Category: Blog

Can you be too old to take birth control pills?

At what age should a woman stop taking birth control?  This million dollar question is for the woman who dares to stop taking birth control even if she is near menopause or menopausal.   Fear of unintended pregnancies and menopausal symptoms keep women on oral contraception.  Some women believe taking birth control pills will ease them into menopause, there are no studies to prove that philosophy.

Continue reading

Curcumin the miracle root, is this a bunch of hype?
NO! It’s true, Curcumin is considered on of the most powerful botanical medicines in the world. Curcumin is a member of the antioxidant- rich family of ginger. This rich spice can cure a wide variety of diseases. These include heart disease, pain associated with arthritis and diabetes and Alzheimer’s disease. It also soothes depression and disorders associated with a variety of digestive disorders and inflammatory bowel disease.

Continue reading

It’s not too late to take a proactive approach to healthy bones. Your bones are a living tissue that has specific requirements in order for them to work properly.

While most people fail to give them the attention that they deserve, simple accidents such as falling can render you helpless and place limits on your mobility. It can also make you more dependent on others. In order to enjoy the privilege of staying active, you need to pay attention to good bone health.

Continue reading

Are you spending tons of money on facial products and not getting the results you want for your face? Is it costing you an arm and a leg to just look good by covering up your facial flaws and having to repeat the same routine every morning?

What if you could wake up looking 10 years younger, would it affect the kind of day you have? Would people look at you and respond to you differently?

Continue reading

Is your Leaky Gut making you sick and fat?

What’s impacting women’s healthcare is a shift in the gut flora.

23 million Americans suffer from autoimmune diseases and this shift in gut bacteria is one of the major causes. It is also the cause of the rise of obesity in the United States and the formation of belly fat follows the same course.

Do you know if your chronic disease is caused by leaky gut syndrome? Chances are it is if you’re taking chronic pain medications and unnecessary antibiotics, which lead to antibiotic – resistant bugs. A leaky gut occurs when the cells lining the walls of the small intestine are permeable to pathogens because the lining of the intestine is weakens. These germs or toxins that are normally eliminated in our waste are now able to enter into the blood stream. When these pathogens or toxins enter the blood stream after being absorbed from the gut it begins a cascade of problems that lead to an inflammatory response.   The inflammation then disrupts normal cellular behavior and the immune system responds and goes into action mode and begins to create antibodies against it’s own tissue. This chronic overstimulation of the immune system leads to chronic inflammation and disease.

A proinflammatory environment triggers the immune system to produce antibodies and this begins a cascade of events inside the body. This proinflammatory state is created from fluctuation from hormonal changes, particularly a decrease in progesterone and estrogen, poor diet, digestive conditions like constipation, low digestive enzymes (occur when your gallbladder is removed) and poor gut motility. These things contribute to intense permeability of the gut leading to leaky gut syndrome. Other influencers include stress and environmental factors such as pesticides and herbicides.

Weakening of the gut lining is further compromised with the chronic use of pain medication like over the counter NSAIDS, prescription pain medications, antibiotics, and antivirals used over an extended period of time. Most patients will present to their healthcare provider with GI complaints and as a result may be given GI medications like acid reducing medications and this further damages to the GI track.  Diets high in processed foods and GMO’s, pesticide laden foods, molds, yeast, bacteria an increase intake of refined sugars, caffeine and alcohol all influence the gut lining and contribute to Leaky Gut Syndrome. It takes many years to develop this syndrome but slowly damage is accruing and resulting in chronic diseases and autoimmune diseases.

Autoimmune diseases that result from a leaky gut include allergies, alopecia, chronic fatigue, chrone’s disease depression, diabetes, fibromyalgia, food allergies heart disease, irritable bowel syndrome, multiple sclerosis, rheumatoid arthritis, sjogrens syndrome and vasculitis.

To keep this simple, the immune system fights off disease by producing antibodies. These antibodies attach to any organ system in the body, which triggers the destruction of tissue and organs, and create an inflammatory response. Over time the body’s natural defense to this stimulus is overburdened. The disease that occurs depends on the area in the body where the inflammatory response occurs. In the joints it creates rheumatoid arthritis, if inflammation sets up in the skin it creates eczema or other skin disorders, in the brain it results in chronic fatigue, in the lungs asthma, in the colon Crohn’s disease or perhaps irritable bowel syndrome and so forth.

Unless the gut lining is repaired the body cannot begin to repair the damage and a balanced immune system is the key to health and wellness.

The solution is to first heal the gut lining from inflammation and leaking and improve the absorption of healthy nutrients through the gut.

Eliminate triggers like GMO’s in your diet and process foods. Repopulate the gut with good bacteria that is supposed to be there with the use of probiotics. GI affects testing is available in the office, schedule your appointment today.

What affects Bacteria in your body?

What you eat

As you age

Chronic medications

Your lifestyle

Where you live

Breast-fed vs bottle fed

Pets in the home is helpful

Born by cesarean section or vagginal

The most powerful influence on your microbiome is your diet and you can support your micro biome with prebiotics and probiotics.

Probiotics:     stimulates the growth of microorganisms, especially those with beneficial properties (such as those of the intestinal flora).

Prebiotics:       fibers found in foods that feed the probiotics

Eat foods that are alive not cooked, not nutrient deficient foods. Eat more cultured and fermented foods.

Probiotic rich foods:







Uncultured vinegar



Kim Chi

Raw unprocessed honey

Black tea

Prebiotic rich foods:








Intestinal permeability testing is available in the office. Use the form below to request an appointment:

Office Hours:

Monday – Thursday 8am – 4:30pm
Friday 8am – 2pm

Phone: (937) 384-8780


  • To subscribe to Total Health & Wellness eNews, please enter your information below.

