Holistic Health News
Dr. Cathy Rosenbaum

Douglas Laboratory Dietary Supplements Now Available

Douglas Home Page | Douglas Labs

Rx Integrative Solutions is pleased to announce beginning on January 1, 2026, Douglas Laboratory dietary supplements will be available for purchase by our clients.  Please note that Douglas Laboratory products must be purchased through a registered healthcare provider.  Click on the Douglas link above for product information and email Dr. Cathy at drcathy@rxintegrativesolutions.com with your purchasing questions.

Speaker’s Bureau Topics by Dr. Cathy

This serves as a list of topics for power point presentations given by Dr. Cathy Rosenbaum to groups/clubs/organizations available upon request.  Please email drcathy@rxintegrativesolutions.com for course descriptions.

The A to Zzz’s of Sleep Health

Primetime Prescriptions: Analyzing Direct2Consumer TV Advertisements

Homegrown Healing Herbal Teas

Debunking Myths About Dietary Supplements

Antioxidants, Anti-Inflammatory Supplements, and Health

Successfully Navigating Polypharmacy (Meds, Supplements, Food as Medicine)

Smart Strategies for Aging in Place

Memory Health: Even Elephants Forget Sometimes

Bottled Water: What You Don’t Know May Harm You

FDA & PhRMA: Dance Partners or Double-Edged Swords?

OTC Hemp Cannabinoids: The Healthcare Professional’s Perspective

Functional Medicine: The Healthcare Professional’s Perspective

Integrative Health & Medicine

Food As Medicine: Whole Food Nutrition & The Gut Brain Microbiome

Men’s Health: What You Need to Know but Were Afraid to Ask

Medications, Mental Status Change, Integrative Health Milestones for LTCF Activities Directors

Wound Care: The Pharmacist’s Perspective

Supplements and Pancreatic Cancer

Naturopathy

Music Therapy

Traditional Chinese Medicine/Tai Chi/Acupuncture

 

Evidence-Based Wellness for Adults 40+

……safe, personalized, and designed for healthy aging!  Our holistic clinical pharmacist & certified fitness nutrition coach provides cognitive services designed to empower patients and providers alike with personalized, evidence-based insights that go beyond prescriptions. By combining clinical expertise with compassionate holistic care, Dr. Rosenbaum delivers trustworthy guidance that addresses the whole person – mind, body, and spirit/lifestyle. Whether optimizing therapies, preventing medication risks, or supporting long-term wellness, Rx Integrative Solutions is your reliable partner in achieving healthier outcomes through science-backed solutions.  From pharmacy to fitness: we are your holistic health advantage.  Schedule a wellness consultation today!   Gift certificates are available throughout the holidays.  Contact 513.607.3495 for more information.

National Pharmacy Week, October 19-25, 2025

In honor of National Pharmacy Week, I asked Microsoft CoPilot to create a list of job categories for pharmacists, and here’s what the bot found. Wow. Thanks to my incredible colleagues (pharmacists and pharmacy technicians) around the country.  Rewarding profession – a privilege to serve with you!

🏥Clinical & Patient-Centered Roles

Hospital Clinical Pharmacist

Ambulatory Care Pharmacist

Emergency Medicine Pharmacist

Infectious Disease Pharmacist

Oncology Pharmacist

Cardiology Pharmacist

Pediatric Pharmacist

Geriatric Pharmacist

Psychiatric Pharmacist

Critical Care Pharmacist

Internal Medicine Pharmacist

Transplant Pharmacist

Pain Management Pharmacist

Anticoagulation Specialist

Home Infusion Pharmacist

Long-Term Care Pharmacist

Hospice/Palliative Care Pharmacist

🧪Specialized & Advanced Practice Roles

Nuclear Pharmacist

Pharmacogenomics/Precision Medicine Pharmacist

Nutrition Support Pharmacist

Compounding Pharmacist

Pharmacokinetics Specialist

Toxicology Pharmacist

Sterile Products Pharmacist

Investigational Drug Pharmacist

🏭Industry & Pharmaceutical Company Roles

Medical Science Liaison (MSL)

Regulatory Affairs Specialist

Clinical Research Associate (CRA)

