blog Archives - Lake Country Medical Group

A New Way to Think About Women’s Heart Health

November 13, 2026/in blog /by Daniel Keaton

Heart health isn’t something most of us think about until there’s a problem. But new guidance from some of the nation’s leading medical organizations is encouraging doctors, and all of us, to start thinking about women’s heart health much earlier and continue making it a priority throughout life.

The message is simple: Protecting your heart isn’t something that begins at a certain age. It’s a lifelong process, and every stage of a woman’s life matters.

What’s New in Women’s Heart Health?

In October 2026, four major medical organizations released a series of new scientific papers in the American Heart Association’s journal Circulation. The organizations include:

The American Heart Association (AHA)
The American Academy of Pediatrics (AAP)
The American College of Obstetricians and Gynecologists (ACOG)
The Society for Maternal-Fetal Medicine (SMFM)

Together, these organizations are encouraging a more connected approach to women’s cardiovascular health.

Women often see different healthcare providers throughout their lives, from pediatricians during childhood to OB-GYNs, primary care providers, and specialists during adulthood. Unfortunately, important information doesn’t always follow patients from one provider to another.

The new guidance aims to help connect those pieces so that heart health becomes a consistent part of healthcare from adolescence through menopause and beyond.

Your Heart Health Changes with Every Stage of Life

Women’s bodies experience hormonal changes throughout life, including menstruation, pregnancy, perimenopause, and menopause. These changes can influence cardiovascular health in ways that are important to recognize.

The new framework identifies four primary life stages, along with pregnancy as an important consideration.

Stage 1: Perimenarche (Approximately Ages 8–15)

These are the years leading up to and including a girl’s first menstrual period. Changes in menstrual patterns, emotional well-being, and other health factors may provide early clues about future cardiovascular health.

Stage 2: Ovarian Cycling (Approximately Ages 15–44)

During the reproductive years, hormonal changes, menstrual health, and pregnancy history can all influence heart health. This is also an important time to establish healthy habits and identify potential cardiovascular risk factors.

Stage 3: Perimenopause (Approximately Ages 45–51)

As women transition toward menopause, changing hormone levels can affect cholesterol, blood pressure, and other cardiovascular risk factors. This stage presents an important opportunity to evaluate heart health and make adjustments when needed.

Stage 4: Postmenopause (Approximately Age 51 and Older)

After menopause, the risk of cardiovascular disease generally increases with age. Continued monitoring, preventive care, and management of existing health conditions become especially important.

Pregnancy: An Important Window into Heart Health

Pregnancy can provide important information about a woman’s long-term cardiovascular health.

For example, complications such as high blood pressure during pregnancy, preeclampsia, or gestational diabetes may be associated with a greater risk of cardiovascular disease later in life.

This is why sharing your complete pregnancy history with your healthcare team is so important, even many years after giving birth.

These age ranges are approximate. Every woman’s experience is different, and individual health needs should guide care.

A More Complete Approach to Women’s Healthcare

One of the most important messages in the new guidance is that heart health shouldn’t be viewed separately from the rest of a woman’s health.

Hormonal changes, emotional well-being, lifestyle habits, and existing medical conditions can all play a role in cardiovascular health.

The three newly published papers address different aspects of this approach:

A Presidential Advisory explains why cardiovascular health should be considered throughout every stage of a woman’s life.
A Scientific Statement provides healthcare professionals with guidance on identifying cardiovascular risk factors, preventing heart disease, and managing cardiovascular conditions in women.
A Science Advisory encourages the development of comprehensive centers of excellence for women’s cardiovascular care, with better coordination among healthcare providers and specialties.

Together, these publications represent an important step toward more personalized, preventive, and coordinated healthcare for women.

What Does This Mean for You?

While the new guidance is directed primarily toward healthcare professionals, there are several important takeaways for women of all ages.

1. Share Your Complete Health History

Your healthcare team needs to know more than your current symptoms or medications.

Information about menstrual cycles, pregnancies, pregnancy complications, menopause, and other health changes can help providers better understand your cardiovascular risk.

2. Don’t Wait Until Midlife to Think About Your Heart

Heart disease prevention doesn’t have to begin at age 50 or 60.

Healthy habits, routine checkups, and conversations about cardiovascular risk can begin much earlier in life. The choices made today can influence heart health for years to come.

3. Make Sure Your Healthcare Providers Are Communicating

If you see multiple providers, ask whether important information is being shared among them.

Your primary care provider, OB-GYN, cardiologist, and other specialists should have a clear understanding of your overall health.

Coordinated care can help identify concerns earlier and support better long-term health decisions.

4. Know Your Personal Risk Factors

Blood pressure, cholesterol, blood sugar, family history, lifestyle, and certain female-specific health experiences can all influence cardiovascular risk.

Understanding your individual risk factors is an important part of developing a prevention plan that works for you.

5. Don’t Be Afraid to Ask Questions

If you’re unsure how pregnancy, menopause, hormonal changes, or other health concerns might affect your heart, bring them up during your next appointment.

These conversations are an important part of preventive healthcare.

Your Heart Health Matters at Every Stage of Life

Women make up more than half the population, and their heart health deserves attention at every age. We’re encouraged to see this growing emphasis on prevention, communication, and a more complete approach to women’s healthcare.

At Lake Country Medical Group, this approach to healthcare is something we believe in and practice every day.With primary care, cardiology, and women’s health services working together, we’re able to look beyond individual symptoms and consider the bigger picture of each patient’s health.

Whether you’re navigating hormonal changes, managing cardiovascular risk factors, or simply wanting to take a more proactive approach to your health, our team is here to help you make informed decisions through every stage of life.

Because taking care of your heart isn’t just about preventing disease. It’s about helping you live a longer, healthier life.

We’re proud to provide this kind of comprehensive, coordinated care right here in the Lake Country.

To schedule an appointment or learn more, call 706-485-4004 or visit www.lakecountrymedicalgroup.com.

This article is intended for general educational purposes and should not replace personalized medical advice. Please consult your healthcare provider about your individual health needs and cardiovascular risk factors.

