2010
07.27
There are over 100 sleep disorders that have been identified and insomnia is definitely one of the most common problems.
Episodes of insomnia can be short- or long-term (chronic) and involve difficulty falling asleep or staying asleep as well as awakening very early. Some reasons for suffering with insomnia include: anxiety, stress, depression, caffeine, alcohol, drugs and medications, illness, napping during the day, and surrounding influences (too much noise or light).
Some disorders of insomnia are:
Insomnia due to a dependence or cessation of stimulants Delayed sleep phase syndrome (the individual believes s/he sleeps better from morning to mid-afternoon Insomnia due to ceasing or building tolerance to sleep medications, known as Hypnotic dependent sleep disorder and Pyschophysiological insomnia, known as learned insomnia
The treatment for insomnia depends on uncovering the cause. First the patient must work on the sleeping environment, ensuring minimal noise, minimal light, reducing caffeine, and reducing stimulants. If the problem of insomnia persists, talk to your doctor, especially if you are considering taking over-the-counter sleeping medications. Your doctor will guide you in the right direction according to your overall health.
Your bedroom should be a place of sleep, and only sleep, especially if you suffer from any type of sleep disorder.
Tips to help insomnia:
Do not read in bed Do not watch TV in bed, in fact remove television from bedroom Do not engage in sex in the bedroom, choose another room for that as well Try to go to bed at the same time each night Cut back on smoking (especially before bedtime) Reduce the intake of caffeine (coffee, tea, cola, etc) Limit the intake of soda late at night, due to the amount of sugar
One major factor of insomnia is depression. Depression is usually treated with medication and therefore, should be discussed with your doctor.
Prognosis
Some sleep disorders go away all on their own, while others require medical attention and medication and is therefore highly recommended that you consult your doctor at the onset of insomnia.
Tags: Alcohol Drugs, Insomnia Treatment, Major Depression, Right Direction, Stimulants Category Insomnia |
2010
07.23
This is the first in a series of articles on holistic therapy history and uses. Most of us understand the surprising benefits of non-traditional approaches to healing, but not the background and methodology employed in such treatment modalities. The goal is to provide a basis of understanding for how the approach of holistic medicine works.
Holistic therapy is a phrase often used when discussing the application of non-traditional medical practices. This term and others fall under the broad umbrella of holistic medicine. An awareness of holistic medicine and the application of its elements have become more prominent in recent years; however few discussions center on the history of the development of the movement.
A better understanding of the concept of holistic medicine can be attained by working to understand the evolution of the approach. The roots of holistic medicine can be traced back to individuals and their experiences that were instrumental in developing the lineage of the therapy.
Sir Wilfred Thomason Grenfell was an English born medical missionary who was sent to Newfoundland to improve the plight of fisherman and costal inhabitants by the Royal National Mission in the latter part of the 19th century. The efforts of Grenfell and his team provided much needed care for the population in the north eastern island community of Canada. Although Grenfell’s directive was limited in its expectations, he soon was able to accomplish significant success in multiple areas. His talents went on to help develop other elements of the community that aided in the evolution of the island, including a school, an orphanage, and various industrial work projects. His work was so instrumental that he was knighted by King George V due in large part to the request of the islanders for his years of dedication to their communities.
It is widely accepted that Evarts Greene Loomis is considered the father of holistic therapy. Born in 1910, Dr. Loomis was influenced heavily by his work on the Grenfell Mission in Newfoundland. Loomis’ work would often require that he travel by boat and dog sled to visit with his patients. During these visits he felt a calling to “treat the whole man.” His involvement with the mission resulted in the development of a therapy that he believed would address the elements that encompassed every human being. He deduced that these elements were the physical, mental, and the spiritual.
Loomis’ development was influenced by a book that he read while a biology student at Haveford College near Philadelphia by Jan Christiaan Smuts. Smuts was a prominent South African, British Statesman, and philosopher who authored the book “Holism and Evolution” in 1926. It is widely accepted that Smuts pioneered the concept of holism which he defined as “the tendency in nature to form wholes that are greater than the sum of the parts through creative evolution.”
