific food. Remember – gluten is not listed as an ingredient. It is a protein! You won't find it on the label. You will learn over time how gluten is disguised in various forms.
- Start slowly. Don't expect yourself to change overnight. It is not safe for the body, nor is it healthy. Start by decreasing a certain percentage of what you are currently eating. For example, eat only one slice of bread with your sandwich rather than two. This small change can make a significant impact. Remember, gluten is inflammatory. As you decrease your intake of gluten, body inflammation also diminishes. This will result in decreased cravings and an overall decrease in inflammation.
- Limit the gluten-free foods. While reaching for gluten-free cookies is nice when you need that sugar fix, gluten-free products are filled with other ingredients and chemicals that are not good for us. In August 2013, the FDA issued a final rule, effective August 2014, that defined the term "gluten-free" for voluntary use in the labeling of foods as meaning that the amount of gluten contained in the food is below 20 parts per million. This means only a small portion of the food needs to be gluten-free to earn that label. It very well could be that the other portion in the food is not. If you wouldn't eat a regular cookie, then you shouldn't be eating a gluten-free one. Indulgences are ok as long as they remain on that special occasion.
- Clear out expectations. Lose the idea that going gluten-free will be the "IT" weight loss miracle. Because it is not! If you lose weight from removing gluten, it is because you are caliberating your metabolism. While weight loss may be an added benefit, the real reward is overall health. When the body is balanced and brought to its natural homeostasis, everything will be in perfect working order, including the weight. Don't chase the weight loss. Allow it to present itself to you along with all of the other great benefits!
Gluten-free eating is truly not the next fad. There are many, and more to come, unfolding studies and evidence of benefits to living gluten free. It is not a quick fix. We didn't get here overnight. So stay the path. Stay focused. Stay determined and above all STAY COMMITTED!


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Captured by Nikki
- Champaign, IL
- Photographer
- Travels up to 60 miles
- $100-&1,850
I am a fun photographer that loves to capture the moment! I have been doing photography since 2009.
I do photography for weddings, engagements, maternity, senior photos, family photos, events, parties and more.
Please feel free to contact me with any questions you may have!
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Price Range: $100-&1,850
Languages: English
Hello! My name is Nikki. I am a fun photographer that loves to capture the moment! I have been doing photography since 2009. I do Senior photos, Family photos, Weddings/Receptions, Maternity photos, Baby photos, Parties/Special Events and more. Please send me a message for more information or go to my social links listed here to see examples of my work. I look forward to hearing from you.
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I said I was going to post some pictures from when we went so here they are. The kids had a lot of fun and we did get zapped a few times.
Here is the entrance to the building. This is Dan and the kids walking in.
In the lobby after you pay ($5/person but we had two free admissions so we only payed for one) this thing will zap you. Put your left hand on the knob and as you crank the right hand knob your left hand gets zapped. We all got zapped, except X who refused to touch it.
We stayed here for a while. This is called a Wimshurst electrostatic influence generator.
It creates a 60,000 volt spark between those two ends in the middle. It was pretty cool. You just crank it and can see the spark.
They had a workshop set up where you can learn about electricity. You can hook up lights, motors and fans up to a battery. The kids loved it and we spent a long time there.
This gave the kids an opportunity to play with some magnets and a TV. Do not attempt this at home! They thought it was pretty cool.
Static electricity, we got zapped here several times. You turn cranks and if you got too close you got zapped.
Me and the kids sitting in an old chair.
The Florence Bakken Medicinal Garden
I think I would go back here again because there were a lot of interactive things to do.
Thursday, June 04, 2009
The Bakken Museum
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Book Review: Money Never Sleeps - Tu-Shonda Whitaker
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Single width curtains 72" drop
Nearly new fully lined curtains bought from Dunelm for £60. We're in a spare room for a short period. Fully dry cleaned. From a pet and smoke free home. 48" wide by 72" drop.
Nearly new fully lined curtains bought from Dunelm for £60. We're in a spare room for a short period. Fully dry cleaned. From a pet and smoke free home. 48" wide by 72" drop.
