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Another MAJOR Mental Health Hidden Stressor…. BORRELIA!

Lyme disease is caused by the spirochete bacteria, borrelia (strains vary by region). The borrelia bacteria has the crazy capability of altering its genome in order to change its exterior shell antigens in order to avoid being detected by the host’s immune system. These modified surface proteins can trigger autoimmunity in the host.

Borrelia infection in the blood

16 proteins on the borrelia bacteria have been shown to cross-react with thyroid tissue, thereby triggering thyroid autoimmunity, such as Grave’s or Hashimoto’s thyroiditis. Lyme can also trigger chronic inflammatory response syndrome, or CIRS.

The bacteria also produce protein “cocoons” called biofilms that protect the bacteria from antibiotic treatment and immune system defense mechanisms. The bacteria will secrete enzymes to digest and steal nutrients from the host. These little bastards will burrow into tissues across the body, such as the joint tissue (joint pain?), or even central nervous system (can mimic neurological conditions). Lyme often comes with co-infections like babesia and bartonella.

Testing for Lyme can be tricky and antibiotics are not always effective by themselves. Therefore using a functional approach (in conjunction with antibiotics, only when absolutely necessary) yields superior outcomes.

Learn more about this topic… join Brendan for his upcoming webinar, Integrative Therapeutics for Lyme and Coinfections.

Brendan Vermeire is an Integrative Clinician and Functional Diagnostic Nutrition Practitioner specializing in complex chronic illness. He began his career as a personal trainer and nutrition coach at the age of 19. After being exposed to the power of functional lab testing in the start of his career, he began intensely pursuing that as a career path which has lead him to being the current Director of the Association of Functional Diagnostic Nutrition Practitioners, the owner/founder of the Premier Virtual Integrative Health Clinic, Metabolic Solutions, and a Clinical Educator for Bio-Botanical Research.


Challenge Your Truth

Challenge your truth.

Do you wonder where your beliefs come from and why you believe certain things about life and the world to be true?

If not, that’s ok, but I want you to keep an open mind for me as you read this…

You see, many of the belief systems we have aren’t our own. They are imposed on us by parents, society, cultures, etc.

For example, what defines a successful life for most people is the traditional story: You go to school, get a great job, have a beautiful family, work hard until you can retire, then kick back and enjoy life.

Today more than ever that belief is being challenged. People are beginning to crave a different narrative. But that’s been the predominant one for over a century.

Another example more closely related to what I do is the common belief that people just don’t have time for exercise or preparing healthy meals.

Yes, we really do have time for exercise and preparing healthy meals.

But what’s true is that other people with just as busy of a schedule do find the time.

So, if the belief system around time was true, no two people with the same type of schedule should be able to find the time to take care of themselves…

Of course, the time belief system we are using here as an example is faulty and false.

I hope this is making sense.

Today I want to challenge you to challenge your truth.

Write down 5 beliefs that you have that hold you back from achieving the life you desire. Even if right now you believe the excuse or thought is 100% legit.

Then, ask yourself – “What else is possible? Is this really true?”

When your beliefs are deeply rooted by habit and by the people who surround you, it can be very hard to break free from them. But with effort, it’s possible.

Don’t hold on to false thoughts that keep you from creating the life and the body you desire.

Challenging your beliefs and the meaning you give them is the first steps to taking new action to create change.

So, what 5 beliefs did you come up with and how can you begin to shift them to create new, empowering belief systems?

Originally printed on Move Well Fitness blog. Reprinted with permission.

Maurice D. Williams is a personal trainer and owner of Move Well Fitness in Bethesda, MD. With almost two decades in the industry, he’s worked with a wide range of clients, including those with health challenges like diabetes, osteoporosis, multiple sclerosis, hypertension, coronary artery disease, lower back pain, pulmonary issues, and pregnancy. Maurice is also a fitness educator with Move Well Fit Academy and NASM. He also serves as the Director of Membership Services for the MedFit Network. 


Turning Back the Clock on Aging

Consistent exercise and physical activity may be the closest thing we have to the “fountain of youth” in our society today. Dr. Michael Roizen, author of “The RealAge Workout”, cites studies on identical twins that show genetic inheritance influences only about 30% of the rate and way one ages – the rest is up to you!

