Atherosclerosis

Atherosclerosis

Atherosclerosis is a disease of the arteries characterized by the deposition of fatty material on their inner walls. It is also known as arteriosclerotic vascular disease or ASVD. Atherosclerosis is a specific form of arteriosclerosis in which an artery wall thickens as a result of the accumulation of fatty materials such as cholesterol and triglycerides.

Atherosclerosis is commonly referred to as a hardening or furring of the arteries. It is caused by the formation of multiple plaques within the arteries. It is a syndrome affecting arterial blood vessels, a chronic inflammatory response in the walls of arteries, caused largely by the accumulation of macrophages and white blood cells promoted by low density lipoproteins (LDL, plasma proteins that carry cholesterol and triglycerides) without adequate removal of fats and cholesterol from the macrophages by functional high-density lipoproteins (HDL).

Sometime called the “Silent Killer”, Atherosclerosis is a chronic disease that remains asymptomatic for decades. Atherosclerotic lesions, or atherosclerotic plaques are separated into two broad categories: Stable and unstable (also called vulnerable).

The pathophysiology of atherosclerotic lesions is very complicated. The progression of atherosclerosis is generally categorized as stable and unstable in which a development of stable atherosclerotic plaques, which tend to be asymptomatic, are rich in extracellular matrix and smooth muscle cells, while, unstable plaques are rich in macrophages and foam cells and the extracellular matrix separating the lesion from the arterial lumen (also known as the fibrous cap) is usually weak and prone to rupture.

Early atherogenesis is characterized by the adherence of blood circulating monocytes (a type of white blood cell) to the vascular bed lining, the endothelium, followed by their migration to the sub-endothelial space, and further activation into monocyte-derived macrophages.

Is it hypercholesterolemia? The pharmaceutical industry has billions of dollars per year at stake in revenue from cholesterol as a precipitating factor in Atherosclerosis. “Normal” Cholesterol concentration levels have changed in the last 30 years from 240, to 220, to 200 to 180 which has introduced millions more people as customers, but has done little to slow the progression of Atherosclerosis.

Most current research demonstrates that dietary changes to reduce internal toxicity and inflammation have the greatest impact on the progression of Atherosclerosis.

Other sources of inflammation:

 Oxidative stress/Free Radical Damage

Pathogens

The primary documented driver of this process is oxidized lipoprotein particles within the wall, beneath the endothelial cells, though upper normal or elevated concentrations of blood glucose also plays a major role and not all factors are fully understood. Fatty streaks may appear and disappear.

During the Oxidation process, ROS molecules are formed that include free radicals, such as: superoxide, hydroxyl radical and NO.  ROS are generated by internal and external stresses including vasoactive factors such as angiotensin II and endothelin. Cellular sources such as lipoxygenases and nicotanamide adenine dinucleotide phosphate (NADPH) oxidase.

NADPH plays a role in the physiological respiratory burst produced by phagocytic cells such as neutrophils and macrophages that result in large amounts of ROS production.

The process of inflammation is caused by a number of factors, including:

Vasoactive factors

Cellular sources

Mechanical forces from shear stress from fluid movement

Stretching forces -Activates NADPH oxidases and ROS production

Initial damage to the endothelium results in an inflammatory response. Monocytes enter the artery wall from the bloodstream, with platelets adhering to the area of insult. This may be promoted by redox signaling induction of factors such as VCAM-1, which recruit circulating monocytes, and M-CSF, which is selectively required for the differentiation of monocytes to macrophages.

Red Blood Cells with spiked edges in a classic “coke bottle cap” demonstrate free radical damage which circulate and damage the endothelial lining of the arteries. The Body attempts to heal damage on the inner walls of the arteries in a process similar to the coagulation cascade.

The monocytes drawn to the damaged, inflamed arterial walls will differentiate into macrophages, which ingest oxidized LDL, slowly turning into large "foam cells" – so-called because of their changed appearance resulting from the numerous internal cytoplasmic vesicles and resulting high lipid content.

Under the microscope, the lesion now appears as a fatty streak. Foam cells eventually die, and further propagate the inflammatory process. There is also smooth muscle proliferation and migration from the tunica media into the intima responding to cytokines secreted by damaged endothelial cells. This causes the formation of a fibrous capsule covering the fatty streak. Intact endothelium could prevent the proliferation by releasing nitric oxide.

Calcification forms among vascular smooth muscle cells. In time, as cells die, necrosis, this leads to a progression of the inflammatory process where extracellular calcium deposits between the muscular wall and outer portion of the atheromatous plaques. These capped fatty deposits (now called 'atheromas') produce enzymes that cause the artery to swell, “tumor”, enlarge over time.

As long as the artery enlarges sufficiently to compensate for the extra thickness of the atheroma, then no narrowing ("stenosis") of the opening ("lumen") occurs. The condition remains silent until an atheroma ulcerates, which leads to immediate blood clotting at the site of atheroma ulcer.

This triggers a cascade of events that leads to clot enlargement. The result is the formation of a thrombus (blood clot) overlying the atheroma, which obstructs blood flow acutely. With the obstruction of blood flow, downstream tissues are starved of oxygen and nutrients. If this is the myocardium (heart muscle), angina (cardiac chest pain) or myocardial infarction (heart attack) develops. The clot may also move to the lung or brain, or cause a blockage of the extremity.

Atherosclerosis treatment, in my opinion will not improve as long as the focus is on lowering cholesterol. Why? because lipoproteins are found in the cell membrane – the cholesterol is a natural stabilizer.  Cholesterol is responding to the ROS damaged epithelium – NOT a cause of atherosclerosis.

EVALUATION/DETECTION

Examples of anatomical detection methods include (1) coronary calcium scoring by CT, (2) carotid IMT (intimal media thickness) measurement by ultrasound, and (3) intravascular ultrasound (IVUS).

Examples of physiologic measurement methods include (1) lipoprotein subclass analysis, (2) HbA1c, (3) hs-CRP, and (4) homocysteine.

Current theory of evaluation includes a standard blood lipid profile which includes values for total cholesterol, LDL, HDL cholesterol, and total triglycerides. Several ratios, such as LDL/HDL ratio and the total cholesterol/HDL ratio, are used as risk predictors. The pharmacological industry has a vested interest in keeping these tests inexpensive as it contributes to the adding of millions of customers for the statins.

INTERVENTION:

Pharmacological intervention - statins have been the most popular and are widely prescribed for treating hyperlipidemia promoted by the Pharma Industry for atherosclerosis (side effects muscle weakness and pain, neuropathy). A better approach would seem to be the development of some product to intervene in the positive feedback loop of the runaway inflammatory cycle.

Natural or wholistic intervention:

Niacin (vitamin B₃), in pharmacologic doses

Dietary Changes to include reduction of meats and eggs has not been shown to be effective

Dietary supplements of Omega-3 oils

Vitamin C - acts as an antioxidant in vessels and inhibits inflammatory process.