Sources:

Walter, M. “A New Way to Think About the Heart Health of Women.” Cardiovascular Business, October 27, 2026.

American Heart Association. Women’s Cardiovascular Health Scientific Advisories and Statements. Circulation, October 2026.

Medicare Open Enrollment and Prescription Costs

Before Medicare Open Enrollment: Take a Closer Look at Your Medications and Prescription Costs

October 8, 2026/in blog /by Daniel Keaton

October is a good time to take a closer look at your prescriptions.

Medicare Open Enrollment begins October 15 and continues through December 7, giving Medicare beneficiaries an opportunity to review their health and prescription drug coverage for the coming year.

But before comparing plans and prescription benefits, there is an important first step that is easy to overlook:

Do you know exactly which medications you take, why you take them, and how much they are costing you?

For many patients, especially those managing multiple chronic conditions, the answer may be more complicated than expected.

At Lake Country Medical Group, medication reconciliation is an important part of helping our patients manage their health. It can also uncover opportunities to make medications more affordable.

Your Medication List May Not Be as Simple as You Think

Many patients take several prescription medications along with over-the-counter medicines, vitamins and supplements.

That list can change frequently.

A specialist may prescribe something new. A medication may be changed after an emergency room visit or hospital stay. A prescription may be discontinued but remain on an old medication list. Two providers may prescribe medications that serve similar purposes.

Over time, it can become surprisingly difficult to keep everything straight.

That is why medication reconciliation is so important.

Medication reconciliation involves reviewing your complete medication list to help confirm:

What medications you are currently taking
The correct dose and directions for each medication
Why you are taking each medication
Which medications have been stopped
Any new medications that have been prescribed
Over-the-counter medications, vitamins and supplements you use
Medication allergies or previous reactions
Whether you are having difficulty taking medications as prescribed
Whether medication cost is preventing you from taking a medication correctly

The goal is not simply to create a better list. It is to help make your medication regimen safer, more effective and easier to manage.

Medication Cost Is Part of Your Healthcare

There is another question that should be part of the medication conversation:

How much are your prescriptions costing you?

Prescription costs can add up quickly, particularly for people taking multiple medications every day.

Unfortunately, some patients respond to high medication costs by stretching a prescription longer, skipping doses, taking less than prescribed or stopping a medication altogether.

If cost is making it difficult to take your medication as prescribed, please tell your healthcare provider.

Do not simply stop taking a prescribed medication because you cannot afford it.

Depending on the medication and your individual health needs, there may be other options worth exploring. These can include a generic medication, another medication in the same class, a different pharmacy, manufacturer assistance or savings programs, or other cost-saving alternatives.

Not every option is appropriate for every patient, which is why these decisions should be discussed with your healthcare provider or pharmacist.

The Same Prescription Can Have Very Different Prices

One thing that surprises many patients is how much the price of the exact same medication can vary.

Your insurance copay is not necessarily the lowest available price.

Depending on the prescription, patients may want to compare their current cost with other legitimate options, including:

Cost Plus Drugs

Mark Cuban Cost Plus Drug Company offers many generic medications using a transparent cash-pricing model. For some prescriptions, the cash price may be lower than the price available through a traditional retail pharmacy or insurance plan.

Amazon Pharmacy

Amazon Pharmacy offers prescription medications through its online pharmacy. Pricing and available benefits vary, so patients should compare the final cost with their insurance and local pharmacy options.

GoodRx and Other Prescription Discount Programs

Prescription discount services such as GoodRx can help patients compare prices at participating pharmacies.

Keep in mind that discount cards are generally used instead of insurance for that particular purchase, so it is important to compare both prices. For Medicare beneficiaries, purchases made outside their Part D coverage generally do not count toward their plan’s out-of-pocket spending.

Your Local Pharmacy

Do not overlook your local independent pharmacy. Your pharmacist may be able to identify generic alternatives, available discount programs, manufacturer assistance or other ways to reduce your out-of-pocket costs.

The lowest-cost option will not always be the same for every medication or every patient.

Why This Matters Before Medicare Open Enrollment

Medicare Open Enrollment runs from October 15 through December 7 each year.

During this period, people with Medicare can review their current coverage and make certain changes for the upcoming year, including changes involving Medicare Advantage and Medicare prescription drug coverage.

Prescription coverage can vary from one plan to another. Formularies, preferred pharmacies, deductibles and out-of-pocket costs can also change.

That makes knowing your medications particularly important.

Before reviewing your Medicare options, consider creating an up-to-date list that includes:

The exact name of each medication
The dosage
How frequently you take it
Whether you take a generic or brand-name medication
Where you currently fill the prescription
Approximately how much you currently pay

Having accurate information can make it easier to evaluate how your medications may be covered under different options.

Lake Country Medical Group does not select Medicare plans for patients, but we can help you better understand your medications, which gives you better information to use when evaluating your coverage.

For official information about Medicare coverage and plan comparisons, visit Medicare.gov.

Don’t Forget Your Supplements and Over-the-Counter Medications

Medication reconciliation is not limited to prescription bottles.

Your healthcare team should also know about vitamins, supplements, herbal products and over-the-counter medications you take regularly.

Just because something is available without a prescription does not mean it cannot interact with a prescription medication or affect a medical condition.

Bring everything into the conversation.

A complete medication list gives your healthcare team a much clearer picture of your health.

How Lake Country Medical Group Can Help

For eligible patients enrolled in Lake Country Medical Group’s Chronic Care Management program, medication reconciliation is an important part of ongoing care.

Our team can help patients maintain an accurate medication list, identify potential medication-related concerns and recognize when cost may be creating a barrier to following a treatment plan.

That last part is important.

If medication cost is keeping you from taking your prescriptions as directed, tell us.

There may be an alternative medication, generic option, pharmacy resource or savings opportunity that your healthcare team can help you explore.

Your medications should work for your health, not against your budget.

Make October Your Medication Checkup

With Medicare Open Enrollment approaching, October is a natural time to take inventory.

Pull out your prescription bottles. Check your medication list. Include your vitamins and supplements. Look at what you are actually paying each month.

Then ask yourself:

Is my medication list accurate?

Do I understand why I am taking each medication?

