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Chronic Care Management

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

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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.

Exercise Blog

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

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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

Migraines

When a Migraine Is More Than “Just a Headache”

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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 blog

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

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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 osteoporosis

Strong Bones, Stronger Future

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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

April Blog

Stress Awareness Month: The Hidden Strain on Your Body

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By Nicolas Chronos, MD, FACC, FESC

April is Stress Awareness Month, and it serves as an important reminder that stress is not just an emotional experience. It is a physiological process that can affect nearly every organ system in the body.

In many ways, stress has become part of the background noise of modern life. We move quickly from one responsibility to the next, often without taking time to recognize what our bodies are experiencing along the way.

What I often tell patients is this. The body keeps score.

Even when we believe we are managing stress well, the body may be telling a different story.

Understanding the Stress Response

Stress begins in the brain. When you perceive a threat, whether physical or emotional, your body activates a complex system involving the hypothalamus, pituitary gland, and adrenal glands. This is known as the HPA axis.

This system releases hormones such as cortisol and adrenaline, which prepare the body to respond.

You may notice:

  • Increased heart rate
  • Elevated blood pressure
  • Faster breathing
  • Heightened alertness

This response is designed to be temporary. It is highly effective in short bursts.

However, the challenge today is that many people are not experiencing short bursts of stress. They are experiencing a constant, low-grade activation of this system.

Over time, that changes how the body functions.

What Chronic Stress Does to the Heart

From a cardiovascular standpoint, chronic stress places a continuous burden on the heart and blood vessels.

When cortisol levels remain elevated, several things can occur:

  • Blood vessels become less flexible
  • Blood pressure remains persistently elevated
  • Inflammatory markers increase
  • Cholesterol levels may be affected

This combination creates an environment where atherosclerosis, or plaque buildup in the arteries, can develop more rapidly.

We also see an increased risk of arrhythmias, particularly in patients who are already predisposed.

In more acute situations, intense emotional or physical stress can trigger a condition known as stress-induced cardiomyopathy, sometimes referred to as Takotsubo syndrome. This is a temporary weakening of the heart muscle that can mimic a heart attack.

The Hormonal and Metabolic Effects

Stress does not stop at the cardiovascular system.

Cortisol plays a central role in metabolism, and when levels remain elevated, it can lead to:

  • Increased blood sugar levels
  • Insulin resistance
  • Weight gain, particularly around the abdomen
  • Disruptions in appetite regulation

Over time, these changes can increase the risk of developing conditions such as Type 2 diabetes and metabolic syndrome.

Stress also affects other hormones, including those that regulate sleep and energy, which is why many people under stress report feeling both fatigued and unable to rest.

The Brain and Nervous System

Chronic stress has a direct impact on the brain.

It can affect areas responsible for memory, decision-making, and emotional regulation. Patients may describe:

  • Difficulty concentrating
  • Feeling mentally “foggy”
  • Increased irritability or anxiety
  • A lower threshold for feeling overwhelmed

Sleep is often one of the first areas affected. When the brain remains in a heightened state of alertness, it becomes more difficult to fall asleep and stay asleep.

This creates a cycle where poor sleep further amplifies stress, and stress continues to disrupt sleep.

The Immune System Connection

One of the more overlooked effects of chronic stress is its impact on the immune system.

Short-term stress can temporarily enhance immune response. But over time, chronic stress suppresses immune function.

This can lead to:

  • Increased susceptibility to infections
  • Slower healing
  • Greater levels of systemic inflammation

Inflammation, in particular, is a key factor in many chronic diseases, including cardiovascular disease.

Why Stress Often Goes Unrecognized

One of the most important points to understand is that stress does not always present itself in obvious ways.

Patients rarely come in saying, “I am dealing with chronic stress.”

Instead, they come in with:

  • Elevated blood pressure
  • Persistent fatigue
  • Poor sleep
  • Headaches or muscle tension
  • Digestive concerns

Part of our role as physicians is to connect these dots.

When we step back and look at the full picture, stress is often a contributing factor.

Practical Strategies That Make a Difference

Managing stress does not require removing every source of pressure from your life. That is not realistic.

What we focus on instead is helping the body return to a more balanced state.

Some of the most effective approaches include:

Consistent Sleep
Sleep is one of the most powerful tools for regulating stress hormones. Establishing a regular sleep schedule can significantly improve how the body responds to stress.

Physical Activity
Exercise helps reduce cortisol levels and improves cardiovascular health. This does not have to be intense. Even regular walking can have a meaningful impact.