Senior Man On Cross Trainer In Gym

Exercise and Cardiovascular Disease

Regular exercise has a favorable effect on many of the established risk factors for cardiovascular disease. For example, exercise promotes weight reduction and can help reduce blood pressure. Exercise can reduce “bad” cholesterol levels in the blood (the low-density lipoprotein [LDL] level), as well as total cholesterol, and can raise the “good” cholesterol (the high-density lipoprotein level [HDL]). In diabetic patients, regular activity favorably affects the body’s ability to use insulin to control glucose levels in the blood. Although the effect of an exercise program on any single risk factor may generally be small, the effect of continued, moderate exercise on overall cardiovascular risk, when combined with other lifestyle modifications (such as proper nutrition, smoking cessation, and medication use), can be dramatic.

Benefits of Regular Exercise

  • Increase in aerobic capacity
  • Decrease in blood pressure at rest
  • Decrease in blood pressure while exercising
  • Reduction in weight and body fat
  • Reduction in total cholesterol
  • Reduction in LDL (bad) cholesterol
  • Increase in HDL (good) cholesterol
  • Increased insulin sensitivity (lower blood glucose)
  • Improved self-esteem

Physiological Effects of Exercise

There are a number of physiological benefits of exercise. Regular aerobic exercise causes improvements in muscular function and strength and improvement in the body’s ability to take in and use oxygen (maximal oxygen consumption or aerobic capacity). As one’s ability to transport and use oxygen improves, regular daily activities can be performed with less fatigue. This is particularly important for patients with cardiovascular disease, whose exercise capacity is typically lower than that of healthy individuals. There is also evidence that exercise training improves the capacity of the blood vessels to dilate in response to exercise or hormones, consistent with better vascular wall function and an improved ability to provide oxygen to the muscles during exercise. Studies measuring muscular strength and flexibility before and after exercise programs suggest that there are improvements in bone health and ability to perform daily activities, as well as a lower likelihood of developing back pain and of disability, particularly in older age groups.

Patients with newly diagnosed heart disease who participate in an exercise program report an earlier return to work and improvements in other measures of quality of life, such as more self-confidence, lower stress, and less anxiety. Importantly, by combining controlled studies, researchers have found that for heart attack patients who participated in a formal exercise program, the death rate is reduced by 20% to 25%. This is strong evidence in support of physical activity for patients with heart disease.

How Much Exercise is Enough?

Unfortunately, most Americans do not meet the minimum recommended guidelines for daily exercise. In 1996, the release of the Surgeon General’s Report on Physical Activity and Health provided a springboard for the largest government effort to date to promote physical activity among Americans. This redefined exercise as a key component to health promotion and disease prevention, and on the basis of this report, the Federal government mounted a multi-year educational campaign. The Surgeon General’s Report, a joint CDC/ACSM consensus statement, and a National Institutes of Health report agreed that the benefits mentioned above will generally occur by engaging in at least 30 minutes of modest activity on most, if not all, days of the week. Modest activity is defined as any activity that is similar in intensity to brisk walking at a rate of about 3 to 4 miles per hour.

These activities can include any other form of occupational or recreational activity that is dynamic in nature and of similar intensity, such as cycling, yard work, and swimming. This amount of exercise equates to approximately five to seven 30-minute sessions per week at an intensity equivalent to 3 to 6 METs (multiples of the resting metabolic rate*), or approximately 600 to 1200 calories expended per week.

How Can a Personal Trainer Help?

If you have cardiovascular disease or are at risk for developing disease, you may be apprehensive at starting an exercise program. You may have questions such as:

  • Is exercise safe for me?
  • How long should I exercise?
  • How frequently should I exercise?
  • Do I stretch before or after exercise?
  • Can I do strength training and lift weights?
  • How do I know if I’m exercising at the right intensity?
  •  What if I develop symptoms such as dizziness, light-headedness, or nausea?

A personal trainer or exercise professional can answer all of these questions for you and establish a well-rounded exercise program that is safe and effective.