Oats

Iodine – Sea Kelp

PALEO DIET

Chelation - Chelation therapy using EDHT showed promise, but the FDA halted this approach. In 1999, the ACAM agreed to stop presenting EDTA chelation therapy as effective in treating atherosclerosis in progressive heart disease, avoiding legal proceedings from the FDA under pressure from the pharmaceutical giants.

Surgical intervention - angioplasty procedures that may include percutaneous transluminal angioplasty using a balloon and stents to physically expand narrowed arteries and major invasive surgery, such as bypass surgery, to create additional blood supply connections for the more severely narrowed areas.

SUMMARY

Cardiovascular disease is the number one killer in the US and in most industrialized nations of the world. We already had a presentation of hyperlipidemia. The prevalent thought is that high LDL, Triglycerides and Cholesterol are the predisposing factors that cause atherosclerosis. My position is that inflammation is the causative agent that initiates atherosclerosis. If you remove the huge monetary benefit of cholesterol lowering medications and their influence on treatment option, I believe we can get to the source of atherosclerosis and actually do something significant to change the course of this devastating disease. 

The way to make real intervention in the halting the development and progression of atherosclerosis is to take a holistic approach: changing the diet to be less inflammatory, reducing global toxicity and stress, moderate exercise. My formula would be:

WELL-N-E-S-S

Being WELL in your Nutrition, Exercises, Stress Management and Structural balance.

For more information go to www.wellnesseducationfoundation.org

 

ARE YOU IN PAIN?

Neuropathic Pain

(Pain, Neuropathic; Nerve Pain; Pain, Nerve)

From the Health Library by Rebecca J. Stahl, MA

Definition

Neuropathic pain is a painful sensation that occurs due to damaged or poorly functioning nerves. The pain may be long-lasting.

Nervous System © 2011 Nucleus Medical Media, Inc.

Causes

This condition is caused by damaged nerve fibers that send pain signals to your brain. This happens even when there is no event to trigger the pain. For example, a person with neuropathic pain may experience a feeling of pins and needles when putting on socks.
Nerve damage may be caused by:

• Physical damage
• Chemicals
• The nerve not getting the vital nutrients needed to function
• Infection
• The body’s immune system attacking the nerves

Sometimes the cause of the nerve pain is unknown.

Risk Factors     

Certain conditions increase your risk of developing neuropathic pain, such as:

• Diabetes ( diabetic neuropathy)
• Shingles ( post-herpetic neuralgia)
• HIV infection (HIV sensory neuropathy)
• Amputation ( phantom limb pain)
• Alcoholism
• Vitamin deficiency
• Spinal cord disorder or injury
• Cancer
• Carpal tunnel syndrome
• Congenital (present at birth) conditions

Other risk factors include:

• Back surgery
• Chemotherapy
• Exposure to toxins or metals
• Certain medicines

Symptoms

Neuropathic pain may cause sensations of:

• Burning
• Stabbing
• Electrical shock
• Pins and needles/tingling
• Numbness

This pain may be constant or occur off and on throughout the day. The condition can interfere with daily activities, as well as sleep. In some cases, even the touch of a bed sheet can cause pain.
If you have any of these symptoms, talk to your doctor.

Diagnosis

Your doctor will:

• Ask about your symptoms and medical history
• Do a physical exam

You may be referred to a neurologist. This is a doctor who specializes in disorders of the nervous system. This doctor will do a neurological exam and other tests.
Depending on your condition, you may also be referred to a pain specialist who can help you manage your pain.

Treatment   

Talk with your doctor about the best treatment plan for you. Treatment options include:

Chiropractic care

Procedures

Your chiropractic doctor may recommend nerve decompression. If pressure on the nerve is causing pain, non surgical decompression can relieve it. This can help decrease the pain or make it go away completely.
If you are not getting relief from other treatments, your chiropractic doctor may recommend referral for:

• An injection of a nerve block—An anesthetic is injected into the painful area to block pain signals.
• Pain pump installation—A pain pump can be implanted into your body to deliver pain medicine.
• Nerve stimulators—This device is attached to the nerve and delivers electrical signals to control pain.
• Surgery can be done to block the damaged nerves from sending signals.

Medications

There are a number of medicines that have limited effectiveness for treating neuropathic pain. Some of these, like antidepressants, were created to treat other conditions. They have also been found to be marginally useful for treating nerve pain.
Examples of medicines used to treat symptoms of peripheral neuropathy include:

• Anticonvulsants
• Antidepressants
• Opioid pain relievers
• Over-the-counter pain relievers (eg, acetaminophen, ibuprofen)
• Topical creams (applied to the skin) or patches (eg, capsaicin cream or a patch with lidocaine)

It may take a while for your doctor to find the right medicine for you. You may need to take a combination of medicines for pain relief.

Other Options

• Ask your doctor to recommend a safe exercise program. Being active will help your overall health.
• Work with your chiropractor or a therapist to help you cope with chronic pain. Joining a support group may also be helpful.
• Talk to your family and friends about your condition. They can offer help and understanding.
• Learn relaxation techniques, like meditation, to reduce stress.
• If you have an underlying condition, like diabetes, be sure to get proper treatment for it.

Prevention

You can reduce your chance of developing neuropathic pain by getting proper treatment for any spine movement problems or chronic conditions, such as diabetes.

RESOURCES:

American Chronic Pain Association
http://www.theacpa.org/default.aspx

National Pain Foundation
http://www.nationalpainfoundation.org/

CANADIAN RESOURCES:

Canadian Diabetes Association
http://www.diabetes.ca/

Canadian Pain Coalition
http://www.canadianpaincoalition.ca/

References:

Botez SA, Herrmann DN. Sensory neuropathies, from symptoms to treatment. Curr Opin Neurol . 2010;23(5):502-508.

Causes. Neuropathic pain. National Pain Foundation website. Available at: http://www.nationalpainfoundation.org/articles/740/causes . Accessed February 3, 2011.

Farrar J. Treating neuropathic pain and the neuropathic pain patient. The Transverse Myelitis Association website. Available at: http://www.myelitis.org/pain.htm . Updated April 18, 2010. Accessed February 3, 2011.

Injections. Neuropathic pain. National Pain Foundation website. Available at: http://www.nationalpainfoundation.org/articles/741/injections . Accessed February 3, 2011.

Medications. Neuropathic pain. National Pain Foundation website. Available at: http://www.nationalpainfoundation.org/articles/742/medications . Accessed February 3, 2011.

Neuropathic pain. American Chronic Pain Association website. Available at: http://www.theacpa.org/conditionDetail.aspx?id=29 . Accessed February 3, 2011.

Neuropathic pain. Merck Manuals Online Medical Library website. Available at: http://www.merckmanuals.com/professional/sec16/ch209/ch209c.html . Updated February 2007. Accessed February 3, 2011.

Types of neuropathic pain. The Neuropathy Association website. Available at: http://www.neuropa... . Accessed February 3, 2011.

Understanding nerve pain. American Chronic Pain Association website. Available at: http://www.theacpa.org/uploads/Final_Brochure.pdf . Published 2004. Accessed February 3, 2011.