Structured Breaks
Taking intentional pauses during the day allows the nervous system to reset. Even a few minutes can be beneficial.

Limiting Constant Input
Continuous exposure to news, emails, and digital notifications keeps the brain in a state of alertness. Creating boundaries around this can reduce mental strain.

Connection and Support
Spending time with others, whether family, friends, or community, plays an important role in buffering stress.

In some cases, additional support such as counseling or guided stress management techniques may be appropriate.

When It Is Time to Take a Closer Look

If you are noticing persistent symptoms such as fatigue, poor sleep, elevated blood pressure, or a general sense that your body is not functioning as it should, it may be time to take a closer look.

At Lake Country Medical Group, we approach care by looking at the whole person. That includes understanding how stress, lifestyle, and underlying medical conditions interact.

Addressing stress is not separate from medical care. It is part of it.

A Final Thought

Stress is not always something we can eliminate. But it is something we can better understand and manage.

The earlier we recognize its effects, the more opportunity we have to prevent long-term damage.

Your body is constantly communicating with you. The key is learning how to listen.

If you have been feeling the effects of stress, this is a good time to take a step back and refocus on your health.

Take the Next Step

If stress is beginning to affect how you feel day to day, you do not have to navigate it alone.

Our team at Lake Country Medical Group is here to help you take a closer look at your overall health and develop a plan that supports both your physical and mental well-being.

You can learn more or request an appointment by visiting www.lakecountrymedicalgroup.com or by calling (706) 485-4004.

By Nicolas Chronos, MD, FACC, FESC

Why Vitamin D matters this flu season

Why Vitamin D Matters This Flu Season

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A simple step that may help protect your lungs

As flu season approaches, many people begin thinking about how to stay healthy through the winter months. Respiratory illnesses such as influenza and pneumonia become more common this time of year, and for older adults or those with chronic conditions, recovery can be more difficult. While vaccines and preventive care remain essential, growing research suggests that vitamin D levels may play an important and often overlooked role in long-term recovery from lung infections.

In a large study of more than 500 older adults hospitalized with community-acquired pneumonia, researchers measured vitamin D levels shortly after admission and followed patients for six months after they returned home. What they found was striking. Patients who were truly deficient in vitamin D had a significantly higher risk of death at both three and six months following hospitalization. Those with only mildly low levels did not face the same risk. Vitamin D levels did not appear to affect short-term survival during the hospital stay, but they were strongly linked to recovery and survival after discharge.

Simply put, low vitamin D did not always make people sicker right away, but it mattered greatly once patients were back home and trying to heal.

This information is especially relevant during flu season, when the risk of respiratory illness increases. Conditions such as influenza and pneumonia can worsen existing lung or heart disease and place added strain on the immune system. Vitamin D plays a role in supporting immune function, helping the body fight infection, and regulating inflammation that can damage lung tissue when it becomes excessive.

Winter months also make vitamin D deficiency more common. Shorter days and reduced sunlight exposure, combined with more time spent indoors, naturally lower vitamin D levels. In rural communities, these challenges can be compounded by limited access to routine lab testing and preventive care, right when immune support is most needed.

Certain individuals may be at higher risk for low vitamin D levels, including those who:

  • Are over age 65
  • Spend little time outdoors
  • Have a history of pneumonia, flu, or frequent infections
  • Live with chronic conditions such as heart disease, lung disease, or diabetes

For these patients, identifying and correcting vitamin D deficiency may be a simple but meaningful step toward better health during the winter months.

A vitamin D level can be checked with a straightforward blood test, and supplementation may be recommended when appropriate. Vitamin D is affordable and widely available, but dosing should always be individualized. Taking more than needed is not beneficial and should be guided by your healthcare provider. It is also important to remember that vitamin D is not a replacement for proven preventive measures such as flu vaccination, pneumonia vaccination when appropriate, good hand hygiene, and seeking care early when symptoms arise. Think of vitamin D as one layer of protection, not the only one.

Maintaining healthy vitamin D levels is part of a broader approach to winter wellness. As flu season begins, addressing vitamin D deficiency may offer a low-cost, low-risk way to support immune health and recovery, particularly for patients living right here in the Lake Country.

If you have questions about vitamin D testing or would like to discuss whether supplementation is right for you, we’re here to help.

By Dr. Nicolas Chronos

Lake Country Medical Group

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

December Wellness Blog

December Wellness Blog: A Fresh Start Begins Today

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As the year winds down, many people start thinking about how they want to feel in the months ahead. December is a natural time to reset, refocus, and take steps that support better health. Lake Country Medical Group is here to help you begin the new year with confidence, especially when it comes to effective weight management and understanding your healthcare benefits.

