Bermuda Health Magazine June 2018

June 2018

Issue No. 31
Bermuda HealthFREE

HIV WHY MEN
AWARENESS NEED A

ISSUE PROSTATE

LOSING HOW TO DEAL WITH
WEIGHT BY
EATING LESS DEMENTIA
ALCOHOL IS A
DRUG, TOO see inside back cover

WHAT IS
COMPOUND
INTEREST?

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June 2018

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2 Bermuda Health Magazine | 777-5483 | WWW.LHMEDS.COM

EdJituorn-Ine-Ch2ie0f 18 In this issue:

Mike Serebrennik, MD 4 On taking risks
4 Know prostate cancer
Place an advert, grow your sales! 5 Which sunscreen should I choose?
(441) 777 - 5483 6 HIV: know your status, get tested
7 Lighthouse Medical offers
NEW! Subscribe to Bermuda Health 11 Losing weight: eating less works
(441) 777 - 5483

Address:
Bermuda Health Magazine
P.O. Box 2748, Hamilton, HM LX

Email
[email protected]

Website
www.lhmeds.com

Facebook:
www.facebook.com/LighthouseMedical

Readership: ~ 5,000

"I got rich by not advertising." 12 Alcohol is a drug, too
12 Walking the walk
-Nobody, ever. 13 What is compound interest?
14 Why men need a prostate
Why advertise in Bermuda Health? 15 Learn to deal with dementia

Control – Word of mouth & social media are fickle -
people often say wrong things. Instead, deliver the
exact message you want.

Targeting – You will never sell anything if you talk to
wrong people. Instead, reach the right people with
Bermuda Health - the health-conscious readers
interested in wellness, medicine & self-improvement.

Awareness – People cannot buy from you if they do
not know you. Tell your customers who you are, your
mission and how you can make their life great.

Credibility – People who do not know you cannot trust
you. Advertising shows that business is going well
and will be there to service customers after the sale.

Submit your ad today! Call 777-5483

or email [email protected]

Bermuda Health Magazine | 777-5483 | WWW.LHMEDS.COM 3

June 2018

Letter from the editor Know prostate cancer

On taking risks Dr. Rick Avery

Many great things in life come from taking risks. The prostate is a small walnut-shaped gland in
Taking a chance on a new job, a new house or men. It produces the seminal fluid that nourishes
apartment, a new investment or a new business and transports sperm.
idea could turn out to be a great decision. If you are a man over 50 and you experience
trouble urinating, decreased force of the urine
However, taking calculated risks with good stream, blood in semen, discomfort in the pelvic
possibility of reward is one thing, and being area and/or bone pain - see a doctor. These are
reckless is quite another. the signs and symptoms of prostate cancer.
Prostate cancer, however, may not cause any
Unprotected sex is a particularly risky behavior. symptoms or show any signs in early stages.
Risks include unwanted pregnancy and a Prostate cancer is more common in black men
possibility of contracting an STI - a sexually and individuals who have excess weight. It
transmitted infection. becomes more common with increasing age.
Family history of prostate cancer is also a risk.
There are many STIs out there, and trust me, you Healthy diet, exercise and keeping a healthy
do not want any one of them. Herpes causes weight can reduce the risk of prostate cancer.
painful blister outbreaks and is incurable. Syphilis
can cause damage to multiple organs if untreated, Love your life.
although it does respond to antibiotics
(particularly Penicillin). Gonorrhea developed If your health insurance is with BF&M, you
some strains that do not respond to any known have access to LiveWell, our free online
antibiotics. HIV remains incurable and often wellness platform. LiveWell offers wellness
difficult to treat. assessments, Healthy Habits and nutritional
planning, chronic disease management
What I am not saying is that you should de-risk programmes, and Reward programmes.
your life as much as possible. Everything will Choose BF&M, and keep on loving life.
seem dull if you do. However, consider taking
reversible risks or risks which are unlikely to result © 2018 BF&M Limited. All rights reserved.
in a large amount of adversity.
The BF&M difference? Insurance the way it should be.
For example, unprotected sex is a risk with For more information contact us at [email protected]
potentially irreversible, severe consequences. or call +1 441 295 5566
Injecting intravenous drugs is a similarly
unjustifiable risk. Do not play with your health.
Avoid unnecessary risks.