Replacing Sweetened Drinks with Noncaloric Drinks May Aid in Weight Loss

From the Health Library

by Pamela Jones, MA

Weight loss is based on a simple equation of using more calories than you take in. And if you eat more calories then you burn, you will gain weight. Replacing a calorie rich drink (such as soda) with a noncalorie drink (such as water or diet soda) seems like a reasonable step toward decreasing the amount of calories you take in and helping with weight loss. However, some believe that noncaloric drinks may increase consumption of others foods either because a person isn't satisfied or they reward themselves for "being good". Weight loss efforts could be hampered if increased consumption of other foods occurred. However, this idea had never been tested in a rigorous study.
Researchers from the United States conducted a trial to help determine if replacing caloric beverages with water or noncaloric sweet drinks led to weight loss in people who were overweight. The trial, published in The American Journal of Clinical Nutrition, found that replacing caloric drinks with noncalorie options led to greater weight loss.

About the Study

The randomized trial included 318 adults who were overweight or obese. All the participants reported drinking at least 280 calories in sweetened drink products per day. This may include sugar sweetened beverages, juice, juice drinks, sweetened coffee, tea or milk, sports drinks or alcohol. The participants were then divided into three groups:

• Treatment group 1 - replace at least two drinks per day (200 calories or more) with noncaloric sweetened drinks
• Treatment group 2 - replace at least two drinks per day (200 calories or more) with water or noncaloric sparkling water
• Control group - offered advice about weight loss and made their own choices about weight control

At six months, 5% weight loss was achieved in:

• 19.5% with noncaloric beverage (group 1 and 2)
• 10.5% in control group

How Does This Affect You?   

Randomized trials are considered a very reliable method of research. These trials attempt to account for other influences that affect weight loss by splitting patients into a control group and a treatment group. This step can help to clarify that the outcomes are in fact related to the treatment. Most studies on benefits from noncaloric beverages are observational. Observational studies do not control for other factors that can affect weight loss or weight gain, which may lead to confusing outcomes.
The basic principal of this study was that replacing a regular beverage with a noncaloric beverage might help create a calorie deficit. The replacements may have lowered daily calorie intake by at least 200 calories with the replacement of a full calorie drink. If you are trying to lose weight, track your drinks for the day. If you have more than two drinks per day that are sweetened or sugary drinks, including fruit juices, consider substituting water or noncaloric drinks to help keep your calorie consumption in check. Small gradual changes like this may make dietary changes easier to swallow.

Resources:

American Dietetic Association
http://www.eatright.org/

The Obesity Society
http://www.obesity.org/

Sources:

Tate DF, Turner-McGrievy G, Lyons E, et al. Replacing caloric beverages with water or diet beverages for weight loss in adults: main results of the Choose Healthy Options Consciously Everyday (CHOICE) randomized clinical trial. Am J Clin Nutr. 2012 Mar;95(3):555-63.

How does the Well Care Membership Benefit You

Online Wellness Assessments
The WEF Online Portal has over 40 online assessments, and the Health Risk Manager is our most popular. This state of the art, online health risk assessment is administered securely and confidentially, and generates both personal and administrative reports that identify key areas of health and wellness concerns. Recommendations are then generated to achieve optimal health.

The Health Risk Manager HRA covers key health issues including:
• Heart Health
• Nutrition
• Weight Management
• Fitness
• Cancer
• Smoking
• Stress
• Safety

When you complete your Health Risk Manager – you are entitled to a complimentary Health Risk Review with your Network Provider. Your Survey Results will be reviewed, and you will be given a “Next Steps” Outline to reduce your Health Risks and help you meet your goals to a Healthier Life!

Interactive Health Risk Assessments
The Interactive Health Risk Assessments are written so that end users may evaluate their risk for different conditions and learn how to reduce it. There are several types of assessments and profiles available. The individual Risk Assessments allow users to determine their risk for specific diseases. Note that the assessments recognize key warning signs and will direct users to the appropriate health professionals when needed. Users are then given specific instructions on how to lower their risk for each health condition. Recommendations may include:
• Self-treatments options
• Lifestyle suggestions
• Recommendations to see specific health practitioners
• Natural health products that may be of benefit
• Recommendations to take specific additional assessments
• A suggestion to participate in an online health improvement program

Interactive Behavioral Health Assessments
These Behavioral Health assessments seek to provide the user with the helping hand of a digital psychotherapist. THE WEF and its online health partners give users the tools and support that they would expect from the country's most experienced behavioral health benefits providers, along with current information for health professionals, consumers, researchers and advocates.

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Interactive Disease Management Assessments
The use of disease management has grown rapidly in the past several years, while online disease management tools have become the cutting edge of modern medical management.

Our web-based disease management tools help providers save time while retaining personal involvement with their patients. Users can learn a great deal about what their symptoms mean and how to care for them, both on their own and with professional help when needed. Physicians will not only have a more educated patient, but can also access their patients’ assessment responses, even as they change over time, along with a sophisticated computerized analysis of these symptoms.


Interactive Self-Care and IM Assessments
Users will discover things they never knew about themselves with these unique assessments and profiles.

Complementary and alternative medicine (CAM) includes diverse medical and healthcare systems, practices and products. Scientific evidence exists regarding a number of CAM therapies, often indicating that they can be effective on their own or when combined with conventional medicine. Integrative Medicine is a field that specifically combines mainstream medical approaches with CAM therapies for which there is scientific evidence of safety and effectiveness.

Our CAM assessment recommendations are evidence-based and focus on how various therapies—such as massage, nutrition, chiropractic, acupuncture or herbal medicine—can be used in conjunction with mainstream medical care. Each CAM assessment provides detailed personalized results and actionable recommendations based on one or more CAM disciplines. Available modalities include mind-body medicine, Chinese medicine, Ayurveda, herbal medicine, nutrition, massage and bodywork, movement therapy and others.

Interactive Life-style and Work-style Assessments
Critical areas of everyday work and home life, including diet, sleep; fitness, stress and work-life are addressed by these assessments. Users learn whether their habits are healthy or not, what are the best approaches to improved health for their particular situations, and how to deal with common issues that occur on everyday life. For example, “Why do I sleep poorly and how can I improve it?” is one of the questions specifically addressed by the Sleep Assessment. Users who take several of the Lifestyle and Workstyle Assessments and follow the detailed, personalized and actionable recommendations will find that their daily lives, along with their overall health and well-being, are greatly improved.
My Health Features
The My Health tools enable users to track their health and wellness data while identifying important trends, further personalizing the user experience. The “FOCUS ON” feature presents users with timely and relevant health information they can access with a single click. My Health Journal enables users to log information about their health and use colors to indicate their mood or wellness level; the latter can help them spot trends early so they can be acted upon. Users can maintain a journal and keep track of meetings and events with My Health calendar. My Healthy Life allows users to plan and track their diet, nutrition and fitness needs. Topics include losing weight, getting fit, releasing stress, managing blood pressure and cholesterol, eating healthy and managing The change.

