non-surgical pain management

Important Sleep for Stem Cells too

June 8, 2016Back Pain

Sleep is important for our body. With modest sleep deprivation it can be a struggle to function at our highest level and long term sleep deprivation, or disruption, can have significant health effects. It turns out that your sleep deprivation may also impact others…….if you are donating your hematopoietic stem cells.

Hematopoietic stem cells, also known as blood stem cells, are responsible for giving rise to the cells of our blood and immune system and are the key “ingredient” in bone marrow transplants, a cellular therapy that was pioneered over 50 years ago. The transplantation of bone marrow or hematopoietic stem cells is now routinely used to treat patients with blood cancers such as leukemia or lymphoma and disorders of the immune system. According to the American Society for Blood and Marrow Transplantation, approximately 24,000 patients world-wide are annually transplanted with donor blood stem cells.

There are many critical steps in a bone marrow or stem cell transplant between a donor and recipient (known as an allogenic transplant):

Bone marrow or stem cells from an immunologically matched donor are harvested.
The recipient’s immune system is “conditioned” to receive the donor cells.
Transplanted donor stem cells migrate to the bone marrow – the vascular space inside the bone and home to hematopoietic stem cells.
Donor stem cells engraft in the recipient bone marrow and begin to proliferate to generate the cells that enter the circulation and help restore the patient’s blood and immune system.
Even a partial failure in one of these steps can threaten the success of the transplant.

It turns out that sleep may also be a critical factor in transplant success. A team of scientists from California and Israel used mice to test the effect of sleep on stem cell transplantation. When mice were sleep-deprived, the ability of their stem cells to restore the blood and immune system of a recipient mouse was dramatically decreased. Not only were there fewer transplanted cells found in the circulation, but there were also fewer donor cells in the bone marrow of transplanted mice.

How does sleep deprivation affect hematopoietic stem cell function? Part of the answer appears to be that the “sleepy cells” were functionally impaired (sound familiar?). Hematopoietic stem cells from the sleep-deprived mice were shown to have genetic changes that inhibited their migration. When these genetic changes were experimentally corrected, the “sleepy cells” were able to migrate normally thus demonstrating that the genetic changes were important for stem cell migration.

Growth hormone may be another part of the answer. Known to be regulated by sleep, growth hormone was linked to the same genetic changes seen in the “sleepy” stem cells thus suggesting that growth hormone was the link between the lack of sleep and the genetic changes.

We all know from our own experience that sleep is important, but how it affects cell function is a fundamental question and the subject of ongoing scientific inquiry. This research adds an important new and underappreciated dimension to stem cell research and their clinical use

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We’re innovative leaders utilizing cutting-edge technologies such as musculoskeletal ultrasounds, PRP, stem cell treatment, and other innovative procedures. Michigan Sports & Spine Center is committed to resolving your pain, not simply masking it. We treat the whole body, not just the injury, and perform preventative treatment so your injury doesn’t come back. Our studies prove that Michigan Sports & Spine Center has patient success rates much higher than the national average. We treat everyone from high-profile athletes to your neighbor next door. Our primary focus is getting our patients back into the game of life!

Living with Chronic Pain Part 1

June 8, 2016Pain Management

I was always athletic from a very young age so having a few aches and pains was no big deal and I thought it all came with the territory of being athletic and pushing myself to extremes to be the best I could be at Cheerleading , Softball and even powder puff football(yes powder puff football) so when I was 18 and felt pain in my neck after a fall from A cheer competition, I figured I just landed the wrong-way and ignored the pain for the next 10 years , yes I said it , the next 10 years. Over the next 10 years I lived with chronic pain in my neck and upper back , at one point my lower back started feeling pain and it radiated down my legs(I will get into that with the 2^nd part of my Blog). I finally saw a Neurologist who thought cortisone injections may work for me. I had my first one done at 28 years old. Now I’m going to back- up a few years, My dad was Diagnosed with CMT when he was 40. CMT stands for Charcoal Marie Tooth Disease don’t let the name fool you. It has nothing to do with your teeth.