Am I taking everything as prescribed?

Is cost making any of my medications difficult to afford?

If you are unsure about any of those answers, talk with your healthcare team.

At Lake Country Medical Group, we believe managing chronic conditions requires more than writing prescriptions. It means looking at the complete picture and helping our patients manage their medications safely, effectively and affordably.

To learn more about Chronic Care Management, medication reconciliation or the services available at Lake Country Medical Group, call 706-485-4004 or visit lakecountrymedicalgroup.com.

Want to Learn More About Connected Care?

At Lake Country Medical Group, our Connected Care Management program provides ongoing support to help eligible patients manage chronic conditions, stay on top of medications, and take a more proactive approach to their health.

Click here to learn more about our Connected Care Management program.

This article is for educational purposes and should not be considered individual medical, insurance or Medicare plan advice. Do not start, stop or change a medication without discussing it with your healthcare provider.

To schedule an appointment, call Lake Country Medical Group at 706-485-4004

Is “Sugar-Free” Always Better for Your Heart?

September 10, 2026/in blog /by Daniel Keaton

By Nicolas Chronos, MD, FACC, FESC
Lake Country Medical Group & Lake Country Medical Concierge

When you are trying to eat healthier, choosing something labeled “sugar-free” can feel like an easy win. Less sugar should be better for you, right?

The answer depends on what is taking its place.

New research on a sweetener called xylitol raises questions about its possible effects on the heart. It also brings us back to something I strongly believe in: building our meals around the Mediterranean diet.

What Is Xylitol?

Xylitol is a sugar substitute found in some sugar-free gums, candies, baked goods, and toothpaste. It belongs to a group of sweeteners called sugar alcohols.

Our bodies make small amounts of xylitol naturally, and tiny amounts are present in some fruits and vegetables. Much larger amounts can be added to sweetened products. NIH overview

What Did the Study Find?

Research presented at the European Society of Cardiology’s 2026 Congress looked at more than 17,000 people in two long-term studies.

People with the highest xylitol levels in their blood had a higher risk of heart attack, stroke, or death than those with the lowest levels:

In the Canadian study, the risk was 57% higher over six years.
In the UK study, the risk was 18% higher over 30 years.

These are relative increases compared with the lower-level groups. They do not mean that 57% of people who use xylitol will have a heart attack. Researchers measured xylitol in the blood, rather than how much people ate. ESC research summary

The study does not prove that eating xylitol caused these problems. Other factors could help explain the connection, including how the body makes and processes xylitol.

Still, the findings deserve attention.

Earlier research published in 2024 also raised concerns. In laboratory experiments and a small study of volunteers, xylitol made the blood cells responsible for clotting more responsive. This offers one possible explanation for the link, although more research is needed. 2024 study

What Should You Do With This Information?

My advice is to take a closer look at the foods you eat regularly. A “sugar-free” label tells you about sugar content. It does not tell you everything about a product’s effect on your health.

Read the ingredient list. If several of your everyday foods contain xylitol, bring that up at your next appointment, especially if you have diabetes or heart disease. We can discuss those choices in the context of your overall health.

And if you noticed toothpaste on the list, there is no need to assume your dental routine is harming your heart. These studies do not establish that brushing with xylitol-containing toothpaste causes cardiovascular problems. The researchers specifically said the earlier findings were not a reason to throw away your toothpaste. NIH explanation

Why I Recommend the Mediterranean Diet

I am a strong advocate of the Mediterranean diet because it gives patients a practical, enjoyable way to eat for better heart health.

It emphasizes vegetables, fruits, beans, whole grains, nuts, olive oil, and fish, while limiting processed meats, sweets, and highly processed foods. Research supports this style of eating for reducing cardiovascular risk. American Heart Association

In everyday life, that can look like:

Oatmeal with berries and walnuts for breakfast.
A salad with chickpeas, vegetables, and an olive oil dressing for lunch.
Grilled fish, roasted vegetables, and brown rice for dinner.
Fresh fruit or a small handful of unsalted nuts for a snack.

There is plenty of room for flavor, variety, and meals you enjoy. You can start with one meal and build from there.

The goal is to make nourishing foods a regular part of your day. Simply replacing sugar substitutes with more sugar would not move us toward that goal.

Let’s Make Healthy Eating Less Complicated

Health headlines can leave you wondering what you are supposed to eat. My role is to help you understand the research and turn it into choices that work in your daily life.

For now, I encourage you to look beyond the label and focus on your overall eating pattern. A Mediterranean approach offers a well-supported place to start.

At Lake Country Medical Group and Lake Country Medical Concierge, we are here to partner with you in caring for your health. When a headline leaves you worried or unsure, bring it up at your next appointment. We can talk through what the research means for you and help you feel more confident about your choices.

To schedule an appointment, call Lake Country Medical Group at 706-485-4004 or to learn more about Lake Country Medical Concierge call us at 706-309-4965.

Could Your Dog Be Adding Years to Your Life?

August 6, 2026/in blog /by Daniel Keaton

For millions of people, a dog is much more than a pet. Dogs are walking partners, loyal companions, enthusiastic greeters, and often an important source of comfort during difficult seasons of life.

But could sharing your life with a dog actually help you live longer?

Research published in an American Heart Association journal suggests that dog ownership may be associated with a lower risk of death, particularly among people who have survived a heart attack or stroke. While adopting a dog is certainly not a substitute for medical care, exercise, or a heart-healthy lifestyle, the findings offer another fascinating look at the connection between companionship and cardiovascular health.

What Researchers Found in Sweden

One large Swedish study examined health and dog ownership records for more than 180,000 people who had experienced a heart attack and more than 150,000 people who had experienced a stroke.

Researchers compared dog owners with people who did not own dogs and followed their health outcomes after hospitalization.

Among heart attack survivors who lived alone, owning a dog was associated with a 33% lower risk of death compared with those who did not own a dog. Heart attack survivors who lived with a partner or child and owned a dog had a 15% lower risk.

A similar pattern appeared among stroke survivors. Those who lived alone with a dog had a 27% lower risk of death, while those who lived with another person and owned a dog had a 12% lower risk.

