b'CODING Update ComplianceLEGAL NUTRITIONUpdateANJC NewsANJC Leadership ANJC News! NUTRITION5 Nutrition Topics Your Patients LEGAL EASE Will Ask You About in 2021By Dr. Steven Zodkoy REHAB Updatebut lifestyle changes are key. Here are the steps I use in my The line between physical and emotional complaints has ANJC Scholarships been blurring for years, but in 2020 it was obliterated. Theoffice.emotional trauma of 2020 has led to an increase in physical Labs: CBC, metabolic panel, insulin, lipid panel and thyroid complaints that require more than an adjustment to correct. Utilizing lifestyle changes and nutritional supplements withpanel. chiropractic adjustments will offer many of your patients aMeasurements: Weight, % body fat, water, lean muscle, more thorough and complete relief. You do not need to beBMR - I use a scale.CHIRO AssistDiet history with carb, protein and fat % - I recommend the a nutritional expert or carry nutritional supplements to offer LEGAL Q&A sound and effective nutritional advice. free Carb Manager appThe above gives you a strong base to recommend a diet forExecutive Directors Update your patient. All diets today follow the same general rule: 2020 ANJC AWARDS low carbohydrates. Low carbohydrates are so common to most diets because many Americans are insulin resistant, have metabolic syndrome, consume too many simple carbohydrates, and it makes it easier to target empty calo-ries. The Mediterranean and South Beach diets use a low carbohydrate diet and a balance between fats and protein, Legislative Update the Paleo diet is low carbohydrate and high protein, and INSURANCE Update INSURANCE Update the Keto diet is low carbohydrates and high fats. The key to any of these diets is to make sure that a person burns more TECHNIQUE Update calories a day than they take in. A good rule is to have their calorie intake to be 20% lower than their Basal Metabolic Rate (BMR). This is easily monitored by using a calorie counting app, like Carb Manager.Americans are going to be turning to their healthcare professional more than ever to help them overcome theirExercise is a key step to increase calorie usage. I recom-mend a minimum of 120 minutes a week. Patients who are MedicareQ&AMedicare Update chronic health issues that may not be causing them pain, not used to exercising can start with as little as a 20-minute OUR HEALTH walk at lunch time. Weight loss is a numbers gameevery but are reducing their quality of life. Chiropractors are uniquely qualified to improve their patients quality of lifecalorie burned matters and every calorie avoided matters.through adjustments, lifestyle changes and nutritional Nutritional supplementation for weight loss is less important supplementation. There are five chief complaints that are an issue for overthan calorie restriction and increased calorie burn. 80% of your chiropractic patients, and advising them on howNutritional supplements become more important when to deal with these issues will improve their health and theirthere is an abnormal finding on the lab report. Examples of results in your office. Luckily, the major health issues Amer- nutritional supplements for abnormal lab results:icans complain about have a lot of overlap and addressing1.Slow thyroid: iodine, selenium, thyroid glandularone issue will usually correct other complaints. Many of2.Low T3: guggul converts inactive T4 into the more these health issues can be resolved with lifestyle changesactive T3and nutritional supplementation. Correcting these issues will3.High Cholesterol or Triglycerides: Omega-3greatly improve your patients care and improve their ability to hold their adjustments.4. High Insulin: flax seeds before a meal, chromium, holy basil, ginseng, cinnamon and gymnemaThe Top 5 Chronic Health Issues your patientswant your guidance on: Note: Gymnema is an amazing herb, it is excellent for lowering glucose levels and moving glucose into the cells, WEIGHT LOSSis always a major concern for Americans,BUT it also an excellent diet aid. If taken in an oral form, it especially at the beginning of the year. A person up to 20blocks the tongues receptors to sweetness, so patients have pounds over their ideal weight is considered overweight,no desire for carbohydrates. I often tell my patients to take a while a person 20+ pounds above their ideal weight isfew drops and swish it around their mouth for a few seconds considered obese. Together these two groups include 66% ofafter a meal to reduce food cravings and snacking, I person-all Americans. There are several ways to approach weight loss,ally recommend a keto diet for my patients. The Keto Diet 16 I Winter 2021 www.anjc.info'