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Blue Cross and Blue Shield of Alabama Is an Independent Licensee of the Blue Cross Statement of Nondiscrimination: and Blue Shield Association

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Blue Cross and Blue Shield of Alabama Is an Independent Licensee of the Blue Cross Statement of Nondiscrimination: and Blue Shield Association ALive wellness publication for ourHealthy Blue Advantage (PPO) members Alabama Hormonal Differences as weAge Fall 2017 Medicare Open Fall Healthy Managing Enrollment Fitness Tailgating Your Pain Important Staying Fit in Fall Foods for Without Dates Inside Colder Weather Entertaining Pills! 1 | Live Healthy Alabama | FALL 2017 BY THE NUMBERS WE ARE A 4-STAR PLAN! Today, we are the 2 million 4 The number of antibiotic-resistant highest-rated Medicare infections that occur each year. Advantage plan How Are In outpatient settings, prescribed available statewide. 1 in 3 We Doing? antibiotics are unnecessary. Most We welcome your unnecessary antibiotics are prescribed for feedback on the viral respiratory illnesses such as bronchitis, ear infections, sinus infections or the articles in Live KNOW common cold. Source: The Journal of the American Healthy Alabama. Medical Association, May 2016 THE ODDS MANAGING EDITOR: According to Bradley Wells the National [email protected] Safety Council 2017 Injury Facts Report, here are your EDITOR: T.J. McIntyre odds for dying from the following situations: A woman may reduce her risk of GRAPHIC DESIGNER: abdominal obesity by Tracy Thomas 1 in 63,225 % – Your odds of dying from bee sting 35 CUSTOMER SERVICE: 1 in 44,086 – Your odds of dying from if she stands for one- 1-888-234-8266 a poisonous plant or animal quarter of her day, TTY: 711 1 in 647 – Your odds of dying from according to new Blue Advantage crossing a street research from the customer service is 1 in 7 – Your odds of dying from heart American Cancer Society. Stand for available from disease or cancer. one-half of your day 8 a.m. to 8 p.m., Understand your odds and what’s truly and your risk declines Monday through risky. Your odds of getting heart disease 47%. Friday. and certain forms of cancer can be reduced by quitting smoking, eating healthy and getting enough exercise. Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross Statement of Nondiscrimination: and Blue Shield Association. Blue Advantage (PPO) is a Medicare-approved PPO plan. Blue Cross and Blue Shield of Alabama complies Enrollment in Blue Advantage (PPO) depends on CMS contract renewal. The benefit with applicable Federal civil rights laws and does not information provided is a brief summary, not a complete description of benefits. For discriminate on the basis of race, color, national origin, more information, contact the plan. Limitations, copayments, and restrictions may age, disability, or sex. apply. Benefits, premiums and/or copayments/coinsurance may change on January Foreign Language Assistance: 1 of each year. The Formulary, pharmacy network, and/or provider network may Spanish: ATENCIÓN: si habla español, tiene a su change at any time. You will receive notice when necessary. disposición servicios gratuitos de asistencia lingüística. Information contained in this communication is not intended to replace professional Llame al 1-888-234-8266 (TTY: 711) medical advice, diagnosis or treatment. Always seek the advice of your physician Chinese: 注意：如果您使用繁體中文，您可以 or other qualified healthcare provider regarding your healthcare needs. Never 免費獲得語言援助服務。請致電 disregard professional medical advice or delay seeking medical advice because of 1-888-234-8266 (TTY: 711)。 something you have read in this informational piece. Always check your benefits for coverage information and limitations. LiveHealthy A wellness publication for A our Blue Advantage (PPO) memberslabama Fall 2017 MY FITNESS 2 Hormonal Differences as We Age Managing the changes as we move into maturity 10 Fitness in Fall Tips on how to stay trim in colder weather months PAGE 2 MY LIFE 8 Fall Allergies What you need to know to navigate the world of allergens MY NUTRITION 14 Healthy Tailgating Great food choices for the gridiron MY BENEFITS PAGE 10 16 Medicare Open Enrollment Answers to your most common benefits questions MY HEALTH 20 Managing Arthritis Pain Avoiding discomfort in colder conditions PAGE 14 Live Healthy Alabama is a On the cover publication of Blue Cross Health concerns between and Blue Shield of Alabama. men and women differ BLUECROSS ®, BLUE SHIELD ® as a rule, but the gap and the Cross and Shield widens after age 50. Symbols are registered Go to page 2 to service marks of the Blue Cross and Blue Shield learn more. Association, an association of independent Blue Cross and Blue Shield Plans. 