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HealthScope Fall 2026 Issue

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FA L L 20 26 • $5 . 95

health & wellness magazine

Annual Women’s Health Issue MEET OUR DOCTORS Love, Care, and Healing Others BEAUTIFULLY YOU! Meet a Cosmetic Professional Serving Her Clients ADHD IN ADULTS Navigating Diagnosis FACIAL TREATMENTS What’s Right for Your Skin?

PLUS Learn More About Cover Model Hannah Skye!


Photographed at Ruby Falls

A convergence of financial knowledge and capabilities. Right here in Chattanooga. We’ve assembled a team of well-established and highly experienced financial professionals. It has given us the ability to address every aspect of our clients’ financial needs. And by limiting the number of clients we serve, it allows us to offer an uncommon level of service and maintain our unwavering focus on helping to create quality financial solutions.

This is what we bring to the table – and what will ultimately bring you to us. If you are an individual seeking seasoned financial guidance and the comfort of working with an experienced group of advisors who call Chattanooga home, we welcome the opportunity to sit down together.

Main Office: 1200 Premier Drive, Suite 100 • Chattanooga, TN 37421 Downtown Office, by appointment only: Warehouse Row • 1110 Market Street, Suite 210 • Chattanooga, TN 37402 www.RoundTableAdvisors.com • 877-770-0009 • 423-510-8889

Back row from left to right: Evan Russell, Financial Advisor // Austin Cone, CFP® // Andy Burnett, CFA // Dennis Wolfe, CPA, CFP® Tony D’Andrea, CPA, CFP® // Front row from left to right: Briana Hazelwood, Client Svc. Assoc. // Wendy Railey, Client Svc. Assoc. Julie Elsea, CLTC® // Amy Bee, Client Svc. Mgr. // Lisa Listecki, Ops. Mgr. // Not Pictured: Mary Dinsmore, Office Coordinator

Securities offered through Raymond James Financial Services, Inc. member FINRA/SIPC. Investment advisory services are offered through Raymond James Financial Services Advisors, Inc. Round Table Advisors is not a registered broker/ dealer and is independent of Raymond James Financial Services.


Since 1930. Trusted for Generations.


PUBLI SH E R’S LE TTER

“Take rest; a field that has rested gives a bountiful crop.” – Ovid

Celebrating 38 Years! HealthScopeMag.com Follow HealthScope® and CityScope® magazines and Choose Chattanooga® Chattanooga Resource & Relocation Guide® on social media!

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For me, life seems to get busier with each passing year. I often think it’s simply the phase of life I’m in, but many mentors and women in my life remind me that while the stages may change, there will always be something competing for our time and attention, just in different ways. Because of this, it’s important not to wait until “things slow down” to prioritize yourself. Taking care of ourselves isn’t something we should have to earn or squeeze in when everything else is finished. It’s an important reminder that our own health and well-being deserve our time, attention, and care, too. If you, like me, need a little encouragement to move your health higher up on your priority list, this issue is for you. In our 2026 Annual Women’s Health Issue, we explore topics designed to help you better understand your health, care for yourself, and feel your best. Our lead features provide approachable information to help you become a more informed advocate for your own health. In these articles, we take a closer look at how to support bladder health; the must-know basics of blood pressure; and what symptoms and diagnosis can look like for adults with ADHD. Our annual “Women’s Health” special section offers helpful

information on common health concerns and treatments to help you make your health a priorCailey Mullinix ity. In “Meet Easterly Our Doctors,” CO-PUBLISHER we spotlight local physicians dedicated to caring for our community, while “Beautifully You!” highlights a local cosmetic professional and how she helps clients look and feel their best. Beyond our health features, you’ll find inspiration for other parts of your routine, from stylish sweaters for the season and types of facial treatments to color theory in interior design, healthy autumnal recipes, and more. Last, but certainly not least, don’t miss our interview with cover model Hannah Skye, who shares her health journey, her approach to finding balance, and the healthy habits she’s building for the future. As you turn the pages, I hope you’re reminded that prioritizing yourself isn’t selfish, it’s essential. Happy reading,


Contents Meet Our Doctors 26

Dr. Bill Childress

28

Dr. Grant Berry

Medical Insights 32 Bladder Basics Understanding Urological Health

38 Blood Pressure 101 Supporting a Healthy Heart

44 ADHD in Adults Navigating Diagnosis

38 Annual Women’s Health Section

32

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52

May-Thurner Syndrome

54

Common Misconceptions About Aesthetic Medicine

56

The Benefits of GLP-1s

58

Stress and Dental Health

60

Melasma

62

Gynecologic Surgery

64

Collagen Stimulators

66

Celiac Disease

68

Female Sexual Dysfunction

70

Personalized Aesthetic Medicine Plans


Meet the notable women behind Meet the notable women behind the Chattanooga branch. the Chattanooga branch.

ROBIN MOLDENHAUER Financial Financial Advisor

MARY MARY LOGGINS LOGGINS Vice Vice President, President, Investments Investments

BETSY BETSY GIBSON GIBSON Senior Senior Vice Vice President, President, Investments Investments

JENNIFER JENNIFERMCINTYRE MCINTYRE Financial Advisor

DEBBIE DEBBIE BROWN BROWN Vice Vice President, President, Investments Investments

ERIN MARKEN Branch Manager Complex Operations Manager

KELLYE PHILLIPS Senior Vice VicePresident, President,Investments Investments

AMY GAVLENSKI Financial Advisor

537 Market Street, Suite 105 // Chattanooga, TN 37402 raymondjames.com/chattanooga-branch 423.756.5783 537 Market Street, Suite 105 // Chattanooga, TN 37402 © 2026 Raymond James & Associates, Inc., member New York Stock Exchange/SIPC. raymondjames.com/chattanooga-branch

Raymond James is a registered trademark of Raymond James Financial, Inc. 26-BR32H-0184 TA 3/26

423.756.5783

© 2026 Raymond James & Associates, Inc., member New York Stock Exchange/SIPC. Raymond James is a registered trademark of Raymond James Financial, Inc. 26-BR32H-0184 TA 3/26


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Contents Personal Growth 74 Meet Our Model Hannah Skye 76 A Healthier Way to Save Health Savings Accounts

Beauty & Style 78 Sweater Weather Stylish Sweaters to Wear This Season 80 Facial Treatments What’s Right for Your Skin?

Beautifully You! 84

Kayla Peppers

Home & Interiors

88

86 Interiors With Intention Color Theory in Interior Design

Relationships 88 Will You Be My Neighbor? The Benefits of Being a Good Neighbor 10

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NATIONALLY RECOGNIZED. EXPERT LED. PATIENT CENTERED. Excellence in Heart & Vascular Care

Award-Winning Heart Care Featured in the 2026 U.S. News & World Report “Best Hospitals Guide,” both Hamilton Medical Center and Bradley Medical Center continue to raise the standard for heart care in our region. Recognized by the American College of Cardiology through

Hamilton Medical Center is ranked Georgia’s #1 Heart Hospital and Bradley Medical Center earns a place among Tennessee’s top-performing hospitals for cardiac care.

participation in NCDR and ACC Accreditation Services, our heart program reflects a deep commitment to quality, outcomes, and continuous improvement. This recognition honors the dedication of our physicians, nurses, and cardiovascular teams — and reinforces our promise to deliver advanced, lifesaving heart care.

When it comes to heart care, expertise matters. Scan to view Georgia and Tennessee’s top ranked hospitals for cardiac care.

Combined awards for Hamilton Medical Center and Bradley Medical Center.

VitruvianHealth.com/heart


health & wellness magazine HealthScopeMag.com Fall 2026 • Vol. 38 Issue 1

Contents Food & Fitness 90 Skincare From the Inside Out How Diet Impacts Skin Health 92 Autumn Spice and Everything Nice Healthy Recipes Showcasing Seasonal Spices 96 Katie Sweet’s Full-Body Workout A Guided Workout

14 Health in a Minute 16 Staff Spotlight 20 Health & Wellness Calendar

About the Cover

22 Numbers to Know

health & wellness magazine

Annual Women’s Health Issue

Hannah Skye discusses her passion for building healthy habits and advocating for women’s health on page 74. Photo by Hacker Medias

MEET OUR DOCTORS Love, Care, and Healing Others BEAUTIFULLY YOU! Meet a Cosmetic Professional Serving Her Clients ADHD IN ADULTS Navigating Diagnosis

George Mullinix

Co-Publisher

Cailey Mullinix Easterly

Sales & Business Development

Amanda Worley

Sales & New Business Development

Meredith Baker

Design Lead, Sr. Graphic Designer

Lauren Robinson

Sr. Graphic Designer

Tamara Slocum

Managing Editor

Rachel Studebaker

Editors/Digital Content Specialists

Abby Callahan Lindsey Clute Ali Lemmons

Contributing Writer/Editor

Kristen Dee

Digital Marketing Manager

Houston McLain

Marketing, Events, & Operations

Lauren Perry

Photographers Hacker Medias Rich Smith

Kristina Armstrong

Subscribe to CityScope® or HealthScope® magazines: Call 423.266.3440 or visit cityscopemag.com or healthscopemag.com and click “Subscribe.” To receive advertising information, change your mailing address, or share your views on editorial: Call 423.266.3440 or visit cityscopemag.com or healthscopemag.com and click “Contact.”

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Publisher

CityScope® and HealthScope® magazines, Choose Chattanooga® – Chattanooga Resource & Relocation Guide®, and Choose Huntsville™ – Huntsville Resource & Relocation Guide® (the magazines) are published by CMC Media & Marketing Group, LLC, a Chattanooga, Tennessee company. Reproduction in whole or in part without written permission is strictly prohibited. Views expressed herein are those of the authors or those interviewed and not necessarily those of the publisher, editors, or advertisers. The publisher, editors, and advertisers disclaim any responsibility or liability for such material. All content associated with and included in advertisements (ads, advertorial, and special promotional sections) placed in the magazines (including photos and other visuals) are the responsibility of the respective advertiser. CMC Media & Marketing Group, LLC, cannot and does not assume responsibility for any material contained within or associated with any advertisement. CityScope® magazine Copyright, CMC Media & Marketing Group, LLC, 1993 CityScope® magazine is a registered trademark owned by CMC Media & Marketing Group, LLC. CityScope® magazine Southern Gentleman® is a registered trademark owned by CMC Media & Marketing Group, LLC. HealthScope® magazine Copyright, CMC Media & Marketing Group, LLC, 1989 HealthScope® magazine is a registered trademark owned by CMC Media & Marketing Group, LLC. Choose Chattanooga® – Chattanooga Resource & Relocation Guide® Copyright, CMC Media & Marketing Group, LLC, 2011 Choose Chatt® Copyright, CMC Media & Marketing Group, LLC, 2026

FACIAL TREATMENTS What’s Right for Your Skin?

Choose Chattanooga®, Chattanooga Resource & Relocation Guide®, and Choose Chatt® are registered trademarks owned by CMC Media & Marketing Group, LLC. Chatt Choices™ is a trademark claimed by CMC Media & Marketing Group, LLC. PLUS Learn More About Cover Model Hannah Skye!

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Choose Huntsville™ – Huntsville Resource & Relocation Guide® Huntsville Resource & Relocation Guide® Copyright, CMC Media & Marketing Group, LLC, 2026 Huntsville Resource & Relocation Guide® is a registered trademark owned by CMC Media & Marketing Group, LLC. Choose Huntsville™ is a trademark claimed by CMC Media & Marketing Group, LLC.


Comprehensive women’s care

for every stage of life.

NOW ACCEPTING

Bradley Women’s Health Professionals is growing to

NEW PATIENTS

better serve women and families in our community with comprehensive care close to home. SERVICES INCLUDE: Our team provides a full spectrum of women’s health

• Preventive care

services, from routine annual exams and family

• Prenatal care

planning to advanced gynecological procedures and

• Gynecologic procedures

expert pregnancy care.