Multi-media Center
The Multimedia Center provides for over 50 files of streaming audio and video information on health and wellness topics. Our library listing makes it simple for users to find information that interests them. While watching a video or listening to an audio file, the users will also see related information in the dynamic link list.

Site Search
The Site Search permits the end user to search multiple databases simply by typing in a search term on any health and wellness related topic. Our proprietary search engine then returns all matches from all areas within the client-customized THE WEF website, as well as from outside databases such as the National Library of Medicine. In addition, all results (including those from outside sites) are categorized by subtopic for easy browsing.

Dynamic Link Library
THE WEF Dynamic Link Engine is particularly powerful. On each content page that utilizes this feature, from static article to constantly changing assessment output, the Dynamic Link Engine provides the end user with a specific list of additional information directly related to the content they are viewing. These dynamic links are always easy to find on the right side of the page: no more searching to find what is important. In addition, when the end user rolls the mouse over a link, a brief summary of the related link appears, providing a “sneak peak” of what the link contains without needing to go to the referenced web page. This license for this feature is limited to the specific use with the content THE WEF provides.

You Benefit from Self Help Works Programs:

Living Lean
This no nonsense workshop is designed to put people in control of unhealthy and compulsive eating habits. Participants change their relationship with food and eating to lose weight, keep it off naturally, and experience lasting lifestyle change. Living Lean focuses on breaking free from an emotional dependency, as opposed to focusing on dieting, pills, packaged food, or feelings of deprivation. No matter how long a person has been overweight or whether they have struggled with diets, plans, or meetings, he or she can succeed with Living Lean.

The workshop consists of 12 sessions, an orientation. A typical daily session will include a self-evaluation survey to assess the individual’s current emotional state, four five-minute segments utilizing engaging video and audio, interactive exercises following each segment, and personalized coaching. Also available to participants is access to an online manual, access to a course review for easy reference and support when needed, recipes and food guides, an exercise planner, community message boards for support networking, personalized emails and reminders.

Living Free
In this workshop participants become ex-smokers in just three weeks. This workshop has among the highest success rate of any other smoking program on the market today. The workshop consists of 8 sessions, an orientation, and an introduction.

A typical daily session will include a self-evaluation survey to assess the individual’s current emotional state, four five-minute segments utilizing engaging video and audio, interactive exercises following each segment, and personalized coaching. Also available to participants is access to an online manual, access to a course review for easy reference and support when needed, community message boards for support networking, and take-away items such as a series of creed cards, personalized emails and reminders.

Living Fit
Participants learn how to make exercise a regular part of their life and for it to be an activity that they eagerly anticipate.

Habits and patterns rule. Most of what we do on a daily basis is a function of habit and that is both good and bad. Some of our habits are productive and some do not provide well-being. Three common features of all habits is that once a habit is established it is easy to do, becomes automatic and is hard to break.

Using our technology, your organization can quickly and easily assess the individual or aggregate health or your population with an assessment and prevention system that seamlessly integrates with your Company Website or Intranet.

Remember your WEF Wellness Portal can become your Wellness support center to help you stay healthy for a lifetime.

Email drwade@wellnesseducationfoundation.org for appointment to review your “NEXT STEPS” Wellness Program.

My Personal Wellness Plan -- Worksheet

To be completed by the healthcare professional and patient.
DATE: _____________________________________________________
PATIENT NAME: _____________________________________________
Email Log In (User Name)_____________________________- Password __________
HEALTH OVERVIEW
1. Have you (the patient) been diagnosed with any of the following chronic health problems or diseases?
Hypertension pre-diabetes arthritis cancer type: ________
heart disease type 1 diabetes type 2 diabetes osteoporosis
stroke other ________
2. What is your (the patient’s):
a. Weight_______ Height ___________
b. Hip Measurement__________
c. Waist Measurement ________
d. Blood Pressure Laying ___________; Standing ___________
READINESS AND SUPPORT
3. On a scale of 1-10, 1 being least likely and 10 being most, how likely are you to consider a couple of small lifestyle changes, specifically to increase physical activity and eat healthier, to improve your health?
1 2 3 4 5 6 7 8 9 10
4. On a scale of 1-10, 1 being least supportive and 10 being most, how much support would you receive from your family and friends if they knew you were trying to increase your physical activity and eat healthier?
1 2 3 4 5 6 7 8 9 10
5. On a scale of 1-10, 1 being least receptive and 10 being most, how much support would you like to receive from me should you choose to increase your physical activity and eat healthier?
1 2 3 4 5 6 7 8 9 10
The purpose of this tool is to allow you to have a baseline set of answers (Health Overview) to which to compare at the next patient visit. In addition, the “Readiness and Support” section will give you a basic idea of this patient’s readiness for change.

People who are successful at making lifestyle changes take time to write out specific goals and a plan of action. Use this work sheet to write out your goals and action plans. Review the various area of your health. Decide in which areas you would like to make improvement. List your present situation and specify your goals (what you want to accomplish) in measurable terms.

Keep track of your progress. Review your goals regularly. Get help from others as needed.



Personal wellness plan for: ___________________________
Start date: _____________
Weight Goal: Present weight________ Weight goal in 6 months: ________
Action plans:


Blood Pressure (BP): Present BP ______________ BP goal in 6 months: ________________
Action plans:


Blood Cholesterol: Present Total cholesterol level ________ HDL cholesterol level _________
Goals: Total cholesterol level ________ HDL cholesterol level _________
Action plans:


Lung Volume:____________ Specific things I want to do to improve my maximum volume.
Action plans:


Healthy Eating: Specific things I want to do to improve my eating habits.
Action plans:


Physical Activity: Number of days/week I currently get 30+ min of physical activity ________
Goals: Active 30+ min ______ days/week Kinds of activities: ___________________________
Action plans:


Stress and Coping: Ways I can improve mental/emotional health and coping skills such as daily
relaxation, recreation, hobbies, social interaction, and avoid habits that waste productive living.
Action plans:


Preventive Exams: Health tests and exams I want to do to keep current in my preventive exams:
Action plans:


Addictive Behaviors: Habits I would like to change that seem to control me such as smoking,
alcohol, drugs, gambling, binge eating, excessive work that damages my health and family life,
or excessive TV viewing.
Action plans:

Spiritual Health: Values, virtues, or service to others I would like to incorporate into my life
that would provide meaning, purpose, peace, and enrichment to my life and to others.
Action plans:
Other Changes:


Commitment: I choose to implement these wellness goals to the best of my ability. I agree to allowing this report to be submitted to my PCP.
______________________________ ________________ ________________________
(Your signature) (Date) (Wellness Coach)
.