Charcot-Marie-Tooth disease (CMT) is one of the most common inherited neurological disorders, affecting approximately 1 in 2,500 people in the United States. The disease is named for the three physicians who first identified it in 1886 – Jean-Martin Charcot and Pierre Marie in Paris, France, and Howard Henry Tooth in Cambridge, England. CMT, also known as hereditary motor and sensory neuropathy (HMSN) or peroneal muscular atrophy, comprises a group of disorders that affect peripheral nerves. The peripheral nerves lie outside the brain and spinal cord and supply the muscles and sensory organs in the limbs. Disorders that affect the peripheral nerves are called peripheral neuropathies.

I did not want to complain about my neck pain since I watched my dad struggle with his disease and I never heard him complain about the pain that I knew he was in, so who was I to complain about my chronic neck pain? I watched my dad’s body deteriorate year after year and somehow he still managed to push forward each day. I decided to do the same and just live with the pain which was a big mistake, as you will find out later in my blog the ups and downs I went through because I kept putting off seeing a Doctor for my chronic pain.

When I was 28 I finally saw an orthopedic surgeon and he informed me at that time I would need surgery at C-5-C-7 due to the cervical injury I sustained back in college or we could try epidural injections. At that time surgery was not part of my life plan nor was getting epidural injections. I put it off a few more years until I saw a neurologist when the neck pain I felt over the years moved into my head. The neurologist recommended I start getting cortisone injections. Don’t get me wrong I looked up the pros and the cons of these injections and figured the pros outweighed the cons. I received a series of 3 within a few months and felt about 50% better, I thought to myself I feel better than I did before so these must be working.

I went through the next 3 years receiving cortisone injections so the pain wouldn’t interfere with my life and I could carry on a productive life, boy was I wrong. When the pain increased I had no choice but to go back and see the orthopedic surgeon who informed me that if I would have had the surgery 3 years ago I wouldn’t be in this bad of a condition. Leading up to my first surgery in 2014 I had a series of epidural injections which were a life saver , I was able to participate in life again on my terms and get back to being me and enjoying the life I born to live. If I would of listened back then, I would have not had to go through surgery and get a fusion with a cage from C-5-C7 twice. Yes that’s right; I had 2 cervical (neck) fusions.

In the 2nd part of my blog I will get into all my symptoms and day to day life living with pain before my Epidural Injections and Surgery.

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BIOLOGY – An Ongoing Series – Part 1

May 23, 2016Back Pain

What Is Bone Marrow?

Bone marrow is the spongy tissue found in the center of bones. Its main job is to make blood cells that circulate in your body, which include immune cells that recognize foreign invaders and fight infection. Bone marrow is unique in that it contains a rich supply of a broad range of stem cells. The cells found in concentrated bone marrow aspirate (BMA) have been shown to support repair or growth of bone, cartilage, muscle, marrow, tendons, ligaments and connective tissue.

What Is Concentrated Bone Marrow?

Bone marrow is drawn (aspirated) using a procedure that is less invasive than an open bone graft. Bone marrow is commonly taken from the pelvis, but it may be taken from other sites as well. A sample of bone marrow is removed and then spun in a centrifuge to isolate and concentrate the stem cells, which creates concentrated bone marrow. The physician then delivers the concentrated bone marrow directly into the application site on your body.

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BIOLOGY – An Ongoing Series – Part 2

May 23, 2016Back Pain

What Is Platelet-Rich Plasma (PRP)?

PRP is plasma with a higher concentration of platelets than what is typically found in blood. Although blood is mainly a liquid (plasma), it also contains small solid components: red blood cells (RBCs), white blood cells (WBCs) and platelets. Platelets are best known for their importance in clotting blood. In addition, platelets contain proteins called growth factors, which are important in the healing of injuries.

The concentration of platelets—and, thereby, the concentration of growth factors—is significantly increased in PRP as compared to regular plasma. PRP may help optimize the conditions for healing.

During the past several years, much has been written about PRP and its potential effectiveness in the treatment of injuries, such as ligament sprains or chronic tendon injuries. As the name suggests, PRP is simply the concentrated platelets and growth factors from a patient’s own blood.

How Is PRP Obtained?

To obtain PRP, blood is first drawn from a patient. The blood is then spun in a centrifuge where the platelets are separated from other blood components in order to increase their concentration. The concentrated platelets are then re-suspended in a fraction of the plasma after the centrifugation process.

