Category: Blog

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.

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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?

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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

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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


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“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.

Total Health & Wellness is growing!

Carrie Dunne NP 

Total Health & Wellness OBGYN LLC along with Dr. Roz Jackson are expanding its women’s healthcare practice that offers conventional and complementary healthcare to women. The growing needs of our patient desire to receive their care from a women’s wellness center that focuses on nutrition, hormone balance, weight loss and traditional OBGYN is what inspired the growth. Welcome Carrie Dunne Certified Nurse Practitioner, a graduate of Ball State University. Carrie brings a wealth of experience in women’s healthcare to Total Health & Wellness OBGYN.   She is very passionate about women’s healthcare and believes in helping women live the quality of life they desire and deserve. She most recently practiced at Wright Patterson Air force Base as a nurse practitioner for the past 17 years.
If you are looking for a deeper experience and someone to explore your health needs, look to Total Health & Wellness OBGYN with Dr. Roz Jackson MD and Carrie Dunne, Certified Nurse Practitioner. Uncover and rediscover a new you.

Did you know that your fingernails can tell you a lot about your health? Nutritional deficiencies as well as disease can change your nails over time and are good indicators that something may be wrong. Below are the top 5 nail problems that I see and what they can mean to you:

nail-pitting1. Nail pitting:
Ice pick-like depressions in the nails, although common in those suffering with psoriasis, can be related to connective tissue disorders and alopecia areata, an autoimmune disease that causes hair loss. If you have thinning or loss of hair along with these, see your doctor immediately.


nail-clubbing2. Nail clubbing:
When the tips of your nails enlarge and curve around your fingertips, this can be related to various lung, liver and cardiovascular disease. It can also be related to inflammatory bowel disease. This usually happens over time, but can be a sign that you have low oxygen in the blood.


beaus-lines3. Beau’s Lines:
Indentations that run across the nails can be a sign of uncontrolled diabetes, as well as peripheral vascular disease and illnesses associated with high fever such as measles, mumps and pneumonia. These lines can also be a sign of a zinc deficiency.


4. Brittle, cracked or split nails:
While this often happens to your nails when you expose your hands to a lot of soap, cleansers and detergents, it can also be an indication of thyroid disease as well a nutritional deficiencies.



ridges5. Nail ridges:
Ridges in your nails can be caused by nutritional absorption issues and you may not be getting the proper nutrition that you need. Horizontal ridges are associated with diabetes and other chronic disease, but ridges in either direction can also be caused by injury or damage to your nails. If you haven’t hurt yourself, see a doctor immediately.


If you are wearing artificial acrylic or gel nails, how long has it been since you have seen your natural nails? I spoke a few weeks ago on the blog about how filling in your eyebrows can hide signs of a thyroid issue, but wearing false nails can hide a lot more. Along with health problems, your nail can be hiding a bacterial problem if your manicurist isn’t disinfecting her tools properly and this issue may be hidden from you. If any of the problems above is something that you are dealing with, call your doctor and get checked out. Most problems can be reversed in a diet change or the control of a chronic disease or illness. Get the care that you need.

10 Secrets to Surviving College

Going off to college is a milestone in your life, it can be scary and exciting at the same time. For a lot of women, it’s the first time they have ever been away from home and the feeling of new found independence can be overwhelming. This may be the first time you’ve ever been away from home or ever been alone, but don’t let the excitement disguise the fact that you are now an adult and responsible for yourself.

Ready or not, you are now a woman with her own mind and her own feelings, so don’t let the fear turn you into someone who follows the pack. Blaze your own trail and take this opportunity to grow into the wonderful woman you are becoming.

The media may portray college as either a full time joy ride or the hardest chapter in your life, but don’t worry. This is a time of growth and endless possibilities, so take this time to come out of that cocoon and develop into a butterfly who will set the world on fire. Be fearless. Be brave and remember that you are beautiful.

Here are 10 tips on how to make this transition more comfortable, easier and stress free while enjoying your new freedom. These are the tips that I have shared with my own daughters, and although they aren’t leaving the nest quite yet, I thought I would share with all the daughters who may need some encouragement in this time of great change.

10 Secrets to Surviving College

  1. Eat good clean food, don’t get trapped in endless pasta and pop in the cafeteria. It’s easy to grab something quick and easy, but remember: you are what you eat. Be proud of your body and your health, and give yourself the gift of good nutrition.
  2. Sleep is more important now than ever before to keep you level headed and your mind sharp. Keep to your schedule and don’t get caught up in the spontaneous partying. Avoid the toga parties if you must, but if you do decide to pledge a sorority, remember that you don’t have to follow the herd. Choose your education over a temporary good time.
  3. Exercise. Get it in. Do not stop, and make it fun. Join or create a group that walks daily, or join the gym. You’ll meet like-minded individuals who have the same goals. Fitness is important.
  4. Don’t hold anything in, express yourself freely. You will regret it if you don’t, or even get sick. This is a major cause of stress. And stress is the root of all evil. Be your own beautiful self.
  5. Be true to yourself. Your opinion matters because you matter. Don’t limit yourself from trying new things, but choose things that represent the real you. Don’t change to please others.
  6. No means No. Period! In every situation.
  7. This is not high school, nobody cares about your shoes or your purse. You don’t have to dress like the cool kids or have the latest and greatest of technology. Adults don’t care what brand of shoes you wear.
  8. Choose your friends wisely. A lot of the people you meet in college will be lifelong friends and the network you create in college will be an important part of the rest of your life. Find your tribe and support other women. Real women never tear each other down, but encourage and lift up their sisters.
  9. Players gonna play; if he’s on the Football team headed for the NFL he may not be the best marriage material. Guys like to party, and they like girls who party, but those parties end when the real world begins. Find your soulmate, not a “Good Time Charlie.”
  10. Just do YOU and be your own woman. Find your voice and use it. Don’t worry about the others on campus, worry about yourself and what you want to represent to the world. Choose a life you can be proud of.


Being independent for the first time can be scary, but remember that you are YOU, and don’t change to please others. You will find your way, but always remember that you are loved and can always call home for support and encouragement. I encourage all mothers to share this message with their daughters who are embarking on this new chapter in their lives.

To all the young ladies reading this, congratulations! Your life awaits.