• Personalized, compassionate care

OUR PROVIDERS:

KENT CHILDS, MD, FACOG

KREG JONSON, MD

BROOKE POOLE, MD

KEISHA HOLCOMB, FNP-BC

CAROL TAYLOR, PA-C

Westside Plaza – Second Floor • 2700 Westside Drive • Cleveland, TN 37312 • 423.244.9225


health in a minute

Every fall, my joints seem to get stiff and more painful. Is the weather really to blame? How can I get some relief? A. Many people, especially those with osteoarthritis, experience increased joint stiffness or pain when the weather changes or temperatures drop. While the connection isn’t fully understood, changes in barometric pressure and humidity may contribute to discomfort. Seasonal changes can also mean changes in your activity levels. Whether you’re transitioning to a new sport or exercising indoors more often, it’s important to gradually increase activity and intensity to avoid placing too much stress on your joints. In colder weather, warm up and stretch before exercising. Staying hydrated remains important, even when you don’t feel as thirsty. Most seasonal aches and pains aren’t a cause for concern. However, persistent or worsening pain, significant swelling, instability, or difficulty with daily activities should be evaluated. A healthcare professional can identify the cause and recommend appropriate treatment. Bradford Mitchell, MD

Q. My children are grown and have their own families now, so the holidays don’t feel the way they used to. How do I adjust to this new stage of life? A. Adjustment is the key word here, and it begins by acknowledging – to yourself and others – that things are no longer the same. It can be helpful to have open conversations with your children about what they want the holidays to look like, while also sharing what matters to you and remaining open to new ideas. Remember that holidays are often about ritual and connection, but those needs can be met in other ways, too. If a large family Christmas becomes difficult to coordinate, consider creating another opportunity to gather during the year and ask family members to protect that time with the same commitment they give to holidays. Create meaningful rituals around this gathering that foster deeper purpose and connection, while allowing your holidays to evolve into something new. Tyler Rogers, Ph.D., LMFT, LPC, NCC

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Q. I read that red light therapy can help combat lack of energy associated with early sunsets. Is that true? A. Shorter days mean less sunlight, which can affect our energy, mood, and sleep – making those dark winter evenings feel even longer. While red light therapy (RLT) isn’t a replacement for natural sunlight, research has shown it supports each of these areas. Red and near-infrared light work at the cellular level to support mitochondrial function and ATP (energy-providing molecule) production – essentially helping your cells make the energy they need to perform their roles. RLT has also been shown to improve blood flow and help reduce inflammation, both of which support brain and body recovery. The result? Potential benefits for energy, mood, sleep, and recovery to help you beat that winter slump. Stephanie Moore, PharmD

Q. My vitamin D levels are normal, but I have a history of low levels. How can I make sure I’m getting enough, especially during the fall and winter seasons? A. In someone with a corrected prior deficiency, ongoing maintenance supplementation would be the recommendation to keep vitamin D levels normal. A prior low level would likely mean that there is a good chance one would not stay replete through sun exposure and diet alone, especially in the winter months. A daily supplement of 6001000 IU/day would likely be sufficient. At the end of the day, if you have this concern, please talk to your doctor for personalized next steps, recommendations, and ongoing lab monitoring. Chris Choe, MD

Q. Fall is my favorite season and I want to enjoy it, but I suffered a hip fracture. Can I still enjoy my favorite fall activities while I’m recovering? A. The seasonal shift may feel different if you’ve recently suffered a hip fracture and are worried about getting around safely. Fall has a beautiful way of inviting you to slow down and be reminded that rest is a natural part of healing and recovery. Depending on your physical limitations and precautions, your favorite fall activities may need to be modified. Finding simple, meaningful activities that keep you active and safe outdoors may include short walks on flat surfaces, visiting parks with family and friends, and gardening from a raised chair. Avoid uneven trails, wet leaves, slippery sidewalks, and crowded areas where falls are more likely. You can also enjoy sweater weather from the comfort of your home by watching the leaves change shades and enjoying the crisp air on your porch, reading, baking, watching football games, and spending time with loved ones. Ashley Wright

Meet Our Experts

Bradford Mitchell, MD Fellowship Trained Sports Medicine & Nonoperative Specialist, Center for Sports Medicine & Orthopaedics sportmed.com

Tyler Rogers, Ph.D., LMFT, LPC, NCC Licensed Marriage and Family Counselor, Scout Counseling scoutcounseling.com

Stephanie Moore, PharmD Clinical Pharmacist, Designer Drugs Labs designerdrugslabs.com

Chris Choe, MD Family Medicine Physician, Galen North Internal Medicine galenmedical.com

Ashley Wright Occupational Therapist, Encompass Health Rehabilitation Hospital encompasshealth.com

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staff spotlight

SISKIN CHILDREN’S INSTITUTE

BRADLEY MEDICAL CENTER

Ashley Wolfe Evans, CFRE

Brooke Poole, MD

Ashley Wolfe Evans, chief advancement officer at Siskin Children’s Institute, has been named a 2026 Woman of Distinction Honoree by Women of Distinction of Greater Chattanooga. Since 1993, the program has celebrated the achievements of extraordinary women throughout the Greater Chattanooga area, recognizing women who exemplify excellence in their professional fields and who selflessly dedicate their time, talents, and energy to serving their communities.

COMMONSPIRIT MEDICAL GROUP

Corey Manson, MD, ABOSD Dr. Corey Manson has joined CommonSpirit Medical Group – Orthopedics. Dr. Manson provides comprehensive care for conditions affecting the shoulders, elbows, hands, hips, knees, and ankles, as well as sports-related injuries. He earned his medical degree from East Tennessee State University, and he completed a residency in orthopedic surgery at Naval Medical Center in Portsmouth, Virginia, and a fellowship in orthopedic trauma surgery at University of Alabama at Birmingham.

Courtney Shoemake, RN Courtney Shoemake, a nurse in a medical/surgical unit at CommonSpirit - Memorial Hospital - Chattanooga, was awarded the DAISY Award for Extraordinary Nurses. The award, presented in collaboration with The American Organization of Nurse Executives, is part of the DAISY Foundation’s program to recognize the super-human efforts nurses perform every day. Shoemake was nominated for patience and compassionate, personalized care.

CENTER FOR SPORTS MEDICINE & ORTHOPAEDICS

Jason Robertson, MD

Dana Simpson, MSN, FNP-BC Dana Simpson, a board-certified family nurse practitioner at Center for Sports Medicine & Orthopaedics, is now offering direct patient care in Dr. John Nash’s office. Previously in the organization’s hospital setting, she will now work alongside Dr. Nash to provide comprehensive care. Simpson earned a master’s degree in nursing from the University of Tennessee at Chattanooga and holds a postmaster’s certification as a family nurse practitioner.

VASCULAR INSTITUTE OF CHATTANOOGA

VASCULAR INSTITUTE OF CHATTANOOGA

Sarah Faith Ingell, DNP, APRN, AGACNP-BC

Leah Lester, FNP-C

Sarah Faith Ingell, a board-certified adult-gerontology acute care nurse practitioner, has joined the Vascular Institute of Chattanooga. Ingell specializes in caring for patients with complex acute and chronic medical conditions. She earned her Doctor of Nursing Practice from the University of Tennessee at Chattanooga and her bachelor’s degree in nursing from the University of Tennessee, Knoxville.

healthscopemag.com

COMMONSPIRIT MEMORIAL HOSPITAL

CENTER FOR SPORTS MEDICINE & ORTHOPAEDICS

Dr. Jason Robertson, a nonoperative sports medicine physician at Center for Sports Medicine & Orthopaedics, was named the 2026 Tennessee Athletic Trainers Society (TATS) Sports Medicine Person of the Year. The award recognizes individuals who are not athletic trainers themselves, but who have made extraordinary contributions to sports medicine and significantly influenced and supported the athletic training profession.

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Dr. Brooke Poole, a board-eligible OB/GYN, has joined Bradley Women’s Health Professionals in Cleveland. Dr. Poole is dedicated to providing compassionate, patient-centered care for women throughout every stage of life. She has a special interest in maternal health and is committed to building meaningful relationships with her patients while providing personalized, evidence-based care.

Leah Lester, a licensed family nurse practitioner, has joined the Vascular Institute of Chattanooga. With a solid foundation in clinical expertise, leadership, and technology proficiency, she is committed to meeting patients’ diverse needs. Lester holds bachelor’s and master’s degrees in nursing and an additional bachelor’s degree in biology. She is licensed in Tennessee and Georgia.


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health & wellness calendar

Dare to Dance

October

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Dare to Dance For 19 years running, Dare to Dance has dazzled fans and been the Chattanooga Kidney Foundation’s largest annual fundraising event. Based off the popular TV show “Dancing With the Stars,” 11 Chattanooga celebrities will take to the dance floor with a professional dance partner to entertain the audience and raise funds for local kidney patients. Guests will enjoy a full dinner, drinks, takehome souvenir items, photo opportunities, and more. daretodancechatt.com

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Tennessee Valley Heart Walk The Heart Walk is a familyand dog-friendly (leashes are required) event that brings the community together to get active, raise life-saving funds, and support the mission of the

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American Heart Association. Starting at 8 a.m. at Chattanooga State Community College, walkers of all ages and abilities will celebrate heart health, honor survivors, and remember loved ones affected by heart disease and stroke. Through fundraising and community engagement, the event aims to enhance CPR training accessibility, bolster bystander preparedness, increase funding for vital research, and save lives. chattanoogaheartwalk.org

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Ronald McDonald House Golf Classic Meet the Ronald McDonald House of Charities (RMHC) of Greater Chattanooga on the green for their annual Golf Classic at Black Creek. Tournament awards will be presented for each flight, and the top overall team will win the RMHC Kaylor Cup. Teams of four may register, with golfers receiving a sleeve of Pro V1 golf balls and a $150 Black Creek Pro Shop

gift card. Since 1999, proceeds have supported the charity’s mission to provide families with the opportunity to stay close to their loved ones during difficult times. rmhchattanooga.com/ rmhc-golf-classic

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Faces of PAD Conference The 9th annual Faces of PAD Conference invites registered guests to learn from leading experts in ultrasound and vascular specialties to help improve PAD awareness, management, treatment, and evaluation of today’s vascular patients. Enjoy key speakers from various clinical disciplines, including vascular surgery, interventional cardiology, podiatry, primary care, ultrasound, and more as they lead hands-on demonstrations and engaging workshops at the Embassy Suites by Hilton Chattanooga Hamilton Place. facesofpad.com

PHOTO COURTESY OF THE CHATTANOOGA KIDNEY FOUNDATION


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7 Bridges Marathon Ready, set, go register for the 7 Bridges Marathon – Chattanooga’s oldest and biggest marathon event. With five different races – the 7 Bridges Marathon, 4 Bridges Half Marathon, 4 Bridges 10K, Family Fun Run, and the 2 Bridges 5K – more than 5,000 registrants are expected this fall. Each course will begin and end near the Chattanooga Theatre Centre on Tremont Street. With a live DJ, event shirts, custom medals, and a donut truck, participants are sure to make memories that last! sevenbridges marathon.com

November

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CelebRAEtion – The Roast of Rae Bond Join the Chattanooga-Hamilton County Medical Society & Medical Foundation of Chattanooga at the Embassy Suites downtown for CelebRAEtion, a roast celebrating Rae Bond’s remarkable career, legendary personality, and 26 years of service. Attendees will enjoy plenty of stories, laughs, and maybe a little roasting as they send Rae Young Bond off into her welldeserved retirement. Tickets can be purchased online. chattmd.org/event

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Chattanooga Walk to End Alzheimer’s Chattanoogans are invited to participate in the Alzheimer’s Association Walk to End Alzheimer’s – the world’s largest fundraiser for Alzheimer’s care, support, and research. This year’s event takes place at Erlanger Park. Registration opens at 8 a.m., with the ceremony at 9 a.m. and walk to follow at 9:30 a.m. Registered

participants will receive a flower for the Promise Garden Ceremony and can honor a loved one with Alzheimer’s or dementia or simply support the cause. alz.org/chatta noogawalk

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Head of the Hooch Ross’s Landing is set to host one of the world’s largest rowing events this November – the Head of the Hooch Regatta. This year’s USRowing-sanctioned regatta promises an action-packed weekend, with over 2,200 boats competing across 91 events. The excitement kicks off shortly after 8 a.m. on Saturday, and spectators are encouraged to take in the thrilling views along the scenic Chattanooga Riverwalk or the Walnut Street Bridge. headofthehooch.org

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Hit it for Hatch: Pickleball Tournament Join the Austin Hatcher Foundation at Chattanooga Christian School’s indoor pickleball courts for a fun, family-friendly pickleball event supporting families affected by childhood cancer. Participants can sign up with a partner or solo and get paired up at the event. Each two-hour flight includes 90 minutes of round-robin play, and competitive players can join the morning session with pool play and bracketed matches to determine a winning team. All ages are welcome. hatcherfoundation. org/events/hit-it-for-hatch

6 p.m. at The Chattanoogan Hotel, followed by dinner and a program from 7 to 8:30 p.m. Guests will enjoy cocktails, a silent auction, awards, dancing, and an after party featuring 12 South Band. The evening will present the Dr. Headrick Distinguished Award to Dr. Larry Schlabach, and recognize Becky Hansard, Inspiration Award recipient. Donations will support Access to Care for cancer patients in Chattanooga and the surrounding area. galaofhopechatt.org

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Chattanooga Hungry Turkey Don’t get caught by the turkey! This post-Thanksgiving race invites the community to burn off the holiday calories by participating in either the 5K, 10K, or half marathon. Located at Coolidge Park near the Chattanooga Theatre Centre, aid stations and bathrooms are available along the route at nearly every mile. Registered racers will receive a long-sleeve technical shirt, medal, and can enjoy Wiki-donuts at the finish line. Registration and packet pick up information is online. chattanoogahungry turkey.com

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Gala of Hope The American Cancer Society’s annual Gala of Hope returns with “Passport to HOPE – Journey to End Cancer,” an evening of global elegance, celebration, and impact. The event begins at

healthscopemag.com

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numbers to know

Beyond the BMI While body mass index (BMI) is a commonly used health indicator, some experts believe that a person’s waist-to-hip ratio may be a better tool for predicting chronic health problems. According to the Cleveland Clinic, a waist-to-hip ratio above 0.85 in females and 0.90 in males indicates abdominal obesity.