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BIOLOGY – An Ongoing Series – Part 3

May 23, 2016Back Pain

What Is Adipose Tissue?

Adipose tissue, or fat, is an anatomical term for loose connective tissue composed of fat cells (adipocytes). Its main role is to store energy in the form of fat; it also cushions and insulates your body.

Adipose tissue provides a 3-D scaffold rich in mesenchymal stem cells (MSCs). MSCs are stem cells found throughout the body at all stages of development and are believed to be responsible for growth, wound healing and replacing cells that are lost through the daily wear and tear because this material must be aborbed back into the body.

Adipose tissue is the body’s richest source of MSCs and provides two distinct advantages over other sources of stem cells:

Adipose-derived MSCs can be easily harvested by liposuction under local anesthesia.
It is possible to acquire a large number of cells from any type of fat tissue in the body.45,46

What Is a Fat-Grafting Procedure?

A fat-grafting procedure, or autologous (obtained from your own body) fat transplant, transfers tissue from areas in which you have excess fat—such as the thighs or belly—and injects it into areas that may be lacking in volume or in need of repair.

The quality of adipose graft material is an important consideration prior to any fat-graft procedure. One of the drawbacks of traditional fat-grafting procedures is the loss of graft volume post-transplant. The presence of excess fluid, oils and lipids contributes to graft volume loss, because this fluid must be resorbed by the body. Studies indicate that highly refined graft material may result in improved clinical outcomes.

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Auto Accident Related Injuries

May 13, 2016Auto Accident Injury

Even “fender-benders” can cause hidden injuries. Even worse, most people who have been involved in an auto accident may not even know that they’ve been hurt. Most doctors give pain killers to mask the pain from these injuries. The chiropractic approach to these types of injuries is to use specific chiropractic adjustments to help return spinal function. After a thorough case history and examination, the doctor will recommend any necessary care to help restore proper motion and position of spinal bones. If caught early enough, inflammation can be reduced and scar tissue can often be minimized.

Michigan Sports and Spine has earned a reputation of expertise in the treatment of auto trauma injuries. Listed below are some of the ailments associated with auto trauma injuries.

Whiplash
Lower Back Pain
Sprains and strains
Pain in Legs or Arms
Shoulder and Neck Pain
Dizziness & Vertigo
Headaches
Numbness

Ca Seat-belt Injury

Whiplash

Whiplash is a non-medical term used to describe neck pain following an injury to the soft tissues of your neck (specifically ligaments, tendons, and muscles). It is caused by an abnormal motion or force applied to your neck that causes movement beyond the neck’s normal range of motion.

This type of injury can occur, for example, during rear-end automobile collisions.

Injuries range from mild to severe. The main symptom is pain in the neck and shoulders.

Treatment typically begins with over-the-counter pain relievers and ice. If the pain persists, treatment can include physical therapy and prescription medications. In rare cases, injections into the neck may help.

WhiWhiplash is most commonly caused by a motor vehicle accident in which the person is in a car that is not moving, and is struck by another vehicle from behind. It is commonly thought the rear impact causes the head and neck to be forced into hyperextended (backward) position as the seat pushes the person’s torso forward – and the unrestrained

Sprains and Strains

The body is meant to move. Muscles allow that movement to happen by contracting and making joints flex, extend and rotate. Muscles attach on each side of the joint to bone by thick bands of fibrous tissue called tendons. When a muscle contracts, it shortens and pulls on the tendon, which allows the joint to go through a range of motion.

Sprains and strains are common injuries that share similar signs and symptoms, but involve different parts of your body. A sprain is a stretching or tearing of ligaments — the tough bands of fibrous tissue that connect two bones together in your joints. The most common location for a sprain is in your ankle.

Contact Michigan Sports and Spine today at 248.426.9944

Shoulder and Neck Pain

Your neck and shoulders contain muscles, bones, nerves, arteries, and veins, as well as many ligaments and other supporting structures. Many conditions can cause pain in the neck and shoulder area.Your neck (cervical spine) is made up of vertebrae that extend from the skull to the upper torso. Cervical disks absorb shock between the bones. The bones, ligaments, and muscles of your neck support your head and allow for motion. Any abnormalities, inflammation, or injury can cause neck pain or stiffness.