Selling used plaster. Originaly was there 20 kg of plaster, was it open and used maybe 1 kg of plaster.
Alice in the country of hearts books first 3 And Alice in the country of clover chesier cats walz. Selling for £18 because the chesier cats walz books have been loved. You can see round the edges in image.
Gino Ferrari Brio Wheeled Laptop Backpack, been used a handful of times, still in really good condition. Padded Compartment for Laptop Storage, fits most 17" Screens Flush-Fit Monopole Retractable Handle System In-Line Skate Wheels Fully Lined
Hello, This keyboard is in good condition and everything working fine. Collection available from Sunday the 8th of July.
Hardly been used and selling due to moving house. £30 ono Changing Table with Mat. Posted by Calum in Nursery & Children's Furniture, Changing Tables in Borrowstounness. 6 July 2018
Rickenbacker 330 in Mapleglo. Excellent condition.This is a 2009 model. Surplus to requirements these days hence the reason for selling. Comes with Rickenbacker case.
Used but in a v good condition. From some and pet free home.
Two black IKEA side tables. Used but in good condition. Both for £5.
Multiple bikes/go kart for sale
Taekwondo little tiger suit.
Top, trousers and belt
Size 4 would fit age 3 to 5
Excellent condition
From smoke free home
Collection only
Ad ID: 1270540379


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Joolz Essentials Fitted Sheet - Off White
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Joolz Essentials Fitted Sheet - Off White
Joolz we believe that relaxed parents make relaxed babies. That's why they do everything to help you enjoy everything to the full!
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Kelela makes futuristic R&B both intimate and epic, fluid explorations of love and loss that thread her sinuous vocals throughout a cavernous soundscape of pulsating beats and shimmering synths. The effect, overall, is nothing short of hypnotic.
On "Take Me Apart," the debut studio album she released to widespread acclaim last month, the singer, 34, deepened and evolved her unique sound, doubling down on intricate sonic textures and more complex vocal arrangements to create a record that would cement her dual reputations as one of R&B's fastest-rising stars and its most daring experimentalist.
Now, Kelela's taking the album on the road, touring North America and Europe. Ahead of her sold-out stop at the Middle East Downstairs in Cambridge Saturday, the singer spoke to the Globe by phone about the tour and her thoughts on the role of the artist as social advocate.
Q. What does it feel like to have "Take Me Apart" out in the world?
A. I feel really blessed, because everyone seems to be taking it really personal, which for me is really cool. Everyone seems to be in their feelings about it, and having a moment with themselves with it. It's not the thing that everyone's listening to together; it's an intimate experience with yourself. I've got messages from friends and fans, and one thing I've noticed is that my fans are really smart, really complex in terms of their thinking. They think in layered terms, in really complex terms. So the way they're giving me reinforcement is so specific; they're describing details, and that's really cool.
Q. How do you feel about taking the album on tour?
A. There is a little nervousness. [Laughs] You want to be on point, and I'm very critical of myself when it comes to that, though I'm also really excited because it's the first time I've worked with background vocalists, and the first time I've incorporated that with keyboards, and leaned into the full-time permutations of what I'm trying to say. There's a whole other way I'm able to communicate the songs live.
Q. Are you particularly excited to play any of the songs live?
A. I'm excited to do "Better." I'm really looking forward to really all of them, but especially that one. There's a different way these songs are translating live, and that makes me feel happy and fulfilled in a different way. It's through the new things that are being added, the keyboards and backing vocals. "Take Me Apart" is really cool, "Enough" is really cool. They're all songs that feel quite epic, and I've always just wanted to be really grandiose, and I think that is going to happen, which I'm pretty excited about, even in pretty small venues. [On the album] I just wanted to share what was really going on with me and trying to be honest about what that is, and then there's the other side of hoping it gets received in the way you intended. What I'm experiencing now are all these affirmations and confirmation that the music is very relatable, and that people get me. I feel understood, at the end of the day. I can't wait to see and feel that live.
Q. You recently wrote a piece for Resident Advisor about the specific challenges of being a black woman in the music industry. What was that experience like for you?
