Dietitian Services at LPWC

What is a Registered Dietitian?

First, let’s clear up some confusion about dietitians versus nutritionists. A nutritionist is anyone who is interested in nutrition. A Registered Dietitian (RD) is an expert in food and nutrition and is credentialed on a national level- credentialing is only earned after years of education and training. RDs must also complete regular continuing education requirements and training programs to maintain their license and registration.

Why Should I See a Registered Dietitian?

There are many reasons why someone may benefit from seeing an RD. For example:

You need to gain or lose weight. An RD can suggest additional caloric sources for healthy weight gain or a restricted-calorie eating plan, while still allowing you to eat your favorite foods.

You want to improve your performance in sports. Fueling your body properly is important for optimal performance. An RD can help you a diet that encourages muscle growth and recovery and help you with pre-race nutrition, nutrition during your activity, and post-race recovery nutrition.

You want to eat smarter. There is a lot of misinformation out there, and an RD can help you sort through it all. RDs can teach you how to read food labels, eat healthy on a budget, help you cook healthier and make recommendations on how to eat out without ruining your diet.

You have diabetes, cardiovascular problems, or high blood pressure. Big diet changes can be intimidating. An RD can safely change your eating plan without compromising taste or nutrition.

You have digestive issues. An RD will help fine-tune your diet to ensure you aren’t aggravating your condition with certain foods.

You are pregnant or trying to get pregnant. Proper nutrition is especially important during pregnancy and an RD can help make sure you get all the important nutrients you need for you and your baby.
You are tired all of the time. An RD can help tweak your diet to provide you with more energy throughout the day. He or she will be able to show you how to better fuel your lifestyle so you can stay energized.

You have a food allergy or intolerance. Dealing with a restricted diet can be challenging. An RD can help you figure out foods that fit into your diet without having you sacrifice taste or nutrition.

What should I expect at my appointment?

Registered Dietitians take an “individualized approach” rather than launch right into facts, figures and advice. They take time to find out your medical history, health problems and concerns, what you eat, what you think are “good foods” and “bad foods,” and your nutrition and lifestyle habits. From there, they work with you to determine an individualized, specialized plan of care.  You can expect a dietitian to have you keep a food log so they can determine what nutrients you are consuming on a regular basis. Based on this and other lifestyle factors, the dietitian will discuss which foods to eat less of, which foods to incorporate into your diet more often, and a calorie plan to help you achieve your health goals.

Following up is critical!

Diet changes, like any changes, are a gradual process. Patience and consistency is the key. Registered Dietitians will modify your plan or approach based on your feedback, your diet analysis results, and how you’re feeling. Diet changes can be tricky, and the dietitian is there to help you modify your diet and lifestyle with appropriate changes at every appointment so that you can meet your goals.


Why should you see a Dietitian?

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Botox Cosmetic

Botox Cosmetic has been used for years to successfully treat wrinkles and facial creases. Botox is a brand name of a toxin produced by the bacterium Clostridium botulinum. 

How Does Botox Work?
Botox blocks signals from the nerves to the muscles. The injected muscle can’t contract. That makes the wrinkles relax and soften.

Botox is most often used on forehead lines, crow’s feet (lines around the eye), and frown lines. Wrinkles caused by sun damage and gravity will not respond to Botox. 

How Is a Botox Procedure Done?
Getting Botox takes only a few minutes and doesn’t require anesthesia. Botox is injected with a fine needle into specific muscles with only minor discomfort. It generally takes three to seven days to take full effect, and it is best to avoid alcohol starting at least one week before the procedure. You should also stop taking aspirin and anti-inflammatory medications two weeks before treatment to reduce bruising.


Click here for more information on Botox Cosmetic at LPWC.




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Massage Therapy Styles and Health Benefits

Massage has been practiced for thousands of years. Today, if you need or want a massage, at LPWC you can from a variety massage therapy styles with a wide variety of pressures, movements, and techniques. These all involve pressing, rubbing, or manipulating muscles and other soft tissues with hands and fingers. Sometimes, even forearms, elbows, or feet are used.

According to the American Massage Therapy Association, up to 25 percent of American adults had a massage at least once during 2016-2017. And, they have a wide range of reasons for doing so. More and more people — especially baby boomers — recognize the health benefits of massage. They choose from among many massage styles to get relief from symptoms or to heal injuries, to help with certain health conditions, and to promote overall wellness.