Kick it Up a Notch Counting kicks (or fetal movement) is a helpful way to monitor the progress and wellbeing of a pregnancy, usually beginning in the third trimester. While recommendations can vary, the American College of Obstetricians and Gynecologists recommends watching for 10 kicks, flutters, or swishes within two hours. When you know your baby’s typical movement patterns, it’s easier to notice changes and know when to consult your healthcare provider.

Now I Know My A1C Used to diagnose and monitor diabetes, an A1C test shows your average blood glucose level over a two- to threemonth period. According to the Cleveland Clinic, an A1C level of: • <5.7% means you don’t have diabetes • 5.7% to 6.4% signals prediabetes • 6.5% or higher indicates Type 2 (or Type 1) diabetes To lower your A1C level and bring it down out of diabetic or prediabetic ranges, experts recommend managing stress, eating a balanced diet, and exercising.

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To calculate your ratio, divide your waist circumference by your hip circumference. Maintaining a healthy weight through regular physical activity, a balanced diet, and adequate sleep can help support a healthy waist-to-hip ratio.

healthscopemag.com

A S O L I D S TA R T According to the Centers for Disease Control and Prevention, it’s recommended to begin introducing infants to solid foods at around 6 months. Developmental signs that may indicate your child is ready to begin eating solid food include sitting up alone without support, controlling their head and neck, and opening their mouth when food is offered.


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Meet Our Doctors

Compassionate and experienced, these doctors have studied, trained, and specialized in providing the highest-quality healthcare. What follows are local experts who are leading with the utmost in quality care.

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Meet Our Doctors

RE STORI NG CONF I DENCE & SM I L ES

D

r. Bill Childress’ daily routine begins with a workout and a Christian devotional. “Then once I get to work, I review the day’s surgeries and meet with the team to go over each case,” he shares. Consultations and surgeries take up the remainder of his day. No matter the size or scope of the surgery he’s performing, Dr. Childress tries to see things from his patient’s perspective. “I do surgery all day long, and it’s easy to take the small procedures for granted,” he explains. “But for each patient, that surgery is a big surgery – and that’s exactly how I treat it.” Putting patients at ease is important to Dr. Childress, starting with the initial consultation. He says, “I always look my patients in the eye, introduce myself, and ask how I can help. And then I listen.”

BILL CHILDRESS, DDS, MD IMPL A N T S & OR A L SUR GER Y OF CH AT TA N O O G A

1 2

3

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I get to relieve pain and suffering – and see immediate results most of the time. By collaborating with general dentists, I’m able to help restore a patient’s confidence and smile.

What has given you fulfillment in your career? Having patients so impressed with the care they received from our entire team that they were inspired to become dental assistants themselves so they could be part of this level of caring. As an added bonus, several of them have since joined our team at IOSC!

What do you see as the most exciting new development for your profession? Digital X-rays and scanners replacing film and impression materials. Rather than having a big gloopy tray of play-doh in a patient’s mouth, we can now scan with a handheld device and produce a model for restoring teeth.

4 It means a lot when a patient says that they were really dreading a procedure, but we made it pleasant.”

What do you love most about your profession?

5

What would you consider to be your main strengths? I’m grateful to God for my talents and gifts, and I offer prayer with each of my patients. I sincerely think prayer before surgery helps with a positive outcome and recovery.

Why did you choose to become an oral surgeon? I spent a lot of time with two of my uncles growing up, both of whom practiced dentistry into their 80s. While I always admired their work ethic, I’ll probably retire before that!

SPECIAL PROMOTIONAL SECTION


ABOUT ME

MY CREDENTIALS Dental Degree: The University of Tennessee Health Science Center – Memphis, TN Medical Degree: University of Texas Health Science Center – San Antonio, TX Certifications: Board Certified, American Board of Oral & Maxillofacial Surgery Specialties: Oral & Maxillofacial Surgery

CONNECT 423.296.8210 1350 Mackey Branch Dr., Suite 110 Chattanooga, TN 37421 5022 Old Godsey Ln., Suite 10 Hixson, TN 37343 ioschattanooga.com


Meet Our Doctors

W HOL E- PER S ON CA R E

D

r. Grant Barry’s approach to patient care is simple – treat patients with the same care and attention as you would want for your own family. Throughout the past two years in practice, Dr. Barry has enjoyed getting to know patients and making an impact. “I became a doctor because I wanted to make a demonstrable improvement in people’s lives,” he says. Whether he’s doing routine wellness visits, performing surgeries, or helping in labor and delivery, Dr. Barry values the experience of helping patients in different seasons of life, sharing, “I love having the ability to treat a patient throughout their whole life and guide them through some of their most important times.”

GR ANT BARRY, DO DI A N A HE A LTH

1 2 3 4 5

Why have you chosen this field of specialty? OBGYN is so diverse! From delivering babies to operating and seeing patients in clinic, no two days are the same.

What sets your practice apart? We take a holistic approach to treating our patients. We have many services such as mental health, nutrition, and wellness coaching to support all aspects of women’s health.

What is your best advice for patients? Don’t fall behind on your annual visits. There are several women’s health issues that are easily addressed if caught early.

What do you see as the most exciting new development for your profession? The technological advances in robotic surgery are really taking off. It makes for an overall better experience for both the patient and the surgeon.

What accolades mean the most to you? To be honest, hearing a patient say “thank you” trumps all the other awards and accolades I have received.

I always take time to listen and work together with patients to come up with a solution that works for us both.”

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SPECIAL PROMOTIONAL SECTION


ABOUT ME

MY CREDENTIALS Medical Degree: Lincoln Memorial University – DeBusk College of Osteopathic Medicine – Harrogate, Tennessee Specialties: Obstetrics and Gynecology

CONNECT 423.553.5999 6787 Lee Hwy., Ste. 101 Chattanooga, TN 37421 heydianahealth.com @heydianahealth


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BLOOD PRESSURE 101

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A D H D I N A D U LT S

medical insights BLADDER BASICS

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Bladder Basics U N D E R S TA N D I N G U R O LO G I C A L H E A LT H

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healthy bladder can be easy to take for granted, but – as part of the urinary tract system – this important organ is responsible for helping to remove toxins and extra fluids from the body, as well as preventing infections. For this reason, uncomfortable bladder symptoms can have a significant impact on an individual’s quality of life. Here, we speak with three local providers about how to proactively protect bladder health and when to consult with a specialist. By Abby Callahan

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Form and Function Located within the pelvis between the hip bones, the bladder is a hollow, muscular organ that expands and contracts to store extra fluid and toxins (urine) that the kidneys filter from the bloodstream. As part of the lower urinary tract, it works with the urethra and sphincter muscles to then expel this waste from the body during urination. A healthy bladder acts as a reservoir and gives individuals the ability to control the act of urination. However, lifestyle habits, age, hormones, and certain conditions can impact its ability to function properly.

Common Bladder Conditions Estimated to impact nearly 100 million U.S. citizens, bladder control issues are very common. However, according to Dr. Rahul Dutta, a urologist at Erlanger Urology, this does not mean symptoms should be disregarded. “Although these symptoms are common, it does not mean they are ‘normal,’” he says. “You should see a doctor if they are persistent, worsening, or affecting daily life – for example, regular leakage requiring pads, waking up more than once or twice a night to urinate, pain or burning with urination, blood in the urine, or a feeling of pressure in the pelvic area.”

Rahul Dutta, MD Urologist, Erlanger Urology

Alexandra Kitchens, MSN, APRN, FNP-C Women’s Health Nurse Practitioner, Diana Health

Neethu Kurien, MD Family Medicine Physician, Hamilton Physician Group – Catoosa Campus

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F EAT UR E

COMMON UROLOGICAL CONDITIONS INCLUDE:

Urinary Incontinence: Urine leakage due to the loss of reliable bladder control caused by stress, urgency, health conditions such as diabetes, or pelvic-floor muscle loss. Overactive Bladder: Frequent, sudden, or hard-to-control urges to urinate that impact daily schedules and sleep patterns. Urinary incontinence and overactive bladder often go hand-in-hand. Bladder Stones: Similar to kidney stones, minerals found in concentrated urine can harden and form solid, crystallized stones. This often happens when the bladder cannot empty completely. Urinary Tract Infection (UTI): An infection caused by invasive bacteria in the urinary tract, resulting in painful urination and the frequent urge to urinate.

Bladder Health in Women Research shows that women are more likely to experience urological conditions, with twice as many women reporting urinary incontinence than men. According to Dr. Dutta, this is largely due to anatomy. “Women's pelvic floor muscles and connective tissue support the bladder, vagina, uterus, and rectum all at once,” he explains. “Childbirth, pregnancy, and the natural loss of estrogen after menopause can weaken or stretch these support tissues, leading to leakage of urine (incontinence) or a sense of urgency (overactive bladder). While men do experience many of the same issues, they tend to be less common overall and occur for different reasons.” A women’s health nurse practitioner at Diana Health, Alex Kitchens adds that “Mild and temporary bladder changes

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can be normal during certain life stages, such as pregnancy or the postpartum period. For instance, frequent urination or mild leakage during exercise and exertion are common while pregnant or in the first few weeks after delivery.” However, she advises not to accept these symptoms as the new normal.


F EAT UR E

“Women often tolerate far more bladder dysfunction than they should because society or family members tell them it is just a ‘normal part of aging’ or from ‘having children,’” she says. “It’s important to know that there are treatments for these conditions and you do not have to live with disruptive symptoms.”

Helpful Healthy Habits In addition to medical treatments, family medicine physician with Hamilton Physician Group, Dr. Neethu Kurien says that healthy habits go a long way in protecting and improving overall bladder health. “Progressive lifestyle changes are the best way to protect/optimize your bladder health, such as adequate hydration, limiting bladder irritants, maintaining a healthy weight, a well-balanced diet to avoid constipation, avoiding tobacco exposure, strengthening the pelvic floor muscles with training, and good voiding and hygiene habits. These adaptations help prevent the most common bladder problems such as UTIs, overactive bladder/ incontinence, and even bladder cancer,” she shares.

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Certain dietary choices – such as spicy foods, caffeine, or sugar and artificial sweeteners – and medications can irritate the bladder, often triggering overactive bladder symptoms or affecting overall function. For this reason, Dr. Kurien recommends reporting any changes or symptoms immediately. “Patients should raise concern for any change in urinary function,” she says. “It’s also important to review lifestyle choices and medications that affect bladder function to see if there are factors that could be better optimized/avoided. Please talk to your primary care provider about how to optimize these areas and assess the best route for maintaining/improving your bladder health.”

Living Carefree Living with urological issues can be difficult, but the good news is that there are many treatment options available. If bladder issues are impacting your quality of life, talk with a healthcare provider to see how you can begin treatment and start experiencing relief.


Neal Miller, MD, FACC

AnnMarie Gray, FNP-BC

Joshua Schueller, MD

Cardiologist, The Chattanooga Heart Institute

Family Nurse Practitioner, Erlanger Internal Medicine

OB/GYN, Galen OB/GYN Ridgeside

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Blood Pressure 101 By Ali Lemmons

Y

our blood pressure can give good insight into your overall health, but what do those numbers actually mean? From understanding your reading to recognizing when levels may be too high or too low, knowing the basics of blood pressure can help you take a more active role in your health. Here, we explore the basics of blood pressure with help from experts in the field.

What is Blood Pressure?

Every time your heart beats, it pumps blood into a large artery called the aorta, connected to other arteries that deliver oxygen and nutrients to all the organs and tissues throughout your body. “Blood pressure is the force that blood exerts against the walls of the arteries throughout the body,” says Dr. Neal Miller, cardiologist at The Chattanooga Heart Institute. “Lower blood pressure means that the arteries are more compliant, whereas higher blood pressure indicates that your arteries are stiffer.” Your blood pressure changes throughout the day depending on what you’re doing. Exercise and excitement can cause your blood pressure to go up, while resting can cause it to lower. Blood pressure can also change when taking certain medications and with age.

Why is a Healthy Blood Pressure Important?

Maintaining a healthy blood pressure helps ensure that your organs and tissues receive the oxygen and nutrients that they need while reducing unnecessary strain on the heart and blood vessels. When blood pressure is too high, known as hypertension, the heart has to work harder and places excessive pressure on the walls of the arteries.

