Gluten Sensitivity

January 11th, 2012

Please note that I waited until AFTER the holiday feasting to talk about Gluten!  If you have weight or health concerns, it’s not too late to make another New Year’s Resolution.  My recommendation, and that of more and more doctors and other health professionals worldwide, would be to eliminate wheat from your diet.  If you are really serious about getting healthy, add sugar to the list.

Have you noticed how many gluten-free products are showing up in your bakeries and grocery stores?  Add that to your realization that with each generation Americans are getting heavier, less healthy and more prone to diabetes.

Since learning that I am gluten intolerant, I have beome increaingly interested in finding the cause.  I was led to Dr. William Davis’s new best-selling book “Wheat Belly” and  took it with me to the International Lymphology Congress in Sweden last September.  I shared a room with Carol Johnson, OTR/L, the technical advisor and design consultant for JoViPak..  Neither Carol nor i could adjust to the time change so instead of sleeping, she sat up in bed and knitted a baby sweater while I read “Wheat Belly” out loud.

No one explains the gluten phenomenon better than Dr. Davis.  He is a preventive cardioloigist who sees obesity daily in his practice and was determined to better understand weight gain, including the midline fat buildup, and its connection to heart disease, diabetes and the immunological and neurological disorders, i.e. celiac disease, rheumatoid arthritis and dementia.  As medical director of an online heart disease prevention program, “Track Your Plaque,” he makes a very convincing argument for eliminating wheat products from our diet.  He points out that bread is no longer the sturdy staple of our ancestors: today’s wheat has been genetically altered to provide processed-food manufacturers the greatest yield at the lowest cost . . . at the expense of our health.  The back cover of his book is a real attention getter.  It shows two pieces of whole wheat bread (which we have all been taught is healthy food) with the caption “eating two slices of whole wheat bread can increase blood sugar more than 2 tablespoons of pure sugar.”  If you are one who follows the Glycemic Index (the comparative blood sugar effects of carbohydrates)  you will find it interesting to note that white bread is 69, whole grain bread 71, yet a Snickers candy bar is only 41!

Everyone I know who has read the book and has chosen to eliminate wheat from their diet, including Carol and myself, are amazed at the changes they are experiencing;  rapid weight loss, recovery from intestinal woes, reduction in overall cholesterol and LDL counts, cessation of skin conditions, i.e. psoriasis, oral ulcers and hair loss; even a reduction of inflammation and rheumatoid arthritis pain.  I lost 8 pounds in the first three weeks and my muffin top disappeared!  Needless to say, this is a New Year’s resolution I intend to stick with.  Both Carol and I feel so much better and are grateful for Dr. Davis’s commitment to find the source of so many of our present-day health issues.

If you would like to listen to a Dr. William Davis pod cast, you can go to www.bengreenfieldfitness.com,  Click on pod costs and search for Episode #176, The Shocking Truth About Wheat.  (Note:  You will have to wade through a lot of fitness information before you hear Dr. Davis, but it is worth the wait.) As a lymphedema therapist, I was particularly interested to hear that Dr. Davis noticed his patients had a significant reduction in lower extremity edema once they eliminated wheat from their diet.  Do I need to say more?

To Your Good Health,

JoAnn

 

 

 

 

 

 

Osteoporosis

October 26th, 2011

The days seem to fly by and the amount of information I want to share with you just keeps piling up.
There are two subjects weighing heavily on my psyche.  One is osteoporosis and the other is gluten
sensitivity.

My concern about bone integrity came about when one of our JoViPak seamstresses came to work with a broken rib.
“Did you fall?” I asked her. “No,” she replied.  ”I had a chiropractic adjustment and I left his office with a broken rib.”
“Did he tell you to get a bone density test?” I asked.  ““No,”  she answered, “he just told me to take more vitamins.”
Before I let you know how angry I was, I want to make sure you understand that I have a high regard for chiropractors; however,
as with any profession, there are always a few who give the profession a bad name and this guy is certainly one of them.
I insisted she go to her GP and ask for a bone density test and sure enough, her test indicates she has osteoporosis.

In my attempt to guide her and give her sound nutritional advice, I read a marvelous  new book entitled, “Your Bones – How You can prevent Osteoporosis & Have Strong Bones for Life – Naturally”  written by Lara Pizzorno, MA, LMT with Jonathan Wright, M.D.
 
