Health & Healing for a Balanced Life!
 American Heart Month
Palm Valley Primary Care is a boutique concierge practice that offers a return to personal attention at an affordable price.  We integrate holistic and research-based therapies for an individualized approach that facilitates health and well-being for a balanced life. We treat patients 12 and up with a wide variety of conditions, including high blood pressure, diabetes, asthma, sinus infections, depression, anxiety, menopause symptoms, and weight concerns.  In a retreat-like office setting conducive to healing, we offer in-house medication dispensing and laboratory services, as well as convenient online scheduling. We are conveniently located in Mickler's Landing at the corner of A1A and Mickler Rd. Please visit our website for more information. 

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Mention this Newsletter and receive 20% off your initial consultation (new patients only).
Supplement Highlight: 
Green Coffee Bean Extract
Green Coffee is rich in a polyphenol called chlorogenic acid.  We know that polyphenols have high antioxidant and bioactive properties and have been found to reduce the risk of heart disease.  Green coffee supplements specifically have been the focus of a number of studies that demonstrate their effectiveness in not only reducing blood pressure, but also reducing weight, waist circumference, and abdominal fat. 
The mechanism by which this occurs likely has to do with the inhibition of something called 11b-hydroxysteroid dehydrogenase type 1 which plays a role in cortisone activity, which we know is associated with the stress response and high blood pressure.  The relationship of green coffee/chlorogenic acid and weight loss is attributed to a reduced absorption of glucose.  Studies have also shown that the elasticity of the arteries (which is a good thing!) was also improved with intake of green coffee. 
Overall, research has shown that green coffee might help play an important role in weight management and reduce your risk for heart disease over the long term.
This supplement and others are carried in our office for those who wish to purchase. We donate 5% of proceeds from the sale of our research-backed supplements to In the Pink a boutique for women suffering from breast cancer. 

Owner/Provider Dr. Jennifer Serotta is a breast cancer survivor and mother of three daughters. She founded Palm Valley Primary Care with a passion to improve clients' health, well-being, and quality of life. 
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Bring on the Coffee!

Some of us can’t function without that cup of coffee to get us going in the morning!  Now we can put aside the guilt that we might feel for pouring another cup!  Coffee contains more than 1000 elements/compounds that have antioxidant, anti-inflammatory, and anti-cancer effects.
A recent review of over 200 meta-analyses found that 3-4 cups of coffee per day was associated with 19% lower mortality from heart disease and 30% lower mortality from stroke.  In addition, coffee consumption was associated with a decreased risk of many types of cancer:  endometrial, melanoma, oral, prostate, and liver cancer.  Coffee seems to particularly benefit the liver in other ways:  a 29% decreased risk for fatty liver disease, a 27% decreased risk of scarring of the liver (fibrosis), and a 39% decreased risk of cirrhosis of the liver.  Coffee – both caffeinated and decaffeinated -- also seems to prevent type 2 diabetes and metabolic syndrome. 
Concerning the brain and mental health, coffee consumption has been found to be associated with a decreased risk for Parkinson’s disease, Alzheimer’s disease, and depression.  High coffee consumption, however, for pregnant women is associated with increased risk of low birth weight, preterm birth, pregnancy loss, as well as a possible relationship between high coffee consumption during pregnancy and childhood leukemia.  For those of us who are not pregnant or experience negative side effects from coffee (like palpitations), we can feel a little less guilty while waiting in the Starbucks line!
Exercise in Midlife and Your Heart

A lifestyle that is relatively sedentary or inactive in the latter decades of life is associated with a higher risk of heart failure due to shrinking and stiffening of the heart muscle.  With that said, however, there’s new evidence that demonstrates that heart function can significantly improve through physical activity, even in those who have been inactive in the past. 
A recent study of men and women aged 45 to 64 who were previously sedentary participated in a two-year exercise program. The regimen consisted of 2 days per week of high-intensity/interval training workouts, followed by 2 “recovery” days consisting of 20-30 minutes of light physical activity such as walking; 1-2 days of moderate intensity physical activity for 30 minutes; and one day of moderate intensity activity for one hour.  The participants utilized a variety of exercise modalities to help keep them motivated, including ellipticals, treadmills, bikes, outdoor activities, as well as strength training.  
After two years of engaging in this regular physical activity, the participants were found to have higher functioning/efficient hearts that were less stiff and more pliable.  This translates to a more “youthful” heart and lower risk for heart failure later in life!  Researcher Dr. Benjamin Levine stated, “I was astounded at how well this seemed to improve the flexibility and compliance of the heart…The key to a healthier heart in middle age is the right dose of exercise at the right time in life.”  Integrating physical activity into daily routines can play a major role in preventing heart disease and improve overall quality of life.
Levine, B. (2018). Reversing the cardiac effects of sedentary aging in middle age – a randomized controlled trial:  Implications for heart failure prevention. Circulation, 137(5).
Poole, R., Kennedy, O., Roderick, P., Fallowfield, J., Hayes, P., & Parkes, J. (2017). Coffee consumption and health: umbrella review of meta-analyses of multiple health outcomes. BMJ; 359:j5024
Revuelta-Iniesta, R., & Al-Dujaili, E. A. S. (2014). Consumption of Green Coffee Reduces Blood Pressure and Body Composition by Influencing 11β-HSD1 Enzyme Activity in Healthy Individuals: A Pilot Crossover Study Using Green and Black Coffee. BioMed Research International2014, 482704.
Health and Healing for a Balanced Life
1106 A1A North, Suite 100A, Ponte Vedra Beach, FL 32082
t 904.222.6530 / f 904.222.6531
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Palm Valley Primary Care, Inc.  •  1106 A1A North, Suite 100A  •  Ponte Vedra Beach, FL 32082

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