“High blood pressure is often called the ‘silent killer’ because it can go undiagnosed for years,” adds Dr. Miller. “Often, patients are asymptomatic with higher blood pressures over time before they are diagnosed, which can lead to progressive strain on the heart and arteries throughout your body. High blood pressure can lead to thickening and weakening of the heart muscle, dilation of the aorta (the main blood vessel exiting your heart and supplying blood to the rest of your body), increased risk of stroke, and damage to the kidneys.” When blood pressure is too low, known as hypotension, it may prevent enough blood from reaching the brain and other organs. “Hypotension should be further evaluated when the patient’s blood pressure is below 90/60, especially if the patient is symptomatic, such as with fatigue, dizziness, or lightheadedness,” says AnnMarie Gray, family nurse practitioner at Erlanger Internal Medicine. “Hypotension can be caused by dehydration, heart conditions, blood loss, diet changes, and severe infections.” Blood pressure that is consistently too high or too low can affect how well the body functions. Regular monitoring can help identify changes early and give healthcare providers an opportunity to address underlying causes or recommend treatment when needed.

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Deciphering Your Reading

Blood pressure is measured in millimeters of mercury (mm Hg), and a reading has two numbers: • Top number (systolic pressure): This measures the pressure in your arteries when the heart is beating.

<90

<120

OR

AND

120-129 AND

<60

<80

<80

Hypotension

Normal

Elevated

130-139

>140

>180

OR

AND

AND/OR

80-89

>90

>120

Stage 1 Hypertension

Stage 2 Hypertension

Hypertensive Crisis

• Bottom number (diastolic pressure): This measures the pressure in your arteries in between heartbeats. According to the Cleveland Clinic, healthcare providers use the categories shown to describe blood pressure. A blood pressure measurement of 180/120 mm Hg or higher, which may be accompanied by shortness of breath, chest pain, or blurry vision, signals a hypertensive crisis, and emergency medical treatment should be sought immediately. “Some factors that can temporarily affect a blood pressure reading are a full bladder, emotional stress, dehydration, or if a patient’s legs are crossed,” adds Gray. “Patients can ensure they are getting an accurate reading by staying well hydrated with water, keeping both feet on the floor at the time of the reading, and emptying their bladder before the reading.”

Blood Pressure During Pregnancy

The body undergoes many changes during pregnancy, and changes in blood pressure are no exception. “To provide nourishment for the growing baby and in preparation for delivery, the body increases the volume of blood and blood vessels dilate, allowing more space for the increased blood volume,” says Dr. Joshua Schueller, OB/GYN at Galen OB/GYN Ridgeside. “Due to this dilation, blood pressure tends to drop in the first and second trimester and then return to non-pregnant levels in the third trimester.” Early and consistent prenatal care is important for identifying chronic hypertension.

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FE AT UR E

“There are two primary causes of high blood pressure during pregnancy: chronic hypertension, which is pre-existing, or preeclampsia, a hypertensive disorder of pregnancy that can affect multiple organ systems,” says Dr. Schueller. “The management and delivery recommendations differ between the two, therefore proper identification of the cause is necessary.” Warning signs of preeclampsia can include limb swelling, weight gain, shortness of breath, headaches, vision changes, nausea or vomiting, and upper abdominal pain. Blood pressure concerns can also continue after delivery. Women diagnosed with hypertension or preeclampsia during pregnancy need close postpartum follow-up. “It’s also important to note that postpartum hypertension may develop without previously having the disease during pregnancy,” says Dr. Schueller. “Even women with uncomplicated pregnancies should be aware of warning signs and follow up postpartum.” 42

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How to Maintain a Healthy Blood Pressure

While hypertension and hypotension can feel overwhelming, blood pressure levels can be managed through healthy habits, regular monitoring, and treatment when needed. “Our lifestyle choices can have a big impact on our blood pressure,” shares Gray. “A heart-healthy diet, eight hours of sleep each night, and minimizing stress in one’s life are all very helpful in keeping blood pressure levels within a normal range.” A heart-healthy diet is centered around fresh fruits and vegetables, whole grains, lean meats (like chicken and fish), and limiting processed foods with high salt content. Experts also note that exercise is critical to lowering blood pressure, with a recommended goal of 150 minutes of aerobic activity each week. In some instances, your provider may recommend medications to lower your blood pressure. Diuretics (water pills) help rid the body of excess salt and water, beta-blockers lower the heart rate, and ACE inhibitors help blood vessels relax and open up. “It is important to address high blood pressure with a multifocal approach,” finishes Dr. Miller. “With close monitoring, a focus on healthy diet and exercise, and medications if needed, we can treat high blood pressure early, before it causes any long-term damage!”


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ADHD in Adults

Symptoms, Testing, and Navigating Diagnosis By Kristen Dee

While attention deficit hyperactive disorder (ADHD) symptoms often start in childhood, many individuals are diagnosed as adults, particularly women. Here, we explore common symptoms of ADHD in adulthood, the process for getting tested, and how to navigate a diagnosis, with insights from experts in the field. Common Symptoms of ADHD

Approximately two-thirds of children with ADHD will continue to have symptoms throughout their adult lives, leading to adult ADHD. Data from the National Center for Health Statistics Rapid Surveys System found in 2023 that of the more than 15 million Americans with an ADHD diagnosis, more than half were diagnosed at age 18 or older.

There are three main subtypes of ADHD: predominantly inattentive, predominantly hyperactive, or combined-type ADHD. Depending on the type of ADHD, individuals will have some or all of the following symptoms: • Inattention – difficulty paying attention, completing tasks, and staying organized • Hyperactivity – excessive activity or restlessness, even in inappropriate times • Impulsivity – a lack of self-control, or acting without thinking Without proper treatment and management, these symptoms can have a negative impact on an individual’s home, school, or work life.

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Getting Diagnosed

If you are experiencing disruptive symptoms of ADHD, it may be beneficial to undergo testing. The World Health Organization offers a free, quick self-screening tool developed by a team of psychiatrists and researchers that asks a few questions about your typical behaviors and habits. The results produce a score which indicates if you may be a candidate for further ADHD testing. While there is currently no single medical test that can diagnose ADHD, licensed medical professionals typically use the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), to assess an individual’s likelihood of having ADHD. The manual defines adult ADHD as an individual age 17 or older showing at least five persistent symptoms of inattention and/or hyperactivity-impulsivity, present since before age of 12, across two or more settings, and not better explained by another condition. The assessment will determine the type of ADHD an individual has, along with a severity of either mild, moderate, or severe. Once a diagnosis occurs, the provider will follow up with recommended resources and treatment options for managing ADHD symptoms.

Managing Symptoms

Current research suggests that a combination of medication and therapy is the best treatment option for ADHD. Support groups, coaching, and lifestyle changes can provide additional assistance in processing an ADHD diagnosis and managing symptoms. For example, individuals with ADHD may often feel easily distracted and have trouble focusing. Creating structure and routines within your schedule can be a helpful way to stay on task, remain organized, and succeed with time management. Prioritizing a healthy lifestyle can also play a factor in managing symptoms: • Diet: Ongoing research suggests that eating a healthy diet with fruits and vegetables may lessen ADHD symptoms, and the Attention Deficit Disorder Association recommends avoiding caffeine, foods high in additives, refined carbs (like baked goods high in sugar), and unhealthy fats. • Exercise: Exercise, which triggers endorphin release and can boost energy, can be a helpful tool in managing symptoms. • Sleep: Prioritizing sleep health can help prevent exacerbated symptoms resulting from sleep disruption commonly experienced by adults with ADHD. While these strategies don’t offer a cure for ADHD, working with a primary care provider or mental health provider to develop a personalized treatment plan can help manage symptoms long term.

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Rebecca Spivey, PMHNP-BC Psychiatric Mental Health Nurse Practitioner • ADHD Evaluation with FDA-approved QB Test • Autism Testing for Adults • Ketamine & Spravato Therapy for Treatment Resistant Depression • Flotation Therapy

CALL 423.468.1372 TO SCHEDULE A CONSULTATION

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FE AT UR E

Q&A With Expert Providers

Q: How can ADHD present differently in men and women? A: The diagnostic criteria for

ADHD are the same for men and women, and adults generally report similar core symptoms regardless of gender. However, women with ADHD are often more likely to develop coping strategies and adapt their behavior in ways that mask their difficulties. In other words, they may be struggling just as much internally while appearing to function well on the outside. This may help explain why men are diagnosed more often during childhood and adolescence, while many women do not receive an ADHD diagnosis until adulthood. We frequently see women who have managed their symptoms successfully for years, only to become overwhelmed after having children or during perimenopause. Hormonal changes, combined with increased demands, can make ADHD symptoms more noticeable and previously effective coping strategies less successful. If you feel chronically overwhelmed or burned out and wonder whether ADHD could be contributing, consider seeking an evaluation from a licensed psychologist. Effective treatment and support are available! Erica Skidmore, PsyD, HSP Licensed Psychologist, Founder, and CEO, Journey Mental Health

Q: What should adults keep in mind when testing for ADHD? A: Research-based screening tools or self-assessments may as-

sist in diagnosis, but they are limited in formalizing an official diagnosis. ADHD is a neurodevelopmental disorder, which affects how the brain grows and works. The onset of ADHD starts in early childhood. Therefore, for adults who may be undiagnosed, it is important to not only assess current symptoms, but also to consider inattention, hyperactivity, and impulsivity prior to age of 12. For any diagnosis, it’s important to schedule a consultation with a licensed mental health provider, psychiatrist, psychologist, or primary care provider.

Daniel Kiser, LMFT, MA Lead Therapist, Parkridge Mental Health Therapy Center at UTC

Q: What are some effective tools and strategies to manage symptoms of ADHD? A: For those experiencing cognitive dysfunction, the importance

of diet and exercise cannot be overstated. Exercise is an important nonpharmacologic approach, as it enhances synaptic signaling, restores neurotransmitter imbalance, and stimulates brain healing. Recent studies have shown that low impact exercises such as swimming during pregnancy contribute to enhanced neuroplasticity and improved ADHD phenotypes for their children. We are made to move! Adults with attentional deficits may not tolerate traditional pharmacologic approaches; however, the persistence of symptoms such as poor time management, lacking organizational skills, and executive dysfunction may still jeopardize job security and relationships. Scheduling an evaluation to understand how your brain processes information is an important first step. Treatments such as psychotherapy, neurofeedback, tDCS, and neurophotobiomodulation may help restore cognitive performance and functional connectivity. Rebecca Spivey, MSN, APRN, PMHNP-BC Mental Health Nurse Practitioner, Nashville Brain Institute - Chattanooga

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Women’s Health

When life gets busy, it can be easy to let health fall low on your list of priorities. But paying attention to how you feel and making time for annual checkups and screenings can help you stay informed about your health. In this section, we highlight common health concerns for women and the treatments available to help. Make sure there’s room in your schedule to take care of yourself! By Rachel Studebaker

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AN N UAL WO M EN ’S HEALT H SECT I O N

May-Thurner Syndrome This treatable condition affects blood flow in the lower extremities.

Understanding May-Thurner Syndrome May-Thurner Syndrome (MTS) occurs when the right iliac artery compresses the left iliac vein, preventing blood from properly flowing out of the lower extremities. This can cause pain, pressure, and heaviness as well as varicose veins and swelling in the legs, especially on the left side. If left untreated, MTS can lead to complications like deep vein thrombosis (DVT) and post-thrombotic syndrome, and it has been connected to pelvic congestion syndrome in women. MTS affects both men and women and is often diagnosed between the ages of 20 and 50. Diagnosis

An Expert Weighs In “May-Thurner Syndrome is often overlooked because symptoms such as leg heaviness, swelling, pressure, or varicose veins can seem like everyday issues. Women should know these symptoms may have an underlying vascular cause – and it can be treated. If you’re experiencing persistent or unexplained leg symptoms, don’t simply accept them as normal. A vascular specialist can determine the cause of the problem and help restore healthy blood flow.”

Chris LeSar, MD, FACS, RVT Vascular Surgeon, Vascular Institute of Chattanooga

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If you are experiencing these symptoms, a vascular specialist can perform a simple, noninvasive test to determine whether MTS is the cause. Imaging tests such as an ultrasound of the pelvis, CT venogram, or intravascular ultrasound (IVUS) are commonly used to diagnose MTS and determine the severity of the condition. Treatment and Outlook In some cases, medical management can help address symptoms and reduce the risk of DVT. This can include: • Wearing compression hose/stockings to control swelling • Maintaining a healthy weight and exercising regularly • Walking 5-10 minutes every few hours when sitting or standing for long periods of time MTS can also be effectively treated with a minimally invasive endovascular intervention that uses a stent and IVUS imaging to locate the affected vein segments and restore normal circulation. This procedure can be performed in an outpatient setting and requires little downtime, allowing patients to quickly return to everyday life free from symptoms.


AN N UAL WO M EN ’S HEALT H SECT I O N

Common Misconceptions About Aesthetic Medicine Debunking misconceptions about cosmetic treatments can help people make informed decisions.