These findings were particularly meaningful for people living alone. Social isolation and loneliness can negatively affect both physical and emotional health, especially during recovery from a major cardiovascular event. A dog may provide daily companionship, a sense of purpose, and a reason to remain engaged with the world outside the home.

More Than 3.8 Million People Studied

A separate analysis examined data from 10 studies involving more than 3.8 million people.

Researchers found that, compared with non-owners, dog owners were associated with:

A 24% lower risk of death from any cause
A 31% lower risk of death from cardiovascular disease
A 65% lower risk of death following a heart attack

Those are significant numbers, but they need to be interpreted carefully. The studies found an association between dog ownership and better health outcomes. They did not prove that owning a dog directly causes someone to live longer.

Still, the findings support something many dog owners already understand: caring for a dog can naturally encourage several habits that are good for the heart.

How Dogs May Support Heart Health

Researchers believe there may be several reasons dog ownership is connected with better cardiovascular outcomes.

1. Dogs keep us moving

Most dogs need to be taken outside, walked, and given opportunities to play. That responsibility can encourage owners to get up and move, even on days when they might otherwise remain sedentary.

Regular physical activity can help improve blood pressure, circulation, cholesterol, blood sugar, weight management, and overall cardiovascular fitness. It does not always require an intense workout. A consistent walk around the neighborhood can be a meaningful part of a heart-healthy lifestyle.

For someone recovering from a heart attack or stroke, any exercise plan should first be discussed with a healthcare provider. Once someone is medically cleared, having a dog may provide the motivation and routine needed to remain active.

2. Dogs may help reduce isolation

Loneliness is not simply an emotional concern. Long-term social isolation has been associated with poorer health outcomes, including an increased risk of cardiovascular disease.

A dog provides a dependable presence in the home and creates opportunities for interaction. Walking a dog may lead to conversations with neighbors, visits to parks, and greater participation in the surrounding community.

For someone who lives alone, that companionship and connection may be especially important.

3. Dogs provide routine and purpose

Dogs need to be fed, exercised, cared for, and loved. Those daily responsibilities create structure.

A regular routine can be beneficial during recovery from an illness or major health event. It gives people a reason to get out of bed, move through the day, and focus on something beyond their diagnosis.

That sense of purpose may also support emotional well-being, which is an important and sometimes overlooked part of cardiovascular recovery.

4. Time with a pet can feel calming

Many pet owners describe feeling calmer when sitting with, petting, or talking to their dogs. That emotional connection may help reduce feelings of stress and anxiety.

Stress is a normal part of life, but chronic stress can contribute to elevated blood pressure, poor sleep, unhealthy eating, reduced physical activity, and other behaviors that affect heart health. A dog cannot eliminate stress, but the comfort and companionship a pet provides may help some people manage it more effectively.

What the Research Does Not Prove

As encouraging as these findings are, dog ownership should not be viewed as a medical treatment.

People who are already healthier, more active, or financially able to care for an animal may be more likely to own dogs. Those factors could contribute to some of the differences seen in the studies.

Researchers also cannot completely separate the benefits of owning a dog from the lifestyle that often accompanies it. Is it the dog itself, the additional walking, the companionship, the daily routine, or a combination of all these factors? More research is needed to answer that question.

A dog also requires time, patience, financial resources, and long-term commitment. No one should adopt a pet solely because a study suggests it might improve their health. The decision must also be right for the person, the household, and the animal.

What If You Do Not Own a Dog?

You do not need a dog to benefit from the heart-healthy habits associated with pet ownership.

The research points to several principles that everyone can incorporate into daily life:

Take regular walks, if medically appropriate.
Spend less time sitting throughout the day.
Maintain meaningful relationships with family and friends.
Look for ways to remain socially connected.
Establish healthy daily routines.
Find activities that provide purpose and enjoyment.
Talk with your healthcare provider about safe exercise following a heart attack, stroke, or other medical event.

A walking group, community organization, volunteer opportunity, exercise class, or regular visit with a friend can provide some of the same benefits of movement, connection, and routine.

The Bottom Line

The growing body of research connecting dog ownership with better cardiovascular outcomes is encouraging, especially for people who live alone or have experienced a heart attack or stroke.

A dog is not a prescription, and owning one cannot replace medication, preventive care, cardiac rehabilitation, regular exercise, or follow-up with your healthcare team. However, the habits dogs often encourage, including daily movement, social connection, stress relief, and a sense of purpose, are all important parts of a healthy life.

So, the next time your dog is waiting by the door with a leash, remember that the walk may be doing something good for both of you.

If you have experienced a heart attack, stroke, or other cardiovascular condition, speak with your healthcare provider before beginning or significantly changing your exercise routine.

Nicolas Chronos, M.D., FRCP, FACC, FESC

Source: American Heart Association journal research on dog ownership and cardiovascular outcomes and dog ownership and long-term survival.

Chronic Care Management: Because Great Healthcare Doesn’t End at Your Appointment

July 17, 2026/in blog /by Daniel Keaton

When most people think about healthcare, they think about the time they spend with their provider during an office visit.

But what happens between those appointments?

For patients living with multiple chronic conditions, that’s often when the biggest challenges arise. Questions about medications. New symptoms. Difficulty managing treatment plans. Coordinating care between specialists. Making sense of lab results. Recovering after a hospital stay.

That’s where Chronic Care Management (CCM) makes a meaningful difference.

At Lake Country Medical Group, our Chronic Care Management program is designed to provide ongoing support for eligible patients long after they leave the exam room. Rather than waiting until the next appointment, our care coordination team stays connected throughout the month, helping patients navigate their healthcare journey with confidence.

What Is Chronic Care Management?

Chronic Care Management is a Medicare-supported program designed for patients living with two or more chronic health conditions that are expected to last at least 12 months or for the remainder of their lives.

The goal is simple: provide continuous support that helps patients stay healthier, avoid unnecessary hospitalizations, and better manage their conditions every day.