A personal trainer will tell you what types of aerobic exercise are most appropriate for you and devise an exercise program tailored towards your needs. This will include guidelines for frequency (how many times per week), intensity (how hard you should exercise), and duration (how long each exercise session should last). A well-designed exercise routine will start with a warm-up that includes dynamic movements designed to raise the heart rate, increase core temperature, mobilize the major joints in the body, and prepare the body for more intense exercise. Warm-up can be followed by either aerobic exercise or weight training. Your trainer can monitor your heart rate and blood pressure during both activities to make sure you are exercising at the proper intensity. If heart rate and blood pressure get too high, your trainer will have you decrease the intensity of exercise or stop. If you develop any symptoms while exercising, your trainer will be right there to advise you and check your vital signs. Weight training is very safe as long as it is performed with proper supervision. Your trainer will recommend the most appropriate exercises for you to do and emphasize proper breathing and technique. Under the guidance of an exercise professional, you can help to improve aerobic capacity, decrease blood pressure and cholesterol, improve good cholesterol, lower blood glucose, improve muscular strength, increase joint range of motion, and lower weight and body fat. All of these will result in a lower risk for developing cardiovascular disease or if you already have disease, it will decrease the chances of subsequent cardiovascular events. Most importantly, working with an exercise professional will extend your lifespan and greatly improve the quality of your life.

Eric Lemkin is a certified personal trainer, strength & conditioning specialist, corrective exercise specialist and founder of Functionally Active Fitness. Lemkin has been a certified personal trainer for 17 years and has helped people ages 8-80 reach their fitness goals through customized personal training – specializing in exercise for the elderly or handicapped. 


  • Kochanek KD, Xu JQ, Murphy SL, Miniño AM, Kung HC. Deaths: final data for 2009 [PDF-2M]. National vital statistics reports. 2011;60(3).
  • Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, et al. Heart disease and stroke statistics—2012 update: a report from the American Heart Association . Circulation. 2012;125(1):e2–220.
  • Heron M. Deaths: Leading causes for 2008 [PDF-2.7M]. National vital statistics reports. 2012;60(6).
  • Heidenriech PA, Trogdon JG, Khavjou OA, Butler J, Dracup K, Ezekowitz MD, et al. Forecasting the future of cardiovascular disease in the United States: a policy statement from the American Heart Association. Circulation. 2011;123(8):933–44.
  • CDC. Million Hearts™: strategies to reduce the prevalence of leading cardiovascular disease risk factors. United States, 2011. MMWR 2011;60(36):1248–51.

Understanding Changes in Balance

How do you assess your clients’ balance? How can you adapt your training plan to deal with natural fluctuations in their balance?

Physical balance is complex and can change daily. Many clients will refer to how long they can stand on one leg when asked about balance issues, but how useful is this as a measure of their postural control or their risk of falling?

Many people who’ve had any kind of formal balance assessment have only done so after having a fall. New statistics show that falls are the leading cause of trauma room visits, across all age groups, and in the case of those over 65, 1 in 4 falls each year. Indeed, the number of deaths by falling is increasing, and yet there are many proven interventions to improve balance and avoid falls.

Many older adults are reluctant to discuss falls or balance issues with their doctors, some wrongly believing that falling is an inevitable part of aging and marks the beginning of the end for them.

Fitness trainers have a significant opportunity to help educate their clients in both the measurement and management of balance and balance issues.

Good balance is the result of the somatosensory, proprioceptive and neuromuscular systems working together. Each system is complex and can be affected by factors such as stress, quality of sleep, medications and exercise habits so understanding where your client is on any given day is helpful for optimizing their health goals.

Regular balance measurement can also be a powerful motivational tool, especially for older adults who want to remain independent and age on their own terms.

To find out more about balance measurement, register for Dr. Katharine Forth’s upcoming free webinar, Balance for Life, where she’ll discuss what she learned testing astronaut’s balance in the US space program, how to apply the lessons to the general population, and how to help your clients improve their balance.