Understanding Aesthetic Medicine The aesthetics industry has grown rapidly over the past few decades, driven by customer demand and the accessibility of minimally invasive cosmetic treatments. From injectables to skin treatments, body contouring, and more, these services aim to improve patients’ confidence and well-being. However, certain misconceptions can discourage people from seeking treatment. Common Misconceptions Misconception: Cosmetic treatments are only about vanity. Reality: Many treatments can address medical concerns, including solutions for acne and skin health; injectables for migraines and severe sweating; resurfacing procedures to address scarring from injuries or previous surgeries; and more. These results can also positively impact patients’ confidence and overall well-being.

An Expert Weighs In “Nearly three decades in medicine has taught me that aesthetics was never about creating a new person. It’s about bringing out the one who is already there. Aging isn’t the enemy; growing older is a gift. My goal is to help you feel like yourself as you embrace each chapter.”

Melissa Kantor, PA-C Cosmetic Injector, Uderm Dermatology and Mohs Surgery

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Misconception: Cosmetic treatments always produce an unnatural result. Reality: Cosmetic treatments can enhance natural features rather than altering them entirely. For example, conservative amounts of fillers or microdoses can achieve a refreshed yet subtle result. Misconception: Cosmetic treatments are unsafe. Reality: While no medical treatment is without risk, regulations are in place to support the safety of aesthetic medicine. Reputable practices operate under strict medical guidelines using approved products and evidence-based techniques performed by qualified, licensed providers. Misconception: Cosmetic treatments are only for women. Reality: While women do make up the majority of aesthetic medicine patients, men currently represent the fastest-growing demographic in the industry. According to one study, in 2024, men accounted for 1.6 million minimally invasive cosmetic procedures in the U.S. Men often receive anti-aging injections, hair loss treatments, and skin rejuvenation, and evolving industry standards are prioritizing providing services for men and women alike. Outlook If you are interested in a cosmetic treatment, speak with a licensed professional. They can share more about what to expect and can put together a personalized treatment plan tailored to your desired outcome.


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AN N UAL WO M EN ’S HEALT H SECT I O N

The Benefits of GLP-1s GLP-1 medications can offer benefits beyond weight loss.

Understanding GLP-1s GLP-1 agonists, commonly referred to as GLP-1s, refer to glucagon-like peptide-1 receptor agonists. These medications mimic the GLP-1 hormone naturally produced by the body, which helps regulate insulin release, slow digestion, and increase satiety after eating. GLP-1s were initially prescribed to manage blood sugar levels in patients with Type 2 diabetes, and in recent years, have become popular for promoting weight loss. Additional Benefits Studies suggest that GLP-1 medications may also: • Support heart health • Boost circulation • Reduce inflammation • Lower blood pressure • Improve lipid disorders • Decrease levels of fat in the liver • Reduce the risk of heart and kidney disease An Expert Weighs In “With so many benefits provided by GLP-1 agonists beyond weight loss, this class of medications has become a major player in metabolic health. From improving blood sugar and insulin control and reducing cardiovascular risk to lowering systemic inflammation and influencing addictive behaviors, GLP-1 agonists have earned their place in the spotlight. For many women navigating midlife metabolic changes, their benefits may extend well beyond the number on the scale.”

Stephanie Moore, PharmD Clinical Pharmacist, Designer Drugs Labs

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These benefits could improve quality of life for women experiencing hormonal or metabolic changes and conditions. GLP-1s may be able to address the impacts of hormonal decline during perimenopause and menopause, which impact metabolism, increase the risk of cardiovascular disease, and affect how the body processes glucose, stores fat, and manages inflammation. They could also help treat insulin resistance in patients with polycystic ovary syndrome (PCOS), a hormonal condition affecting approximately 1 in 10 women of reproductive age. Additionally, research is exploring whether activating GLP-1 receptors in the brain can support neuroplasticity and slow the progression of neurodegenerative diseases, some of which are significantly more prevalent in women. Treatment and Outlook Your provider can help determine whether you are a good candidate for GLP-1 medication and can develop a personalized treatment plan. GLP-1s are typically selfadministered via injection, and the best outcomes can be achieved when treatment is combined with a nutritious diet and regular, structured exercise.


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AN N UAL WO M EN ’S HEALT H SECT I O N

Stress and Dental Health Stress can take a physical toll on the body and impact dental health.

Understanding Stress Stress is the body’s natural reaction to change or challenges and is a normal part of life. However, prolonged periods of stress can negatively impact both mental and physical health. While muscle tension, headaches, and fatigue are commonly associated with chronic stress, it can also impact dental health. Effects on Dental Health • Bruxism. Jaw clenching and teeth grinding, known as bruxism, is commonly triggered by stress. Bruxism often occurs while asleep and can wear down the enamel on the teeth over time. Symptoms include headaches, jaw pain, and tooth sensitivity.

An Expert Weighs In “Stress often shows up in the mouth before patients realize how much it is affecting their bodies. We commonly see increased clenching and grinding, jaw discomfort, tooth wear, and even changes in gum health during stressful seasons. Paying attention to these signs, maintaining good oral hygiene, and keeping regular dental visits can help us identify problems early and protect your smile from the long-term effects of stress.”

Mandy Shearer, DDS Dentist, Soddy Daisy Smiles

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• Dry mouth. Stress can reduce saliva production, causing dry mouth. Because saliva is important for washing away food debris and bacteria and fighting acids, dry mouth can raise the risk for cavities and tooth decay. • Gum disease. Known as the “stress hormone,” high levels of cortisol can weaken the immune system and make the mouth susceptible to periodontitis, or gum disease. Symptoms include red, swollen gums that bleed when brushing or flossing your teeth. Prevention and Outlook Even when feeling overwhelmed, it’s important to practice good oral hygiene, including brushing your teeth twice a day and flossing daily. Drinking plenty of water can combat dry mouth and wash away bacteria, and if your stress is causing bruxism, a mouth guard can be worn at night to prevent your teeth from grinding together. Additionally, relaxation techniques such as deep breathing and mindfulness can promote calm and lower cortisol levels in addition to exercising regularly, getting plenty of sleep, and eating a balanced diet. Regularly visit your dentist for cleanings, where they can examine your teeth and gums and recommend treatment as needed.


OUR PLAN IS SIMPLE AND STRAIGHTFORWARD • NO yearly maximum • NO deductibles • NO pre-existing conditions or limitations • NO waiting periods

FREE WHITENING FOR LIFE with any new patient exam, cleaning and a full set of digital x-rays at regular fees. Not valid with any other offer. With coupon only. Some conditions may apply.

Robert and Mandy Shearer, D.D.S.

Creating Brighter Smiles for Your Family

NO DENTAL INSURANCE? NO PROBLEM! At Soddy Daisy Smiles, we know it’s important to stay current with your dental needs. For patients who may not have dental insurance, or have lost theirs, we can help! We offer affordable in-house dental coverage plans. Our annual plans can provide single and family options at tremendous savings by making our high quality dental services available for a percentage off our regular fees.

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423.332.5275


AN N UAL WO M EN ’S HEALT H SECT I O N

Melasma This skin condition commonly causes pigmentation issues in women.

Understanding Melasma Melasma is a common, benign skin condition that causes dark, blotchy patches and frecklelike spots to appear. While melasma can occur anywhere on the body, it most commonly develops on the face, primarily the cheeks, chin, forehead, nose, and upper lip. This discoloration occurs when melanocytes – the cells that give your skin its color – begin to overproduce melanin. While melasma may go away on its own, it can also persist for months or even years. Risk Factors Hormones and light, whether from the sun or artificial sources, are thought to be the two primary causes of melasma in addition to stress, medical conditions including thyroid disorders, and medications such as oral contraceptives. Approximately 90% of individuals who get melasma are women. It is especially common during pregnancy and is sometimes referred to as “the mask of pregnancy.”

An Expert Weighs In “Everyone with melasma can benefit from a daily tinted, mineral-based sunscreen. Beyond that, a board-certified dermatologist can help you develop the best plan to address pigmentation tailored to your specific needs. It can be overwhelming and often expensive to search for and try different options on your own. We want you to feel confident in your plan and in your skin.”

Abby Russell, DO, FAAD Dermatologist, Galen Dermatology

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Diagnosis and Treatment Melasma is harmless and does not cause pain, itching, or any symptoms. However, because other conditions or signs of skin cancer may be mistaken for melasma, it is important to consult with a dermatologist to accurately determine what is causing the discoloration. If melasma is diagnosed, your dermatologist can develop a personalized treatment plan to address cosmetic concerns. Because sun exposure can cause melasma spots to darken, dermatologists recommend applying broad-spectrum SPF 30+ sunscreen and wearing sun protection before spending time outdoors. Topical medications may be prescribed to help fade discoloration, and treatments such as chemical peels, microneedling, laser treatments, and platelet-rich plasma may also be recommended.


Galen Dermatology – East Kate Shuster, MD, FAAD Chris Lowe, MD, FAAD 1726 Gunbarrel Rd, Suite 200 Chattanooga, TN 37421

(423) 954-9017 GALENDERMATOLOGY.COM

Galen Dermatology – North Abby Russell, DO, FAAD Victoria Collier, MD, FAAD 1008 Executive Drive, Suite 104 Hixson, TN 37343


ANN UAL WO M EN ’S HEALT H SECT I O N

Gynecologic Surgery Surgical advancements are improving outcomes in gynecology.

Understanding Gynecologic Surgery Gynecologic surgery refers to any surgical procedure that involves the female pelvic and reproductive organs, including the uterus, ovaries, and cervix. Advancements in surgical technologies and techniques have made it possible to effectively treat a wide variety of gynecologic conditions such as fibroids, abnormal bleeding, endometriosis, chronic pelvic pain, ovarian cysts, cervical dysplasia, and uterine polyps. Treatment Options There are many advanced, minimally invasive procedures available today, some of which can be performed inoffice. These include: • Endometrial ablation, which removes a thin layer of the lining of the uterus to treat heavy menstrual bleeding • Hysteroscopy, a diagnostic procedure where the surgeon views the inside of the uterus to identify the cause of abnormal bleeding • Myomectomy, a surgery that removes uterine fibroids, noncancerous tumors that grow in the uterus 62

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• Loop Electrosurgical Excision Procedure (LEEP), a quick in-office treatment that removes abnormal cells from the cervix • Colposcopy, an exam that checks the cervix for signs of precancerous or cancerous tissue Robotic-assisted laparoscopic surgery can perform more complex procedures such as a hysterectomy – the surgical removal of the uterus. This approach uses state-of-the-art robotic technology controlled by a surgeon to perform precise procedures through small incisions using magnified, 3D imaging. Benefits and Outlook Your doctor can help determine whether gynecologic surgery is right for you, whether it’s a quick, in-office procedure or a minimally invasive laparoscopic surgery. Compared to traditional open surgery, minimally invasive surgery offers many benefits, including: • Shorter hospital stays • Quicker recovery • Lower costs • Reduced pain and scarring • Faster return to normal activities

An Expert Weighs In “When it comes to gynecologic surgery, I believe patients should feel informed, respected, and cared for throughout the entire process. Women’s health is deeply personal, and building trust is an important part of that care. Advances in medicine continue to give us new ways to treat gynecologic conditions, but my goal remains the same – to provide each patient with the care I would want for my own family.”

Jack Rowland, MD Physician and Medical Director, Diana Health


Soaking through tampons or pads on the regular? That’s your body talking. We’re ready to listen.

Heavy bleeding during your period isn’t necessarily a problem. But in some cases, it could be a sign of a condition that needs attention. That’s why it’s important to pay attention to the signals your body’s sending. You’re the expert of you — we’re here to help if something doesn’t feel right.

Scan the QR code to book a visit call us at (423) 553-5999.


AN N UAL WO M EN ’S HEALT H SECT I O N

Collagen Stimulators Certain cosmetic treatments can boost collagen production to support healthy skin.

Understanding Collagen Collagen is the most abundant protein in the body and is responsible for giving skin its structure, firmness, and elasticity. As you age, your body produces less collagen and existing collagen begins to break down, particularly after menopause. Decreasing levels of collagen can lead to wrinkled, sagging, dry, and crepey skin. Collagen Stimulators Unlike traditional fillers, collagen stimulators are a cosmetic injectable treatment that prompt the body to produce more collagen to support healthy, rejuvenated skin. Options include: • Sculptra is an FDA-approved biostimulator injection containing poly-L-lactic acid that stimulates collagen production to restore facial structure over time. • Radiesse is a dermal filler that adds instant volume while encouraging collagen production. It is also FDA-approved for treating specific areas of the body beyond the face, such as the chest and the back of the hands.

An Expert Weighs In “Collagen production begins declining as early as our 20s. I encourage patients to think of collagen stimulation as a 401(k) for their face. Investing in collagen-building treatments today helps replenish what we’ve lost while building a foundation for firmer, healthier, more youthfullooking skin in the years ahead.”