This book uncovers the real culprits responsible for this growing epidemic and identifies those factors in our lives that are putting our bones at risk. I found Chapter 7 extremely helpful.  It is a comprehensive overview of ALL the nutrients needed to build and maintain strong bones.    We all know about calcium, but did we understand the co-factors that are necessary to get it into our bones?   It was only recently that we learned about the role of Vitamin D, and how about vitamins K, B6, B12, and folate plus the minerals: boron, magnesium, phosphorous, zinc, manganese, copper, silicon, molybdenum, selenium and strontium?  I think it is important, too, that we get some straight talk on the dangers of taking some of the well-advertised bisphosphonate patent medicines.   It is just too easy to sit in front of the TV and fall prey  to the high-powered ads that often have side-effects much worse than the problem they claim to treat.

If you are over 30 years old, I urge you to add “Your Bones” to your “must read” list.  So, with that I will  leave  you for now . . . . but I will soon be sending you information on Gluten Sensitivity which, I think, will be very helpful, particularly for lymphedema patients.

 

 

A Cancer Survivor’s Birthday

August 16th, 2011

Last week I had the honor of attending Linda’s 65th Birthday Party and I have to tell you, this was no ordinary party. 65 of her loyal, and many long-time friends, even one from Alaska, came to welcome her into the wonderful world of senior living. But there was an even better reason to celebrate. Linda is a three-year survivor of pancreatic cancer with mets to the liver.

You may remember her as our poster girl at the 2006 NLN Conference. (See Photo )

JoAnn & Linda with Chronic Venous Insufficiency Leg

JoAnn, Linda and Wally. Linda is wearing our Chronic Venous Insufficiency Leg

Linda was one of my first lymphedema patients 16 years ago, and her little dog, Wally, who has since moved on to doggie heaven, used to sit patiently on my treatment table while Linda had her daily MLD treatment. Wally was Linda’s constant companion for 17 years.  Linda is treasurer of the Northwest Lymphedema Center, a 501 C 3 patient education center, and she and little Wally never missed a board meeting!  Over the course of her treatment and her volunteer efforts for the NWLC, Linda and I became good friends. After hanging around with me for all these years, Linda developed a keen interest in nutrition and whole body healing. It was probably the underlying factor in her decision to go to Cancer Treatment Centers of America, as their program is centered around integrative care and a staff that includes Naturopaths, Medical Doctors, Acupuncturists, and Nutritionists – all focused on treating the whole body – not just the cancer.

Linda has to be one of the best cooks I know and it came as no surprise that she, with the help of her two sisters, prepared all of the food for this dinner party. It was all healthy food and delicious. After dinner, with a twinkle in her eye, she announced to everyone they had just eaten Kale and if anyone was interested, she had 29 recipes for Brussels Sprouts!

Linda is a stellar example of what is possible when you support the body’s own healing system and maintain a positive attitude.  She glowed with enthusiasm and vitality and, quite possibly, was the healthiest looking person at the party.

NOTE:  For any of you who are interested in taking the Nutritional Therapist Training Program go to http://www.nutritionaltherapy.com. Classes will be  starting in September.

Dolly & Lulu, my Ragdoll Kittens

July 22nd, 2011

Dolly & Lulu

Dolly & Lulu

Meet Dolly and Little Lulu. Yes, I now have two new kittens instead of Jazzmen, the Bengal. Once I got a toxoplasmosis diagnosis I realized keeping a cat that repeatedly jumped out of her litter box and attached herself to my leg was too risky. I knew I would miss her terribly ….kind of like an abusive spouse! . . . but she had to go back to the shelter where I originally found her. Yuliya thought I should have sent the Inna Boots along with her! (See previous blog “Three Inna Boots and a Cat.”) So I didn’t finish the longevity test on the Inna Boots, but I did put over 50 treadmill miles on them and they didn’t show any signs of wear and that is what I needed to know.

Once my doctor said I could have gotten the “toxo” parasite from the dirt in my garden rather than the cat, it was all I could to keep from stopping at the shelter to get Jazzmen back. Instead I began looking for a replacement and discovered a veterinarian in the Chicago area who breeds Ragdolls. We made a deal but I couldn’t bear the thought of an 8-week-old kitten making the trip from Chicago to Seattle in the baggage compartment of an airplane, so I bought two kittens. As it turned out, Dr. Woll decided to visit her sister here in Seattle and kept the kittens in the passenger cabin with her. The photo was taken at the airport when I picked them up.