    At Total Health & Wellness, we are passionate about helping women Feel Good, Love Good, & Look Good with a holistic approach to women's health and anti-aging services.

    We are looking forward to connecting with you!

    Dr. Roz and the Total Health & Wellness Staff
  • This is optional


3 Common Causes of Vaginitis – Friday 5

You can’t always blame your partner.


Vaginitis is a common complaint that brings women into the office. Recurrent vaginitis is often thought by the patient to be a sexually transmitted infection. Most likely this is not the cause unless perhaps you have a new partner or you have had unprotected intercourse. With a new partner and if protection is not used, the change in your vaginal pH could be the problem caused by a response to his semen and not necessarily an infection.


Anything that throws off your vaginal pH could be the culprit. The most common cause for vaginitis is gardnarella (bacterial vaginitis), candida (yeast infection), and trichomonas vaginitis. Out the three tirchomonas is the only that is considered a sexually transmitted infection.


The diagnosis is typically made with your health care provider taking a swabbed specimen and making a slide to view the organism under a microscope. This technology is old and very subjective as it rely on accurate reading and conditions. Often times there can be mixed infections and these infections go undetected using old standards. 22% of the time vaginal infections are caused by two or more organisms. Newer technology is available that is more accurate it involves DNA probe technology that is more sensitive and specific leading to improved diagnosis and timely treatment.


Recurrent vaginal infections can be very disturbing to a woman’s life. Treatment and prevention is based on the cause.

Bacterial Vaginitis or gardnarella is the most common of the three infections. It occurs when the vaginal pH is off. It usually results in a watery discharge with a foul odor; some describe it as a fishy odor. This odor is often worse following intercourse. Your vaginal pH can be off thrown off from certain foods, medications or feminine hygiene products. Often times women’s women may complain of this following their menstrual cycle. This results from hormonal fluctuations that affect your vaginal pH. I typically do not recommend using feminine hygiene washes as this can contribute further to the problem. The vagina is very sensitive and it’s best to use your basic products and not switch to something new.

There are bacteria in the vagina that is supposed to be there. But when you destroy the normal bacteria then it creates an environment for other bacteria to grow. Treatment is with antibiotics used either orally or vaginally. I also recommend probiotics. A probiotic is a supplement that contains the good bacteria your body needs. When shopping for a probiotic you need one that has 10 – 50 billion unit in it. To help neutralize the vagina I also recommend taking a bath and adding chlorine and vinegar ½ cup each to your bath water.   My great grandmother always added bleach to her bath water so my mother tells me and she had the prettiest skin.   Bottom line to improve the bacterial environment in the vagina try probiotics used orally or vaginally.


Yeast infections or Candida infections or typically present with a thick white cottage cheese appearing discharge. This infection can occur after taking an antibiotic for other infections say a UTI or upper respiratory infection. An antibiotic destroys bacteria that cause an infection. It can also destroy normal bacteria in the vagina. When normal bacteria in the vagina are wiped out then other things can grow, like yeast.

Yeast infections are also increased when you consume a lot of SUGAR. Yeast loves sugar and it grows like crazy in an environment that is loaded with sugar or with other forms of yeast like that found in beer. If you have a sweet tooth and get recurrent yeast infections this could be a sign that you’re getting too much sugar. This is also a reason to check to make sure you do not had diabetes. Patients with recurrent yeast infections whether vaginal or under your breast or in the groin area could be that your body has too much sugar and a sign that you need to be tested for diabetes.

Treatment for these infections requires an antifungal. Diflucan is the most commonly prescribed antifungal for this infection. Other over the counter remedies would be an oregano oil supplement. This is not for periodic use but long term. Better yet improve your diet.


Trichomonas vaginitis infections are sexually transmitted. Typically patients will have a yellowish/greenish frothy discharge. This infection is treated with an antibiotic. Your partner would also need to be treated or it can be passed right back to you. You should also be screened for other sexually transmitted infections.


Suggested Reading:
Bacterial Vaginosis Facts

7 Ways to Prevent Yeast Infections


Picture courtesy of


Want more expert tips and information on healthy living? Sign up for our newsletter below:

“The Little Pink Pill” has arrived!

The FDA has for the first time approved a medication for female sexual dysfunction. It’s referred to as the female Viagra, the little pink pill “Addyi” This drug has been before the FDA twice and now finally approved after more investigation. It is intended for the premenopausal woman who suffers from hypoactive sexual desire (HSDD). This disorder is defined as absence of sexual thoughts and interest in sexual activity, which causes distress and not caused by another medical condition.

This pill is no quick fix and is to be taken daily and may take 4 – 8 weeks before it reaches it’s full affect. It works by increasing dopamine a chemical in the brain that improves mood and the feeling of satisfaction. Side effects of Addyi are decrease blood pressure, and loss of consciousness and this risk is greater when alcohol is consumed. Which means you can’t have even a glass of wine. Seriously!

The research reports that the most common reported symptom was extreme fatigue. In fact one in five. And women in the trial reported at best an increase in one additional satisfying sexual event per month.

Interestingly but not surprisingly not one person in the study reported increase in sexual desire but ” decrease in the distress that is felt about lack of sexual desire.”

Women are desperate for help to improve their sexual desire and campaigns were mounted to “even the score”. There are several drugs on the market for male erectile disorder and nothing on the market for women. Although the drug Addyi works differently for women it’s not something that works on the physical body unlike Viagra and Cialis that increase blood flow and corrects erectile dysfunction. Addyi works on emotions or mood altering.
Experts believe that this is a major milestone for women and there will be more attention in the arena to explore even more options for women, an area that has not been a priority in the past with pharmaceutical research.

More research is on going for an injectable medication that is used only when a woman wants to be more sexually active.