Tips to Prevent Overweight Children

Tips to Prevent Overweight Children
1. Place limits on TV, computer games, and other sedentary pursuits
2. Encourage physical activities - 1+ hours/day
3. Make physical activity a family affair – take hikes, ride bikes together, go to the park…
4. Plan birthdays around fun activities rather than at fast food restaurants
5. Encourage the habit of eating at meal times and limiting snacking
6. Avoid eating in front of the TV – it conditions people to eat when they watch TV
7. Eat most meals at home. Restaurants serve too much for adults let alone children
8. Pack lunches -- with planning they can be much healthier than what they might buy at school
9. Provide wholesome meals and snacks that your child enjoys while introducing new foods
10. Emphasize rewards for healthy eating rather than punishment
11. Explain that you eat healthfully because you value good health

Interested in more information about Raising a Healthy Drug Free Child? Go to www.wellnesseducationfoundation.org

A GUIDE FOR LIVING IN 2011

Health:

1. Drink plenty of water.
2. Eat breakfast like a king, lunch like a prince and dinner like a beggar.
3. Eat more foods that grow ON trees and plants and eat less food that is manufactured IN plants..
4. Live with the 3 E's -- Energy, Enthusiasm and Empathy.
5. Make time to pray.
6. Play more games
7. Read more books than you did in 2010 .
8. Sit in silence for at least 10 minutes each day
9. Sleep at least 7 hours.
10.Take a 10-30 minute walk daily. And while you walk, smile.

Personality:

11. Don't compare your life to others. You have no idea what their journey is all about.
12. Don't have negative thoughts on things you cannot control. Instead invest your energy in the positive present moment.
13. Don't over do. Keep your limits.
14. Don't take yourself so seriously. No one else does.
15. Don't waste your precious energy on gossip.
16. Dream more while you are awake.
17. Envy is a waste of time. You already have all you need.
18. Forget issues of the past. Don't remind your partner of his/her mistakes in the past, that will ruin your present happiness.
19. Life is too short to waste time hating anyone. Don't hate others.
20. Make peace with your past so it won't spoil the present.
21. No one is in charge of your happiness except you.
22. Realize that life is a school and you are here to learn. Problems are simply part of the curriculum that appear and fade away but the lessons you learn will last a lifetime.
23. Smile and laugh more.
24. You don't have to win every argument. Agree to disagree...

Society:

25. Call your family often.
26. Each day give something good to others.
27. Forgive everyone for everything.
28. Spend time with people over the age of 70, and under the age of 6.
29. Try to make at least three people smile each day.
30. What other people think of you is none of your business.
31. Your job won't take care of you when you are sick. Your friends will. Stay in touch.

Life:

32. Do the right thing!
33. Get rid of anything that isn't useful, beautiful, or joyful.
34. GOD heals everything.
35. However good or bad a situation is, it will change.
36. No matter how you feel, get up, dress up, and show up.
37. The best is yet to come...
38. When you awake alive in the morning, thank GOD for it.
39. Your Inner most is always happy. So, be happy.

WEIGHT LOSS:
40. Learn the "Plate Look" eating pattern
41. Make quality protien a part of each meal.
42. Never eat more quantity of "Starchy Carbs" than protien.
43. Fill up on "Smart Carbs"
44. Learn what "Starchy Carbs" and "Smart Carbs" are!
45. Attend my Breakthrough Weight loss Seminar
46. Find out what my "Will-Power in a Bottle" can do for you.
47. Detox your body
48. Add a quality pro-biotic
49. learn about food combinations and timing your meals to reset and recharge your metabolism.

Last but not the least:

40. Consider forwarding this guide to those you care about.

to learn more go to http://www.wadechiropractic.com.

The Luck of the Draw

Some people do all the right things and still develop serious health problems. Others flaunt their bad habits and are able to live long lives, dying peacefully in their sleep at the age of 95. For example, high blood pressure (hypertension, HTN) is a common chronic disease in the United States. With HTN a person's heart has to work much harder, all the time, to pump the blood needed by the rest of the body. HTN is associated with heart attacks and stroke, and hypertensive heart disease is a leading cause of death. 1

HTN is often described as a lifestyle disease. 2,3 Those who are overweight and/or obese (this characterizes two-thirds of American adults) are at increased risk for HTN, as are persons with diabetes. People who don't exercise regularly are more likely to develop high blood pressure, as are those who smoke cigarettes. In fact, overweight/obesity, lack of exercise, and tobacco use are the top three causes of HTN.

Obviously, achieving an average weight, exercising regularly, and stopping smoking (or never starting) are three main lifestyle actions related to decreasing one's risk of developing HTN. But some people who are slim, have exercised all their lives, and do not smoke may still develop high blood pressure. In such a case, HTN is termed "essential hypertension". The person has a very healthy lifestyle, there are no risk factors for HTN, and still they become hypertensive. That is the luck of the draw, otherwise known as a genetic predisposition to this disease.

In a contrasting example, a few people may smoke two packs of cigarettes a day since age 15, drink a quart of gin every few days, and never get really sick. They don't develop lung cancer or liver cancer and have no problems with HTN or heart disease, and live lives that fly in the face of all received wisdom in the field of public health. They continue to thrive well into their 80s and beyond and love to tell their well-meaning friends and relatives, "I've never been sick a day in my life" while lighting up another cigarette. Such persons are described by epidemiologists as outliers, those whose health parameters represent an outlying 2.5% or less of the standard values. Their luck of the draw lies in possessing an indestructible constitution.

Of course the exceptions only prove the rule. Their existence does not suggest that rules for good health should not be observed. Regular vigorous exercise and a healthful diet containing plenty of fresh fruits and vegetables are important for all of us, young and old. Chiropractic care is an important component of the lifestyle mix. Chiropractic care helps people, young and old, achieve the best health possible. This natural form of health care helps take the "luck" out of the equation. We can make our own luck and chiropractic helps us do that in the arena of health and well-being.

For more information go to my web page www.wadechiropractic.com. Or if you have an interest in reports or additional information go to www.ALPainRelief.com.

1Zhang WW, et al: Hypertension and TIA. Int J Stroke 4(3):206-214, 2009
2Schmid AA, et al: Current blood pressure self-management: a qualitative study. Rehabil Nurs 34(6):223-229, 2009
3Pascual JM, et al: Body weight variation and control of cardiovascular risk factors in essential hypertension. Blood Press 18(5):247-254

Sleep Deprivation Affects Memory, Mood, Weight Gain, and Appetite

The quality, depth and amount of sleep influences our mental, emotional and physical health. Sleep deprivation has been linked to the following:
• Shortened life span
• Inflammation
• Strained Relationships
• Heart disease
• Obesity
• Chronic irritability
• Memory loss
• Depression
Sleep is just as important to good health as a good diet, hydration, and exercise. Studies have shown a connection between sleep deprivation and weight gain. Essentially these studies show that people who do not get enough sleep are at risk for becoming overweight or even obese. This may seem illogical; that increasing our most sedentary activity (sleep) would help to prevent weight gain. How can sleeping more help to lose weight? The answer rests in the hormonal and metabolic changes that occur with sleep deprivation.