Loomis also acknowledged that his philosophy professor at Haverford, Rufus Jones, influenced his approach on life as well. Aside from being a philosophy professor, Jones (1863-1948) was also known as a writer, magazine editor, and philosopher that was instrumental in the development of the Haveford Emergency Unit (HEU). The HEU was a pre-cursor to a Quaker organization known as the American Friends Service Committee (AFSC). The AFSC received the Nobel Peace Prize (along with the British Friends Service Council) on behalf of all Quakers in 1947 for their efforts in providing conscientious objectors to wars with a constructive alternative to military service.
Tags: Fisherman, George V, Islanders, Thomason, Work Projects Category Therapeutic |
2010
07.17
Sleeping is essential to how you function during the day. If you are not getting enough sleep during the night, it will show during the day. You may feel tired while at work or especially while driving, which is dangerous.
In addition to not getting enough sleep, you may also have problems while you are asleep. It is not uncommon to have sleep apnea in addition to insomnia. Sleep apnea is a nightly issue where you may stop breathing for short periods of time during sleep.
With the combination of not being able to fall asleep until early hours and on top of that, having breathing problems when you finally do, it is very hard to push yourself through the day without wanting to collapse into a coma!
For adults, insomnia is common and can be helped. Usually it is brought on by busy lifestyles that fight against unwinding when night comes, stress from work and kids, and too much caffeine.
Sleep apnea can be caused by being overweight, tonsil and adeniod problems, and problems with mucus in the nose and throat.
As far as remedies to get rid of these problems, there are a few that may help kill two birds with one stone. Eating healthier and exercising is one. Another is staying away from caffeine and drinks that may enhance the amount of phlegm in the throat, and eliminating stress in your lifestyle. Easier said than done, but it is very possible, and definitely works if you are desperate.
Sleep is very important, so make sure to take care of your body when you are awake and while you are sleeping!
Tags: Caffeine, Coma, Phlegm In The Throat, Short Periods, Sleep Apnea Category Insomnia |
2010
07.16
A pinched sciatic nerve is a common expression used by both doctors and laymen alike to explain chronic back and leg pain issues stemming from a suspected compressive neuropathy condition. It is certainly possible for the sciatic to suffer impingement due to a wide range of reasons. However, the most commonly cited example of sciatic nerve compression is a lumbar herniated disc, which makes no sense, being that the sciatic nerve does not even connect directly into the spine.
Actual pinched sciatic nerve issues can be caused by several known reasons. The first is inflammation related to traumatic injury. This event is most often found in patients who experience severe damage to the legs or buttocks from a car accident, significant fall or other form of direct trauma. The inflammatory process can put pressure on the sciatic nerve almost anywhere in the lower body, enacting symptoms often associated with a pinched nerve. Luckily, inflammation is a temporary concern and these neuropathy issues should resolve completely, even without any formal treatment.
The next possible situation involving an actual pinched sciatic nerve is the pain condition known as piriformis syndrome. This occurs when the sciatic nerve is impinged upon by the piriformis muscle. Some patients demonstrate an anatomical abnormality which locates their sciatic nerve directly through the piriformis muscle, rather than beneath it. These patients are statistically more likely to suffer piriformis syndrome than others who do not share this bodily variation, but this is certainly not an absolute rule. It is well known that most cases of piriformis syndrome have less to do with the anatomy or suspected injury, and far more to do with regional oxygen deprivation of the involved musculature, enacting spasms and painful symptoms. In the vast majority of affected patients, the source of this ischemia is surely psychogenic.
The herniated disc explanation for sciatica can be accurate, but not in the way some patients perceive. Due to the watering-down of medical information, and in some cases, the fundamental lack of understanding by diagnosticians, some patients actually feel that their sciatic nerve is being pinched by the herniated disc directly. This could not be further from the truth. The sciatic is made up of nerve roots from the L4, L5, S1, S2 and S3 vertebral levels and the herniated disc may be compressing one or more of these roots, not the sciatic nerve itself. The actual sciatic nerve forms far below the end of the spinal column, making this theory ridiculous and anatomically nonviable. In most cases, it is the L4, L5 or S1 nerve root affected, due to herniations at L4/L5 or L5/S1. However, in my experience, the overwhelming percentage of patients suspected to be suffering from foraminal stenosis or spinal stenosis in the lumbar spine or lumbo-sacral juncture as the source of their pain are grossly misdiagnosed. It is quite rare for pinched nerve roots to occur in the spine and the best way to double check the diagnosis is to compare the expected symptomatic pattern to the actual clinical expression. In almost every case, there will be great discrepancies, making structural nerve compression the least likely source of pain, even when diagnostic imaging suggests otherwise…
Remember that foraminal stenosis and spinal stenosis are normal parts of the aging process for most patients. Spinal degeneration, such as disc disease and herniations, is par for the course. Most of the time, these diagnoses are made in an attempt to explain the occurrence of back pain, although subsequent treatments are almost never successful, especially in the long term. Furthermore, the majority of people with identical anatomical issues have no pain whatsoever… This is the best evidence that the various structural issues most commonly blamed for enacting sciatica are mistakenly diagnosed. No wonder the condition has such a terrible reputation as a long term and treatment-resistant syndrome. After all, if the diagnosis is wrong and treatments are targeting a mistakenly identified causation, then how can patients ever find relief?