If you want to know more about this relatively new breed of kittens, go to Dr. Jennifer Woll’s website: www.drjensragdolls.com. . Be sure to click on “Perfect Portraits” to see photos from previous Ragdoll owners . . . . or click on “Kittens for Sale” if you have an irresistible urge to have one . . . . or two. Believe me . . . these cats are nothing like a Bengal. They are a combination of Persian, Berman and Burmese and became known as Ragolls because they go limp in your arms . . . just like a child’s ragdoll. They are very loving and the minute you touch them, they purr. I’ve only had them one week, but I can tell already my life will never be the same. I absolutely adore them.

Vitamin D Absorption

July 7th, 2011

Yuliya, my marketing manager, tells me I spend too much time talking about Vitamin D, but I just have to tell you two more things that I think may be helpful.

My first concern is watching the over- reaction to the “new Vitamin D discovery.” The anti-cancer benefit of maintaining adequate Vitamin D levels and the risks connected to a Vitamin D deficiency have obviously gained legitimacy in the medical community. In fact, I understand the pharmaceutical companies are frantically trying to develop an analog (a synthetic chemical version) which they can patent so doctors can prescribe a more profitable version to be used in the prevention and even the treatment of cancer! Beware. Don’t fall for anything that is not natural to the human body. Beware also of buying supplements that don’t contain the amounts stated on their labels. Have your 25-Vitamin D levels tested on a regular basis. If you are supplementing on a daily basis, and I would recommend no more than 4,000 I.U. per day, see if your level is coming up. If it is not, either gradually increase the dose and/or switch to a different brand. If you are up to 10,000 IUs (max) per day and the levels are not coming up there is a remote chance you have a “VDR (vitamin D receptor) genetic variation” that may be preventing adequate Vitamin D absorption. Here again, this requires close monitoring and a health-care practitioner and/or geneticist who can accurately identify the problem. (This is explained in Gray Graham’s new book, “Pottenger’s Prophecy” How Food Resets Genes for Wellness or Illness.)

Should we be worried about getting a Vitamin D overdose? By itself Vitamin D is not toxic as your body will only use what it needs. However, it is important to understand how it works and why Vitamin D is essential for building strong bones. Vitamin D pulls calcium from the gut into the bloodstream where it is carried to the bones with the help of Essential Fatty Acids (Omega 3) and Vitamin K (ideally from leafy green vegetables). If there is an over abundance of Vitamin D without adequate fatty acids to carry it into the cells, and if too much calcium is pulled into the bloodstream causing hypercalcemia (too much calcium) it can adversely affect the nervous system and ultimately the integrity of the internal organs. Too much calcium can be just as hazardous as having too little. . . . another reason to let your doctor prescribe the dosing of anything that changes your blood chemistry. This is particularly true of hormones and, as I mentioned earlier, Vitamin D is actually a steroid hormone.

I recently sent Omega 3 fish oil and Vitamin D to a friend and later realized she doesn’t have a gall bladder. I should have also sent bile salts, i.e. Biotic’s Beta Plus® or Standard Processs’s Cholacol®. For those of you who don’t have a gall bladder I want to make sure you understand why you need to take bile salts whenever you consume fats of any kind. Yes, your liver continues to produce bile – during the night while you are sleeping, but without a gall bladder there is no place to store the bile. Consequently, sufficient quantities of bile are not available when you need it for proper fat digestion. After talking with my friend, I better understood why she wasn’t getting any of the anti-inflammatory benefits of the Omega 3 fatty acid. The good news is she was taking the Biotics Bio- D-Mulsion Forte® which is already emulsified and doesn’t depend on bile support.

So why aren’t I talking more about JoViPaks? I will, but, more than anything, I want you to be healthy. For those of you who are struggling with lymphedema secondary to cancer surgery, just remember, . . . . We are in this together, for I, too, am a cancer survivor and if I learn something that might make the management of your lymphedema easier or build up your immune system to protect you from another bout with cancer, I will continue to pass the information along.