Dr. Mike Serebrennik
Managing Editor
Bermuda Health

4 Bermuda Health Magazine | 777-5483 | WWW.LHMEDS.COM

June 2018

Which sunscreen do I choose?

By John Bentley, MPharm, DipClinPharm, MRPharmS

Which sunscreen do I choose? There are so many
options!

Nobody wants to spend their entire summer (UVB) radiation protection and is usually rated
indoors, especially in Bermuda. After all, we on a scale of 2 to 50+.
are spoiled with some of the world’s best
beaches, right on our doorstep! The star rating you see on sunscreen bottles
measures the UVA radiation protection. You
Emergency Being out in the sunshine can be good for us. should see a star rating of up to 5 stars on the
contraceptive It helps the body create Vitamin D, which is bottle. The higher the star rating, the better.
pills are essential for maintaining healthy bones. For Sunscreens that offer both a UVA and UVB
designed many of us, being outside in the summer gives protection are sometimes called "broad
only for us a sense of wellbeing, as we enjoy outdoor spectrum."
emergencies activities.
and not for It is better to use a water-resistant sunscreen.
routine birth However, all too often we overexpose our skin Even if you do not plan to get in the water,
control. This to sunlight, which can lead to a range of skin sweating could "wash off" a standard
is because a problems. The most serious risk of prolonged sunscreen.
morning after sunlight exposure is skin cancer. While many
pill is not as people associate a tan with looking healthy, a How to apply sunscreen?
reliable as a tan is actually a sign that our skin has been
daily pill or a damaged. This kind of damage can in turn Most people do not apply enough sunscreen,
condom. increase your risk of developing skin cancer. and if you apply it too thinly, the amount of
protection is reduced. You should apply
Sunscreen, therefore, is a good idea. But enough sunscreen to generously coat all
which sunscreen to use? exposed skin, including the face, neck and
ears.
First and foremost, do not rely solely on sun
screen as it will not provide full protection. You should apply sunscreen to dry skin 30
Always seek shade when the sun is at its minutes before going out in the sun, and then
strongest, and cover up with clothing, once again just before going out to make sure
sunglasses and a hat. that you have covered any missed patches and
that you have created a sufficient layer. Then,
When buying sunscreen, you should check you should reapply it approximately every 2
that the label has both a sun protection factor hours, or after sweating, swimming or towel
(SPF) of at least 30 to protect against UVB rays drying, according to the directions on the
and at least a 4-star UVA protection rating. bottle. You should do this even with
sunscreens marketed as "once a day," since
Ultraviolet A (UVA) and ultraviolet B (UVB) many people do not apply sunscreens properly
refer to the different wavelengths of radiation and there is a risk that you may accidentally rub
from the sun. UVA is associated with aging of it off.
the skin and pigmentation, as well as skin
cancer. UVB causes sunburn and is also linked John Bentley is a pharmacist at the People's
to particular types of skin cancer. Pharmacy.