Ashley Hunter, NP-C Nurse Practitioner, Ovation Aesthetics

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• EZ Gel PRF utilizes platelet-rich fibrin (PRF) – a natural healing agent derived from a patient’s blood – in the form of an injectable gel to stimulate collagen production without the use of foreign substances. Benefits and Outlook By taking a regenerative approach, collagen stimulators support long-lasting skin rejuvenation. The benefits of increased collagen production include smoothed wrinkles; firmer, more elastic skin; a contoured jawline; restored structure and volume; and improved skin quality. Collagen-stimulating cosmetic treatments are performed in-office by a professional. For the best results, multiple sessions are often recommended, with improvements becoming gradually more noticeable over the course of treatment as collagen production increases.


Ashley Hunter, Nurse Practitioner, Owner

Refined. Elevated. Celebrated. Beauty isn’t about looking like someone else — it’s about becoming the most confident version of yourself. At Ovation Aesthetics, every treatment is thoughtfully designed to enhance your natural features with results that are elegant, balanced, and timeless.

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ANN UAL WO M EN ’S HEALT H SECT I O N

Celiac Disease

An Expert Weighs In

Individuals with this autoimmune disorder are unable to tolerate gluten.

Understanding Celiac Disease Celiac disease is an autoimmune disorder where the body reacts adversely to gluten, a protein found in foods containing wheat and other grains. When someone with celiac eats gluten, their body triggers an immune response that attacks the small intestine. This damages the villi, the tiny, finger-like structures that line the small intestine, and prevents them from properly absorbing nutrients. Intestinal damage and malnutrition can cause fatigue, weight loss, diarrhea, bloating, and anemia. It can also increase the risk of developing other conditions like osteoporosis and lactose intolerance and can lead to serious complications if left unmanaged. Celiac disease is a hereditary condition that is estimated to affect 1 in 100 people worldwide, and it is diagnosed more commonly in women. Diagnosis Two types of tests are commonly used to diagnose celiac. A blood 66

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test can look for elevated levels of antibody proteins that indicate an immune response to gluten, while an endoscopy uses a tiny camera on the end of a tube to examine the small intestine and take a biopsy that is then analyzed for damaged villi. Outlook While there is currently no cure for celiac disease, adhering to a strict gluten-free diet can prevent the immune response from triggering and causing symptoms. Because even small amounts of gluten can cause intestinal damage, individuals with celiac should avoid cross-contamination by carefully reading labels and avoiding any foods and products that may contain or have come into contact with gluten. Regular follow-ups with your doctor can provide support in adjusting to a gluten-free diet and monitoring the small intestine as it begins to heal.

“The incidence of celiac disease has been increasing in the U.S. and is more common in women. Symptoms vary, but may include bloating, abdominal pain, fatigue, diarrhea, and weight loss. Untreated celiac disease results in malabsorption, which can lead to osteoporosis, vitamin deficiencies, and other serious conditions. Diagnosis involves simple blood tests followed by biopsies of the small intestine during an upper endoscopy. If you think you may have celiac disease, I would encourage scheduling an appointment with your gastroenterologist.”

Joseph Moore, MD Gastroenterologist, Galen Digestive Health


Expert Care for Digestive Health Digestive symptoms can affect how you

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CAMILLE SOMMER, MD

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feel every day. Whether you’re dealing with

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digestion or a condition that requires specialized care, Galen Digestive Health is here to help. Our gastroenterology specialists provide comprehensive care, from diagnosis and treatment to preventive screenings and ongoing management. COLONOSCOPY ENDOSCOPY GASTROESOPHAGEAL REFLUX DISEASE INFLAMMATORY BOWEL DISEASE SWALLOWING DISORDERS NONSURGICAL HEMORRHOID TREATMENT

Call to schedule your appointment 423-643-2500

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AN N UAL WO M EN ’S HEALT H SECT I O N

Female Sexual Dysfunction Sexual dysfunction can interfere with women’s quality of life.

Understanding Female Sexual Dysfunction Female sexual dysfunction refers to a persistent issue with desire, arousal, or pain during sex that causes personal distress. It is very common, affecting nearly half of all women at some point in their lifetime. While sexual dysfunction can impact women at any stage of life, it is most prevalent in women age 40 or older. Causes and Symptoms

An Expert Weighs In “Sexual dysfunction is very common. It is not just you. It is not a personal deficit. There are multiple reasons for sexual dysfunction that can be addressed and treated by your gynecologist and possibly a multimodal therapy and a multidisciplinary team approach. You need a provider to ask real questions in a safe place to get to the right diagnosis and therapy. Bottomline: you are not broken; there is help out here.”

Shevonda Sherrow, MD OB-GYN, Innovative Women’s Health Specialists

Symptoms of female sexual dysfunction often correspond with changes in hormone levels. Genitourinary syndrome of menopause is a condition that occurs when declining estrogen levels during perimenopause cause the tissues in the vagina to become thinner and less elastic, leading to issues such as sexual dysfunction. Hormone shifts after childbirth can also affect sexual function, causing dryness and a decreased sexual drive. Additional causes can include pelvic floor muscle dysfunction and/or injury, certain medications, and psychological factors. A low or absent sex drive is the most common form of female sexual dysfunction. Experiencing pain with sex, referred to as dyspareunia, is another symptom, often caused by vaginal dryness and vaginismus, which occurs when the vaginal muscles tense or spasm uncontrollably. Treatment and Outlook If sexual dysfunction is negatively impacting your quality of life or intimacy with your partner, it’s important to be open with your provider about your symptoms. They can listen, check for any physical changes, and recommend treatment options based on the cause. Treatment options may include: • Hormonal therapy to restore estrogen levels and treat symptoms linked to menopause • Pelvic floor therapy to strengthen or relax muscles • Products such as lubricants and moisturizers • Counseling, if emotional or relational factors are contributing • Lifestyle changes to boost overall health • Surgical intervention, in rare cases

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compassionate care for all life’s stages A New and Advanced Experience in

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women’s health care specialists; the relationships we build with our patients are like partnerships we’re in together for the same reasons:

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CAMI BAILEY,

MSN, APRN, FNP-BC

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ANN UAL WO M EN ’S HEALT H SECT I O N

An Expert Weighs In “To me, Rosy Outlook is about perspective – recognizing the beauty in every season of life while giving ourselves permission to care for the things that help us feel confident. I look at the whole person, not just one line or feature, and believe the best aesthetic care is thoughtful, honest, and refined, with results that feel natural, balanced, and completely like you.”

Personalized Aesthetic Medicine Plans A personal approach to aesthetic medicine can improve patient outcomes.

Helping Patients Age Well

Personalized Treatment Plans

As adults age, it is common to notice changes in the face, including fine lines and wrinkles; sagging skin; hyperpigmentation and age spots; uneven texture; dryness; and dullness. Cosmetic treatments such as wrinkle relaxers, dermal fillers, facial balancing, collagenstimulating treatments, microneedling, chemical peels, and skin rejuvenation can help reverse these signs of facial aging, rejuvenate one’s appearance, and promote healthy skin. Facial aging can be caused by a combination of movement, changes in facial support, volume loss, skin quality, laxity, collagen depletion, and environmental factors like sun exposure. Because of this, the aesthetic medicine industry is increasingly adopting a personalized, whole-person approach.

Unlike generic, one-size-fits-all plans, personalized treatments can cater to individual needs and goals. A careful assessment can inform a plan based on each patient, including their:

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• Facial anatomy • Skin quality • Specific concerns • Lifestyle • Budget • Desired outcome • Long-term goals Benefits & Outlook By recognizing that every patient is different, a personal approach to aesthetic medicine can provide many benefits. These include: • Tailored treatment recommendations. Examining each

Sara Emanuel, RN Founder & Nurse Injector, Rosy Outlook MedAesthetics

patient’s skin and listening to their concerns can guide providers in identifying appropriate treatment options. • Accurate dosages. Personalization helps providers address patient concerns without overcorrecting. For example, less dermal filler or microdoses of injectables may be better suited for some patients. • Improved outcomes. By receiving the best treatment for their skin with a customized strength or dosage, patients can enjoy natural-looking results that boost both their confidence and skin health. • Long-lasting results. Personalized plans can map out ongoing maintenance to thoughtfully support healthy skin long term and evolve alongside patients’ skin health and goals.


Thoughtful aesthetics. Natural results.

F

ounded by Sara Emanuel, RN, Rosy Outlook MedAesthetics offers a thoughtful, personalized approach to aesthetic care—centered on careful assessment, honest guidance, and refined, natural-looking results. The name was inspired by Sara’s daughter, Lottie Rose, whose joyful way of seeing the world helped shape Sara’s belief in finding beauty and possibility in every season of life. That philosophy is reflected in a warm, individualized approach to helping patients feel confident, cared for, and refreshed.

R O S YO U T LO O K M E D. C O M 423.260.1132 5591 SR-153, STE 156, HIXSON, TN 37343

Medical Director Juan Gonzalez, MD, Board Certified Neurologist


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BEAUTY & STYLE

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HOME & INTERIORS

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R E L AT I O N S H I P S

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FOOD & FITNESS

lifestyle & wellness PERSONAL GROWTH

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PHOTO BY HACKER MEDIAS


ME E T OUR MODEL

Hannah Skye Photo by Hacker Medias / Shot on Location at The Reading Room

A childhood fascination with weather paved the way for Hannah Skye’s successful career as a meteorologist, where she works to keep people safe and prepared for what’s ahead. Beyond the forecast, Skye is passionate about finding balance, building healthy habits for the future, and advocating for women’s health. Here, she shares more about her health journey and what she’s learned along the way. What is your approach to wellness?

Today, my approach to wellness is all about balance. I believe in everything in moderation and don’t believe that extremes are sustainable long-term. I try to prioritize whole, nourishing foods, especially protein, while still allowing myself to enjoy the things I love. I also prioritize staying active and moving my body in ways that make me feel strong. For me, wellness is no longer about trying to take up less space. It’s about taking care of the body I have, giving it what it needs, and feeling strong enough to take on whatever the day brings. What are the traits you most value in yourself?

The confidence I’ve built over time. Choosing a career in meteorology required me to believe in myself before I fully believed I was capable of it. Looking back, I’m proud of myself for taking that leap and continuing to push through the moments when I doubted myself. I also value my passion for speaking up about women’s health. I know what it feels like to be left in the dark about what is happening with your own body, and that experience has made me passionate about bringing attention to health issues that women may not realize are common or may be hesitant to talk about. I hope 74

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that by being open about my own experiences, I can help make conversations about women’s health feel a little less intimidating. What have been some of your recent challenges? Have you found any solutions? If so, what are they?

For years, I struggled with chronic exhaustion and fatigue, anxiety, and sudden weight gain that began after I was put on birth control to help manage some of those symptoms. I was eating well, exercising, and doing everything I thought I was supposed to do, yet I constantly felt exhausted and frustrated with my body. The first doctors I saw were dismissive, and I was often made to feel like what I was experiencing wasn’t a big deal. Everything changed when I moved to Chattanooga and finally found doctors who listened and were willing to look deeper. After testing and further conversations, I finally had answers and was diagnosed with PCOS. Since then, the terminology has changed this year from PCOS to PMOS, or polyendocrine metabolic ovarian syndrome, which reflects a broader understanding of the hormonal and metabolic factors involved. The biggest solution has been learning to work with my body instead of constantly fighting against it. I’ve learned to listen to what my body needs,

adjust my expectations, and find a healthier, more sustainable balance. Most importantly, that experience taught me how important it is to advocate for yourself and keep looking for answers when you know something isn’t right. How do you approach emotional well-being?

By recognizing that I don’t have to handle everything on my own. One of the most important things I’ve learned is that asking for help is not a sign of weakness. Counseling has given me a space to better understand myself, work through things I’ve experienced, and look at situations from a different perspective. It has helped me become more self-aware and more intentional about how I respond to life’s challenges. Above all, my faith is the foundation of my emotional well-being. My relationship with God gives me perspective when I feel overwhelmed and reminds me that I don’t have to have everything figured out on my own. Prayer and my faith give me a sense of peace and grounding that I carry with me through both the difficult seasons and the good ones. For me, emotional wellness is a combination of being willing to do the work within myself, knowing when to ask for help, and having faith that I don’t have to carry everything alone.


What are your favorite ways to practice self-care?

One of the biggest changes I’ve made as I’ve gotten older is becoming much more intentional about managing my time, my energy, and my stress. I’m someone who loves to work hard and accomplish things, but I’ve also learned that I can’t do everything at once and do it all well. Sometimes the healthiest choice is to take a step back, finish what’s already on my plate, and give those things the time and energy they deserve. Learning to say no, take a break, or choose not to add another responsibility isn’t weakness. It’s learning how to make my life more sustainable. I also love the simple things that make home feel like a sanctuary. Keeping a clean, cozy house, relaxing by the pool, spending time with my husband and our two cats, and getting outside for some sunshine are some of my favorite ways to reset. Staying active is another important part of my self-care. That might mean a hard workout, but it can also mean taking a walk or simply listening to what my body needs that day. I think one of the biggest lessons I’ve learned is that rest is productive, too. I want to be ambitious, work hard, and accomplish big things, but I also want to have the energy and health to enjoy my life along the way. For me, self-care is about finding that balance and making choices today that allow me to keep showing up, doing my best, and taking care of myself for years to come.