Iodine

June 3rd, 2011

Since the Fukushima disaster there has been a lot of talk about Iodine as protection from radiation-induced thyroid cancer. I find it unsettling when my favorite educators have conflicting opinions. One says a Hashimoto patient should never take iodine, one says it is OK and another said its OK providing you first support the thyroid with selenium and an herb called Bladderwrack (a derivative of a specific seaweed that contains iodine). Get the media involved in the discussion and it really gets confusing, as they indicate the concern about radioactive fall-out is unfounded, but perhaps that is because the pharmaceutical companies can’t make any money selling iodine.

Quite probably, we are all iodine deficient, particularly since most of us have stopped using iodized salt. Dr. Brownstein, who authored the book, “Iodine: Why You Need It, Why You Can’t Live Without It” was the guest speaker for a Biotics class here in Seattle last month. He is very concerned for those of us living on the West coast who may be affected by the radiation crossing the Pacific ocean from Japan and feels that iodine supplementation may be even more important at this time than Vitamin D. It is interesting to note, however, that in one of Dr. Mercola’s recent newsletters there is an entire article on the value of Vitamin D as protection from radiation. I say, why not take Iodine and Vitamin D since they are both key factors in reducing our risk of Breast Cancer? (I know I don’t want to go there again!) But, please, ask your doctor or nutritionist for safe dosing guidelines and follow up with regular monitoring.

When I attended Dr. Brownstein’s class I discovered he has a new book, “The Guide to Healthy Eating,” which is timely, because there is so much confusion about what to eat, when to eat, and how much to eat. Should we supplement or should we not? We are being inundated with nutritional information as well as precautions and/or scare tactics. Anyone wandering into a health-food store without a clue of what they need, or just looking for products that address their symptoms, without understanding the underlying cause of their discomfort, are at the mercy of the shopkeeper.

It can be equally daunting just to go grocery shopping. First we learn that some foods are harmful, and a week later they are OK! What can be really discouraging is finding out that some of our favorite foods, which we were hoping were good for us, are REALLY bad! (We could start with donuts and french fries.)
So if you have made a decision to turn your life around and do what you can to avoid the myriad of degenerative diseases that haunt all of us, where do you start?

For now, I think a good start would be Dr. Brownstein’s new book, “The Guide to Healthy Eating.” He and his co-author, Sheryl Shenefelt, a Certified Nutritionist, include easy to understand discussions of carbohydrates, sweeteners, fats and oils, protein, nuts and seeds, salt, foods to eat and foods to avoid, what to buy at the grocery store, food preparation tips and 40 pages of recipes. For you therapists who are trying to convince your patients they can’t manage their lymphedema until they manage their diet, this book might be a good one to have in your office. You can visit Dr. Brownstein’s website at www.drbrownstein.com for more information as well as a list of his other books.

I’m finding it is a full-time job attending classes and keeping up with what is coming across the internet. Perhaps this means we just all need to collect our thoughts, ask questions, and share any new information that brings us closer to the truth. (Don’t hesitate to email me: joann@jovipak.com, if you run across any information that would be particularly helpful for lymphedema patients or you think I’m headed down the wrong track.)

FYI: Biotics has a product called Iodizyme-HP™ (potassium iodide and iodine 6.25 mg in a ½ tablet). Biotics also has a very easy-to-use Vitamin D emulsion called Bio-D-Mulsion Forte™. Just one drop of the Bio-D-Mulsion Forte™ equals 2,000 IU of Vitamin D. I just mix 2 drops in a small amount of warm water or add it to my morning protein shake.
I know it works. My blood test came back yesterday and I’ve raised my Vitamin D level from 20 to 52.

Bromide, Cats and Thyroid

May 9th, 2011

As you may have guessed by my last blog, I’m a raving fan of Dr. David Brownstein, M.D. His books have been very helpful in helping me identify some of the missing pieces needed for the successful treatment and management of lymphedema. Two years ago I read Dr. Brownstein’s book on Iodine, an element that is necessary for the production of thyroid hormone. That is where I learned that Bromine, or Bromide (the reduced form of Bromine), interferes with iodine uptake and utilization in the thyroid gland. Since 1971 our iodine levels have declined 50% partly due to changes in food production, but combine that with the consequence of bromide binding to our iodine receptors and we are at much greater risk for thyroid illness.

You might be interested to know that in the 1960’s iodine was used in bakery products as an anti-caking agent. Due to unfounded concern that we might be ingesting too much iodine, it was replaced by bromide, which is not only toxic to the human body but is adding to the increased incidence of iodine deficiency. Bromide is also used as an antibacterial agent in pools and hot tubs and as a fumigant for agriculture and termites. There are even a few carbonated and/or energy drinks that contain brominated vegetable oils. It is also used in several prescription medicines.

