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Hillside Family Medicine
& Occupational Medicine

Hillside Family Medicine
& Occupational Medicine

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News/Information

Why Nuts Don't Make You Fat

Dr. Gabe Mirkin's Fitness and Health e-Zine

Nuts are a rich source of fat, but many studies have shown that the fat in nuts is absorbed very poorly. This month a study explains why nuts are not fattening (American Journal of Clinical Nutrition, 2015 Jan;101(1):25-33). The fat in almonds is located inside the almond cells. Even after prolonged chewing, most of the almond cells remained intact and the fat was still inside the cells. Since fat is absorbed only after it is released from cells, most of the fat in almonds cannot be absorbed in the upper part of your intestinal tract. This explains why the calorie count of nuts is really lower than what you read on the label.

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Cold Weather May Help You Loose Weight

Dr. Gabe Mirkin's Fitness and Health e-Zine 

A new study shows that exposing mice to cold temperatures increases their body’s production of calorie-burning "brown fat" (Molecular Cell, published online Jan. 8, 2015). You have two types of fat in your body:
* white fat that your body stores when you eat too much or exercise too little, and
* brown fat cells, little furnaces that burn white fat for heat and energy.
Excess white fat increases your risk for heart attacks, cancers and premature death. However, brown fat is good for you. By burning extra calories, it helps you to lose weight, get rid of excess fat in your body, and lower high blood sugar levels to help treat and prevent diabetes. Unfortunately, the percentage of brown fat in your body is very small. If you are overweight, the percentage is even lower.

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Cold-Weather Exercise Tips

Dr. Gabe Mirkin's Fitness and Health e-Zine
~December 21, 2014

You feel cold most in your fingers, ears and toes. During World War II, gunners on the B-52 bombers complained bitterly about frozen hands, ears and toes. The Air Force added special insulation to their gloves, hats and boots, and they stopped complaining but they suffered frostbite on the skin of their necks and front of their chests. They had unzipped their jackets because they didn’t feel cold.

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CMS Medicare Part D Announcement

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New Requirements for Prescribers of Medicare Part D Drugs

The Centers for Medicare & Medicaid Services (CMS) finalized CMS-4159-F, “Medicare Program; Contract Year 2015 Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs” on May 23, 2014. This rule requires physicians and, when applicable, other eligible professionals who write prescriptions for Part D drugs to:

  • be enrolled in Medicare in an approved status, or
  • have a valid opt-out affidavit on file for their prescriptions to be covered under Part D.

The final regulation stated that the effective date for this requirement would be June 1, 2015.  However, CMS is announcing that it will delay enforcement until December 1, 2015 of the requirements in 42 CFR § 423.120(c)(6). 

You have been identified as a physician or eligible professional who writes prescriptions for Part D drugs but is not currently enrolled in Medicare in an approved status or does not have a valid opt-out affidavit on file.  You must submit a Medicare enrollment application or opt-out affidavit by June 1, 2015, or earlier, to ensure sufficient processing times and avoid your patients’ prescription drug claims from being denied by their Part D plans beginning December 1, 2015. 

For more information on the Part D enrollment requirements,   and how to enroll via the web, refer to MLN Matters Article SE1434, http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1434.pdf, “Provider Enrollment Requirements for Writing Prescriptions for Medicare Part D Drugs.”  Questions may be directed to This email address is being protected from spambots. You need JavaScript enabled to view it..  

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Hillside Family Medicine

Address:
9220 Lake Otis Parkway, Ste 9
Anchorage, Alaska 99507
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Phone:
907-344-0200

Fax:
907-344-0214

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