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CAREER & FINANCE

A Healthier Way to Save Understanding Health Savings Accounts By Abby Callahan

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hen medical expenses arrive, a Health Savings Account (HSA) can help relieve financial stress and save money in the long run.

Even over-the-counter purchases can qualify as HSA-eligible expenses, such as: • Allergy and sinus medications • Cold and flu remedies • Insulin • Walking aids and wheelchairs

HSA vs. FSA When it comes to saving for healthcare expenses, you may have the choice between an HSA or a Flexible Spending Account (FSA). While both allow individuals to set aside pre-tax savings for medical needs, there are some distinct differences:

HSA • Higher contribution limits • Opportunity to invest funds • Funds rollover at the end of the year

FSA • Anyone can invest (not just individuals with HDHPs) • Earlier access to funds

What is an HSA? HealthCare.gov describes an HSA as a type of savings account that allows individuals to set aside money on a pre-tax basis to pay for qualified medical expenses. To qualify for an HSA, individuals must have a High Deductible Health Plan (HDHP). Because HSA contributions are not subject to federal income taxes, they can help individuals to reduce their overall taxable income. If contributions are made by paycheck deductions, the savings are also safe from payroll taxes, such as Social Security and Medicare. For individuals in the 22% federal income tax bracket, HSAs could potentially help to save nearly 30% on every dollar contributed.

HSA-Eligible Expenses HSA savings can be used to pay toward health insurance deductibles, copayments, and coinsurance on emergency, dental, vision, and family medical expenses. Some examples include: • Doctor and hospital visits (including surgeries) • X-rays and lab tests • Vaccinations and immunizations • Chiropractor visits • Prescription drugs 76

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The Right Fit Research shows that High Deductible Health Plans tend to benefit individuals with fewer medical needs and appointments. Before switching over to qualify for an HSA, it is recommended to consult with an agent or broker to understand the impacts on your coverage.


MEDICARE? Medicare Annual Enrollment is October 15 through December 7, 2026. Call MedicareMisty today to schedule your personalized Medicare review at no cost to you — and be ready when enrollment begins! Not affiliated by or endorsed by any governmental agency. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

medicaremisty.com | 423.777.5577 | @medicaremisty CHATTANOOGA | OFF SHALLOWFORD RD | CLEVELAND | EAST RIDGE | HIXSON | RED BANK | RINGGOLD

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READY FOR


STYLE

Sweater Weather STYLISH SWEATERS TO WEAR THIS SEASON

The fall season signals cooler temperatures and the return of a timeless seasonal wardrobe staple: sweaters. Here, three Chattanooga boutiques showcase stylish, versatile sweaters perfect for staying comfortable no matter the weather. Photography by Kristina Armstrong

The Blues Striped Sweater ORANGE YOU GLAD

“This is a great sweater for fall because of the trendy color combo of brown and blue. It’s the perfect statement sweater to style with jeans for dinner or with leggings for school pickup and dropoff.” – Tiffany Byram, Owner

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Pullover Sweater K :: A BOUTIQUE BY KATHERINE ROBERTS

“This sweater is one of my favorites for the fall; it instantly reminds me of a painting. The short sleeves are perfect for the cooler mornings and evenings while remaining comfortable through the warmer day. I styled it with a OUI tie bow blouse for added style and warmth later in the season!” – Katherine Roberts Burger, Owner

Aja Sweater MONKEE’S OF CHATTANOOGA

“This is a one-size-fits-all sweater with a boxy, cropped fit that can be worn over dresses or paired with denim, pants, or skirts. A unique attribute is that it can transition any piece into the next season: it’s lightweight and has a thinner cut that’s perfect for warmer days transitioning into fall.” – Autumn Burke, Owner

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BEAUTY

Facial Treatments W H AT ’ S R I G H T F O R YO U R S K I N ? Facials are a classic skin treatment that can treat imperfections, add in moisture, and improve your skin’s health and appearance, leaving it glowing. While most spas offer a basic facial option that includes exfoliating and hydrating services and products, there are several different types of facials that can cater to your skin type and its needs. By Kristen Dee

Aging Skin

Acne-Prone Skin

Dry or Dull Skin

A facial for aging skin targets common areas of concern such as dark spots, fine lines, loss of collagen, wrinkles, and sagging skin.

Sometimes called a decongesting facial, acne facials focus on unclogging pores, removing dead skin, treating any acne scars, and boosting hydration.

Facials for dehydrated skin often focus on removing dead skin and adding extra hydration and moisture back to restore the skin’s natural glow.

Common treatments include:

Common treatments include:

Common treatments include:

Microneedling – a device inserts thin needles into the skin, which promotes collagen production and can help reduce the appearance of scars and wrinkles.

Extractions – the process of manually unclogging pores, performed by the aesthetician using a tool or their fingers.

Dermaplaning – a sterile surgical blade removes peach fuzz and dead skin, creating a smoother surface, allowing products to penetrate more deeply into the skin, and helping uneven texture.

Skin resurfacing – this treatment removes the outer layers of damaged skin, stimulating collagen and elastin production and revealing smoother skin.

Exfoliation – this removes dead skin on the surface using dermaplaning, chemical peels, or professional beauty tools.

Vitamin C treatment – a vitamin C mask or moisturizer can help brighten the skin, even out skin tone, and leave you with a glow.

Stay Sun Safe Your aesthetician will typically apply sunscreen as the last step of a facial. This protects your skin, which can be more vulnerable to sun damage after physical or chemical exfoliation. While wearing sunscreen daily is always a good idea to protect your skin, be sure to wear sunscreen with an SPF of 30 or higher for at least a week after a facial to avoid sun damage.

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Beauty

looks like you DA N D L E . C O 423.473.6727 2644 BROAD ST. CHATTANOOGA, TN 37408

WE LISTEN …THEN COACH. Your first experience with OTHISI TRAINING, starts with a simple conversation, not a workout. We understand that listening to you is the first and most important step in coaching. Before we ever program a single session, we learn where you are, what you’re working toward, and what’s gotten in the way — then explain exactly how we’ll help. That must be why we are consistently ranked among Chattanooga’s best personal trainers. Learn more about how we help and book your free “No Sweat Intro” here: othisitraining.com

1 : 1 | S E M I - P R I VAT E | S M A L L G R O U P | O N L I N E


Meet the 2026 class of changemakers who are bringing the mission of the American Heart Association to life in their community!

Martha Bassett

John Clevenger

Livia Campos

Starr Culberson

Toya Moore

LEADERS OF IMPACT

CHATTANOOGA www2.heart.org/ChattanoogaLeaders


SP

EC I

A L S ECTI O

N

Beautifully You!

Highly skilled and compassionate, there is a lot to know about the surgeons, nurse practitioners, nurse injectors, licensed aestheticians, and other professionals who have dedicated much of their lives to serving their clients. Read on to meet an accomplished cosmetic professional who is serving her clients with quality, personalized services.

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Beautifu lly You!

A Personalized Approach

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hile working as a nurse, Kayla Peppers became drawn to the aesthetics industry, which combined her medical background with the opportunity to be creative and build lasting relationships with patients. She has specialized in aesthetic medicine since 2017, and joined Center Medspa in July of 2026 as an aesthetic nurse injector. “I love caring for people and helping them feel their best,” she shares. “I want patients to feel heard, educated, and confident in their decisions.” Peppers is currently pursuing additional aesthetics and anatomy education, along with a Master of Science in Nursing as a family nurse practitioner, hoping to expand her level of care for patients. She finishes, “The best providers never stop learning.”

Kayla Peppers, B SN, R N, FN P-S CEN TER MED SPA

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What does your day-to-day look like? My days include consultations, injectable treatments, skin regenerative treatments, follow-ups, and a lot of education so patients understand their options and feel comfortable with their treatment plan.

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How do you develop a plan for each client? I start with a conversation before I ever recommend a treatment. I want to understand what the patient sees, what bothers them, and what their long-term goals are. Then I assess their anatomy and create a personalized plan that prioritizes natural, balanced results rather than chasing individual lines or features.

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What’s the key to making a great first impression? Making someone feel comfortable and genuinely heard. Aesthetic treatments can feel very personal, so I think trust begins with listening, being honest about expectations, and creating an environment where patients never feel judged or pressured.

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What is your philosophy when it comes to the care of your clients? Aesthetic care should never feel like a sales pitch. I want my

Kayla is so knowledgeable and explained everything so wonderfully in a way I actually understood, walking me through the process and the science behind it.” — Jill

patients to feel heard, educated, and confident in their decisions, even if that means recommending less treatment or no treatment at all. My goal is always to enhance what is already there while keeping results natural and true to the individual.

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What’s the most rewarding part of your profession? The most rewarding part is seeing the shift in someone’s confidence when they love their result. Watching someone look in the mirror and feel like themselves again is incredibly rewarding.

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SPECIAL PROMOTIONAL SECTION


ABOUT ME

MY CREDENTIALS Bachelor of Science in Nursing: East Tennessee State University – Johnson City, TN Specialties: Facial rejuvenation & balancing Botox Dermal filler Biostimulatory treatments Regenerative aesthetics

CONNECT 423.643.1980 320 E Main St., Suite 110 Chattanooga, TN 37408 For a full list of services offered:

CENTERMEDSPA.COM Center Medspa @centermedspa chatt


HOME & INTERIORS

Interiors With Intention C O LO R T H E O RY I N I N T E R I O R D E S I G N By Kristen Dee

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esearch suggests that colors can affect mood and emotions, as the brain connects color with memories, experiences, cultural meanings, and biological responses. As a result, color choices in interior design can make individuals feel calm, excited, focused, and more. Read on to learn how using certain colors can shape a room beyond just aesthetics. WA R M C O L O R S

C O O L C O LO R S

Warm colors can have a stimulating effect on emotions:

Cool-toned colors, on the other hand, are typically more relaxing:

• RED is often perceived as an intense color that evokes feelings of dominance. Being in a red environment can affect the body by increasing blood pressure, metabolism, and heart rate, causing energy levels to spike.

• BLUE promotes relaxation and can encourage reflection and tranquility. Soft blues in particular can calm the mind and create a sophisticated, welcoming ambience.

• ORANGE typically has positive associations, bringing energy and stimulation to a space. If creativity is your goal, orange can help add vigor and vibrancy. • YELLOW can evoke excitement and is often associated with joy. Because yellow can be a high-energy color, it may be overstimulating for some.

NEUTRALS Neutral colors create a blank slate, ideal for adding in pops of warm or cool colors based on your goals for a space, and can elicit specific emotions of their own: • WHITE can feel clean, bright, and fresh. It can also represent peace in some cultures, and be calming in certain environments. • BROWN, like green, is often associated with nature. It can evoke feelings of warmth and comfort, and can be grounding. • BLACK is an intense color linked to power and elegance. It often represents boldness, and its use can create sophisticated, moody interiors.

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• GREEN can also promote calmness and relaxation, thanks to its link to nature. In some studies, exposure to the color green also enhanced creativity. • PURPLE can have different effects, depending on its shade. Light shades of purple such as lavender can provide a calming, soothing feel, while deeper shades of violet may promote creativity.

“Color is never just a paint color; it’s the thread that connects every element in a room – from natural stone and wood to textiles and metal. I love thoughtfully layering tones so each material feels intentional and the space comes together effortlessly. A room should reflect the feeling you want to create and the personality of those who live there, whether warm and inviting, soft and feminine, or moody and dramatic.”

Lindsey Frost Owner / Lead Interior Designer Studio Twenty-Two


RELATIONSHIPS

Will you be My Neighbor? The Benefits of Being a Good Neighbor By Abby Callahan

When people think about what it means to be a good neighbor, some might be reminded of “Mister Rogers’ Neighborhood” and the lessons Fred Rogers taught about the value of community relationships. Not only heartwarming and good for the soul, research shows that connecting with neighbors can also improve an individual’s overall physical and psychological wellbeing. Here, we explore the benefits of being a good neighbor, as well as simple ways to build connections.

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Neighboring as a Verb Neighboring is commonly used as an adjective to describe things that are situated near to one another. However, it also functions as a verb, defined as the act and skill of building relationships with the people who live in the closest proximity to you. A study by Pew Research Center revealed that the act of neighboring has decreased in the U.S. – showing 59% of Americans interacted with their neighbors multiple times a week in 2012 in comparison to 41% interacting only a few times a month in 2025. Though busy schedules and neighborhood design can be contributing factors, research shows that decreased social interactions can lead to chronic loneliness and a decreased satisfaction with life.