Many people experience neck pain or stiffness in the neck occasionally. In many cases, it is due to poor posture, normal wear and tear, or overuse. Sometimes, neck pain is caused by injury from a fall, contact sports, or whiplash.

Shoulder and Neck Pain Causes

Most shoulder and neck pain results from injury to muscles and ligaments. The spinal cord, heart, lungs, and some abdominal organs also can cause neck and shoulder pain. Here are some examples:

Broken collarbone: Falling on your outstretched arm can cause your collarbone to break.
Bursitis: A bursa is a sac over the joints to provide a cushion to the joints and muscles. These bursa can become swollen and painful after injuries.
Heart attacks: Although the problem is the heart, heart attacks can cause shoulder or neck pain, known as “referred” pain.
Broken shoulder blade: An injury to the shoulder blade usually is associated with relatively forceful trauma.
Rotator cuff injuries: The rotator cuff is a group of muscles at the shoulder. These muscles can be injured playing sports with a lot of throwing or after repetitive use over a long time.
Shoulder or A-C separation: The collarbone and shoulder blade are connected by a ligament. With trauma to the shoulder, this ligament can be stretched or torn.
Whiplash injury: Injury to the ligamentous and muscular structures of the neck and shoulder can be caused by sudden acceleration or deceleration, as in a car accident.
Tendonitis: The tendons connect the muscles to the bones. With strain, the tendons can become swollen and cause pain.

GaGallbladder disease: This can cause a pain referred to the right shoulder.

Contact Michigan Sports and Spine today at248.426.9944

Headaches

Many times after a car accident people will have initial neck pain, are seen in the emergency room and treated. If the injuries are not life threatening they are sent home with some medication and told to rest. Unfortunately, many will start to have headaches, even if they have never had headaches before. Those with a history of headaches will find their headaches are getting worse. Most of the time the headache will dissipate over a week or two and everything will be fine.

Headaches following a car accident can mean a lot of different things. They could be signs of a concussion or a serious head trauma.

The forces on the head, neck & body during a car accident can be extreme. Even if you’re wearing a seat belt.

In some situations, victims of car accidents suffer a TMJ, or temporomandibular joint, injury. The TMG is the joint where a person’s lower jawbone meets the skull.

If you’re having headaches after a car accident, you should never assume that it’s nothing and will go away on its own. Be sure to report even the slightest headaches to first responders at the scene of your car accident.If your headaches don’t begin until after you leave the scene of the accident, don’t hesitate to seek medical attention

Contact Michigan Sports and Spine today at 248.426.9944

Numbness

Numbness and tingling down the arms and legs, also known as paresthesia, can also include symptoms such as pain, burning, pricking, or creeping along the skin. These symptoms generally indicate a malfunction of sensory nerves. While many sufferers of numbness, tingling, and pain in their arms and legs recall specific traumas such as head injuries, auto accidents or falls, which could have injured their spines, some do not. An examination is necessary to see whether an injury is present and what care can be achieved.

Contact Michigan Sports and Spine today at 248.426.9944

Dizziness (Vertigo)

Dizziness (Vertigo) It is common for patient’s to experience dizziness/vertigo after a motor vehicle accident. The injury sustained is typically viewed as a whiplash injury, but also affects the area of our brain that controls our balance, coordination and spatial awareness. The regions of the neck at the base of the skull are extremely sensitive, and normal feedback from these structures is required for understanding where our head should be in space. When this is damaged, so is the signaling that normally transmits information to our vestibular system, the part of the brain that controls our sense of balance and spatial awareness. If affected, it is common to experience light headedness, spatial awareness issues, dizziness, vertigo (a sensation which feels like either you or the room are spinning) and often migraines or headaches.

Joints are stabilized by thick bands of tissue called ligaments which surround them. These ligaments allow the joint to move only in specific directions. Some joints move in multiple planes; therefore, they need more than one group of ligaments to hold the joint in proper alignment. The ligaments are anchored to bone on each side of the joint. If a ligament is stretched or torn, the injury is called a sprain.

Contact Michigan Sports and Spine today at 248.426.9944

Lower Back Pain

Car accident back pain is one of the worst and most prevalent types of chronic pain. The tremendous forces created during a car accident are enough to tear apart soft tissue and shatter bone. Life altering spinal injuries are often the result of serious automobile wrecks and even minor fender benders can create some significant back ache complaints.