Click here for more information on this service at LPWC.






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It’s getting cold! And it will officially be winter in a matter of days. Really, the time is a flyin’.

As parents we want to keep our children warm. The walk to the car is cold. The car itself is cold. And you never know when you’ll have to shovel out your truck! (see picture)

But bulky winter coats and car seats are a dangerous combination. Car seat technicians say to put nothing thicker than a sweatshirt on your child under the harness straps of a car seat.

Here is a simple way to check if your child’s coat is too big to wear under their harness:

Put the coat on your child, sit them in the child seat and fasten the harness. Tighten the harness until you can no longer pinch any of the harness webbing with your thumb and forefinger

Without loosening the harness, remove your child from the child seat,

Take the coat off and put your child back in the car seat and buckle the harness straps, which are still adjusted as they were when he was wearing the coat.
If you can now pinch the webbing between your thumb and forefinger then the coat is too bulky to be worn under the harness.


Click here to read this entire article.

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From Dr Travis Klingler:

I wanted to let you know about an exciting addition to my practice.  One of my greatest goals, as your physician, is to provide you with alternative, but healthy and safe choices that will enhance your health and well-being.  I am pleased to present BioTE® Medical Hormone Pellet Therapy for women and men.  I decided BioTE® was the right choice for my patients because restoring and balancing one’s hormones makes a significant difference in their quality of life!

BioTE® is safe and effective with no harmful side effects.  If you have any of the following symptoms you may be a candidate for BioTE® hormone therapy:


•       Depression

•       Irritability, mood swings

•       Extreme fatigue

•       Difficulty sleeping

•       Low sex drive

•       Memory loss, mental fog, confusion

•       Joint aches and pain

•       Night sweats, hot flashes


BioTE® Medical Hormone Pellet Therapy has been shown in research studies to:


•       Reduce the risk of diabetes

•       Reduce risk of heart disease

•       Prevent and/ or improve bone mineral loss (Osteoporosis)

•       Prevent Alzheimer’s disease and dementia

•       Increase energy

•       Increase lean muscle & bone mass

•       Assist in the loss of belly Fat

•       Provide for a general sense of well being


Are you a candidate for natural hormone balancing?  Would you like to improve your life, health and sense of well-being?  Would you like to change & regain your life?


I’d like to invite you to learn more about BioTE® Medical hormone therapy.  Call our office to schedule a consultation and screening.


Tens of thousands of women and men nation-wide have regained their lives with BioTE® Hormone Balancing & Restoration Therapy.  How about You?

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Back To School – Nutrition

Eating During the School Day

  • Studies show that children who eat a nutritious breakfast function better. They do better in school, and have better concentration and more energy. Some schools provide breakfast for children; if yours does not, make sure they eat a breakfast that contains some protein 
  • Most schools regularly send schedules of cafeteria menus home and/or have them posted on the school’s website. With this advance information, you can plan on packing lunch on the days when the main course is one your child prefers not to eat.
  • Many children qualify for free or reduced price food at school, including breakfast. The forms for these services can be completed at the school office. Hunger will affect a child’s performance in class.
  • Many school districts have plans which allow you to pay for meals through an online account. Your child will get a card to “swipe” at the register. This is a convenient way to handle school meal accounts.
  • Look into what is offered inside and outside of the cafeteria, including vending machines, a la carte, school stores, snack carts and fundraisers held during the school day. All foods sold during the school day must meet nutrition standards established by the US Department of Agriculture (USDA). They should stock healthy choices such as fresh fruit, low-fat dairy products, water and 100% fruit juice. Learn about your child’s school wellness policy and get involved in school groups to put it into effect. Also, consider nutrition if you child will be bringing food to eat during school.
  • Each 12-ounce soft drink contains approximately 10 teaspoons of sugar and 150 calories. Drinking just one can of soda a day increases a child’s risk of obesity by 60%. Choose healthier options (such as water and appropriately sized juice and low-fat dairy products) to send in your child’s lunch.




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Medicare Annual Wellness Visits

Many people consider a yearly trip to the doctor for a “physical” part of routine care. Some may think of a physical as a head-to-toe assessment of health. We may expect tests, screenings, X-rays and other procedures.