A. After it was complete, it was really nice to feel that I had expressed myself. Black people can find a lot of solace in reading the experience of a peer, but I basically wrote that piece so all the white boys who read Resident Advisor can be processing their positionality in the world, and thinking about the way they understand things to be differently. I'm excited to continue to do stuff like that, because I feel like what I'd write for my black peers is different than what I'd otherwise write. There's so much context that matters. I feel very happy about putting my feelings out there in all the ways that I can.
Q. You're politically vocal in many of your interviews. Do you feel like prominent artists have a responsibility to address social issues through their platforms?
A. I don't think anybody has to do that — especially black people. Black women are dealing with a lot already, and explaining it to the world or being some beacon of social justice and fairness, being the Statue of Liberty or whatever, like I'm good. Having to deal with the world from that place is already enough, and there are ways in which we contribute that don't manifest themselves in that particular way. It's something I actually have been discussing a lot with my black women peers, where it's like I want to participate in the way that I want to participate, and I want to contribute to things getting better in the way that I want to do that, and I don't want people policing me on how to do that.
Q. To the tune of what you're saying, it's infuriating how often people of color are still being asked to perform the emotional labor of educating white people about social injustice, particularly those issues that most affect people of color.
A. It feels redundant, also. I do this every day. Not only do you have to deal with the thing, but also you have to be the bulwark of it, and that is asking Angela Davis to volunteer. [Laughs] None of us are Angela Davis, but it's like asking someone who's constantly on their grind to grind harder for you, so you can improve. That's a thing. And [expletive] that.
"Mamma Mia! Here We Go Again" is great summer fun.Continue reading »
The work of 60 photographers is represented in a wide-ranging juried show.Continue reading »
Her 11th album is rooted in the highs and lows of domesticity from its opening chords.Continue reading »
Even viewers who aren't students of the Stephen King multiverse will find the Hulu drama worth watching.Continue reading »
"Too Big to Know" examines how to manage the boundless supply of knowledge made possible by the Internet.Continue reading »
Alan Taylor, who directed nine episodes of the series, will helm the film, a prequel called "The Many Saints of Newark."Continue reading »
Her show at Robert Klein Gallery @ Ars Libri memorably mixes media.Continue reading »
His reconstruction of the 1958 suspense classic replicates the original using only clips from other movies shot in and around San Francisco.Continue reading »
Capsule reviews of "Dear Leader," "North Korea Undercover,'' "North Korea and Nuclear Weapons,'' and "Stop North Korea!''Continue reading »


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Take a step into the Belém home to enjoy Lisbon in style and comfort. Two airy bedrooms, a private patio as well as an airy open-plan kitchen provide enough room to accommodate a larger family, or a group of friends. Sample the authentic Portuguese design thanks to the carefully displayed design furniture, rustic wooden parquet or floral wallpapers. The quirky Belém serviced apartment is housed in the beautiful Baixa House.
Embrace a luxury cosmopolitan lifestyle as you step into this sleek and spacious apartment. Sleeping up to nine people in superior comfort and located in the heart of Vienna's first district, this is truly a rare gem of a home. With silky soft furnishings, elegant parquet floors, and a chic marble bathroom, large groups are sure to leave feeling indulged.
Indulge in a plush and memorable stay with your loved ones. The two-bedroom Vienna Penthouse, located in the heart of the city centre, has plenty to offer. Serene and atypical interiors, spacious common areas and a terrace with striking views on St. Stephen's Cathedral make it a perfect hideout for a weekend getaway with your family.
Large groups looking to celebrate something special should not miss the opportunity to stay in this spectacular apartment. Feast together in the grand dining room, enjoy board games by the light of an opulent chandelier, and fall asleep with ease in one of the sumptuously soft beds.
Overlooking a green courtyard, Urban Composure is located in the up-and-coming area of Prague. Popular with business travellers and couples, it has all one needs for a comfortable stay. Wake up refreshed and start your day with a walk along the historical art nouveau buildings.
Los Granados is an ideal home for families, as the beach and a large swimming pool are only a stone throw's away. Enjoy a siesta in the cooling living room or a glass of wine on your private terrace as the sun sets.