A New Approach to Weight Loss with GLP-1 Medications

For many adults, losing weight is not as simple as diet and exercise alone. Hormones, metabolism, medical conditions, and lifestyle all influence how the body responds to weight loss efforts. This is why GLP-1 weight loss medications have become a powerful and science backed option for patients who have struggled to see results.

GLP-1 medications work by supporting healthy blood sugar control, helping you feel full longer, and reducing cravings. When paired with provider guided support, they can help patients reach meaningful and sustainable progress.

At Lake Country Medical Group, medical weight loss is always individualized. Our providers take the time to understand your goals, review your health history, and create a plan that fits your needs. We focus on safe, evidence based care that supports long term success.

Featuring Kim Warnock, NP-C

picture of Kimberly Warnock

One of the team members leading our weight management program is Kim Warnock, NP-C. Kim is dedicated to helping patients navigate every step of their weight loss journey, including deciding whether GLP-1 therapy is the right option.

Patients appreciate her ability to listen, explain, and design a plan that feels realistic for everyday life. Kim is known for her supportive approach and her commitment to helping patients build healthy habits that last. Her guidance has helped many individuals achieve progress they did not think was possible.

To learn more about Kim Warnock, NP-C, Click here –> https://lakecountrymedicalgroup.com/about-us-healthcare-professionals/kim-warnock-np/

Stay tuned for more updates on what’s ahead with oral GLP-1 medications, TrumpRX, and other exciting developments.

A Smart Time to Review Your Deductible and Out-of-Pocket Costs

December is also an ideal month to review your health insurance benefits. Many patients have already met their deductible or out-of-pocket maximum for the year. If that applies to you, completing recommended care before December 31 can lower your costs.

Consider scheduling:

• Annual physicals
• Preventive care visits
• Specialist follow-ups
• Lab work or imaging
• Weight management consultations

If you are unsure about what your plan covers, our team is happy to help you review your benefits so you can make informed decisions.

Start the New Year With a Healthier Plan in Place

If you are thinking about weight loss support, exploring GLP-1 options, or looking for a more structured medical weight management plan, now is the perfect time to begin. Small steps taken in December can create a strong foundation for progress in the year ahead.

Our team is here to offer guidance, resources, and personalized care that supports your goals as you move into a new season of health. You deserve care that helps you feel your best right here in our Lake Country community.

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

By Dr. Nicolas Chronos

Lake Country Medical Group

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

Are Your Medications Working Together or Against You? Holiday Travel Tips for Staying Safe

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By Dr. Nicolas Chronos

The holidays are a time for travel, family, and celebration, but for many, they also bring changes to routines that can make managing medications a little more complicated. Whether you’re packing up for a trip or hosting loved ones at home, it’s easy for medication schedules to get off track.

That’s why this season is the perfect time to make sure your medications are working together, not against you.

Why Medication Reconciliation Matters

When you take multiple prescriptions, or even combine them with over-the-counter medications and supplements, it’s important to know how they interact. Medication reconciliation is the process of reviewing everything you take to ensure safety, avoid duplication, and confirm that each medication still fits your current care plan.

At Lake Country Medical Group, our team takes the time to review your full list of medications, identify potential conflicts, and coordinate with your specialists and pharmacies to make sure everything is aligned.

How Chronic Care Management Supports You

Medication reconciliation is available to patients who are part of our Chronic Care Management (CCM) program. This program is designed for individuals living with two or more chronic conditions, such as diabetes, hypertension, heart disease, COPD, or arthritis, who need ongoing support between office visits.

Through CCM, patients receive personalized, monthly check-ins from our care coordination team. These regular touchpoints help ensure that medications, test results, and treatment plans all stay up to date. It’s proactive care that helps prevent complications, reduces hospital visits, and provides peace of mind knowing someone is always watching out for your health.

If you qualify, enrolling in CCM gives you access to our dedicated medication reconciliation services so you can be confident your medications are safe, effective, and working together as they should.

Call us today to see if you qualify for this covered service through your insurance.

And whether you’re enrolled in Chronic Care Management or not, the holidays are a good time for everyone to take a closer look at their medication routine. These simple steps can help keep you safe and organized wherever the season takes you.