The SPF is a measure of the ultraviolet B

Bermuda Health Magazine | 777-5483 | WWW.LHMEDS.COM 5

June 2018

HIV: know your status, some websites that he could visit: www.aids.gov,
get tested www.cdc.gov/hiv, http://www.avert.org and
www.cdc.gov/hiv/risk/prep/index.html.
Dr. Virloy Lewin
Jerry had one more important question – could he
It is 2048. Jerry and Jackie are holding their and his HIV-positive partner have children free from
grandbaby and reminiscing. They remember over HIV? The Public Health Nurse informed Jerry that
30 years ago, when they began dating. Before through effective prevention efforts, Bermuda had
becoming intimate, they had a conversation using eliminated Mother to Child Transmission of HIV.
the 5Ps of sexual health (Partners, Practices, Past Jerry left feeling empowered and excited about his
History of Sexually Transmitted Infections, new relationship with Jackie. The rest, as they say,
Prevention of Sexually Transmitted Infections and is history.
Prevention of Pregnancy).
Currently, there about 300 persons living with HIV
It was during this conversation that Jackie told Jerry (PLWH) in Bermuda with few new cases reported
that she was living with HIV. each year. The Department of Health agrees with
the vision of UNAIDS which is to end AIDS by 2030.
Jerry was initially shocked, because Jackie “did not The spread of HIV is 100% preventable and most
look like she had HIV.” Knowing Jerry would be cases in Bermuda are through sexual contact. Help
concerned about his risk of contracting HIV from us end AIDS. Get Tested. Know Your Status.
her, Jackie explained that she stays healthy by
taking her medications every day and having regular For more information go to https://www.gov.bm/
blood tests to assess how much virus she has online-services/get- tested-sexually- transmitted-
circulating in her blood. She confirmed her viral load infections-stis
as undetectable, which effectively equals
untransmittable, especially with correct and ageblpemaishi,n, ,
consistent condom use. remover

Jerry still had some concerns so he made an Whatever’s aching,
appointment at the Hamilton Health Centre upsetting or annoying
Communicable Disease Control Clinic. While there, you – that’s, you know,
he was able to have an open conversation with the
Public Health Nurse about HIV. The Public Health medical – we’ve got
Nurse recommended regular sexual health something to get rid
screenings and advised him of the current
recommendations that all persons aged 13-64 of it. With friendly
should be tested for HIV based on risk. He was also pharmacists to
informed of the recommendations for PrEP (pre-
exposure prophylaxis), which greatly reduces the advise, you can get
risk of HIV and can be used within discordant your little medical
couples, where one partner has HIV and one partner
does not. complaints treated
with confidence.
The Public Health Nurse provided him with a free,
confidential HIV test, told him that he could come Robertson’s Drug Store,
back regularly for repeat testing and recommended St. George’s.

Facebook “f” Logo CMYK / .eps Facebook “f” Logo CMYK / .eps

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6 Bermuda Health Magazine | 777-5483 | WWW.LHMEDS.COM

June 2018 Catalog P. 1 - incontinence care and wound care
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Bermuda Health Magazine | 777-5483 | WWW.LHMEDS.COM 7

June 2018 Catalog P. 2 - wound care, bath safety, mobility
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Medline Skintegrity
Hydrogel Wound
Dressing
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Skincote Protective Calcium Alginate Angel $12
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Deluxe
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sliding bath tub Bath & Tub Rail
Shower $89
transfer bench $209 Chair

Adjustable bathtub Deluxe $89
Folding
transfer bench $89 two Clever 4 Wheel
Button Rollator
Deluxe Walker Lite with 7.5"
Folding wheels and
Walker $89 Rollator basket
Two Light
Button Strong $189
with 5" 8" wheels
Wheels Compact $279
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Lift Walker with Kanga Adult Viper
Retractable or Child Plus GT
Stand Assist Tilt In Space Premium
Bars and 5" Wheelchair Wheelchair
Wheels Please $799

$199 call

for Cruiser III
Wheelchair $449
pricing

Scout compact travel Ventura Medium Scooter Lightweight Expedition Wheelchair
scooter $1,999 Aluminum Cushions
Transport From $99
3 or 4 Chair
wheels
Red or Blue
$1,299
$329

8 Bermuda Health Magazine | 777-5483 | WWW.LHMEDS.COM

June 2018 Catalog P. 3 - respiratory care, bedroom safety
Questions? Call 777-5483

DeVilbiss 5 Liter Oxygen Inogen One G3 portable Inogen One G4 ultra compact Philips SimplyGo Mini Portable
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and humidifier and pulse & pulse & pulse
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Standard Standard Settings 1-3 Settings 1 5
$1,499 battery $3,499 Standard Standard
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Quiet battery $3,599 Ext. battery $3,599 Ext. battery $4,199
$1,699

Intellipap 2 CPAP system with Pacifica Elite Nebulizer $79 DeVilbiss Traveler Portable External
autoadjust & heated FREE neb kit! Compressor Nebulizer chargers, extra batteries
humidification Fast treatments, high flow System with battery $268 for portable oxygen
FREE concentrators CALL
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software!