Tags: Back And Leg Pain, Car Accident, Chronic Back And Leg Pain, Herniated Disc, Pinched Nerve Category Back & Neck |
2010
07.13
Some years ago, one young man came to see me for his cancer. He was prescribed some herbs which he did not take. He preferred to go for chemotherapy instead. Not too long after that his wife came to my house in the middle of the night and asked for help. She told me that after chemotherapy, her husband’s red blood counts dropped drastically. The doctor gave him an injection to boost up the blood counts. He suffered a blood clot in his thigh and had to undergo an emergency operation. She wanted me to help him with the herbs. But it was not to be, her husband died soon afterwards.
In the early days of my practice, I did not document patients who came to see me. So, I only have vague recollection of some outstanding cases. This was one outstanding case that I remember, involving a young professional. When he had cancer, I could see the agony and hopelessness in the face of his young wife.
This case would not have resurface and find itself in print if not for some articles I have just read in the net about erythropoiesis stimulating agents (ESAs). ESA is commonly used to treat anemia, i.e., a lower than normal number of red blood cells. Examples of such drugs are Procrit, Epogen and Aranesp. These are synthetic, genetically engineered version of a natural glycoprotein known as erythroprotein. The US-FDA had approved the use of ESAs to treat anemia in patients with chronic kidney failure and in patients with cancer after chemotherapy had lowered their blood counts. To patients in Malaysia, each injection cost a good tidy sum of money.
According to Alison Tonka, associate editor of the British Medical Journal (BMJ) “thousands of patients worldwide rely on synthetic ESAs to alleviate the anemia that accompanies chronic renal disease and chemotherapy for cancer.” Two news articles in the BMJ had these titles: “Safety of anemia drug erythopoitin is to be reviewed” and “FDA calls for warning on anaemia drugs amid reports of incentives to doctors.” The main message from these articles is that more patients treated with ESAs died from the treatment rather than live longer or are helped. That is to say, ESAs increase the risk of death. Studies also showed that at a dose higher than indicated ESAs could cause increased risk of blood clots, stroke and heart attack. In patients with head and neck cancer, higher doses of ESAs promoted tumour growth.
In November 2006, February and March 2007, the US-FDA put out safety alerts informing the public about this safety concerns. From the net, I learn the following:
1. ESAs can cause serious and life-threatening side effects.
2. A greater number of deaths occurred in patients treated with these blood-count-boosting injections than in patients who did not receive chemotherapy.
3. ESAs cause increased rate of tumour growth in patients who had radiation therapy for their head and neck cancers and chemotherapy for their metastatic breast cancer.
4. ESAs cause higher chance of death and increased number of blood clots, strokes, heart failure and heart attacks in patients with chronic kidney failure.
All users of this blood-count-boosting drugs need to be told that they are at increased risk of death as well as serious cardiovascular complications including stroke, heart attack, blood clots to the heart, lungs, brain and major blood vessels. Those with chronic kidney failure given ESAs may suffer from seizures and hypertensive encephalopathy, i.e., swelling of the brain caused by very high blood pressure.
I now know why this young man met his premature death after chemotherapy plus a shot of erythropoiesis stimulating agent (ESA) that the doctor gave him. Goethe, a German philosopher once wrote: “There is nothing more frightening than active ignorance.”
Tags: Anemia Drug, Aranesp, Chronic Renal Disease, Procrit, Tidy Sum Category Anemia |
2010
07.11
“Health and wellness”. We are bombarded with news, statistics, and recommendations to improve our health. Health, as a state of being, is something we rarely think about until we have signs that we are not healthy… a cough… a lab test with high triglycerides… a persistent pain. I realized that I did not know what healthy felt like other than the absence of symptoms. So what’s a proactive person to do?