Our CCM team works closely with patients by:

Coordinating care between primary care providers, specialists, hospitals, and pharmacies
Reviewing medications and helping patients stay on track
Answering healthcare questions between appointments
Following up after hospitalizations or emergency room visits
Helping patients understand and manage chronic conditions
Identifying concerns early before they become bigger health issues
Developing and updating personalized care plans
Connecting patients with community resources when needed

It’s healthcare that extends beyond the office visit and provides peace of mind knowing there’s a dedicated team available to help every step of the way.

A Program Built on Compassion

Behind every successful care coordination program is a team committed to serving patients with compassion, consistency, and excellence.

Over the past several years, Alicia Ramfos has played a vital role in building and leading Lake Country Medical Group’s Chronic Care Management program. Under her leadership, the program has grown into an essential part of how we care for patients beyond the walls of our offices.

Alicia’s dedication to patient-centered care, innovation, and collaboration has helped create a program that has positively impacted countless patients and families throughout our community.

Today, Alicia has transitioned into a new role focused on Population Health and Business Development, where she continues helping Lake Country Medical Group expand its services and strengthen the care we provide throughout the Lake Country. While her responsibilities have evolved, the patient-first philosophy she established remains the foundation of our CCM program.

Welcoming Eden Wages

As our Chronic Care Management program continues to grow, we’re excited to welcome Eden Wages as our new CCM Program Director.

Although Eden is stepping into a new leadership role, she is certainly not new to the program. This August marks three years with Lake Country Medical Group, and during that time she has been an integral member of our Chronic Care Management team.

Many patients may recognize Eden from her work in medication management and pharmacy services, but throughout her time with LCMG she has gained experience in virtually every aspect of Chronic Care Management. From working directly with patients to supporting care coordination behind the scenes, she has developed a deep understanding of the program and the people it serves.

That experience makes Eden uniquely prepared to lead the program forward. She understands that great healthcare isn’t just about treating illness, it’s about building relationships, staying connected, and helping patients feel supported every day between appointments.

Working alongside the outstanding team that Alicia helped build, Eden is committed to continuing the tradition of compassionate, personalized care while helping the program continue to grow and evolve.

Care That Never Stops

“Healthcare doesn’t happen only during office visits. Some of the most important care takes place between appointments, and that’s exactly why our Chronic Care Management team exists,” says Dr. Nicolas Chronos. “By staying connected with our patients throughout the month, we’re able to answer questions, identify concerns early, coordinate care, and ultimately help people live healthier lives.”

At Lake Country Medical Group, we believe great healthcare is built on relationships, communication, and continuity of care.

Whether you’re managing heart disease, diabetes, high blood pressure, COPD, or multiple chronic conditions, our Chronic Care Management team is here to help you stay connected, informed, and supported throughout your healthcare journey.

Because exceptional healthcare doesn’t end when your appointment is over.

It continues every day in between.

Could You Benefit from Chronic Care Management?

If you have Medicare and are living with two or more chronic health conditions, you may qualify for our Connected Care Management program. Through our Connected Care Institute, our team provides ongoing support between office visits, including personalized care planning, medication management, care coordination, and regular check-ins designed to help you better manage your health.

To learn more about our Connected Care Institute and our Chronic Care Management program, Click Here:

Or call Lake Country Medical Group at (706) 485-4004 to speak with a member of our team and learn whether Chronic Care Management is right for you.

Stop Exercising to Lose Weight. Start Exercising to Live Longer.

July 4, 2026/in blog /by Daniel Keaton

By: Karen Schwartz, DNP, WHNP-BC

For decades, many of us were taught that the primary reason to exercise was to lose weight or become thinner.

“Burn calories.” “Lose inches.” “Get bikini ready.”

While those messages were well-intentioned, they unintentionally overshadowed the greatest benefit of exercise: helping us live longer, healthier lives.

Today, research tells a much more powerful story.

Exercise is one of the most effective “medicines” we have. It lowers the risk of heart disease, stroke, type 2 diabetes, dementia, osteoporosis, depression, and several cancers. It improves sleep, mood, balance, mobility, and cognitive function. It helps preserve independence as we age. Remarkably, many of these benefits occur even when the number on the scale doesn’t change.

You Don’t Have to Become Thinner to Become Healthier

In other words, you don’t have to become thinner to become healthier.

In fact, studies consistently show that people who improve their fitness have a lower risk of premature death, even if they remain overweight. Fitness often predicts longevity better than body weight alone.

This shift in thinking is incredibly freeing.

Instead of asking:

“How many calories did I burn today?”

Ask yourself:

Did I make my heart stronger today?
Did I improve my balance?
Did I preserve my muscle?
Did I invest in my future independence?

One of the greatest changes we see with aging is the gradual loss of muscle mass and strength. This process contributes to falls, fractures, disability, and loss of independence. Regular resistance training and physical activity help slow this process, making everyday tasks, from climbing stairs to carrying groceries, easier for years to come.

Exercise is also one of the most effective treatments for fatigue, anxiety, and poor sleep. While it may seem counterintuitive, moving your body regularly often creates more energy rather than less.

A Word of Caution

Not everyone should focus on increasing exercise in the same way.

For individuals who are underweight, frail, recovering from illness, or experiencing significant muscle loss, the priority is often rebuilding strength and improving nutrition rather than burning calories. In these situations, exercise should be individualized and designed to preserve or restore muscle, improve balance, and support overall function, not promote further weight loss.

The New Goal

The goal of exercise is not simply to look better.

The goal is to:

Maintain muscle as you age.
Protect your heart and brain.
Preserve your balance and mobility.
Reduce your risk of chronic disease.
Maintain your independence.
Improve your quality of life.
Increase your chances of living a longer, healthier life.

If weight loss happens along the way, that’s perfectly fine. But it should be viewed as a possible side effect, not the primary purpose.

The next time you lace up your walking shoes, head to the gym, or take a bike ride, remember this: you’re not just exercising for today.

You’re investing in the ability to enjoy your grandchildren, travel, play golf, garden, dance at family weddings, and live life on your own terms for as long as possible.

That’s a goal worth moving for.

Lake Country Medical Group is accepting new patients.

