Body Composition Analysis for Prevention, Wellness

When I meet a new patient I spend 90 minutes with them, piecing together an extensive timeline, working decade by decade to create a thorough personal history, both generational and environmental. It’s the first step in developing a holistic view of the patient. The next step is testing – looking for the normal, the abnormal, and the path toward prolonged health and vital aging.

This year, I expanded my offerings to include new methods of health assessment, bringing in high-tech tools that screen for and monitor biomarkers of health and risk of disease. In the weeks to come, I will be sharing information on the office’s new technology. I hope that you, too, will recognize the importance of wellness through prevention and not wait until you are “sick enough” to take steps toward living optimally.

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Surgical Success: How “Prehab” Exercise Affected My Recovery

Studies show that a contributor to successful rehabilitation is prehabilitation or prehab, an exercise program started prior to surgery. Formerly affiliated with orthopedic operations such as knee and hip replacements, prehab has become more mainstream in the treatment of cancer patients, as early research reveals that becoming fit prior to cancer surgery may reduce the risk of cancer recurrence and progression, improve the effectiveness of treatment, reduce the side effects of chemotherapy and improve energy, self-image, confidence, and quality of life.

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Excessive Exercise May Hurt the Heart

February is American Heart Month, and as heart disease is the leading cause of death for men and women in the United States, it’s not only a good time to raise awareness about heart health, but to address how excessive exercise affects this essential organ.

Studies show that when it comes to exercise there is a “sweet spot,” and that high levels of intense exercise may be damaging to the cardiovascular system. Makes sense, as when we add stress to our hearts we raise the risk for skyrocketing blood pressure and atrial fibrillation, an irregular heart rhythm that can lead to heart failure or stroke. Research reveals that most at risk are white men who exercise at high intensity, and that prolonged high intensity exercise may increase the risk of death from a heart attack or stroke in those who already suffer from heart disease. In addition, data suggests that those who consistently train for and compete in endurance events, such as marathons and long distance bicycle races, are at risk to experience heart-related consequences.

But don’t toss the treadmill just yet. High intensity and extreme exercise are loosely defined as several hours of vigorous exercise almost every day, which describes elite and/or endurance athletes. The U.S. national guidelines for exercise call for 150 minutes a week — roughly 20 minutes per day — of moderate-intensity exercise, such as walking, hiking and golfing, or 75 minutes a week of vigorous activities, such as running, biking, swimming and strenuous sports.

Let’s face it: An active lifestyle can lead to a healthy life, so omitting exercise is not a wise decision. Inactivity increases our risk of obesity, heart disease, type 2 diabetes and more. In fact, a new study claims that bypassing exercise and maintaining a sedentary lifestyle may be more harmful to your health than smoking. Exercise not only offers improved physical health, but significant mental and emotional advantages as well, including enhancing mood and self-esteem, boosting energy and alleviating depression.

If you are worried about your blood pressure spiking to an unhealthy level, it may be advantageous to check it before and after exercise, with a goal of keeping the systolic (top) number below 190. And if you are an endurance athlete, mention your regimen to your physician and perhaps you can schedule routine checks of your heart and vitals. As with most aspects of a healthy and fulfilling life, balance is key.


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Colonoscopy Screening Saves Another Life

Make An Appointment Colonoscopy

Make An Appointment Colonoscopy

For me, January is a time to organize, to donate household items that my family has outgrown, and to schedule health-related screenings​,​ most notably my colonoscopy.

Colorectal cancer is the fourth most common cancer diagnosed in men and women in the United States

Yes, I am aware that March is National Colorectal Cancer Awareness Month, but I am relaying this information early because, with the exception of skin cancer, colorectal cancer is the fourth most common cancer diagnosed in men and women in the United States and the second leading cause of death from cancer. The American Cancer Society estimates that some 140,000 new cases will be diagnosed this year, but the good news is, colorectal cancer, if found early, is one of the most preventable and treatable cancers.

Affecting both men and women of all races and ethnicities, colorectal cancer occurs in the colon or rectum and typically develops as polyps, which are abnormal growths inside the colon or rectum that, if not removed, may become cancerous. While the cancer is found mostly in those 50 years old and above, the incidence in those younger than age 50 is on the rise. So, the American Cancer Society recently changed their screening recommendations for average-risk adults to begin at age 45.

How to reduce your risks of colorectal cancer

The best way to reduce your risk of colorectal cancer is by screening for the disease via a colonoscopy, an outpatient procedure which examines the full colon and allows a physician to identify and remove polyps during the process. There are several additional screening options, including at-home tests that can detect blood in the stool, but they are not definitive in identifying polyps, which are usually the precursor for this cancer.