Recently I have shifted my focus to the second half of that phrase: “wellness”. I’ve heard the term often, but never really thought about what it meant and had to Google it. This is one definition that I found: Wellness is the interactive process of becoming aware of healthy choices and practicing them to create a more balanced lifestyle. Our state of being changes frequently… sometimes I wake up happy and then hear bad news that saddens me; or I will go on a long hike, only to feel a sore and tight the following day. These fluctuations in our state of being are a normal part of life, so why wouldn’t wellness be an interactive process?
Traditionally, medical doctors have been the primary line of defense for our health concerns. But why do we expect our medical doctors to know the specific benefits of meditation or yoga, when we wouldn’t expect our meditation or yoga teacher to treat our health issues?
As we shift focus towards becoming aware of healthy choices and learning how to practice them, we find ourselves supported by a team, each skilled in their own area of expertise. This is the concept of integrative wellness… a team of professionals, each of whom is trained in either conventional medicine or complementary modalities — those tools and techniques (for example, meditation, massage, and yoga) which can be safely used in conjunction with conventional treatments.
A simple concept, but a powerful one as the result is an individualized network of support tailored to your specific health concerns. A person with high blood pressure may seek support from a cardiologist and a meditation teacher, while someone overweight may seek support from a nutritionist, a personal trainer and a hypnotherapist. Shifting focus to wellness acknowledges that one symptom may have multiple aspects to it, so the quality of support we receive becomes more holistic… that we each are so much more than today’s symptom.
By now, you may be asking “So how do I begin?” First, tell your doctor “I want to be active in my wellness. Can you suggest something that I could be doing regularly?” With that suggestion in hand, check out what classes may be offered through your local hospital. Many cities and towns have healthcare districts, which are umbrella organizations that provide homes for support groups, health screenings, immunization clinics, as well as classes. Many health and wellness professionals who are new to the area offer evening workshops, so that local residents can come and get to know them. Check your local newspaper under the Events and Classes section. Be prepared that you may need to check out a few different teachers or a few different professionals before you find the one that you like. And that is okay! Remember, your goal is to create your own network of support tailored to your unique health concerns.
Tags: Conventional Medicine, Health And Wellness, High Triglycerides, Medical Doctors, Yoga Teacher Category Therapeutic |
2010
07.11
If you have considered changing your career to “dental hygienist” now would be a good time to do it. The United States Department of Labor reports that this job is one of the fastest growing jobs and will continue to be that way for the next ten years. Dental hygienist is a relatively good paying job, with flexible hours and schedules which is good for working moms and it is in a respected field. You will need to have some additional schooling, but the payoff may be well worth it in the end. Here are some questions and answers to help you decide if being a dental hygienist the career for you:
What additional schooling will I need to be a dental hygienist? You will need to have a high school diploma and at least an associate’s degree in dental hygiene. You can take these courses through a trade school or at a community college. Some trade schools require that you have at least a year of college first. You will take classes such as biology, anatomy and chemistry. When you have your degree, you will take a written and a clinical exam to get your license as a dental hygienist.
What will I do as a dental hygienist? You will clean patient’s teeth and remove stains from them. You will teach patients about proper dental care and hygiene. You will take x-rays and in some states you will even give patients anesthesia as a dental hygienist. You will also take notes on the patient’s oral health to give to the dentist.
What does a hygienist get paid? It all depends on experience, schooling and where you work. But, the average is around $29 an hour. Hygienists who have a bachelor’s or master’s degree and work as a teacher or clinician can make up to $40 an hour.
Can I choose to work part time? Yes. In fact, many dentists have hygienists who work for 2 or 3 days a week in their office. Some hygienists work in more than one office so that they can work full time.
Will I get benefits? Most hygienists who work in private practice offices get paid vacation. They also get paid dental coverage.
The job outlook is good because people have healthier teeth which requires them to get more preventative care which a hygienist provides.
Tags: Dentist, High School Diploma, Job Opportunities, Questions And Answers, Working Moms Category Dental |
2010
07.10
Usually, the loss in the heart’s pumping action is a symptom of an underlying heart problem.