Dr. Katharine Forth is an expert in motor control, and conducted post-doctoral research at NASA, where she became the co-founder of Zibrio technology. The Zibrio SmartScale is a bathroom scale that uses artificial intelligence to measure balance and fall risk in a simple 60-second test. The product won an innovation award from the Consumer Technology Association in 2020, and was named by AARP as the winning technology to help ‘older adults stay in the game’ at their pitch competition at CES 2020, judged by Joe Montana. More information can be found at www.zibrio.com


The Naturopathic Chef: Asparagus Quinoa with Lemony Dressing

Adding vegetables to whole grains always makes for a hearty side dish that can easily double as an entree. This is an easy way to start the transition to a plant-based diet, too. It’s one of my personal go-to’s when I’m tight on time, or when I feel like something a little lighter in the evening. You know spring has sprung when you see asparagus! As we move closer to summer, serve this chilled, over tender lettuce.

Asparagus Flavored Quinoa

  • 1/2 lb Asparagus
  • 1 1/2 cups Vegetable Broth
  • 1 cup Quinoa, toasted
  • Cheesecloth or light kitchen towel


  • 1 tsp Lemon zest
  • 1 tbls Lemon juice
  • 1 tsp Dijon mustard
  • 2 tsps Olive oil
  • Salt and Pepper to taste (I like white pepper for this recipe)
  • 2 Tbls Pine nuts

Wash and dry asparagus. Nature will tell you where to remove the fibrous part of the spear. By holding the spear, one end in each hand, begin to bend the asparagus into an arch. The spear will snap at just the right spot; no guesswork involved. Do this until all spears are free of these inedible ends.

Chefs, you know we don’t throw anything away! Let’s infuse our broth with delicious and nutritious asparagus flavor. Pour broth into a medium saucepan. Add the fibrous ends, and bring to a boil. While infusing your broth, cut the remaining asparagus into 1-inch pieces. Set aside.

Rinse quinoa thoroughly. Once you can smell the aroma of asparagus, remove ends from broth with a slotted spoon and discard. Whisk Quinoa and Asparagus pieces into the infused broth. Bring back to a boil. Reduce heat, cook uncovered 15 minutes. Turn off heat, drape towel over pan, cover with tight-fitting lid. This technique keeps condensation from falling onto our cooked grains and making them mushy. Allow to rest for 5 minutes.

In a small bowl, whisk together lemon zest through salt and pepper. Warm a serving bowl and fluff quinoa with a fork. Gently pour finished quinoa into serving bowl. Drizzle with dressing and fluff lightly. Sprinkle with pine nuts and some beautiful asparagus tips.

Phyto Facts

To date, asparagus is our greatest hope in finding the cure for ALS, Amyotrophic Lateral Sclerosis, or Lou Gehrig’s disease. The phytonutrient, Sarsasapogenin, prevents motor-neuron cell death. It’s also housed in inulin. A fibrous carbohydrate, it lowers blood sugar due to the small intestines inability to break it down. This allows the nutrients to make their way to the large intestines, where it feeds good bacteria, making it a very effective probiotic. This combination of natural activity makes it very effective in treating degenerative disease, i.e., ALS, Type 2 Diabetes, and Crohn’s Disease.

The presence of four other phytonutrients, known as anti-inflammatory powerhouses: Kaempferol, Quercitin, Rutin, and Isorhamnetin, give it major cancer-killing abilities. I have used asparagus, with great success, in the treatment and complete eradication of melanoma. Being very high in minerals, and antioxidants like Vitamins C and E, it is, generally speaking, a great way to prevent nutrient deficiency overall.

Asparagus also contains a good amount of Glutathione — a combination of three amino acids combined into one molecule. This, many researchers believe, will eventually be the cure for Parkinson’s disease. Rich in soluble and insoluble fiber, asparagus not only breeds good bacteria in the digestive/intestinal tracts, it’s also a vegan’s best friend, as it is one of the richest sources of veggie protein.

The odor when one urinates after eating asparagus: sulfuric compounds. This group of phytonutrients prevents hormone and digestive based cancers better than any other group of phytos. This odor lets you know you are digesting the nutrients effectively. This is about the only time stinky pee is a sign of good health! So, enjoy… the asparagus, not the odor.