Warning signs of precancerous polyps and colorectal cancers

There are no clear-cut symptoms associated with precancerous polyps and colorectal cancers, which is why screening is of the utmost importance, but warning signs might include blood in or on the stool, a change in bowel habits, such as diarrhea or constipation, persistent stomach pain, gas or cramps, unexplained weight loss, nausea and/or vomiting. However, many who are diagnosed with colorectal cancer never experience any symptoms.

I realize that people avoid colonoscopies because they are inconvenient, considered invasive, may disrupt the microbiome or merely due to procrastination, but the bottom line is this: Your risk of adverse events from a colonoscopy is lower than your risk of colorectal cancer, and many who receive the diagnosis have little or no risk factors.

Kick off the new year with an early colorectal screening

So, why am I suggesting kicking off the new year with an early colorectal screening? Because this procedure saved my life. At the age of 50, when I had my first colonoscopy, I was, against all odds, diagnosed with colorectal cancer. My surgeon believes the cancer began when I was in my mid 40s, and if I had put off the test for just a couple of years, my cancer most likely would have been inoperable. I hope you will take my experience into consideration and, please, don’t put off scheduling your colonoscopy another week, month or year. The time is now to be proactive and take the lead in anticipating a healthy 2019!


Hope for Alzheimer’s Patients

Alzheimer’s disease (AD) is the most common form of dementia and currently affects more than 5 million Americans and 30 million people worldwide.

Whether it’s an aging parent, a spouse, a coworker, a sibling or a friend, it seems we all know someone who has experienced cognitive decline. And it makes sense, as Alzheimer’s disease (AD) is the most common form of dementia and currently affects more than 5 million Americans and 30 million people worldwide. This devastating disease, along with its precursors, mild cognitive impairment (MCI) and subjective cognitive impairment (SCI), have become the most significant healthcare problems both nationally and globally.

Evidence that shows the symptoms of Alzheimer’s Disease may be partially reversed

Fortunately, progress is being made. Dr. Dale Bredesen, a neurologist who has spent more than 30 years researching Alzheimer’s disease, has created training on its treatment and prevention, known as the Bredesen ReCODE (Reversal of Cognitive Decline) Protocol. Treatments for Alzheimer’s disease and dementia have been largely ineffective thus far because they fail to slow disease progression, but through Dr. Bredesen’s teachings we are seeing evidence that shows the symptoms of Alzheimer’s Disease may be partially reversed, even in advanced cases, and have returned many patients to their pre-diagnosis levels of cognition.

The Bredesen ReCODE Protocol

So, what is the process? By applying key concepts of functional medicine, identifying lifestyle factors, administering tests and designing customized treatments for patients, the Bredesen ReCODE Protocol recognizes some 150 factors that contribute to Alzheimer’s disease. Specific tests are used to measure underlying factors that cause the disease, and a comprehensive plan, personalized for each patient, addresses lifestyle factors such as diet, sleep, stress management and exercise, as well as gut health, hormonal balance, environmental exposures, infectious triggers and more. The relatively simple and often low-cost solutions to treatment and prevention of aging-related mental disorders includes direction on factors such as nutrition, supplements, mental and physical exercise, stress reduction, intermittent fasting. Following this organized, multifactorial protocol, symptoms of mild cognitive impairment and early AD may often be reversed within six months after treatment. Radiologists have reported that MRI tests, which previously showed typical symptoms of Alzheimer’s in the brain, have returned to normal and research has shown patients returning to work, resuming driving and living as they did prior to mental decline.

Following this organized, multifactorial protocol, symptoms of mild cognitive impairment and early AD may often be reversed within six months after treatment.certified ReCODE Provider

Dr. James is a certified ReCODE Provider

Alzheimer’s is something that I am acutely passionate about, having lost my father to the disease and witnessing first hand its devastating path. And so, I am honored and excited to announce that I have completed the Bredesen training and am now a certified ReCODE Provider. As a functional medicine practitioner, studying this method of treatment is a natural next step for me, and I so look forward to sharing my knowledge with those in need and implementing what I have learned to begin the process of bringing hope to Alzheimer’s, SCI and MCI patients. Through this encouraging research and treatment, I am confident that we will continue to make great strides in reversing cognitive decline.


What’s Your Chronotype?

What is a chronotype? In short, it is an individual difference characteristic reflecting the time of day at which we are at our best.

What is a chronotype? In short, it is an individual difference characteristic reflecting the time of day at which we are at our best.