Heart valve disease caused by past rheumatic fever or other infections
Infections of the heart valves and/or heart muscle (i.e., endocarditis)
Cardiac arrhythmias (irregular heartbeats)
Cardiomyopathy, or another primary disease of the heart muscle
Chronic lung disease
Anemia
High blood pressure (hypertension)
Hemorrhage (excessive bleeding)
CHF leads to breathlessness, fatigue, and accumulation of fluid in the lungs or the veins (primarily in the legs) or both.
People with CHF have insufficient oxygenation of the heart, which can damage the heart muscle. Such damage may be reduced by taking L-carnitine supplements.5 L-carnitine is a natural substance made from the amino acids, lysine and methionine. Levels of L-carnitine are low in people with CHF;6 therefore, many doctors recommend that those with CHF take 500 mg of L-carnitine two to three times per day.
Most L-carnitine/CHF research has used a modified form of the supplement called propionyl-L-carnitine (PC). In one double-blind trial, people using 500 mg of PC per day had a 26% increase in exercise capacity after six months.7 In double-blind research, other indices of heart function have also improved after taking 1 gram of PC twice per day.8 It remains unclear whether propionyl-L-carnitine has unique advantages over L-carnitine, as limited research in animals and humans has also shown very promising effects of the more common L-carnitine.9
Magnesium deficiency frequently occurs in people with CHF, and such a deficiency may lead to heart arrhythmias. Magnesium supplements have reduced the risk of these arrhythmias.10 People with CHF are often given drugs that deplete both magnesium and potassium; a deficiency of either of these minerals may lead to an arrhythmia.11 Many doctors suggest magnesium supplements of 300 mg per day.
Whole fruit and fruit and vegetable juice, which are high in potassium, are also recommended by some doctors. One study showed that elderly men who consumed food prepared with potassium-enriched salt (containing about half potassium chloride and half sodium chloride) had a 70% reduction in deaths due to heart failure and a significant reduction in medical costs for cardiovascular disease, when compared with men who continued to use regular salt.12 While increasing potassium intake can be beneficial for heart patients, this dietary change should be discussed with a healthcare provider, because several drugs given to people with CHF may actually cause retention of potassium, making dietary potassium, even from fruit, dangerous.
Albany Medical Center is the first healthcare institution in the region to introduce aquapheresis-an innovative therapy which removes dangerous levels of excess fluid in patients suffering from congestive heart failure. The therapy has proven to be more effective in removing excess fluid than standard treatment and reduces the likelihood of re-hospitalization for congestive heart failure.
According to Edward Philbin, M.D., medical director of the Heart Failure Program and George Pataki Chair in Cardiology at Albany Medical Center, heart failure is characteristically accompanied by significant fluid retention. Aquapheresis is the first major advancement for acute fluid removal in the setting of acute heart failure since the introduction of diuretics, more than 50 years ago.
Aquapheresis uses the process of ultrafiltration to remove excess sodium and water from the body. Blood is withdrawn through a catheter and circulated through the filter system that separates the fluids from the blood. Once filtered, the clean blood is returned back to the body through a second catheter. Aquapheresis uses a peripheral intravenous line (a catheter inserted into a vein in the arm). By using this system, up to four liters of fluid can be removed in an eight-hour period, with no significant impact on blood pressure, kidney function, or electrolyte balance.
Conversely, treatment for congestive heart failure using intravenous or oral diuretic drugs can cause decreases in blood pressure and levels of potassium or magnesium, and may cause disruption of normal kidney function. Moreover, diuretics can take a longer period of time than aquapheresis to be completely effective. Overall, aquapheresis removes more fluid, more rapidly, than standard treatment with diuretics alone.
Even with severe disease, appropriate exercise can benefit those with CHF.1, 2 In a controlled trial, long-term (one year) exercise training led to improvements in quality of life and functional capacity in people with CHF.3 Nonetheless, too much exercise can be life-threatening for those with CHF. How much is “too much” varies from person to person; therefore, any exercise program undertaken by someone with CHF requires professional supervision.
Tags: Carnitine Supplements, Heart Failure, Heart Valve Disease, Irregular Heartbeats, Treatment Of Congestive Heart Failure Category Anemia |
2010
07.09
A study was performed to describe the treatment of knee pain in older adults in primary care and to compare reported practice with published evidence. A semi-structured interview was performed of older adults with knee pain about their use of 26 interventions for knee pain.