$1,399

Deluxe Pulse CPAP Masks Oxygen masks and Neb
Oximeter $59 cannulas From $7 kits
Aerosol
Plethysmogram masks

Pulse Rate Please
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Pulse bar

SpO2

Please
Call

Overbed Table Mattresses from $299 Delta 1000 Full Electric bed
Non-tilt $99 Foam, not springs! Pressure • FREE delivery
Tilt $129 redistribution, multi zone, heel & assembly
slope, memory foam available • 2 side
Alternating rails
• FREE
pressure air upgrade:
5 zone therapeutic foam
mattresses Please call (not spring) mattress $1999

Full patient lift Stand Combo Cane
$3,499
assist lift $3,999 Wide, soft handle
• Battery for comfortable grip
Battery powered
powered Easy to use Flexi-tip sticks to
Stable terrain
• Durable FREE sling,
training, Light, strong, comfy
Premium Hi-Low Bed • Easy to use delivery & assembly
$49
Lessen injury risk from falls! FREE sling, training,
Custom design, please call delivery and assembly

Bermuda Health Magazine | 777-5483 | WWW.LHMEDS.COM 9

June 2018 Catalog P. 4 - new products, great deals
Questions? Call 777-5483

NEW! Titan AXS Celeste nitrile gloves Ranger nitrile gloves, Medline basic procedure
Power Wheelchair Latex-free, powder-free 5mil thick, 100/Box face masks
200/Box Latex-free, powder-free w. earloops
$3,499
$13.50 50/Box
19 mile $9
range!

$19/Box Protect your
lungs!

Lemon Glycerin Oral Medline Active Instant Food Medline Safety Lancets Medline Evencare G2
Swabsticks, 25 pouches Thickener, 10 oz can Glucose Meter
of 3 sticks 50/Box $34
per box 50 test strips
Reduce $14 $19
$9 choking and Lancing pen
risk of $5
aspiration! 100 lancets
$5
$11.99/can

Automatic blood pressure Medline Tympanic CURAD Sterile Non-Stick Sureprep Skin Protectant

monitor with irregular (ear drum) Wound Wipes, box of 50

heartbeat detection $59 Thermometer Care $9.99

Pads

Safe for any age 8/box
Accurate
Quick $9.99

$79

CURAD Plastic Adhesive Handy Toilet Safety Frame with Bedding in a box set:
Trolley Padded 1 pillow case, 1 fitted sheet,
Bandages Arms 1 cover sheet and 1
blanket,
3/4" X 3" Transports $59 ideal
Box of 80 food, books for
hosp.
$4.49 Doubles as and
walker homecare
beds $99
$99

Nitro HD Premium Folding steel commode Raised toilet seat for: Accessible bathing
Rollator $79 systems - please call
Round
Lightweight toilet: $69
Ultra-strong
10" front Elongated
wheels toilet: $89

$649

10 Bermuda Health Magazine | 777-5483 | WWW.LHMEDS.COM

June 2018

Losing weight: eating less works

By Portia C. Antrell themselves may not help shed many pounds. There
is evidence to suggest that at 18-24 months, people
Imagine you could do only one thing to lose weight. on low-carb diets have minimal, if any weight loss.
What would it be? Get more exercise? Start a low- Additionally, maintaining a low-carb diet is
carb diet? Take a supplement? Go on a medication? notoriously difficult.

Turns out, the most effective method of losing What to do? As banal as it sounds, eat less. When
weight is extremely simple. However, it is not easy. going out, it is easy to eat the whole portion that was
The method is easy to understand but hard to served, just because it is in front of you. Try sharing
implement. a large portion with someone. For even better
results, cook healthy meals at home. Put all your
Exercising more seems like the best answer, but it is large plates away and serve food on smaller plates.
not. Exercise has numerous benefits. However, it is You will be surprised that you feel satisfied with a
much more difficult to burn off calories than to eat noticeably smaller portion once you finish eating it!
them. Exercise also boosts appetite and may Eliminating sugary drinks altogether is the easiest
promote increased food intake - bad for weight loss. way to cut calories. Keep snacks out of sight or out
of your home entirely. Remember, available food
Low carb diets have benefits as well, but by gets eaten! Lastly, avoid eating in front of the TV.