📞 706-485-4004
🌐 www.LakeCountryMedicalGroup.com

When a Migraine Is More Than “Just a Headache”

June 12, 2026/in blog /by Daniel Keaton

Understanding Migraine Symptoms, Triggers, and Treatment Options

Most people experience headaches from time to time. A stressful week, poor sleep, dehydration, allergies, or even too much screen time can all leave you reaching for pain relievers.

Migraines are different.

A migraine is not simply a severe headache. It is a neurological condition that can affect how the brain processes pain, light, sound, movement, and even concentration. For many people, the head pain is only one part of the experience.

And while migraines are common, they are often misunderstood.

What Does a Migraine Feel Like?

Many people expect a migraine to look a certain way.

They imagine intense pain on one side of the head that forces someone into a dark room for hours.

While that can certainly happen, migraines do not always follow a textbook pattern.

Some people experience throbbing pain. Others feel pressure behind the eyes or across the forehead. Some develop nausea or vomiting. Others become extremely sensitive to light, sound, or certain smells.

Many people report feeling exhausted, mentally foggy, or unusually irritable before the headache even begins.

Some experience what is known as an aura. An aura can include visual changes such as flashing lights, blind spots, zigzag lines, or temporary disturbances in vision. Others may experience tingling sensations, numbness, or difficulty finding words.

Because migraine symptoms vary so much from person to person, diagnosis is often about understanding the entire pattern rather than focusing on a single symptom.

Looking Beyond the Pain

When evaluating headaches and migraines, healthcare providers look at much more than pain alone.

Questions often include:

How often are headaches occurring?
How long do they last?
Are they becoming more frequent?
What symptoms come with them?
Do they interfere with work, family activities, or sleep?
What treatments have been tried?
Has anything changed recently?

The answers help paint a clearer picture and guide decisions about treatment.

Common Migraine Triggers

Not every migraine has an obvious trigger, but certain patterns often emerge over time.

Common migraine triggers may include:

Poor sleep or changes in sleep schedule
Dehydration
Skipped meals
Stress
Hormonal fluctuations
Weather changes and barometric pressure shifts
Alcohol
Excessive caffeine or caffeine withdrawal
Bright lights
Strong odors
Neck tension
Extended screen time

Keeping a headache journal can be extremely helpful. Tracking when migraines occur, how long they last, associated symptoms, and potential triggers often reveals patterns that are difficult to recognize otherwise.

Sometimes the information gathered from a simple diary becomes one of the most valuable tools in creating an effective treatment plan.

The Problem With Simply “Pushing Through”

Many people who suffer from migraines become experts at functioning despite them.

They go to work.

They care for their families.

They attend events and keep commitments.

They learn how to push through the discomfort because they feel they have no other option.

Unfortunately, that can lead people to delay seeking help.

If migraines are becoming more frequent, lasting longer, requiring increasing amounts of medication, or preventing you from fully participating in daily life, it may be time for a medical evaluation.

The good news is that migraine treatment has advanced significantly in recent years.

Today, there are more options than ever before to help reduce migraine frequency, shorten attacks, and improve quality of life. Treatment plans may include lifestyle modifications, trigger management, acute medications, preventive therapies, or newer migraine-specific treatments depending on the individual patient.

The goal is not simply to get through the next migraine.

The goal is to help you experience fewer of them.

When Should You Be Concerned?

Most headaches and migraines are not dangerous, but certain symptoms should never be ignored.

You should seek immediate medical attention if you experience:

A sudden, severe headache that reaches maximum intensity within seconds or minutes
The worst headache of your life
A headache accompanied by weakness, numbness, confusion, or difficulty speaking
Vision loss or significant visual changes
A headache following a head injury
A headache accompanied by fever, stiff neck, or severe illness
A new headache beginning after age 50
A significant change in your usual headache pattern

When something feels dramatically different from what you have experienced before, it is always worth getting evaluated.

You Do Not Have to Live With Frequent Migraines

One of the most common misconceptions about migraines is that they are simply something people have to learn to live with.

They are not.

If headaches or migraines are becoming a regular part of your life, affecting your ability to work, enjoy time with family, travel, exercise, or simply feel your best, there may be treatment options available that can help.

At Lake Country Medical Group, we believe patients deserve answers, support, and access to care that helps them live healthier, more comfortable lives.

Because while migraines may be common, they should never be dismissed.

And the right treatment can make a meaningful difference.

If you are experiencing frequent headaches or migraines, talk with your healthcare provider about your symptoms and treatment options.

Lake Country Medical Group is accepting new patients.

📞 706-485-4004
🌐 www.LakeCountryMedicalGroup.com

Magnesium Deficiency: Signs, Symptoms, and Why So Many Adults May Be Low

May 20, 2026/in blog /by Daniel Keaton

By Nicolas Chronos, MD, FACC, FESC , Karen Schwartz, DNP, WHNP-BC and Dr. Phoebe Sahawneh, PharmD

Understanding the Importance of Magnesium for Your Health

Magnesium may not get as much attention as vitamins like D or B12, but it plays a critical role in nearly every major system in the body. From supporting heart health and muscle function to helping regulate sleep, mood, and energy production, magnesium is essential for overall wellness.

According to Dr. Nicolas Chronos, magnesium is one of the most overlooked nutrients in modern healthcare.

“Magnesium is involved in hundreds of cellular processes throughout the body,” says Dr. Chronos. “It supports cardiovascular health, nerve signaling, muscle function, and energy production. When levels are low, the effects can show up in ways many people would never immediately connect to magnesium.”

At Lake Country Medical Group, providers are seeing increasing interest in magnesium deficiency, especially among adults experiencing fatigue, muscle cramps, poor sleep, headaches, or ongoing stress.

A Collaborative Approach to Wellness at Lake Country Medical Group

At Lake Country Medical Group, patient care often involves collaboration across multiple specialties to help patients better understand the many factors that can impact their overall health and wellness.