A Neighborhood of Benefits Beyond simply being a good neighbor, the act of showing kindness and taking time to connect with others has many health benefits – both for the individual and their community. Studies suggest that performing random acts of kindness can: • Lessen depression and anxiety • Boost energy • Ease pain • Reduce inflammation • Lower blood pressure • Reduce risk for heart disease Psychologically, staying connected with neigbors also increases an individual’s overall feelings of purpose in life, personal growth, autonomy, self-acceptance, and positive relations with others; especially in middle and later life.

Tips for Connection

Initiating social connection doesn’t have to be complicated or take up much time. Here are eight ways to begin connecting with your neighbors:

Start by smiling and waving 1 This simple gesture can brighten

someone’s day and open the door for connection.

local tips/resources 2 Share Sharing details like where to park or

grab a quick bite can keep neighbors connected and informed.

your craft 3 Share A home-cooked dish or handmade gift is a simple way to show you care.

a helping hand 4 Offer Helping with yardwork or moving heavy objects shows your neighbors they’re not alone.

life’s moments 5 Celebrate Recognizing birthdays, new babies, and other milestones shows you’re cheering them on.

a handwritten letter 6 Send A thoughtful note can encourage someone and build connection.

a community garden 7 Plant Growing something together creates a shared sense of accomplishment.

Start a neighborhood club 8 Sharing an interest or hobby can foster community and inclusivity.

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D I E T & N UT R I T ION

Skincare From the Inside Out H O W D I E T I M PAC T S S K I N H E A LT H

It’s no secret that what you eat is essential to your health. But did you know that includes your skin? Eating a nutritious, balanced diet that incorporates a wide variety of fruits, vegetables, lean proteins, and healthy fats can nourish your skin from the inside out and strengthen your skincare regimen. Read on to discover which foods to eat – and which to avoid – to support healthy, glowing skin. By Rachel Studebaker

Hydrating Foods

Healthy Fats

Antioxidants

Fruits and vegetables with a high water content can help keep you – and your skin – hydrated. These include watermelon, cucumber, strawberries, cantaloupe, and celery. Eating water-rich foods alongside drinking plenty of water helps your skin maintain its elasticity and retain moisture for a radiant, natural glow.

Omega-3 fatty acids are a healthy fat that fights inflammation and keeps the skin barrier strong, resulting in a firmer and smoother appearance. Fatty fish like salmon, as well as seeds and nuts, are all rich in Omega-3s.

Antioxidants found in berries, leafy greens like spinach, dark chocolate, and nuts can protect the skin from cell-damaging free radicals found in environmental factors like pollution and UV radiation. This helps prevent premature aging and supports an even complexion.

Vitamin-Rich Foods Certain vitamins have been found to support skin health. These include: • Vitamin A. Found in sweet potatoes, carrots, and leafy greens, vitamin A accelerates skin cell turnover to improve skin texture and tone. • Vitamin C. Found in citrus fruits, bell peppers, and cruciferous vegetables like broccoli, vitamin C stimulates collagen production to support skin firmness and elasticity. • Vitamin E. Found in nuts and seeds, vitamin E protects skin from oxidative damage, reduces inflammation, and promotes healing.

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What to Avoid Avoid foods high in refined sugars, processed carbs, and unhealthy fats, which can cause inflammation and trigger acne breakouts. It is also recommended to limit alcohol consumption, which can cause skin to become dull and dehydrated.


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HEALT HY R EC I P ES

Autumn Spice

and Everything Nice

T

here’s nothing more comforting than the familiar aroma of cinnamon, nutmeg, sage, and other seasonal spices wafting through the kitchen on a crisp fall day. Beyond adding warmth and depth to favorite dishes, many autumnal spices offer powerful antioxidants and contain anti-inflammatory, anti-bacterial, and blood-sugar-balancing benefits, among others. From nostalgic baked goods to savory soups, these flavorful recipes celebrate the flavor of fall with delicious and healthy spices to elevate every bite. Photography by Rich Smith

2nd American Restaurant’s Roasted Acorn Squash Soup YIELDS 4 SERVINGS

• 5 medium acorn squash (save seeds for toasting) • Olive oil, for roasting + to taste • Kosher salt and white pepper, to taste • 1 medium butternut squash (save seeds for toasting)

• 1 medium shallot, julienned

• 5 cups water or vegetable broth

• ½ head fennel, julienned

• 1 tsp. freshly zested

• 1 medium sized carrot,

whole nutmeg

peeled and sliced • 3 cloves garlic, minced • 1-inch piece fresh ginger, peeled and minced

• 4 oz. unsalted butter

• ½ oz. Chattanooga rye whiskey

• 5 fresh sage leaves

• ½ oz. sherry vinegar

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• Cayenne pepper, to taste • Smoked paprika, to taste • Ground cinnamon, to taste • Sour cream or seasoned Greek yogurt, for topping (optional)


“I like making this soup as the weather cools down because the roasted acorn and butternut squash base is an easy way to get some extra fiber and antioxidants. Adding ginger, nutmeg, cinnamon, and a little bit of cayenne gives it a nice, warming spice profile that makes a simple, healthy meal for autumn.” - Rebecca Barron

Preheat oven to 350°. Slice tops off the acorn squash and scoop out the seeds, reserving them for later. Season the interiors with olive oil, kosher salt, and white pepper. Cut the butternut squash in half lengthwise, scoop out the seeds, and season the flesh similarly. Arrange the squash flesh-side up on sheet pans. Roast for 45 minutes or until fork tender. Carefully scoop out the flesh, leaving enough in four of the prettiest acorn squashes to form bowls. Set aside. Combine the remaining scooped acorn and butternut squash flesh. In a large saucepan over medium heat, melt the butter. Add

sage leaves and cook until light brown and crisp. Remove sage leaves and set aside. Add the shallot, fennel, carrot, garlic, and ginger. Sauté until soft and golden. Pour in the Chattanooga rye whiskey and sherry vinegar, scraping up browned bits. Allow the liquid to reduce slightly. Add the roasted squash, water or broth, and half the nutmeg. Bring to a boil, then reduce the heat to low. Simmer uncovered for 20 minutes. Season with salt. Blend soup in a high-speed blender until smooth. Pass soup through a fine-mesh strainer or chinois into a clean pot. If too

thick, gradually whisk in water. Season with salt, if necessary. Rinse reserved seeds under warm water using a sieve to remove the pulp. Spread on paper towels to dry for 10-20 minutes. Toss with olive oil, salt, cayenne, paprika, and cinnamon. Spread out on a baking tray in a single layer. Bake for 15-20 minutes, or until dry and crisp. Warm acorn squash bowls in the oven. Ladle soup into the bowls. Garnish with toasted seeds, fried sage leaves, and remaining grated nutmeg. Finish with a dollop of sour cream or seasoned Greek yogurt, if desired. healthscopemag.com

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H E A LT H Y R ECI PES

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Meredith Baker’s Pumpkin Muffins YIELDS 12 MUFFINS

• 1½ cups whole wheat pastry flour

• 1 tsp. baking powder

• ½ cup almond flour

• 1 (15-oz.) can 100% pumpkin purée

• ⅓ cup coconut sugar or

brown sugar + extra, for topping (optional)

• 2 tsp. cinnamon + extra, for topping (optional) • 1 tsp. nutmeg • ½ tsp. ground ginger • ½ tsp. allspice • 1 tsp. baking soda

• ¼ tsp. salt

• ¾ cup nonfat vanilla Greek yogurt • 2 large eggs • 2 Tbsp. melted coconut oil or avocado oil • 1 tsp. vanilla extract • Powdered sugar, for topping (optional)

Preheat oven to 350°. Line a 12-cup muffin tin with liners or lightly grease it. Whisk all of the dry ingredients together in a large bowl. In a separate bowl, whisk the pumpkin, Greek yogurt, eggs, oil, and vanilla until smooth. Gently stir the wet ingredients into the dry ingredients. Don’t overmix. Divide the batter between the muffin cups, filling each about ¾ full. Bake for 18-23 minutes, checking at 18 minutes with a toothpick. Let them cool in the pan for about 5 minutes, then transfer to a rack. Top with powdered sugar, brown sugar, and cinnamon (optional).

“This pumpkin muffin recipe is a healthier twist on a childhood favorite my mom always kept in our fall treat rotation. It’s cozy, flavorful, and made with wholesome ingredients, making it the perfect seasonal treat. I love that it brings back sweet memories while offering a lighter, nourishing way to enjoy fall flavors.” – Meredith Baker

Ginger Pumpkin Soup SERVES 4

Savor the flavor of fall with this ginger pumpkin soup. Featuring ginger, thyme, cinnamon, and pumpkin, this soup is a simple, healthy, and perfectly spiced cozy dish for the whole family this season! • 1½ tsp. canola or corn oil • 1 medium onion, finely minced • ¾ Tbsp. minced peeled ginger or ½ tsp. ground ginger • 2 garlic cloves, minced or 1 tsp. jarred minced garlic • ½ tsp. dried thyme, crumbled • ¼ tsp. ground cinnamon • ¼ tsp. pepper (freshly ground preferred) • ⅛ tsp. salt • 1 Tbsp. all-purpose flour • 1 (14.5-oz.) can fat-free, low-sodium vegetable broth • 1 cup water • 2 (15-oz.) cans solid-pack pumpkin (not pie filling) • 1 cup fat-free milk • ¼ cup fat-free sour cream (optional) • 2 Tbsp. chopped chives (optional) In a large, heavy pot, heat the oil over medium-high heat, swirling to coat the bottom. Cook the onion for 6-8 minutes, or until very soft, stirring occasionally. Stir in the ginger, garlic, thyme, cinnamon, pepper, and salt. Cook for 1 minute, stirring constantly. Stir in the flour. Pour in the broth and water. Using a spatula, scrape the bottom of the pot to dislodge any browned bits. Stir in the pumpkin. Bring the mixture to a boil. Reduce the heat to low and simmer for 10 minutes. Stir in the milk. Remove from the heat. Ladle the soup into bowls. Garnish with the sour cream and chives. Nutritional Information Calories 138 | Total Fat 2.5g | Sodium 199mg | Total Carbohydrate 27g | Dietary Fiber 10g | Sugars 14g | Protein 6g Source: American Heart Association healthscopemag.com

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FITNESS

Katie Sweet’s

Full-Body Workout

“These exercises are a great start for someone who wants an effective full-body workout, and they could be performed in a circuit format, repeated three to four times for a preferred amount of reps or time. If you want to build strength and muscle, you’ll need a little more – having more equipment and hiring a trainer will do the trick. The trainer will have the knowledge and expertise to guide you through a thoughtfully programmed workout to help you achieve your goals.” Katie Sweet, Coach, Othisi Training @ktsweet1 @othisitraining

Photography by Rich Smith

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Overhead Shoulder Press This is an essential functional exercise that increases overhead strength while building shoulder stability and core stability. Using one or two weights, you’ll bring the weights into a rack position at your shoulders. From here, with your feet about shoulder-distance apart, you’ll brace your core and extend the arms, reaching the weights to full extension overhead. Control the weights back down and repeat for reps. For an added bonus and stability challenge, you can stand on one leg when performing the overhead press to challenge the standing leg.

Bulgarian Split Squat These build glute and quad strength and promote pelvic floor health. To set up, you’ll need a bench, chair, or any elevated surface. With your feet hip-width apart, place your rear foot on a bench. Your feet should be approximately three feet apart. Lower your hips toward the floor so that your rear knee comes close to the floor. Drive through your front heel to return to the starting position, and repeat. To make the work more challenging, add a weight. Hold the weight on the opposite side of the working leg; this promotes internal rotation of the hips and allows the pelvic floor to function properly. healthscopemag.com

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FITNESS

Copenhagen Side Plank This core exercise targets the hip adductors and obliques while improving shoulder stability. Set up next to a box, bench, or chair, and place your elbow under your shoulder with your knee or foot on the bench. From here, brace your core and adductors to lift your hip off of the floor, creating a straight line with the body. Hold this pose for 10-30 seconds. For more of a challenge, squeeze your bottom leg up to meet your top leg for reps.

Lawnmower Row This exercise targets the muscles of the back. The added rotation brings the lats and obliques on board – a real bonus. Stand in a staggered stance with one foot forward and one foot back. Start with one hand supporting you on a bench or place the forearm on the leg. Extend the arm holding the weight toward the ground and pull your elbow back toward your rib as you rotate your torso like you’re pulling a lawnmower starter cord. Control the weight back down adding a bit of a rotation as you reach towards the ground.

Push Up This classic body weight exercise targets upper body and core strength. Start in plank with your hands on the floor. Shoulders, hips, and knees should form a straight line from your head to your heels. While keeping your body in a straight line, you’ll lower yourself down to your end range of motion and push back up into a plank. If you’re having difficulty maintaining a good plank position with your hands on the floor, place your hands on a bench, chair, or another elevated surface to make the move more doable.

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