For confidential testing 11
and more information
call 278-6442

GOVERNMENT OF BERMUDA
Department of Health

Bermuda Health Magazine | 777-5483 | WWW.LHMEDS.COM

June 2018

Alcohol is a drug, too Walking the walk

By Dr. H. Ophélie Saaks By Yana Swainson, CDME

When we talk about drug abuse, we mostly think Occasionally, some of us need a bit of extra help
of marijuana, cocaine, heroin and the like. with walking, and a rollator is a great mobility aid.
However, alcohol, though more socially People get a rollator because they are looking for
acceptable, is a drug as well. more support than a cane, and do
not want to be slowed down
The sale of alcohol is restricted by age, but not all by a standard walker.
stores strictly follow that policy. Also, people who
are of age can buy alcohol for their younger Consider a rollator if you:
friends; this can be difficult to prevent.
• Want to remain active; for
Alcohol can cause dependency and numerous example, walk outdoors and travel.
health problems, including liver cirrhosis. Use of • Need more assistance than a cane
alcohol causes other issues as well. In 2016, there can provide
were 155 criminal trials for impaired driving. That • Need to sit down often
year, alcohol was connected to 1⁄4 of all crimes • Cannot lift a walker
committed on the island. • Need something more durable
than a walker
Alcohol abuse leads to many problems, and the • Want to move quickly
first step in dealing with this is awareness. • Would like a device that could
also serve as a transport
chair.

Rollators are
height-adjustable.

A latch holds
the rollator in
the folded
position during
transport.

Suspension A hand brake system
system softens the helps slow down the
impact of uneven rollator when walking
roads and is easy downhill, or to lock it in
on the hands. place when using the
rollator for support.

12 Bermuda Health Magazine | 777-5483 | WWW.LHMEDS.COM

June 2018

The handles should be comfortable YOUR HEALTH AND YOUR WEALTH
and provide a non-slip grip.
What is compound interest?
You can squeeze the brake
handle to apply brakes Dr. Mike Serebrennik
temporarily, or push the
handle down to lock the Recently, someone I know missed a due date on
brakes in the "park" mode. an invoice. The invoicing company then tacked on
a hefty finance charge onto his bill. When the
The back support makes finance charge was not paid in due course, it
sitting down and resting incurred its own finance charge.
more comfortable.
As he was settling his account, my friend quipped
The foldable seat that he got a finance charge on a finance charge.
allows user to sit This situation is an example of compound interest.
down and take a
break from walking. Compound interest happens when interest on a
loan is added back to the principal sum of the debt,
Wheels ensure A zippered which means that interest is accumulating on
smooth motion of basket provides interest. Imagine you borrow $100 at 10%
the rollator over a means of interest. After the first year, you will owe $100
ground. Bigger easily storing (principal) plus $10 (interest), for the total of $110.
wheels provide a and transporting Next year, you will owe $110 plus 10% interest on
smoother ride. valuables. $110, which is $11. The new total will be $121.
Next year, the interest will be $12.10 and so on.
A frame provides
support for the user. This is why high-interest credit card debt is
Aluminum frames dangerous. Every month you carry a balance, you
are lighter than have hefty interest charges applied to your debt
steel, and carbon plus the accumulated interest on that debt. It is
fiber frames are possible to end up in a debt spiral, from which the
lighter than escape is very difficult. This is a vicious cycle.
aluminum. All of
these materials are On the other hand, compound interest helps you
very strong. make money investing. Say you purchase stock in
company X, and it earns $1 per share. Next year,
company X grows earnings by 10% and now
earns $1.10. Next year, earnings again grow by
another 10% ($0.11), now adding up to $1.21. In
another year, earnings could grow by 10% again,
adding 12.1 cents to $1.21 to equal $1.331 in
earnings. Quickly, compound interest adds up.