Bromide is in the family of halogens. So is the fluoride and chlorine (the oxidized form of chloride) that is in your tap water! Note, too, that one of the major sugar-substitutes (Splenda®) contains chlorinated table sugar.

As a lymphedema therapist I am continually looking for reasons why some lymphedema patients continue to struggle with their condition and all too often I find that hypothyroidism is a factor.

As a manufacturer who is continually outraged by those laws that adversely affect our health, e.g. being forced to use only polyurethane foam which has been treated with fire retardant, my search began for a new foam supplier. Yes, it took me two years, but I found one. In fact our new foam supplier has been acknowledged in the national news media as the first foam manufacturer to step up and pay extra for a PDBE or bromide free product.

I was beginning to relax on this issue until I took my cat to the vet. She had lost weight since her last visit and the vet said that feline thyroid disease was on the rise and weight loss was one of the first symptoms. So my wheels began turning and I wanted to know why. As luck would have it, I attended a 4-hour class at Diagnos-techs Laboratory on “The Role of Adrenal Dynamics in Functional Medicine” and the instructor began talking about Bromide and its effect on the thyroid. He said, “Have you wondered why so many cats are showing up with thyroid problems?” And, yes, he had my attention because I had already lost one cat to thyroid disease and had just been told I might be losing another. But all of a sudden it made sense. As Dr. Dent explained, fire retardant is in our mattresses, our carpeting, our furniture (which the cats are licking and laying on) … even baby clothes. . . . .and it all began to make sense.

But not to worry . . . . my cat is doing fine and most importantly . . . you can rest assured you will never find bromide in a JoViPak product!

One more time, let me recommend Dr. Kharrazian’s book, “Why Do I Still Have Thyroid Symptoms? When My Lab Tests are Normal” for those of you who struggle with or suspect you have thyroid issues. Stay tuned, however, as I have uncovered some amazing new insights on this subject which I am eager to share with you.

Natural Hormones

April 14th, 2011

One of the best parts of traveling is that it gives me an opportunity to read another book. It’s not that I didn’t enjoy the warm weather in Arizona or the EW Conference, but David Brownstein, M.D. happens to be one of my favorite authors. I already had his books on “Overcoming Thyroid Disorders”, “Salt Your Way to Health”, and “Iodine: Why You Need It, Why You Can’t Live Without It.” – all of which are good books for lymphedema patients who are seeking a better understanding of possible underlying complications. This is particularly true of my latest acquisition, “The Miracle of Natural Hormones.”

Hormone therapy has been such a disaster over the years and I’m hoping Dr. Brownstein’s book will eliminate some of the misconceptions. That was the purpose of the Women’s Health Initiative (WHI) which began in 1996, but was halted 3 years before its completion when it was discovered that conventional hormone replacement therapy was creating more risks than benefits. I am certainly a prime example. My downhill slide began 7 years before my cancer diagnosis when I was talked into having a complete hysterectomy for fibroid tumors. I didn’t know that fibroids were a sign of estrogen dominance and if I had had access to that information I never would have agreed to the surgery. The standard post-operative protocol was hormone replacement therapy, or Premarin (pregnant mare’s urine). Why would I have agreed to more estrogen, particularly one that was not natural to the human body? But I did and sure enough, 7 years later I had estrogen induced breast cancer with axillary lymph node involvement.

Perhaps this explains my exhaustive search for better answers. Over the last 22 years since my diagnosis I have acquired a vast library of books on nutrition, cancer, natural therapies and wellness. I attend every class I can justify, which has included over 100 hours of continuing education credits in the last 6 months.

The theme for the EW Conference in Glendale this month was “Focus On The Future” which gave me a good lead-in for my presentation. I opened by saying that when you get a cancer diagnosis you don’t know if you have a future, particularly when you turn down chemotherapy as I did. I asked the audience how many of them wanted to live to be 100 years old and they all raised their hand. I asked if they would feel the same way if they had to spend the last 30 years of their life in a wheel chair, dragging an oxygen tank behind them and couldn’t remember what they had for lunch. If they needed reinforcement for that vision, I suggested they visit an assisted living or an advanced memory care facility. I wanted my audience to realize the value of keeping themselves well informed and making prudent decisions regarding their diet and lifestyle. We don’t have to give in to degenerative diseases if we choose not to and are willing to make the lifestyle changes that support optimal health. We need to continually educate ourselves and be grateful for the doctors like Dr. Brownstein who are providing us with the kinds of information and clarification that allow us to make better decisions.