Pharmaceutical Sales Representative

Drug Safety Officer (Pharmacovigilance)

Formulation Scientist

Medical Writer

Health Economics and Outcomes Research (HEOR) Analyst

Market Access Manager

Quality Assurance/Quality Control Pharmacist

Manufacturing Pharmacist

Product Manager (Pharma Marketing)

🏪Community & Retail Pharmacy Roles

Retail Pharmacist (Chain or Independent)

Pharmacy Manager

Immunization Pharmacist

Medication Therapy Management (MTM) Pharmacist

Travel Health Pharmacist

Point-of-Care Testing Pharmacist

🧠Academia, Research & Education

Pharmacy School Faculty

Residency Program Director

Preceptor/Clinical Instructor

Pharmaceutical Research Scientist

Academic Advisor

Curriculum Developer

Continuing Education Provider

🧾Government, Policy & Public Health

FDA Pharmacist

CDC Pharmacist

Public Health Pharmacist

Health Policy Analyst

Veterans Affairs (VA) Pharmacist

Indian Health Service (IHS) Pharmacist

Military Pharmacist (Army, Navy, Air Force)

State Board of Pharmacy Inspector

DEA Diversion Investigator

💻Technology & Informatics

Pharmacy Informatics Specialist

EHR/EMR Integration Pharmacist

Clinical Decision Support Analyst

Health IT Consultant

Telepharmacy Pharmacist

Digital Health Product Manager

💼Business, Consulting & Entrepreneurship

Pharmacy Owner

Pharmacy Consultant

Managed Care Pharmacist

Pharmacy Benefit Manager (PBM) Pharmacist

Health Plan Pharmacist

Entrepreneur (Startups, Apps, Services)

Legal Consultant (e.g., Expert Witness)

🌍Non-Traditional & Emerging Roles

Medical Cannabis Pharmacist

Wellness Coach/Functional Medicine Pharmacist

Pharmacist in Veterinary Medicine

Global Health Pharmacist

Disaster Relief Pharmacist

Medical Mission Pharmacist

Freelance Medical Writer

Pharmacist Influencer/Content Creator

Wood block pharmacy stamp with Bowl of Hygeia by Phil Cardamone

Is Functional Medicine Another Holistic Practice?

By Cathy Rosenbaum PharmD MBA RPh CHC CDP CFNC

The short answer is, ‘Absolutely. Yes!’  In the 1970’s Jeff Bland PhD FACN FACB CNS, former Professor of Chemistry at the University of Puget Sound in Washington state, started his work in Functional Medicine (FM).  Ten years later Dr. Bland began teaching practitioners how to implement preventive nutritional medicine in their professional practices.  FM, like many health practices, spotlights whole-food nutrition as a cornerstone of healing.

The Institute for Functional Medicine was launched in 1991, with Dr. Bland as the Co-Founder.  The organization offers a FM Certification Program for physicians and health care professionals holding at least a Masters’ degree and licensure in their fields.

In 2014, the Cleveland Clinic established The Center for Functional Medicine with the Functioning for Life™ 10-Week Program where patients can select from a disease-specific series of options to meet their individual functional health needs.  Please visit https://my.clevelandclinic.org/departments/functional-medicine for more information.

FM is a proactive, personalized care approach that incorporates three distinct paths into a patient’s health assessment/history, namely natural medicine, molecular medicine, and systems biology.  FM health practitioners are MDs, DOs, DCs, CNPs, and PharmDs, among others.  The University of Western States offers a degree in Human Nutrition and Functional Medicine (see https://www.uws.edu/human-nutrition-functional-medicine/ ).

FM practice attempts to address the underlying root cause of disease rather than symptoms and symptom management solely by asking more questions about antecedents, triggers, and mediators related to a particular concern.  FM is based on the principle that a diagnosis can be the result of more than one cause, or one cause (e.g., inflammation) may lead to multiple diagnoses over time.  The primary FM outcome goal is for a patient to modify as many lifestyle choices as necessary to address the root cause of their issues and to prevent illness as much as possible.