This article was developed with insight from:

Dr. Nicolas Chronos, cardiologist and founder of Lake Country Medical Group, who focuses on cardiovascular health, prevention, and whole-body wellness
Karen Schwartz, Women’s Health Nurse Practitioner and primary care provider at Lake Country Medical Group, who works closely with patients on preventive care, hormone health, bone health, fatigue, sleep concerns, and overall wellness
Dr. Phoebe Sahawneh, part of Lake Country Medical Group’s PharmD and medication reconciliation team, who helps patients and providers evaluate medications, supplements, interactions, and overall medication safety

Together, the team works to help patients identify underlying factors that may be contributing to symptoms like fatigue, muscle cramps, headaches, poor sleep, and low energy, including potential nutritional deficiencies such as magnesium deficiency.

How Common Is Magnesium Deficiency?

Research suggests magnesium deficiency may be far more common than many people realize.

National nutrition surveys indicate that nearly half of U.S. adults do not consume enough magnesium through diet alone. Some researchers estimate that a majority of adults may have what is known as chronic latent magnesium deficiency, meaning magnesium stores within the body are depleted even when standard bloodwork appears normal.

One reason magnesium deficiency can be difficult to detect is because less than 1% of the body’s magnesium is found in the bloodstream. Most magnesium is stored in bones, muscles, and tissues.

“Patients are often surprised to learn that a normal lab result does not always rule out low magnesium stores,” explains Dr. Phoebe Sahawneh. “The body works very hard to maintain stable blood levels, even when overall magnesium reserves may be declining.”

Symptoms of Low Magnesium

Because magnesium supports so many body systems, deficiency symptoms can vary from person to person.

Common signs of magnesium deficiency may include:

Muscle cramps or muscle tension
Fatigue or low energy
Trouble sleeping
Increased stress or anxiety
Headaches or migraines
Weakness
Tingling sensations
Irregular heartbeat in more severe cases

“These symptoms are often nonspecific, which means they can easily be attributed to stress, aging, or other health conditions,” says Karen Schwartz, WHNP-BC. “For many patients, symptoms like fatigue, poor sleep, headaches, or muscle tension may have several contributing factors, including nutritional deficiencies that are often overlooked.”

Karen Schwartz notes that magnesium also plays an important role in bone health, muscle function, stress regulation, and overall wellness.

Why Are So Many People Low in Magnesium?

Several modern lifestyle factors may contribute to widespread magnesium deficiency.

Processed Foods and Modern Diets

Many highly processed foods contain significantly less magnesium than whole, unprocessed foods. Refining grains and processing packaged foods can strip away much of their natural mineral content.

Changes in Soil and Farming

Research has also shown that fruits and vegetables may contain lower mineral levels today than they did decades ago due to changes in farming practices and soil depletion.

Aging and Medications

As people age, the body may absorb magnesium less efficiently. Certain medications can also lower magnesium levels over time, including:

Acid-reducing medications
Some diuretics
Certain antibiotics
Some medications used for blood pressure or heart conditions

“This is where medication review becomes especially important,” explains Dr. Phoebe Sahawneh. “Many patients do not realize their medications may impact nutrient levels. Our medication reconciliation team helps evaluate the full picture, including possible interactions, deficiencies, and supplement considerations.”

Best Food Sources of Magnesium

Increasing magnesium-rich foods is often the first step providers recommend.

Foods naturally high in magnesium include:

Leafy green vegetables
Almonds and cashews
Pumpkin seeds
Avocados
Beans and legumes
Whole grains
Dark chocolate
Bananas

“Nutrition remains foundational,” says Dr. Chronos. “Supplements can sometimes help, but healthy dietary habits are still incredibly important for long-term health.”

Should You Take a Magnesium Supplement?

Not all magnesium supplements are the same. Different forms of magnesium vary in how well they are absorbed and tolerated.

Some forms are commonly used for muscle support and sleep, while others may be more likely to cause digestive side effects.

According to Dr. Phoebe Sahawneh, choosing the right supplement should depend on the individual patient, their symptoms, medications, and overall health history.

“Patients often walk into the store and see multiple magnesium products without knowing the differences,” she says. “That is why it is important to discuss supplements with your healthcare provider or pharmacist before starting them.”

The Bottom Line on Magnesium and Overall Wellness

Magnesium is a vital mineral that supports heart health, sleep, muscle function, energy production, and nervous system balance. Yet many adults may not be getting enough through diet alone.

If you are experiencing persistent fatigue, muscle cramps, headaches, poor sleep, or increased stress, it may be worth discussing magnesium levels and nutritional health with your provider.

At Lake Country Medical Group, the care team works collaboratively across specialties, including cardiology, primary care, women’s health, and medication management, to help patients better understand the factors that may be impacting their overall wellness.

Lake Country Medical Group is currently accepting new patients. If you would like to learn more about our services or schedule an appointment with a member of our team, we are here to help.

706-485-4004
lakecountrymedicalgroup.com

Strong Bones, Stronger Future

May 14, 2026/in blog /by Daniel Keaton

By Dr. Eric Silver and Karen Schwartz, DNP, WHNP-BC

A Conversation on Osteoporosis and Women’s Health

It usually does not start with a diagnosis.

It starts with something small. Maybe your back feels a little different. Maybe your posture has changed over time. Maybe someone mentions you seem a little shorter than you used to be.

Or sometimes, there are no signs at all. Until there is a fracture.

That is what makes osteoporosis so easy to overlook and so important to talk about.

So we sat down with two of our very own to ask the questions many women are not always thinking about, but should be.

Eric Silver, MD and Karen Schwartz, DNP, WHNP-BC shared their insight on what osteoporosis is, why it matters, and what you can do to stay ahead of it.

What is osteoporosis, and why does it matter?

Dr. Silver:
Osteoporosis is a condition where bones become weaker and more fragile over time. The challenge is that it develops quietly. Most people do not realize it is happening until a fracture occurs.

Karen:
And by that point, bone loss has often been happening for years. That is why awareness and early conversation are so important.

Why are women at higher risk?

Karen:
Women naturally have lower bone density than men, and hormonal changes play a big role. Around menopause, estrogen levels drop, and that can accelerate bone loss.

Dr. Silver:
When you combine that with longer life expectancy, the risk increases over time. It is something we want to be proactive about, not reactive.

Are there signs women should be watching for?

Karen:
There are not always obvious symptoms, which makes it tricky. But there are a few subtle signs we talk with patients about.