The stress of sleep deprivation causes our bodies to produce a hormone called cortisol. Cortisol inhibits muscle building and increases the production of insulin. Insulin in turn accelerates fat storage. In other words sleep restriction can contribute to a reduction in muscle size and can increase fat accumulation. Chronic sleep restriction alters the blood sugar metabolism and can contribute to diabetes later in life. Another potential source of weight gain is related to the molecule leptin. Leptin is secreted from fat cells signaling satiety, “We have had enough to eat.” It regulates body weight through appetite suppression and is also linked to having adequate sleep .With lack of sleep this signal is inhibited, so that people crave more food than they need. This in turn will lead to overeating and additional weight gain.
Aside from these factors there are other aspects of weight gain. When you are tired, you are not in the mood to exercise. When you are tired your willpower may be compromised and lead to unhealthy eating choices. You may drink more caffeine to stay awake resulting in increased cortisol and insulin production. Caffeine may interfere with normal sleep patterns resulting in a cycle of sleep deprivation and caffeine consumption. A vicious cycle is established, resulting in a downward spiral.

A good mattress is the essential to healthy sleep. The Wellness Education Founation has arranged for our members and friends to obtain a significant discount from the the Bed Boss. Determine which mattress you want to purchase (I sleep on the King Heir ET), and upon check out use the coupon code wef1. When you see the discount we have arranged, it will put a smile on your face. http://www.thebedboss.com/

Automated Corporate Wellness Partner

Become A Strategic Business Partner With the Dr David Wade & the Wellness Education Foundation

"I Want To Invite You To Become A 50% Partner In My Wellness Business That Will Make Over Five Hundred THOUSAND Dollars This Year" If You Can Answer Yes To These 3 Simple Questions...

In the next few weekss I'll Be Accepting 10 New Strategic Business Partners... To Be Considered, You Must Reply to this blog And Submit Your Application Immediately to drwade@wellnesseducationfoundation.org!

VERY IMPORTANT: Review my personal letter below right away. After doing so... if you believe that you and I are a right fit for each other, reply to this page ASAP and submit your application immediately.


Dear Friend,

Congratulations on your interest in becoming my newest Strategic Business Partner in Corporate Wellness.

If you qualify, you're going to have the opportunity to start making money fast – with NO previous wellness experience, NO existing business, NO website, NO subscriber list, NO product, NO risk, NO headaches and NO money out of your pocket.

But…

I've got to give you fair warning.

I'm only accepting applications for a VERY limited time.

Review the information below, and if you qualify to be my partner in this project, return to this page on Friday morning at 9am Pacific time (12 noon Eastern time) and submit your application immediately.

I'll then get back in touch with you next Monday to let you know if you've been accepted as my newest Strategic Business Partner.

If accepted, you'll be paid a whopping 50% commission (up to $595.00) for every sale we make.

________________________________________


Not too long ago I met my long time friend, Jeff, for lunch and we got into a VERY interesting conversation.

Shortly after our meal arrives, he says to me…

"Dr Wade, I read your article in Chiropractic Economics on Corporate Wellness you're the only guy I know personally who's makes a whole lot of money on Automated Corporate Wellness Programs.

I've watched as your business has grown like crazy over the past couple years, and while I'm a little bit jealous, I figure that you could probably show a guy like me how to do what you've done.

In fact, that's why I wanted to take you to lunch today. I was hoping you could help me.

Can someone like me really do the same thing that you've done?

You know me – I'm busier than a one legged man in a kicking contest and I don't have a lot of time on my hands. I don't have a days worth of corporate wellness business experience, I don't have a product to sell, I don't even know how to set up a corporate wellness website.

I'm starting from ground zero.

Is there REALLY hope for a guy like me?

Could you really show me how to do what you've done?

Cause let me tell you, if there were a way to make it happen, I'd be willing to do whatever you told me to do, as long as it was ethical"

After hearing this, I've gotta say, it was an ego boost.

Most of my friends know what I do, and how successful my business has become, but none of them have asked me to show them how I did it.

This was certainly a first.

And being that I've known Jeff for so long, I wanted to help him.

In order to prove that I could show him how to make money, and LOTS of it, I did something that I've never done before.

I decided to take Jeff under my wing and make him a partner in my business.

I gave him access to my 17 years of research and the entire tested and proven system that I've been using for more than 3 years now.
And By That I Mean – I Gave Him EVERYTHING!


He didn't have to:
• Do any market research.

• Find or create a product to sell.

• Build a website.

• Get a merchant account.

• Write any sales copy.

• Build a subscriber list.

• Fill any orders.

• Deal with any customer service issues


He didn't have to do ANY of that.

All he had to do was collect the survey from the comanies he wanted to work with and give away tickets to my free seminar-by-phone.

In short, I handed him a complete "done-for-you" business package, and I handed it to him on a silver platter.

By setting Jeff up as a business partner, it was impossible for him to fail.

In fact, in less than a month, he made a whopping $2,777.00, and he barely even had to do any work.

BUT - make no doubt about it, I benefited from our arrangement as well.

I too made an extra $2,777.00 that I wouldn't have made if it weren't for Jeff.

After seeing this, it got me thinking, "wouldn't it be awesome if I could find a few more business partners that were motivated like Jeff was?

I could do the same thing for them, and it would be a win-win situation for both of us.

And that brings me to the purpose of this letter.

But…

Before I go any further, I've got to let you know - what I'm about to tell you about is a SERIOUS partnership opportunity in my business.

There are 3 conditions that MUST be met in order to become my partner (which I'll tell you about shortly).

Needless To Say, You May Not Qualify For This Offer

In fact – MOST people will NOT qualify to be my partner in this venture.

But…

If you consider yourself a serious entrepreneur who's open to a sensible, rational, very attractive opportunity, then read on.

If you've been with me for any period of time, you already know most of my story.

I went from owning a business I used to hate, where I was working 14-16 hours a day, 7 days a week and getting paid next to nothing for my efforts… to being a respected corporate and small business authority on wellness where I regularly get paid $30,000.00, $40,000.00… and NOW… $50,000.00+ a month.

GONE are the days of hating life and working hard.

I now get paid for doing what I LOVE, which is helping other Wellness coaches, chiropractors, physical therapists and medical doctors and their staff achieve the same kind of success in their own practices.

So, you're probably wondering, if things are going so well in my business, why would I be willing to offer YOU the same kind of partnership opportunity I gave Jeff?

The answer is actually quite simple.

Over the last several years I've been successfully marketing my core product - the Automated Corporate Wellness System – to entrepreneurs in private practice who are looking for a way to start a corporate wellness business center of their own, without having all the hassles and headaches that come with a "typical" business.

These special folks also benefit through becoming known to decision-makers and are invited into business to assist in implementation of the Wellness System.

The sales system for this product works like gangbusters. In fact, it's currently providing me with more NEW sales – than I can personally handle - EVERY single month.

But here's the problem:

There's no way I can possibly reach all of the potential customers for this product on my own.

Every year economic benefit of implementing Automated Corporate Wellness Systems, and they would gladly invest in this product, if they only knew it existed.

The Fact Is, Over The Last 3 Years, I've Barely Scratched The Surface Of This Market

And my little experiment with Jeff has proven this to be true.