The National Institutes of Health (NIH) describes a physical exam as studying the body to determine if there is or is not a physical problem. NIH goes on to say that it usually includes:

  • Looking at the body (inspection)
  • Feeling the body with fingers or hands (palpation)
  • Listening to the body’s sounds (auscultation)
  • Producing sounds, usually by tapping on areas of the body (percussion)

Notice there is no mention of specific tests or procedures. The provider gathers information through his or her senses—what is seen, felt or heard. Tests may be ordered based on this information, but they would not be covered under the cost of the physical exam.

Medicare does not cover an annual physical exam, as such. This may be confusing, so let’s look at what Medicare does cover.

Welcome to Medicare Visit

Medicare Part B covers a Welcome to Medicare Visit.

This visit is also called an Initial Preventive Physical Exam (IPPE). You are eligible for this benefit once, within the first 12 months that you are enrolled in Part B. During the visit your provider will:

  • Record and evaluate your medical and family history, current health conditions and prescriptions.
  • Check your blood pressure, vision, weight and height to get a baseline for your care.
  • Make sure you are up-to-date with preventive screenings and services, such as cancer screenings and shots.
  • Order further tests, depending on your general health and medical history.
  • You do not pay a copayment for your Welcome to Medicare Visit. The Part B deductible does not apply to the cost of the visit either.

After the visit, your provider will give you a personalized prevention plan or checklist with the screenings and preventive services recommended for you. These services are not part of the Welcome Visit. You may have to pay a co-payment for the recommended services when you get them. Your Part B deductible may also apply.


Medicare Wellness Visit

Medicare Part B also covers an annual Wellness Visit. You are eligible for this benefit once each year, after you have had Part B for at least 12 months. Medicare will cover an Annual Wellness Visit once every 12 months (11 full months must have passed since your last visit).

The purpose of the Annual Wellness Visit is to develop or update your personalized prevention plan. The visit includes:

  • A health risk assessment (questions you answer about your health)
  • A review of your medical and family history
  • Developing or updating a list of your current providers and prescriptions
  • Documenting your height, weight, blood pressure and other routine measurements
  • Looking for signs of memory loss or dementia
  • Personalized health advice just for you
  • A list of risk factors and treatment options for you
  • A screening schedule (like a checklist) for the preventive services recommended for you
  • You pay no copayment for your Annual Wellness Visits, and these visits are not subject to your Part B deductible. However, you may have to pay a share of the cost for certain recommended tests or services.


The bottom line is that the Welcome to Medicare Visit and Annual Wellness Visits are important Medicare benefits that help you and your doctor stay on top of your health. While these visits are not “physical exams,” in many ways they accomplish the same thing.



Physical Exam or Wellness Visit? What Medicare Covers

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Back To School – Backpack Safety

  • Choose a backpack with wide, padded shoulder straps and a padded back. 
  • Pack light. Organize the backpack to use all of its compartments. Pack heavier items closest to the center of the back. The backpack should never weigh more than 10% to 20% of your child’s body weight. Go through the pack with your child weekly, and remove unneeded items to keep it light. 
  • Remind your child to always use both shoulder straps. Slinging a backpack over one shoulder can strain muscles.
  • Adjust the pack so that the bottom sits at your child’s waist.
  • If your school allows, consider a rolling backpack. This type of backpack may be a good choice for students who must tote a heavy load. Remember that rolling backpacks still must be carried up stairs, they may be difficult to roll in snow, and they may not fit in some lockers. And review backpack safety with your child.



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Back To School – First Days

Making the First Day Easier

  • Parents should remember that they need not wait until the first day of class to ask for help. Schools are open to address any concerns a parent or child might have, including the specific needs of a child, over the summer. The best time to get help might be one to two weeks before school opens. 
  • Many children become nervous about new situations, including changing to a new school, classroom or teacher. This may occur at any age. If your child seems nervous, it can be helpful to rehearse entry into the new situation. Take them to visit the new school or classroom before the first day of school. Remind them that there are probably a lot of students who are uneasy about the first day of school. Teachers know that students are nervous and will make an extra effort to make sure everyone feels as comfortable as possible. If your child seems nervous, ask them what they are worried about and help them problem solve ways to master the new situation.
  • Point out the positive aspects of starting school to create positive anticipation about the first day of class. They will see old friends and meet new ones. Talk with them about positive experiences they may have had in the past at school or with other groups of children.
  • Find another child in the neighborhood with whom your child can walk to school or ride on the bus.
  • If it is a new school for your child, attend any available orientations and take an opportunity to tour the school before the first day. Bring the child to school a few days prior to class to play on the playground and get comfortable in the new environment.

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