Typical laboratory blood tests ordered by FM practitioners to help assess patterns of imbalance may include, but are not limited to, the following biomarkers:

  • Nutrient deficiencies (e.g., blood or genetic test)
  • Immune and inflammation
  • Digestive
  • Oxidation
  • Neurotransmitters
  • Hormones
  • Toxicity (e.g., heavy metals)

The physician will assess your medical and surgical history, home/life environment, lifestyle choices, possibly your genetics, and how any/each may be influencing your symptoms.  An individual FM intervention/treatment plan will be built around your whole-person health needs.

By comparison to Integrative Health and Medicine (IHM), FM embraces much of the philosophy of IHM, while adding a biologic systems-oriented approach to proactive patient care.  Comprehensive IHM involves traditional medicine health care plus complementary, holistic, mind body spirit interventions that may include other IHM practitioners on the health team.

Your physician’s IHM care recommendations may include meditation/stress management, acupuncture, Yoga, Tai Chi, massage, dietary supplements, nutrition education, exercise, and lifestyle changes to improve your health.  For more information about IHM, visit the American Board of Integrative Medicine @ https://www.abpsus.org/aboim/ or the Andrew Weil Center for Integrative Medicine in Tucson AZ @ https://integrativemedicine.arizona.edu/ .

Check with your insurance carrier to see if FM office visits and laboratory tests are covered by your insurance carrier.  Several FM practitioners are located within the Greater Cincinnati Northern Kentucky area from which to choose.  Holistic pharmacists are becoming more involved in FM practices throughout the country.  For more information visit https://wwwifm.org/find-a-practitioner .  For more information on FM research, visit www.clinicaltrials.gov.

International Integrative Health Day January 23, 2025

January 23, 2025 is International Integrative Health Day. Let’s celebrate! It’s a perfect time to learn more about evidence-based integrative health and wellness practices locally offered in your area including, but not limited to:

*  Acupuncture, Aromatherapy, Tai Chi Easy, Qigong, Yoga, Pilates, Massage, Art Therapy, Cincinnati Equine Therapy, Music Therapy, Laughter Therapy, Stress Management/Meditation/Mindfulness, Healing Touch, Guided Imagery, Forest Bathing, Therapeutic Hiking, Food as Medicine Nutrition Consultations, Holistic Clinical Pharmacy, Prayer Groups, Stephen Ministries ………. and the list goes on.

Enjoy your whole person health journey.  Be well!

The Microbiome & Regenerative Organic Certified Farming

The Microbiome & Regenerative Organic Certified Farming

By Cathy Rosenbaum PharmD MBA RPh CHC CDP CFNC

The Microbiome

What is the human microbiome? It’s a complex set of genes within a group of natural microorganisms that live in and on the body. Our first exposure to these microorganisms happens in utero and during birth through the birth canal. From 2008-2012 The Human Microbiome Project identified factors affecting the human microbiome’s composition including a person’s living geography, health status, stress tolerance, diet, age, gender, and everything he/she touches. Each of these aspects influences microbiome functions.

 The gut microbiome contains a constantly changing list of over 40,000 species of microbes. This specific microbiome controls much of our immune system which mostly resides in the gut. The gut microbiome weighs about 4.5 pounds and is composed of bacteria, fungi, viruses, and protozoa and contains at least 150x more genes than the human genome. 

 When the gut microbiome is negatively impacted (e.g., we eat overprocessed foods, don’t manage our stress well, etc), paths between the gut and brain are out of sync occasionally resulting in abnormal absorption of food from the gut into our circulation, a process called leaky gut syndrome. This process may lead to inflammation and altered permeability of the blood-brain barrier and can sometimes trigger mental and neurologic changes.

 The gut-brain-microbiome axis is the bi-directional ‘second brain’ in our body. Gut microbes talk with the brain through the vagus nerve and the secretion of neurotransmitters (e.g., serotonin, dopamine). Communications between the gut and our entire nervous system may affect one’s mood as well as the body’s response to drug therapy. The gut microbiome can also manufacture short chain fatty acids to help maintain the gut barrier and may have an anti-inflammatory effect on the brain.

