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Dr. Paul Lewis gives an overview of the opioid crisis in the Portland Metro area in the first part of this CareOregon MEDS Ed seminar. This session of CareOregon Pharmacy’s MEDS Ed program focuses on the science and use of medications as best-practice for the treatment of opioid and alcohol use disorders; Distinguishing the barriers and myths about recovery treatment from evidence and effective treatment; Understanding the guidelines for effectively navigating high-risk patient referrals with a special focus on coordination between behavioral health and primary care; planning next steps to support further implementation and improved access of MAT in our network. Watch the rest of this seminar: Part 1: https://youtu.be/sQXRm_RWkSQ Part 2: https://youtu.be/nvq3t0Oxdb8 Part 3: https://youtu.be/DRv8wD_jNdc Part 4: https://youtu.be/d1fi-ynPnhE Part 5: https://youtu.be/BFHtM51ikYc Part 6: https://youtu.be/frkZ5oxVpug Part 7: https://youtu.be/ZTziWgL6_Ss Effective Substance Use Treatment: From Stigma to Tipping Point– A MEDS Ed seminar Recorded on October 12, 2018 at CareOregon, Portland, OR. FEATURED SPEAKERS • Paul Lewis, MD, MPH – Multnomah County Health Officer • Andrew Mendenhall, MD, DABAM, DABFM – Senior Medical Director, • Substance Use Disorder Services – Central City Concern • Alison Noice, MA, CADC III – Deputy Director, CODA • Amy Jo Cook, Community Paramedic – Clackamas Fire District #1 • Dan Hall, Community Paramedic – AMR • Anthony Cheng, MD – OHSU South Waterfront • Stacie Andoniadis, Primary Care Innovations Specialist – CareOregon • Tanya Kapka, MD, MPH – Metro Medical Director; Network and Clinical Support – CareOregon SLIDES “Effective Substance Use Treatment: From Stigma to Tipping Point” (PDF) - http://bit.ly/112718-SUD-MEDS-Ed-Slides PROGRAM DESCRIPTION MEDS Ed is an ongoing education series by CareOregon’s Pharmacy team. It’s geared to health care professionals involved in direct patient care at community clinics. Attendees leave with valuable tools and insights that improve how they can contribute to multi-disciplinary teams. Each three-hour MEDS Ed session examines a disease state that highly impacts patient quality of life, requires complex management, and may lead to increased emergency department visits and inpatient stays. Speakers include pharmacists and clinicians from the community and from CareOregon staff. For more information on MEDS Ed and future sessions: http://www.careoregon.org/providers/programs/MEDS-ed

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Download your copy of my book Master Your T to learn how to increase testosterone naturally using my simple system - https://u.mzu.to/myt1 UMZU Research Library: Vitamin E - https://umzu.com/blogs/library/vitamin-e Vitamin E and testosterone booster foods Vitamin E is one of the 24 essential micronutrients for human survival. It’s a fat-soluble vitamin that comes naturally in the forms of tocopherols and tocotrienols, and is most well-known of having powerful antioxidant properties, but also benefits the body by being an enzyme coactivator and by playing a protective role in neurological function. One of the lesser known benefits of vitamin E, is its ability to prevent and slowdown the oxidation of polyunsaturated fatty-acids or pufa , (296) which is great since the oxidation of polyunsaturated fatty-acids pufa is likely one of the main reasons why high intake of pufa lower testosterone levels. (297) There are many foods high in vitamin E, and in this video you’ll learn the five that best suit a testosterone boosting diet: Testosterone booster foods Egg Yolk If you’ve followed these foods high in [insert micronutrient] articles, you’ve probably noticed that in nearly all of the articles I recommend eating eggs. That is also the case for vitamin E, as the yolk has plenty of it, along with some fat and cholesterol to improve its absorption. Like in the case of spinach above, we don’t recommend that you solely get your vitamin E from eggs (as that would mean a lot of eggs), but it’s still good to get some of it from this nutritional powerhouse. 100 grams of raw egg yolks contain 3mg’s of vitamin E (20% RDA) in alpha-tocopherol form. Testosterone booster food Avocado Avocado is filled with fat-soluble vitamins. It also has ample amounts of monounsaturated fatty-acids, which have been found to increase testosterone levels in several studies… …And avocados also contain a bitter glycoside by the name of oleuropein, which was found to significantly increase testosterone levels in rodents. When it comes to vitamin E, 100 grams of avocados contain 3,1mg’s (20% RDA). Testosterone booster food Shrimp Shrimp is great, especially if you’re on a cut, since they’re so low in calories, filling, and almost purely high-quality protein. I eat shrimp almost daily, since they’re one of the richest natural sources of the amino-acid glycine (which our modern diets are far too low in). When buying shrimp, make sure to get wild shrimps, not farmed. The latter are loaded with heavy-metals. When it comes to vitamin E, wild caught shrimp is a decent source at 2,5mg’s per 100g (16% RDA). Testosterone booster foods - Conclusion There are many vitamin E rich foods, some which have even higher amounts than the ones in this post (like almonds, sun flower seeds and oil, etc)… …But the reason I didn’t include them is that they’re also high in PUFAs, which increases the body need for vitamin E foods, and also lowers testosterone levels. (300) And that ain’t THERMO! If you feel like you can’t get enough vitamin E from the diet, consider using a high-quality vitamin E supplement (especially if you eat a lot of polyunsaturated fatty-acids).

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