Get more great recipes from Tina Martini — her book, Delicious Medicine: The Healing Power of Food is available to purchase on Amazon. More than a cookbook, combining 20+ years of experience, along with her love of coaching, cooking and teaching, Tina offers unexpected insights into the history and healing power of clean eating, along with recipes to help reduce your risk of disease and improve overall wellness so you can enjoy life!

Affectionately referred to as The Walking Encyclopedia of Human Wellness, Fitness Coach, Strength Competitor and Powerlifting pioneer, Tina “The Medicine Chef” Martini is an internationally recognized Naturopathic Chef and star of the cooking show, Tina’s Ageless Kitchen. Tina’s cooking and lifestyle show has reached millions of food and fitness lovers all over the globe. Over the last 30 years, Tina has assisted celebrities, gold-medal athletes and over-scheduled executives naturally achieve radiant health using The Pyramid of Power: balancing Healthy Nutrition and the healing power of food, with Active Fitness and Body Alignment techniques. Working with those who have late-stage cancer, advanced diabetes, cardiovascular and other illnesses, Tina’s clients are astounded at the ease and speed with which they are able to restore their radiant health. Tina believes that maintaining balance in our diet, physical activity, and in our work and spiritual life is the key to our good health, happiness and overall well being. Visit her website, themedicinechef.com



You Are The Solution

This article is meant to be a wake-up call to the fitness industry. The health of our population and country are at stake. While advancements have extended our country’s overall lifespan, it has occurred primarily through the use of medications and life-saving procedures rather than through lifestyle changes. The stark reality is that the overall health of Americans is declining as evidenced by the $3.5 trillion spent every year on health care expenditures.

Another alarming statistic is that between 1997 and 2016, there were approximately 4.5 billion prescriptions written per year. 70% of Americans take at least one and 20% take five or more prescription medications (Preidt 2017). The majority of these medications were taken to address lifestyle-related diseases and the subsequent impacts of poor nutrition choices and lack of physical activity. Additionally, many prescription and over-the-counter medications are used to treat osteoarthritis, the most common cause of physical disability in the world. While genetics, weight, and age have been considered as underlying factors, the decrease in quantity, as well as quality, of physical activity have been shown to be much greater factors to the onset and prevalence of osteoarthritis in modern society (Wallace 2017, Osar 2018).

While often attributed to causes outside one’s control (i.e. genetics), the fact is that the diseases contributing to the greatest number of deaths (heart disease, cancer, and Type 2 diabetes) and disability (osteoarthritis) are directly related to controllable factors. While each has a genetic component, lifestyle has a much greater impact on the incidence and prevalence of these diseases. One of most important and underappreciated components in the overall decline in one’s physical, physiological, and cognitive health, is the lack of physical activity. Less than 20% of the population meet the daily physical activity guidelines and less than 5% of the adult population participates in 30 minutes of physical activity. Even more disturbing is that more than 78 million U.S. adults and 12 million children are obese.

Dr. Caldwell Esselstyn has been attributed with the quote, “Genetics loads the gun, lifestyle pulls the trigger.” This suggests that lifestyle is as important as genetics in the expression of many chronic diseases. This sentiment is reiterated in a recent study from Bodai et. al (2018). “Epidemiological, ecologic, and interventional studies have repeatedly indicated that most chronic illness, including cardiovascular disease, cancer, and type 2 diabetes, are the results of lifestyles fueled by poor nutrition and physical inactivity.”

The health of our population and country is at stake. This is a call for fitness professionals to step up and recognize that you are the first line of defense against the deleterious impacts of lifestyle diseases. It is your responsibility to educate your communities that lifestyle changes, incorporating proper nutrition as well as increased physical and cognitive exercise, should be the first step in addressing chronic lifestyle diseases. You can continue to change the health of our nation by implementing evidence-based nutrition, exercise, and cognitive training programs. Be the solution your clients, your community, and our country needs by investing in advanced education in nutrition, exercise, movement, and cognitive training. Create relationships with allied health professionals so that we can collectively educate, collaborate, and coordinate the changing of our nation’s health care system.