 Certain medications can influence the gut microbiome, altering both their wanted and unwanted effects. Much of our research is based on preclinical laboratory studies with animal models and human observational studies. More human clinical trials regarding the influence of the gut microbiome on drug pharmacokinetics (e.g., absorption, distribution, metabolism, elimination) have yet to be designed. 

 As research evolves, the sciences of pharmacomicrobiomics and nutrigenomics will offer more insight into the nutritional management of mental health conditions. In the years ahead, many professional disciplines will be needed with expertise in whole-food nutrition to maximize gut health and help treat anxiety, depression, or other mental illnesses (e.g., probiotics, prebiotics, fecal transplants, and other ‘food as medicine’ therapies).

 Regenerative Organic Certified Farming (ROC)

Concerned about reduced nutrient density in conventionally grown food sourced from big box groceries/centralized industrial farmers? You are not alone. Conglomerate farmers typically focus on replenishing three soil nutrients (e.g., phosphorus, potassium, and nitrogen). By contrast, ROC is focused on sustainable soil health. Farmers add back 18 different soil nutrients for optimal plant growth. Is it time to change our global approach to farming for better health? 

 For perspective, ROC can include, but is not limited to:

  • Minimized tilling of croplands to maintain soil moisture and reduce soil disturbance/erosion (an estimated 57 billion metric tons of topsoil have eroded in the USA Midwest over the past 160 years)
  • Crop rotation for weed and pest control and less chemicals
  • Use of cover crops like alfalfa to return more nutrients to the soil and reduce risk of erosion
  • Composting in place of synthetic fertilizers to improve soil microbes

 A great time to learn more about ROC is during the summer months while shopping at your local farmer markets. Alternatively for more information, you may contact USDA @ Farming | USDA or https://www.usda.gov/topics/organic or Regenerative Organic Alliance @ https://regenorganic.org/ .

 As consumers, we have a responsibility to purchase whole nutrient dense foods properly grown for our health and the planet’s viability for generations to come. Check out the Farm to Table Movement @ https://farmtotablemagazine.com/2024/03/07/understanding-the-farm-to-table-movement-a-comprehensive-guide/ . Finally, check out Community Supported Agriculture for year-round crop purchasing plans @ https://growingsmallfarms.ces.ncsu.edu/growingsmallfarms-csaguide/.

 References

  1. Gambaro. Gut-brain axis: Review of the role of probiotics in anxiety and depressive disorders. Brain Behav. 2020;10(10):e02803
  2. Del Toro-Barbosa. Psychobiotics: Mechanisms of action, evaluation methods and effectiveness in applications with food products. Nutrients 2020;12(12):3896.
  3. Rutsch. The gut-brain axis: How microbiota and host inflammasome influence brain physiology and pathology. Front Immunol 2020:11:604179.
  4. Chen. Antipsychotics and the microbiota. Curr Opin Psychiatry 2020;33(3):225-230.
  5. Qian. A guide to human microbiome research: study design, sample collection, and bioinformatics analysis. Chin Med J (Engl) 2020 Aug 5:133(15):1844-1855.
  6. Meyer. Association of the gut microbiota with cognitive function in midlife. JAMA Netw Open 2022:5(2):e2143941.
  7. Walsh. Drug-gut microbiota interactions: implications for neuropharmacology. Br J Pharmacol 2018;175(24):4415-4429.
  8. Malan-Muller. The gut microbiome and mental health: implications for anxiety-and trauma-related disorders. OMICS 2018;22(2):90-107.
  9. Mayer. Alive.com July 2024 pp. 61-64

Your Holistic Health Earns an IAAIS Award

I am pleased to announce an award on June 14, 2024, given to our radio show, Your Holistic Health, broadcast for Cincinnati Association for the Blind and Visually Impaired (CABVI) participants.  Thank you, Dr. Gramillano, CABVI, and IAAIS!

“Congratulations on first place honors in the Interview/Call-In/Discussion program category for YOUR HOLISTIC HEALTH from IAAIS.org (the International Association of Audio Information Services). The winning interview is your 8-10-2023 show on Emotional Intelligence with your guest, Dr. Robert Gramillano, Certified Emotional Intelligence Coach.  The 08-10-23 episode was recorded at the Cincinnati Association for the Blind and Visually Impaired (CABVI).”