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Featured public protocols

Recommendations from athenahealth Partner Store, available to anyone who visits this store.

Sleep Support (Neurological Health)
4 more items in Sleep Support (Neurological Health)
Sleep is essential for good health, yet it is reported that up to 30% of people experience difficulties with falling or staying asleep. ( 24 ) One study found the number of people suffering from various sleep disorders has also been on the rise. From the year 2013 to 2016, increases were seen in the prevalence of narcolepsy by 14%, idiopathic hypersomnia by 32%, periodic limb movement disorder by 30%, and rapid eye movement sleep behavior disorder by 64%. ( 2 ) Sleep disorders can occur as a secondary disease from other disorders or they can be considered the primary disease affecting a patient. A meta-analysis found that patients with anxiety, eating disorders, pervasive developmental, borderline, and antisocial disorders, and schizophrenia all experienced some sort of alteration to sleep. None of the conditions studied had similar polysomnographic profiles, suggesting each condition may have different underlying mechanisms. ( 6 ) Depending on the factors associated with disturbed sleep, a variety of therapies may be used. Interventions such as sedatives or anxiolytic pharmaceuticals are available; however, the American Academy of Sleep Medicine endorses the use of melatonin, light therapy, and behavioral interventions as the primary treatments. ( 4 ) The protocol presented below represents research findings to aid in achieving and maintaining good sleep.
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Stress and Adrenal Support (Neurological Health)
8 more items in Stress and Adrenal Support (Neurological Health)
Stress impacts adrenal function and may cause fatigue, cognitive impairment, anxiety, and depression. Burnout syndrome is a result of stress and has been receiving more attention as its impact in the medical field has been increasing. In a systematic review of 182 studies, the total estimated rate of burnout among physicians was as high 67.0%. ( 16 ) While physicians consistently have higher rates of burnout and stress than the general population, the prevalence of stress in the general population has been increasing as well. In 2020, stress prevalence in response to the global pandemic was cited at 29.6% according to a systematic review and meta-analysis of five studies. ( 17 ) Consistent or prolonged stress to the point of burnout negatively contributes to overall health. Risk of chronic fatigue, cardiovascular disease, and mortality all increase with chronic stress. ( 12 ) Stigma around seeking help may prevent some people from reaching out at earlier stages. When surveyed, medical residents most commonly were concerned about negative consequences with their career if they took a medical leave. ( 5 ) Actively looking for signs of stress, alleviating them, and preventing further adrenal damage are essential to assisting patients through hard times. Supporting adrenal gland function or modulating stress response through other physiological mechanisms is an important aspect of integrative care for this patient population. The ingredients presented in the protocol below reflect research findings demonstrating the efficacy of herbs and supplements that might be used to support adrenal function and alleviate stress.
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Everyday Health (General Wellness)
7 more items in Everyday Health (General Wellness)
In designing a protocol for general wellness in adults, several aspects were considered. First, what are the top causes of morbidity and mortality in North America? Second, what are some ingredients with sufficient evidence to support a wide variety of conditions or health concerns that may be broadly applicable to this population? The most common conditions affecting North American adults include cardiovascular disease (e.g. heart attack, stroke), cancer, respiratory conditions, cognitive decline, musculoskeletal disorders, and mental health concerns. ( CDC 2021 ; Vos 2020 ) Dietary and nutrient risk factors for these conditions may include low omega-3 intake ( Abdelhamid 2020 ) and low vitamin D intake ( Rejnmark 2017 ). Nutrients such as magnesium ( Mah 2021 ) and B complex vitamins ( Young 2019 ) may also reduce morbidity associated with these conditions. Lastly, the herbal adaptogen ashwagandha was chosen for its potential role in improving stress, sleep, and overall quality of life. ( Langade 2021 ; Lopresti 2019 ) While there are many ingredients that may be considered part of a general wellness protocol, the Integrative Medical Advisory Team (IMAT) has selected these based on general safety, effectiveness, and broad applicability and availability to the adult population.
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