This article was featured in MedFit Professional Magazine Winter 2020 issue. Subscribe to MedFit Professional Magazine to read more great content like this!

Dr. Evan Osar, an internationally recognized speaker, author, and expert on assessment, corrective exercise, and functional movement. Dr. Osar is committed to educating and empowering fitness professionals while helping them develop relationships with allied health professionals. He is author of the Corrective Exercise Solutions to Common Hip and Shoulder Dysfunction and has developed the industry’s most complete training certification, the Integrative Movement Specialist™. With his wife Jenice Mattek, he created the online educational resource. For more info, visit IIHFE.com


Bodai, B. I., Nakata, T. E., Wong, W. T., Clark, D. R., Lawenda, S., Tsou, C., … Campbell, T. M. (2018). Lifestyle Medicine: A Brief Review of Its Dramatic Impact on Health and Survival. The Permanente journal22, 17–025. doi:10.7812/TPP/17-025

Centers for Disease Control and Prevention. Osteoarthritis. Retrieved from https://www.cdc.gov/arthritis/basics/osteoarthritis.htm

Centers for Disease Control and Prevention. Leading Causes of Death. Retrieved from https://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm

Centers for Medicare & Medicaid Services. National Health Expenditure Data. Retrieved from https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsHistorical.html

Osar, E. (2018). The Fundamentals for Training the Older Client with Osteoarthritis. Retrieved from https://www.ptonthenet.com/remote-learning

Preidt, R. (2017). Americans Taking More Prescription Drugs Than Ever. https://www.webmd.com/drug-medication/news/20170803/americans-taking-more-prescription-drugs-than-ever-survey

U.S. Department of Health & Human Services. Facts and Statistics. Retrieved from https://www.hhs.gov/fitness/resource-center/facts-and-statistics/index.html

Wallace, IJ., Worthington, S., Felson, DT., Jurmain, RD., Wren, KT., Maijanen, H. Woods, RJ., Lieberman, DE. (2017). PNAS. 114(35): 9332-9336.


Chiropractor’s broken back leads to back pain invention

After enduring two separate spinal injuries and the excruciatingly painful rehabilitation that followed, Scott Bertrand, DC, decided to take treatment into his own hands by inventing the AllCore360° System: a system designed to isometrically train every core muscle by leveraging the users body weight against the resistance of gravity during 360º full body rotations.

Before the idea for AllCore360° came about, Bertrand’s journey began with a leap — and ended with a fractured lower back from a skydiving incident during his time at the 101st Airborne Division in Kentucky. The physical therapy, according to Bertrand, was unbearable, and ultimately he chose to discontinue treatment.

About 20 years after that incident, Bertrand suffered a second debilitating spinal injury after diving into a pool and colliding with another swimmer. Recovering from a broken neck was just as painful as his first experience with physical therapy, which got Bertrand asking: Why isn’t there a better, less painful way to treat spinal injuries and reduce back pain?

That question led him to create the AllCore360°, the first medical system designed to rehabilitate the core with virtually no impact. The system engineers patients to perform balanced, isometric contractions in a 360-degree rotating plank without moving their body or applying pressure to their wrists, elbows or shoulders. It works by targeting, and therefore strengthening, the 50+ muscles in the core that surround, support and protect the spine and internal organs.

Because of its low-impact and core-targeting design, many chiropractors aside from Bertrand have found the AllCore360° to be an effective way to not only treat patients with back pain but to strengthen and rehabilitate athletes as well. At Gray Chiropractic & Sports Associates in North Carolina, the AllCore360° has proven to be a valuable new service for treating everyone from young athletes with sports injuries to retired athletes with chronic pain. In addition to benefiting patients with improved outcomes and faster recovery, the system now generates Lawrence Gray, DC, an additional $5,500 in revenue per month.

“The AllCore360° is a game-changer,” Gray shared with the AllCore360° team. “As a clinician, we have our everyday approaches, but we need to step outside of the box to invite different perspectives on the paradigm that we once had, and look at ways that we can enhance in a short period of time.”