The spine is the most important part of our skeletons. Spinal injuries are common in serious automobile accidents. Vertebral fracture and spinal instability can result from the nightmarish force of a high speed collision. Occupants who are ejected from a moving vehicle face an even greater risk of spinal fracture, serious injury or death. The lower back is the most common site of back injuries, including sprains and strains, herniated discs and fractured vertebrae. These injuries can cause pain and limit your mobility Sometimes the symptoms of even the most serious back injuries can take some time to show up after an accident. Unfortunately, back injurycan cause long lasting pain anddiscomfort Contact Michigan Sports and Spine today at 248.426.9944

Pain in Legs or Arms

The cause of many instances of shoulder or arm pain is obvious. You do something to injure the arm or shoulder and immediately feel pain, such as in an auto accident. You may have broken a bone or dislocated your shoulder. Perhaps you strained tendons or ligaments by carrying too much weight for too long, by lifting something that was too heavy, overreaching or overexerting your arm-as when playing sports when you¡¯re out of shape-or by keeping your arm in an awkward position or even by sleeping on the shoulder. The resulting pain may range from an annoying ache to an acute pain that makes it hard for you to use the injured arm.

There are other, less-obvious causes of shoulder or arm pain. Each is distinguished by where it is felt, whether it comes on suddenly or over time, when it is at its worst, if the pain extends to other joints in your body, and if other symptoms¡ªsuch as swelling, numbness, tingling, fever, fatigue, and insomnia¡ªaccompany the pain.

The causes of shoulder and arm pain include tendonitis, bursitis, arthritis, and gout. Such pain may also result from a reaction to medications such as penicillin, anti-anxiety drugs, and oral contraceptives. Whiplash injuries, common in auto accidents, can also cause shoulder and arm pain.

Shoulder and arm pain may be referred from some other region of the body, as when someone suffering a heart attack feels pain in the left shoulder and down the left arm.

The pain may also be referred from nerves associated with the joints in the upper spine or even trigger points in the back. Legs are generally abused from standing or sitting for long periods of time. It is important to stretch, massage, and incorporate joint movement to get pain relief.

The knee is a complex joint influenced by muscles from above and below the joint. Knee instability is often compensated for by increased muscle tension in the leg muscles and shortening of the iliotibial tract (large connective tissue structure on the outside of the leg). Car accident injuries that damage these parts of the leg require special attention.

Contact Michigan Sports and Spine today at 248.426.9944

Car Seat-belt Injury

Another common type of personal injury experienced from a car accident is seat-belt injury. This is hardly surprising really when you think what happens in a car accident. Whether some car has rear ended your car or another car has rammed into the side of your car you will be jerked forward or sideways. This thrust will have an effect on your body even if you are wearing a seat-belt. Obviously wearing a seat-belt is law and rightly so. There have been a number of studies into the safety of passengers and the tests showed that if you wear a seat-belt you are less likely to be injured as seriously than if you were not wearing one. All the same you can still be damaged by a seat-belt and in some case quite seriously.Seat belts and airbags can help to prevent serious injuries in a car accident. At the same time, these protective devices can create physical problems themselves. Seat belt injuries may not always seem immediately obvious. There are symptoms to watch for following an accident that can indicate further damages from the seat belt.

Although lifesaving, the seat-belt causes misaligned ribs and vertebrae which in turn pinch and pull the nerves which are connected to these affected areas. The result is pain. Why go untreated after an automobile accident? Pain does not have to become a way of life after an accident. If you’re involved in an accident, whether it occurs on the job or on the road, contact our office for a complete post-accident examination.

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Exercise Your Way to a Healthy Body and Brain

March 21, 2016Health & Fitness

We know that exercise is good for your body and your heart. Now there’s evidence that its good for your brain, too. A new study shows that people who do moderate exercise have brains that look, on average, 10 years younger than those that don’t exercise.

The study was done at the University of Miami and published in the journal Neurology. It showed that for older people, getting regular exercise may be protective and help them keep their cognitive abilities longer.