I could keep doing what I'm doing for years to come, and there's no way I'd be able to contact ALL these folks on my own.

I've been trying to figure out a way to reach and help more people, and Jeff helped me find the answer I was looking for.

And if that weren't enough…

I recently had another experience that let me know I was on the right track with this idea of taking on a few select business partners.

Recently I was on Amazon.com buying a new book – and that's when it was staring me in the face… BIGTIME!

As you know, Amazon.com has become a HUGE company.

What's so interesting about their success is the fact that they don't do everything on their own.

They have thousands and thousands and thousands of business partners, and every one of these partners gets paid for telling other people about Amazon.

Amazon starts their partners out at a 4% commission rate.

So let's analyze this for a second.

Let's say that I were one of their business partners and I told you about the Amazon.com website.

You then decide to go there and buy a book, or a movie, or any of the other products they offer.

Because I was the one that told you about them, Amazon would pay me a 4% commission on whatever you bought from them.

Let's say that you decided to buy a book for $29.95.

Amazon would then pay me $1.19, because I was the one who told you about them.

After visiting their website, it got me thinking…

"If these guys have thousands and thousands of business partners who are excited to tell others about the Amazon.com site when they only get paid a 4% commission, and the average price of a product is about 30 bucks, I wonder how many people would jump at the opportunity to become a business partner with me when I give them a 50% commission – and the price of my hottest selling product is $1,191.00?"

I mean seriously...

You'd Get A Lot More Excited About Making $595.00... Wouldn't You?

Wouldn't you rather get paid $595.00 for a referral - instead of $1.19?

Of course you would!

And you'd get more excited if I gave you the same opportunity I gave Jeff, and let you become my business partner… for FREE!

Of course you would!

And what if I were to give you EVERYTHING you needed, a complete tested and proven system that made it impossible for you to fail?

You'd get even MORE excited – WOULDN'T YOU!

You know that you would!

Well let me tell you - that's exactly what I'm going to do – when you're qualified like Jeff was (and I'll be telling you more about that in a minute).

Yes, I'm going to invite you to become my business partner, at absolutely NO cost to you.

Because the truth is, I don't need your money.

What I need is your help.

As I mentioned before, I already have a successful business that supports my family and I very nicely.

I've got a product that corporations are clamoring to buy, and for the last 3 years, my system has been selling this product like hotcakes.

What I'm offering you is a tested and proven, "done-for-you" business partnership where all you have to do is give away tickets to my FREE seminar-by-phone.

I'll then do EVERYTHING else for you – and you'll get paid a whopping 50% commission (Up to $595.00) every time we make a sale.

Oh, and just in case you're thinking to yourself, "This all sounds fantastic Dr. Wade, and I'd love to become your business partner, but how in the heck could I possibly make money from this when I don't even have a list (and I don't want to spend a bunch of my own money)?"

The GREAT news is – I've got you covered on that as well.

So let me tell you what you're going to get if you're chosen to be my business partner.

Here's Everything You'll Get... For FREE!



Instant Access To My Automated Online Wellness
Website - $5,000.00 Value

This is the secret behind the entire system, and it took over 5 years of testing and fine-tuning, at a cost of $67,985.87 in order to develop it. The biggest asset that any entrepreneur can have is a tested and proven sales system that can be used over, and over, and over again. As my partner, you get instant access to my ENTIRE tested and proven sales system.


The Lead Capture & Follow Up System - $699.00 Value

Most professionals & Wellness coaches make the grave mistake of trying to sell their products to EVERYONE. The fact is, not everyone is going to be interested in what we have to offer. Our goal is to weed businesses out so that we only spend our time communicating with companies who are pre-interested and pre-disposed to buy our product… people who have raised their hands and said, "Yes, I'm interested in what you have to offer". My Wellness & Injury Prevention Survey & Follow Up System collects the contact information of these people so we can give them the information they requested, while simultaneously giving them multiple buying opportunities for the wellness product & services they came to us for in the first place.


The "Sell… Without Selling Report" - $299.00 Value

When you think back on the last time you had a GREAT buying experience, it dawns on you that you never "felt" like you were being sold. Every successful entrepreneur, myself included, has mastered the art of Selling… Without Selling. When a prospect raises their hand and requests more information about our products and services, they're immediately sent this special report that moves them toward the buying decision they naturally want to make.


The "Sales Stampede Seminar-By-Phone" - $799.00 Value

This is the heart and soul of my automated sales system. This is where all the action happens. This unique event is a finely-tuned sales presentation that delivers consistent results… EVERY time. Each component of the automated sales system is designed to get the prospect to participate on this free seminar-by-phone. By participating in this event, they have the opportunity to get their questions answered, discover that I'm MORE than qualified to help them achieve their goals, and as a result, they're compelled to invest in the Automatic Wellness System. And like I said, each time we make a sale, you'll get paid a whopping 50% commission, up to $595.00.


Seminar-By-Phone Handouts - $200.00 Value

Once a prospect registers for the Seminar-By-Phone, they're given a set of handouts to print out and have ready for the seminar. These handouts are specifically designed to arouse curiosity and further compel them to join us for the big event.


Pre-Seminar Reminder System - $150.00 Value

Each prospect is sent several email reminders prior to the seminar. Knowing that so many product sales are made on this seminar, I REFUSE to leave anything to chance. I want everyone who's registered for the seminar to be sure and join us.


Voice Mail Reminder System - $150.00 Value

Most business owners don't make use of a complete marketing system like this, and those who do make a half-baked effort will limit themselves to "internet only" tools. As I said before – I REFUSE to leave anything to chance. That's why every seminar registrant also gets a personal message from me on their answering machine, congratulating them on registering for the seminar, and offering them an added bonus when they join us for the event.


Post-Seminar Follow Up System - $299.00 Value

At the conclusion of the Seminar-By-Phone, each participant is given the opportunity to invest in my product, which is the Automatic Wellness System. As I've said, this seminar is structured just like the most successful infomercials you see on television. As a result, it creates a stampede of people – racing to get their copy of the product. But… there will always be some folks who need some time to think it over. That's why I send out this series of emails for 3 days after the event. By doing so, we're able to pick up all those additional sales.


Post-Seminar Voice Mail - $150.00 Value

Once again, I want to maximize our sales from the seminar-by-phone. That's why each registrant receives a personal message from me on their answering machine two days after the event, congratulating them on participating, and offering them yet another added bonus when they place their product order by the deadline I told them about on the event.


Personalized Wellness Web Page - $4,500.00 Value

It's long been known that many massively successful (and profitable) businesses have been built on one good sales letter. And let me tell you, my business is no exception. The sales copy on this hidden web page has sold thousands and thousands, and thousands of dollars worth of the Automatic Wellness System. It literally STOPS the reader in their tracks and forces them to read the entire message, which results in them buying the product we're offering.