Loss of height over time
Changes in posture
Back pain without a clear cause
Fractures that happen more easily than expected

Dr. Silver:
Even small changes like those are worth paying attention to. They can be early indicators that something is changing with your bone health.

When should women start thinking about prevention?

Dr. Silver:
Earlier than most people think. Bone health is something you build over time.

Karen:
The habits you develop in your 20s, 30s, and 40s make a big difference later on.

Dr. Silver:
That includes getting enough calcium and vitamin D, staying active with weight-bearing exercise, and avoiding smoking.

Karen:
And understanding your personal risk factors. Family history, medications, and certain health conditions all play a role.

When should you be screened?

Karen:
For many women, bone density screening starts around age 65.

Dr. Silver:
But some women may need to be screened earlier depending on their risk factors.

Karen:
That is why it is important to have a provider who knows your history and can guide you based on what is right for you.

How does bone health fit into overall wellness?

Dr. Silver:
It is all connected. Bone health is not separate from the rest of your health.

Karen:
It ties into hormones, nutrition, physical activity, and even long-term independence and quality of life.

Dr. Silver:
That is why we take a comprehensive approach. We are not just looking at one issue. We are looking at the whole picture.

What is the biggest takeaway for women?

Karen:
Osteoporosis is common, but it is not something you have to wait for.

Dr. Silver:
There are steps you can take now that make a real difference later.

Karen:
And those steps do not have to be complicated. They just have to be consistent.

Let’s Start the Conversation

Your health is built over time. The earlier you start the conversation, the more you can protect what matters most in the years ahead.

If you have questions about your bone health, your risk factors, or whether it is time for screening, we are here to help.

📞 Call us at 706-485-4004
🌐 Visit lakecountrymedicalgroup.com

Now Accepting New Patients

Women’s Health, Stress, and the Heart: A Conversation That Matters

April 23, 2026/in blog /by Daniel Keaton

By Dr. Nicolas Chronos and Karen Schwartz, DNP, WHNP-BC

From Dr. Nicolas Chronos

In cardiology, one of the most important shifts we have made in recent years is recognizing that women’s heart health does not always follow the same patterns we see in men.

Stress, hormonal changes, and conditions like microvascular disease often present differently, and they require a more integrated approach to care.

That is why I believe strongly in partnering with experienced women’s health providers who understand these connections at a deeper level.

I am pleased to introduce Karen Schwartz, DNP, WHNP-BC, whose work focuses on caring for women through every stage of life, with particular expertise in menopause and long-term wellness.

From Karen Schwartz, DNP, WHNP-BC

If there is one thing I have learned over more than two decades in women’s health, it is this:

Women are often carrying more than anyone realizes.

Between careers, families, caregiving, and the constant pressure to keep everything moving, many women learn to push through symptoms rather than pause and ask what their body may be trying to tell them. Stress becomes normalized. Fatigue becomes expected. Changes in sleep, mood, or energy are often brushed aside.

But over time, those signals begin to matter.

Chronic stress does not just affect how you feel emotionally. It can influence your cardiovascular system, your metabolism, your sleep patterns, and your overall resilience. It can raise blood pressure, contribute to inflammation, and change how your body responds to everyday demands.

And for many women, this is happening at the same time as hormonal change.

Perimenopause and menopause represent one of the most significant physiologic transitions in a woman’s life. As estrogen levels decline, we begin to see shifts that affect far more than reproductive health. There are real and measurable changes in cardiovascular risk, bone density, body composition, cognitive clarity, and mood.

This is also the time when many women begin to notice symptoms that do not always have a simple explanation.

You may feel more fatigued than usual. You may notice shortness of breath with activities that once felt easy. You may experience chest discomfort that may not feel like the “classic” crushing or pressure-like pain often described with heart attacks. Instead, it may feel like tightness, burning, aching, heaviness, sharp discomfort, or pain in the jaw, back, neck, shoulder, or upper abdomen. You may feel like your endurance has changed, or that your body is responding differently to stress.

Any new, worsening, persistent, or unexplained chest discomfort should be treated as urgent and evaluated immediately, especially if it occurs with shortness of breath, sweating, nausea, dizziness, or weakness.

In some cases, these symptoms can be related to what is known as microvascular disease.

Unlike traditional heart disease, which involves blockages in larger coronary arteries, microvascular disease affects the smaller vessels of the heart. These vessels play a critical role in delivering oxygen and nutrients, and when they are not functioning properly, the symptoms can be subtle but very real.

What makes this challenging is that standard cardiac testing does not always detect these changes right away. That can lead to frustration for patients who know something is not right, even when initial tests appear normal.

This is one of the reasons why listening carefully and looking at the full clinical picture is so important.

My approach to care is rooted in understanding that no single symptom exists in isolation.

When I meet with a patient, we are not just discussing one concern. We are looking at how stress, hormonal changes, lifestyle factors, and medical history all intersect. We are identifying risk early, not waiting for problems to become advanced. And we are creating a plan that is both proactive and personalized.

For some women, that plan may include focused lifestyle strategies. Nutrition, movement, sleep, and stress management are foundational and often underestimated in their impact.

For others, it may include targeted therapies, whether that involves hormone therapy when appropriate, non-hormonal options, or additional evaluation to better understand cardiovascular risk.

For many, it is simply having a space where they feel heard and understood.

I believe menopause is not something to endure. It is a transition to navigate with the right support and the right information.

I also believe that women deserve to understand what is happening in their bodies, not just be told that it is normal.

Because while some changes are expected, that does not mean they should be ignored.

Your energy matters.
Your clarity matters.
Your long-term health matters.

My goal is to partner with you in a way that supports not just symptom relief, but long-term wellness, helping you feel your best now while also protecting your health for the future.

Now Accepting New Patients

Karen Schwartz, DNP, WHNP-BC, is now seeing patients at Lake Country Medical Group.

If you are navigating menopause, experiencing changes in your health, or simply looking for a more comprehensive approach to women’s care, we are here for you.

Call 706-485-4004 or visit lakecountrymedicalgroup.com to learn more or schedule an appointment.