Bottom line: avoid paying compound interest and
try to earn it. Within a few years, you could see a
significant difference in your bank account.

Bermuda Health Magazine | 777-5483 | WWW.LHMEDS.COM 13

June 2018

Why do men had recently become available. In this procedure, small "buttons" are
inserted into the prostate to pull its walls apart, widening the urine

outflow tract. This procedure has a low complication rate and preserves

need a prostate? sexual function. However, not all patients are good candidates for
Urolift; only a doctor can determine who should get this procedure.

By Dr. Mike Serebrennik Even though there is no way to prevent BPH, a timely visit to a doctor
could save much grief. One of the most important things is to make sure
there is no prostate cancer. Once this has been established, there are
The prostate is a small gland that is part of several ways to lessen the symptoms of enlarged prostate.
the male reproductive system. It is about the
shape and size of a walnut and rests below
the urinary bladder, in front of the rectum. It
surrounds a part of the urethra, the tube that
carries urine from your bladder.

The prostate helps make some of the fluid in Delivering the Highest Quality
semen, which carries sperm from the Medical Care Possible
testicles after ejaculation. This fluid propels
the sperm forward and protects it. The main
function of the prostate, then, is to help with
reproduction.

Can a man live without a prostate? Yes. Can Dr. Gerhard Boonstra Dr. Basil Wilson Dr. Robert Martin Dr. Samantha Price Dr. Margot K. Harvey
a man have children without a prostate?
That task will definitely be more difficult.

With age, some men will experience Dr. Carlton C. Jones Dr. Judith Boyce Dr. Heather Montgomery Dr. Diane Kooiman
prostate enlargement, also called benign
prostatic hyperplasia (BPH). This is not
cancer; however, it could compress the
urethra and slow down the urine flow,
leading to difficulty urinating.

BPH is common and impossible to prevent. WHAT WE OFFER:
In fact, most men will get it as they get older.
Some men will experience frequent • Family Practice • Panel Physician for US Immigration
urination, waking up at night to urinate, • Functional Medicine • Scuba Diving Medical Examinations
feeling of urinary bladder not being • On-site Laboratory Open from 7:30am • Home Visits
completely empty and slower stream of • Ultra Sound • On-site Nurses
urine. When one of more of these symptoms • Stress Testing • Vaccinations
are present, it is time to see a doctor. • 24hr. Blood Pressure Monitoring • Se Habla Español, Afrikaans, Dutch
• TCD Examinations

To relieve symptoms of difficult urination, Paget Location 40 & 42 Point Finger Road, Paget DV 04
doctors may use medication that relaxes the Monday - Friday 8am - 8pm | Saturday 9am - 12noon | Call 236-0084 for Appointments
prostate and bladder neck, allowing urine to
flow more easily. If that does not work, a Hamilton Location 14 Dundonald Street, Hamilton HM 09
surgical procedure may become necessary. Monday-Thursday 8am-5pm | Friday 9am-4pm | Call: 296-9733 for Appointments
A minimally invasive procedure called Urolift
WWW.IHS.BM

14 Bermuda Health Magazine | 777-5483 | WWW.LHMEDS.COM

June 2018

ALZHEIMER'S DISEASE & DEMENTIA CARE COURSE

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5:30PM - 9:30PM
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If your friend or a family member develops Both sessions are required to obtain the
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If you want to advance your career, start First Floor Conference Room
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Dementia Practitioners. This is the required
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For more information, please contact:
COURTNEY SMITH [email protected] (441) 705-5483

Bermuda Health Magazine | 777-5483 | WWW.LHMEDS.COM 15

Alter G Anti-Gravity Treadmill

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● High cholesterol levels ● Hypertension ● Diabetes ● Obesity

Contact us today for information about class schedules

Bermuda Wellness and Outreach Centre, 3 Gorham Road, Pembroke, Bermuda HM 08
Office: 441-292-4530, Fax: 441-295-1279, E-Mail: [email protected], Web: www.bwocbermuda.com