Traveling for the Holidays? Keep These Tips in Mind

  • Update your medication list. Bring an up-to-date list of all prescriptions, doses, and schedules, or keep it saved on your phone.
  • Pack more than you need. Plan for travel delays by bringing a few extra days’ worth of medications.
  • Keep medications in original containers. This helps with identification if you need to visit a pharmacy or provider while away.
  • Don’t forget time zones. If you’re traveling across time zones, talk with your provider about how to adjust your schedule safely.
  • Bring your provider’s contact information. If an issue arises, you’ll be able to get quick guidance from a team that knows your history.

Your Health, Wherever You Go

A quick medication review before you travel can help prevent serious issues, from missed doses to dangerous interactions. Our Chronic Care Management and Medication Reconciliation programs are designed to make sure you can enjoy your holiday season with confidence and peace of mind.

No matter where the holidays take you, just know we are here to help you stay safe, healthy, and well.

Lake Country Medical Group

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

Can Plant-Based Eating Lower Your Cancer Risk?

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By Dr. Nicolas Chronos

When it comes to lowering your risk for cancer, what you put on your plate may play a bigger role than you think. A growing body of research suggests that vegetarian and plant-forward diets are linked to a meaningful reduction in cancer risk, and the benefits extend beyond cancer prevention.

Of course, eating more plants and cutting back on meat is not always easy. Between college football tailgates, holiday parties, and busy weeknights when takeout feels like the only option, making healthier choices can be a challenge. The good news is that even small, simple changes add up.

Lower Overall Risk

Studies show that people who follow vegetarian diets have about a 12% lower risk of developing any type of cancer compared with non-vegetarians. That does not mean you have to go fully vegetarian. It means leaning more toward plant-based meals whenever you can make a difference.

Certain Cancers See Stronger Protection

Some cancers seem especially impacted by diet. For example:

  • Colorectal cancer – 21% lower risk
  • Stomach cancer – 45% lower risk
  • Lymphomas/lymphoproliferative cancers – 25% lower risk

This research highlights how even small choices, such as opting for a grilled vegetable wrap rather than a hot dog at a game, can contribute to long-term health.

Not All Vegetarian Diets Are the Same

Different types of plant-based eating patterns show varying benefits:

  • Vegans: 24% lower risk of all cancers
  • Lacto-ovo vegetarians (include dairy and eggs): 9% lower
  • Pesco-vegetarians (include fish): 11% lower

The more plant-forward your diet, the greater the protective effect. But do not stress. You do not have to be perfect to see benefits.

The Gut Connection

Your gut microbiome, the trillions of bacteria that live in your digestive system, may be part of the reason plant-based diets protect against cancer. People who eat more plant foods tend to have more beneficial gut bacteria, while diets high in meat are linked to bacteria associated with colon cancer. Adding beans to your chili or swapping in whole grains for white bread are easy ways to start supporting your gut health.

Age Can Make a Difference

Interestingly, the impact of diet can vary depending on age:

  • Younger vegans had a lower risk of breast and prostate cancers
  • Older vegans saw reduced risk for lymphomas

Why Red and Processed Meats Matter

The evidence remains strong that processed meats (like bacon, sausage, and deli meat) and red meats raise the risk of stomach and colorectal cancers. While a burger at a cookout now and then is not the end of the world, making plant-based swaps most of the time can really pay off for your long-term health.

Diet Is Just One Piece of the Puzzle

While eating more plants is a great step toward prevention, cancer risk is also shaped by other lifestyle choices. Additional strategies include:

  • Staying physically active (even a brisk walk during halftime counts)
  • Maintaining a healthy weight
  • Avoiding smoking and limiting alcohol
  • Protecting skin from UV exposure
  • Keeping up with screenings and recommended vaccinations

Beyond Cancer: Whole-Body Benefits

Plant-based diets do not just lower cancer risk. They are also linked to better heart health, longer life expectancy, and overall wellness.

Easy Plant-Based Swaps to Try

Getting started does not have to be complicated. Here are a few simple swaps you can make today:

  • Trade burgers for black bean or turkey burgers
  • Replace half the meat in chili or tacos with beans or lentils
  • Choose grilled fish or chicken instead of red meat
  • Make half your plate vegetables at dinner
  • Snack on nuts, fruit, or hummus with veggies instead of chips

The Takeaway

You do not have to give up meat completely to benefit. The key is to eat more whole grains, fruits, vegetables, and beans while cutting back on red and processed meats. Whether it is choosing the veggie side dish at a tailgate, grilling fish instead of steak, or adding an extra serving of vegetables to dinner, every little change helps.

If you would like guidance on nutrition or ways to reduce your personal risk, our team is here to support your health journey.

📞 Lake Country Medical Group: 706-485-4004
🌐 www.lakecountrymedicalgroup.com