Helping Corporations reduce health care cost while by optimizing employee health with simple on site biometric testing, weekly phone conferences, as well as personal coaching and online tracking.

1. Focusing on the Root Cause of your Healthcare Costs: Unhealthy Lifestyles Dr. DiSiena, DC, QME, IDE, FICA, CLE Autumn R. Hargrove, Certified Lifestyle Educator Present:

3. “ Chronic disease is now the principle cause of disability and use of health care services and consumes 78% of health expenditures”….We have not trained our doctors to deal with this problem nor provided them adequate therapeutic tools to meet the needs.” JAMA 2004;292:1057

6. 1998 Obesity Trends* Among U.S. Adults BRFSS, 1990, 1998, 2006 (*BMI  30, or about 30 lbs. overweight for 5’4” person) 2006 1990 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

10. “ The Metabolic syndrome but not BMI (obesity) predicts future cardiovascular risk in women.” Circulation 2004;109:706-713

15. November 29, 2004 “ Millions of us are popping prescription pills for innocuous ills, when simple lifestyle changes of diet and exercise – harped on by physicians for decades – are more effective and a lot cheaper.” “ 2 million cases each year of drug complications that result in 180,000 deaths or life-threatening illnesses in the elderly”

16. “ Heart Patient Wes Miller radically altered his lifestyle and went from 16 drugs a day to 2.”

17. American Journal of Cardiology 2004;94:1558-1561 “ the findings clearly show that many patients who have conventional risk factors for coronary heart disease can achieve goal levels without medications within 12 weeks of initiating therapeutic lifestyle changes.”

19. “ The lifestyle intervention, compared with the metformin intervention, provided greater health benefits at lower costs and, from the prospective of a fiscally prudent policymaker, represents the intervention of choice. ” Annals of Internal Medicine 2005;142:323-332

20. TLC is more effective and less expensive than Medication Annals of Internal Medicine 2005;142:323-332 Lifestyle Metformin Delay in development of diabetes 11 years 3 years Reduced incidence of disease 20% 8% Cost (per QALY) $1,100 $31,000

25. Results of 12-Week Trial of FirstLine Therapy Program with a Soy and Phytosterol Based Medical Food Nutrition 2006;22:104-113 Before After Change % Change Triglycerides 212 mg/dl 117 mg/dl -95 mg/dl -45% Total Cholesterol 275 mg/dl 231 mg/dl -44 mg/dl -16% LDL-C 185 mg/dl 158 mg/dl -27 mg/dl -15% HDL-C 48 mg/dl 51 mg/dl +3 mg/dl +6% tChol/HDL-C 5.7 4.5 1.2 -21% TG/HDL-C 4.4 2.3 -2.1 -48% hs-CRP 5.0 mg/l 3.3 mg/l -1.7 mg/l -34 % Fasting insulin 8.3 mcIU/ml 6.2 mcIU/ml -2.1 mcIU/ml -25% Blood Pressure 130/84 mmHG 124/77 mmHG -6/-7 mmHG -5%/-8% Weight 186 lbs 171 lbs -15 lbs -8% % lean body mass 61.1% 62.7% +2.1% +3%

27. Comparing Trials FLT program with UltraMeal Plus (Nutrition 2006;22:104-113) vs. Low - GIycemic Diet ( Arch Intern Med. 2004;164:2141-46) 12 week trial of FLT diet with UltraMeal Plus in overweight, postmenopausal women with elevated LDL cholesterol vs. 12 week trial of low glycemic diet alone in a similar patient population. FLT with UltraMeal® Plus Low-GI Diet alone Triglycerides -95 mg/dl -42 mg/dl Total Cholesterol -43 mg/dl -11.9 mg/dl LDL-C (bad chol) -27 mg/dl -3.9 mg/dl HDL-C (good chol) +3 mg/dl - 1.3 mg/dl Weight - 15 lbs 13.6 lbs

28. Potential Cost Savings Issue Associated Costs How does it apply to you? Healthcare cost per employee $8,046 on average for 2006, employers absorb 2/3 $6034.5 x # of employees covered Short-term disability claims (26% result of chronic condition-Cigna study ‘04) $13,094 per claim on average $13,094 x # of short-term disability claims per year Absenteeism $660 per employee/year (2004 Hewitt study) $660 x # of absent employees Metabolic Syndrome (MBS) Annual cost of treatment for adults > $4000 – more than 4x annual average spent on drugs for all other patients $626 (vs. $367 for others) - $259 incremental cost! $259 x # of employees with MBS Investment in Corporate Wellness $1 investment results in $2.05 - $4.64 in median cost savings* How many employees could benefit in your organization?

39. Corporate Wellness Program Promote FLT 12-Week Testing Initial Testing Lunch ‘n’ Learn #1 Lunch ‘n’ Learn #3 Lunch ‘n’ Learn #2 Teleconferencing Support 6-Week Testing Maintenance Programs + 5-7 Weekly Tele Coaching Educational Emails Start

42. You can’t Afford to Wait