201 adults were interviewed. A median of six interventions had been advised for each participant:
* heat and ice (84%) the most frequently advised
* followed by paracetamol (71%)
* compound opioid analgesics (59%)
* non-selective non-steroidal anti-inflammatory drugs (59%).
* surgery
Three core treatments for knee pain consists of self care:
* written information (16%)
* exercise (46%)
* weight loss (39%)
Most core treatments had not been initiated before second-line interventions had been used, paracetamol being the exception. Referral to surgery was commonly initiated before more conservative options had been tried.
The conclusions were that interventions recommended as core treatment for knee pain in older adults were underused-in particular, exercise, weight loss and the provision of written information. There appeared to be early reliance on pharmacological treatments with underuse of non-pharmacological interventions in early treatment choices. Self care played an important role in the management of this condition.
The study provides clear evidence on the need to improve the delivery of core treatments for osteoarthritis and highlights the need to support and encourage self care.
(Porcheret M. Jordan K. Jinks C. Croft P. Primary Care Rheumatology Society. Primary care treatment of knee pain-a survey in older adults. [Journal Article] Rheumatology. 46(11):1694-700, 2007)
With knee pain, all muscles crossing the knee, hip and the entire lower back has to be treated. The treatment of choice is individual neuromuscular re-training to exercise muscles individually and performing an internal massage through neuromuscular junction (trigger point) stimulation.
Tags: Journal Article, Knee Pain, Muscles, Osteoarthritis, Pharmacological Interventions Category Surgery |
2010
07.08
There are currently a variety of allergy treatment medications available to help alleviate the misery allergies can bring. The coughing, sneezing, runny eyes and itchy nose associated with allergies can make life hard to deal with.
Allergy relief can come in the form of allergy shots, prescription medications or over-the-counter treatments. Your doctor can suggest the treatment that will be best for your individual condition.
One form of allergy relief comes in the form of a series of allergy shots. In order to receive allergy shots, your doctor will take tests to determine which allergens you are allergic to. An allergen is basically a substance, such as pollen, ragweed or cat dander, that produces an allergic reaction. The shots you will be given will contain a small amount of this allergen.
The idea is that if the body is exposed to a small bit of this allergen over an extended period of time, the body will begin to produce an antibody for the allergen. After a period of six months, you should start to see some relief from your allergies.
Before you start allergy shots, however, talk to your doctor about your entire medical history. Certain health conditions you have or medicines you take may prevent you from being a candidate for allergy shots.
Allergy relief is also available in the form of both over-the-counter and prescription allergy medications. Most allergy medicines will contain one of two different classes of ingredients. One of these ingredients is a class of drugs called antihistamines.
Antihistamines, such as diphenhydramine, help to stop the chemical reaction in your body that result in an allergic reaction. Decongestants, such as pseudoephidrine, on the other hand, will help to relieve nasal and sinus congestion caused by allergies. Allergy medicines may also contain ingredients to help thin mucus, lower fever or ease aches and pains if you experience these symptoms also.
If you choose to see your doctor for you allergies, he might order a prescription allergy medicine for you. Prescription allergy medications are available in tablets, capsules, liquids and even eye drops. Non-sedating antihistamines are available only by prescription.
Generally prescription allergy medications are longer acting than those you can get without a prescription. These treatments also don’t impair learning abilities. This is especially important for children who suffer with allergies.
There are also a variety of allergy treatments available over-the-counter if you want to treat your allergies on your own. You can purchase these medicines without a doctor’s prescription; however, you might want to consult with your pharmacist about your particular symptoms to be sure you are choosing the best one for you.
Many forms of allergy relief that once required a doctor’s order, such as Claritin and Nasalcrom, are now available without a prescription. While these two medicines generally don’t cause drowsiness, most other over-the-counter antihistamines, such as Benadryl, will possibly make you sleepy. If you do decide to take these medicines, pay attention to the effect they have on you. You might not want to drive if you notice yourself becoming very sleepy.
Whatever extent your allergies bring misery there is allergy relief available. See your doctor to find out if your case could be helped with allergy shots or if your best bet is prescription or even over-the-counter treatments.
Tags: Allergen, Allergy Relief, Allergy Shots, Medical History, Prescription Medications Category Allergy |