The study of nearly 900 people showed 90 percent fell into the low-intensity group. The 10 percent who said they took part in moderate- to high-intensity exercise scored better on the tests 12 years later. These included running, racquetball, aerobics, or calisthenics. Those with moderate-heavy activity had higher baseline scores and slower decline in comparison to inactive patients. However, It also showed that if people already had signs of memory loss or mild cognitive impairment on their first exam, the exercise did not seem to help with memory decline.

The take away here is start now! Get out every day and perform moderate – heavy activity. For those that live in pain, always check with your physician first to ensure you are healthy enough to begin an exercise program. If pain is keeping you from exercise, see your physician. We at Michigan Sports & Spine Center are committed to helping you lead an active and pain free lifestyle. Come see us to help get you back to the life you deserve.

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Treating a Neck Injury from an Accident

March 14, 2016Auto Accident Injury

Being in an auto accident is frightening and traumatic, even if it’s just a fender bender. Fortunately, cars are being built safer these days and these features have cut down on injuries; but they can’t be eliminated. The neck is still very vulnerable and susceptible to injury.

A neck injury as a result of an auto accident is referred to as whiplash. Whiplash is a relatively common injury that occurs to a person’s neck following a sudden acceleration-deceleration force that causes unrestrained, rapid forward and backward movement of the head and neck. It is often ignored or mistreated due to lack of understanding of the condition.

While most people involved in minor motor vehicle accidents recover quickly without any chronic symptoms, some continue to experience symptoms for years after the injury.

In the past, the initial treatment for whiplash was often a soft cervical collar for several weeks. The goal of the collar was to reduce the range of motion of the neck and to prevent any additional injuries. More recent studies have shown that this prolonged immobilization actually slows the healing process. If there is no evidence of abnormal spinal alignment, early range of motion is advised. Patients involved in early range of motion exercises have been shown to have a more reliable and rapid improvement in their symptoms.

Seek out medical advice from a spine specialist to ensure that you are receiving the proper treatment for an optimal recovery.

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Walking to Ease Low Back Pain

March 7, 2016Back Pain

Relief from back pain could be as simple as taking a stroll in the park. Literally!

Studies suggest that a simple regime of daily walking can help individuals with lower back pain. This is especially relevant for people who suffer from lower back pain and want to avoid medications.

When people walk actively, abdominal and back muscles work in much the same way as when they complete exercises that target these areas. And unlike muscle strengthening programs, which often call for specific equipment and can involve exercises that require expert supervision, walking is a simple activity that can be done alone.

A walking program has the additional advantage of encouraging patients to follow a healthier lifestyle overall. In terms of physical fitness, walking on a regular basis also makes people less likely to suffer typical aches and pains over their lifetime. Walking also lowers blood pressure, boosts brain and immune system functioning, and reduces stress.

So grab your sneakers and hit the road to a healthy life.

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I Drank My Way to Diabetes Type 2

February 17, 2016Health & Fitness

We meet many patients who share they are health nuts, into fitness, eat healthy, drink natural juices and many more other claims that on the surface seem to be the way to a healthy, fit life. The problems arises by all of the false claims that many products are making or trying to portray through packaging and advertising. Here is one person’s journey (anonymous) through what they thought was being healthy.

I drank my way to Diabetes Type 2 and it wasn’t with alcohol.

Mostly I drank those “natural” fruit/veggie drinks, fruit sweetened. These store bought juices are made to look beautiful and healthy, but they’re not. Actually, quite frankly, they’re deadly. You see, they’re filled with so much sugar, sometimes over 80 grams per container! This fruit sugar (fructose) goes straight to your liver where lipogenesis occurs. This means that fat triglycerides are created in your bloodstream. This deadly liquid can most definitely lead to Diabetes Type 2 and heart disease. Drink only fresh pressed greens and eat your fruit whole. Peaceful healing, friends.

Be on alert for the terms juice cocktail, juice-flavored beverage, and juice drink. Most of these products have only small amounts of real juice. Their main ingredients are usually water, small amounts of juice, and some type of sweetener, such as high-fructose corn syrup. Nutritionally, these drinks are similar to most soft drinks: rich in sugar and calories, but low in nutrients. Water is a better choice.

BEST ADVICE: Read the label of everything you eat or drink.

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