Paralympian Curtis Lovejoy also found AllCore360° to be a beneficial part of his ongoing therapy. At the age of 29, Lovejoy was paralyzed from the neck down after a devastating car crash in 1986. Today, he’s a five-time Paralympics champion with 12 world records, 500 gold medals in swimming, and 200 gold medals in fencing. AllCore360° helped Lovejoy activate the nerves in his core muscles, eventually building strength that led to improved swim times and successful forays into fencing.

Hearing stories from people like Gray and Lovejoy is what it’s all about for Bertrand. Creating AllCore360° was a process that took two spinal injuries, many prototypes, and over 30 years of refinement. In the end, he considers it worth it, thanks to the documented results from thousands of successful patient stories.

Interested in learning how AllCore360° can benefit your patients and your practice? Head over to allcore360.com for more information.

Reprinted with permission from Scott Bertrand.

Scott Bertrand is the proud father of 2 and the grandfather to 3 fabulous people. He traveled to Atlanta after serving in the 10st Airborne to pursue a chiropractic career in the early 80s. After graduating from Life University in 1985, Dr. Bertrand happily cared for the chiropractic needs of a burgeoning city next to the world’s busiest airport, College Park, Ga. In 2011 he discontinued chiropractic care and focused on his passion to assist those who would benefit from core training and co-founded Alltrand LLC.  Alltrand LLC is the organization that offers his invention, the AllCore360, to the medical fitness world.  


Healthcare Through Fitness

A discussion of medical fitness is rooted in an understanding of the health benefits of fitness and exercise. The documented benefits are endless and include management of chronic disease, management and prevention of osteoporosis, improved mood and sleep disorders, stress relief, management and prevention of obesity.

Health agencies across the spectrum of public health and disease-specific organizations recognize and promote exercise and fitness as an integral part of the management of chronic disease; diseases that include diabetes, cardiovascular disease, Parkinson’s, depression, multiple sclerosis, and arthritis, among others.

If fitness and exercise are well accepted as part of the management strategy for multiple diseases, why is it that access to organized exercise plans, and fitness professionals who can help implement those plans, are not a standard part of the medical treatment paradigm? Why is it not a standard benefit covered by common medical insurance policies?

The reasons are multifactorial and a reflection of the overall healthcare conundrum in our country today. Let’s focus, however, on how to make a change. We need to focus on how to integrate fitness professionals into the medical paradigm. A perfect model for this is an integrative medical fitness center.

What is a medical fitness center? It is a fitness facility with a multidisciplinary staffing approach and has the following characteristics:

  • Regular medical oversight by a medical director
  • Practitioners with nationally-recognized certifications and training in the care of chronic disease
  • Comprehensive health assessments and exercise prescription
  • Exercise classes geared toward specific medical conditions

These centers bring together credentialed staff in a collaborative way to provide exercise prescription plans specific to the needs of an individual with chronic disease.

The concept of the medical fitness center is not new; many currently exist in communities throughout the United States. However, an understanding of their importance in the context of the current healthcare environment has grown. The idea of creating “medical homes” that are collaborative across disciplines and provide a comprehensive healthcare approach is now being recognized to provide a high standard of care while simultaneously decreasing overall healthcare costs. This is true specifically for high-risk individuals who suffer from chronic disease.

Further integration of medical fitness centers, and broad access to exercise and fitness resources, will hopefully become standard of care and widely accessible to all individuals, especially those with chronic disease. This integration will inherently bring fitness professionals into the paradigm of healthcare and promote healthcare through fitness.

This article was featured in MedFit Professional Magazine fall 2019 issue.

Subscribe to MedFit Professional Magazine to read more great content like this!

Dr. David Kruse attended medical school at UC San Diego, after graduating from UC Berkeley. He holds board certifications in family and sports medicine. He practices sports medicine with the Orthopaedic Specialty Institute, in Orange, CA. Dr. Kruse is the Chief Medical Officer for the MedFit Network and on the Medical Advisory Board for the MedFit Education Foundation. He is currently a Team Physician for USA Gymnastics, Orange County Soccer Club, and Biola University. Visit his website, krusesportsmd.com