1. Lifestyle Modifications in Lupus: What’s the Evidence? Margy Holyst, M.D.

2.  Chronic disease  Active participant in health care  Improve sense of well being  Quality of life Why Lifestyle Modifications?

3.  Social wellbeing  Emotional wellbeing  Financial wellbeing Quality of Life

4.  Catch all title  Licensed professionals or certified instructors  High usage Complementary and Alternative Medicine

5.  Ancient practice  Part of Traditional Chinese Medicine  Different forms Acupuncture

6.  Chronic pain  Low back  OA of the knee  fibromyalgia Acupuncture

7.  Very little in medical literature for lupus  Pilot study  Potential benefit without risk Acupuncture

8.  Not been formally studied in lupus  Studied in RA  Form of yoga  Iyengar yoga  Hatha yoga  unspecified  Tailored to RA Yoga and Meditation

9.  Improved  Energy  Mood with decrease depression  Relaxation  Range of motion & balance  Coping, self-efficacy  Pain Yoga

10.  Breathing and meditation  With or without yoga  Stress management tool Yoga and Meditation

11.  OA and low back pain  Reduces pain  Increases range of motion  Improves coordination Chiropractic Care

12.  No studies in SLE or related autoimmune diseases  Theory  Restore normal motion  Return of alignment  Prevent undue stress on joint(s) Chiropractic Care

13.  No studies in SLE  One study in RA with benefit  Case study  Improvement in pain, fatigue, ROM, quality of life Therapeutic Massage

14.  Effective in OA of knee and low back pain  Decreases pain and improves function in osteoarthritis of the knee  Decreases pain and increases ROM in back pain  Benefit in timed coupling with chiropractic care Therapeutic Massage

15.  Depression common  As high as 45%  Anxiety common  As high as 37% Taking Care of You

16.  Counseling  Stress management  Groups focused on  Education  Coping strategies Taking Care of You

17.  Herbal supplements are medically active  Studies done primarily in Asia  Purity  Quality  Single ingredients Herbal Supplements

18.  Licensed practitioner  Quality  Safety  Tell all your providers about all of your supplements Herbal Supplements

19.  Proper nutrition is important  Copious amounts of information  No studies  Avoid foods that make you feel ill Nutrition

20.  Find what works for you  Be an informed consumer  Websites  Resources from Wellness Series What is a Person to Do?