Fall is upon us, and along with its glorious gifts comes a change in the weather and in the light. Here in Rochester, one of the country’s cloudiest cities, with so few hours of sunshine and shorter days, we strive to move mountains before sunset. But adhering to nature’s light switch may not be advantageous for everyone, as research shows that each individual has an internal chronotype that determines when we truly shine.

What is a chronotype?

In short, it is an individual difference characteristic reflecting the time of day at which we are at our best. We all have a master clock in our brain and many subsidiary clocks ticking throughout our bodies, and not everyone’s clocks run at the same pace. Our chronotype controls our clock, or circadian rhythm, which is a series of behavioral, mental and physical changes that follow a 24-hour cycle. So if you consider yourself an “early bird” or a “night owl,” believe it or not your body is programmed for this classification, based upon your chronotype. And once you know your chronotype, you can work with your body to achieve maximum productivity.

What’s your chronotype? Take the quiz. <<

The assessment of individual chronotypes is important not only for the diagnosis and treatment of sleep disorders and for predicting the ability to adapt to specific schedules, but also for improving daytime performance and matching sleep schedules to our biology. Extreme evening individuals are at higher risk than morning people of not obtaining sufficient sleep and of performing poorly due to the difference between their circadian rhythm and the social demands of daily schedules. There is also research to show that people have more difficulties in maintaining sleep when their sleep is scheduled at adverse circadian phases.

The good news is, knowing our chronotypes can inspire us to take preventative measures such as using ​light therapy, or exposure to bright artificial light that mimics natural outdoor light. This therapy has long been recommended for Seasonal Affective Disorder, which results in changes in mood, sleep and even eating habits during the fall and winter months, as well as other health issues such as fatigue, memory-related disorders, low energy and more. By taking the ​chronotype assessment​, we’ll know the optimal time to use light therapy according to our individual circadian rhythms and feel more energized throughout the day.

So, while we may not have a say when it comes to Mother Nature, business hours and school bells, knowledge of our chronotypes will definitely determine the ideal time of day to focus on important issues, complete daily tasks, exercise, achieve goals and, ultimately, live more fulfilling lives.

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Finding Focus

help with floundering focus

help with floundering focus

As the children go back to school and parents begin to juggle work, carpools, sports and homework help, it’s easy to become overwhelmed and experience difficulty in maintaining focus. And this applies even more intensely to those dealing with such ailments as ADD, ADHD, mild cognitive impairment and decline, anxiety, past concussions and the like.

But there are ways to combat our failing focus.

A healthy lifestyle that includes plenty of sleep, regular exercise, minimal screen time, ongoing organization and reduced stress, which can be aided by meditation or listening to classical music, are just a few. In addition, focus can be supported by adhering to a diet rich in Omega 3, Zinc, Iron, Vitamin B, and other nutrients.

Below is a list of supplements that may help us manage focus and, ultimately, support good mental health. For those currently receiving treatment for a diagnosis, these may be taken in conjunction with medication. As always, please consult your physician prior to starting a regimen of supplements.


Choline​ is a vitamin-like nutrient essential for optimal brain development and it influences cognitive function in later life. Choline is produced in the liver, and the amount that the body naturally synthesizes is not sufficient to meet human needs. While we obtain some choline from our diets, many of us don’t get the amount recommended by the medical profession, which is 550 mg per day for men and 425 mg per day for women. Choline supplements should be taken in the morning to improve attention and cognitive function throughout the day.

Alpha GPC by Jarrow: 300-1200 mg per day.
Citicholine by Jarrow: 250-500 mg per day.


L-Theanine​ is an amino acid found in green tea that can help with focus, reduce stress, promote relaxation, and is especially helpful for those with anxiety.

L-Theanine by Vital Nutrients: 100-200 mg, 2-3 times per day.


Bacopa ​is an outstanding herb used in India for the young and old that promotes mental focus and clarity, and has antidepressant and anxiolytic activity for those who experience mental fog, ADHD and learning disabilities.

Bacopa Extract by Planetary Herbals: 1-2 tablets, 2-3 times per day of whole leaf extract.

Kids Daily B Centered

Kids Daily B Centered ​provides a range of B vitamins, along with zinc, bacopa, lemon balm and L-Theanine. This is ideal not only for those suffering from ADD and difficulty focusing, but it also serves as a calming agent.

Kids Daily B Centered Nutrient Booster Powder by MegaFood: 1 scoop per day.


  • L-Theanine/ Green Tea!
  • Bacopa!
  • Natural Products

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