Ready-To-Go Product (The Automatic Wellness System) - $3,500.00 Value

As you know, this product has been selling like hotcakes for the last 3 years – so you won't have to spend one minute of time creating a product of your own. The market for this product is already HUGE, and it continues to grow every year as more and more corporations make the decision to break out of the healthcare cost spiral and start an Automated Wellness System of their own. As my partner, you'll be able to tap into to this red hot market by offering these businesses this valuable product that virtually sells itself.


Order Fulfillment System - $2,000.00 Value

My company will do all the order fulfillment for every sale you generate. This means that you won't need to set up a merchant account, deal with any paper work, stock any product or talk with any customers.


Customer Service System - $2,000.00 Value

One of the biggest reasons for my success is the ongoing help I provide my clients after the sale has been made. I firmly believe in taking good care of my clients, and as a result, I've got an INCREDIBLE customer service system in place, and you will NEVER have to deal with a single corporate wellness service issue. Like I said, I do everything for you.


24-7 Management Software - $499.00 Value

As my partner, you'll be given a private website where you can login and see your strategic reports and all the wellness statistics anytime you like. You won't have to wait until the end of the month to find out how big your commission check is going to be. You'll be able to access this information at the drop of a hat, whenever you want – 24 hours a day, 7 days a week.


How To Get Started With No List - 298.00 Value

I realize that you're probably thinking to yourself, "This all sounds fantastic Dr Wade, and I'd love to become your business partner, but how in the heck could I possibly make money from this when I don't even have a list of companies(and I don't want to spend a bunch of my own money)?"

For the first time ever, I'm going to reveal one of my jealously guarded secrets.

This is my favorite method for making money FAST, because you don't need a list, and you don't need to spend any money.

This audio recording & power point training will show you how to use a little-known resource that you'll find at the public library, and get access to ALL the lists you want… for FREE.


As you can see, the total value of everything you'll be getting when you qualify to be my partner is $20,543.00.

And the truth is...

I Could Easily Offer It At That Price
And It Would Be A Bargain
But You Get EVERYTHING... For FREE!

Where else can you get a complete "Done-For-You" tested and proven wellness business for such a small amount?

Nowhere!

When starting my very first business back in 1984, which was a chiropractic services company that I ran – I invested $60,000.00 just to open the doors. My second practice purchased in 1985 cost $250,000.

And make no doubt about it, there was no tested and proven system in place for me when I started that business.

There was no guarantee that I would succeed.

But things are going to be much different for YOU.

As I promised you earlier, when you're selected to become my business partner, you're going to get EVERYTHING I've told you about, the entire system - at absolutely NO cost to you.

Like I Said, I Don't Need Your Money
What I Need Is Your Help

There's no way I can possibly reach all of the potential customers for this product on my own.

Also, you will be established in your area as the local Wellness Coordinator for the Automated Corporate Wellness system, and you will be the professional who develops the relationship with the company’s employees & their families. These corporations would gladly invest in our Wellness product, if they only knew it existed.

The fact is, I've barely scratched the surface, and my little experiment with Jeff has proven this to be true.

I could keep doing what I'm doing for years to come, and there's no way I'd be able to contact ALL these folks on my own.

But…

With YOUR help, we can reach a lot more people and it will be a win-win-win situation.

YOU'LL win.

I'll win.

And the people who invest in our wellness product will win.

That being said, I need to tell you what's required of you in order to become my partner.

You see, I'm not willing to work with any "Joe-Blow" who happens to find out about this offer.

I'm ONLY going to partner with people who are serious about working with me and making a positive and lasting impact on people's lives – just like Jeff was.

To find out if you and I are a right fit...

You Must Be Able To Answer "YES" To These 3 Questions

Indicate your "YES" answer by clicking the box to the left of each question



1. Are you committed to following directions and doing what I tell you to do - in order to make this a massively profitable partnership for you, me and everyone we offer this product to?


2. Are you an ethical person who who will use the automated wellness system in the way that I have intended, and you refuse to make use of illegal business practices?


3. Are you the kind of person who can be accountable - when you say you'll do something, you make good on your promises?



Congratulations!

If you answered yes to all 3 questions, then you're the kind of partner I'm looking for, and the two of us are going to have a long and profitable relationship together.

Your next step is to let me know that you're seriously interested in moving forward.

As I mentioned before, I'm simply not willing to work with any "Joe-Blow" who happens to find out about this offer.

There are many who will say they want to have the kind of income I've talked about, who'll say they want to be my partner, who'll say they want to have the kind of lifestyle most people only get to dream about - but when it comes right down to it, they aren't really serious.

In Order To Weed Out All The "Wanna-Bees"...

I've put up a small barrier to entry.

This small barrier will speak volumes about the kind of person you are, and I hope I'll get to see you on the other side, and welcome you as my partner.

If I don't see you on the other side, it simply means that you and I aren’t a right fit for each other, and I wish you the very best in your endeavors.

As I said, there's No cost to you to become my partner, but you will need to include a small deposit of $497 when submitting your application.

This deposit will let me know that you're serious about working with me, and it will be refunded back to you when we make our first sale together.

That's right...

I'll refund your $497 deposit when we make our first sale!

The truth is, it costs me considerably more than $497 to cover all the expenses of setting you up as my partner, and I'm simply not willing to invest my time or finances in anyone who's not going to be as committed to this partnership as I am.

Oh, and by the way…

This opportunity is only available to the first 10 who qualify.

Like I said, it takes a considerable amount of time (and money) to get you set up as a partner, and that's why I'm putting a cap on this.

So...

At this moment, we're at a turning point. If you feel that you're the kind of person I'm looking for – I invite you to submit your application so I can review it.

I look forward to a long and profitable relationship with you.


Dedicated to your success,

David Wade

"The Head Wellness Coach of Automatic Corporate Wellness Program”

P.S. Submitting an application is NOT a guarantee that you'll be accepted as my partner. I'll be reviewing your application personally, and if I don't believe we're a right fit, I'll refund your deposit immediately.

P.S.S. Once your application has been accepted, I'll send you everything you need to get started.

P.S.S.S. I'm only accepting 10 partners, and that means that time is off the essence. If your interest has been piqued, you must return to this page on Friday morning at 9am Pacific time (12 noon Eastern time) and submit your application immediately.

Submit Your Partnership Application Here...
On Friday - January 29th at 9am Pacific Time (12 Noon Eastern Time)


Yes... Yes... YES!
David, I want to be a partner in your business and get paid a 50% commission for every sale we make together. I understand that if I'm accepted, I'll get instant access to your ENTIRE automated wellness system. All I'll have to do is put people into your tested and proven plug-and-play sales system. You'll show me how to get started, even if I don't have a list and don't want to invest any of my own money. I understand that my deposit will be refunded in full as soon as we make our first sale together. On that basis, please accept my application and get back in touch with me as soon as possible to let me know if I qualify to be your partner.






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© Copyright 2004-2010, David Wade, Online Wellness & Wellness Education Foundation, Inc. All Rights Reserved
620 Quintard Dr, Suite 201 ~ Oxford, AL 36203 ~ USA
Phone: 1800-287-9488 ~ FAX: 256-237-6007
Email: drwade@wellnesseducationfoundation.org