1 | Live Healthy Alabama | FALL 2017 MY FITNESS 2 | Live Healthy Alabama | FALL 2017 Ch-ch-ch-ch CHANGES In his hit song, “Changes,” David Bowie famously sang the lines, “Time may change me, but I can’t change time.” As time marches forward, we all experience many changes. There will be fluctuations in hormone levels, changes in bone density, in our skin, our organs, and changes in our overall healthcare needs. In the pages that follow, we take a look at how these changes in our healthcare needs may affect different populations along gender lines. Live Healthy Alabama | FALL 2017 | 3 3 | Live Healthy Alabama | FALL 2017 Hormones and the Aging Female Body Let’s talk about menopause. enopause, strictly defined, is when a woman’s body completely stops having menstrual cycles. It can happen for a Mwoman as early as in her 40s or as late as in her 60s, but the average age a woman experiences menopause is 51 in the United States. While menopause is typically a normal response to aging, it can also happen earlier for some women due to other reasons like hysterectomy, chemotherapy or radiation therapy, or primary ovarian insufficiency, which is when a woman’s ovaries fail to produce normal levels of reproductive hormones. 4 | Live Healthy Alabama | FALL 2017 In the years leading up to menopause, a woman often Speaking of supplements, be careful! Many common experiences a time referred to as perimenopause. This supplements such as red clover, kava, DHEA, primrose can last months or years, and women may experience the oil, dong quai and wild yam have not been scientifically following symptoms during this time: proven to be useful for treatment and, in some cases, may actually put you at risk. Supplements are not regulated by • Irregular periods any governing agency, so therapeutic doses are hard to • Hot flashes measure. Also, effectiveness and potential negative side • Night sweats effects are not always well-documented. • Sleep changes • Feelings of sadness or loss Typically, menopause will not require any medical • Reduced energy treatment. However, if your changing hormones become • Increased moodiness overly problematic, a doctor may prescribe treatments and irritability including: • Weight gain from a slowing metabolism • Medications to treat • Thinning of hair and skin osteoporosis • Vaginal dryness or irritation • Vaginal estrogen • Decrease in volume of breast tissue • Estrogen replacement Some women have regular periods every month right up therapy to their last period, but this is rare. For most women, the • Gabapentin (Neurontin) process is a little more gradual. Skipped periods or having • Low-dose antidepressants periods every other month or so is fairly common. But just because a women is going through perimenopause doesn’t Even without medical intervention, there are ways to make mean she can’t get pregnant. Right up to her very last the symptoms of your changing hormones more bearable. period, pregnancy is possible. • Cool your hot flashes with cool glasses of water, by Once menopause has occurred, most women can stay chewing ice, or keeping the room cool. Understand healthy, vital and sexual. In fact, some women find that substances such as caffeine, spicy food, and menopause a relief because they no longer need to worry alcohol can trigger hot flashes. about getting pregnant. • Sleep well. Avoid caffeine, especially later in the day, That said, a woman’s risk of certain ailments increases and get a good night’s sleep as often as possible. If hot after menopause, including: flashes bother your sleep, consider taking short naps during the day when possible. • Heart disease • Strengthen your pelvic floor and reduce incontinence • Incontinence by doing Kegel exercises. • Osteoporosis • Eat a healthy diet primarily consisting of nutritious fruits and veggies. Be sure to get enough calcium to Other post-menopausal problems keep your bones healthy. may include a loss or reduction of • Exercise at least 30 minutes a day, five times a week, sexual function and weight gain. or longer if you’re up to it. Staying physically fit As you age and your hormones change, it’s always a good keeps your bones strong and can help you maintain a idea to work closely with your doctor. Before going in for healthy weight. office visits, be sure to prepare yourself by: • Consider using a vaginal lubricant or moisturizer to decrease any discomfort. Avoid products with glycerin • Keeping track of symptoms. which can increase irritation. • Writing down any questions and bring a notebook for answers. Remember, you should always work with your doctor to • Making a list of any medications, supplements, herbs find the best and safest treatments for symptoms related to or vitamins you may take to share with your doctor. perimenopause, menopause or post-menopause. Live Healthy Alabama | FALL 2017 | 5 Hormones and the Aging Male Body Male hormonal changes due to aging occur gradually over time. en’s testosterone levels drop after the age of 30, but it’s at an average rate of one percent Mper year. So this change is usually very slow. This creates a drastically different experience than what women experience during menopause when their reproductive cycles change quickly and permanently. Physical changes to the male body due to changing hormones, specifically reduced testosterone, include issues with: • Reproductive Health This particular health issue tends to get the most press coverage by a long shot.
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