My next class, May 14,15 & 16, is “Nutritional Therapy in Medical Practice” and is being given by Dr. Alan Gaby, M.D. and Jonathan Wright, M.D. both of whom were presenters at the A4M (American Academy of Anti-Aging Medicing) Conference in Las Vegas. Dr. Wright’s specialty is natural hormones and I’m sure Dr. Brownstein’s book on this subject will make the class much more meaningful. I’ll do my best to include the highlights in future blogs.

As Dr. Francis Pottenger said, “The greatest gift to this earth is the knowledge we leave behind for others.” (Pottenger’s Cats …a Study in Nutrition)

Busy Busy Busy

March 29th, 2011

Yes, we’ve been a little busy at JoViPak. We have moved to a brand new larger facility. We are in the same complex and one more time our landlord has given us everything we asked for. The walls in the reception and production area are soft periwinkle blue, the offices are a calming sage green and the break room is a cheerful crescent creme. We now have a separate classroom for our fitter certification classes and attendees can now receive 6 CEU’s for attending.

We have also been frantically working on our new Product Guide which has grown from 68 pages to 99 pages in order to include all of our new products. They are currently being printed and as soon as we hear from our customers to verify their shipping address we will send them out.

On top of all of this I have been trying to prepare my presentation for the next Essentially Women Conference being held next week in Glendale, Arizona. My talk is entitled, “Exploring the Pathways to Optimum Health,” and I’m hoping I will see you there.

Three InnaBoots and a Cat

February 10th, 2011

Here is the story you have been waiting for.

Jazzmen, inspiration for Deluxe InnaBoot

Jazzmen, the Bengal Cat

It all started on a New Year’s Eve.  I didn’t have a date or a place to go, so I went to the animal shelter to get a cat.  I was looking for a black cat, as I thought it would look good on my piano but instead, I came home with one that had spots on it.  Her name is “Jazzmen” which I thought was a little odd, but then so is the cat.  Besides that, she was not a well cat, so I held her in my arms over the holiday weekend and read “Twelve Pillars of the Earth.”  On Monday I took her in to the vet who said, “Where did you get this Bengal?”   He told me this was a very expensive breed, which left me wondering why would anyone leave a Bengal at the shelter.  Well now I know!  You just don’t say “No” to a Bengal.  If you leave them alone all day, you had better be prepared to play when you get home . . . .no excuses.

InnaBoot for Lymphedema

InnaBoots, JoAnn & Jazzmen

So here is the problem.  Jazzmen’s idea of a good time is leaping out from her favorite hiding place and attaching herself to my leg.  I love her dearly, but there have been times I’ve considered taking her back to the shelter.  Then it occurred to me;  why not try out our new JoViPak InnaBoots?  This would not only provide protection for my legs, but would give me an opportunity to test our new product and see if we should make any design changes.  I tried three different lengths:  toes to knee, toes to lower thigh and toes to mid thigh and have decided our original toes to knee design is preferable.  I did have a problem lining up the Velcro® closure; however, if a patient has someone to help with the donning, this should not be a problem.  I realized that for someone living alone, we needed to split the nylon/spandex outer wrap and add pull tabs which has evolved into our new edition of the InnaBoot – the InnaBoot Deluxe.

Now that I have conquered the cat problem (instead of the cat chasing me, I chase the cat!), I have settled on an appropriate length for the garments and have developed a way to facilitate easier donning, there was still one more test I wanted to try;  just how long would an InnaBoot last?  So stay tuned;  the InnaBoot Endurance Test has begun.  Each morning I jog a mile on my treadmill and yesterday I decided that rather than wearing golf socks I should be wearing my InnaBoots. I have to say they are definitely an improvement over the golf socks. The non-slip soles give me greater stability;  plus the boot itself is cozy warm and  very comfortable.  I’ve already worn them every night for the last two months and now I will see how many miles I can put on them each morning.  And just so you know, Inna promised to make me a new pair unless I wear out before the InnaBoots do.